HAND BOOK FOR STUDENTS B.Sc., NURSING (4 YEARS) COURSE REGULATIONS (Subject to modification from time to time) Dr. NTR UNIVERSITY OF HEALTH SCIENCES VIJAYAWADA - 520 008 04-02-2015INDEX REGULATIONS FOR B.SC. (NURSING) COURSE. 1, OBJECTIVES ELIGIBILITY FOR ADMISSION DURATION OF THE COURSE MEDIUM OF INSTRUCTION AND EXAMINATION WORKING DAYS IN THE ACADEMIC YEAR, ATTENDANCE REQUIRED FOR ADMISSION TO EXAMINATION ELIGIBILITY FOR PROMOTION ATTEMPT GRACE MARKS 0 MATERNITY LEAVE, 11. INTERNAL ASSESSMENT 12. READMISSION 13. COURSE OF STUDY 14. COURSE INSTRUCTIONS. 15. SCHEME OF EXAMINATION Seneaeon FIRST YEAR OF B.Sc NURSING 4YDC COURSE 1. NURSING FOUNDATION & PRACTICAL ANATOMY PHYSIOLOGY BIOCHEMISTRY NUTRITION MICROBIOLOGY PSYCHOLOGY ENGLISH 8. INTRODUCTION TO COMPUTERS. SECOND YEAR OF B.Sc NURSING 4YDC COURSE. SPNOTRON Page No. eaeetirraoaa 10 10 10 13 18 42 46 53 87 63 69 73 761, MEDICAL SURGICAL NURSING (ADULT INCLUDING GERIATRICS)-1 2, MEDICAL SURGICAL NURSING (ADULT INCLUDING GERIATRICS) - 1 PRACTICAL PHARMACOLOGY PATHOLOGY SECTION- B GENETICS SOCIOLOGY COMMUNITY HEALTH NURSING - 1 COMMUNITY HEALTH NURSING | - PRACTICAL COMMUNICATION & EDUCATIONAL TECHNOLOGY IRD YEAR OF B.Sc NURSING 4YDC COURSE MIDWIFERY AND OBSTETRICAL NURSING - | CHILD HEALTH NURSING CHILD HEALTH NURSING-PRACTICAL MENTALHEALTH NURSING MENTAL HEALTH NURSING-PRACTICAL MEDICAL SURGICAL NURSING (ADULT INCLUDING GERIATRICS)-I 7. MEDICAL SURGICAL NURSING (ADULT INCLUDING GERIATRICS) - Il PRACTICAL, FOURTH YEAR OF B.Sc NURSING 4YDC COURSE 1, MIDWIFERY AND OBSTETRICAL NURSING I! & PRACTICAL COMMUNITY HEALTH NURSING-II COMMUNITY HEALTH NURSING-II- PRACTICAL NURSING RESEARCH AND STATISTICS MANAGEMENT OF NURSING SERVICES AND EDUCATION THE ANDHRA PRADESH GAZETE NOTIFICATION REGARDING PROHIBITION OF RAGGING 4 PAE ens Z ©Mnaaro oapRep 94 104 106 nt 114 420 125 127 133 137 142 145, 153 156 167 173 182 189 192 197REGULATIONS FOR B.Sc. (Nursing) COURSE ‘These regulations will be called the REGULATIONS FOR B.Sc NURSING COURSE OF Dr. NTR UNIVERSITY OF HEALTH SCIENCES, ANDHRA PRADESH, VIJAYAWADA. These regulations are applicable to the students admitted from the ‘Academic Year of 2013 - 2014. Education is a lfe long process and a graduate Nurse emerging out of the University of Health Sciences should be ready to learn through out life, She/he must bloom into @ cultivated, creative, self directed, knowledgeable person whose education has encouraged a continuous process of development as a person, professional, citizen and an agent of social change. 1, OBJECTIVES: ‘On completion of the four year B.Sc Nursing program the graduate will be able to: 1. Apply knowiedge from physical, biological and behavioural sciences, medicine including alternative systems and nursing in providing nursing care to individuals, families and communities at large. 2. Demonstrate understanding of life style and other factors, which affect health of individuals and groups. 3. Provide nursing care based on steps of nursing process in collaboration with the individuals and groups. 4, Develop critical thinking skills in making decisions in all situations in order to provide quality care. 5. Utilize the latest trends and technology in providing health care 6. Provide promotive, preventive and restorative health services in line with the national health policies and programmes. 7. Practice within the framework of code of ethics, professional conduct, and legal bouncaties. 8. Communicate effectively with individuals and groups and members of the health team in order to promote effective interpersonal relationships and teamwork. 9, Demonstrate skills in teaching to individuals and group in Clinical/ community health settings. wo10. Participate effectively as a member of the health team in health care delivery system. 11. Demonstrate leadership and managerial skills in clinicaVcommunity health settings, 12. Conduct need based research studies in various settings and utilize the research findings to improve the quality of care. 13. Demonstrate awareness, interest and contribute towards advancement of self and of the profession. 2. ELIGIBILITY FOR ADMISSION: INC Guidelines 2012-13) 1. Minimum age for admission shall be 17 yrs on or before 31" December of the year of admission. 2. Minimum educational requirement shall be passing of 12 years course or 10 +2 years course with biological sciences or an equivalent of 12 years schooling {from a recognized board with science (physics, chemistry, biology) and English with minimum of 45% aggregate marks. 3. Candidates should be medically fit. 3. DUI FE THE CO! : Duration of the course shall be four academic years including internship. 4, MEDIUM OF INSTRUCTION AND EXAMINATION ; ENGLISH shall be the medium of Instruction and Examination. 5, WORKING DAYS IN THE ACADEMIC YEAR : Academic year shall consist of not less than 260 Working days including University Examinations. 6. ATTENDANCE REQUIRED FOR ADMISSION TO EXAMINATION :A candidate shall be permitted to appear in any of the subjects of the B.Sc, Nursing Degree Examination, if she has attended the course in the subject for the prescribed period and produce the Certificate of Study, attendance and satisfactory conduct from the Principal. A candidate shall put in a minimum of 80% of attendance in both theory and practicals separately in each subject before admission to the examination. Attendance shall be calculated from the total number of hours prescribed by INC and not on the number of classes conducted in the institution. The Principal of the college should ensure that the candidate put in 100% attendance in practicals. The marks sheet, degree certificate, course completion certificate are to be withheld until 100% attendance requirement in practicals is met with (INC guidelines dated. 01-02-2012) Referred/tailed candidates have to put in minimum percentage of attendance for eligibility to appear for re-examination, 7, ELIGIBILITY FOR PROMOTION:- (INC Guidelines 2012-13) The maximum period to complete the course successfully should not exceed 8 years. If a candidate fails either in theory or in practical examination, she/he has to reappear for both examinations (theory + practical). The number of attempts for examination has been waived off. However to appear for final year examination, the candidate shall have cleared all the previous examinations. The minimum age for admission shall be 17 years on 31st December of the year in which admission is sought. Minimum education: 10+2 class passed with Science (PCB) & English core/English elective with aggregate of 45% marks from recogized boards under AISSCE/ CBSE/ICSE/SSCE/HSCE or other equivalent Board. Student shall be medically fit.7. Student appearing In 10+2 examination in Science conducted by National Institute of open School with 45%6marks, 8, Student shall be admitted once in a year. 8. Attempt: When a candidate is eligible to appear for the examination, but not applied registered / absent for the examination, it is considered as an attempt 9. Grace Marks : Grace marks should not exceed 5 Marks in total marks for one academic year in theory paper only. 10.Maternity Leave: Women candidates are eligible for maternity leave up to 90 days. However they have to satisfy the criteria for eligibility to appear for the examination like other candidates. 11 INTERNAL ASSESSMENT: a. A student must obtain a minimum of 50% of the maximum marks fixed for internal assessment in that particular subject. b. Arminimum of three written Examinations shall be conducted in each subject and the average marks of the three examinations shall be taken as the final internal assessment marks. In addition, one practical internal assessment exam should be conducted in the subjects of Nursing Foundation, Medical-Surgical Nursing, child Health Nursing, Mental Health Nursing, Midwifery and Obstetrical Nursing, and Community Health Nursing. 50% of internal assessment marks should be for Theory and 50% for practical exam. ©. Fresh internal assessment exam is mandatory to the referred and detained students. Previous internal assessment marks will not be considered for subsequent appearance(s). d. The internal assessment marks should be submitted to the Principal by the respective Head of the Departmentteacher concerned atleast four weeks before the commencement of the Theory Examinations. The Principal has to forward a copy of the same to the Registrar or an officer authorized by him to receive the same, atleast three weeks before the commencement of the Theory Examinations.. The same shall be displayed in the college notice board, before sending to University for any objections {. No institution shall submit average internal marks of the total students more than 12.READMISSIO} 78% ive. if 40 students are admitted in a course the average score of the 40 students shall not exceed 75% of total internal marks. Every student shall attend all the theoryipractical/clinical classes on all working days. (Ch. VI, (Statutes, Ordinances and Regulations) Section 33 of Dr. NTR UHS. act 1986] iit vil, Break of study means any absence more than 3 months during the course of study. 3 months for this purpose is a period of 90 days (ninety days) to be recorded from the date of absence irrespective of the number of days in one calendar month. For all practical purpose only two types of break of study is allowed. @. Less than 3 months of break (as per definition) 'b. More than 3 months of break but less than the twice the number of years of study of a particular course, Ex. For MBBS/BDS twice the number of years of study is 9 years. For B.Sc (Nursing) / Physiotherapy is 8 years. If the candidate is on Break of study for two spells in an academic year of a Particular course the candidate is deemed to have been discharged from the Course of study. One cannot apply for condonation of the break. Only_two spells of break of study for the entire duration of the course is permitted. During second spell of break of study even if the break of study is less than 90 days, permission must be obtained from the University and that, spell of Break shall also be counted as second spell of break. For less than three months of break, the Principal/Dean of the college can Permit to rejoin in to the course under intimation to the University. If the break of study is more than three months the candidate has to apply to the university through the Principal/Dean of the college, The University can give permission to the candidate to complete the course within twice the years of the study of the particular course.13. COURSE OF STUDY: The Course of study and the scheme of examination for 4 YDC B.Se., Nursing Degree shall be as follows Duration: Course duration 4 Years Weeks available per year : 62 weeks Vacation : OB weeks Gazetted holidays 2 03 weeks Examination (Including preparatory) 2 04 weeks Available weeks 87 weeks Houts per week : 40 Practical : 80 hours per week Theory : 10 hours per week Internship practical 48 hours per week Hours available per academic year 1480 (37 weeks x 40 hours) 14, COURSE INSTRUCTIONS First Year Babiest Treaty tin [Prectieai in) Um hes) hrs) bre) (class and {elinte) ab) i] Engtsh 5 Belpre] 3. | Anatomy 60 [3 [Paysiology 60 E (CATS werition Ts6 [5.7] Biochem wiry 30, 1 @_[ Nursing Foundation’ 365 + 700 350 F_[Payshology a ooreere © [wr ierobiology eo 3. Inteaduetion to a Computers To. fet Hindi/Regional 30 in [eibrary Work Sel Suidy 50 Maa | Cocewrriewiar ecivities 30 7 Total Hours 330 350 109 [op Feta hewrs = i380 kre ane * Minimum pass marks — ** Optional subject 10Second Year Subject ‘Theory (inkhrs) | Practical (in hrs) | (in (class and lab) (ainic) hrs.) 1._| Sociology ~ 60 [ 2. | Pharmacology 5 | 3._| Pathology and 30 4 | Genetics 15 | 5. | MedicalSurgical Nursing 210 720 (Adult including Geriatries)-1 6._| Community Health Nursing-1 0 135 7. | Communicationand 60+30 Educational Technology Library Work / Self Study 50 (Co-curricular activities 35 Total Hours 540 855, 85 Total hours = 1480 hes Third Year Subject ‘Theory (Inhrs) | Practical (inihes) [ (in hrs.) (Glass and lab) {alinic) 1. | Medical Surgical nursing 150 20 (Adult induding Geriatrics) 2._| Child Health Nursing 100 270 3._| Mental Health Nursing, 100 70 4. | Midwifery and Obstetrical » 180 Nursing-1 5._| Library Work /Self Study 50 6,_| Co-curricular activities 5 | Total Hours 390 990, 100 “Total hours = 1480 hes iFourth Year Subject ‘Theory (ines) | Practical Gn ines) [ (in hrs) (class and lab) (clinic) 1. | Midwifery and Obstetrical nursing ~ @ 180 M6 Practical 2. | Community Health Nursing - Jd 30 135 3._[ Nursing Research & Statistics 6 * 4. | Management of Nursing Services& | 60+30 education Total Hows 285 315 Total hours = 600 hrs Project Work should be carried out during internshi Internship (Integrated Practice) Practical = 30 hours per week Subject Theory (inks) | Practical (ines) | (in-hrs}) (class and lab) (clinic) T._| Midwifery and Obstetrical nursing 240 5 2._ | Community Health Nursing: I 195) 4 3,_| Medical-Surgical nursing 0 9 (Adult including Geriatrics) 4_| Child Health’ 145 3 8._| Mental Health 9% 2 6._| Research Project 5 1 Total Hours 1150 24 Total hours = 1174 hrs Note: 1. Internship means 8 hours of integrated clinical duties in which 2 weeks of evening and night shift duties are included. 2. Internship should be carried out as 8 hours per day @ 48 hours per week. ‘Students will be supervised by nursing teachers during internship. 4. Fourth year final examination will be held only after completing internship. 1215. Scheme of Examination: First Ye Subject ‘Assessment Theory Hours Internal | External | Total 1 | Anatomy arid Physiology 3 B 5 300 2, _ | Natition and Biochemistry 3 5 % 100 3. _ | Nursing Foundations 3 B ca 100 4 _ | Psychology al B 6 300 5 | Microbiology 3 B % 700 6 | English 3 B 6 100 7. | Introduction to Computers 25 7100 ‘Practical and Viva Voice T._ | Nursing Foundations 300 300 300 Second Year T Subject ‘Assessment Theory Hours Internal | External | Total. 8. | Sociology 3 5 300 9, _ | Medical-Surgical Nursing-T 3 5 100 10, _ | Pharmacology, Pathology, 3 B 6 100 Genetics ce Ti. | Community Health Nursing-T 3 B B 100 12, | Communication and 3 Py B 00 Educational Technology Practical and Viva Voice 2, | Medical-Surgical Nursing-1 100 300 200 13‘Third Year ‘Assessment Internal [Exremal | Total 13, "| Medicat-surgical 25 5 100 4 Child Health 25 75 100 As. Mental Health 25 aed 100 16. | Midwifery and 25 75 100 Obsterical Nursing - 1 Practical and Viva Voice 3. | Medicai-Surgical 30 50 100 Nursing. 4. | Child Health Nursing [ 50 30 100 &. | Mental Health Noning[ 30 30 100 Fourth Year ‘Subject “Assessment Thory ~owrs | internal | External | Total 17, | iiwitery ana 3 25 18 100 Obstetrical Nursing -11 18, [| Community Health Nursing 3 25 75 100 19.__| Nursing Research & Suatitics 3 3 75 Too 20. | Management OF Nursing 3 25 5 700 Soreive and edueation Practical and Viva Valeo 6. | Midwifery and 30 50 100 Obstetrical Nursing 7. Community Health 50 50 100 Nursing -t1 4Jote: * 1. Anatomy and Physiology ~ Question paper consists of Section ‘ + marks and Section ‘B’ Physiology of 38 marks. ‘Anatomy of 37 j 2 Nutrition and Biochemistry ~ Question Paper consists of Section ‘A’ Nutrition of 48 marks and Section ‘B’ Biochemistry of 30 marks. 3. Pharmacology, Genetics, Pathology: Section ‘A’ Pharmacology of 38 marks, Section 'B' Pathology of 25 and Genetics of 12 marks. a Nursing Research & Statistics — Nursing Research Paper is of 50 marks and Statistics of 25 marks. 5. For English, The Minimum pass marks shall be 40% 6. Minimum pass marks in other subjects shal! be 50% in each of the Theory and Practicals separately. 7. Theory and Practical exams for Introduction to computer to be conducted as College examination and marks to be sent to the University for inclusion in the marks sheet. 8, Acandidate must have minimum of 80% attendance (irrespective of the kind of absence) in theory and practical in each subject for appearing for examination, 9, Acandidate must have 100% attendance in each of the practical areas before award of degree, 10. A candidate has to pass in Internal and External exam separately in each of the examinations. 11. Ifa candidate fails in either theory or practical examination, he/she has to re ~ appear for both the Theory and Practical examinations. 12. Maximum of § grace marks for each subject is not permitted, and grace marks Should not exceed 5 marks in total marks for one academic year in theory paper only, 3. The maximum period to complete the course successfully should not exceed 8 years 1514, 15. 16. 17. 18. The maximum period to complete the course successtully should not excesd 8 years Maximum number of candidates for practical examination should not exceed 20 per day. All practical examinations must be held in the respective clinical areas. One internal and One external examiner should jointly conduct practical examination for each student. ‘An examiner should be a lecturer or above in a college of nursing with M.Sc.,(N) in concemed subject and with minimum of three years of teaching experience. To be an examiner for nursing foundations course, faculty having M.Se.(N) with any speciality shall be considered. 16B.Sc NURSING 4 years course First Year Syllabus: 1. 2. 3. 4. 5. Nursing Foundations & Practical Anatomy Physiology Biochemistry Nutrition . Microbiology . Psychology English . Introduction to Computers a7NURSING FOUNDATIONS Placement: irst Year Time: Theory - 265 hours Course Description: This course is designed to help the students to develop an understanding of the philosophy objectives, theories and process of nursing in various ‘Supervised Clinical settings. Itis aimed at helping the students to acquire knowledge, understanding and skills in techniques of nursing and practice them in Supervised Clinical settings. Learning objectives: + Describe the concept of health, illness and health care agencies + Explain concept and scope of nursing + Describe values, code of ethics and professional conduct for nurses of India + Explain the admission and discharge procedure + Performs admission and discharge procedure + Communicate effectively with patient, families and team members and ‘maintain effective human relations (projecting professional image) ‘+ Appreciate the importance of patient teaching in nursing + Explain the concept, uses, format and steps of nursing process + Documents nursing process as per the format + Describe the purposes, types and techniques of recording and reporting + Describe principles and techniques of monitoring and maintaining vital signs + Monitor and maintain vital signs + Describe purpose and process of health assessment + Describe the health assessment of each body system + Perform health assessment of each body system + Identity the various machinery, equipment and linen and their care + Describe the basic, psychological needs of patient 18Describe the principles and techniques for meeting basic, Physiological and psychosocial needs of patient Perform nursing assessment, plan implement and evaluate the care for meeting basic, physiological and psychosocial needs of patient Meeting needs of patient Describe principles and techniques for infection control and biomedical waste management in Supervised Clinical settings Explain the principles, routes, effects of administration of medications Calculate conversions of drugs and dosages within and between systems of measurements Administer drugs by the following routes-oral, intradermal, Subcutaneous, Intramuscular, Intra Venous topical inhalation Describe the pre and post operative care of patients Explain the process of wound healing Explain the principles and techniques of wound care Perform care of wounds Explain care of patients having alterations in body functioning Explain care of terminally il patient Explain the basic concepts of conceptual and theoretical models of nursing Content, Unit 1 Hours: 10 Introduction Concept of Health: Health — illness continuum Factors influencing health Causes and risk factors for developing illness Body defences: Immunity and immunization lliness and illness behaviour: Impact of illness on patient and family 19+ Health Care Services: Health Promotion and Prevention, Primary Care, Diagnosis, Treatment, Rehabilitation and Continuing Care + Health care teams «Types of health care agencies «Hospitals: Types, Organisation and Functions, + Health Promotion and Levels of Disease Prevention «Primary Health care and its delivery: Role of nurse Unit 2 Hours: 16 Nursing as a profession « Definition and Characteristics of a profession + Nursing: + Definition, Concepts, philosophy, objectives + Characteristics, nature and scope of nursing practice + Functions of nurse + Qualities of a nurse + Categories of nursing personnel + Nursing as a profession ‘+ History of Nursing in India. + Values: Definition, Types, Values Classification and values in professional Nursing: Caring & Advocacy » Ethics: + Definition and Ethical Principles «Code of ethics and professional conduct for nurses. Unit 3 Hours: 04 Hospital admission and discharge + Admission to the hospital ‘+ Unit and its preparation-admission bed + Admission procedure 20+ Special considerations + Medico-legal issues «Roles and Responsibilifies of the nurse + Discharge from the hospital «| Types: Planned discharge, LAMA and abscond, Referrals and transfers + Discharge Planning «Discharge procedure «Special consideration + Medico-legal issues «Roles and Responsibilities of the nurse Care of the unit after discharge Unit 4 Hours: 10 Communication and Nurse patient relationship |. Communication: Levels, Elements, Types, Modes, Process, Factors influencing Communication |. Methods of Effective Communication: Attending skills, Rapport building skills, Empathy skills + Bartiers to effective communication 4. Helping Relationship (NPR): Dimensions of Holping Relationships, Phase of a helping relationship Communicating effectively with patient, families and team members and maintain effective human relations with special reference to communicating wwith vulnerable group(children, women, physically and mentally challenged and elderly) «Patient Teaching: Importance, Purposes, Process, role of nurse and Integrating teaching in Nursing Process. Unit 5 Hours: 15 The Nursing Process i, Critical Thinking and Nursing Judgement 21. Critical Thinking: Thinking and Leaming b. Competencies, Attitudes for Critical Thinking, Levels of oritical thinking in Nursing |i, Nursing Process Overview: Application in Practice a. Nursing process format: INC, current format b, Assessment * Collection of Data : Types, Sources, Methods * Formulating Nursing Judgment: Data interpretation ¢. Nursing Diagnosis * Identification of client problems * Nursing diagnosis statement * Difference between medical and nursing diagnosis d. Planning * Establishing Priorities * Establishing Goals and Expected Outeomes * Selection of interventions : Protocols and standing Orders * Writing the Nursing Care Plan @. Implementation * Implementing the plan of care {. Evaluation * Outcome of care * Review and Modify * Documentation and Reporting Unit 6 Hours: 04 Documentation and Reporting ‘Documentation: Purposes of Recording and reporting ‘i, Communication with in the Health Care Team, il, Types of records; ward records, medical/nursing records. 22iv. Common Record-keeping forms, Computerized documentation v. Guidelines for Reporting: Factual Basis, Accuracy, Completeness, Currentness, Organization, confidentiality vi. Methods of Recording vi. Reporting: Change of shift reports: Transfer reports, incident reports vill. Minimizing legal Liability through effective record keeping Unit 7 Hours: 15 Vital signs |. Guidelines for taking vital signs: il. Body temperature: a. Physiology, Regulation, Factors affecting body temperature, b. Assessment of body temperature: sites, equipments and technique, special considerations c, Temperature alterations: Hyperthermia, Heatstroke, Hypothermia d. Hot and cold applications a. Physiology & Regulation, Characteristics of the pulse, Factors affecting pulse b. Assessment of the pulse: sites, location, equipments and technique, ‘special considerations cc. Alterations in pulse: lv, Respiration a, Physiology and Regulation, Mechanics of breathing Characteristics of the respiration, Factors affecting respiration b. Assessment of respiration: Technique, special considerations ¢. Alterations in respiration respiratory distressv. Blood pressure : a. Physiology and Regulation, Characteristics of the blood pressure, Factors affecting blood pressure b. Assessment of blood pressure: sites, equipments and technique, special considerations c. Alterations in blood pressure vi. Recording of vital signs Unit 8 Hours: 25 Health assessment i. Purposes ii, Process of Health assessment a. Health History b. Physical examination: * Methods-Inspection, Palpation, Percussion, Auscultation, Olfaction * Preparation for examination: patient and unit * General assessment * Assessment of each body system * Recording of heaith assessment Unit 9 Hours: 05 Machinery, Equipment and tinen i. Types: Disposables and reusabie- Linen, rubber goods, glass ware, metal, plastics, furniture, machinery ii. Introduction a. Indent b, Maintenance c. Inventory 24Unit 10 Hours: 55, Meeting needs of patient i. Basic needs (Activities of dally living) 1 Providing safe and clean environment: * Physical-environment: Temperature, Humidity, Noise, Ventilation, light, odour, pests control * Reduction of physical hazards: fire, accidents * Safety devices: Restraints, side rails, airways, trapeze ete. * Role of nurse in providing safe and clean environment. b. Hygione:- * Factors Influencing Hygienic Practice * Hygienic care: Care of the Skin-Bath and pressure points, feet and nail, Oral cavity, Hair Care, Eyes, Ears and Nose c. Assessment, Principles, Types, Equipments, Procedure, Special Considerations * Patient environment: Room Equipment and linen, making patient beds 4d. Types of beds and bed making e. Comfort: - * Factors influencing Comfort * Comfort devices ii. Physiological needs: - + Sleep and Rest: * Physiology of sleep * Factors affecting sleep * Promoting Rest and sleep * Sleep Disorders 25Nutrition: - * Importance * Factors affecting nutritional needs “ Assessment of nutritional needs: Variables * Meeting Nutritional needs: special considerations + Oral + Enteral: Naso/ Orogastric, gastrostomy 0 Parenteral: + Urinary Elimination * Review of Physiology of Urine Elimination, Composition and characteristics of urine. rinciples, equipments, procedure and * Factors influencing Urination * Alteration in Urinary Elimination * Types and Collection of urine specimen: Observation, urine testing * Facilitating urine elimination: assessment, types, equipments, procedures and special considerations + Providing urina/bed pan + Condom drainage « Perineal care « Catheterization «Care of urinary drainage «Care of urinary diversions + Bladder irrigation « Bowel Elimination * Review of Physiology of Bowel Elimination, Composition and characteristics of faeces * Factors affecting Bowel elimination * Alteration in Bowel Elimination * Types and Collection of specimen of faeces: Observation 26* Facilitating bowel elimination: assessment, equipments, procedures and special considerations + Passing of Flatus tube + Enemas + Suppository + Sitz bath + Bowel was + Care of Ostomies + Mobility and immobility * Princ les of Body Mechanics * Maintenance of normal body Alignment and mobility * Factors affecting body Alignment and mobility * Hazards associated with immobility * Alteration In body Alignment and mobility * Nursing interventions for impaired Body Alignment and Mobily: assessment, types, devices used, method and special considerations, rehabilitation aspects ‘+ Range of motion exercises + Maintaining body alignment: Positions + Moving + Lifting + Transferring + Walking + Restraints + Oxygenation " Review of Cardiovascular and respiratory Physiology * Factors Affecting Oxygenation * Alterations in oxygenation * Nursing interventions in oxygenation : assessment, types, equipment used, procedure and special considerations 27Maintenance of patent airway « Oxygen administration + Suction «Inhalations: dry and moist «Chest physiotherapy and postural drainage «Pulse oximetry » CPR-Basic life support «Fluid, Electrolyte, and Acid ~ Base Balances * Review of Physiological regulation of Fluid, Electrolyte, and Acid- Base Balances + Factors Affecting Fluid, Electrolyte, and Acid-Base Balances * Alterations in Fluid, Electrolyte, and Acid — Base Balances + Nursing interventions in Fluid, Electrolyte and Acid —Base Imbalances :assessment, types, equipment, procedure and special considerations + Measurement fluid intake and output + Correcting Fluid Electrolyte Imbalance: 1s Replacement of fluids: Oral and Parenteral-Venipuncture, regulating IV flow rates, changing IV solutions and tubing, changing IV dressing, «Administering Blood transfusion «+ Restriction of fluids lil, Psychosocial Needs «Concepts of Cultural Diversity, Stress and Adaptation, Selt-concept, ‘Sexuality, Spiritual Health, coping with loss, death and grieving «Assessment of psychosocial needs «Nursing intervention for psychosocial needs » Assist with coping and adaptation * Creating therapeutic environment a Recreational and diversional therapies 28Unit 11 Hours: 20 Infection control in Clinical settings i. Infection control = Nature of infection + Chain of infection transmission « Defenses against infection: ji, Natural and acquired « Hospital acquired infection (Nosocomial infection) ii, Concept of asepsis: medical asepsis, and surgical asepsis iv, Isolation precautions (Barrier nursing) «Hand washing: simple, hand antisepsis and surgical antisepsis (scrub) + Isolation: source and protective = Personal protecting equipment removing : types, uses and technique of wearing and + Decontamination of equipment and unit «s Transportation of infected patients + Standard safety precautions (Universal precautions) sTransmission based precautions v. Biomedical waste management: + Importance «+ Types of hospital waste. « Hazards associated with hospital waste « Decontamination of hospital waste «Segregation and Transportation and disposal Unit 12 Hours: 40 Administration of Medications i. General Principles/Considerations 29e k. ii, Oral Drugs Admi Purposes of Medication Principles: 5 rights, Special Considerations, Prescriptions, Safety in Administering Medications and Medication Error Drugs forms Routes of administration Storage and maintenance of drugs and Nurses responsibility Broad classification of drugs Therapeutic Effect, Side Effects, Toxic Etfects, Idiosyncratic Reactions, Allergic Reactions, Drug Tolerance, Drug Interactions, Factors influencing drug Actions, Systems of Drug Measurement: Metric System, Apothecary System, Household Measurements, Solutions. Converting Measurements units: Conversions within one system, Conversion between systems, Dosage Calculation, ‘Terminologies and abbreviations used in prescriptions of medications ration: Oral, Sublingual and Buccal : Equipment, procedure lil, Parenteral a b, ©, 4, General principles:Decontamination and disposal of syringes and needles ‘Types of parentaral therapies Types of syringes, needles, canula, and infusion sets Protection from Needlestick Injuries: Giving Medications with a safety syringes Routes of parentaral therapies * Intradermal: purpose, site, equipment, procedure, special considerations, * Subcutaneous: purpose, site, equipment, procedure, special considerations * Intramuscular: purpose, site, equipment, procedure, special considerations 30* Intra Venous: purpose, site, equipment, procedure, special considerations * Advanced techniques: epidural, intrathecal, intraosseous, intraperitonial, intraplural.intra arterial-Role of nurse iv. Topical Administration :purposes, site, equipment, procedure, sp for a. Application to Skin b. Application to mucous membrane * Direct application of liquids-Gargle and swabbing the throat Insertion of Drug into body cavity: Suppository/ medicated packing in rectum/vagina Spraying: Nose and throat ‘considerations Instillations:, Ear, Eye, Nasal, Bladder, and Rectal nigations: Eye, Ear, Bladder, Vaginal and Rectal \. Inhalation: Nasal, oral, endotrachealtracheal (steam, oxygen and medications) - Purposes, types, equipment, procedure, special considerations a. Recording and reporting of medications administered Unit 13 Meeting needs of Perioperative patients \. Definition and concept of Perioperative Nursing il, Preoperative Phase a. Preparation of pationt for surgery ii, Intraoperative a. Operation theatre Set up and environment b. Role of nurse iv. Postoperative Phase a. Recovery unit b. Post operative unit c. Post operative care, 31 Hours: 10vv. Wounds: types, Classifications, wound Healing Process, Factors affecting Wound, Complications of Wound Healing vi. Surgical asepsis vii. Care of the wound: types, equipments, procedure and special consideration a. Dressings, Suture Care, b. Gare of Drainage c. Application of Bandages, Binders, Splints & Slings d. Heat and Cold Therapy Unit 14 Hours: 15 Meeting special needs of the patient i. Care of patients having alteration in Sensorlum(Unconsciousness);Assessment, Management Functioning of sensory organs: (Visual & hearing impairment) Assessment of Self-Care ability Mobility (physically challenged, cast) assessment of Self-Care ability: Communication Methods and special considerations fe. Mental state (mentally challenged), assessment of Selt-Care ability; f, Comfort — (Pain) — Nature, Types, Factors influencing Pain, Coping, ‘Assessment, Management; ji, Treatment related to gastrointestinal system : naso-gastric suction, gastric irrigation, gastric analysis. eo oP Unit 15 Hours: 05 Care of Terminally ill patient i. Concepts of Loss, Grief, grieving Process ii. Signs of clinical death iii, Care of dying patient: special considerations * Advance directives: Euthanasia, will, dying declaration, organ donation etc. Iv. Medico-legal issues v. Care of dead body: equipment, procedure and care of unit vi. Autopsy a Embalming 32Unit 16 Hours: 06 Professional Nursing concepts and practices i. Conceptual and theoretical models of nursing practice: Introduction of models- holistic model, health belief model, health promotion model etc. ii, Introduction to Theories in Nursing,Peplau's, Henderson's, Orem's, Neuman’s, Roger's and Roy's Linking theories with nursing processTeaching Unit 17 Hours: 10 First Aid and nursing in simple emergencies: * Introduction to first-aid. ‘© Causes and effect of accidents, prevention. * Principles and purposes of bandages, binders, triangular bandages, Eye, Ear, Hand, Leg, Jaw, Chest, Finger, abdomen and head, © Wounds—injury to soft tissue. ‘* Shock Prevention and first aid. + Painting, Bleeding control, fractures, dislocations, sprains. © Asphyxia, Artificial respiration, drowning, tr portation of injured, poisoning, foreign bodies, insect anc Animal bites, Heat strokes, Bums and its prevention, Lightening - Prevention, cardiopulmonary arrest — Resuscitation. * Community Emergencies: Fire explosions, Floods, Earthquakes, Famine — Immediate and later role of nurse, need for rehabilitation, Community resources, police assistance, voluntary agencies - Local, National, Intemational, Ambulance service, their function in relation to emergencies.‘Teaching Learning Activities. + Video film on the nurses interacting with the patient + Practice session on patient teaching + Practice on stimulators + Lecture discussion + Demonstration + Lab Practice + Supervised Clinical practice + Visit to health care agencies + Case discussion * Role plays Assessment methods. » Essay type + Short answers * Objective type + Assess skills with check list + Clinical practical examination BOOK: SI. | Prescribed Author Title Publisher No. 1 Rozier & Bibs Fundamentals of Nuwsin Pearson Education 2. Tayloretal Fundamentals of Nursing Vol fll LWW 3. | Luckman & Sorensen | Basic Nursing and PeychoPhysiologic W.BSaunder approach a_[ENAT History of Nursing in India a, Neds INAT FIRST AID 1. | Gupta &GuptaL, | First Aid Management of injuries & Minor | Viva Blements 2 | Shashank Parulekar | Bandages ‘Vora Publications References 1 [Potter & Parry ‘Basic Nursing, Essentials, for practice 5] LWW ea. 2 Farest & Wolk ‘Fundamentals of Nucsing TBLippincot 3. | MNettina Sandra Lippincott Manual of Nursing practice 8° | LWW. ed @ | DewitSasenG. Fundamentals concepts and skils for lesweier Nursing. 3 | 3_| Dorothy Sher Scientific Principles and Nursing CV Mosby 1902 34NURSING FOUNDATIONS-PRACTICAL Placement: First Year Time: Practical - 650 hours (200 lab and 450 clinical) Course Description: This course is designed to help the students to develop an understanding of the philosophy objectives, theories and process of nursing in various clinical settings. itis aimed at helping the students to acquire knowledge, understanding and skilis in techniques of nursing and practice them in clinical settings. Areas: Demonstration Lab General Medical and surgery ward. Time (hours): 200, 450 minimum practice time in clinical area Objectives: + Performs admission and discharge procedure «Prepares nursing care plan as per the nursing process format + Communicate effectively with patient, families and team members and + Maintain effective human relations + Develops plan for patient teaching + Prepare patient reports + Presents reports + Monitor vital signs «Perform health assessment of each body system + Provide basic nursing care to patients «Perform infection control procedures «Provide care to pre and post operative patients + Perform procedures for care of wounds 35+ Administer drugs «Provide care to dying and dead + Counsel and support relatives Skills: 1, Hospital admission and discharge (III): = Admission «Prepare unit for new patient + Prepare admission bed + Performs admission procedure a. new patient b. Transfer in Prepare patients records 2, Discharge/Transfer out: + Gives discharge counseling + Perform discharge procedure (Planned discharge, LAMA and abscond, Referrals and transfers) «Prepare records of discharge/transfer + Dismantte, and disinfect unit and equipment after discharge/transfer 3. Perform assessment: + History taking, nursing diagnosis, problem list, prioritization, goals & ‘expected outcomes, selection of interventions. + Write nursing care pian + Gives care as per the plan 4, Communication: + Use verbal and non verbal communication techniques 5. Prepare a plan for patient teaching session: 366. Write patient report: + Change-of shift reports, transfer reports, incident reports etc. + Presents patient report 7. Vital signs: + Measure, records and interpret all creations in body temperature, pulse respiration and blood pressure. 8. Health assessment: + Health history taking + Perform assessment: a. General b. Body systems + Use various methods of physical examination + Inspection, palpation, percussion, auscultation, offaction. Identification of system wise deviations 9. Prepare patient's unit: + Propate beds a. Open, closed, occupied, operation, amputation, ». Cardiac, fracture, bum, divided, fowlers bed + Pain assessment and provision for comfort 10. Use comfort devices Hygienic care: + Oral hygienic + Baths and care of pressure points + Hair wash, pediculosis treatment 3711. Feeding: . Oral, enteral, naso/orogastric, gastrostomy and parenteral feeding « _ Naso-gastric insertion, suction, and irrigation 12, Assisting patient in urinary elimination: . Provides urinal/bed pan = Condom drainage . Perineal care + Catheterization + Care of urinary drainage 19, Bladder irrigation Assisting bowel Elimin: . Insertion of flatus tube . Enemas + Insertion of Suppository 14, Bowel wash Body Alignment and Mobility: a. Range of motion exercises b. Positioning: recumbent, lateral (rt/It), fowier’s, sims, Lithotomy, Prone, Trendelenburg position c. Assist patient in moving, lifting, transferring, walking d. Restraints 15. Oxygen administration 16. Suctioning: oropharyngeal, nasopharyngeal 17. Chest physiotherapy and postural drainage 18, CPR-Basic life support 19, Intravenous therapy 3820. Blood and blood component therapy 21. CollecVassist for collection of specimens for investigations Urine, sputum, faeces, vomitus, blood and other body fluids i 22. Perform lab tests: | a. Urine: sugar, albumin, acetone | . Blood: sugar (with strip/gluco-meter) 23. Hot and cold application Local and general Sitz bath 24, Communicating and assisting with self-care of visually & hearing impaired patients | 25. Communicating and assisting with self-care of mentally challenged/ disturbed patients Recreational and diversional therapies 26. Caring of patient with alteration in sensorium 27. Infection control: Porform following procedures a. Hand washing techniques b, (Simple, hand antisepsis and surgical antisepsis scrub) | c. Prepare isolation unit in lab/ward d |. Practice technique of wearing and removing Personal protective | equipment(PPE) ©. Practice standard safety precautions (Universal precautions) 28. Decontamination of equipment and unit: + Surgical asepsis: a. Sterilization b. Handling sterilized equipment 39©. Calculate strengths of lotions, . Prepare lotions + Care of articles 29. Pre and post operative care: + Skin preparations for surgery: local = Preparation of post operative unit «Pre and post operative teaching and counseling + Pre and post operative monitoring + Care of the wound: + Dressings, suture care, care of drainage, application of bandages, blinders, splints & slings + Bandaging of various body parts 30. Administration of medications: + Administer Medications in different forms and routes: oral, sublingual, buccal, parenteral: intradermal, subcutaneous, intramuscular ete. Assist with Intra venous medications + Drug measurements and dose calculations «Preparation of lotions and solutions + Administers topical applications + Insertion of drug into body cavity: suppository & medicated packing etc + _ Instillation of medicines and spray into ear, eye, nose and throat «Irrigations: eye, ear, bladder, vagina and rectum, ‘+ Inhalations: dry and moist 31. Care of dying patient: + Caring and packing of dead body * Counseling and supporting grieving relatives © Terminal care of the unit 40Assignments: Practice in Unit / hos Write nursing process records of patient : simulated, actual Role plays in simulated situations on communication techniques Health talk Write nurses notes and present the patient report of assigned patients Measure vital signs of assigned patient Simulated exercise on CPR manikin Observation study Department of Infection control & CSSD :Visit to CSSD and write observation report Collection of samples for culture al posting in infection control department and write report Assessment Method: Completion of Practical / activity record ‘Assess nursing process / health talk / skill/ observation studies / all procedures / role plays with check ist Assess clinical performance / communication techniques / other skills with rating scale 41Anatomy Placement- First Year Time: Lecture/Lecture demonstration - 60 hours Course Description: The Course is designed to enable students to acquire knowledge of the normal structure of various human body systems and understand the alterations in anatomical structures in disease and practice of nursing ing Objectives = Describe the anatomical terms, organization of human body and structure of cell, tissues, membrances and glands. + Describe the structure & function of bones and joints + Describe the structure & function of muscles + Desoribe the structure & function of nervous system + Explain the structure & functions of sensory organs + Describe the structure & function of circulatory and lymphatic system + Describe the structure & functions of respiratory system + Describe the structure & functions of digestive system + Describe the structure & functions of excretory system + Describe the structure & functi n of endocrine system + Describe the structure & function of reproductive system Content: UNIT - 14 Hours: 05 Introduction to Anatomical terms and organization of the human body Human cell structure » Tissues — definition, types, characteristics, classification, location, functions and formation + Membranes and glands ~ classification and structure + Applic tions and implications in nursing 42UNIT - 2 Hours: 06 The Skeletal System « Bones- types, structure, axial & appendicular skeleton, + Description of bones «Joints - classification and structure «Applications and implications in nursing UNIT -3 Hours: 07 The Muscular System «Types and structure of muscles + Muscle groups + Applications and implications in nursing UNIT - 4 Hours: 06 ‘The Nervous System + Structure of neurons + Somatic nervous system + Parts of brain, spinal cord, cranial nerves, spinal nerves, peripheral nerves = Autonomic nervous system — sympathetic, parasympathetic «Applications and implications in nursing UNIT -5 Hours: 06 The Sensory Organs + Structure of skin, eye, eat, nose, tongue, (auditory and olfactory apparatus) + Applications and implications in nursing UNIT-6 Hours: 07 Circulatory and lymphatic system: + The Circulatory System + Blood ~ Microscopic structure + Morphology and structure of heart, blood vessels: arterial & venous system «Circulation: systemic, pulmonary, coronary 43+ Lymphatic system: Lymphatic vessels, tissues and lymph: Thymus gland, lymph nodes, spleen, lymphatic nodules + Applications and implications in nursing UNIT-7 Hours: 05 The Respiratory System «Gross features of the organs of respiration + Muscles of respiration: Intercostals and diaphragm + Applications and implications in nursing UNIT - 8 Hours: 08 The Digestive System + Gross features of Alimentary tract and accessory organs of digestion + Applications and implications in nursing UNIT — 9 Hours: 04 The Excretory System + Urinary System: = Structure of skin + Applications and implications in nursing ‘idney, ureters, urinary bladder, urethra UNIT ~ 10 Hours: 04 The Endocrine System + Gross features and structure of pituitary, pancreas, thyroid, parathyroid, thymus and adrenal glands + Applications and implications in nursing UNIT ~11 Hours: 04 The Reproductive System: (including breast) + Gross features of female reproductive organs + Structure of male reproductive organs + Gross features of mammary gland ‘+ Applications and implications in nursing 44Teaching Learning Activities: Lecture discussion Demonstration of charts, models, slides, skeleton, torso, bones, museum, specimensand joints, Demonstration of movements Record book \ssessment methods: Short answer questions, brief answer questions Objective type BOOKS LIST SILNo Prescribed Author Title Publisher ‘Anatomy & Physiology Prescribed Books 1 Toratora Principles of Anatomy & Physiology 2 ‘Ashalatha P.R, ‘Textbook of Anatomy & Physiology for Nurses References 1 ‘Ross & Wilson Anatomy & Physiolog) ‘Churchill Livingstone 2 Kimber & Gray Anatomy & Physiolog 45Physiology Placement - First Year Time: Lecture / Lecture Demonstration - 60Hours: Course Description: The Course is designed to assist the students to acquire knowledge of the normal physiology of various human body systems and understand the alterations in physiology in diseases and practice of nursing Learning Objectives: + Describe the physiology of cell, tissues, membranes and glands. + Describe the muscle movements and tone and demonstrate muscle contractionand tone + Describe the physiology of nerve stimulus, reflexes, brain, cranial and spinal nerves + Demonstrate reflex action and stimulus + Describe the physiology of blood and functions of Heart + Demonstrate blood cell count, coagulation, grouping, Hb%, BP, BMR, spirometry and pulse monitoring + Desoribe the physiology and mechanisms of respiration + Describe the physiology of digestive system + Describe the physiology of excretory system + Describe the physiology of sensory organs + Desoribe the physiology of endocrine glands + Desoribe the physiology of male and female reproductive system Content: UNIT -1 Hours: 04 Cell & general physiology: + Microscopic structure of cell: functions of nucleus and organelles in the cellcytoplasm and their functions * Meaning of milieu interior and homeostasis 46+ Definition of isotonic solution: effects of hypertonic and hypotonic solutions on cells, application of the knowledge in intravenous fluid transfusions. UNIT - 2 Hours: 07 Blood, Body fluids and Immunity: + Definition of intracellular and extra cellular fluids and extent. Distribution of extra cellular fluid, «Value: of normal blood volume and variations. Composition of biood. Blood pH. Explanation of terms “acidosis” and “alkalosis”. + Meaning of Packed Celis Volume (PCV) or Hematocrit and plasma. Names and functions of blood cells. Classification, normal value and functions of plasma proteins. + Formed elements of blood a) Normal Values functions and fate of RBC. Hemoglobin, Method of determination of hemoglobin, normal values and functions. Definition and causes of anaemia. b) Leucocytes — normal counts, types and functions. Inflammation. c) Functions of platelets, their normal numbers, variations and effects. = Outlines of blood coagulation. Difference between plasma, serum and anticoagulants «Blood groups, basis, method of determination, types and uses of blood group determination and cross matching. + Definition of antigen and antibodies. Function of antibodies. LYMPH: components of lymphatic system. Function of lymphatic system and circulation of lymph. UNIT - 3 Hours:10 Nervous system & Muscle Physiology + Partsof neuron and their functions: mode of development of action potential and its conduction + Description of synapse and its function a. Central nervous system: + Brain, brainstem & spinal cord = Meningeal layers 47b. Muscle Functions of spinal cord (sensory and motor conduction and refiex function) Reflex arc Outline of pathways mediating touch, pressure, pain and temperature and their termination Outlines of the course of Cortico spinal tracts and their control of voluntary movements. Hemiplegia:- definition, cause and effects Sub divisions of brainstem and their functions ‘Sub divisions of brain and functions of different lobes. (sensory and motor cortex, speech areas, visual, auditory areas etc.,) thalamus as relay station Location and functions of cerebellum and effects of disorders. Location and functions of basal ganglia and effects of disorders. Functions of hypothalamus Types of sleep Method of recording EEG and names of the waves Functions of limbie system Composition, circulation and functions CSF (Cerebro Spinal Fluid) ANS (Autonomic Nervous System) subdivisions and its functions. Physiology Types of muscles in the body and their location Structure of skeletal muse! contraction, muscle tone. mechanism of muscle Neuromuscular junction, transmission and blockers. Muscle fatigue: site and causes, Muscle tone. 48UNIT -4 Hours: 08 Cardiovascular System + Gross structure of heart : chambers, valves and layers, outine of location and function of pacemaker and conduction system + Normal heart rate and factors increasing and decreasir g it + Outline of principal events in systole and diastole of atria and ventticles, arterial pulse, heart sounds and causation + Normal cardiac output value + Arterial blood pressure: definition, method of recording, normal values and variation Venous pulse and venous pressures, factors promoting venous return to heart, basic features of coronary blood flow and their applied significance UNIT-5 Hours: 06 Respiratory System + Subdivisions of respiratory passages and the type of lining cells and functions, inspiratory muscles and nerve supply, mechanism of respiration an outline + Spirometry — definition of tidal volume and vital capacity, normal values, signifance of vital capacity + Location of respiratory centers in brain, outline of neural regulation + Location of chemoreceptors and chemical regulation of respiration « Fundamentals of oxygen and carbon dioxide transport in blood + Definition of cyanosis and causes * Dyspnoea, definition of hypoxia and hypercapnia, causes and effects UNIT - 6 Hours: 06 Digestive System + Components of digestive system, functions of saliva, name of components, and their functions 49UNIT -7 Gastric juice: composition and functions Nature of components and functions of pancreatic juice Bile ~ site of formation — storage and composition and functions of bile Movements of small intestine Hours: 06 Excretory System (Renal System, Skin & Temperature Regulation) UNIT -8 Cross structure of kidney: structure of nephron, functions of kidney, definition and value of GFR. Substances absorbed and secreted from renal tubules. Urinary bladder and micturition: normal volume of urine and its composition, abnormal constituents, important tests to assess renal function Structure and functions of skin Hours: 05 ‘Special senses: Vision: Ear: Gross structure of eye ball Refractory media of the eye, intra ocular fluids and intra ocular pressure Mode of image formation on retina Visual receptors in retina and their functions Visual pathway: visual reflexes (pupillary reflexes) Visual acuity, errors of refraction and their correction Colour vision and colour blindness Gross structure of external, middle and inner ear ‘Structure and function of cochlea Organ of corti Types of deatness and tests to detect deatness Components and functions of vestibular apparatus 50Taste & smell: UNIT- 9 Types of taste and taste buds Structure of taste buds, taste pathways ‘Smell : Olfactory pathways Hours: 08 Endocrine System & Reproductive System Endocrine System: Names and location of vatious endocrine glands Hormones of pituitary gland: effects of growth hormone, prolactin and trophic hormones ~ a brief account. Gigantism, acromegaly and pituitary ‘dwarfism, Source and functions of Oxytocin and ADH, Diabetes insipidus. Outline of hypothalamic regulation of pituitary gland Thyroid glands, hormones secreted and their function and the effects of excess secretion and deficiency. Cretinism and its prevention Parathyroid glands — actions of parathyroid hormones, bone formation and resorption and the cellular elements in the bone and matrix. Role of vitamin D_ on calcium balance. Rickets, osteomalacia and osteoporosis. Effects of deficiency of parathyroid hormone — tetany Endocrine part of pancreas: names: of hormones released. Actions of insulinin the body and effects of its deficiency, Diabetes mellitus — types and symptoms Actions of Glucagon. Effects of Hypoglycemia. The adrenal glands — hormones of adrenal cortex and their principal effects. Disease states — Cushings syndrome & Addisons syndrome. Hormones of adrenal medulla. Principal effects of adrenaline and noradrenaline. 51Reproductive System: Primary and secondary organs of reproduction Outlines of structure of ovary and testis Hormones secreted by them and their actions, puberty Gametogenic function of gonads Outline of menstrual cycle, menarche and menopause Functions of corpus luteum Time of ovulation and methods of determin: Functions of placenta, hormones of placenta Pregnanoy diagnostic tests Contraceptive methods in males and females - temporary as well as permanent ‘Teaching and Learning Activitie: Lecture demonstration Demonstration of charts, models, movements, nerve stimulation, reflexes Demonstration of blood cell counts, BT, CT, grouping, Hb% estimation Measurement of pulse, BP, RR Demonstration of BMR. Assessment methods: Short answer questions, brief answer questions Objective type SINo | Prescribed Author Publisher ‘Anatomy & Physiology Prescribed Books : 1 Toratora Principles of Anatomy & Physiology 2 jatha PR. Textbook of Anatomy & Physiology for Nurses | References _ ere [Ross & Willson ‘Anatomy & Physiology | Churchill Livingstone [Kimber & Gray Anatomy & Physiolo 52Biochemistry Placement - First Year Time: Lecture / Lecture Demonstration - 0Hours Course Description: The Course is designed to assist the students to acquire knowledge of the normal biochemistry composition and functioning of human body and understand the alterations in biochemistry in diseases for practice of nursing. Learning Objectives: + Cell and functions of cell organelles + Structure and functions of cell membrane + Water and electrolyte balance + Metabolism of carbohydrates + Metabolism of Lipids + Metabolism of Proteins and amino acids + Enzymes, vitamins, minerals + Nucleotides + Immunoglobulins + Free radicals, antioxidants, detoxification «Starvation, obesity + Functional tests of Liver, Kidney, Thyroid + Collection, storage and transport of clinical samples: anticoagulants + Urine : normal, abnormal ‘Tests for sugar, protein, bile salts, bile pigments, ketone bodies and blood Content: UNIT -4 Hours: 01 Structure of cell, functions of cell organellesUNIT - 2 Hours: 03 Structure and functions of Cell membrane: ‘Transport of solutes and ions across cell membrane Diffusion, Osmosis, Active transport Sodium pump UNIT -3 Hours: 02 Water and electrolyte balance: Maintenance of acid — base balance — P" buffers UNIT -4 Hours: 06 Metabolism of Carbohydrates: + Classification, chemistry, physiological and clinical importance * Mucopolysacharides + Regulation of blood glucose level + Diabetes mellitus ‘+ Self monitoring of blood glucose + Digestion and absorption of carbohydrates UNIT - 5, Hours: 04 Metabolism of Lipids: + Classification, functions & chemistry of lipids (Triacylglycerol, fattyacids, phospholipids) = Chemistry, functions and uses of prostaglandins + Cholesterol (substances derived from cholesterol (steroid hormones, Vitamin.D & bile salts)) + Lipoproteins - types, functions + Atherosclerosis + Normal levels of TAG, Lipoproteins & total cholesterol + Digestion and absorption of lipids 54UNIT - 6 Hou Metabolism of Proteins & Amino acids: Classification of amino acids Classification & function of proteins ‘Structure of proteins Important substances derived from amino acids Formation & transport of ammonia Urea synthesis Structure and functions of hemoglobin Abnormal hemoglobins Collagen, Elastin, Keratin, Myosin and Lens protein. Digestion and absorption of protein UNIT -7 Hours: 02 Enzymes Classification Properties and functions Types of enzyme inhibition Iso enzymes UNIT - 8. Hours: 02 Composition of Vitamins and minerals: Classification, chemistry, dietary sources, RDA, functions & deficiency disorders of all vitamins Classification, function, dietary sources, dally requirement & deficiency disorders of all minerals UNIT - 9 Hours: 01 Chemistry of nucleotides: DNA, RNA — nucleic acids UNIT - 10 Hours: 01 Immunoglobulins: Types, chemistry & functions Immune responseUNIT + 14 Free radicals i« Antioxidants, Detoxification UNIT - 12 Starvation, Obesity UNIT - 13 Functional tests — Liver, kidney, thyroid UNIT - 14 Urine: normal, abnormal Hours: 01 Hours: 01 Hours: 01 Hours: 01 + Tests for sugar, protein, bile salts, bile pigments, ketone bodies and blood Teaching and Learning activities: + Lecture / Lecture discussion using charts, slides + Demonstration of laboratory tests Assessment methods: + Short answer questions, brief answer questions = Objective type BOOKS LIST Sh. Prescribed Author Title Publisher No. Bio-chemistry: (Prescribed) 1 ‘M.NChatterjea & Rana | Medical Biochemistry ___| Schinde References 1 Martin D.W. __| Hazper’s Review of Biochemistry 2. U.Satyanarayana Essentials of Biochemistry 56Nutrition Thery_: 40hrs Partical :20hrs Placement - First Year Total “Bons Course Description: The Course is designed to assist the students to acquire knowledge of nutrition for maintenance of optimum health at different stages of life and its application for practice of nursing. Learning Objectives: + Describe the relationship between nutrition & health + Describe the classification, functions, sources and recommended daily allowances (RDA) of carbohydrates, Fats, Proteins, Vitamins, Minerals + Describe the sources, functions and requirements of Water & electrolytes + Describe the cookery rules and preservation of nutrients + Prepare and serve simple beverages and different types of foods + Describe and plan balanced diet for different categories of people + Describe various national programmes related to nutrition Describe the role of nurse in assessment of nutritional status and nutrition ‘education Content: UNIT 1 Hours: 04 (T) Introduction + Nutrition: History, concepts + Role of nuttition in maintaining health + Nutritional problems in India + National nutritional policy + Factors affecting food and nutrition: socio-economic, cultural, tradition, production, system of distribution, lifestyle and food habits etc + Role of food and its medicinal value 37‘+ Classification of foods + Food standards ‘+ Elements of nutrition: macro and micro + Calorie, MR. UNIT -2 Hours: 02 (T) Carbohydrates: + Classification + Caloric value « Recommended daily allowances Dietary sources + Functions «Digestion, absorption and storage, metabolism of carbohydrates = 5 2 S : deficiencies and over consumption UNIT -3 Hours: 02(T) Fats: Classification Caloric value + Recommended daily allowances + Dietary sources Functions Digestion, absorption, metabolism and storage + Malnutrition: deficiencies and over consumption UNIT - 4 Hours: 021) Proteins: + Classification «Calorie value + Recommended daily allowances 58+ Dietary sources Functions Digestion, absorption, metabolism and storage Malnutrition: deficiencies and over consumption UNIT - 5 Hours: 03 (1) Energy: + Unit of Energy ~ kcal + Energy requirements of different categories of people + Measurements of energy + Body mass index (BMI) and basic metabolism + Basal metabolic rate (BMR) + Determination and factors affecting UNIT -6 Hours: 04 (1) Vitamins: + Classification + Recommended daily allowances + Dietary sources + Functions + Absorption, synthesis, metabolism, storage and excretion + Deficiencies + Hypervitaminosis UNIT - 7 Hours: 04 (1) Minerals: + Classification + Recommended daily allowances + Dietary sources 59Functions Absorption, synthesis, metabolism storage and excretion Deficiencies Over consumption and toxicity UNIT -8 Hours: 03 (1) Water & electrolytes: Water: daily requirement, regulation of water, metabolism, distribution of body water Electrolytes: types, sources, composition of body fluids ‘Maintenance of fluid & electrolyte balance ‘Over hydration, dehydration and water intoxication Electrolyte imbalances UNIT -9 Hours: 05 (1), 15 (P) Cookery rules and preservation of nutrients: Principles, methods of cooking and serving: Preservation of nutrients Sate food handiing-toxicity Storage of food Food preservation, food additives and its principles Prevention of food adulteration Act (PFA) Food standards Preparation of simple beverages and different types of food UNIT - 10 Hours: 07 (T), 05 (P) Balanced diet: Elements Food groups Recommended daily allowances 60© Nutritive value of foods + Calculation of balanced diet for different categories of people Planning menu + Budgeting of food + Instruction to therapeutic diets: Naturopathy — diet UNIT = 11 Hours: 04 (1) Role of nurse in nutritional programmes: + National programmes related to nutrition + Vitamin A deficiency programme + National iodine deficiency disorders (IDD) programme + Mid-day meal programme + International child development scheme(ICDS) + National and international agencies working towards food/nuttition + NIPCCD, CARE, FAO, NIN, CFTAI(Central food technology and research institute) etc + Assessment of nutritional status + Nutrition education and role of nurse Teaching and Learning Activities: + Lecture discussion / demonstration + Explaining using charts + Panel discussion + Exercise + Practice session + Meal planning © Explaining with Slide/Film shows 61As nt meth + Short answers + Objective type +» Assessment of practice sessions + Exercise on menu planning BOOKS LIST Si | Prescribed Author Title Publisher Na. [ NUTRITION: (rrescribed) 7 1 [BSrilaxmi “Text book of Nutrition for B.S¢(N) ‘New age International Publishees References 1 | Swaminathan Essenlials of Food and Naition The Bangalore printing é publishing Z__| Robinson é& Proudiit | Normal & Therapeutic Nutrition ‘Macmillan Compan 3. | Aniia EP.& Philip | Clinical dietetics & Nutrition Abraham [shut Nutritional probienys in india 5, | Carol Westavitor& | Nutrition Principles and application in| FB.Lippincott crowdy health promotion 62MICROBIOLOGY Placement: First Year Time: 60 hours (Theory 45 +15 lab) Course Description: This course is designed to enable students to acquire understanding of fundamentals of microbiology and identification of various micro-organisms. It also provides opportunities for practicing infection control measures in hospital and community settings. Learning Objectives: + _ Explain concepts and principles of microbiology and their importance in nursing + Describe structure, classification morphology and growth of bacteria + Identify micro-organisms + Describe the methods of infection control + Identify the role of nurse in hospital infection control programme. + Describe the different disease producing organisms + Explain the concept of immunity, hyper sensitivity and immunization Content: UNIT -14 Hours: 02(T) Introduction: + Importance of Microbiology:- Relevance to Nursing + Historical Perspective + Principles, Concepts, Terminology and Scope UNIT ~2 Hours: 05 (T) General Characteristics of Bacter + Structure and classification of Bacteria + Demonstration of bacteria: microscopy and staining + Bacterial Cell: size and form, parts of bacterial cell 63Growth and nutrition of bacteria Culture media Laboratory methods of identification of bacteria Antibiotic sensitivity testing : Diffusion and dilution tests in brief Bacterial colonisation on various parts of the body Collection and transport of clinical samples to laboratory UNIT-3 Hours: 10 (T) Infection Control: Infection: definition, types, sources, modes of transmission, types of infectious diseases Asepsis and Disinfection: various chemical disinfectants used in hospitals, fumigation. Sterilization methods practised in hospitals Chemotherapy and Antibiotics: mode of action, choice of an antibiotic for treatment, empiric therapy, drug resistance, antibiotic prophylaxis Standard biosafety measures Hospital Waste Management: sources, classification of health care waste (Biomedical waste), health hazards from biowaste, management of biowaste. Role of Nurse in Infection Control Hospital Acquired Infection, modes of spread, types and predisposing factors, investigation and surveillance. UNIT 4 Hours: 08 (T) Immunity: Immunology : Definitions and Terms Immunity: Innate immunity, acquired immunity Antigen - Antibody Reactions: precipitation, agglutination, ELISA Hypersensitivity: Type |, ll, ll, IV_ hypersensitivity reactions, Mantoux test (Tuberculin test) 64+ Immunoprohylaxis: vaccines, sera, storage and handling and hazards of immunisation UNIT -5 ‘Hours: 07 (1) Pathogenic Bacteria: Pathogenicity, laboratory diagnosis and prophylaxis + Introduction + Gram Positive Cocci: Staphylococci, Streptococci, Pheumo + Gram Negative Cocci: Meningococe!, gonococci + Gram Positive bacilli: Corynebacterium diphtheriae, Clostridium tetani, Clostridium perfringens, Clostridium botulinum, Bacillus anthracis, Bacillus cereus + Gram Negative bacilli * Group |: Intestinal Gram Negative Bacill: E.coli, Klebs Proteus, Salmonella, Shigella. + Group II: Non Intestinal Gram Negative Bacilli; Bordetella, | Hemophilus. la, + Group Ill: Gram Negative curved bacili (Vibrio cholerae) + Acid Fast bacilli: Mycobacterium tuberculosis, Mycobacterium leprae + Spiral Bacteria (Spirochaetes): Treponema pallidum, Borrelia recurrentis, | Borrelia vincentii, Leptospira icterohemorrhagica + Rickettsiae © Chlamydiae | + Mycoplasma UNIT -6 Hours: 05 (T) Pathogenic Viruses: Pathogenicity, laboratory diagnosis and prophylaxis + General Properties of Viruses: Structure, resistance of virus, viral multiplication, virus cultivation, taxonomic classification of viruses, interferons, inclusion bodies, antiviral agents, + Specimen collection and transport for viral diseases 65RIA Viruses: poliomyelitis virus, influenza virus, mumps virus, rubella virus, rabies virus, japanese encephalitis virus, dengue virus, KFD virus, chikungunya virus DNA Viruses: Variola, Molluscum contagiosum, varicella zoster virus (vzv), Epstein-Barr virus, adenoviruses, papilloma virus Viral Hepatitis: Hepatitis viruses A, B, C, D, E. Rota Virus Sars Virus Human Immuno Deficiency Virus (HIV) UNIT -7 Hours: 03(T) Pathogenic Fungi: Pathogenicity, clinical picture, laboratory diagnosis, prevention. Introduction: Pathogenic and opportunistic fungi, classification, antifungal agents ‘Superficial mycoses: piedra, tinea versicolor, tinea nigra Cutaneous mycoses: dermatophytosis, candidiasis Subcutaneous mycoses: mycetoma, rhinosporidiosis, Systemic mycoses: histoplasmosis, cryptococcosis, rhino orbito cerebral phycomycosis Opportunistic mycoses: otomycosis, oculomycosis, pulmonary aspergillosis mycetism and mycotoxicosis UNIT -8 Hours: 04 (1) Parasites: mode of infection, Pathogen , clinical picture, laboratory diagnosis Protozoal infections: amoebiasis, trichomoniasis, trypanosomiasis, leishmaniasis, malaria, toxoplasmosis, pneumooystis jirovecii, cryptosporidium parvum. Nematode infections: ascaris lumbricoides, ancylostoma duodenale, enterobius vermicularis, trichuris trichiura, strongyloides stercoralis, wuchereria bancrofti, dracunculus medinensis Cestode infections: taenia saginata and taenia solium, diphyllobothrium latum. 66Trematode infections: schistosoma hematobium, fasciola hepatica, fasciolopsis buskii, clonorchis sinensi paragonimus westermani UNIT -9 Hours: 01 (T) Rodents and Vectors UNIT - 10 Hours: 15 (P) Demonstration of Practical Procedures in Microbiology: Microscopy: types, parts, uses of microscope Hanging Drop Preparation: procedure Simple Staining: procedure Gram's Staining: procedure, composition of Stains ZiehI Neelsen’s staining (Acid fast staining): procedure, composition of Stains Albert's staining: procedure, composition of stains Widal test VDAL test Culture and sensitivity test 1g and Learning Activities: Assessment method: Lecture discussion/demonstration Visits to CSSD Clinical practice Short answers: Objective type 67BOOKS LIST 3 No. Prescribed Author Title Publisher Microbiology (Prescribed ) 1 [Dr8V Ramanan [ibook of Misobiclogy Frontline Publications Reference ‘Ananethanarayane “Textbook of Micobiclogy 2 Baveja “Texibook of Microbicl 3. ‘Somos NE ‘An Introduction to Micobiology for Nurses ‘William Neinmvan 1980. 68Psychology Placement - First Year Time: Lecture - 60Hours Course Description: This course is designed to assist the students to acquire knowledge of fundamentals of psychology and develop an insight into behaviour of self and others. Furtherit is aimed at helping them to practice the principles of mental hygiene for promoting mental health in nursing practice. Lear ves + Deseribe the history, scope and methods of psychology ‘+ Explain the biology of human behaviour + Describe various cognitive processes and their applications + Describe motivation, emotions, stress, attitudes and their influence on behaviour + Explain the concepts of personality and its influence on behaviour + Describe the psychology of people during the lifecycle «Describe the characteristics of mentally healthy person + Explain ego defence mechanisms «Explain the psychological assessments and role of nurse Content: UNIT —1 Hours: 02 Introduction: + History and origin of science of psychology + Definition & scope of psychology + Relevance to nursing + Methods of psychology UNIT —2 Hours: 04 Biology of behaviour: + Body mind relationship modulation process in heaith and illness 69+ Genetics and behaviour: heredity and environment + Brain and behaviour: nervous system, neurons and synapse + Association cortex, Rt and Lt hemispheres, + Psychology of sensations + Muscular and glandular controls of behaviour + Nature of behaviour of an organism/integrated responses UNIT - 3 Hours: 20 Cognitive processes: + Attention: types, determinants, duration, & degree, alterations + Perception: meaning, principles, factors affecting, errors, + Learning: nature, types, learner and learning, factors influencing, laws and theories, process, transfer, study habits + Memory: meaning, types, nature, factors influencing, development, theories and methods of memorizing and forgetting + Thinking: types and levels, stages of development, relationship with language and communication + Intelligence: meaning, classification, uses, theories + Aptitude: concept, types, individual differences and variability + Psychometric assessments of cognit + Alterations in cognitive processes /@ processes ‘+ Applications UNIT ~4 Hours: 08 Motivation and emotional processes: + Motivation: meaning, concepts, types, theories, motives and behaviour, conflicts and frustration, conflict resolution + Emotions & stress + Emotion: definition, components, changes in emotions, theories, emotional adjustments, emotions in health and illness. + Stress: stressors, cycle, effect, adaptation & coping 70«Attitude: meaning, nature, development, factors affecting «Behaviour and attitudes + Attitudinal change «Psychometric assessments of emotions and attitudes + Alterations in emotions Applications UNIT ~5 Hours: 07 Personality: * Definitions, topography, types, theories + Psychometric assessments of personality + Alterations in personality + Applications UNIT - 6 Hours: 07 Developmental psychology: «Psychology of people at different ages from infancy to old age + Psychology of vulnerable individuais- challenged, women, sick, etc + Psychology of groups UNIT -7 Hours: 08 Mental hygiene and mental health: Concepts of mental hygiene and mental health «Characteristics of mentally healthy person + Warning signs of poor mental health « Promotive and preventive mental health- strategies and services Ego defence mechanisms and implications «Personal and social adjustments = Guidance and counseling + Role of nurse oNUNIT -8 Hours: 04 Psychological assessments & tests: + Types, development, characteristics, principles, uses, interpretations and role of nurse in psychological assessment Teaching and Learning Activities: + Lecture discussion / demonstration «Psychometric assessment + Role plays + Case discussion + Practice session Assessment methods: + Essay type + Short answers + Assessment of practice BOOKS LIST SI Prescribed Author Tite Publisher Ne. I | Psychology Prescribed Books Scere | 1. | Bhatia & Craig Elements of Psychology and Mental | Orient Longman __| Hygiene for Nurses in India | References aa 1._| Cruese Psychology in Nursing 2. [Jain D.Pal Abnormal Psychology. Pee 3.__| Crow & Crow Psychology in Nursing Practice a 4, | Averill & Kempt Psychology applied to nursing i 5.__| Zwerner Psychology for Nurses ai oe 72English Placement - First Year Time - 60 Hours Course Description: The Course is designed to enable students to enhance ability fo comprehend spoken and written English (and use English) required for effective communication in their professional work. Students will practice their skills in verbal and written English during clinical and classroom experiences. Lei tent jecti is ‘Speak and write grammatically correct English Develop ability to read, understand and express meaningfully, the prescribed text Develop writing skills Develop skill In spoken English Develop skill in listening comprehension UNIT -1 Hours: 10 UNIT - 2 Review of grammar Remedial study of grammar Building vocabulary Phonetics Public speaking Hours: 30 Read and comprehend prescribed course books 73UNIT - 3 Hours: 10 + Various forms of composition = Letter writing «Note taking + Precis writing + Nurses notes «Anecdotal records = Diary writing + Reports on health problems etc + Resume/CV UNIT - 4 Hours: 06 = Spoken English + Oral report + Discussion + Debate + Telephonic conversation UNIT - 5 Hours: 04 «Listening comprehension + Media, audio, video, speeches etc. Teachin Jearning ivities: «Demonstrate use of dictionary « Class-room conversation, telephonic conversation «Exercise on reading, summarizing, comprehension, use of grammar + Practice in public speaking 14+ Exercise on writing: Letter writing, Nurses notes, Precis , Diary, Anecdote, Health problems, Story writing, Resume/CV + Debating + Listening to audio, video tapes and identify the key points + Essay writing: discussion on written reports/documents + Participating in seminar, panel, symposium Assessment methods: © Short answers + Essay types + Objective type + Fillin the blanks «Para phrasing ‘+ Assessment of the skills based on the checklist OKS LIST SL | Prescribed Author | Title | Publisher No. | English (Prescribed) Eee Heer 1 | Angela & English for B.Sc, Nursing | Frontline RSCaroline Publications —_| Reference Hee 1. |Dr-T.Vasudeva “A Grammar of English” Reddy it 2. | Koorkkalaka Tom | “Communicative English | KJ.Publicz for Nursing students” _| Kerala 3. | Sindhu Tilak Better English for Nurses | Vora Medical cre ___| PublicationsIntroduction to Computers Placement - First Year Time: Lecture / Lecture Demonstration - 45Hours: (Theory - 15 hours, Practical - 30 hours) Course Description: The Course is designed for students to develop basic understanding of uses of computer and its applications in nursing, Learning Objectives: + Identify and define various concepts used in computer. + Identity application of computer in nursing + Describe and use the desk operating system = Demonstrate skillin the use of MS-Office, multimedia. + Identify features of computer aided teaching and testing «Demonstrate use of internet and email + Describe and use the statistical packages + Describe the use of hospital management system Content: UNIT ~14 Hours: 03 (T) Introduction: ‘+ Concepts of computers + Hardware and software; trends and technology + Application of computers in nursing UNIT - 2 Houts: 06 (T), 20P) Introduction to disk-operating system: = DOS, windows (all version) 16+ Introduction: MS-Word, MS-Excel with pictorial presentation, MS-PowerPoint, MS-Access UNIT - 3 Hours: 02 (1), 03 (P) Multimedia; types & uses: Computer alded teaching & testing UNIT ~4 Hours: 01 (1), 03 (P) Use of Internet and E-mail UNIT -5 Hours: 02 (T), 02 (P) Statistical packages: Types and their features UNIT -6 Hours: 01 (T), 02 (P) Hospital management system: Types and uses ‘Teaching and Learning Activities: + Lecture discussion / demonstration + Practice session Assessment methods: + Short answers + Objective type + Practical exam and Viva voice BOOKS LIST SI.__| Prescribed Author Title Publisher No. Beet He Computers (Prescribed) 1. | Nagendra Reddy Computer Education for Frontline e BScNursing Here | Reference 1. | Kusum Samant Basic Computer Training for | Vora Medicals et Nurses [Bee 2. | Suhail Ahmed, Khazi_—_ | Computer Education for Frontline Mohammed & Shahija | Nurses Publications Khan 118B.Sc. NURSING 4YDC COURSE Second Year Syllabus: 1. Medical Surgical Nursing (Adult including Geriatrics)-I & Practical .. Pharmacology Pathology Genetics Sociology oe PED Community Health Nursing-1 & Practical 7. Communication & Educational Technology 79MEDICAL SURGICAL NURSING (Adult Including Geriatrics)-I Placement: Second Year ‘Time: Lecture/Lecture demonstration - 210 hours Practical - 720 hours Course Description: The purpose of this course is to acquire knowledge and develop proficiency in caring for patients with medical and surgical disorders in varieties of health care settings and at home Learning Objectives: 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 asepsis Describe the common signs, symptoms, problems and thelr specific nursing interventions Describe the etiology, pathophysiology, clinical manifestations, diagnostic measures, and management of patients (adults including elderly) with disorders of respiratory systems, digestive systems, genito-urinary system, male reproductive system, endocrine system, integumentary system, musculoskeletal system, immunological system & communicable diseases Describe the etiology, pathophysiology, clinical manifestations, diagnostic measures, and management of patients (adults inoluding elderly) with blood and cardio vascular problems Describe the vascular conditions and its nursing management Describe the organization and physical sel up of operation theatre Identity 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 80Content: UNIT~1 Hours: 15) Introduction: Introduction to medical surgical nursing- evolution and trends of medical and surgical nursing Review of concepts of health and illness disease-concepts, causations, classification, -interational classification diseases (ICD- 10 or later version), acute illness, chronic illness & terminal illness, stages of 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 settings Introduction to medical surgical asepsis: inflamm: wound healing n and infection, immunity, Care of surgical patient: pre operative, intra operative, post operative UNIT - 2 Hours: 15 ‘Common signs and symptoms and management: Fluid and electrolyte imbalance Vomiting Dyspnea and cough, respiratory obstruction Fever Shock Unconsciousness, syncope Pain Incontinence Edema Age related problems- geriatric 81UNIT -3 Hours: 20 Nursing management of patients (adults including elderly) with respiratory problems: + Review of anatomy and physiology of respiratory system + Nursing assessment-history and physical assessment «Etiology, pathophysiology, clinical manifestations, diagnosis, treatment modalities and medical, surgical, dietetics & nursing management of adults 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 «procedures + Drugs used in treatment of respiratory disorders 82UNIT ~ 4 Hours: 30 Nursing management of patient (adults including elderly) with disorders of digestive system: + 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 + Cesophagus inflammation, structure, obstruction, bleeding and tumours. + Stomach and duodenum: hiatus hemia, gastritis, peptic and duodenal ulcer, bleeding, tumours, pyloric stenosis. + Small intestinal disorders- inflammation and infection, enteritis, malabsorption, obstruction, tumours and perforation. + Large intestinal disorders- c obstruction tumours and lump. is, inflammation and infe + Hernia + Appencix- inflammation, mass, abscess, rupture. + Anus & 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 83UNIT - 5 Hours: 30 Nursing management of patient (adults including elderly) with blood and cardio vascular problems: Review of anatomy and physiology of blood and cardio vascular system Nursing assessment - history and physical assessment Etiology, pathophysiology, clinical manifestations, diagnosis, treatment modalities and medical, surgical, dietetics & nursing management of vascular system: Hypertension, hypotension, atherosclerosis, Raynaud's disease, ‘Aneurysm and peripheral vascular disorders Heart: Coronary artery diseases: Ischemic heart disease, coronory atherosclerosis, angina pectoris, myocardial infarction valvular disorders of the heart: congenital and acquired, rheumatic heart diseases Endocarditis, pericarditis, myocarditis Cardio myopal Cardiac dysrthythmias, heart block Congestive cardiac failure: Cor-pulmonale, pulmonary edema, cardiogenic shock, cardiac tamponade Cardiac emergencies and arrest Cardio Pulmonary Resuscitation (CPR) Blood: anaemias, polycythemia, bleeding disorders: clotting factor defects and platelets defects, thalassemia, leukaemias, leukopenias and agranulocytosis S lymphomas, myelomas Special therapies Blood transfusion, safety checks, procedure and requirements, management of adverse transfusion reaction, records for blood transfusion 84«+ Management and counseling of blood donors: Phlebotomy procedure, post donation management , blood bank functioning and hospital transfusion ‘committee, bio safety and waste management in relation to blood transfusion «Role of nurse in organ donation, retrieval and banking «Alternative therapies «Nursing procedures + Drugs used in treatment of blood and cardio vascular disorders UNIT -6 Hours: 10 Nursing management of patient (adults including elderly) with genito urinary problems: + Review of anatomy and physiology of genito 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 disease + Dialysis, renal transplant + Congenital disorders, urinary infections + Disorders of ureter, urinary bladder, and urethera- inflammation, infection, structure, obstruction, tumour. + Special therapies, alternative therapies + Nursing procedures + Drugs used in treatment of genito urinary disorders 85UNIT -7 Hours: 05 Nursing management of disorders of male (adults including elderly) reproductive 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 malformations: eryptorchidism Hypospadias, Epispadias Infections Testis and adjacent structures Penis Prostate: inflammation, infection, hypertrophy, tumour Sexual dysfunction Infertility Contraception Breast: gynecomastia, tumour limacteric changes Special therapies, alternative therapies Nursing procedures Drugs used in treatment of disorders of male reproductive system UNIT -8 Hours: 10 Nursing management of patient (adults including elderly) with disorders of endocrine system: Review of anatomy and physiology of endocrine system Nursing assessment - history and physical assessment Etiology, pathophysiology, clinical manifestations, diagnosis, treatment modalities and medical, surgical, dietetics & nursing management of — 86+ Disorders of thyroid and parathyroid + Diabetes mellitus + Diabetes insipidus + Adrenal tumours + Pituitary disorders ‘* Special therapies, alternative therapies + Nursing procedures ‘+ Drugs used in treatment of disorders of endocrine system UNIT~9 Hours: 10 Nursing management of patient (adults including elderly) with disorders of Integumentary system: + 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 —a lesions and abrasions + Infections 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 87UNIT - 10 Hours: 15 Nursing management of patient (adults including elderly) with musculoskeletal problems: + 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, tumour and trauma + Osteomalacia and osteoporosis = Arthritis = Congenital deformities Spinal column — defects and deformities, tumour, prolapsed inter vertebral disc, pott's spine «Paget's disease ‘© Amputation + Prosthesis + Transplant & replacement surgeries » Rehabilitation «Special therapies, alternative therapies + Nursing procedures + Drugs used in treatment of disorders of musculoskeletal system UNIT = 11 Hours: 10 Nursing management of patient (adults Including elderly) with Immunological problems: + Review of Immune system + Nursing assessment - history and physical assessment 88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 immunodeficiencies Acquired immunodeficiency syndrome (AIDS): incidence, epidemiology, Transmission, standard safety precautions, role of nurse in counseling, health education, home care, NACO, other national and international agencies for AIDS. Infection control program Rehabilitation ‘Special therapies, alternative therapies Nursing procedures Drugs used in treatment of disorders of immunological system UNIT - 12 Hours:20 Nursing management of patient (adults including elderly) with Communicable diseases: Overview of infectious disease, the infectious process Nursing assessment - history and physical assessment Epidemiology, infectious process, clinical manifestations, diagnosis, treatment, prevention and dietetics control and eradication of common communicable diseases: tuberculosis, diarrhoeal diseases, hepatitis A — E, 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 disease hospitals Special therapies, alternative therapies 89+ Nursing procedures + Drugs used in treatment of communicable diseases UNIT - 13 Hours:20 Peri operative nursing: 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, ©.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 0.7. + Standard safety measures + Infection control: fumigation, disinfection and sterilisation + Biomedical waste management + Prevention of accidents and hazards in 0.T + Anaesthesia: Types, methods of administration, effects and stages, equipments, drugs + Cardio Pulmonary Resuscitation (CPR) «Pain management techniques + Legal aspects + Lecture discussion / demonstration + Practice session «Supervised clinical practice «Seminar * Case discussion + Explain using charts, graphs, models, films, slides Health education » Drug book presentation 90Visit to blood bank Participation in blood donation camps Counseling Orientation visit to hospital control system Assessment Method: Essay type Short answers Objective type Assessment of skills with checklist Assessment of patient management problem o1BOOKS LIST BLNo Prescribed Author Title Publisher BSo. Nursing 2"4 Year 4YDC Nanjunde S.N.Gowda Jyothi N.Gowda Bojar, Robert M MEDICAL SURGICAL NURSING: PRESCRIBED BOOKS| 1 Joyce H.Black & HawkgLuckman & Sorensen's Medical surgical Nursing 8” ed W.B Saunders 2. |Smeltzer [Brunner & Suddartha’s text book f Medical surgical Nursing Lippincott Reference Books 1. [Monahan etal., Phipp’s Medical surgical Nursing health and illness perspectives 8% ed Mosby 2. [Brunner & Suddarth’s| Lippincott Manual of Nursing Practice Mosby Lewis Medical surgical Nursing Elsevier} Berry & Khan's Operating Room Technique Mosby Perioperative Nursing Manual JIN-Publication Manual of Perioperative care in Throat Cardiac Surgery Blackwell 7._ | Moher etal Orthopedie Nursing Sanders 8. |Ebenizer Textbook of Orthopedics Jaypee Brothers 9. [Mohd. Maqbool Texibook of Ear, Nose & Throat 10. | Geetha Mary Basic Notes on ENT 11. | Likhacher AG. “Diseases of Ear, Nose and Thro: 12. |U.N.Panda Handbook of Opthaimalogy & Rhinoryngology ALTBS 13. | Synday Lerman Basic Opthalmology MC.Grawhill 14. [Holl & Colman’s Diseases of the Ear, Nose & Church Livingstone 9215. Sihota Pearson's diseases of the Eye publishers 16. | Robert Jiffany “Cancer Nursing” 17. [Bouchard Rosemary | Cancer Nursing Raven Press 18. [Carol Reed Ash & | Enhancing the role of Cancer Jenkins J.F. Nursing 19. | Palmer “Infection control A policy & Procedures manual" W.B.Sanders 20. [Esther Hughes Dermatology Nursing 21. | Alexander GReaves | Disorders of the Nervous syster Year book Medical 22. | Adams “Principles of Neurology” 23, | Patricia “Nurses Guide to Neurological patient care” 24. | Purchase “Neurological & Neuro Surgical Nursing 2% Ed ~ 25. | Rudy Ellen B. Advanced Neurological and Neuro Surgical Nursing C.V.Mosby 26. | Lindsey Kenneth W & | Neurology and Neurosurgery lan Bone illustrated Church Livingstone 27. | Barker Neuro science Nursing 28. [Sandersons K.G. __| The Cardiac pationt W.B.Sanders | 29. | Sister Nanoy Cardiac Critical Care and Emergeney Room care Little Brown 30. [Crash 8 ‘Acute Myocardial Infarction | Elsevier ‘31. [Fritz Bonmgariner | Cardiothoracic Surgery Chapman - Hall 32. | Dwevedi Premalatha | Communicable diseases 33. | Bower & Plant Communicable diseases a textbook of nurses 34, [Glenda Esmand Respiratory Nursing | 35. | Barker Practical Episemiology Church hill 36. | Ansari etal A color atlas of AIDS in tropics 37. | Pramod John R. Textbook of oral medicine J.P.Brothers 93Medical Surgical Nursing (Adult including Geriatrics) - 1 Practical Placement: Second Year Time: 720 Hours (23Weeks) + General Medical ward (Respiratory, Gl, Endocrine, Renal, Hematology) + General Surgical ward (Gi, Urinary, CTVS) + Cardiology ward « Skin & Communicable diseases ward + Orthopaedic ward + Operation Theatre Objectives += Provide nursing care to adult patients with medical disorders, cardiac disorders, musculoskeletal disorders, skin disorders & communicable diseases «Counsel and educate patients and families + Provide pre and post operative nursing care to adult patients with surgical disorders + Identity skin problems + Identity instruments used in common operations + Participate in infection control practices in the Operation Theatre + Set-up the table/trolleys for common operative procedures + Assist in giving anesthesia «Assist in the operative procedures «Provide peri operative nursing care 94Skills: UNIT -14 Weeks:6 General Medical ward: ‘+ Assessment of the patient: taking history, perform general and specific physical ‘examination, identify alterations and deviations + Practice medical surgical asepsis- standard safety measures « Administer medications: Oral, !V, IM, Subcutaneous + IV therapy: IV canulation, maintenance and monitoring + Oxygen therapy by different methods « Nebulization + Chest physio therapy + Naso gastric feeding «Assist in common diagnostic tests + Perform/Assist in therapeutic procedures + Blood and component therapy + Throat suctioning + Collect specimens for common investigations ‘+ Maintain elimination: Catheterisation, Bowel wash, Enema, Urinary drainage 3 Me in intake, output and documentation + Counsel and teach in relation to specific disease conditions UNIT - 2 Weeks: 6 General Surgical ward: + Practice medical surgical asepsis- standard safely measures + Pre operative preparation of patients + Post operative care — receiving pt, assessment, monitoring, care «Care of wounds and drainage + Suture removal + Ambulation and exercise 95Naso gastric aspiration Care of chest drainage Ostomy care: Gastrostomy, Colostomy, Enterostomy Blood and component therapy Practice universal precautions UNIT-3 Weeks: 02 Cardiology ward: Physical examination of the cardio vascular system, recording and interpreting EC@ Monitoring of patients Preparation and assisting in non-invasive and invasive diagnostic procedures Administer cardiac drugs Cardio pulmonary resuscitation Teach patients and families Practice medical surgical asepsis- standard safety measures UNIT-4 Weeks: 01 ‘Skin & Communicable diseases ward: ‘Assessment of patienis with skin disorders, Assist in diagnostic and therapeutic procedures ‘Administer topical medication Practice medical surgical asepsis- standard safety measures Use of personal protective equipment (PPE) Give medicated baths Counseling HIV positive patients Teach prevention of infectious diseases 96UNIT -5 Weeks: 02 Orthopaedic ward: + Assessment of orthopaedic patients + Assist in application of plaster cast and removal of cast + Apply skin traction buck's extension traction + Assist in application and removal of prosthesis + Physiotherapy-range of motion exercises (ROM), muscle strengthening exercises + Crutch maneuvering technique = Acti ies of daily living + Ambulation + Teach and counsel patients and families UNIT -6 ‘Weeks: 06 Operation Theatre: «Scrubbing, gowning, gloving «Identify instruments, suturing materials for common operations «Disinfection, carbolization, fumigation + Preparation of instrument sets for common operations » Sterilization of sharps and other instruments «Prepare the OT table depending upon the operation + Positioning and monitoring of patients + Endotracheal intubation + Assisting in minor and major operations + Handling specimens + Disposal of waste as per the guidelines Assignments: «Plan and give care to 2-3, 3-4 assigned patients ‘+ Nursing care plan—t, 2 97+ Nursing case study/presentation/health talk/counseling HIV positive patients and families -1 + Drug presentation. 1 + Maintain drug book + Maintain practical record book + Assist as a circulatory nurse in: major cases -10, minor cases -5 + Assist as a scrub nurse in: major cases -10, minor cases -5 Assessment methods: + Assess performance with rating scale + Assess each skill with checklist + Evaluation of case study/presentation/health talk/counseling + Completion of practical/activity record + Evaluation of nursing care pian/case study/presentation Internship: Time: 260 hours (9 weeks) Areas: + ICU, ECU, CARDJ, ACOT + Neuro ICU, ITU, OT + Bums and plastic reconstructive surgery + OT: Laproscopic, Orthopaedic, Eye, ENT ‘Objectives: + To gain proficiency in ICU nursing + Devolop advance skill in special procedures used in critical care unit + _ Identify potential problems and provide accordingly + Skill n setting and handling ventilator + Administer injection in infusion pump + Record accurately findings and medications 98+ Develop IPR with family members © Acquint with OT technique + Develop skill in neurological assessment + Give care to the pt with head injury and spinal injury «Care with chest surgery and cranial surgery + Assess the severity of buns I «Administer rehydration therapy + Observe reconstructive surgery + Identify instruments + Assist in OT setup/table layout + Supervise sterilization ‘+ Observe immediately after operation ‘+ Supervise infection control ‘Skills: | ICU, ECU, CARDJ, ACOT: Weeks: 02 «Assist in arterial puncture for blood gas analysis «Perform ECG and interpret accordingly «Conduct and analysis pulse oximetry + Care with artificial airway | «Assist in endotracheal intubation | «Setting up ventilator «Giving care in ventilator + Observation of special procedure in OT Neuro ICU, ITU, OT: + Assess neurological status 99+ Implement care to head injury spinal injury patients + Drug sheet + Pre and postoperative care with neuro surgery patients Burns and plastic reconstructive surgery: Weeks: 02 + Nursing care OT: Laproscopic, Orthopaedic, Eye, ENT: ‘Weeks: 03 Assignments: + Arterial puncture-5 + Taking out ECG stripe-5 + Tracheal suction-5 = Oxygen administration by CPAP mask and use ambu bag = Nursing care in ventilator «Assessment for all assigned patients «Nursing care plan-2 + Drug sheet + Assist -5 cases Assessment methods: + Record book + Checking with supervisor + Observation checklist 100Pharmacology Placement - Second Year Time: Lecture / Lecture Demonstration ~ 45Hours Course Description: This course is designed to enable students to acquire understanding of Pharmacodynamics, Pharmacokinetics, Principles of therapeutics and nursing implications. Learning Objectives: Describe Pharmacodynamics, Pharmacokinetics, classification and the principles of drug administration Explain chemotherapy of specific infections and infestations and nurse's responsibilities Describe Antiseptics, disinfectants, insecticides and nurse’s responsibilities Desoribe drugs acting on Gastro Intestinal System and nurse's responsibilities Describe drugs used on Respiratory Systems and nurse’s responsibilities Deseribe drugs used on Urinary System and nurse's responsibilities Describe drugs used on skin and mucous membranes and nurse’s responsibilities Describe drugs used in De addiction, emergency, deficiency of vitamins & minerals, poisoning, for immunization and immuno-suppression and nurse's responsibilities Describe drugs used on Nervous System and nurse’s responsibilities Describe drugs used on Cardio-Vasoular System and nurse’s responsibilities Describe drugs used for hormonal disorders and supplementation, contraception and medical termination of pregnancy and nurse’s responsibilities Demonstrate awareness of the common drugs used in alternative system of medicine ' 101Content: UNIT -1 Hours: 03 General Pharmacology: Sources of drugs Routes of Drug Administration: Enteral, Parenteral Pharmacokinetics: Absorption, Distribution, Metabolism, interaction & Excretion Pharmacodynamics: Drug Dependence, Drug Inter Actions & Adverse Drug Reactions Therapeutic Drug Monitoring (TDM), Therapeutic Window, Drug Development & Essential Drug Concept (brief) Rational use of drugs UNIT - 2 Hours: 08 Chemotherapy (Dose, Administration, Pharmacological effects, Side effects, Toxicity, role of nurse): Pencilins and cephalosporins Sulfonamides and Co-Trimoxazole Quinotones and Fluor Quinolones Beta-Lactam Antibiotics Aminoglycosides Antibiotics Macrolide Antibiotics and Other Miscellaneous. Broad Spectrum Antibiotics ‘Chemotherapy Of Urinary Tract Infections Chemotherapy Of Tuberculosis Primary and Secondary fine of drugs, DOTS Chemotherapy of Leprosy : Drugs for Leprosy, Dapsone (DDS), Clofaximine & Rifampicin Antifungual and antiviral agents Drugs for Protozoal Infections Antimalarial 102«Anti helminthic drugs + Antiseptics & Disinfectants + Cancer Chemotherapy + Immuno Suppressants, Immuno Stimulants (brief) + Ectoparasitides i UNIT -3 Hours: 02 Drugs of GIT: + Drugs Used in Peptic Ulcor + Emetics & Antiometics | + Drugs in Constipation + Drugs used in the Treatment of Diarrhoeas UNIT - 4 Hours: 02 Respiratory System (brief): + Respiratory Syster rugs for Bronchial asthma, AntiTussives UNIT-5 Hours: 08 Central Nervous System & Autonomic Nervous System: + General Anaesthetics, Local Anaesthetics (brief) + Antiepileptics + CNS Stimulants + Analgesics and antipyretics + Non-Steroidal Anti Inflammatory Drugs « Hypnotics & Sedatives: opiod and nonopiod j + AntiPsychotics and antimaniac drugs + Antidepressant and antianxiety drugs + Cholinergies and anticholinergics + Skeletal muscie relaxants + Antiparkinsonism drugs 103UNIT-6 Hours: 07 Diuretics & Cardio Vascular System: + Diuretics + Drugs for Congestive Heart Failure + Drugs for Cardiac Arrhythmias (brief) + Drugs of Hypertension + Central Sympatholytics «Shock & Plasma Expanders + Intravenous Fluids + Drugs for Angina + BLOOD : Oral Anticoagulants, Fibrinolytics(Thrombolytics) + Hypolipidaemic Drugs (Lipid Lowering Drugs), Drugs for Hypercholestgerolaemia & Dislipidaeria + Haematinics UNIT -7 Hours: 04 Vaccine & Sera Vitamins & Mineral + Vaccine & Sera + Vitamins & Minerals : Vitamin A, Vitamins B complex, Vitamin D, Vitamin K, Vitamin E, Vitamin C (Ascorbic Acid) © Minerals : Iron, Zinc UNIT -8 Hours: 05 Drugs for Hormonal Disorders: ‘+ Steroids and anabolics «Hormonal Contraception, Ovulation inducers, Oxytocics, Tocolytics. + Insulin, Oral Hypoglycaemic Agents Parathyroid Hormone, Calcitonin, + Drugs affecting Calcium balance Thyroid supplements and antithyroid drugs Prostaglandins 104UNIT-9 Hours: 03 Toxicology: + Treatment of Poisoning (Toxicology), Drugs for Organophosphorus poisoning + Heavy metal intoxication (chelating agents) UNIT - 10 Hours: 03 Dermatology, Ear, Nose & Eye: + Drugs used in the treatment of eye diseases: eye ointments, sub-conjunctival injections, drugs for glaucoma, mydriatics and miotics, anaesthetics, miscellaneous agents & the nose (brief) hing an + Lecture discussion ‘+ Drug study/presentation ‘+ Observational visits Assessment method: + Short answers = Objective type BOOKS LIST SI. [Prescribed Author _ | Title Publisher No. PHARMACOLOGY (PRESCRIBED BOOKS) 7 1. | Satoskar & Pharmacology and Popular Bhandarkar Pharmacotherapeutics Prakasham Referers tHE : : : 1. [Jeane Schera C. Lippin cott’s Nurses Drug JB.Lippincott ‘Manual 2. | Shobhana Mathur —_| Principles of Pharmacology for _| Frontline l a BSc) 105Pathology Section A- Pathology Placement - Second Year Time: Lecture / Lecture Demonstration - 30Hours (Theory - 20 hours Practical - 10 hours) Course Description: This course is designed to enable students to acquire knowledge of pathology, of various disease conditions and apply this knowledge in practice of nursing. Learning Objectives: «Define the common terms used in pathology «Appreciate the deviations from normal to abnormal: structure and functions of the body system + Explain pathological changes in disease conkitions of various systems + Describe various laboratory tests in assessment and monitoring of disease conditions + Describe the laboratory tests for examination of body cavity fluids: transudates and exudates +» Describe the laboratory tests for examination of Urine and faeces Content: UNIT -1 Hours: 03 (T) Introduction: + Introduction «Importance of the study of pathology + Definition of terms Methods and techniques + Collular and tissue changes 106‘+ Infiltration and regeneration + Inflammations and infections + Wound heating «Vascular changes + Cellular growth, Neoplasms «Normal and Cancer cell + Benign and malignant growths + Insitu carcinoma + Disturbances of fluid and electrolyte balance UNIT -2 Hours: 10 (T), 05 (P) Special pathology: pathological changes in disease conditions of various systems:(in brief) «Respiratory tract + Tuberculosis, bronchitis, pleural effusion and pneumonia + Lung abscess, emphysema, bronchiectasis ‘+ Bronchial asthma, chronic obstructive pulmonary disease, tumours + Cardiovascular system + Pericardial effusion = Rheumatic heart disease + Infective endocarditis, atherosclerosis Ischemia, infarction & aneurysm + Gastro intestinal tract + Peptic ulcer, typhoid + Carcinoma of Gi tract: buccal, esophageal, gastric & intestinal + Liver, gall bladder & pancreas. + Hepatitis, chronic liver abscess, cirrhosis + Tumours of liver, gall bladder and pancreas + cholecystitis, 107+ Kidneys & urinary tract + Glomerulonephritis, pyelonephritis + Calculi, renal carcinoma & cystitis + Male genital system + Cryptorchidism, testicular atrophy «Prostatic hyperplasia, carcinoma penis & prostate + Female genital system + Fibroids «Carcinoma cervix and endometrium + Vesicular mole, choriocarcinoma «Ectopic gestation = Ovarian cyst & tumours + Cancer breast «Central nervous system «Hydrocephalus, meningitis, encephalitis + Vascular disorders — thrombosis, embolism «Stroke, paraplegia, quadriplegia «Tumours, meningiomas, gliomas + Metastatic tumour + Skeletal system: Bone healing, osteoporosis, osteomyelitis, arthritis & tumours UNIT -3, Hours: 04 (T), 03 (P) Clinical pathology: Various blood and bone marrow tests in assessment and monitoring of disease conditions: principle, procedure, reading of the result + Hemoglobin + RBC, white cell & platelet counts «Bleeding time, clotting time and prothrombin time 108‘+ Blood grouping and cross matching + Blood culture + Serological and immunological tests + Other blood tests + Examination of bone marrow ‘+ Methods of collection of blood specimen for various clinical pathology, biochemistry, microbiology tests, inference and normal values UNIT 4 Hours: 02(7), 01 (P) Examination of body cavity fluids, transudates and exudates: + Laboratory tests used in CSF analysis + Examination of other body cavity fluids, transudates and exudates — sputum, wound discharge ete + Analysis of gastric and duodenal contents + Analysis of semen-sperm count, motility and morphology and their importance in infertility + Methods of collection of CSF and other cavity fluids specimen for various clinical pathology, biochemistry, microbiology tests, inference and normal values UNIT 5 Hours: 01 (T), 01 (P) Urine and faeces: + Urine + Physical characteristics + Analysis + Culture and sensitivity + Faeces + Characteristics » Stool examination: occult blood, ova, parasite and cyst, reducing substances etc 109= Methods of collection for various tests, inference and normal values Teaching and Learning Activities: «Lecture discussion/demonstration + Explain using charts, slides, specimen, X-rays and scans + Visitto pathology lab, endoscopy unit and OT, clinical pathology & biochemistry lab and blood bank Internal Assessment methods: + Short answers + Objective type BOOKS LIST si. | Prescribed Title Publisher [No. _| Author | Hee PATHOLOGY & GENETICS (PRESCRIBED BOOKS) 1 ‘Triveni Bhopal _ | Text book of Pathology for Frontline BSc(Nursing) | 2 | Mohd.Rizwan & | Genetics Nursing Perspectives Frontline Ayesha Ali Reference Tee th. [Robbins & Pathologic Basis of Diseases WBSaunders Cotran i SHEE [2 ‘Boyd Pathology. 4 3.__|Govan Tlustrated Patholo 4. | PurnimaS.Rao_ | Pathology and Genetics a 5, | Dalela & Varma _| A Text book of Genetics Oxford & LB 110Section- B Genetics Placement - Second Year Time: Lecture / Lecture Demonstration ~ 15Hours Course Description: This course is designed to enable students to acquire understanding of Genetics, its role in causation and management of defects and diseases. Learning Objectives: + Explain nature, principles and perspectives of heredity + Explain maternal, prenatal and genetic influences on development of defects and diseases + Explain the screening methods for genetic defects and diseases in neonates and children + Identify genetic disorders in adolescents and adults ‘+ Deseribe the role of nurse in genetic services and counseling jontent; UNIT ~ 1 Hours: 03 Introduction: + Practical application of genetics in nursing + Impact of genetic condition on families + Review of cellular division: mitosis and meiosis, + Characteristics and structure of genes + Chromosomes — sex determination + Chromosomal aberrations + Patterns of inheritance + Mendalian theory of inheritance + Muttiple alleles and blood groups + Sex linked inheritance ut«Mechanism of inheritance «Errors in transmission (mutation) UNIT -2 Hours: 03 Maternal, prenatal and genetic influences on development of defects and diseases: Conditions affecting the mother: genetic and infections Consanguinity, atopy Prenatal nutrition and food allergies Matemal age Maternal drug therapy Prenatal testing and diagnosis Effect of radiation, drugs and chemicals Infertility ‘Spontaneous abortion Neural Tube Defects and the role of folic acid in lowering the risks Down's syndrome (Trisomy 21) UNIT-3 Hours: 02, Genetic testing in the neonates and children: Screening for Congenital abnormalities, Developmental delay, Dysmorphism UNIT - 4 Hours: 02 Genetic conditions of adolescents and adults: Cancer genetics- familial cancer Inborn errors of metabolism Blood group alleles and haematological disorder Genetic haemochromatosis 112+ Huntington's disease + Mental illness UNIT -5 Hours: 05 Services related to genetics: + Genetic testing, human genome project, gene therapy, the eugenics movement, genetic counseling, legal and ethical issues + Role of nurse and Learnin 7 + Lecture discussion + Explain using charts Assessment methods; + Short answers + Objective type 113Sociology Placement - Second Year Time: Lectures — 60 Hours ‘Course Description: This course is designed to introduce the concepts of sociology related to community and social institutions in India and its relationship with health, illness and nursing. earning Objectives «State the importance of sociology in nursing + Describe the interrelationship of individual in society and community + Describe the influence of culture on health and disease + Identify various social groups and their interactions + Explain the growth of population in India and its Impact on health + Describe the institutions of family and marriage in India = Describe the class and caste system and their influence on health and health practices + Describe the types of communities in India, their practices and the impact on health + Explain the process of Social change ‘+ Describe the Social system and interrelationship of social organizations + Explain the nature and process of social control + Describe the role of the nurse in dealing with social problems in India. Content: UNIT 1 Hours: 01 Introduction: + Definition of sociology « Nature and scope of the discipline ‘+ Importance and application of Sociology in nursing 14UNIT - 2 Hours: 03 Individual & Society: + Society and community + Nature of society + Difference between society and community + Process of socialization and individualization + Personal disorganization Hours: 03 «Nature of culture + Evolution of culture + Diversity and uniformity of culture «Culture and socialization + Transcultural society «Influence on health and disease UNIT -4 Hours: 04 Social groups and Processes: +The meaning and classification of groups. + Primary & secondary + In-group V/S, out-group, class, tribe; caste + Economic, political, religious groups, mob, crowd, public and audience interaction & social processes + Co-operation, competition, conflict + Accomodation, assimilation & isolation UNIT -5. Hours: 06 Population: + Society and population + Population distribution in India- demographic characteristics ws+ Malthusian theory of populations + Population explosion in India and its impact on health status «Family welfare programmes UNIT - 6 Hours: 05 Family and Marriage: + Family- Functions + Types: Joint, nuclear, blended and extended family characteristics + The modem family - Changes, problems-dowry etc., welfare services + Changes & legislations on family and marriage in India ~ marriage acts + Marriage: Forms and functions of marriage + Marriage and family problems in Ingia + Family, martiage and their influence on health and health practices UNIT -7 Hours: 07 Social Stratification: + Meaning & types of social stratification + The Indian caste systom- origin & features + Features of caste in India today + Social class system and status + Social mobility: meaning & types + Race as a biological concept, criteria of racial classification + Salient features of primary races-Racism +» Influence of class, caste and race on health and health practices UNIT-8 Hours: 08 Types of Communities in India (Rural, Urban and Regional): + Features of village community & characteristics of Indian villages- Panchayat system, social dynar + Community development project & planning + Changes in Indian rural life 116Availability of health facilities in rural and its impact on health and health practices Urban — communi The growth of cities: /- features Urbanization and its impact on health and health practices Major urban problems- urban slums Region: problems and impact on health UNIT - 9 Hours: 04 Social Change: Nature and process of Social Change Factors influencing social change: cultural change, cultural lag Introduction to theories of social change: linear, cyclical, marxian, functional Role of nurse- change agents UNIT - 10 Hours: 04 Social organization and Social system: Social organization: elements, types Democratic and authoritarian modes of participation Voluntary associations Social system: definition and types of social system Role and status as structural elements of social system Inter-relationship of institutions UNIT -11 Hours: 02 Social Control: Nature and process of social contro! Political, legal, religious, educational, economic, industrial and technological systems, norms & values- folkways & mores customs, laws and fashion Role of nurse 117UNIT - 12 Hours: 15. Social Problems: Social disorganization Control & planning: poverty, housing, illiteracy, food supplies, prostitution, rights of women & children, vulnerable groups: elderly, handicapped, minority groups and other marginalized groups, child labour, child abuse, delinquency and crime, substance abuse, HIV/AIDS Social welfare programmes in India Role of nurse Teaching and Learning activities: Lecture discussion Panel discussion Community identification Family case study Community survey Visits to rural and urban community Observation visits Institutional visits Assessment methods: Essay type Short answers Assessment of report on community identification’ community survey Assessment of family case study Assessment of visit reports 118SL [Prescribed Author | Title Publisher No. SOCIOLOGY (Prescribed) 1. | Vidya Bhushan & — | An introduction to Sociology Emmess Publishers Sachdev 2. | KP.Neeraja ‘Textbook of sociology for Nurses 3. | Tan Clement Sociological implications in Frontline Nursing References 1._[ RN. Sharma Principles of Sociolo; Frontline 2. |ProfRS.Caroline | Sociology for Nurses Frontline 9Community Health Nursing - 1 Placement: Second Year Time: Lecture/Lecture demonstration - 90 hours Practical - 135 hours (2Weeks Urban, 2 WeeksRural) Course Description: This course is designed for students to appreciate the principles of promotion and maintenance of health. Learning Objectives: Describe concept and dimensions of health Describe determinants of health Describe concept, scope, uses, methods and approaches of epidemiology Describe epidemiology and nursing management of common communicable and non-communicable diseases Describe concepts, and scope of demography Describe methods of data collection, analysis and interpretation of demographic data Identify the impact of population explosion in India Describe the methods of population contro! Content: UNIT -1 Hours: 02 Introduction: Community health nursing Definition, concept and dimensions of health Promotion of health Maintenance of health 120UNIT - 2 Hours: 20 Determinants of health: Eugenics Environment physical: air, ight, ventilation, water, housing, sanitation; disposal of waste, disposal of dead bodies, forestation, noise, climate, communication: infrastructure facilities and linkages Acts regulating the environment: national pollution control board Bacterial & viral: agents, host carriers and immunity Arthopods and rodents Food hygiene: production, preservation, purchase, preparation, consumption Acts regulating food hygiene prevention of food adulteration act, drugs and cosmetic act Socio-cultural: Customs, taboos, marriage system, family structure, status of special groups: females, children, elderly, challenged groups and sick persons Lifestyle Recreation and sleep, sexual lif, spiritual life, philosophy, self reliance, dietary pattern, education, occupation Financial management: income, budget, purchasing power, security UNIT -3 Hours: 10 Epidemiology: Definition, concept, aims, scope, uses and terminology used in epidemiology Dynamics of disease transmission: epidemiological triad Morbidity and mortality: measurements Levels of prevention 121+ Methods of epidemiology: descriptive, analytic experimental |: epidemic investigation, UNIT - 4 Hours: 25 Epidemiology and nursing management of common Communicable Diseases: + Respiratory infections: small pox, chicken pox, measles, influenza, rubella, ARI's & pneumonia, mumps, diphtheria a whooping cough, meningococcal meningitis, tuberculosis, SARS «Intestinal infections: poliomyelitis, viral hepatitis, cholera, diarrhoeal diseases, typhoid fever a food poisoning, amoebiasis, hook worm infection, ascariasis,

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• Little Women

  

  From Everand

  Little Women

  Louisa May Alcott

  Rating: 4 out of 5 stars

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