Curriculum

Medical Surgical Nursing for Basic B.Sc. (Nursing)

1 UNIT: I         

 Introduction

· Appreciate the trends in medical and surgical nursing.
· Describe the role of a nurse in caring for adult patient in hospital and community.
· Describe the concepts of Medical Surgical aspects.
Introduction to medical surgical nursing-Evolution and trends of medical and Surgical nursing
· Review of Concepts of Health and illness Disease-concepts, causations,classification- International Classification Diseases (ICD -10 or later version),Acute illness chronic stages if illness
· Review of concepts of comprehensive nursing care in medical surgical
conditions based on nursing process • Role of Nurse, patient and family in care of adult patient • Role and responsibilities of a nurse in medical surgical
settings:
– Outpatient department.
– In-patient unit.
– Intensive care unit
– Home and Community setting
· Introduction to Medical Surgical asepsis
– Inflammation and Infection Immunity
– Wound healing
· Care of Surgical Patient
– Pre-operative
– Intra operative
– Post Operative
· Lecture Discussion
· Demonstration
· Practice Session.
· Supervised clinical practice.

  • Vertical
  • Problem based learning
  • Cooperative learning
15 Hrs
2 UNIT: II        
Common signs and symptoms and management
· Describe the common signs, symptoms, problems and their
· Specific nursing intervention.
· Fluid and electrolyte imbalance • Vomiting
· Dyspnea and cough, respiratory obstruction
· Fever
· Shock
· Unconsciousness, syncope
· Pain
· Incontinence
· Edema
· Age related problems-geriatric
· Lecture Discussion
· Seminar
· Case Discussion.

  • Problem based learning
  • Cooperative learning
15Hrs
3 UNIT: III      
Nursing management of patients (adults including elderly) with respiratory problems
· Describe the etiology, patho-physiology, clinical manifestations, diagnostic measures and management of patients (adults including elderly)
with disorders of respiratory systems.
· Review of anatomy and physiology of respiratory system,
· Nursing Assessment—History and Physiology assessment
· Etiology, Pathophysiology,
· Clinical manifestations, diagnosis, treatment modalities and medical, surgical,
dietetics& nursing management of adult including elderly with—
– Upper Respiratory tract infections.
– Bronchitis
– Asthma
– Emphysema
– Empyema
– Atelectasis
– Chronic obstructive –
– Pulmonary Diseases (COPD)
– Bronchiectasis
– Pneumonia –
– Pulmonary tuberculosis
– Lung abscess
– Pleural effusion
– Cysts and Tumours- Chest injuries
– Respiratory arrest and insufficiency
– Pulmonary embolism special therapies,
alternative therapies
Nursing procedures: Drugs used in treatment of respiratory disorders
· Lecture Discussion
· Explain using Charts, graphs
· Models, films slide.
· Demonstration
· Practice Session
· Case Discussion / Seminar
· Health education
· Supervised clinical practice
· Drug book / presentation.
20 Hrs.

 

 

 

 

4 UNIT: IV
Nursing management of patients (adults including elderly) with disorders of digestive system
· Describe the etiology, patho-physiology, clinical manifestations, diagnostic measures and management of patients (adults including elderly)
with disorders of digestive systems.
· Review of anatomy and physiology of digestive system,
· Nursing Assessment—History and Physical assessment
· Etiology, Pathophysiology,
· Clinical manifestations, diagnosis, treatment modalities and medical, surgical,
dietetics& nursing management
· Disorders of
– Oral cavity- lips, gums, tongue, salivary glands and teeth
– Oesophagus- inflammation, stricture, obstruction,
bleeding and tumours
– Stomach and deudenumhiatus hernia, gastritis,
peptic and duodenal ulcer, bleeding, tumours, pyloric
stenosis
– Small intestinal disorders inflammation and infection,
enteritis, malabsorption, obstruction, tumour and
perforation
– Large intestinal disorders- Colitis, inflammation and
infection, obstruction and tumour and lump
– Hernias
– Appendixinflammation, mass, abscess, rupture
– Anal & Rectum; hemorrhoids, fissures, Fistulas
– Peritonitis/acute abdomen
– Pancreas;inflammation, cyst, abscess and tumours
– Liver; inflammation, cyst, abscess, cirrhosis, portal hypertension, hepatic failure, tumours
– Gall Bladder;inflammation, obstruction, stones and
Tumours Special therapies, alternative therapies
Nursing procedures: Drugs used in treatment of disorders of digestive system.
Lecture Discussion
· Explain using Charts, graphs
· Models, films slide.
· Demonstration
· Practice Session
· Case Discussion / Seminar
· Health education
· Supervised clinical practice
· Drug book / presentation.

  • Student interactive session
  • Problem based learning
30 Hrs
5. UNIT: V
Nursing management of patients (adults including elderly) with blood and cardio vascular problems
· Describe the etiology, patho-physiology, clinical manifestations, diagnostic measures and management of patients (adults including elderly)
with blood and cardio vascular problems.
· Describe the vascular conditions and its nursing management.
· Review of anatomy and physiology of blood and cardio vascular system
· Nursing Assessment-History and Physical assessment
· Etiology, Pathophysiology, clinical manifestations, diagnosis, treatement
modalities and medical, surgical, dietetics & nursing management of—
· Vascular system
– Hypertension, Hypotension
– Atherosclerosis
– Raynaud’s disease
– Aneurism and Perpherial vascular disorders
Heart
· Coronary artery diseases
– Ischemic Heart Disease
– Ischemic Heart Disease
– Cornory atherosclerosis
– Angina pectoris
– Myocardial infarction
· Valvular disorders of the heart
– Congential and acquired
– Rheumatic Heart diseases
· Endocarditis, Pericarditis Myocarditis
· Cardio Myopathies
· Cardiac dysrhythmias, Heart Block
· Congestive cardiac failure
– Cor-pulmonale, Pulmonary edema, cardiogenic shock, cardiac temponade
· Cardiac emergencies and arrest
· Cardio Pulmonary Resuscitation (CPR)
· Blood
– Anaemias
– Polycythemia
– Bleeding disorders; clotting factor defects and platelets defects
– Thalassemia
– Leukaemias
– Leukopenias and agranulocytosis
– Lymphomas
– Myelomas
· Special therapies
– Blood transfusion, safety checks, procedure and requirements, management of adverse transfusion reaction, records for blood transfusion.
– Management and counseling of blood donors, phlebotomy procedure, and post donation management.
Blood bank functioning and hospital transfusion
committee. Bio-safety and waste management in relation to blood Transfusion
– Role of a nurse in Organ donation, retrieval and banking
Alternative therapies Nursing procedures Drugs used in
treatment of blood and cardio vascular disorders
· Lecture Discussion
· Explain using Charts, graphs
· Models, films slide.
· Demonstration
· Practice Session
· Case Discussion / Seminar
· Health education
· Supervised clinical practice
· Drug book / presentation.
· Visit to blob bank
· Participation in blood donation camps
· Counseling.

  • Horizontal
  • Cooperative learning
30 Hrs
6. UNIT: VI

Nursing management of patients (adults including elderly) with genito-urinary problems

 · Describe the etiology, patho-physiology, clinical manifestations, diagnostic measures and management of patients (adults including elderly)
with disorders of genitor-urinary system.
· Review of anatomy and physiology of genitor-urinary system
· Nursing Assessment— History and Physical assessment
· Etiology, Pathophysiology, clinical manifestations, diagnosis, treatment
modalities and medical, surgical, dietetics & Nursing management of
· Nephritis
· Nephrotic syndrome
· Nephrosis
· Renal calculus
· Tumours
· Acute renal failure
· Chronic renal failure
· End stage renal transplant
· Congenital disorders, urinary bladder and urethera inflammation, infection,
stricture, obstruction, tumour, prostrate
· Special therapies, alternative therapies
Nursing procedures: Drugs used in treatment of genitor-urinary disorders
Lecture Discussion
· Explain using Charts, graphs
· Models, films slide.
· Demonstration
· Practice Session
· Case Discussion / Seminar
· Health education
· Supervised clinical practice
· Drug book / presentation.

  • Student interaction session
  • Problem based learning
10 Hrs
7. UNIT: VII

Nursing management of patients (adults including elderly) reproductive system

· Describe the etiology, patho-physiology, clinical manifestations,diagnostic measures and management of patients (adults including elderly)
with disorders of genitor-urinary system.
· Review of anatomy and physiology of male reproductive system.
· Nursing Assessment— History and Physical assessment
· Etiology, Pathophysiology, clinical manifestations, diagnosis, treatment
modalities and medical, surgical, dietetics & nursing management of disorders of male reproductive system
· Congenital malformation; cryptorchidism
· Hypospadiasis, Epispadiasis
· Infections
· Testis and adjacent structures
· Penis
· Prostate: inflammation, infection, hypertrophy, tumour
· Sexual Dysfunction
· Infertility
· Contraception
· Brest; gynecomastia, tumour
· Climacteric changes special therapies, alternative therapies
Nursing procedures: Drugs used in treatment of disorders of male reproductive system
· Lecture Discussion
· Explain using Charts, graphs
· Models, films slide.
· Demonstration
· Practice Session
· Case Discussion / Seminar
· Health education
· Supervised clinical practice
· Drug book / presentation.

  • Horizontal
  • Problem based learning
5 Hrs
8. UNIT: VIII

Nursing management of patients (adults including elderly) with disorders of endocrine system

· Describe the etiology, patho-physiology, clinical manifestations, diagnostic measures and management of patients (adults including elderly)
with disorders of genito-urinary system.
· Review of anatomy and physiology endocrine system.
· Nursing Assessment — History and Physical assessment
· Etiology, Pathophysiology, clinical manifestations, diagnosis, treatment
modalities and medical, surgical, dietetics & nursing management of disorders of Thyroid and Parathyroid
– Diabetes mellitus
– Diabetes insipidus
– Adrenal tumour
– Pituitary disorders, special therapies,
alternative therapies
Nursing procedures: Drugs used in treatment of disorders of endocrine system
Lecture Discussion
· Explain using Charts, graphs
· Models, films slide.
· Demonstration
· Practice Session
· Case Discussion / Seminar
· Health education
· Supervised clinical practice
· Drug book / presentation.

  • Horizontal method
  • Student interactive session
10 Hrs
9. UNIT: IX

Nursing management of patients (adults including elderly) with disorders of Integumentary
 system

· Describe the etiology, patho-physiology, clinical manifestations,diagnostic measures and management of patients (adults including elderly)
with disorders of skin.
· Review of anatomy and physiology of skin and its appendages.
· Nursing Assessment— History and Physical assessment
· Etiology, Pathophysiology, clinical manifestations, diagnosis, treatment
modalities and medical, surgical, dietetics & nursing management of disorders
of skin and its appendages.
– Lesions and abrasions
– Infection and infestations; Dermatitis
– Dermatoses; infectious and Non infectious  “inflammatory dermatoses”
– Acne Vulgaris
– Allergies and Eczema
– Psoriasis
– Malignant melanoma
– Alopecia
Special therapies, alternative therapies
Nursing procedures: Drugs used in treatment of disorders of
Integumentary system
· Lecture Discussion
· Explain using Charts, graphs
· Models, films slide.
· Demonstration
· Practice Session
· Case Discussion / Seminar
· Health education
· Supervised clinical practice
· Drug book / presentation.

  • Horizontal method
  • Unconventional method
10 Hrs
10. UNIT: X

Nursing management of patients (adults including elderly) with Musculoskeletal problems

· Describe the etiology, patho-physiology, clinical manifestations, diagnostic measures and management of patients (adults including elderly)
with disorders of musculoskeletal system.
Review of anatomy and physiology of musculoskeletal system.
· Nursing Assessment— History and Physical assessment
· Etiology, Pathophysiology, clinical manifestations, diagnosis, treatment
modalities and medical, surgical, dietetics & nursing management of—
· Disorders of:
– Muscles, Ligaments and joints-inflammation, infection, trauma
– Bones-inflammation, infection, dislocation, fracture, trmour and trauma
– Osteomalacia and osteoporosis
– Arthritis
– Congenital deformities
– Spinal coloumn-defects and deformities, Tumor,
Prolapsed inter vertebral disc, pott’s spine
– Paget’s disease
· Amputation
· Prostheses
· Transplant & replacement surgeries
· Rehabilitation, Special therapies, alternative therapies
Nursing procedures: Drugs used in treatment of disorder of musculoskeletal system
Lecture Discussion
· Explain using Charts, graphs
· Models, films slide.
· Demonstration
· Practice Session
· Case Discussion / Seminar
· Health education
· Supervised clinical practice
· Drug book / presentation.

  • Simulated learning
  • Problem based learning.
15 Hrs
11. UNIT: XI

Nursing management of patients (adults including elderly) with Immunological problems.

· Describe the etiology, patho-physiology, clinical manifestations,diagnostic measures and management of patients (adults including elderly)
with disorders of Immunological problems.
· Review of Immune system. Nursing Assessment— History
· and Physical assessment
· Etiology, Pathophysiology, clinical manifestations, diagnosis, treatment
modalities and medical, surgical, dietetics & nursing management of—
· Immunodeficiency disorder
· Primary immuno deficiency
· Phagocytic dysfunction
· B-cell and T-cell deficiencies
· Secondary immunodeficiency’s
· Acquired immunodeficiency’s and Acquired immunodeficiency Syndrome
(AIDS)
· Incidence of HIV & AIDS
· Transmission-Prevention of Transmission 0
· Standard safety precautions
· Role of Nurse; Counseling
· Health education and home care consideration
· National AIDS Control Programme-NACO, various national and international
agencies
· Infection control program
· Rehabilitation Special therapies, alternative therapies
Nursing procedures: Drugs used in treatment of disorders of Immunological system
· Lecture Discussion
· Explain using Charts, graphs
· Models, films slide.
· Demonstration
· Practice Session
· Case Discussion / Seminar
· Health education
· Supervised clinical practice
· Drug book / presentation.

  • Unconventional method
  • Student interaction session
 

10 Hrs

12. UNIT: XII

Nursing management of patients (adults including elderly) with Musculoskeletal problems

· Describe the etiology, patho-physiology, clinical manifestations, diagnostic measures and management of patients (adults including elderly)
with communicable disease.
· Review of anatomy and physiology of musculoskeletal system.
· Nursing Assessment — History and Physical assessment Epidemiology,
infectious process, clinical manifestations, diagnosis, treatment, prevention and
dietics. Control and eradication of common Communicable Diseases
– Tuberculosis
– Diarrhoeal diseases
– Hepatitis A-B
– Herpes
– Chickenpox
– Smallpox
– Typhoid
– Meningitis
– Gas gangrene
– Leprosy’
– Dengue
– Plague
– Malaria
– Diphtheria
– Pertussis
– Poliomyelitis
– Measles
– Mumps
– Influenza
– Tetanus
– Yellow fever
– Filariasis
– HIV, AIDS
· Reproductive Tract Infections
· Special Infection control measures: Notification, Isolation, Quarantine,
Immunization, Infectious Diseases Hospitals
Special therapies, alternative therapies
Nursing Procedures: Drug used in treatment of Communicable diseases
Lecture Discussion
· Explain using Charts, graphs
· Models, films slide.
· Demonstration
· Practice Session
· Case Discussion / Seminar
· Health education
· Supervised clinical practice
· Drug book / presentation.

  • Vertical method
  • Unconventional method
20 Hrs
13. UNIT: XIII

Pen Operative nursing

Describe the Organisation and physical set up of operation theatre.
· Identify the various instruments and equipments used for common surgical procedures.
· Describe the infection control measures in the Operation theatre.
· Describe the role of the nurse in the Peri Operative nursing care.
Organisation and Physical set up of the Operation Theatre (OT):
– Classifications
– O. T. DESIGN
– Staffing
– Members of the OT team
– Duties and responsibilities of nurse in O.T.
– Principles of Health and operating room attire.
– Instruments,
– Sutures and suture materials
– Equipments
– O.T. tables and sets for common surgical procedures
– Positions and draping for common surgical procedures
– Scrubbing procedures
– Gowning and gloving
– Preparation of O.T. Sets
– Monitoring the patient during surgical procedures
· Maintenance of therapeutic environment in O.T.
· Standard Safety measures
– Infection control; fumigation, disinfection and sterilization
– Biomedical waste management
– Prevention of accidents and hazards in O.T.
· Anaesthesia
– Types
– Methods of administration
– Equipments
– Drugs
· Cardio Pulmonary Resuscitation (CPR)
· Pain management techniques
· Legal Aspects
Lecture Discussion
· Explain using Charts, graphs
· Models, films slide.
· Demonstration
· Practice Session
· Case Discussion / Seminar
· Health education
· Supervised clinical practice
· Drug book / presentation.

  • Horizontal method
  • Unconventional method
25Hrs