Syllabus

Medical Surgical Nursing-2 for Basic B.Sc. (Nursing)

S.No

Curriculum Planning in Medical Surgical Nursing-II

 Topic

DOMAIN

Time

1 UNIT: I         

Nursing management of patient with disorders of Ear, Nose and Throat
· Review of anatomy and physiology of the Ear ,Nose and Throat.
· Nursing Assessment – History and Physical assessment.
· Etiology, Pathophysiology, clinical manifestations, diagnostic treatment
modalities& surgical nursing management of Ear Nose and Throat disorders:
· External ear: deformities otalgia, foreign bodies, and tumors.
· Middle Ear-Impacted was, Tympanic membrane perforation, otitis media,
otosclerosis, mastoidities, tumors.
· Inner ear-Meniere’s Disease, labyrinthitis, ototoxity, tumors
· Upper airway infections- common cold, sinusitis, ethinitis, rhinitis, pharyngitis,
tonsillitis and adenoiditis, peritonsillar abscess, laryngitis
· Upper respiratory airway-epistaxis, Nasal obstruction, laryngeal obstruction,
cancer of the larynx
· Cancer of the Oral cavity
· Speech defects and therapy
· Deafness
· Prevention, control and rehabilitation
· Hearing Aids, implanted hearing devices
· Special therapies
· Nursing procedures
· Drugs used in treatment of disorders of Ear Nose and Throat
· Role of nurse communicating with hearing impaired and muteness.

 

 

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15 Hrs
2 UNIT: II        

Nursing management of patient with disorders of Ear, Nose and Throat
· Review of anatomy and physiology of the Eye.
· Nursing Assessment – History and Physical assessment.
· Etiology, Pathophysiology, clinical manifestations, diagnostic treatment
modalities& surgical nursing management of Eye disorders:
· Refractive errors o Eyelids-infection, tumours and deformities
· Conjunctiva-inflammation and infection, bleeding
· Cornea-inflammation and infection
· Lens-Cataracts
· Glaucoma
· Disorder of the uveal tract,
· Ocular tumours
· Disorders of posterior chamber and retina: Retinal and vitreous problems.
· Retinal detachment
· Ocular emergencies and their prevention
· Blindness
· National blindness control program
· Eye Banking Eye prostheses and Rehabilitation
· Role of a nurse-Communication with visually impaired patient, Eye camps
· Special therapies
· Nursing procedures
· Drugs used in treatment of disorders of eye

 

 

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15Hrs
3 UNIT: III      
Nursing management of patient with neurological disorders
· Review of anatomy and physiology of the neurological system
· Nursing Assessment-History and Physical and neurological
· Etiology, pathophysiology, clinical manifestations, diagnosis, treatment
modalities and medical & surgical nursing management of neurological
disorders:
· Congenital malformation
· Headache
· Spinal Injuries:
· Hemiplegia
· Quadriplegia
· Spinal cord compression, herniation of intervertebral disc
· Tumors of the brain & spinal cord
· Intra cranial and cerebral aneurysms
· Infections:
· Meningitis, Encephalitis, Brain abscess, neurocysticercosis.
· Movement disorders V
· Chorea
· Seizures
· Epilepsies
· Cerebro Vascular Accident (CVA)
· Cranial, Spinal Neuropathies, Bell’s palsy, trigeminal neuralgia
· Peripheral Neuropathies; Guillain-Barr’s Syndrome
· Myasthenia gravis
· Multiple sclerosis
· Degenerative disease
· Delirium
· Dementia
· Alzheimer’s disease
· Parkinson’s disease
· Management of unconscious patients and patients with stroke
· Role of the nurse in communicating with patient having neurological deficit
· Rehabilitation of patients with neurological deficit
· Role of nurse in long stay facility (institutions) and at home
· Special therapies
· Nursing procedures
· Drugs used in treatment of neurological disorders
 

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16 Hrs.

 

 

 

 

4 UNIT: IV
Nursing management of patient with disorders of female reproductive system
· Review of anatomy and physiology of the female reproductive system
· Nursing Assessment-History and Physical assessment.
· Breast Self Examination
· Etiology, pathophysiology, clinical manifestations, diagnosis, treatment
modalities and medical & surgical nursing management of disorders of
female reproductive system
· Congenital abnormalities of female reproductive system
· Sexuality and Reproductive Health
· Sexual Health Assessment
· Menstrual Disorders; Dysmenorrhea, Premenstrual Syndrome
· Abnormal Uterine Bleeding; Menorrhagia, Metrorrhagia
Pelvic Inflammatory Disease
· Ovarian and fallopian tube disorders; infections, cysts, tumours
· Uterine and cervical disorders, Endometriosis, polyps, Fibroids, Cervical
and uterine tumours, Uterine displacement, Cystocele / Urethrocele /
Rectocele
· Vaginal disorders; Infections, cysts, tumours
· Diseases of breasts; Deformities, Infections, Cysts and Tumours
· Menopause and Hormonal Replacement Therapy
· Infertility
· Contraception; Types Methods, Risk and effectiveness
* Spacing Methods
* Barrier methods, Intra Uterine Devices, Hormonal,
* Post Conceptional Methods, etc
* Terminal methods
– Sterilization
· Emergency Contraception methods
· Abortion— Natural, Medical and surgical abortion— MTPAct
· Toxic Shock Syndrome
· Injuries and Trauma; Sexual violence
· Special therapies
· Nursing procedures
· Drugs used in treatment of gynecological disorders
· National family welfare programme

 

 

 

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16 Hrs
5. UNIT: V
Nursing management of patient with Burns, reconstructive and cosmetic surgery
· Review of anatomy and physiology of skin and connective tissues and
various deformities
· Nursing Assessment-History and Physical assessment and Assessment of
burns and fluid and electrolyte loss.
· Etiology, Classification, pathophysiology, clinical manifestations, diagnosis, treatment modalities and medical & surgical
· Nursing management of Burns and Re-constructive and Cosmetic surgery;
· Types of Re-constructive and Cosmetic surgery; for burns, congenital
deformities, injuries and cosmetic purposes
· Role of Nurse
· Legal aspects
· Rehabilitation
· Special therapies o Psycho social aspects
· Nursing procedures Drugs used in treatment of Burns, reconstructive and cosmetic surgery
 

 

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10 Hrs
6. UNIT: VI
Nursing management of patient with oncological conditions
· Structure & characteristics of normal & cancer cells
· Nursing Assessment-History and Physical assessment
· Prevention, Screening, Early detection, Warning signs of cancer
· Epidemiology, Etiology, Classification, Path physiology, Staging, clinical manifestations, diagnosis, treatment of oncological conditions
· Common malignancies of various body systems; Oral, larynx, lung,
Stomach and Colon, Liver, Leukemias and lymphomas, Breast, cervix,
Ovary, Uterus, Sarcoma, Brain, Renal, Bladder, Prostate etc
· Oncological emergences
· Modalities of treatment
* Immunotherapy
* Chemotherapy
* Radiotherapy
* Surgical Interventions
* Stem cell and Bone marrow transplants
* Gene therapy
*Other forms of treatment
Psycho social aspects of cancer
Rehabilitation
Palliative care; Symptom and Pain management, Nutritional support
Home care
Hospice care
Stomal Therapy
Special therapies – Psycho social aspects
Nursing procedures

 

 

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10 Hrs
7. UNIT: VII

Nursing management of patients in emergency& disaster situations
Disaster Nursing
· Concepts and principles of Disaster Nursing
· Causes and Types of Disaster:
Natural and Man made
– Earthquakes, Floods, Epidemics, Cyclones
– Fire, Explosion, Accidents
– Violence, Terrorism, Bio chemical, War
· Policies related to emergency/disaster management: International,
National, State and Institutional
· Disaster preparedness
· Team, Guidelines, Protocols, Equipments, Resources
· Coordination and involvement of Community, various Government
departments, Non Govt. organizations and International Agencies
· Role of nurse : working
· Legal Aspects of Disaster Nursing
· Impact of Health after effects: Post traumatic stress disaster
· Rehabilitation: Physical, Psycho social, Financial, Relocation
Emergency Nursing
· Concept, priorities, principles and scope of emergency nursing
· Organization of emergency services: physical set up, staffing, equipment
and supplies, protocols, concepts of triage and role of triage nurse
· Co ordination and involvement of different departments and facilities
· Nursing assessment – History and Physical assessment
· Etiology, Patho physiology, Clinical manifestations, Diagnosis,
· Treatment modalities and medical surgical nursing management of patient with medical surgical emergency
· Principles of emergency management
· Common emergencies
· Respiratory emergencies
· Cardiac emergencies
· Shock and Hemorrhage
· Pain
· Poly trauma, road accidents, crush injuries, wound
· Seizures
· Thermal Emergencies: Heat stroke & cold injuries
· Pediatric emergencies
· Psychiatric emergencies
· Obstetrical emergencies
· Violence, Abuse, Sexual assault
· Cardio pulmonary resuscitation
· Crisis intervention
· Role of nurse: Communication and Inter Personal Relations
· Medico- legal Aspects

 

 

 

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10 Hrs
8. UNIT: VIII

Nursing care of the elderly
· Nursing assessment—history and physical assessment
· Aging;
· Demography; Myths and realities
· Concepts and theories of aging
· Cognitive aspects of aging
· Normal biological aging
· Age related body systems changes
· Psyscho social aspects of aging
· medications and elderly
· Stress and coping in older adults
· Common health problems and nursing management;
· Cardiovascular, respiratory, Musculoskeletal,
· Endocrine, genitor-urinary, gastrointestinal
· Neurological, skin and other sensory organs
· Psychosocial and sexual
· Abuse of elderly
· Role of nurse for care of elderly: ambulation
· Nutritional, communicational, psychosocial, and spiritual
· Role of nurse for caregivers of elderly
· Role of family and formal and non-formal care givers
· use of aids and prosthesis (hearing aids, dentures)
· legal and ethical issues Provisions and programmes for elderly; privileges,
Community programmes and health services;
· home and institutional care

 

 

 

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10 Hrs
9. UNIT: IX

Nursing management of patient in critical care units
·  Nursing assessment-History and physical assessment
· Classification
· Principles of critical care nursing
· Organization; Physical setup, policies, staffing norms,
· Protocols, equipment and supplies
· Special equipments; ventilators, cardiac monitors, defibrillators,
· Resuscitation equipments
· Infection control protocols
· Nursing management of critically patients;
· Monitoring of critically ill patient
· CPR-Advance cardiac Life support
· Treatments and procedures
· Transitional care
· Ethical and legal Aspects
· Communication with patient and family
· Intensive care records
· Crisis Intervention
· Death and Dying—coping with
· Drugs used in critical care unit

 

 

 

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10 Hrs
10. UNIT: X

Nursing management of patients’ adults including elderly with occupational and Industrial
disorders.
Nursing assessment – History and physical assessment
· Etiology, pathophysiology ,clinical manifestations ,diagnosis ,treatment
modalities and medical & surgical nursing management of occupational
and industrial health disorders
· Role of nurse
· Special therapies, alternative therapies,
· Nursing procedures
· Drug used in treatment of occupational and industrial disorders

 

 

 

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8 Hrs
Admission 2017