MEDICAL SURGICAL NURSING

(Adult including Geriatrics) –II

Placement: Third year Time: Theory –120 hours

(Classroom 103 + Lab 17)
Practical- 270 hours

Course Description: The purpose of this course is to acquire knowledge and proficiency in caring for
patients with medical and surgical disorders in varieties of health care settings and at home.

Specific objectives: At the end of the course the student will be able to:
1. Provide care for patients with disorders of ear nose and throat.
2. Take care of patients with disorders of eye.
3. Plan, implement and evaluate nursing management of patients with neurological disorders.
4. Develop abilities to take care of female patients with reproductive disorders.
5. Provide care of patients with burns, reconstructive and cosmetic surgery.
6. Manage patients with oncological conditions
7. Develop skill in providing care during emergency and disaster situations
8. Plan, implement and evaluate care of elderly
9. Develop ability to manage patients in critical care units.

Unit Time Learning Content Teaching Assessment

(Hrs) Objectives Learning Method
Activity
I T 15 •Describe the Nursing management of • Lecture • Essay type
P 02 etiology, patient with disorders of Discussion • Short answers
patho- Ear Nose and Throat • Explain using • Objective type
physiology, • Review of anatomy and Charts, graphs • Assessment of
clinical physiology • Models, films, skills of patient
manifestation • of the Ear Nose and slides and management
s, diagnostic Throat- • Demonstration of problems.
measures and • Nursing Assessment- • Practice session
management History and • Cans
of patients discussions/
• Physical assessment
with seminar
• Etiology, path physiology,
disorders of • Health
clinical
of Ear Nose education
and Throat • Manifestations, diagnosis,
• Supervised
• Treatment modalities and
clinical practice
medical &
• Drug book
• Surgical nursing /presentation
management of Ear • Demonstration
Nose and Throat disorders: of procedures
o External ear: deformities
otalgia, foreign bodies, and
tumours
o Middle Ear-Impacted
wax, Tympanic membrane
perforation, otitis media,
otosclerosis, mastoiditis,
tumours
Unit Time Learning Content Teaching Assessment
(Hrs) Objectives Learning Method
Activity
o Inner ear- meniere,s Disease,
labyrinthitis, ototoxicity, tumours
o Upper airway infections –
Common cold, sinusitis, ethinitis,
Rhinitis, Pharyngitis, Tonsillitis and
Adenoiditis, Peritonsilar abscess,
Laryngitis
o Upper respiratory airway- Epistaxis,
o Nasal obstruction, laryngeal
obstruction, Cancer of the larynx
o Cancer of the oral cavity
o Speech defects and speech therapy
• Deafness- Prevention, control and
rehabilitation
• Hearing aids, implanted hearing
Devices
• Special therapies
• Drugs used in treatment of disorders
of ear nose and throat
• Role of nurse Communicating with
hearing impaired and mute.
• Nursing procedures Oesophaostomy,
Tracheostomy,

II T 15 Describe the Nursing management of patient • Lecture • Essay type

P 02 etiology, path With disorders of eye • Discussion • Short
physiology, • Review of anatomy and physiology • Explain using answers
clinical of the eye- Charts, using • Objective
manifestations • Nursing assessment – history and Models, films. type
diagnostic Physical assessment slides • Assessment
measures and • Etiology, pathophysiology, clinical • Demonstration of skills
management manifestations, diagnosis, treatment practice with check
of patients nursing management of eye session list
with disorders disorders: • Case • Assessment
of eye. • Refractive errors discussions/ of patient
• Eyelids-inflammation and seminar manageme
• Infection and bleeding • Health nt problem
• Cornea- inflammation and Infection education
• Lens-Cataracts • Supervised
• Glaucoma clinical
• Disorder of the uveal tract, practice
• Ocular tumours • Drug book /
• Disorders of posterior chamber presentation
and retina : retinal and vitreous • Visit to eye
problems bank
• Retinal detachment • Participation
• Ocular emergencies and their in eye-camps
prevention
Unit Time Learning Content Teaching Assessment
(Hrs) Objectives Learning Method
Activity
• Drugs used in treatment of
disorders of eye
• Blindness
• National blindness control
program
• Eye Banking
• Eye prostheses and
rehabilitation
• Role of a nurse-Communication
with visually impaired patient,
Eye camps
• Special therapies
• Nursing procedures: eye
irrigation, assisting with
removal of foreign body.
III T 17 • Describe Nursing management of patient • Lecture • Essay
P 02 the With neurological disorders discussion type
etiology, • Review of anatomy and • Explain using • Short
patho - physiology of the neurological Charts, graphs answers
physiology system • Models, films, • Objective
clinical • Nursing Assessment-History slides type
manifestatio and physical and neurological • Demonstration
ns, assessment and Glasgow coma • Practice • Assessme
diagnostic scale session nt of
measures • Etiology, Path physiology, • Case skills with
and clinical manifestations, discussions/ check list
nursing diagnosis, treatment Seminar
managemen modalities and medical & • Health • Assessme
t of patients surgical nursing management education nt of
with of neurological disorders • Supervised patient
neurologica • Congenital malformations clinical managem
l disorders • Headache practice ent
• Head Injuries • Drug book problem
• Spinal injuries /presentation
• Paraplegia • Visit to
• Hemiplegia rehabilitation
• Quadraplegia drugs used in
• Spinal cord compression treatment of
-Herniation of intervertebral disorders of
disc eye center
• Tumors of the brain & spinal
cord
• Intra cranial and cerebral
aneurysms
• Infections: Meningitis,
Encephalitis, brain abscess,
neurocysticercosis
• Movement disorders : Chorea
Seizures / Epilepsy
• Cerebro vascular accidents
(CVA)
Unit Time Learning Content Teaching Assessment
(Hrs) Objectives Learning Method
Activity
• Cranial / spinal neuropathies – Bell’s
palsy, trigeminal neuralgia, Peripheral
Neuropathies; Guillan-Barr’e syndrome
Myasthenia gravis Multiple sclerosis,
Degenerative diseases, Peripheral
neuritis TIA
 Delirium Dementia
 Alzheimer’s disease
 Parkinson’s disease
• Management of unconscious patients
and patients with stroke
• Drugs used in treatment of
neurological disorders
• Role of the nurse in communication
with patient having neurological
deficit
• Rehabilitation of patients with
neurological deficit
• Role of nurse in long stay facility
(institutions) and at home Special
therapies Nursing procedures: GCS,
assisting with diagnostic procedures
and rehabilitation
IV T 15 • Describe the Nursing management of patient s • Lecture • Essay type
P 02 etiology, With disorders of female discussion • Short
pathophysio reproductive system • Explain using answers
logy, • Review of anatomy and physiology Charts, graphs • Objective
clinical of the female reproductive system Models, films, type
manifestatio • Nursing assessment-history and slides • Assessmen
n, diagnostic physical assessment • Demonstration / t of skills
measures • Breast self examination Practice session with check
and nursing • Etiology, pathophysiology, clinical • Case list
management manifestations, diagnosis, treatment discussions/ • Assessmen
of patients modalities and medical & surgical Seminar t of patient
with nursing management of disorder of • Heath education manageme
disorders of female reproductive system • Supervised nt
female Congenital abonormalities of female clinical practice problem
reproductive reproductive system • Drug book
system. • Sexuality and Reproductive Health
/presentation
• Sexual Health Assessment
• Describe • Menstrual Disorders-
concepts of Dysmenorrhea, Amenorrhea,
reproductive Premenstrual Syndrome
health and • Abnormal Uterine Bleeding;
family Menorrhagia, Metrorrhagia
welfare • Pelvic inflammatory disease-
programmes • Ovarian and fallopian tube
. disorders; Infections Cysts, Tumours
• Uterine and cervical disorders;
Endometriosis, polyeps, Fibroids,
Cervical and uterine tumours,
•Uterine displacement , Cystocele/
urethrocele/ rectocele
Unit Time Learning Content Teaching Learning Assessment
(Hrs) Objectives Activity Method
• Vaginal disorders; Infections and
Discharges, fistulas
• Vulvur disorders; Infection, cysts,
Tumours
• Diseases of breast Deformities
Infections Cysts and Tumours
• Menopause and hormonal
replacement therapy
• Infertility
• Contraception; Temporary and
Permanent
• Emergency contraception methods
• Abortion-natural, medical and
surgical abortion-MTP Act
• Toxic shock Syndrome
• Injuries and trauma; sexual violence
• Drugs used in treatment of
gynaecological disorders Special
therapies vaginal douche PAP smear
• Nursing procedures assisting with
diagnostic and therapeutic
procedures, self examination of
breast.
V T 08 Describe the Nursing management of patients • Lecture • Essay type
P 02 etiology, patho With Burns, reconstructive and discussion • Short
physiology, Cosmetic surgery • Explain using answers
clinical • Review of anatomy and physiology Charts, graphs • Objective
manifestations, of the skin and connective tissues Models, films, type
diagnostic • Nursing assessment-History and slides • Assessmen
measures and physical examination & assessment • Demonstration t of skills
nursing burns • Practice session with check
management • Etiology, Classification, • Case list
of patients pathophysiology, clinical discussion/ • Assessmen
with burns, manifestations, diagnosis, treatment Seminar t of patient
reconstructive modalities and medical & surgical • Health education manageme
and cosmetic and nursing management of Burns • Supervised nt problem
surgery with special emphasis of fluid clinical practice
replacement therapy. • Drug book /
• Types of surgeries presentation
• Legal Issues, Rehabilitation
• Special therapies
• Psycho social aspects
Unit Tim Learning Content Teaching Learning Assessment
e Objectives Activity Method
(Hrs
)
VI T 13 Describe the Nursing management of patients • Lecture • Essay type
P 02 etiology, patho With oncological conditions discussion • Short
physiology, • Structure & characteristics of • Explain using answers
clinical normal & cancer cells • Charts, graphs • Objective
manifestations, • Nursing Assessment-history and models, films, type
diagnostic physical assessment slides • Assessmen
manifestations, • Prevention, Screening for early • Demonstration t of skills
diagnostic detection, warning signs of cancer • Practice session with check
measures and • Common malignancies of various • Case list
nursing body system; Brain Oral cavity, discussion/ • Assessmen
management larynx lung liver stomach and colon, Seminar t of patient
of patients breast cervix, ovary, uterus, renal, • Health education manageme
with oncology bladder, prostate leukemias and • Supervised nt problem
lymphomas, Oncological clinical practice
emergencies. • Drug book
• Epidemiology, etiology, /presentation
classifications, pathophysiology,
staging, clinical manifestations,
diagnosis treatment modalities and
medical, surgical & nursing
management of malignant diseases
• Treatment Modalities –
Immunotherapy Chemotherapy,
Gene therapy Stem cell & Bone
Marrow transplants.
• Surgical interventions
• Psychosocial aspects of cancer
• Rehabilitation & Palliative care
• Management – nutritional support
Home care, Hospice care, Stoma care
• Psycho social aspects
• Assisting with diagnostic and
therapeutic procedures
VII 10 • Describe Nursing management of patient in • Lecture
organization EMERGENCY & DISASTER discussion
of situations • Explain using
emergency • Concepts and principles of Disaster • Charts, graphs
and disaster Nursing • Models, films,
care services • Causes and types of disaster: slides
Natural and man-made Earthquakes, • Demonstration
• Describe the floods, epidemics, Cyclones fire, • Practice session
role of nurse Explosion, Accidents Violence, • Case discussion
in disaster Terrorism; Bio-chemical war / Seminar
management • Policies related to emergency/ • Health education
disaster Management; International , • Supervised
• Describe the national, state, institutional clinical practice
role of nurse • Disaster preparedness:
in Team,guidelines, protocols,
management equipments, resources Coordination
of and involvement of community ,
Emergencies various-government departments,
non-government.
Unit Time Learning Content Teaching Learning Assessment
(Hrs) Objectives Activity Method
organizations and International • Disaster • Essay type
agencies management • Short
• Role of nurse in disaster drills answers
management • Drug book • Objective
• Legal aspects of disaster nursing /presentation type
• Impact on Health and after effects; • Assessmen
post Traumatic Stress Disorder t of skills
• Rehabilitation; physical, with check
psychosocial Social, Financial, list
Relocation Emergency Nursing • Assessmen
Concept, priorities principle and t of patient
• Scope of emergency nursing manageme
• Organization of emergency nt problem
services: physical setup, staffing,
equipment and supplies, protocols,
Concepts of triage and role of triage
nurse
• Coordination and involvement of
different departments and facilities
• Nursing Assessment-History and
physical assessment
• Etiology, pathophysiology, clinical
manifestations, diagnosis, treatment
modalities and medical & surgical
nursing management of patient with
medical and surgical Emergency
• Principles of emergency
management
• Common Emergencies;
• Respiratory Emergencies
• Cardiac Emergencies
• Shock and Haemorrhage
• Pain
• Poly-Trauma, road accidents, crush
• Injuries, wound
• Bites
• Poisoning; Food, Gas, Drugs &
chemical poisoning
• Seizures
• Thermal Emergencies; Heat stroke
& Cold injuries
• Pediatric Emergencies
• Psychiatric Emergencies
• Obstetrical Emergences
• Violence, Abuse, Sexual assault
• Cardio pulmonary Resuscitation
• Crisis Intervention
• Role of the nurse; Communication
And inter personal Relation
• Medico-legal Aspects;
Unit Time Learning Content Teaching Learning Assessment
(Hrs) Objectives Activity Method
VIII 10 • Explain the Nursing care of the elderly • Lecture • Essay type
concept and • Nursing Assessment-History discussion • Short
problems of and physical assessment • Explain using answers
aging • Ageing; Charts, graphs • Objective
• Describe • Demography; Myths and • Models, films, type
nursing care realities slides • Assessmen
of the elderly • Concepts and theories of • Demonstration t of skills
ageing • Practice session with check
• Cognitive Aspects of Ageing • Case discussion list
• Normal biological ageing / Seminar • Assessmen
• Age related body systems • Health education t of patient
changes • Supervised manageme
• Psychosocial Aspects of Aging clinical practice nt problem
• Medications and elderly • Drug book
• Stress & coping in older adults /presentation
• Common Health problems & Visit to old age
Nursing Management; home
• Cardiovascular, Respiratory,
Musculoskeltal,
• Endocrine, genito-urinary,
gastrointestinal
• Neurological, Skin and other
Sensory organs
• Psychosocial and Sexual
• Abuse of elderly
• Role of nurse for care of
elderly :ambulation,
nutritional, communicational,
psychosocial and spiritual
• Role of nurse for caregivers of
elderly
• Role of family and formal and
non formal caregivers Use of
aids and prosthesis (hearing
aids, dentures,
• Legal & Ethical lssues
• Provisions and Programmes of
elderly; Privileges. Community
programs and health services;
• Home and institutional care
IX T 10 • Describe Nursing management of patient • Lecture • Essay type
P 05 organization in critical care units discussion • Short
of critical • Nursing Assessment-History • Explain using answers
care units and Charts, graphs • Objective
• Physical assessment • Models, films, type
• management • Classification slides • Assessmen
role of nurse • Principles of critical care • Demonstration t of skills
in nursing • Role plays with check
management • Organization; physical setup, • counseling list
of patients Policies, staffing norms, • Practice session • Assessmen
critical care • Protocols, equipment and • Case t of patient
units supplies discussion/ manageme
• Special equipments; Seminar nt problem
ventilators, cardiac monitors,
defibrillators,
• Resuscitation equipments
• Infection Control protocols
Unit Time Learning Content Teaching Learning Assessment
(Hrs) Objectives Activity Method
• Nursing management of • Health education
critically ill patient; • Supervised
• Monitoring of critically ill clinical practice
patient • Drug book
• CPR-Advance Cardiac life /presentation
support
• Treatments and procedures.
• Transitional care
• Ethical and Legal Aspects
• Communication with patient and
family
• Intensive care records
• Crisis Intervention
• Death and Dying-coping with
• Drugs used in critical care unit
• Nursing procedures; Monitoring
of patients in, assisting in
therapeutic and diagnostic
procedures, CPR, ACLS
X 8 • Describe the Nursing management of patients
etiology,patho- adults including elderly with
physiology, occupational and industrial
clinical disorders
• Nursing Assessment-History and
manifestations,
physical assessment
assessment, • Etiology, pathophysiology,
diagnostic clinical manifestations,
measures and diagnosis, diagnosis, treatment
management of modalities and medical &
patients with surgical nursing management of
occupational occupational and industrial
and industrial health disorders Role of nurse
health disorder Special therapies, alternative
therapies Nursing procedures
Drugs used in treatment of
Occupational and lndustrial
disorders

Colour in blue indicates addition

Student References –

1. Black J.M. Hawk, J.H. (2005) Medical Surgical Nursing Clinical Management for Positive
Outcomes. (7thed) Elsevier.
2. Brunner S. B., Suddarth D.S. The Lippincott Manual of Nursing practice J.B.Lippincott.
Philadelphia.

Suggested references
1. Lewis, Heitkemper&Dirksen (2000) Medical Surgical Nursing Assessment and Management of
Clinical Problem (6 thed) Mosby.

2. Black J.M. Hawk, J.H. (2005) Medical Surgical Nursing Clinical Management for Positive
Outcomes. (7thed) Elsevier.

3. . Brunner S. B., Suddarth D.S. The Lippincott Manual of Nursing practice J.B.Lippincott.
Philadelphia.

4. Colmer R.M. (1995) Moroney’s Surgery for Nurses (16 thed) ELBS.

5. 5. Shah N.S. (2003) A P I textbook of Medicine, The Association of Physicians of India Mumbai.

6. Satoskar R.S., Bhandarkar S.D. & Rege N.N. (2003) Pharmacology and Pharmacotherapeutics
(19 thed) Popular Prakashan, Mumbai.

7. Phipps W.J., Long C.B. & Wood N.F. (2001) Shaffer’s Medical Surgical Nursing B.T.Publication
Pvt. Ltd. New Delhi.

8. 11 Haslett C., Chilvers E.R., Hunder J.A.A. &Boon, N.A. (1999) Davidson’s Principles and
Practice of Medicine (18 thed) Churchill living stone. Edinburgh.

9. 13 Walsh M. (2002) Watson’s Clinical Nursing and Related Sciences (6thed) Bailliere Tindall
Edinburgh.
 PRACTICAL
Practical –270 hrs
Areas Dura- Objectives Skills to be Assignments Assessment
Tion Posting developed Method
(inwks)
ENT 1 • Provide • perform examination • Provide care • Assess each
care to of ear, nose and to 2-3 sill with
patients throat assigned checklist
with ENT • Assist with patients • Assess
disorders diagnostic • Nursing care performance
counsel procedures plan-1 with rating
and • Assist with • Observation scale
educate therapeutic reports of • Evaluation
patient procedures OPD of
and • Instillation of drops • Maintain observation
families • Perform/assist with drug book report of
irrigations. OPD
• Apply ear bandage • Completion
• Perform tracheotomy of activity
care record
• Teach patients and
Families
Ophtha- 1 • Provide • Perform examination • Provide care • Assess each
mology care of eye to 2-3 skill with
to patients • Assist with assigned checklist
with Eye diagnostic patients • Assess
disorders procedures • Nursing care performance
• Counsel • Assist with plan-1 with rating
and therapeutic • Observation scale
educate procedures reports of • Evaluation
patient and Perform/assist with OPD & Eye of
families • Irrigations. bank observation
• Apply eye bandage • Maintain report of
• Apply eye drops/ drug book OPD/Eye
ointments bank
• Assist with foreign • Completion
body removal. of activity
• Teach patients and record
Families
Neurology 2 • Provide • Perform • Provide care • Assess each
care to Neurological to assigned skill with
patients • Examination 2-3 patients checklist
with • Use Glasgow coma with • Assess
neurologi scale neurological performance
cal • Assist with disorders. with rating
disorders diagnostic • Case scale
counsel procedures study/Case • Evaluation
and • Assist with presentation- of case
educate therapeutic 1 study &
patient procedures • Maintains health
and • Teach patient & drug book • Completion
families families • Heath of activity
• Participate in • Teaching-1 record
Rehabilitation
program
Areas Dura- Objectives Skills to be Assignments Assessment
Tion Posting developed Method
(inwks)
Gynecolo 1 • Provide • Assist with • Provide care • Assess each
gy ward care to gynecological to 2-3 skill with
patients • Examination assigned checklist
with • Assist with diagnostic patients • Assess
gynecolog procedures
• Nursing care performance
ical • Assist with
disorders therapeutic
plan-1 with rating
• Counsel procedures • Maintain scale
and • Teach patients drug book Evaluation
educate families of
patient and • Teaching self Breast observation
families • Examination report of
• Assist with PAP OPD/Eye
• Smear collection. bank
• Completion
of activity
record
Burns 1 Provide care • Assessment of the • Provide care activity record
Unit burns patient to 1-2
Percentage of burns assigned
• Degree of burns. patients
• Fluid & electrolyte
• Nursing care
replacement therapy
• Assess
paln-1
• Calculate • Observation
• Replace report of
• Record intake/output Burns unit
• Care of Burn wounds
• Bathing
• Dressing
• Perform active &
passive exercises
• Practice asepsis
surgical asepsis
• Counsel & Teach
patients and families
• Participate in
rehabilitation program
Oncology 1 • provide • Screen for common • Provide care • Assess each
care to cancers-TNM to 2-3 skill with
patients classification assigned checklist
with • Assist with diagnostic patients • Assess
cancer procedures • Nursing care performance
counsel • Biopsies
Plan –1 with rating
and • Pap smear
educate • Bone-marrow • Observation scale
patient and aspiration report of • Evaluation
families • Breast examination cancer unit of Care plan
• Assist with and
• Therapeutic observation
• Participates report
• Participates in various Completion
modalities of of activity
treatment record
Areas Dura- Objectives Skills to be Assignments Assessment
Tion Posting Developed Method
(inwks)
• Chemotherapy
• Radiotherapy
• Pain management
• Stomaltherapy
• Hormonal therapy
• Immuno therapy
• Gene therapy
• Alternative therapy
• Participate in
palliative care
• Counsel and teach
patients families
Critical 2 • provide • Monitoring of patients • Provide care to • Assess each
Care care to in ICU I assigned skill with
unit critically ill • Maintain flow sheet patient checklist
patients • Care of patient on • Observation • Assess
• counsel and ventilators report of performance
families for • Perform Endotracheal Critical care with rating
grief and suction unit scale
bereaveme • Demonstrates use of • Drugs book. • Evaluation of
nt ventilators, cardiac observation
monitors etc. report
• Collect specimens and • Completion
interprets ABG of activity
analysis record
• Assist with arterial
puncture
• Maintain CVP line
• Pulse oximetry
• CPR-ALS
• Defibrillators
• Pace makers
• Bag-m ask ventilation
• Emergency tray/
trolly-Crash Cart
• Administration of
drugs infusion pump
• Epidural
• Intra thecal
• Intracardiac
• Total parenteral
therapy
• Chest physiotherapy
• Perform active &
passive exercise
• Counsel the patient
and family in dealing
with grieving and
bereavement
Areas Dura- Objectives Skills to be Assignments Assessment
Tion Posting developed Method
(inwks)
Causality / 1 • provide care • practice ‘triage”. • Observation • Assess
emergency to patients • Assist with • Report of Performance
in assessment, Emergency with rating
emergency examination, Unit scale
and disaster investigations & their • Evaluation
situation interpretations, in of
• counsel emergency and observation
patient and disaster situations report
families for • Assist in • Completion
grief and documentations of activity
bereavement • Assist in legal record
procedures in
emergency unit
• Participate in
managing crowd
• Counsel patient and
Families in grief and
bereavement

Evaluation
Internal assessment

Theory Maximum marks 25

Periodical 25
Midterm 50
Prefinal 75
______________________________________________
Total 150

Practical Maximum marks 50

Nursing care plan 5 x25 125

( ENT, Ophthalmology, Gynaec, Burns, Oncology)
Case presentation / case study- neuro 1x 50 50
Health teaching 1 x 25 25
Clinical Evaluation ( Neurology and critical care unit) 2 x 100 200
__________________________________________________________________
Total marks 400

Practical examination
University examination
Theory Marks 75
Practical Marks 50
 Nursing care plan
1. Patients Biodata: Name, address, age, sex, religion, marital status, occupation, source of
health care, date of admission, provisional diagnosis, date of surgery if any
2. Presenting complaints: Describe the complaints with which the patient has come to hospital
3. History of illness
History of present illness – onset, symptoms, duration, precipitating / alleviating factors
History of past illness – illnesses, surgeries, allergies, immunizations, medications
Family history – family tree, history of illness in family members, risk factors,
congenital problems, psychological problems.
4. Economic status: Monthly income & expenditure on health ,marital assets ( own pacca house
car, two wheeler, phone, TV etc…)
5. Psychological status: ethnic background,( geographical information, cultural information)
support system available.
6. Personal habits: consumption of alcohol, smoking, tobacco chewing, sleep, exercise, and
work elimination, nutrition.
7. Physical examination with date and time
8. Investigations

Date Investigations done Normal value Patient value Inference

9. Treatment
Sr. Drug (pharmacological Dose Frequency/ Action Side Nursing
No. name) time effects & responsibility
drug
interaction

10. Nursing process:

Patients name Date Ward

Date Assessment Nursing Objectiv Plan of Implementa Rationale Evaluation
Diagnosis e care –tion

Discharge planning:
It should include health education and discharge planning given to patient

11.Evalaution of care
Overall evaluation, problem faced while providing care prognosis of the patient and conclusion

Care plan evaluation

1. History taking 03
2. Assessment and nursing diagnosis 05
3. Planning of care 05
4. Implementation and evaluation 08
5. Follow up care 02
6. Bibliography 02
______________________________________________
25
 FORMAT FOR CASE PRESENTATION

Patients Biodata: Name, address, age, sex, religion, marital status, occupation, source of health
care, date of admission, provisional diagnosis, date of surgery if any

Presenting complaints: Describe the complaints with which the patient has come to hospital

History of illness
History of present illness – onset, symptoms, duration, precipitating / alleviating factors
History of past illness – illnesses, surgeries, allergies, immunizations, medications
Family history – family tree, history of illness in family members, risk factors,
congenital problems, psychological problems.

Economic status: Monthly income & expenditure on health ,marital assets ( own pacca house car,
two wheeler, phone, TV etc…)

Psychological status: ethnic background,( geographical information, cultural information) support

system available.

Personal habits: consumption of alcohol, smoking, tobacco chewing, sleep,exercise, work

elimination, nutrition.

Physical examination with date and time

Investigations

Date Investigations done Normal value Patient value Inference

Treatment
Sr. Drug Dose Frequency Action Side Nursing
No. (pharmacological name) / time effects & responsibi-
drug -lity
interaction

Description of disease
Definition, related anatomy physiology, etiology, risk factors, clinical features, management and
nursing care

Clinical features of the disease condition

Clinical features present in Description of clinical Pathophysiology

the book features of patient

Nursing process:

Patients name Date Ward

Date Assessment Nursing Objectiv Plan of Implementa Rationale Evaluation
Diagnosis e care –tion
Discharge planning:
It should include health education and discharge planning given to patient

Evaluation of care
Overall evaluation, problem faced while providing care prognosis of the patient and conclusion

Evaluation format for case presentation

Sr.No. Content Marks

1 Assessment / Introduction 05
2 Knowledge and understanding of disease 10
3 Nursing care plan 15
4 Presentation skill 10
5 A.V. aids 05
6 Overall
Summary& conclusion 03
Bibliography 02
Total 50

Format for case study

Format is similar to case presentation but should be in detail

The nursing care given to the patient should be at least for 5 continuous days

Evaluation format for case study

Sr.No. Content Marks

1 Assessment / Introduction 05
2 Knowledge and understanding of disease 15
3 Nursing care plan 20
4 Discharge plan 05
5 Summary & evaluation 02
6 Bibliography 03
Total 50
 EVALUATION FORMAT FOR HEALTH TALK

NAME OF THE STUDENT: ----------------------------------------------------------------------------

AREA OF EXPERIENCE: ___________________________________________________

PERIOD OF EXPERIENCE: __________________________________________________

SUPERVISOR: _____________________________________________________________
Total 100 Marks
Scores: 5 = Excellent, 4 = Very good, 3 = Good, 2 = Satisfactory / fair, 1 = Poor

Sr. No. Particular 1 2 3 4 5 Score

1 I) Planning and organization
a) Formulation of attainable objectives
b) Adequacy of content
c) Organization of subject matter
d) Current knowledge related to subject Matter
e) Suitable A.V.Aids
II) Presentation:
a) Interesting
b) Clear Audible
c) Adequate explanation
d) Effective use of A.V. Aids
e) Group Involvement
f) Time Limit
III) Personal qualities:
a) Self confidence
b) Personal appearance
c) Language
d) Mannerism
e) Self awareness of strong & weak points
IV) Feed back:
a) Recapitulation
b) Effectiveness
c) Group response
V) Submits assignment on time

* 100 marks will be converted into 25

 CLINICAL EVALUATION PROFORMA

Name of the student ___________________

Year ______________
Area of clinical experience _____________
Duration of posting in weeks ________________
Name of the supervisor ___________________
Total Marks :- 100

Scores:- 5 = Excellent, 4 = Very good, 3 = Good, 2 = Satisfactory / fair, 1 = Poor

SR EVALUATION CRITERIA Grades

NO 5 4 3 2 1
1 Personal & Professional behavior
1 Wears clean & neat uniform and well
groomed.
2 Arrives and leaves punctually
3 Demonstrates understanding of the need for
quietness in speech & manner & protects the
patient from undue notice.
4 Is notably poised and effective even in
situations of stress
5 Influential & displaced persuasive assertive
leadership behaviour
II Attitude to Co-workers and patients
6 Works well as member of nursing team
7 Gives assistance to other in clinical situations
8 Understands the patient as an individual
9 Shows skills in gaining the confidence & co-
operation of patients and relatives, tactful and
considerate.
IV Application of knowledge
10 Possess sound knowledge of medical surgical
conditions.
11 Has sound knowledge of scientific principles
12 Able to correlate theory with practice
13 Has knowledge of current treatment
modalities inclusive of medicine, surgery,
pharmacology and dietetics.
14 Takes interest in new learning from current
literature & seeks help from resourceful
people.
 SR EVALUATION CRITERIA Grades
NO 5 4 3 2 1
V Quality of clinical skill
15 Identifies problems & sets priorities and
grasps essentials while performing duties
16 Applies principles in carrying out procedures
& carries out duties promptly.
17 Has technical competence in performing
nursing procedures.
18 Resourceful and practices economy of time
material and energy.
19 Observes carefully, reports & records signs &
symptoms & other relevant information
20 Uses opportunities to give health education to
patients & relatives

TOTAL

Grade
Excellent = 80-100 %
Very good = 70 –79 %
Good = 60 – 69 %
Satisfactory = 50- 59 %
Poor = Below 50 %

Remarks for improvement:

Student’s Remark:

Signature of the student Signature of the teacher