CHAROTAR UNIVERSITY OF SCIENCE AND TECHNOLOGY

MANIKAKA TOPAWALA INSTITUTE OF NURSING

MEDICAL SURGICAL NURSING-III

UNIT PLAN
V th semester/3rd year B.Sc. Nursing

PREPARED BY:
MR. Anil Patidar
NURSING TUTOR,
DEPARTMENT OF MEDICAL-SURGICALNURSING,
MANIKAKA TOPAWALAINSTITUTE OF NURSING,
CHARUSAT CAMPUS, CHANGA.
 Unit Plan

Subject : Medical-Surgical Nursing

Unit No & name : Unit 3: Nursing Management of patients (adult including Geriatric) with Neurological disorders

Placement : V Semester / III year Basic B.sc Nursing

Methods of teaching : Lecture Cum Discussion

Teaching aids : Power Point Presentations, Flash Cards, Charts, Flipbook, OHP.
Prescribed Hours (as per INC) : 20 hours
Planned Hours : 12 hours

GENERAL OBJECTIVE:

At the end of this unit student should acquire the knowledge about: Nursing Management of patients (adult including Geriatric) with Neurological
disorders and develop proficiency in caring for patients with medical and surgical disorders in varieties of health care setting and at home,
SPECIFIC OBJECTIVES:

Students will be able to:

1. Explain review of anatomy and physiology

2. Explain the Glasgow Coma Scale

3. Understand and explain about Etiology, Pathophysiology, clinical manifestations, diagnosis, treatment, modalities and nursing
management of adults including elderly with

 Congenital malformation
 Headache, Head injuries
 Spinal injuries
 Paraplegia
 Hemiplegia
 Quadriplegia
 Spinal cord compression- herniation of intervertebral disk
 Tumors of the brain and spinal cord, Intra cranial and cerebral aneurysms
 Infections:
 Meningitis, encephalitis, Brain abscess, neurocysticercosis

 Cerebro Vascular Accidents (CVA)

 Cranial, spinal neuropathies- Bell’s palsy, trigeminal neuralgia
 Peripheral neuropathies, Guillain Barr’e Syndrome
 Myasthenia gravis
 Multiple sclerosis

4. Explain the Management of unconscious patients and patients with stroke

5. Explain the Role of the nurse in communicating with patient having neurological deficit
6. Explain the Rehabilitation of patient with neurological defici
 Teachers Learners
Objective Content Duration AV Aids Evaluation
Activity Activity
Explain review of 1 hour Teach the Active Power point Assignment on
anatomy and  Review of anatomy and physiology of the entire listening, presentation important topics,
physiology neurological system concept of discussion, s conduction of unit
 Glasgow coma scale
neurological involving Charts, tests, MCQ’s, short
Explain the
Glasgow Coma conditions themselves in Flash cards, Answers & Long
Scale certain group Flip Charts, essays,
discussion OHP Viva – Voce,
Models Surprise objective
Videos test

 Congenital malformation 1hrs

Explain about the  Headache
 Congenital
malformati The definition Etiology, Pathophysiology, clinical
on manifestations, diagnosis, treatment, modalities
 Headache, and medical, surgical, dietics & nursing
Head management
injuries
 Spinal Head injuries 1 hrs
injuries
 Spinal cord The definition Etiology, Pathophysiology, clinical
compressio manifestations, diagnosis, treatment, modalities
n- and medical, surgical, dietics & nursing
herniation management
of
intervertebr
Spinal injuries 1hrs
al disk
The definition Etiology, Pathophysiology, clinical
 Tumors of
the brain
manifestations, diagnosis, treatment, modalities
and spinal and medical, surgical, dietics & nursing
cord, Intra management
cranial and
cerebral Spinal cord compression- herniation of intervertebral 1hrs
aneurysms disk
 Infections:
 Menin The definition Etiology, Pathophysiology, clinical
gitis, manifestations, diagnosis, treatment, modalities
enceph and medical, surgical, dietics & nursing
alitis, management
Brain
abscess
,
Tumors of the brain and spinal cord, Intra cranial and 1 hrs
neuroc
cerebral aneurysms
ysticer
cosis
The definition Etiology, Pathophysiology, clinical
 Cerebro manifestations, diagnosis, treatment, modalities
Vascular and medical, surgical, dietics & nursing
Accidents management
 (CVA) Infections: 1 hrs
 Cranial,  Meningitis, encephalitis, Brain abscess,
spinal neurocysticercosis
neuropathie
s- Bell’s The definition Etiology, Pathophysiology, clinical
palsy, manifestations, diagnosis, treatment, modalities
trigeminal and medical, surgical, dietics & nursing
neuralgia management
 Peripheral
neuropathie
 Cerebro Vascular Accidents (CVA) 1hrs
s, Guillain
Barr’e
Syndrome The definition Etiology, Pathophysiology, clinical
 Myasthenia manifestations, diagnosis, treatment, modalities
gravis and medical, surgical, dietics & nursing
 Multiple managemen
sclerosis
Bell’s palsy, trigeminal neuralgia 1hrs

The definition Etiology, Pathophysiology, clinical

manifestations, diagnosis, treatment, modalities
and medical, surgical, dietics & nursing
managemen

1hrs
Peripheral neuropathies, Guillain Barr’e Syndrome

The definition Etiology, Pathophysiology, clinical

manifestations, diagnosis, treatment, modalities
and medical, surgical, dietics & nursing
managemen
 1hrs
Myasthenia gravis , Multiple sclerosis

The definition Etiology, Pathophysiology, clinical

manifestations, diagnosis, treatment, modalities
and medical, surgical, dietics & nursing
managemen

30 min
Explain the
 Management of unconscious patients and
Management of
patients with stroke
unconscious
patients and
patients with stroke

Explain the Role of 30 min

the nurse in
communicating  Role of the nurse in communicating with
with patient having patient having neurological deficit
neurological deficit

30 min
Explain the
Rehabilitation of
patient with  Rehabilitation of patient with neurological
neurological deficit deficit
 30 min
Drugs used in treatment of neurological disorders
Explain the Drugs
used in treatment of
neurological
disorders
References:

1. Black J.M. and Jacobs E.M. “Luckmann and Sorenson’s Medical surgical Nursing A PsychologicalApproach”, 4 th edition, 2001,
Philadelphia : W.B. Saunders international Education ; . Pg no. 1998
2. Brunner & Suddharth, “Textbook of Medical Surgical Nursing”, 10th Edition, 2006, Pg no. 1549-1557
3. Dossey B.G, Guzzetta C.E, “ Critical Care Nursing- Body-Mind-Spirit”, 3rd edition, 2000, J.B.Lippincott : Philadelphia ; P.P -
4. Thopmson J. M., M C Farland G. K. “Clinical Nursing”, 2nd edition, 1999, USA : C. V .Mosby company ;1869. P.P.
5. Rodman M. J. and Smith D.W. “Clinical Pharmacology in Nursing”. 2nd edition, 2005, Philadelphia J.B. Lippincott Company 1984, P.P.
6. Nettina, Sandra M.; Mills, Elizabeth Jacqueline, “Lippincott Manual of Nursing Practice”, 8 th Edition, 2006, Lippincott Williams &
Wilkins, P.P. no.