LESSON PLAN

ON
ANEURYSM

SUBMITTED TO SUBMITTED BY
MR. R. ASOKAN
ASSOCIATE PROFESSOR, ANUSIKTA PANDA
KINS
MSc NURSING 2ND YEAR
ROLL NO: 1988015
NAME OF THE SUBJECT: Clinical speciality-I
NAME OF THE TOPIC: Aneuryam
NAME OF THE GROUP: MSc nursing 1st year
VANUE:
TIME: 4pm to 5pm
DURATION: 1 HRS
NAME OF THE STUDENT TEACHER: Ms. Anusikta Panda
NAME OF THE EVALUATER TEACHER: Mr. Asokan. R, Associate. Professor, KINS
PREVIOUS KNOWLEDGE OF THE STUDENT: The students have some knowledge about aneurysm.
METHOD OF TEACHING: lecture cum discussion
AV aids: LCD, white board, poster,
GENERAL OBJECTIVES: At the end of the session student will able to gain knowledge on various types of aneurysms, will develop positive attitude
towards it and will able to write their research report by using this knowledge.
SL TIME SPECIFIC OBJECTIVE CONTENT TEACHING AV AIDS EVALUATION
NO LEARNING
ACTIVITY
1 3min Student introduction 1. Self-introduction
2.Introduction of the topic
3. Announcement
2 3min Define the topic “An aneurysm is some sort of bulging of a blood vessel within the body,” The student LCD What is aneurysm?
says George P. Teitelbaum, MD, an interventional neuroradiologist and the teacher defined
director of the stroke and aneurysm center at Providence Saint John’s the topic.
Health Center in Santa Monica, California. The student
wrote down the
definition in their
note.
3 5min Enlist the types of TYPES: The student LCD, Berry aneurysm will
aneurysms teacher enlisting white be coming under
Aneurysms are either classified by their location in the body or based on
the types of board which type of
their shape. aneurysms. aneurysm?
 Aortic aneurysm The student
wrote down the
 Brain or cerebral aneurysm types of
 Peripheral aneurysm aneurysms.

Aneurysms are also classified based on the shape of the bulge:

 Fusiform aneurysms
 Saccular aneurysms
  Berry aneurysm
 Pseudo aneurysm or false aneurysm
4 3min Explain the causes CAUSES: The student Chart How enhanced
explains the proteolysis causes
 Degradation of the elastic lamellae of the blood vessel
causes of aneurysm?
 Accumulation of a leukocytic infiltrate aneurysms.
The student took
 Enhanced proteolysis within the wall notes of it.
 Smooth muscle cell loss within the wall
5 2min Discuss the risk RISK FACTORS: The student’s LCD Which age group is
factors. teacher discusses more prone to get
 Age
the risk factors of aneurysm?
 Family history aneurysm
The student took
 Gender notes of it.
 High blood pressure or hypertension
 Obesity
 Poor dietary habits
 Sedentary lifestyle
 Smoking tobacco
6 10min Explain the PATHOPHYSIOLOGY: The student LDC, What are the
pathophysiology teacher explains white etiological causes?
Due to etiological reasons like atherosclerosis, trauma or infection, may
the board
contribute to pathophysiology
Weakening and degeneration of a blood vessel wall of aneurysms.
The student
Hypertensive injury may compound their degeneration and accelerate the clears their doubt
expansion of aneurysm and took notes of
As the aneurysm expands the wall tension increases it.

Further weakening of vessel walls

 If not treated: ruptures
7 5min Explain the clinical CLINICAL MANIFESTATIONS: The student LCD What are the clinical
manifestation of teacher explains manifestations of
 Back pain
aneurysm the clinical aneurysm?
 Deep, constant pain in the person’s abdomen or on the side of the manifestation of
abdomen aneurysms.
The student
 Pulsation near the bellybutton clears their doubt
Similarly, due to its effect on nearby nerves and other blood vessels, a TAA and took notes of
can cause symptoms like: it.

 Breathing difficulties
 Difficulty in swallowing
 Pain in the jaw, chest, and upper back
 Hoarseness of voice
 Persistent cough
 Shortness of breath
8 5min List out the diagnostic DIAGNOSTIC ASSESSMENT: The student LCD, What is angiogram?
assessment for teacher lists out white
 MRI Scan: An aneurysm that has not yet ruptured can be evaluated
aneurysm. the diagnostic board
with an MRI if symptoms are present. assessment of
 CT Scan: A ruptured aneurysm with the presence of symptoms and the aneurysms.
risk of bleeding in the brain is preferred to be evaluated with a CT scan. The student
clears their doubt
 Angiogram: Severe or ruptured aneurysm in the brain or heart and took notes of
requiring emergency surgery, can be evaluated with an angiogram to it.
identify the exact area that requires surgical repair.
 Doppler ultrasound
9 10min Describe the medical MEDICAL MANAGEMENT: The student LCD, What should be the
management for teacher describes white goal for medical
The goal of treatment — either medical monitoring or surgery — is to
aneurysm the medical board management?
prevent your aneurysm from rupturing. Which treatment you have management.
depends on the size of the aortic aneurysm and how fast it’s growing.
 Medical monitoring The student
clears their doubt
Your doctor might recommend this option if your abdominal aortic
and took notes of
aneurysm is small and you don’t have symptoms. You’ll have regular
it.
appointments to check if your aneurysm is growing, and treatment to
manage other medical conditions, such as high blood pressure, that could
worsen your aneurysm. 
It’s likely you’ll need regular imaging tests to check on the size of your
aneurysm. Expect to have an abdominal ultrasound at least six months
after your aneurysm is diagnosed and at regular follow-up exams.
For persons with unruptured aneurysms with an insignificant risk of
rupture, strategies like smoking cessation and blood pressure control with
medications are adopted.
11 5min Discuss regarding SURGICAL MANAGEMENT: The student LCD What are the
surgical management teacher discusses surgeries of
 Open abdominal surgery for AAA
the surgical aneurysm?
 Endovascular repair management of
aneurysms.
 Emergency surgery for ruptured aneurysms
The student
 Surgical clipping for cerebral aneurysm clears their doubt
and took notes of
 Endovascular therapy or coiling for cerebral aneurysm
it.
 Flow diverters for aneurysms in brain
 Treatment options for peripheral aneurysms 
 Continued observation for small aneurysm
 Conventional surgical repair (usually a bypass)
 Endovascular repair
12 2min Enlist the COMPLICATION: The student LCD What are the
complication for  The most common complication of aneurysm is thromboembolism. teacher enlist the complication for
aneurysm complications of aneurysm?
 In most cases, a person with aneurysm does not experience any aneurysms.
complications, however, a sudden rupture may cause the following
emergency complications: The student
teacher took
  Severe pain in the chest or back notes of it
 Angina pectoris:
 Subarachnoid hemorrhage (SAH) and stroke
 Hydrocephalus
 Coma
 Vasospasm
 Long- or short-term brain damage
13 5min Discuss the nursing NURSING MANAGEMENT: The student LCD What are the nursing
management teacher discusses diagnosis for the
ASSESSMENT:
about nursing patient with
In pt. with thoracoabdominal aortic aneurysm, be alert for sudden onset of management for anaurysm?
sharp, ripping or tearing pain located in anterior chest, epigastric area, aneurysm.
shoulders or back, indicating acute dissection or rupture.
The student
2. In pt. with abdominal aortic aneurysm, assess for abdominal (particular clarifies their
left lower quadrant) pain and intense lower back pain caused by rapid doubt and took
expansion. Ne alert for syncope, tachycardia, and hypotension which may notes of it.
be followed by fatal hemorrhage due to rupture.
NURSING DIAGNOSIS:
 Ineffective tissue perfusion (Vital organs) r/t aneurysm or aneurysm
rupture.
 Risk for infection r/t surgery.
 Acute pain r/t pressure of aneurysm on nerves and postoperatively.
14 1 min To summarize the Summary: The student LCD
topic teacher
Today I discussed the definition,
summarizes the
topic
15 1min To conclude the topic Conclusion: The student LCD
teacher
The carpal tunnel syndrome is a common medical condition that affects the
concludes the
hand and wrist of a person. Compression or injury of the median nerve is
 the underlying pathology that causes the syndrome. Individuals who smoke topic
or those with medical conditions like rheumatoid arthritis, diabetes,
hypothyroidism are prone to developing carpal tunnel syndrome. The most
common presenting symptoms of carpal tunnel syndrome are numbness,
paraesthesia, and pain in the affected area that may also be associated
with a decrease in hand function at times. The treatment for carpal tunnel
syndrome includes non-surgical options and surgical interventions if non-
surgical options fail.

BIBLIOGRAPHY:
 Lippincott,textbook of manual of nursing practice, new delhi;wolters kluwer publication,10th edition, 2014, pp-100-101.
 Suddarth and brunner’s, textbook of medical surgical nursing, wolters kluwer publication, 13th edition, pp- 389-392.
 M. black, joyce. Medical Surgical Nursing. New delhi; Elsevier publication, 8th edition, vol. volume–2, pp- 1325-1329.
 Davidson’s. Principles and practice of medicine. London; Elsevier publication, 21th edition, pp- 602-612.
 Pradhan Lecturer at Sanjeevani college of Medical Sciences Follow, A. (n.d.). Anuerysm. SlideShare.
https://www.slideshare.net/anupamapradhan9/anuuerysm.
 Thomas MSc Nursing Follow, A. (n.d.). Aneurysm. SlideShare. https://www.slideshare.net/AnvinThomas/aneurysm-85794573.
 Singh, D. D., & *, N. (2021, June 17). Aneurysms - its causes, symptoms, diagnosis and treatment. Yashoda Hospitals.
https://www.yashodahospitals.com/blog/aneurysms-its-causes-symptoms-diagnosis-and-treatment/.