S.N. TIME SPECIFIC CONTENT TEACHING LEARNING AV.

AIDS EVALUATION
OBJECTIVE ACTIVITY ACTIVITY
1. 2mint. To explain the Introduction Lecture Listening Slides Maintain
introduce the good IPR and
topic. Among the many method for closing wound of support for
the skin, stitching or suturing,is the most the patient.
common form of repairing a wound.

Sutures;

Sutures are threads used to sew body tissue

together .Suture used to attach tissues beneath
the skin are often made of an absorbable
material that disappears in several days.

Brief A sterile tray containing

2. 3min. explanation
about articles 1.Suture removal kit Lecture Listening and instrument Tell the
use in suture understanding. articles use
removal. 2.Sterile scissors in removal
of suture?
3.Antiseptic swab packets

4.Gauze piece

5.Clean gloves

6 . Sterile gloves
7 -Disinfectant surgical spirit and povidone
,iodine
8.Kidney tray
 6 9.Sterile forceps Lecture Understanding Slides
3. 5min. Explain about
the component What do you
of partograph. mean by
component
1.Foetal heart Rate ( FHR) of
partograph?
FHR is recorded one hourly during first stage
. and every 30Minutes in second s

C- If the liquor is clear

B- for blood stained fluid
M- for meconium stained
I - For membranes are intact

3. Moulding
4. 2mint. Explain about Lecture Listening and Slides
the FHR,Liquar This is recorded as follows understanding
amnii,Moulding.  Bones are separated and suture can be
felt easily( o) Tell about
 Bones are just touching each other (+) the different
 Bones are over lapping (++) component
 Bones are over lapping severely(+++) of
partograph?
A) Progress of labour

1) Cervical dilatation- This is the most

important observation to monitor
progress of labour .the dilatation is
plotted with the zero time on the graph
and further examination are made at
 least every 4 hours .The points of each
zero time on the graph the phase is
divided into two phases;
5 3min. Explain about Lecture Listening. Slides
progress of  Latent phase – Its start from t he onset List the
labour. of labour until dilatation less than 4cm content of
and last for 8 to 10 hrs. progress of
labour.
 Active phase- From 4c m to 10 cm
dilatation of cervix at the rate of 1cm /
hour in Primigravida and 1.5 cm/hour in
multipara.

 Alert line – The alert line drown from

4cm to 10 cm represent the rate of
diltation therefore if the cervical
dilatation moves to the right of alert line
,it is shows an indication of delay in
labour.

 Action line- action line is drown 4 hours

to the right of the alert line . It is
suggested that if cervical dilatation
reaches this line,there should be critical
assessment of the cause of delay and a
decision about the appropriate
management should be taken.

2) Station of the head

When finding out the dilatation look for the

 station of the head and chart on right end of
partograph.

6. 2mint. Describe the 3) Time

plotting
Of station of This is recorded using the time of admission as Lecture Listening Chart
head, time zero time . the actual time of day is recorded How to
. ,uterine below the hours line . plotted the
contraction partograph?
4)Uterine contraction

The contraction are recorded per 10 minutes

. time in the appropriate square box:

. 4) Oxytocin, drug and IV fluids

These are recorded in space provided.

 c) Maternal condition
Lecture Listening slides How to
7. 5min Explain about 1) Blood pressure , pulse and temperature plotted
plotting of partograph?
partograph These are recorded in the space provided .Blood
pressure every 4 hours and pulse every 30
minutes .

2)Urine

The amount is recorded every time urine is

passed , acetone and protein are tested.

Uses
It is used as a tool for prevention of prolonged
and obstructed labour.
Differentiate between different phase.
Monitor the progress of labour and recognize
any deviation from normal.
8. 2min Brief Monitor the progress of labour and recognized
explanation the need for action at the appropriate time and
about the uses decide as timely referral.
of partograph.
 List the
reflex of
newborn?

What are
the benefits
of parent
baby
relationship?

11.
Brief explain
about
promotion of
parents baby
relation ship.s
S.N. TIME SPECIFIC CONTENT TEACHING LEARNING AV.AIDS EVALUATION
OBJECTIVE ACTIVITY ACTIVITY
1. 2mint. Lecture Listening LCD Describe
To explain MULTIDICIPLINARY TEAM CONCEPT cum participate about
about The milieu required to care for the patient depend upon discussion in mental
mental the qualification, experience, skillful handling of situation discussion. health
health by all member of the team with similar approach. team?
team Multidisciplinary team effort is an essentially in the field
concept of psychiatric. It is multidisciplinary in the sense that from
different input from different disciplines, such as
psychiatric nursing, clinical psychology, psychiatric social
work, occupation therapy recreational therapy, creative
art therapy, etc. is required. This multidisciplinary team
concept is a hallmark of the field of mental health.
This multi-disciplinary team can also
function as an inter-disciplinary team in that, the total
care of the patients requires not only the total input of
each member of this team but also the inter-disciplinary
coordinated effort. One can compare this concept to an
orchestra led by the music director. Each member of the
orchestra has to give his input and simultaneously there
should be co-ordination with others members is directed
by the music director, so that is the final effect is splendid.
Similarly, multidisciplinary input and inter-disciplinary co-
ordination is directed by the patient and his illness will
lead to the splendid outcome of recovery of the patients
to his maximums capability and capacity in the
community.
S.N. TIME SPECIFIC CONTENT TEACHING LEARNING AV.AIDS EVALUATION
OBJECTIVE ACTIVITY ACTIVITY
1. 8mint. To MEMBERS OF MENTAL HEALTH TEAM Lecture Listening LCD
illustrate  Members of the mental health team are: cum participate List out the
member  Psychiatric discussion in members of
of mental  Psychiatric nurse clinical specialist ask discussion. mental
health  Registered nurse working in psychiatric unit question health
team  Clinical psychologist team?
 Psychiatric social worker Writing
 Psychiatric para- professional on black
 Psychiatric Aids-ECT technician board
 Occupational therapist
 Recreational therapist
 Diversional therapy
 Clergymen
Psychiatric
The psychiatric is a doctor with post- graduation in
psychiatric with 2-3 years of residence training.
The psychiatrist is responsible for diagnosis, treatment,
and prevention of mental disorder prescribe medicine and
somatic therapy and functions as a mental health team.
She/ he conduct psychological, diagnosis
test, interrupts and evaluate the finding of these tests and
implements a program of behavior modification.
S.N. TIME SPECIFIC CONTENT TEACHING LEARNING AV.AIDS EVALUATION
OBJECTIVE ACTIVITY ACTIVITY
1. 3mint. MEMBERS OF MENTAL HEALTH TEAM
 Members of the mental health team are:
 Psychiatric
 Psychiatric nurse clinical specialist
 Registered nurse working in psychiatric unit
 Clinical psychologist
 Psychiatric social worker
 Psychiatric para- professional
 Psychiatric Aids-ECT technician
 Occupational therapist
 Recreational therapist
 Diversional therapy
 Clergymen
Psychiatric
The psychiatric is a doctor with post- graduation in
psychiatric with 2-3 years of residence training.
The psychiatrist is responsible for diagnosis, treatment,
and prevention of mental disorder prescribe medicine and
somatic therapy and functions as a mental health team.
She/ he conduct psychological, diagnosis
test, interrupts and evaluate the finding of these tests and
implements a program of behavior modification.
S.N. TIME SPECIFIC CONTENT TEACHING LEARNING AV.AIDS EVALUATION
OBJECTIVE ACTIVITY ACTIVITY
1. 3mint. CLINICAL PSYCHOLOGIST
A doctorate holder in clinical psychology and registered in
clinical psychologist Association.
Assist in diagnostic process by conducting and interpreting
psychological test.

PHYSICIAN
Postgraduate in medicine evaluate physical health of the
status of the client and excludes physical illness. If any
abnormality was observed treat the case.

Psychiatric nurse clinical specialist

The psychiatric nurse clinical specialist should have a
master degree in nursing preferably with post-graduate
research work. She participate actively in primary,
secondary, and tertiary prevention of mental disorder and
provide individual, group and family psychiatric in a
hospital community setting. She also takes up the
responsibility of teaching, administration and research,
besides publishing work in a mental health setting. She
takes up the role of a leader and can practice
independently.
S.N. TIME SPECIFIC CONTENT TEACHING LEARNING AV.AIDS EVALUATION
OBJECTIVE ACTIVITY ACTIVITY
1. 3mint.
Registered nurse in psychiatric unit

The registered nurse undergoes a general nursing and

midwifery program with added qualification such as
diploma in psychiatric nursing diploma in nursing
Administration etc. this nurse is skilled in caring for
mentally ill, gives holistic care by assessing the patients
mental, social, physical, psychological and spiritual needs,
making a nursing diagnosis, formulating, evaluating, and
rendering the appropriate nursing care. She/he co-
ordinates with the clinical nurse specialist in community
mental health setting. She /he updates knowledge via
continuing education in-service education, workshop and
courses conducted by open universities.

community mental health nurse

Registered nurse practitioner.
Provide continuity of services and follow-up care.
Actively involves in research work and preventive services.
Establish and maintain harmonious interpersonal
relationship within the community and community
agencies.
S.N. TIME SPECIFIC CONTENT TEACHING LEARNING AV.AIDS EVALUATION
OBJECTIVE ACTIVITY ACTIVITY
1. 3mint.
The psychiatric social worker
The psychiatric social worker is a graduate in social
work and postgraduate in psychiatric social worker.
She/he assess the individual, family and community
support system, hunderelp in discharge planning,
counselling, for job placement and is aware of the state
law and legal rights of the patients and protects these
right. She/he is skilled in interview techniques and group
dynamics.

Occupational therapist
He/she undergoes specialized training, uses manual and
creative techniques to assess the inter-personal response
of the patients and assist the patients to become skilled
and independent in the area of their choice.
Planned occupational therapy is very significant
for the treatment, early recovery and rehabilitation of the
patient. The therapist focuses on vocational skill and
activities of daily living to raise the self-concept of the
patients.

Diversional play therapist

S.N. TIME SPECIFIC CONTENT TEACHING LEARNING AV.AIDS EVALUATION

OBJECTIVE ACTIVITY ACTIVITY
1. 3mint. Make observation of a child /patients during the play
behavior, type of toys selected, reaction to the toy,
beating, breaking, throwing, etc. this is then related to
condition such as phobia, abuse, separations etc.

Creative art therapist

He/she is an arts graduate and encourages the patient to
express his work freely with colors and analyses the use of
various colors, drawing of various scenes etc. This therapy
help in diagnosis and also in bringing the repressed
feelings of the patients to conscious level.

Recreational therapist
The recreational therapist plans activities to stimulate the
patient’s music co-ordination, interpersonal relationship
and socialization. These approaches are need-based.

physiotherapist
Graduate or master degree in physiotherapy.
Assist the client for regaining neuromuscular coordination.

.
S.N. TIME SPECIFIC CONTENT TEACHING LEARNING AV.AIDS EVALUATION
OBJECTIVE ACTIVITY ACTIVITY
1. 3mint.
Music therapist
Encourage the client to express their feelings through
music and playing instrument or through by vocally.

Psychiatric para-professional
Psychiatric nursing aids
They have high school training and are trained on the job.
They aid in maintaining the therapeutic environment and
provide care under supervision.

ECT technician
They undergo training for 6-9 months. Their function is to
keep ready the ECT machine and other article and give ECT
under the supervision of a psychiatric or anesthetist.

Auxiliary personnel
They are volunteer housekeepers or clerical staff and
require in-service education to interact with the patient
therapeutically.
S.N. TIME SPECIFIC CONTENT TEACHING LEARNING AV.AIDS EVALUATION
OBJECTIVE ACTIVITY ACTIVITY
1. 3mint. Clergymen
These are religious person who may be asked to come to
the hospital unit once a week depending on the patients’
religious faith and have a spiritual talk with the patient.

Dietician
Graduate in home science and dietetics course.
Plan menu and distributes diet to the clients to meet the
nutritional needs and requirements according to the
doctors order and clients condition.
S.N. TIME TIVE ITY

1. 3mint. .
 Bibliography
1. ANNAMA JACOB
Manual of midwifery,2nd edition
Page no-312

2. BT BASVANTHAPPA
Textbook of midwifery and reproductive health nursing
Page no-573-574

3. D.C DUTTA
Textbook of obstetrics ,7th edition
Page no-531
4. HACKER AND MOORE
Essential of obstetrics and gyanecology
Page no- 117
Conclusion

On the above demonstration of suture removal student will be able to know the procedure of suture removal.

Recapitulation

 What do mean suture removal?

 What are the articles use in suture removal?
 What are procedure of suture removal?
Neeraja KP “essential of mental health and psychiatric nursing”, first edition, published by jaypee brothers medical publisher, page
no-36- 39.
Pawansharma , “Essentials of mental health nursing” ,first edition, published by jaypee brothers medical publisher, page no 15-17.
Basavanthappa BT, “Essential of mental health nursing”, first edition, published by jaypeebrothers medical publishers page no.106-
108.
Donna M. Womble, “Introductory Mental health Nursing”, first edition, published by Lippincott Williams wilkins page no 337-338.

P.G. COLLEGE OF NURSING

s BHILAI
 HEALTH EDUCATION ON :- IMMUNIZATION

SUBMITTED TO SUBMITTED BY
MRS. SEEMA SANTOSH MS. SUSHMA TOPPO
READER,MATERNAL HEALTH NURSING M.SC NURSING 1ST YEAR
NAME OF THE TOPIC : - “ Demonstration on suture removal“
NAME OF THE STUDENT :- Sushma toppo
DATE :-
TIME :-
PLACE :-
NO OF PARTICIPANT :-
AV AIDS :- ,demonstration
PREVIOUS KNOWLEDGE :- At the start of demonstration the student have some knowledge about technique of suture
removal.
GENERAL OBJECTIVE :- At the end of my demonstration the student will be able to gain knowledge about the suture removal
SPECIFIC OBJECTIVE :- At the end of my demonstration the student wil able to know:-
1. define suture removal.
3. Articles use in suture removal.
3. Procedure of suture removal.