GENERAL SCIENCE PLACEMENT: I SEMESTER THEORY: 4Credits ( 80 hours) DESCRIPTION: The course is designed to enable students to refresh their knowledge and understanding gained during the previous education that will enhance their ability to apply the same in nursing practice. COMPETENCIES ‘On completion of the course, the students will be able to 1, Recal and refresh their knowledge and understanding of concepts, principles and application of Physics and identify its relevance to nursing 2. Recall and refresh their knowledge and understanding of concepts, principles and application of Chemistry and identify its relevance to nursing. 3. Recall and refresh their knowledge and understanding of concepts, principles and application of Chemistry and identify its relevance to nursing. COURSE OUTLINE UNIT] TIME | LEARNING | CONTENT TEACHING/ | ASSESSMENT OUTCOMES LEARNING | METHODS _ ACTIVITIES FX [20 [Review — and | PHYSICS Lecture cum |* MCQ hours | recall the |]. Physical World and | —_ discussion knowledge and | Measurement © Short answer application of | | # Self-directed concepts and |* Physical world leaning |» Evaluation of principles of |* Units and Measurements Physics 11, Kinematics Assignments * Motion in a straight line © Motion in a plane © Uniform circular motion IIL Laws of motion © Laws of conservation of linear momentum and its applications © Laws of friction IV. Work, energy and power © kinetic energy, work- assignments energy, power. © conservation of mechanical energy (kinetic and potential energies) V. Motion of system of 29particles and rigid body- System of particles and rotational motion VI. Gravitation VII. Properties of bulk matter © Mechanical properties of solids, fluids © Thermal properties of matter VIII. Thermodynamics IX. Behaviour of perfect gases and — kinetic theory of gases X. Oscillation of waves © Oscillations © Waves [20 [Review and | CHEMISTRY * Lecturecum |* MCQ XIV | hours | recall the | 1, Some basic concepts | discussion knowledge and of chemistry © Short answer application of | 1) Structure of atom 7 cad irected Evaluation of concepts and : leaming |e Evaluation o principles of |i: Classification of Chemistry elements and | assignments assignments periodicity in properties IV. Chemical bonding and molecular structure Vv. States of matter: gases and liquids VI. Chemical thermodynamics Vil. Equilibrium VIII. Redox reactions IX. Hydrogen x. ‘S-Block elements XL P-Block elements XU. Organic chemistry- some basic principles and techniques XIII. Hydrocarbons XIV. Environmental chemistry 30EX ]40 [Review and | BIOLOGY Lecture cum [* MCQ hours | recall the| |, Diversity in Living discussion Cie a —_ ion of : concepts and en ta Icamiag |» Evaluation of principles of |* Salient features and Ese Biology classification of plants Aciguticats ignmen and animals I. Structural Organization in Animals and Plants: © Plant tissues Morphology, anatomy and functions of different parts of flowering plants © Animal tissu Morphology, anatomy and functions of different systems I. Cell Structure and Function * Plant cell and animal cell-structure and functions * Cell division: Cell cycle, mitosis, meiosis and their significance IV. Plant Physiology Transport in plants Transport of food: Mineral nutrition- Essential minerals, macro and micronutrients: and their role Nitrogen metabolism © Photosynthesis- Factors affecting photosynthesis © Respiration: Exchange of gases; Cellular respiration, Energy V. Human Physiology © Digestion and absorption © Breathing and Respiration: Respiratory 31system in humans; Mechanism of breathing and its regulation in humans, © Body fluids and circulation * Human circulatory system © Human excretory system-structure and functions * Locomotion and Movement © Skeletal system and its function * Nervous system in humans © Sense organs -eye and ear, * Human endocrine system VI. Reproduction ‘© Sexual reproduction in flowering plants ‘© Human Reproduction Male and female reproductive systems, Reproductive health VII. Genetics and Evolution © Chromosomes and genes © Sex determination in humans © Structure of DNA and RNA, Gene expression and regulation Il. Biology and Human Welfare © Health and Disease: Pathogens: parasites causing human diseases © Basic concepts of immunology, Microbes in human welfare 32© Sewage treatment, energy generation and biofertilizers IX. Biotechnology and Its Applications * Biotechnology in health and agriculture X. Ecology and environment © Population and ecological adaptations * Air pollution and its control; Water pollution and its control ® Solid waste management, Radioactive waste management, Greenhouse effect and global warming, Ozone depletion, DeforestationCOMMUNICATIVE ENGLISH PLACEMENT: I SEMESTER THEORY: 2 Credits ( 40 hours) DESCRIPTION: The course is designed to enable students to enhance ability to speak and write the language (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 experience. COMPETENCIES On completion of the course, the students will be able to 1. Identify the significance of Communicative English for healthcare professionals 2. Apply the concepts and principles of English Language use in professional development such as pronunciation, vocabulary, grammar, paraphrasing, voice modulation, Spelling, pause and silence 3. Demonstrate attentive listening in different hypothetical situations 4. Converse effectively, appropriately and timely within the given context as an individual or to the team they are communicating with either face to face or by other means 5. Read, interpret and comprehend content in text, flow sheet, framework, figures, tables, reports, anecdotes ete... 6. Analyse the situation and apply critical thinking strategies 7. Enhance expressions through writing skills 8. Apply LSRW (Listening, Speaking, Reading and Writing) Skill in combination to lear, teach, educate and share information, ideas and results.COURSE OUTLINE UNIT] TIME | LEARNING CONTENT TEACHING! | ASSESSMENT METHODS OUTCOMES LEARNING _ _ ACTIVITIES 1 3 Identify the | Communication | + Definitions with |» Checking for hours | significance of|* What is examples, understanding through communicative communication? | illustrations and | tasks English * What are | explanations communication « Identifying roles of listeners, ee communicative speakers, readers | rtegieg in and writers as | Sew healtheare . Reading professionals? excerpts on the above and interpreting them through tasks m5 Describe concepts | Introduction fo |* Exercises on | Through ‘check your and principles of Language (English) use in professional development such as pronunciation, vocabulary, grammar, paraphrasing, voice modulation, spelling, pause and silence LSRGW + Le Listening: Different types of listening : S-Speaking: Understanding Consonants, Vowels, Word and Sentence Stress, Intonation + Re Reading: Medical vocabulary, + Gr-Grammar: Understanding tenses, linkers + W- writing simple sentences and short Paragraphs : emphasis on correct grammar listening to news, announcements, telephone conversations and instructions from others + Information on fundamentals of Speech: C, V, Stress and Intonation — with tasks based on these through audio/ video and texts + Reading a medical dictionary/ glossary of medical terms with matching exercises + Information on tenses and basic concepts of correct grammar through fill in the blanks, true/false questions understanding’ exercises’ 35m 5 hours Demonstrate attentive listening in different hypothetical situations ‘Attentive Listening + Focusing on listening in different situations- announcements, descriptions, narratives, instructions, discussions, demonstrations . Reproducing Verbatim + Listening to academic talks/ lectures + Listening to + Listening to announcements, news, documentaries with tasks based on listening ( With = multi thoice, Yes/No and fill in the blank activities Checking individually against correct answers © Listening for specific information * Listening for overall ‘meaning and instructions © Listening to attitudes and opinions * Listening to audio, video and identify key points sentat v9 Converse effectively, Speaking-EWfecive + Different types | Individual and group’ peer hours | appropriately and | Conversation of speaking | assessment through live timely within the}. Conversation —_| activities related | SPeaking tests Fe a mess | situtions- | tothe content| * Presentation of Situation they are | informal, formal |+ Guided with || jy Snerency communicating with | and neutral prompts © Reporting in either face to face or |* Factors and free | doctors/nurses’ rounds other means influencing way | discussions * Case presentation of — speaking-|+ Presentation « Face to face oral topic, | techniques communication © Talking to|® Speaking individually relationship, peers and | (Nurse to side and | other adults. pee pe taps language + Talking 10), Telephonic talking + Greetings, patients and Patient attenders Introductions, permission, speaking personally and casual conversations + Asking —— for Information, Giving instructions and directions + Talking to other healthcare professionals . Class room conversation scenario based learning tasks 36‘Agrecing and disagreeing, giving opinions Describing people, places, events and things, narrating, reporting = & reaching conclusions Evaluating and comparing Complaints and suggestions Telephone conversations Delivering presentations r Read, interpret and comprehend content in text, flow sheet, framework, figures, tables, reports, anecdotes ‘Reading Reading strategies, reading notes and messages Reading relevant articles and news items Vocabulary for everyday activities, abbreviations and medical vocabulary Understanding visuals, graphs, figures and notes on Instructions Reading reports and interpreting them Using idioms and phrases, spotting errors, vocabulary for + Detailed tasks and exercises on reading for information, inference and evaluation . Vocabulary games and puzzles for medical lexis . Grammar activities ‘Reading/summarizing/Justifyi rng answers orally + Patient document + Doctor's Prescription of care + Journal/news reading and interpretation + Notes/Reports 37presentations : Remedial Grammar wes«s Enhance expressions | Writing Skills + Writing tasks |Paper based assessment by hours | through writing skills |+ Writing patient | with focus on task | the teacher/trainer against set tory fulfilment, bband descriptors + Note taking coherence and | Presentation of situation + Summarising cohesion, + Documentation + Anecdotal records | appropriate + Report writing + Letter writing vocabulary and |* Paper writing skills + Diary’ Journal | correct grammar | + Verbatim reproducing * Guided and free |+ Letter writing tasks + Resume/CV + Paper writing skills |* Different kinds + Abstract writing | of letter writing — | tasks vi /8 ‘Apply LSRW Skill in | LSRW Skills + Valuating [+ Consolidated assessment hours | combination to lear, |+ Critical thinking | different orally and through written teach, educate and | strategies for | options’ tasks/ exercises share information, | listening and reading | multiple ideas and results + Oral reports,| answers and presentations interpreting . Writing | decisions instructions, letters | through and reports situational + Error analysis | activities regarding LSRW —|+ Demonstration individually and in groups + Group Discussion + Presentation + Role Play + Writing reports 38MY & APPLIED T EMESTER Anatomy -80 hours & Physiology -50 hours APPLIED ANATOMY EOR' THEORY: 2.5 Credits (50 hours) Credits (100 hours) DESCRIPTION: The course is designed to assists student to acquire the knowledge of the normal structure of human body, identify alteration in anatomical structure with emphasis on clinical COMPETENCIES: application to practice nursing. (On completion of the course, the students will be able to 1. Describe anatomical terms 2. Expl the general and microscopic structure of each system of the body 3. Identify relative positions of the major body organs as well as their general anatomic locations 4. Explore the effect of alterations in structure 5. Apply knowledge of anatomic structures to analyze clinical situations and therapeutic applications COURSE OUTLINE UN | TIME LEARNING | CONTENT TEACHING ASSESSMENT IT | (HRs) OUTCOMES LEARNING METHODS: _ ACTIVITIES: 1 6 Introduction to anatomical |* Lecture cum|* Quiz | Define the terms | terms and organization of the | Discussion * MCQ | relative to the human bedy © Short Answer anatomical © Introduction to anatomical | * Use of models questions position terms relative 10 position- anterior, ventral, Posterior dorsal, " superior, inferior, median, lateral, proximal, distal, superficial, deep, Prone, supine, palmar and|* Video Describe the | plantar demonstration anatomical planes |» Anatomical planes (axial/transverse/ horizontal, | Use of Define and | sagittalvertical plane and | microscopic describe the terms | coronal/frontal/oblique slides used to describe | plane) movements * Movements (flexion, extension, abduction, adduction, medial rotation, lateral rotation, inversion, eversion, supination, 39Organization of human body and structure of cell, tissues membranes and glands pronation, plantar flexion, dorsal flexion and circumduction. Cell structure, Cell division Tissue-definition, types, characteristics, classification, location * Membrane, glands- classification and structure Lecture cum discussion Video slides Anatomical Torso Describe the | Identify major surface and types of cartilage bony landmarks in each body region, Organization of Compare and | human body contrast the features of! s Hyaline, fibro cartilage, skeletal, smooth clastic cartilage and cardiac muscle Features of skeletal, smooth and cardiac muscle © Application and implication | |__ in nursing 1/5 Describe the | The Respiratory system structure of |e Structure of the organs of | Lecture cum) * Short answer respiratory respiration discussion questions system, Models Objective type © Muscles of respiration Identify the Video slides muscles of! Application and implication respiration and | in nursing examine their contribution to the mechanism of breathing m/s The Digestive system Describe the |e Structure of alimentary canal |* Lecture cum |e Short answer structure of and accessory organs of | discussion Objective type digestive system digestion Video slides © Application and implications | ¢ Anatomical in nursing TaissIdentify major bones that_ make up the axial and appendicular skeleton Classify the joints Identify the application and implications in nursing Describe the structure of muscle skeleton © Toints- classification, major joints and structure © Application and implications in nursing ‘The Muscular System © Types and structure of Muscles * Muscle groups-muscles of the head, neck, thorax, abdomen, pelvis, upper limb and lower limbs * Principal _muscles- deltoid. Explain using chants, skeleton and loose bones and torso Vv Describe the | The Circulatory and lymphatic | * Lecture Shortanswer | structure of | system © Models, McQ circulatory and | Structure of blood Video /slides lymphatic system. | components, blood vessels- Arterial and Venious system ® Position of heart relative to the associated structures © Chambers of heart, layers of heart * Heart valves, coronary arteries © Nerve and blood supply to heart Lymphatic tissue Veins used for IV injections Application and implication in nursing Vv Identify the major | The Endocrine system © Lecture ‘Short answer endocrine glands | Structure of — Hypothalamus, questions. and describe the | Pineal Gland, Pituitary gland, Objective type structure of | Thyroid, Parathyroid, Thymus, endocrine Glands | Pancreas and Adrenal glands Vi Describe the | The Sensory organs © Lecture * Short answer structure of /® Structure of skin, eye, car,|* Explain with |* MCQ various sensory | nose and tongue Video/models/ | organs * Application and implications | charts in nursing ee vir Describe ‘The Musculoskeletal system: Review a Short answer anatomical ‘The skeletal system discussion questions. position and |» Anatomical positions Objective type structure of bones |* Bones- Types, structure, |® Lecture and joints growth and ossification © Axial and Appendicular | ® Discussions 41Apply the knowledge in performing nursing biceps, triceps, respiratory, abdominal, pelvic floor, pelvic floor muscles, gluteal muscles and vastus lateralis © Major muscles involved in procedures/skills nursing procedures vin 4 Describe the | The Renal System Lecture McQ structure of renal |e Structure of kidney, ureters, system bladder, urethra Short answer ‘© Application and implication in nursing x 4 Describe the | The Reproductive System Lecture McQ structure of} Structure of malle reproductive reproductive organs Short answer system © Structure of female reproductive organs ¢ Structure of breast x 16 The Nervous system Lecture McQ Describe the |* Review Structure of neurons structure of|* CNS, ANS and PNS Explain with ‘Short answer nervous system | — (Central, autonomic and | _ models including the | peripheral) distribution of the |» Structure of brain, spinal |* Video slides nerves, nerve plexuses Describe the ventricular system cord, cranial nerves, spinal nerves, peripheral nerves, functional areas of cerebral cortex © Ventricular system, formation, circulation, and drainage Application and implication in nursing 42APPLIED PHYSIOLOGY THEORY: 2.5 Credits (50 hours) DESCRIPTION: The course is designed to assists student to acquire comprehensive knowledge of the normal functions of the organ systems of the human body to facilitate understanding of physiological basis of health, identify alteration in functions and provide the student with the necessary physiological knowledge to practice nursing. COMPETENCIES ‘On completion of the course, the students will be able to 1. Develop understanding of the normal functioning of various organ systems of the body 2. Identify the relative contribution of each organ system towards maintenance of homeostasis 3. Describe the effect of alterations in functions 4. Apply knowledge of physiological basis to analyze clinical situations and therapeutic applications COURSE OUTLINE UNIT | TIME | LEARNING: CONTENT ‘TEACHING LEARNING | ASSESSMEN (HRS) OUTCOME ACTIVITIES ‘T METHODS Ss T | 3brs | Describe the | General Physiology-Basic [+ Review —discussion [+ Quiz physiology of | concepts * McQ cell, tissues, | Cell physiology including | Lecture cum discussion | OSPE membranes and | transportation across cell * Short glands membrane * Video demonstrations Answer Body fluid compartments, questions Distribution of total body fluid, intracellular and extracellular compartments, major electrolytes and maintenance of homeostasis © Cell eycle Tissue- formation, repair Membranes and glands- functions © Application and implication in nursing 43I |Shrs | Describe the | Respiratory system physiology and | Functions of respiratory Essay mechanism of organs Short respiration Physiology of respiration answer Pulmonary circulation- McQ ; functional features © Lecture Identify the © Pulmonary ventilation, muscles of Exchange of gases © Video slides respiration and | Carriage of oxygen and examine their ‘Carbon- dioxide, Exchange contribution to Of gases in tissue ‘the mechanism Regulation of respiration off breathing Hypoxia, cyanosis, dyspnoea, periodic breathing PFT Respiratory changes during exercise Aging changes Application and implication in nursing Til | 6hrs | Describe the | Digestive system © Lecture cum discussion Essay functions of |e Functions of the organs of Short digestive system tract * Video slides answer ‘* Saliva-composition, McQ regulation of secretion and functions of saliva © Composition and function of gastric juice, mechanism and regulation of gastric secretion © Composition of pancreatic juice, funetion, regulation of pancreatic secretion ‘© Functions of liver, gall bladder and pancreas ‘© Composition of bile and function ‘* Secretion and Function of small and large intestine «Movements of alimentary tract © Digestion in mouth, stomach, small intestine, large intestine, Absorption of food * Metabolism of CHO, fat and proteins Application and 44implications in nursing ‘Shrs Explain the functions of the heart, and physiology of circulation Circulatory and lymphatic system Functions of heart, conduction system, cardiac eyele, Stroke volume and cardiac output Blood pressure and Pulse Circulation- principles, factors influencing blood pressure, pulse Coronary circulation, Pulmonary and systemic circulation Heart rate-regulation of heart rate, Normal value and variations Cardiovascular homeostasis in exercise and posture Aging changes Application and implication in nursing © Lecture * Discussion © Video/slides Short answer McQ hrs: Describe the ‘composition and functions of blood Blood Blood-Functions, Physical characteristics, ‘Components Formation of blood cells Erythropoiesis, Functions of RBC, RBC life cycle WBC- types, functions Platelets-Function and production of platelets Clotting mechanism of blood, clotting time, bleeding time, PTT Hemostasis -role of vasoconstriction, platelet plug formation in hemostasis, coagulation factors, intrinsic and extrinsic pathways of coagulation Blood groups and types Functions of reticulo- endothelial system, Immunity Application in nursing © Lecture © Discussion © Videos Essay Short answer McQ 45Vi [4hrs | Identify the The endocrine system © Lecture © Short majorendocrine | 4 Functions and hormones of | * Explain using answer glands and Pineal Gland, Pituitary charts * McQ describe their gland, Thyroid, functions Parathyroid, Thymus, Pancreas and Adrenal glands. © Other hormones Alterations in disease * Application and implication in nursing Vil |4hrs | Describe the | The sensory Organs Lecture © Short structure of Functions of skin Video answer various sensory |e Vision, hearing, taste and * McQ organs smell + Errors of refraction, aging changes © Application and implications in nursing VII | 4hrs | Describe the | Museulo-skeletal system functions of |e Bones- Functions, * Lecture bones, joints, movements of bone s of Structured various types of | axial and appendicular ‘© Discussion essay ‘muscles, its skeleton, Bone healing Short special © Joints and joint movements answer properties and | Alteration of joint disease © Video presentation McQ nerves supplying |» Properties and Functions of them skeletal muscles — mechanism of muscle contraction + Structure and properties of ‘cardiac muscles and smooth muscles * Application and implication in nursing TX [4hrs | Describe the | Renal system Lecture ‘Short physiology of | e Functions of kidney in Charts and models answer renal system maintaining homeostasis McQ « GFR Functions of ureters, bladder and urethra © Micturition ‘© Regulation of renal function ‘© Application and implication in nursing 46X— |4hrs [Describe the | The Reproductive System | Lecture Short structure of * Female reproductive ‘© Explain using charts, answer reproductive system- Menstrual eycle, models, specimens McQ system function and hormones of ovary, oogenesis, fertilization, implantation, Functions of breast © Male reproductive system Spermatogenesi hormones and its functions, semen Application and implication in providing nursing care XI] Ths [Describe the | Nervous system functions of |» Overview of nervous © Lecture cum Brief brain, system Discussion structured physiology of |* Review of types, structure essays nerve stimulus. | and functions of neurons | * Video slides, Short reflexes, cranial | Nerve impulse answer and spinal |» Review functions of Brai McQ nerves Medulla, Pons, Cerebrum, Critical Cerebellum reflection * Sensory and Motor Nervous system * Peripheral Nervous system * Autonomic Nervous system + Limbic system and higher ‘mental Funetions- Hippocampus, Thalamus, Hypothalamus. ‘Vestibular apparatus Functions of cranial nerves Autonomic functions Physiology of Pain- somatic, visceral and referred Reflexes CSF formation, composition, circulation of CSF, blood brain barrier and blood CSF barrier © Application and implication in nursing 47APPLIED SOCIOLOGY AND PSYCHOLOGY PLACEMENT: | SEMESTER THEORY: 5 Credits (100 Hours) Sociology-2 credits (40hrs) & Psychology -3 credits (60hrs) DESCRIPTION: This course is designed to enable the students to develop understanding about basic concepts of sociology and psychology and its application in personal and community life, health, illness and nursing. It further provides students opportunity to recognize the significance and application of soft skills and self empowerment in the practice of nursing, COMPETENCIES, On completion of the course, the students will be able to 1. Identify the scope and significance of sociology in nursing 2. Apply the knowledge of social structure and different culture in a society in identifying social needs of sick clients 3. Identify the impact of culture on health and illness 4. Develop understanding about types of family, marriage and its legislation. 5. Identify different types of caste, class, social change and its influence on health and health practices 6. Develop understanding about social organization and disorganization and social problems in India 7. Integrate the knowledge of clinical sociology and its uses in crisis intervention dentify the importance of psychology in individual and professional life 9. Develop understanding of the biological and psychological basis of human behaviour 10. Identify the role of nurse in promoting mental health and dealing with altered personality 11. Perform the role of nurses applicable to the psychology of different age groups 12. Identify the cognitive and affective needs of clients 13. Integrate the principles of motivation and emotion in performing the role of nurse in caring for emotionally sick client, 14, Demonstrate basic understanding of psychological assessment and nurse's role 15, Apply the knowledge of soft skills in workplace and society 16. Apply the knowledge of self-empowerment in workplace, society and personal life =COURSE OUTLINE UNIT] TIME (HRs) LEARNING OUTCOMES INTENT TEACHING LEARNING ACTIVITIES ‘ASSESSMENT METHODS Thr Describe the scope and significance of sociology in nursing Introduction © Lecture © Definition, nature and * Discussion scope of sociology © Significance of sociology in nursing © Essay | Short answers 1 10hrs Describe the individualization, Groups, processes of Socialization, social change and its importance Social structure © Lecture eum * Basic concept of society, Discussion community, association and institution + Individal and society * Personal disorganization # Social group- meaning, characteristics, and classification, Social processes: definition and forms, Co-operation, competition, conflict, accommodation, assimilation, isolation © Socialization- characteristics, process, agencies of socialization © Social change- nature, process, and role of nurse © Structure and characteristics of urban, rural and tribal community. Major health problems in urban, rural and tribal communities ® Importance of social structure in nursing profession © Essay type Short answers objective type m1 ‘Shrs Describe culture and its impact on health and disease Culture © Lecture Nature, characteristic and evolution of culture © Panel discussion © Diversity and uniformity of culture *# Difference between culture and civilization Culture and socialization Transcultural society Culture, Modernization and its impact on health and disease © Essay © Short answer 49Vv Shrs Explain family, marriage and legislation related to marriage Family and Marriage ‘¢ Family- characteristics, basic need, types and functions of family © Marriage- forms of marriage, social custom relating to marriage and importance of marriage ‘© Legislation on Indian marriage and family. 4 Influence of marriage and family on health and health practices Lecture Family ease study © Essay, © Short answer © Case study ‘Shrs Explain different types of caste and classes in society and its influence on health Social stratification Introduction Characteristics & forms of stratification Function of stratification Indian caste system- origin and characteristics ‘© Positive and negative impact of caste in society. Class system and status Social mobility-meaning and types © Race- concept, criteria of racial classification © Influence of class, caste and race system on health. Lecture Panel discussion Community Survey Essay type Short answer Objective type © Report of community survey VI T2hrs Explain social social problems and role of nurse in reducing social problems social organization and dlaorgaaization- Social organization- ‘meaning, elements and types ‘Voluntary associations Social system- definition, types, role and status as structural element of social system. © Interrelationship of institutions © Social control- meaning, aims and process of social control * Social norms, moral and values * Social disorganization- definition, causes, Control and planning Lecture group Discussion Observational visit Essay type Short answer, © Objective type question © Visit report 50‘+ Major social problems- poverty, housing, food supplies, illiteracy, prostitution, dowry, Child labour, child abuse, delinquency, crime, substance abuse, HIV/AIDS © Vulnerable group- elderly, handicapped, minority and other ‘marginal group. © Fundamental rights of individual, women and children # Role of nurse in reducing social problem and enhance coping © Social welfare “programmes in India Vit | 2hrs Clinical sociology Lecture, * Essay * Introduction to clinical | ® Group discussion |® Short answer application in the sociology hospital and * Sociological strategies for | Role play community developing services for the abused + Use of clinical sociology in crisis intervention APPLIED PSYCHOLOGY Vill [2irs | Describe scope, | Introduction + Lecture [* Essay branches and # Meaning of Psychology . significance of «Development of psychology - Scope, psychology in branches and methods of psychology ‘nursing. * Relationship with other subjects Significance of psychology in nursing. Applied psychology to solve everyday issues Ix Shrs Describe biology of | Biological basis of behaviour- «Lecture * Essay and human behaviour Introduction © Discussio short * Body mind relationship a answer Genetics and behaviour type Inheritance of behaviour Brain and behaviour. Psychology and sensation- sensory process -normal and abnormal 51Shrs Explain mentally healthy person and defence ‘mechanisms Mental health and mental hygiene * Concept of mental health and mental hygiene * Characteristic of mentally healthy person ‘Waring signs of poor mental health Promotive and preventive mental health strategies and services Defense mechanism and its implication Frustration and conflict- types of conilicts and measurements to overcome Role of nurse in reducing frustration and conflict and enhancing coping. © Lecture © Case discussio 1 © Role play Essay type Short answer * Objective type ‘Shrs Describe psychology of people in different age groups and role of nurse Developmental psychology © Psychological needs of various groups in health and sickness- Infancy, childhood, adolescence, adulthood and old age ‘© Introduction to child psychology and role of nurse in meeting the psychological needs of children * Psychology of vulnerable individuals- challanged, women, sick etc. «Role of nurse with vulnerable group © Lecture Group * discussio © Essay XI V4hrs Explain personality and role of nurse in identification and improvement in altered personality Personality # Meaning, definition of personality Classification of personality Measurement and evaluation of personality-Introduction Alteration in personal Role of nurse in Identification of individual personality and improvement in altered personality. Lecture Discussion Demonstratio a Essay and short answer Objective XI Téhrs Explain cognitive process and their Cognitive process ‘© Attention- definition, types, determinants, duration, degree and alteration in attention * Perception - Meaning of Perception, principles, factor affecting perception, ‘© Intelligence - Meaning of intelligence - Effect of heredity and environment in intelligence, classification, Introduction to measurement of intelligence tests - Mental deficiencies © Learning -Definition of learning, types of leaming, Factors influencing learning - Learning process, Habit formation © Lecture * Discussio Essay and answer © Objective type 52© Memory-meaning and nature of memory, factors influencing memory, methods to improve memory, forgetting © Thinking- types, level, reasoning and problem solving. © Aptitude- concept, types, individual differences and variability * Psychometric assessment of cognitive processes-Introduction # Alteration in cognitive processes XIV | 6hrs Motivation and emotional processes | Lecture | « Essay and * Motivation- meaning, concept, types, | Group short answer theories of motivation, motivation Discussio | type and role of nurse in | cycle, biological and special motives n * Objective emotionally sick |» Emotions - Meaning of emotions, type client development of emotions, alteration of emotion, emotions in sickness - handling emotions in self and other # Stress and adaptation- stress, stressor, cycle, effect, adaptation and coping * Attitudes - Meaning of attitudes, nature, factor affecting attitude, attitudinal change, Role of attitude in health and sickness ‘Psychometric assessment of emotions and attitude-Introduction * Role of nurse in caring for emotionally sick client XV [hrs | Explain Psychological assessment and (ests- |» Lecture © Short psychological introduction jscussion | answer type assessment and © Types, development, characteristi * Demonstrati_| © Assessment tests and role of principles, uses, interpretation on of practice nurse + Role of nurse in Psychological assessment XVI | 12hrs | Explain concept of | Application of soft skill © Essay and soft skill and its | © Concept of soft skill © Lecture short application in work | © Types of soft skill - visual, aural and | © Group answers Place and society communication skill Discussio * The way of communication a * Building relationship with client * Role play and society ‘+ Interpersonal Relationships (IPR). Definition, Types, and Purposes, Interpersonal skills, Barriers, Strategies to overcome barriers Survival strategies- managing time, coping stress, resilience, work- life balance 53+ Applying soft skill to workplace and society Use of soft skill in nursing XVIT| Shrs | Explain self ‘Self-empowerment * Lecture [© Short ‘empowerment ‘© Dimensions of self-empowerment © Discussio | answers ‘© Self-empowerment development . © Objective © Importance of women’s empowerment type in society * Professional etiquette and personal grooming Role of nurse in empowering othersNURSING FOUNDATIONS | PLACEMENT: I SEMESTER THEORY: 6 Credits (120 Hours) (Skill Lab): 2 Credits (80 hours) DESCRIPTION: This course is designed to help novice mursing students develop knowledge and competencies required to provide evidence-based, comprehensive basic nursing care for adult patients, using nursing process approach. COMPETENCIES On completion of the course, the students will be able to 1, Develop understanding about the concept of health, illness and scope of nursing within health care services 2. Apply values, code of ethics and professional conduct in professional life 3. Apply the principles and methods of effective communication in establishing communication links with patients, families and other health team members Develop skill in recording and reporting Demonstrate competency in monitoring and documenting vital signs Develop understanding about fundamentals of health assessment and perform health assessment in supervised clinical settings 7. Describe the principles and techniques of infection control and biomedical waste management 8 Identify and meet the comfort needs of the patients 9. Perform admission, transfer, and discharge of a patient under supervision applying the knowledge 10. Demonstrate understanding and application of knowledge in caring for patients with restricted mobility 11. Identify the educational needs of patients and demonstrate basic ski patient education. ae of COURSE OUTLINE |TIME | LEARNING TEACHING —|ASSESSMENT| UNIT} HRS) | OUTCOMES CONTENT LEARNING | METHODS| ir sl ACTIVITIES JusL. T [ST | Describe the | Introduction to health and Miness > Lecture + Essay concept of health | » Concept of Health: Definitions * Discussion | » Short snd thew (WHO), Dimensions answers * Maslow’s hicrarchy of needs * Objective + Health - Illness continuum ‘ype « Factors influencing health © Causes and risk factors for developing illnesses «Mines: Types, Illness behavior ‘Impact of illness on patient and family = = it ‘the Health Care delivery Systems: . sture ° 'y TTL [Resi of tess | Introduction of bes concepts & * Discussion —_| « Short prevention and | meanings Experiential | “Answers care, health care | « Levels of Illness Prevention- leaming ~ Visit } + Objective 55verviees primary (health promotion), to Primary ype secondary and tertiary Health Centre + Levels of care-Primary, Secondary (observation of | * Visit report and Tertiary real settings) + Types of heulth care agencies! Services- Hospitals, clinics, Hospice, rehabilitation centres, extended care facilities + Hospitals: Types, Organization and Functions © Health care teams in hospitals-members and their Role TW [i2T History of Nursing and Nursing as a — Trace the history | profession « Lecture of Nursing * Discussion | + Essay * History of Nursing, History of # Case discussion} » Short Explain the Nursing in India * Role plays answers Sr ae and | . Contributions of Florence Nightingale # Objective Scope ofnursing | Nursing: ‘ype Definition- Nurse, Nursing, Describe values, | Concepts, philosophy, objectives, code of ethics and | Characteristics, nature and Scope of professional Nursing/ Nursing practice, Functions vonduct for nurses | oF Alrse, Qualities of a nurse, in india Categories of nursing personnel + Nursing as a profession- Definition and Characteristics criteria of profession + Values: Introduction-meaning and importance * Code of ethics and professional conduct for nurses-Introduction _ wat ‘Communication and Nurse Lecture + Essay 3L | Describe the | patient relationship * Discussion * Short process, P Communication: Levels, Elements | * Role playand | Answers principles, and and Process, Types, Modes, video film on Objective types of Factors influencing ‘ype communication communication + Methods of effective communication/ Therapeutic Explain Communication Techniques therapeutic, non | « Barriers to effective communication therapeutic and | / Nontherapeutic Communication professional techniques communication + Professional communication + Helping Relationships (Nurse Pat Communicate Relationship): Purposes and Phases effectively with | « Communicating effectively with patients, their | patient, families and team members families and team _|+Maintaining effective human relations _ | 56and communication with vulnerable groups (children, women, physically and mentally challenged and elderly) Documentation and Reporting + Lecture + Essay Describe the | * Documentation: Purposes of + Discussion | « Short Purposes, types Reports and Records + Demonstration Answers and techniques of | + Confidenti: recording and | « Types of Client records/ Common reporting Record -keeping forms Maintain records + Methods! Systems of documentation/ Recording ‘* Guidelines for documentation: + Do’s and Don'ts of documentation/ ee sasty ‘reports | "Legal guidelines for Documentation! Recording + Reporting: Change-of shit reports, Transfer reports, Incident reports Vv igns Describe * Guidelines for taking vital signs * Lecture principles and > Body temperature: * Discussion * Essay techniques a © Definition, Physiology, Regulation, |* Demonstration | + Short maintainieg aa Factors affecting body temperature a answers signs © Assessment of body temperature: Jemonstration | , Objective sites, equipment and technique type co. Temperature alterations: + Document Hyperthermia, Heat Cramps, Heat the given, :xhaustion, Heatstroke, Hypothermia values of © Fever! Pyrexia- Definition, temperatur Causes, Stages, Types, & 4 pulse, + Nursing Management an p respiration Assess and © Hot and Cold applications in the record vital signs » Pulse: ‘graphic accurately © Definition, Physiology and sheet Regulation, Characteristics, Factors affecting pulse © Assessment of pulse: sites, ‘equipment and technique © Alterations in pulse » Respiration: © Definition, Physiology and Regulation, Mechanics of breathing, Characteristics, Factors affecting respiration © Assessment of respirations: technique © Arterial Oxygen saturation © Alterations in respiration > Blood pressure: © Definition, Physiology and Regulation, Characteristics, Factors 57affecting BP ‘© Assessment of BP: ‘equipment and technique, Common Errors in BP Assessment © Alterations in Blood Pressure ‘* Documenting Vital Si Precautions * Hand Hygiene (Hand washing and use of hand Rub) * Use of Personal Protective Equipment (PPE) © Standard precautions [Biomedical Waste management- Types [Describe the | Tealth assessment + Emay 10L | purpose and | Interview techniques Modular learning] « Short Process of health | + Observation techniques Health Answers ‘assessment '* Purposes of health assessment ‘assessment + Objective + Process of Health assessment module type ‘© Health history ¢ Lecture cum © Physical examination Discission. Methods- Inspection, : anon, Palpation, Percussion, Auscultation, Olfaction * Preparation for examination: patient and unit General assessment Assessment of each body system * Documenting health assessment findings VIN] 3T [Maintain Equipment and Linen equipment and Tes Disposables and reusable linen n, rubber goods, glassware, metal, plastics, furniture © Introduction: Indent, maintenance, Inventory IX |10T |Desenibe the basic | Introduction to Infection control Lecture . 4L | principles and in Clinica setting Infection * Discussion * Essay techniques of ‘Nature of infection, * Demonstration | Short infection control | + Chain of infection + Observation of | answers and biomedical | + Types of infection autoclaving —_|« Objective waste + Siages of infection ‘and other type ‘management * Factor increasing susceptibility to stilton + Body defenses against infection: techniques Inflammatory response & Immune + Visit to . Infection Controt Introductory concept of Asepsis: Department Medical & Surgical aseps 58of hospital waste, waste segregation and hazards Tdentify and meet the comfort needs of the patients ‘Comfort, Rest & Sleep and Pain * Comfort ~ o Factors Influencing. Comfort © Types of beds & bed making © Therapeutic positions o Comfort devices « Sleep and Rest - © Physiology of sleep co Factors affecting sleep ‘0 Promoting Rest and sleep © Sleep Disorders # Pain (Discomfort) ‘ Physiology © Common cause of pain © Types o Assessment © Pharmacological and Non- pharmacological pain relieving ‘measures o Invasive techniques of pain ‘management o CAM (Complementary & Alternative healing Modalities) ~* Lecture = Discussion ‘* Demonstration and re demonstration © Essay # Short answers = Objective type cal Describe the ‘concept of patient environment frometies Safety in Health Care nvironment Physical environment: Temperature, Humidity, Noise, Ventilation, Light, ‘Odor, Pest control * Lecture * Discussion ‘* Demonstration + Essay answers * Objective type + Reduction of Physical hazards: fire, accidents «+ Fall Risk Assessment + Role of nurse in providing safe and clean environment « Safety devices: o Restraints- Types, Purposes, Indications, Legal Implications and Consent, Application of Restraints- Skill and Practice guidelines Dther Safety Devices: Side rails, Grab jars, Ambu alarms, non-skid slippers 59XIY6T 2L Explain. and perform admission, transfer, and discharge of a patient + Admission to the hospital Unit and preparation of unit ‘© Admission bed © Admission procedure © Medico-legal issues « Discharge from the hospital ©. Types: Planned discharge, LAMA and Abscond, Referrals and transfers Discharge Planning Discharge procedure Medico-legal issues Roles and Responsibilities of the nurse Care of the unit after discharge oo00 * Lecture = Discussion ‘© Demonstration + Essay * Short answers # Objective type Demonstrate skill in caring — for patients with restricted mobility Mobility and Immobility ‘« Elements of Normal Movement, Alignment & Posture, Joint Mobility, Balance, Coordinated Movement « Principles of body mechanics * Factors affecting Body Alignment and activity + Exercise- Types and benefits « Effects of Immobility # Maintenance of normal Body Alignment and Activity * Alteration in Body Alignment and mobility « Nursing interventions for impaired Body Alignment and Mobility: assessment, types, devices used, method © Range of motion exercises © Muscle strengthening exercises © Maintaining body alignment: positions Moving Lifting ‘Transferring Walkin Assisting clients with ambulation *# Care of patients with Immobility using Narsing process approach + Care of patients with casts and splints ooo ° © Lecture * Discussion * Demonstration &Re- demonstration © Essay * Short answers * Objective xiv | 4T fd practice of poe lucation ribe the principles, « Patient Teaching: Importance, fatient education Purposes, Process + Integrating nursing process in patient teaching * Discussion Role plays * Essay © Short answers # Objective type 60APPLIED BIOCHEMISTRY PLACEMENT: fl SEMESTER ‘THEORY: leredit (20 hours) DESCRIPTION: The course is designed to assist the students to acquire knowledge of the normal biochemical composition and functioning of human body, its alterations in disease conditions and to apply this knowledge in the practice of nursing. COMPETENCIES On completion of the course, the students will be able to 1. Describe the metabolism of carbohydrates and its alterations 2. Explain the metabolism of lipids and its alterations 3. Explain the metabolism of proteins and amino acids and its alterations 4. Explain clinical enzymology in various disease conditions 5. Explain acid base balance, imbalance and its clinical significance 6. Describe the metabolism of hemoglobin and its clinical significance 7. Explain different function tests and interpret the findings 8. Illustrate the immunochemistry COURSE OUTLINE UNIT | TIM | LEARNING CONTENT TEACHING! | ASSESSMENT | E | OUTCOMES EARNING METHODS | ACTIVITIES |S | Describe the _ | Carbohydrates © Lecture cum —[* Essay hours | metabolism of |» Digestion, absorption and discussion using carbohydrates. | metabolism of carbohydrates and | charts and © Short and its related disorders slides answers alterations | Regulation of blood glucose * Diabetes Mellitus -type 1 & | Demonstration | « Very short type 2, symptoms, complications | of laboratory answers & management in brief tests # Investigations of Diabetes Mellitus © OGTT: Indications, Procedure, Interpretation and types of GT curve © Mini GTT, extended GTT, GCT, IV GTT © HbAle (Only definition) ‘+ Hypoglycemia-definition & causes _ i. [4 | Explainthe | Lipids © Lecture, © Essay hours | metabolism of |e Fatty acids: Definition, © Discussion lipids and its classification © Short 61alterations «Definition & Clinical © Explain using answers significance of MUFA & PUFA, | Charts/ Slides Essential fatty acids, Trans fatty acids © Demonstration | answers ‘© Digestion, absorption & of laboratory metabolism of lipids & related tits disorders * Compounds formed from cholesterol * Ketone bodies (name, types & significance only) * Lipoproteins ~ types & functions (metabolism not required) + Lipid profite Atherosclerosis (in brief) Mi] Shour | Explain the | Proteins * Lecurecum —[~ Essay 8 | metabolism of | * Classification of amino acids Discussion amino acids based on nutrition, and proteins metabolic rate with examples |» Explain using answers © Digestion, absorption & models |e Very short ldentify metabolism of protein & related Slides answers alterations in disorders discase © Biologically important conditions compounds synthesized from various amino acids (only names) © Inbom errors of amino acid metabolism ~ only aromatic amino acids (in brief) ‘© Plasma protein ~ types, function & normal values © Causes of proteinuria, hypoproteinemia, hyper-gamma globinemia * Principle of electrophoresis, normal & abnormal electrophoretic patterns (in brie!) Vv 7 Explai Clinical Enzymology © Lecturecum [© Essay hour | clinical * Isoenzymes ~ Definition & Discussion enzymology in | properties © Short various disease |» Enzymes of diagnostic © Explain using answers conditions importance in ‘Charts & slides © Liver Diseases-ALT, AST, ALP, © Very short GGT answers © Myocardial infarction-CK, cardiac troponins, AST, LDH © Muscle diseases-CK, Aldolase © Bone diseuses-ALP © Prostate cancer-PSA, ACP 62Vv 2 [Explain acid | Acid base maintenance © Lecture eum ‘Short hours | base balance, | pH - definition, normal value Discussion answers imbalance and |e Regulation of blood pH — blood its clinical buffer, respiratory & renal © Explain using Very short significance | ABG — normal values Charts! slides answers © Acid base disorders ~types, definition & causes vi 1 | Describe the | Heme catabolism © Lecture cum Short hours | metabolism of |e Heme degradation pathway Discussion answers hemoglobin | ¢ Jaundice — type, causes, urine & and its clinical blood investigations (van den © Charts’ slides Very short significance | _berg test) answers. vil Thour | Explain Organ function tests (biochemical | ¢ Lecture cum Short different parameters & normal values only) | Discussion answers function tests | Renal «Visit to Lab and interpret. |» Liver © Explain using Very short the findings |» Thyroid Chartsslides answers Vu 1 Illustrate the Immunochemistry, ¢ Lecture cum Short hour | immunochemis | « Structure & functions of Discussion answers wy immunoglobulin © Explain using © Investigations & interpretation- | Charts/ slides Very short ELISA “Demonstration of | answers Lab tests 63PLACEMENT THEORY & LAB DESCRIPTION: The course is desi knowledge and understanding of the I SEMESTER this knowledge in the practice of Nursing COMPETENCIES On completion of the course, the students will be able to Identify the importance of nutrition in health and wellness. Apply nutrient and dietary modifications in caring patients, N_ANI E 2 credits (40 hours) ‘Theory: 34 hours 6 hours igned to assist the students to acquire basic Principles of Nutrition and Dietetics and apply Lab 2 3. Explain the principles and practices of Nutrition and Dietetics. 4 Identify nutritional needs of different age groups and plan a balanced dict for them. Identify the dictary principles for different diseases. 6. Plan therapeutic dit for patients suffering from various disease conditions. 7. Prepare meals using different methods and cookery rules. COURSE OUTLINE UNIT] TIME] LEARNING CONTENT TEACHING/ | ASSESSMENT in | OUTCOMES LEARNING | METHODS hours ACTIVITIES: 1 |T-2 | Define nutrition | Introduction to Nutrition © Lecture cum | © Essay and its Concepts: Definition of Nutrition & Health | Discussion |» Short answers relationship to. | Malnutrition- Under Nutrition & Over Very short Health Nattition answers ® Role of Nutrition in maintaining health | Charts! © Factors affecting food and nutrition Slides Nutrients Classification Macro & Micronutrients © Organic & Inorganic * Energy Yielding & Non-Energy Yielding Food ‘© Classification-Food groups Origin WM |T-2 [Describe the | Carbohydrates © Lecture cum | * Essay classification, | ¢ Composition starches, sugar and | Discussion |e Short answers functions, cellulose Very short sources and Recommended Daily Allowance (RDA) | * Charts/ answers recommended Dietary sources Slides daily allowances |. Functions * Models 64(RDA) of Energy © Display of carbohydrates © Unit of energy-Keal food items * Basal Metabolic Rate (BMR) Explain BMR | * Factors affecting BMR and factors affecting BMR. Describe the Proteins Lecture cum Essay classification, |» Composition Discussion Short answers Functions, Eight essential amino acids Charts! Very short sources and © Functions Slides answers: RDA of © Dietary sources Models proteins. © Protein requirements-RDA Display of food items. Describe the | Fats Lecture cum | Essay classification, © Classification-saturated & unsaturated Discussion Functions, © Calorie value Charts! Short Answers ‘sources and © Functions slides ‘Very Short RDA of fats © Dietary sources of fats and fatty acids Models answers © Fat requirements-RDA. Display of food items Describe the | Vitamins Lecture cum |* Essay classification, * Classification-fat soluble = & — water Discussion functions, soluble Short Answers sources and © Fat soluble-Vitamins A, D, E, and K ‘Charts! RDA of * Water soluble-Thiamine (vitamin B1),| slides Very Short vitamins Riboflavin (vitamin B2), Nicotinic acid, | * Models Answers Pyridoxine ( vitamin B6), Pantothenic acid, Folic acid, Vitamin B12, Ascorbic | » Display of acid (vitamin C) food items: © Functions, Dietary Sources. & Requirements-RDA of every vitamin Describe the Minerals Lecture cum ‘Short Answers classification, y n Discussion . * Classification- Major minerals pons, (Calcium, phosphorus, sodium, , Very Short sources potassim, and magnesium) and |* Char saws of ‘Tree elements sles. minerals Models Functions. Diapiayol Dietary Sources food items Requirements RDA 65Vil ]T-4 | Describe and | Balanced diet Lecture cum | Short Answers 1-3 | plan balanced | © Definition, principles, steps Discussion diet for ‘* Food guides ~ Basic Four Food Groups Very Short different age | «RDA — Definition, limitations, uses Meal planning | Answers groups, ‘+ Food Exchange System . Ireation “84 /* Calculation of nutritive value of foods | Lab session on lactation * Dietary fibre Preparation of Nutrition across life cycle balanced diet * Meal planning/Menu planning — | for different Definition, principles, steps wae * Infant and Young Child Feeding (IYCF) | !°‘ fuidelins- breast feding, inf foods | Hitous dishes * Diet plan for different age groups Children, adolescents and elderly * Diet in pregnancy- nutritional requirements and balanced diet plan ‘+ Anemia in pregnancy-diagnosis, diet for anemic pregnant women, iron’ & folie acid supplementation and counseling * Nutrition in lactation-nutrtional requirements, diet for lactating mothers, complementary feeding/weaning VIII | T-4 | Classify and | Nutritional deficiency disorde + Lecture cum [* Essay describe the | © Protein energy malnutrition- magnitude | discussion Short Answer ‘common Of the problem, causes, classification, Very Short nutritional signs & symptoms, Severe acute |» Charts/slide |” Ancwer deficiency malnutrition (SAM), management & | simodels disorders and Prevention, nurses" role identify nurses’ | © Childhood obesity-Signs & symptoms, role in assessment, management & prevention assessment, and nurses” role management |» Vitamin deficiency disorders- vita and prevention A, B, C & D deficiency disorders: causes, signs & symptoms, management & prevention and nurses" role + Mineral deficiency diseases-iron, iodine and calcium deficiencies: causes, signs ‘& symptoms, management & prevention and nurses’ role ix |T4 Therapeutic diets + Lecture cum |* Essay 13 * Definition, Objectives, Principles Discussion | Short Answer ‘+ Modifications ~ Consistency, Nutrients, |* Meal Very Short Feeding techniques. planning Answer * Diet in Diseases — Obesity, Diabetes | © Lab session Mellitus, CVD, Underweight, Renal | on diseases, Hepatic disorders | _ preparation Constipation, Diarthea, Pre and Post | of therapeuti operative period diets 66X [7-3] Deseribe the rules and preservation of nutrients Cookery rules and preservation of | « nutrients * Cooking - Methods, Advantages and Disadvantages Preservation of nutrients: Measures to prevent loss of nutrients Clinical elimination needs of -Bedpan Presentation patient « Insertion of Suppository on Care of + Enema patient with ‘* Urinary Catheter care ‘Constipation-1 * Care of urinary drainage * Assessment agnostic testing of linia : « Specimen Collection skills using Develop stalls in P Utne routine and culture saarisieal imaueting and © Stool routine © Lab values- collecting samples for | 5 Sputum Culture interpretation | ® OSCE investigation. + Perform simple Lab Tests Perform simple lab using reagent strips tests and analyze & oUrine- Glucose, Albumin, interpret common ‘Acetone, pH, Specific diagnostic values gravity + Blood-GRBS Monitoring ‘Oxygenation needs, Fluid, | Presentation | » Assessment Identify patients with Electrolyte, and Acid-Base | on methods of clinical impaired oxygenation Balances ‘of Oxygen skills using and demonstrate skill | Oxygenation needs administration) checklist inearing for patients | « Oxygen administration with impaired Methods + OSCE oxygenation © Nasal Prongs © Face Mask/ Venturi Mask ‘Steam inhalation t Chest Physiotherapy Deep Breathing & ‘Coughing Exercises f+ Oral Suctioning ‘uid, Electrolyte, and Acid ~ * Assessment Base Balances of clinical Identify and « Presentation | skills using demonstrate skill in . Maintaining intake output 0 Blood & | checklist caring for patients with | _ chart Tid clecwolyte and. |* Wently & report — a2‘acid — base imbalances ‘complications of IV therapy * Observe Blood & Blood ‘Component therapy + deny & Report ‘Complications of Blood & Blood Component therapy ‘Administration of ‘© Assessment © Explain the Medications of clinical ir skills using itciptes routes, + Calculate Drug Dosages checklist x '* Preparation of lotions & administration of solatons + osce pecieshans: + Administer Medications * Calculate Soni conversions of drugs © Topical and dosages within ©. Inhalations and between systems ©. Parenteral of Measurements * Intradermal . Administer «Subcutaneous drugs by the following -Intramuscular routes-Oral, * Instillations Intradermal, = Eye, Ese, Nose- Sibeduaocs instillation of aPC medicated drops, nasal Intramuscular, Intra sprays, tigations Venous Topical, inhalation | ‘Sensory Needs and Care of Assess, plan, Unconicions prea Care of] | Assessment implement & evaluate ‘erminally il a a of clinica the basic care needs of | dying& Stress and ‘Adsptation) — skills using Patients with altered sn sory Needs and Care of Patient with functioning of sense I inconscious patients altered = OSCE organs and © Assessment of Level of a unconsciousness Consciousness using Glasgow Coma Scale [rerminaly il, death and dying Presentation | * Assessment } Death Care on dying | ofclinical Care for terminally patical's bil | ‘etal using: ill and dying patients | Stress and Adaptation of rights checkist Presentation on Relaxation Identify stress and techniques assist patients to adopt various coping strategies 83Demonstrate skills in assessing and performing First Aid during emergencies First aid and Emergencies ‘+ Bandaging Techniques Basic Bandages: Circular Spiral Reverse-Spiral Recurrent Figure of Eight Special Bandages: Caplin Eye / Ear Bandage Jaw Bandage Shoulder Spica Thumb spica «Triangular Bandage/ Sling (Head & limbs) Binders Basic CPR ° ° '* Mock drill- Fire Safety * Module completion ‘National Disaster ‘Management Authority (NDMA) First, aid module © Assessment of clinical skills using checklist * OSCE (first aid competenci es)'Y HEALTH NURSIN' PLACEMENT SEMESTER THEORY : 2 Credits (40 Hours) PRACTICUM: Clinical-1 Credit (80 Hrs) DESCRIPTION: This course is designed to help students develop broad perspectives of health, its determinants, about community health nursing and understanding about the health care delivery services, health care policies and regulations in India. It helps the students to develop knowledge and understanding of environment, environmental health and sanitation, nutrition and food safety. It further helps them to apply the Principles and concepts of BCC and health education for health promotion and maintenance of health within the community in wellness and illness continuum. COMPETENCIES: ‘On completion of the course, the students will be able to 1. Explore the evolution of public health in India and community health nursing 2. Explain the concepts and determinants of health 3. Identify the levels of prevention and health problems of India 4. Develop basic understanding about the health care planning and the present health care delivery system in India at various levels Locate the significance of primary health care and comprehensive primary health care as part of current health care delivery system focus Discuss health care policies and regulations in India Demonstrate understanding about an overview of environmental science Identify the role and significance of environmental protection and preservation Relate the influence of environmental factors and sanitation on health and disease 10. Demonstrate skill in nutritional assessment for different age groups in the community and provide appropriate nutritional counseling 11. Identify the importance of food safety in prevention of food borne diseases 12, Discuss basic issues and concepts of Behavior Change Communication (BCC) and Social Behavior Change Communication (SBCC) and identify the methods of BCC to target the audience 13. Provide health education to individuals and families applying the principles and techniques of behavior change appropriate to community settings COURSE OUTLINE TIME LEARNING CONTENT TEACHING / 'SESSME! (Hours) OUTCOMES LEARNING ETHODS, ACTIVITIES 1 |4T | Define public health, Concepts of Community |* Lecture, ‘community health and Health and Community Discussion © Short community health nursing | Health Nur‘ © Explain using answers chart, graphs | ¢ Essay type L Explain the evolution of | ¢ Definition of public Community and 85public health in India and health, community needs objective scope of community health and community assessment type health nursing health nursing. (Field survey on |e Survey idemtification of | report Explain various concepts of | © Public health in India demographic health and disease, and its evolution and characteristics, dimensions and Scope of community health determinants of health health nursing determinants and resources of Explain the natural history a rural and an of disease and levels of |» Review: Concepts of urban prevention health & Iness/disease- | community) Definition, dimensions and determinants of Discuss the health problems | health and disease © Explain using of Indi examples © Natura history of disease * Levels of prevention- Primary, Secondary & tertiary prevention- Review # Health problems (Profile) of India Health Care Planning and Organization of Health Describe health planning | Care at various levels. # Short and its steps, and various | ® Health planning steps |* Lecture answers health plans, and © Health planning in India |* Discussion |e Essay type committees various committees and | Field visits to commissions on health | CHC, PHC, SC/ and family welfare and | Health Wellness | © Evaluation Five Year plans Centers (HWC) | of Field visit Discuss health care delivery | © Participation of reports & system in India at various | community and presentation levels stakeholders in health planning ‘© Health care delivery system in India- Describe SDGs, primary Infrastructure and Health health care and sectors, Delivery of comprehensive primary health services at sub health care (CPHC) centre (SC)PHC, CHC, District level, state level ‘and national level, Explain health eare policies and regulations in India| 4 sustainable development goals (SDGs), Primary | Directed 86Health Care and Comprehensive Primary Health Care (CPHC)- clements, principles © CPHC through ‘SC/Health Wellness Center (HWC) © National Health Care Policies and Regulations ©. National Health Policy (1983, 2002, 2017) © National Health Mission (NHM): National Rural Health Mission (NRHM), National ‘Urban Health Mission (NUHM), NHM © National Health Protection Mission (NHPM) © Ayushman Bharat © Universal Health reading Coverage mW IST Environmental Science, Environmental Health, Identify the role of an and Sanitation individual in the Leta Short conservation of natural |» Natural resources: pecusion answers resources Renewable and non- Dehaues ot Essay type renewable resources, envenemnental natural resources and Protection and associated problems- Preservation Forest resources, water |e Explain using Field Describe ecosystem, its resources, mineral Charts, vee structure, types and resources, food ‘graphs, nepos functions resources, energy Models, resources and land films, slides Explain the classification, value and threats to biodiversity Enumerate the causes, effects and control measures of environmental pollution Discuss about climate change, global warming, resources Role of individuals in conservation of natural resources, and equitable use of resources for sustainable lifestyles * Ecosystem: Concept, structure and functions of ecosystems, Types & Characteristics- Forest ecosystem, Grassland 87acid rain, and ozone layer depletion Enumerate the role of an individual in creating awareness about the social issues related to environment List the acts relation to environmental protection and preservation Describe the concept of Describe water conservation, rain water harvesting and water shed management Explain waste management ecosystem, Desert ecosystem, Aquatic ecosystem, Energy flow in ecosystem * Biodiversity classification, value of bio-diversity, threats to biodiversity, conservation of biodiversity © Environmental pollution: Introduction, Causes, effects and contral measures of: Air pollution, Water pollution, Soil pollution, Marine pollution, Noise pollution, Thermal pollution, nuclear hazards & their impact ‘on health ‘© Climate change, global warming-eg. heat wave, acid rain, ozone layer depletion, waste land reclamation & its impact on health Social issues and environment: sustainable development, urban problems related to energy, water and environmental ethics © Acts related to environmental protection and preservation Environmental health & Sanitation # Concept of environment health and sanitation * Concept of safe water, sources of water, waterborne diseases, water purification processes, household Directed reading Visits to water supply & purification sites Observe rain water harvesting plants Visit to Sewage disposal and treatment sites, and waste disposal sitespurification of water © Physical and chemical standards of drinking water quality and tests for assessing bacteriological quality of water © Concepts of water ‘conservation-rain water harvesting and water shed management © Concept of Pollution prevention Air & noise pollution Role of nurse in prevention of poll © Solid waste ‘management, human excreta disposal & ‘management and sewage disposal and ‘management © Commonly used insecticides and pesticides Vv 4T ‘Nutrition Assessment Describe the various and Nutrition © Lecture © Performance ‘nutrition assessment Education * Discussion assessment methods at the community | Review of Nutrition © Demonstration | of nutrition level © Concepts, types © Role play assessment © Meal planning -aims, |° ype Sait for different steps & diet plan for |? Nutritional age groups Plan and provide diet plans different age groups sencaament ibe forall age groups including | Nutrition assessment | i rerane age |* Evaluation therapeutic diet of individuals, ma on families and nutritional Describe the national community by using ‘assessment nutrition programs and appropriate methods reports provide nutrition © Planning suitable counseling and education to | diet for all age groups i according to local availability of foods, dietary 3T | Identity early the food habits and borne diseases, and perform | economic status initial managementand— |, General sctreal smoeoneiately utitiona 89Discuss the importance of food hygiene and food safety Explain the Acts related to food safety advice © Nutrition education- Purpose, Principles & methods and Rehabilitation + Review. Nutritional deficiency disorders + National ‘nutritional policy & programs in India Food Borne Diseases and Food Safety Food borne diseases © Definition, & burden, Causes and classification Signs & Symptoms Transmission of food bore pathogens & toxins: * Early identification, initial management and referral Food poisoning & food intoxication © Epidemiological features/clinical characteristics, Types of food poisoning ‘¢ Food intoxication- features, preventive & control measures # Public health response to food bome diseases Food safety © Definition, Food safety considerations & measures © Food safety regulatory measures in India- Relevant Acts Five keys to safer food Food storage, food handling and cooking General principles of © Lecture ® Discussion © Field visits to milk purification plants, slaughterhouse © Refer Nutrition module- BPCCHN Block 2-unit 1 & UNITS answers © Essay type © Field visit reports 90food storage of food items (ex. milk, meat) # Role of food handlers in food bome diseases © Essential steps in safe cooking practices Describe behaviour change communication skills ‘Counsel and provide health education to individuals, families and community for promotion of healthy life style practices using appropriate methods and media ‘Communication ‘management and Health Edueation © Behaviour change communication skills © communication Human behaviour © Health belief ‘model-concepts & definition, ways to influence behaviour © Steps of behaviour change © Techniques of behaviour change- Guiding principles in planning BCC activity © Steps of BCC © Social and Behaviour Change Communication strategies (SBCC)- techniques to collect social history from clients © Barriers to ene ‘communication, and methods to ‘overcome them © Health promotion and Health education- ‘methods/technique and audio-visual aids ° Lecture Discussion Role play Demonstration Supervised field practice ‘Workshop/Refer- BCC/SBCC module (MoHFW & USAID) © Short answers © Essay type ‘© Performance evaluation of health education sessions to individuals and families NOTE: To Environmental Studies Module by UGC is incorporated a1