ADULT HEALTH NURSING - II WITH INTEGRATED PATHOPHYSIOLOGY

INCLUDING GERIATRIC NURSING AND PALLIATIVE CARE MODULE

PLACEMENT: IV SEMESTER

THEORY: 7 Credits (140 hours)

PRACTICUM: Lab/Skill Lab (SL): 1 Credit (40 hours) Clinical: 6 Credits (480 hours)

DESCRIPTION: This course is designed to equip the students to review and apply their knowledge
of Anatomy, Physiology, Biochemistry and Behavioral sciences in caring for adult patients with
Medical/Surgical disorders using nursing process approach. It also intends to develop competencies
required for assessment, diagnosis, treatment, nursing management, and supportive/palliative and
rehabilitative care to adult patients with various Medical Surgical disorders.

COMPETENCIES: On completion of the course the students will apply nursing process and critical
thinking in delivering holistic nursing care with selected Medical and Surgical conditions.

At the completion of Adult Health Nursing II course, students will

1. Explain the etiology, pathophysiology, manifestations, diagnostic studies, treatments and

complications of selected common medical and surgical disorders.

2. Perform complete health assessment to establish a data base for providing quality patient care
and integrate the knowledge of diagnostic tests in the process of data collection.

3. Identify diagnoses, list them according to priority and formulate nursing care plan.

4. Perform nursing procedures skillfully and apply scientific principles while giving
comprehensive nursing care to patients.

5. Integrate knowledge of anatomy, physiology, pathology, nutrition and pharmacology in

caring for patients experiencing various medical and surgical disorders.

6. Identify common diagnostic measures related to the health problems with emphasis on
nursing assessment and responsibilities.

7. Demonstrate skill in assisting/performing diagnostic and therapeutic procedures.

8. Demonstrate competencies/skills to patients undergoing treatment for medical surgical

disorders.

9. Identify the drugs used in treating patients with selected medical surgical conditions.

10. Plan and provide relevant individual and group education on significant medical surgical
topics.

11. Maintain safe environment for patients and the health care personnel in the hospital.
 COURSEOUTLINE

T–Theory,L/SL –Lab/SkillLab

Uni Time LearningOutco Conte Teaching/ Assessm

t (Hrs) mes nt LearningA entMet
ctivities hods

I 12(T) Explain the Nursingmanagementofpatie Lecture  MCQ

etiology,pathophy ntwithdisorders of Ear, Nose anddiscuss
4(SL)  Shortanswe
siology,clinical and Throat(Includes etiology, ion r
manifestations,dia pathophysiology,clinical Demonstration  Essay
gnostic manifestations, ofhearing aids,
measuresand diagnosticmeasures and nasalpacking,  OSCE
medical, medical, medicationadmini
surgical,nutritiona surgical,nutritionalandnursing  Assessmen
stration t ofskill
l and management)
nursingmanageme Visittoaudiolog (usingchec
 Review of anatomy and klist)
nt ofpatients with yandspeechclini
physiology oftheear, noseand c
ENTdisorders  Quiz
throat
 History,physicalassessme  Drugbook
nt,anddiagnostictests
 Ear
 o External ear:
deformities otalgia,
foreign bodies and tumors
 o Middle ear: impacted
wax, tympanic, membrane
perforation, otitis media,
and tumors
 o Inner ear: Meniere‘s
disease, labyrinthitis,
ototoxicity tumors
 Upper respiratory airway
infections: Rhinitis,
sinusitis, tonsillitis,
laryngitis
 Epistaxis, Nasal
obstruction, laryngeal
obstruction
 Deafness and its
management

II 12 (T) Explain the Nursing management of Lecture  MCQ

4 (SL) etiology, patient with disorder of eye and
pathophysiology, discussion  ShortEssay
 clinical  Review of anatomy and Demonstration  OSCE
manifestations, physiology of the eye of visual aids,
diagnostic  Drugbook
History, physical lens,
measures and medication
management of assessment, diagnostic
assessment administration
patients with
disorders of eye Eye Disorders Visit to eye bank
 Refractive errors
Describe eye  Eyelids: infection, deformities
donation,  Conjunctiva:
banking and inflammation and
transplantation infection bleeding
 Cornea: inflammation and
infection
 Lens: cataract
 Glaucoma
 Retinal detachment
 Blindness

Eye donation,
banking and
transplantation
III 15 (T) Explain the Nursing management of  Lecture  MCQ
4 etiology, patient with Kidney and cum
(L/SL) pathophysiology, Urinary problems Discussio  ShortNote
clinical n  Longessay
manifestations,  Review of Anatomy and
physiology of the  Demonstration  Casereport
diagnostic tests,
and medical, genitourinary system  Case Discussion  Submits
surgical,  History, physical  Health healthteach
nutritional, and assessment, diagnostic education ing
nursing tests onpreventi
management of  Drug book
 Urinary tract infections: on
Kidney and
acute, chronic, lower,  Field visit – ofurinaryca
urinary system Visits lculi
upper
disorders hemodialysis
 Nephritis, nephrotic syndrome unit
 Renal calculi
Demonstrate skill
in genitourinary  Acute and chronic renal failure
assessment  Disorders of ureter, urinary
bladder and Urethra
 Disorders of prostate:
Prepare patient
for genitourinary inflammation, infection,
investigations stricture, obstruction, and
Benign Prostate
Hypertrophy
Prepare and
 provide health
education on
prevention of
renal calculi
IV 6 (T) Explain the Nursing management of Lecture,  Shortessay
etiology, disorders of male Discussion
pathophysiology, reproductive system
Case Discussion
clinical
manifestations,  Review of Anatomy and Health education
diagnostic tests, physiology of the male
and medical, reproductive system
surgical,  History, Physical
nutritional, and Assessment,
nursing Diagnostic tests
management of  Infections of testis, penis and
male adjacent structures: Phimosis,
reproductive Epididymitis, and
disorders Orchitis
 Sexual dysfunction,
infertility,contraception
 MaleBreastDisorders:gyneco
mastia,tumor, climacteric
changes
V 10 (T) Explain the Nursing management of Lecture  OSCE
4 (SL) etiology, patient with burns, and
pathophysiology, reconstructive and cosmetic discussion  Shortnotes
clinical surgery Demonstration of
manifestations,
burn wound
types, diagnostic  Review of anatomy and
physiology of the skin and assessment,
measures and
connective tissues vacuum dressing
management of
and fluid
patients with  History, physical
calculations
disorders of assessment, assessment
burns/cosmetic of burns and fluid & Visit to burn
surgeries and its electrolyte loss rehabilitation
significance centers
 Burns

 Reconstructive and cosmetic

surgery for burns, congenital
deformities, injuries and
cosmetic purposes, gender
reassignment
 Legal and ethical aspects
 Special therapies: LAD,
vacuumed dressing. Laser,
liposuction, skin health
rejuvenation, use of derma
filters
VI 16 (T) Explain the Nursing management of Lecture  OSCE
4 etiology, patient with neurological and
 Shortnotes
(L/SL) pathophysiology, disorders discussion
clinical  Essay
Demonstration of
manifestations,  Review of anatomy and  Drugbook
physiology of the physiotherapy,
diagnostic
neurological system neuro assessment,
measures and
tracheostomy care
management of  History, physical and
patients with neurological assessment, Visit to
neurological diagnostic tests rehabilitation
disorders center, long term
 Headache, Head injuries
care clinics, EEG,
 Spinal injuries: NCV study unit,
Paraplegia,
Hemiplegia,
Quadriplegia
 Spinal cord compression:
herniation of in vertebral disc
 Intra cranial and cerebral
aneurysms
 Meningitis,
encephalitis, brain,
abscess, neuro-
cysticercosis
 Movement disorders: Chorea,
Seizures & Epilepsies
 Cerebrovascular disorders:
CVA
 Cranial, spinal
neuropathies: Bell‘s palsy,
trigeminal neuralgia
 Peripheral Neuropathies
 Degenerative diseases:
Alzheimer‘s disease,
Parkinson‘s disease
 Guillain-Barré syndrome,
Myasthenia gravis &
Multiple sclerosis
 Rehabilitationofpatientwithne
urologicaldeficit
VII 12 (T) Explain the Nursing management of Lecture,
4 etiology, patients with Immunological discussion
(L/SL) pathophysiology, problems
Case
clinical
Discussion/
manifestations,  Review of Immune system
seminar
diagnostic tests,  Nursing Assessment:
and medical, History and Physical Refer Module
surgical, assessment on HIV/AIDS
nutritional, and
 HIV & AIDS:
nursing
Epidemiology,
management of
Transmission, Prevention
immunological
of Transmission and
disorders
management of
HIV/AIDS
Prepare and  Role of Nurse; Counseling,
provides health Health education and home
education on care consideration and
prevention of rehabilitation
HIV infection  National AIDS Control
and Program – NACO, various
rehabilitation national and international
agencies for infection
control
Describe the
national infection
control programs
VIII 12 (T) Explain the Nursing management of  Lecture  OSCE
4 etiology, patient with Oncological and  Essay
(L/SL) pathophysiology, conditions discussio
types, clinical n  Quiz
manifestations,  Structure and characteristics  Drugbook
of normal and cancer cells  Demonstratio
staging,
n of  Counseli
diagnostic  History, physically
chemotherap ng,health
measures and assessment, diagnostic
y preparation teaching
management of tests
and
patients with
 Prevention screening early administratio
different cancer,
detections warning sign of n
treatment
cancer
modalities  Visit to BMT,
including newer  Epidemiology, etiology radiotherapy
treatments classification, units (linear
Pathophysiology, staging accelerator,
clinical manifestations, brachytherapy,
diagnosis, treatment etc.), nuclear
modalities and medical and medicine unit
surgical nursing management
of Oncological condition
 Common malignancies of
various body system eye, ear,
nose, larynx, breast, cervix,
 ovary, uterus, sarcoma, renal,
bladder, kidney, prostate
Brain, Spinal cord.
 Oncological emergencies
 Modalities of treatment:
Chemotherapy,
Radiotherapy: Radiation
safety, AERB regulations,
Surgical intervention, Stem Completion
cell and bone marrow of palliative
transplant, Immunotherapy, care
Gene therapy module
duringclini
 Psychological aspects of cal hours
cancer: anxiety, depression, (20hours)
insomnia, anger
 Supportive care
Hospice care
IX 15(T) Explain the Nursing management of Lecture  OSCE
types,policies, patient anddiscuss  Case
4(L/SL
guidelines,preve inEmergencyandDisastersi ion presentatio
)
ntion tuations Demonstration nsandcases
andmanagement ofdisasterprepare tudy
DisasterNursing
ofdisaster and dness
theetiology,path  Conceptandprinciple
(Mockdrill)andtri
ophysiology,clini sofdisasternursing,R
aging
cal elatedPolicies
manifestations,di Filed visit to
 Typesofdisaster: localdisaster
agnostic Naturalandmanm
measuresand managementcente
ade rs or demo
management
ofpatients with  Disaster byfireextinguisher
acuteemergencie preparedness: s
s Team,guidelines, Group
protocols, presentation(role
equipment,resource play, skit,concept
s mapping)
 Etiology, ondifferent
classification,Pathoph emergencycare
ysiology, staging, ReferTraumaca
clinicalmanifestation, remanagement/
diagnosis, ATCNmodule
treatmentmodalities
and medical and Guided reading
surgicalnursingmanag onNational
ementofpatientwithme DisasterManage
dical and surgical mentAuthority(
emergencies –Poly NDMA)guidelin
trauma, Bites, es
Poisoning
 andThermalemergenci
es
 Principlesofemergencym
anagement
 Medicolegalaspects
X 10(T) Explain the Nursingcareoftheelderly  Lecture  OSCE
Concept,physiol anddiscu
 Historyandphysicalassessment  Case
ogical ssion presentatio
changes,and  Aging process and age-
 Demonstration ns
psychosocialpro related
ofcommunicatio
blemsof ageing bodychangesandpsychosoci  Assignmen
alaspects n withvisual ton
and
 Stressandcopinginelderpatient familysyst
hearingimpaire
Describe the ems
 Psychosocialandsexualab d
nursingmanage ofIndia
ment of useofelderly  Fieldvisittoolda focusingon
theelderly  Role of family and formal gehomes geriatricpo
and non-formalcaregivers pulation
 Useofaidsandprosthesis(he
aringaids,dentures)
 Legalandethicalissues
 National programs for
elderly,privileges,communit
yprogramsandhealthservices
 Homeandinstitutionalcare
XI 15(T) Explain the Nursingmanagementofpati  Lecture  Objectivety
etiology,pathoph entsincriticalCareunits anddiscu pe
8(L/SL
ysiology,clinical ssion
)  Shortnotes
manifestations,di  Principlesofcriticalcarenursing  Demonstration
agnostic  Case
 Organization:physicalset- onthe use presentatio
measuresand up,policies,staffingnorms ofmechanicalv ns
management entilators, Assess
 Protocols,equipmentandsuppli
ofpatients in cardiacmonito ment
es
critical careunits rsetc. ofskill
 Use and application of
critical carebiomedical  Clinicalpracticei onmoni
equipment: n differentICUs toringof
ventilators,cardiac patients
monitors, inICU.
defibrillators,infusion  Writtenassi
pump, gnment
Resuscitationequipmentan onethical
d anyother andlegal
 AdvancedCardiacLifesupport issues
incriticalca
 Nursingmanagementofcritic re
allyillpatient
 Transitionalcare
  EthicalandLegalAspects
 BreakingBadNewstoPatientsa
nd/ortheir families:
Communication
withpatientand family
 Endoflifecare

XII 5(T) Describe the Nursing management of  Lecture  Assignmen

etiology,pathoph patientsoccupationalandindu anddiscu ton
ysiology,clinical strialdisorders ssion industrialh
manifestations,di  History,physicalexamin  Industrialvisit ealthhazar
agnostic ation,Diagnostictests ds
measuresand
management  Occupationaldisease
ofpatients sandmanagement
withoccupationa
l/industrial
healthdisorders
DISTRIBUTION OF TEACHING HOURS

STRATEGY Teaching hours

Didactic Lectures 140

Clinical/Field practice 424 480

Non didactic Tutorials 10

Integrated Teaching 06
Program/MPBL

Palliative care module 40

Skill lab 40(1credit) 40

Total 660Hrs.

TOPICS & OUTCOMES

Subject Number of Themes Number of outcomes

ADULT HEALTH NURSING - II 12 80

WITH INTEGRATED
PATHOPHYSIOLOGY
INCLUDING GERIATRIC
NURSING AND PALLIATIVE
CARE MODULE
 DISTRIBUTION OF THEORY HOURS

S. N Theme Topics Teaching hrs.

1 Nursing management of patient with Nursingmanagementofpatientwithdisorders 12

disorders of Ear, Nose and Throat of Ear, Nose and Throat

2 Nursing management of patient with Nursing management of patient with 12

disorder of eye disorder of eye

3 NursingmanagementofpatientwithKid NursingmanagementofpatientwithKidne 15
neyandUrinaryproblems yandUrinaryproblems
4 Nursingmanagementofdisordersofmal Nursingmanagementofdisordersofmaler 6
ereproductive system eproductive system
5 Nursingmanagementofpatientwithbur Nursingmanagementofpatientwithburns, 10
ns, reconstructive and reconstructive and cosmeticsurgery
cosmeticsurgery
6 Nursingmanagementofpatientwithneu Nursingmanagementofpatientwithneurol 16
rologicaldisorders ogicaldisorders
7 NursingmanagementofpatientswithIm NursingmanagementofpatientswithImmu 12
munological problems nological problems
8 NursingmanagementofpatientwithOn NursingmanagementofpatientwithOncol 12
cologicalconditions ogicalconditions
9 Nursing management of patient Nursing management of patient 15
inEmergencyandDisastersituations inEmergencyandDisastersituations
10 Nursingcareoftheelderly Nursingcareoftheelderly 10
11 15
Nursingmanagementofpatientsincriti Nursingmanagementofpatientsincritica
calCareunits lCareunits
12 Nursing management of Nursing management of 5
patientsoccupationalandindustrialdiso patientsoccupationalandindustrialdisorde
rders rs

TOTAL
140 Hours
 ADULT HEALTH NURSING - II WITH INTEGRATED PATHOPHYSIOLOGY INCLUDING GERIATRIC NURSING AND PALLIATIVE CARE
MODULE

Theme and total Objectives Topic Code Competency core competency Non core
hours allotted No competency
Must Know (60% Desirable to Know Nice to Know
(30% (10%)
UNIT : I At the end o unit Nursing N-AHN Review of 1 hour
students are able (II) Describe anatomy and physiology of anatomy and
management of
Nursing to: 225: ear, nose and throat. physiology of the
patient with
management of Knowledge: IV ear, nose and
patient with disorders of Ear, SEM1.1
disorders of Ear,
Describe the Nose and Throat throat
Nose and Throat etiology, N-AHN History, physical 1hour
(T)12hrs pathopyhsiology (II) Describe history, physical assessment assessment, and
, clinical 225: and diagnostic tests of ENT. diagnostic tests
manifestations, IV
diagnostic SEM1.2
measures and N-AHN External ear: 2hours
management of (II) Explain external ear disorders and deformities otalgia,
patients with 225: middle ear disorders foreign bodies and
disorders of Ear, IV tumors
Nose and throat. SEM1.3
Middle ear:
Skill: Identify impacted wax,
the clients with tympanic,
diseases of ear, membrane
nose and throat perforation, otitis
and render need media, and tumors
based care to N-AHN Inner ear:
them. (II) Explain internal ear disorders and Meniere‘s disease,
Attitude: Takes 225: upper respiratory infections labyrinthitis, 3hours
initiative to IV ototoxicity tumors.
prevent SEM1.4
Upper respiratory
complications airway infections:
and disabilities Rhinitis, sinusitis,
related to tonsillitis,
diseases of ear, laryngitis
nose and throat.
N-AHN Epistaxis, Nasal 4hours
(II) Explain the upper respiratory airway obstruction, laryngeal
225: disorder. obstruction
 IV
SEM1.5
N-AHN Deafness and
(II) Describe deafness and its management. its 1 hour
225: management
IV
SEM1.6
UNIT : II At the end o unit Nursing N-AHN Review of 1 hour
students are able (II) Explain anatomy and physiology of anatomy and
Nursing to: management 225: eye. physiology of the
management of Knowledge: of patient IV eye
SEM2.1
patient with Describe the with
disorders of Eye: etiology, disorders of N-AHN History, physical 2 hours
(II) Explain history, physical assessment, assessment,
pathopyhsiology Eye: and diagnostic assessment of eye.
, clinical 225: diagnostic
IV assessment
manifestations, SEM2.2
diagnostic N-AHN Explain refractive errors, eyelids and 2hours
measures and Refractive errors
(II) conjunctival disorders. Eyelids: infection,
management of 225:
patients with deformities
IV Conjunctiva:
disorders of eye. SEM2.3
Skill: Identify inflammation and
the eye disorders infection bleeding
among clients N-AHN Explain disorders of cornea and lens. Cornea: 2hours
and take (II) inflammation and
appropriate 225: infection
measures to treat IV Lens: cataract
SEM2.4
them promptly. Glaucoma
Attitude: Retinal detachment
Participate in the N-AHN Explain the eye donation. Eye donation 2hours
programmes for (II)
prevention of 225:
blindness and IV
educate people SEM2.5
about care of N-AHN Explain the eye banking and Eye banking and 2hours
eye. (II) transplantation. transplantation.
225:
IV
SEM2.6
N-AHN Explain Blindness and its management. Blindness 1hour
(II)
225:
IV
SEM2.7
UNIT : III At the end of Nursing N-AHN Describe the history, physical History, physical 1hour
unit students are (II) assessment and diagnostic tests of assessment, diagnostic
Nursing able to management 225: tests
urinary problems.
management of Knowledge: of patient IV SEM
3.1
patient with Understand and with Kidney
Kidney and describe the and Urinary
Urinary problems signs and problems
symptoms of N-AHN Describe the urinary tract infections. Urinary tract 2hours
(II)
client with 225: infections: acute,
genito urinary IV SEM chronic, lower,
tract disorders 3.2
and plan need upper
based nursing Renal calculi
care. N-AHN Describe the acute and chronic Acute and chronic 2hours
Skill: Acquire (II) renal failure
proficiency in 225:
planning and IV SEM
providing 3.3
comprehensive N-AHN Describe the disorders of ureter, Disorders of ureter, 2hours
care to the client (II) urinary bladder and urethra.
with genito 225: urinary bladder
urinary IV SEM and Urethra
3.4
disorders.
Attitude: N-AHN Describe the disorders of prostate Disorders of 2hours
Appreciate the (II) prostate:
psychological 225: inflammation,
feelings of the IV SEM infection,
3.5
client and obstruction, and
relatives. Benign Prostate
Hypertrophy
N-AHN Explain the review of anatomy and Review of Anatomy 2hours
(II) physiology of the genitourinary
225: and physiology of the
system.
IV SEM genitourinary system.
3.6
N-AHN Explain the nephritis and stricture. Nephritis and 2hours
(II) stricture.
225:
IV SEM
3.7
N-AHN Describe the nephrotic syndrome. Nephrotic 2 hour
(II) syndrome.
225:
IV SEM
3.8
UNIT : IV At the end of unit Nursing N-AHN Explain the history, physical History, Physical 1hour
the students are (II)
Nursing management 225: assessment, diagnostic test. Assessment,
able to
management of Knowledge: of disorders IV SEM Diagnostic test
4.1
disorders of male Understand and of male
reproductive explain the reproductive
system pathophysiology, system
signs and N-AHN Describe the infections of testis, penis Infections of testis, 1hour
(II) and adjacent structures, phimosis , penis and adjacent
symptoms and 225:
medical and epididymitis. structures:
IV SEM Phimosis,
nursing 4.2
management of Epididymitis,
patient with N-AHN Explain the infertility and Infertility,
reproductive (II) 1hour
225: contraception. contraception
system.
Skill: Assess the IV SEM
4.3
client and plan
and implement N-AHN Describe the review of Anatomy and Review of Anatomy 1hour
the nursing care. (II) physiology of the male reproductive
225: and physiology of the
Attitude: IV SEM
system.
male reproductive
Understanding 4.4
the feeling of the system
patients with N-AHN Describe male breast disorder. Male Breast 1hour
congenital (II) Disorders:
anomalies and 225: gynecomastia, tumor,
sexual IV SEM climacteric changes
dysfunction. 4.5
N-AHN Explain the Orchitis and Sexual Orchitis 1hour
(II) 225: dysfunction.
IV SEM Sexual
4.6 dysfunction,
UNIT : V At the end o unit Nursing N-AHN Describe the review of anatomy and Review of 1hour
students are able (II) physiology of the skin and connective anatomy and
Nursing to: Management 225: physiology of the
tissues
Management of Knowledge: of Patients IV SEM skin and
5.1
Patients with Describe the with Burns, connective tissues
Burns, pathopyhsiology Reconstructiv N-AHN Describe the history, physical History, physical 1hour
Reconstructive , clinical e and (II) assessment, assessment of burns and assessment,
and Cosmetic manifestations, 225: assessment of
Surgery: Cosmetic fluid & electrolyte loss.
diagnostic IV SEM burns and fluid &
measures and Surgery: 5.2
electrolyte loss
nursing
management of N-AHN Describe the burn. Burns 2hours
patients with (II)
burns, 225:
IV SEM
reconstructive 5.3
 and cosmetic N-AHN Describe the reconstructive and Reconstructive and 2hours
surgery. (II) cosmetic surgery for burns and
225: cosmetic surgery
Skill: Calculate cosmetic purposes, gender reassign of
the degree of IV SEM
burn .
for burns and
5.4
burns and render cosmetic purposes,
aseptic nursing gender reassign.
care to the
clients in acute N-AHN Explain the special therapies of burn. Special therapies: 3hours
(II) LAD, vacuumed
phase and 225:
restorative care dressing. Laser,
IV SEM liposuction, skin
in recovery 5.5
phase. health rejuvenation,
Attitude: use of derma filters.
prevent N-AHN Describe the legal and ethical aspects. Legal and ½ hour
contractures and (II)
other disabilities 225: ethical
in clients with IV SEM aspects
burns. 5.6
N-AHN Explain the congenital deformities, congenital ½ hour
(II) injuries of burn.
225: deformities,
IV SEM injuries
5.7
UNIT : VI At the end of Nursing N-AHN Explain the review of anatomy and Review of 1hour
unit student are (II) physiology of the neurological system. anatomy and
Nursing able to: management 225: physiology of the
management of Knowledge: of patient IV SEM neurological
6.1
patient with Explain the with system
Neurological etiology, Neurological N-AHN Describe the history, physical and History, physical 1 hour
Disorders: pathophysiology Disorders: (II) neurological assessment, and and neurological
, clinical 225: diagnostic tests. assessment,
manifestations, IV SEM diagnostic tests.
diagnostic 6.2
measures and N-AHN Explain the headache and head Headache, Head 1hour
nursing (II) injuries. injuries
management of 225:
patients with IV SEM
neurological 6.3
disorders. N-AHN Explain the spinal injuries and spinal Spinal injuries: 1hour
Skill: Recognize (II) cord compression. Paraplegia,
clients with 225: Hemiplegia,
neurological IV SEM Quadriplegia
6.4
disorders and Spinal cord
render prompt compression:
comprehensive herniation of in
vertebral disc
 care to clients in N-AHN Describe the meningitis, encephalitis, Meningitis, 1 hour
all clinical (II) 225: brain abscess and neuro-cysticercosis encephalitis, brain,
IV SEM
settings and 6.5 abscess, neuro-
rehabilitation cysticercosis.
homes. N-AHN Explain movement disorders and Movement 1hour
Attitude : (II) cerebrovascular disorders. disorders: Chorea,
participate in 225: Seizures &
health awareness IV SEM Epilepsies
campaigns e.g. 6.6
Cerebrovascular
road safty to disorders: CVA
prevent
accidents and N-AHN Explain guillain barre syndrome, Guillain-Barré 2hours
head injury and (II) myasthenia gravis and multiple syndrome,
spinal cord 225: sclerosis. Myasthenia gravis
injuries. IV SEM & Multiple
6.7
sclerosis
N-AHN Describe the degenerative disease. Degenerative 2hours
(II) diseases:
225: Alzheimer‘s
IV SEM disease,
6.8
Parkinson‘s
disease
N-AHN Explain the cranial and spinal Cranial, spinal 2hours
(II) neuropathies. neuropathies: Bell‘s
225: palsy, trigeminal
IV SEM neuralgia
6.9
N-AHN Describe the peripheral neuropathies. Peripheral 1hour
(II) Neuropathies
225:
IV SEM
6.10
N-AHN Describe the rehabilitation of Rehabilitation of 1 hour
(II) patient with neurological deficit. patient with
225: neurological deficit
IV SEM
6.11
N-AHN Explain the intra cranial and cerebral Intra cranial 2hours
(II) aneurysms and cerebral
225: aneurysms
IV SEM
6.12
UNIT : VII At the end of the Nursing N-AHN Explain the HIV and AIDS. HIV & AIDS: 4hours
unit students are management (II) Epidemiology,
able to 225: Transmission,
Nursing Knowledge:Desc of patients IV SEM Prevention of
management of ribe the etiology, with 7.1 Transmission and
patients with pathopyhsiology, Immunologic management of
Immunological clinical HIV/AIDS
problems manifestations al problems
N-AHN Describe the role of nurse in HIV and Role of Nurse; 3hours
diagnostic (II) AIDS. Counseling, Health
measures and 225: education and
management of IV SEM home care
patients (adults 7.2
consideration and
including elderly) rehabilitation
with disorders of
immunological N-AHN Explain the review of immune system. Review of Immune 2hours
systems. (II) system
225:
IV SEM
Skill: Identify 7.3
the patients with N-AHN Explain the nursing assessment history Nursing Assessment: 2hours
immunological (II) History and Physical
disorders and and physical assessment.
225: assessment
render effective IV SEM
care to 7.4
immunologically N-AHN Explain national AIDS Control National 1hour
compromised (II) Program. AIDS Control
patients. 225: Program –
IV SEM NACO,
Attitude: Be 7.5
various
sensitive to the national and
international
agencies for
infection
control
UNIT : VIII At the end o unit Nursing N-AHN Explain the structure and Structure & 1hour
students are able management (II) characteristics of normal cancer cells. characteristics of
normal cancer cells.
Nursing to: of Patients 225:
management of Knowledge: with IV SEM
8.1
Patients with Describe the Oncological
Oncological etiology, Conditions: N-AHN Explain the history, physically History, physically 1hour
Conditions: pathopyhsiology (II) assessment, diagnostic tests and assessment,
, clinical 225: prevention screening early detections diagnostic tests
IV SEM Prevention
manifestations, 8.2 warning sign of cancer.
diagnostic screening early
measures and detections warning
sign of cancer
nursing N-AHN Explain the collaborative management Epidemiology, 1hour
management of (II) of ontological condition. etiology
patients with 225: classification,
cancer. IV SEM Pathophysiology,
8.3
Skill:Indentify staging clinical
and intervene manifestations,
cancer in early diagnosis,
stages and treatment
provide modalities and
comprehensive medical and
care to the surgical nursing
clients suffering management of
from cancer. Oncological
Attitude: Create condition.
awareness about N-AHN Explain the collaborative management Common 2hours
early detection (II) of common malignancies of various malignancies of
and treatment of 225: body systems. various body
various cancers IV SEM system eye, ear,
among masses. 8.4
nose, larynx,
Educate people breast, cervix,
about healthy ovary, uterus,
habits and life sarcoma, renal,
styles. bladder, kidney,
prostate Brain,
Spinal cord.
N-AHN Explain immunotherapy, chemotherapy Modalities of 1 hour
(II) and radiotherapy. treatment:
225: Chemotherapy,
IV SEM Radiotherapy:
8.5
Radiation safety,
AERB regulations,
N-AHN Describe the Surgical intervention, Surgical 1 hour
(II) Stem cell and bone marrow transplant, intervention, Stem
225: Immunotherapy, Gene therapy cell and bone
IV SEM marrow transplant,
8.6
Immunotherapy,
Gene therapy
N-AHN Describe the psychological aspects of Psychological aspects 2hours
(II) cancer.
225: of cancer: anxiety,
IV SEM depression, insomnia,
8.7
anger
N-AHN Describe the oncological emergencies. Oncological 2hours
(II) emergencies.
 225:
IV SEM
8.8
N-AHN Describe the supportive care and Supportive 1hour
(II) hospice care. care
225: Hospice care
IV SEM
8.9
UNIT : IX At the end o unit Nursing N-AHN Describe the concept and principles of Concept and 3hours
students are able Management (II) disaster nursing, Related Policies principles of
to: Patient in 225: disaster nursing,
Nursing Knowledge: Emergency IV SEM Related Policies
9.1
Management Describe and Disaster
Patient in organization of Situations: N-AHN Explain the types of disaster. Types of disaster: 3hours
Emergency and emergency and (II) Natural and
Disaster disaster care 225: manmade
IV SEM
Situations: services. 9.2
Understand the N-AHN Explain the medical and surgical 4hours
role of nurse in Etiology,
(II) emergencies. classification,
disaster 225:
management. Pathophysiology,
IV SEM staging, clinical
Explain the role 9.3
of nurse in manifestation,
managing diagnosis,
common treatment
emergencies. modalities and
Skill: Develop medical and
competence in surgical nursing
disaster management of
management and patient with
caring for client medical and
during surgical
emergency emergencies –
situations. Poly trauma, Bites,
Attitude: Learn Poisoning and
to identify Thermal
disaster emergencies
potentials and N-AHN Explain the principles of emergency Principles of 2hours
take preventive (II) management. emergency
measures as far 225: management.
as possible. IV SEM
9.4
N-AHN Describe the disaster preparedness. Disaster 2hours
(II)
225: preparedness: Team,
IV SEM guidelines, protocols,
9.5
 equipment, resources
N-AHN Explain the medico legal aspect of Medico legal 1hour
(II) disaster management. aspects
225:
IV SEM
9.6
UNIT : X At the end o unit Nursing Care N-AHN Explain the history and physical History and 2hours
students are able of the (II) assessment and aging process physical
Nursing Care of to: Elderly: 225: and age-related body changes assessment
the Elderly: Knowledge: IV SEM and psychosocial aspects.
10.1
Explain the Aging process and
concept and age-related body
problems of changes and
aging. psychosocial
Skill: Identify aspects
the problems of N-AHN Explain the stress and coping in Stress and coping 2hours
elderly and (II) elder patient and psychosocial in elder patient
intervene 225: and sexual abuse of elderly. Psychosocial and
promptly to IV SEM sexual abuse of
prevent 10.2
elderly
deterioration and
discomfort. N-AHN Describe the role of family and formal Role of family and 2hours
Attitude: (II) and non- formal caregivers. formal and non-
Volunteer to 225: formal caregivers
IV SEM
serve the elderly. 10.3
N-AHN Explain the legal and ethical issues Legal and ethical 2hours
(II) and national programs for
225: issues.
elderly, privileges, community
IV SEM programs and health services. National programs
10.4
for elderly,
privileges,
community programs
and health services
N-AHN Explain the use of aids and Use of aids and 1hour
(II) prosthesis (hearing aids, prosthesis (hearing
225: dentures) aids, dentures)
IV SEM
10.5
N-AHN Describe the home and Home and 1hour
(II) institutional care. institutional
225: care.
IV SEM
10.6
UNIT : XI Nursing N-AHN Describe the use and application of Use and 3hours
Management (II) critical care biomedical equipments application of
of Patient in 225: critical care
Nursing Critical care IV SEM biomedical
11.1
Management of Unit: equipment:
Patient in Critical ventilators, cardiac
care Unit: monitors,
defibrillators,
infusion pump,
Resuscitation
equipment and any
other
N-AHN Explain the advance cardiac life Advanced Cardiac 3hours
(II) support. Life support
225:
IV SEM
11.2
N-AHN Describe the nursing management of Nursing 3hours
(II) critically ill patient and transitional management of
225: care.
critically ill patient
IV SEM Transitional care
11.3
N-AHN Explain the ethical and legal aspects of Ethical and Legal 2hours
(II) critical care unit. Aspects
225:
IV SEM
11.4
N-AHN Describe the breaking Bad News Breaking Bad News 3hours
(II) to Patients and/or their families.
225: to Patients and/or
IV SEM their families:
11.5
Communication with
patient and family
N-AHN Explain the end of life care. End of life 1hours
(II) care
225:
IV SEM
11.6
UNIT : XII At the end o unit Nursing N-AHN Explain the occupational diseases and Occupational 3hours
students are able management (II) management. diseases and
Nursing to: of patients 225: management
management of Knowledge: elderly IV SEM
12.1
patients Describe Occupational
Occupational and etiology, and N-AHN Describe diagnostic tests. Diagnostic tests 1hours
Industrial pathophysiology Industrial (II)
disorders: , clinical disorders: 225:
manifestations, IV SEM
assessment, 12.2
diagnostic N-AHN Describe the history and physical History, 1hour
measures and (II) examination. physical
management of 225: examination,
patients with IV SEM
12.3
occupational and
industrial health
disorders.
Skill: Identify
various
industrial
disorders among
employees of
different
vocations and
render effective
care to them.
Attitude:
Participate in
safety
awareness. .
CLINICAL PRACTICUM

CLINICAL PRACTICUM: 6 Credits (480 Hours) – 20 weeks × 24 hours

PRACTICE COMPETENCIES: On completion of the clinical practicum, the students will

develop proficiency in applying nursing process and critical thinking in rendering holistic
nursing care including rehabilitation to the adult/geriatric patients admitted in Critical Care
Units, undergoing cosmetic and reconstructive surgery and with selected medical & surgical
disorders of ear, nose, throat, eye, Genitourinary, reproductive, immunologic, nervous
systems and in emergency/disaster conditions.

The students will be competent to

1. Utilize the nursing process in providing care to the sick adults in the hospital

a. Perform complete health assessment to establish a data base for providing quality
patient care.

b. Integrate the knowledge of diagnostic tests in patient assignment.

c. Identify nursing diagnoses and list them according to priority.

d. Formulate nursing care plan, using problem solving approach.

e. Apply scientific principles while giving nursing care to patients.

f. Develop skill in performing nursing procedures applying scientific principle.

g. Establish/develop interpersonal relationship with patients and family members.

h. Evaluate the expected outcomes and modify the plan according to the patient needs.

2. Provide comfort and safety to adult patients in the hospital.

3. Maintain safe environment for patients during hospitalization.

4. Explain nursing actions appropriately to the patients and family members.

5. Ensure patient safety while providing nursing procedures.

6. Assess the educational needs of the patient and their family related to medical and
surgical disorders and provide appropriate health education to patients.

7. Provide pre, intra and post-operative care to patients undergoing surgery.

8. Integrate knowledge of pathology, nutrition and pharmacology for patients

experiencing selected medical and surgical disorders.

9. Integrate evidence-based information while giving nursing care to patients.

10. Demonstrate the awareness of legal and ethical issues in nursing practice.
 I. NursingManagementofPatientswithENTDisorders
A. SkillLab
Useofmanikinsandsimulators

 Tracheostomycare
 InstillingEarandNasalmedications
 Bandageapplication
B. ClinicalPostings

Clinical Duration Learning Procedural ClinicalRe Assessment

area/unit (weeks) Outcomes Competencies/Clini quirements Methods
calSkills
ENT 2 Provide  Examinationofear,nose,throatandHi  ENTassessment  Clinicalev
WardandO careto story taking –1 aluation
PD patientswith
ENTdisorde  ApplyingbandagestoEar,Nose  Case  OSCE
rs study/Clinicalp
 Tracheostomycare resentation–1  Case
reportstudy/
 Preparationofpatient,assistingandm Clinicalpres
Educate onitoring of patients entation
thepatients undergoingdiagnosticprocedures
andtheirfami o Auditoryscreeningtests
lies
o Audiometrictests
 Preparing the patient and assisting
inspecialprocedureslikeAnterior/posterior
nasalpacking,EarPackingandSyringing
 Preparation and after care of
patientsundergoingENTsurgicalproc
edures
 Instillationofdrops/medication

II. Nursing Management of Patients with Eye Conditions

A. Skill Lab
Use of manikins and simulators
 Instilling Eye medications
 Eye irrigation
 Eye bandage
B. Clinical Postings
Clinical Duration Learning Procedural Competencies/ Clinical Clinical Assessment
area/unit (weeks) Outcomes Skills Requirements Methods
Ophthalmology 2 Develop skill  History taking, Examination of eyes  Eye assessment –  Clinical
unit in providing and interpretation 1 evaluation
care to  Assisting procedures  Health teaching  OSCE
patients with o Visual acuity  Case study/  Clinical
Eye disorders o Fundoscopy, retinoscopy, Clinical presentation
ophthalmoscopy, tonometry, Presentation– 1
o Refraction tests
Educate the o Pre and post-operative care
patients and o Instillation of drops/ medication
 their families o Eye irrigation
o Application of eye bandage
o Assisting with foreign body
removal

III. Nursing Management of Patients with Kidney and Urinary System Disorders
A. Skill Lab
Use of manikins and simulators
 Assessment: kidney & urinary system
 Preparation: dialysis
 Catheterization and care
B. Clinical Postings

Clinical Duration Learning Procedural Competencies/ Clinical Clinical Assessment

area/unit (weeks) Outcomes Skills Requirements Methods
Renal ward/ 2  Develop skill Assessment of kidney and  Assessment – 1  Clinical
nephrology in urinary system  Drug evaluation
ward Management o History taking presentation  Care plan
including of patients o Physical examination –1  OSCE
Dialysis unit with urinary, o Testicular self-examination  Care study/  Quiz
male o digital rectal exam Clinical  Drug
 reproductive Preparation and assisting with presentation – 1 presentation
problems diagnostic and therapeutic procedures  Preparing and
o Cystoscopy, Cystometrogram, assisting in
o Contrast studies: IVP etc. hemodialysis
o Peritoneal dialysis
o Hemodialysis,
o Lithotripsy
o Specific tests: Semen analysis,
gonorreoea test, Renal/ Prostate
Biopsy etc.
 Catheterization: care
 Bladder irrigation
 I/O recording and monitoring
 Ambulation and exercise

IV. Nursing Management of Patients with Burns and Reconstructive Surgery

A. Skill Lab
Use of manikins and simulators
• Assessment of burns wound
• Wound dressing
B. ClinicalPostings
 Clinical Duration LearningOutcomes Procedural ClinicalRe Assessment
area/unit (weeks) Competencies/Clini quirements Methods
calSkills
Burns 2 Developskillinburnsa  Assessmentofburns  burn  Clinicalev
unit/reconstru ssessment woundassessm aluation,
ctivesurgicalu andproviding care  Firstaidofburns ent–1
 Care
nit topatients with  Fluid &  care study/case
differenttypesof burns electrolytereplacem study/caseprese report
enttherapy ntation–1
Develop skill  Skincare
inproviding care  CareofBurnwounds
topatients with
differenttypes of  Bathing
cosmetic
andreconstructivesurger  Dressing
ies  Pre-operative and post-
operativecareofpatients
 Caringofskingraftandpostco
smeticsurgery
 Rehabilitation

V. NursingManagementofPatientswithneurologicaldisorders
A. SkillLab
Useofmanikinsandsimulators
 Rangeofmotionexercises
 Musclestrengtheningexercises
 Crutchwalking

B. ClinicalPostings

Clinical Duration Learning Procedural Competencies/ ClinicalRe Assessment

area/unit (weeks) Outcomes ClinicalSkills quirements Methods
Neurology- 3 Developskilli  Historytaking;Neurological  Clinicalev
medical/ nManageme Examination neuro- aluation
ntof assessment
patientswith  Patientmonitoring  Neuroasse
Surgery
–1
wards ssment
Neurological  Prepare and assist for various
problems  Case study/
invasiveand non-invasive casepresentation  OSCE
diagnosticprocedures –1  Case
 Rangeofmotionexercises,musclestr  Drug report/presen
engthening presentation–1 tations
 Careofmedical,surgicalandre
habilitativepatients

VI. Nursing Management of Patients with Immunological Disorders

A. Skill Lab
• Barrier Nursing
• Reverse Barrier Nursing
B. ClinicalPostings

Clinical Duration Learning Procedural Competencies/ ClinicalRe Assessment

area/unit (weeks) Outcomes ClinicalSkills quirements Methods
 Isolation 1 Developskillint  Historytaking  Assessment  Carenote
ward/M heManagement ofimmunestat
edicalwa ofpatients  Immunological status assessment us  Quiz
rd withimmunolog (e.g.HIV) and Interpretation of  HealthTe
icaldisorders specifictests  Teaching
ofisolation to aching
 Caringofpatientswithlowimmunity patientand family
 Practicingofstandardsafetymeasures,pr caregivers
ecautions/barrier  Nutritional
nursing/reversebarrier/isolation skills management
 CareNote–1

VII. NursingManagementofPatientswithdisordersofOncologicalconditions
A. SkillLab
Useofmanikinsandsimulators

 Applicationoftopicalmedication
 Administrationofchemotherapy
B. ClinicalPostings
Clinical Duration Learning ProceduralCompetencies/ClinicalS ClinicalRe Assessment
area/unit (weeks) Outcomes kills quirements Methods
Oncologywa 3 Developskilli  Historytaking&physicalexaminationof  Assessment–1  Clinicalev
rds(includin n cancer patients aluation
gday providingcar  Care
careradiothe e topatients  Screeningforcommoncancers:TNMcla study/clinicalpr  Carestudy
ssification esentation–1
rapyunit) withoncologi  Quiz
caldisorders  Preparation,assistingandaftercarepat  Pre and post-
ients undergoing operative care  Drugbook
diagnosticprocedures ofpatient
withvariousmod
 Biopsies/FNAC esof
 Papsmear cancertreatment

 Bone-marrowaspiration  Teaching
onBSEtofamil
 Variousmodalitiesoftreatment ymembers
 Chemotherapy  Visit
 Radiotherapy topalliative
careunit
 Painmanagement
 Stomatherapy
 Hormonaltherapy
 Immunotherapy
 Genetherapy
 Alternative therapy
 Stomacareandfeeding
 Caringofpatientstreatedwithnuclearme
dicine
 Rehabilitation

VIII. Nursing Management of Patients in emergency conditions

A. Skill Lab
Use of manikins and simulators
 Assessment: primary and secondary survey
  Trauma care: bandaging, wound care, splinting, positions
B. Clinical Postings

Clinical Duration Learning Procedural Competencies/ Clinical Clinical Assessment

area/unit (weeks) Outcomes Skills Requirements Methods
Emergency 2 Develop skill  Practicing ‗triage‘  Triage  Clinical
room/ in providing  Primary and secondary survey in  Immediate care evaluation
Emergency care to emergency  Use of  Quiz
unit patients with  Examination, investigations & their emergency
emergency interpretations, in emergency & trolley
health disaster situations
problems  Emergency care of medical and
traumatic injury patients
 Documentations, assisting in legal
procedures in emergency unit
 Managing crowd
 Counseling the patient and family in
dealing with grieving & bereavement

IX. Nursing Management of geriatric patients

A. Skill Lab
Use of manikins and simulators
 Use of assistive safety devices
B. Clinical Postings

Clinical Duration Learning Procedural Clinical Requirements Assessment

area/unit (weeks) Outcomes Competencies/ Methods
Clinical Skills
Geriatric 1 Develops skill in  History taking  Geriatric assessment – 1  Clinical
ward geriatric assessment and assessment  Care of normal and geriatric evaluation
and providing care of Geriatric patient with illness  Care plan
to patients with patient  Fall risk assessment – 1
geriatric illness  Functional status assessment – 1

X. NursingManagementofPatientsincriticalcareunits
A. SkillLab
Useofmanikinsandsimulators

 Assessmentcriticallyill
 ETtubesetup–suction
 TTsuction
 Ventilatorsetup
  Chestdrainage
 Bagmaskventilation
 Central&Peripheralline
Pacemaker
B. ClinicalPostings

Clinical Duration Learning ProceduralCompetencies/ClinicalSkills ClinicalRe Assessment

area/unit (weeks) Outcomes quirements Methods
CriticalC 2 Develop  Assessmentofcriticallyillpatients  Hemodynamic  Clinicalev
areUnit skillin monitoring aluation
 Assisting in arterial puncture, ET
assessmentof
critically
tubeintubation&extubation  Different  OSCE
illand  ABG analysis & interpretation - scalesusedin
ICU  RASS
providingcare respiratoryacidosis,respiratoryalkalosis, scaleassess
topatients metabolicacidosis,metabolicalkalosis  Communicating ment
withcritical
 Setting up of Ventilator modes with critically
 Use of
healthconditio illpatients
andsettingsandcareof patientonaventilator VAEbundle
ns
 Setupoftrolleywithinstruments VAP,CAUT
I,BSI
 MonitoringandmaintenanceofChestdr
ainagesystem  Case
 Bagandmaskventilation Presentation

 AssistingandmaintenanceofCentralandpe
ripherallines invasive
 Settingupofinfusionpump,defibrillator,
 Drugadministration-
infusion,intracardic,intrathecal,epidural,
 Monitoringpacemaker
 ICUcarebundle
 ManagementofthedyingpatientintheIC
U

Distribution of Non didactic hours (480 + 40= 520)

Practical: 480Hrs
SR Comp. no Competency Domain T-L Method Teaching
NO Hrs
1. N-AHN (II) 225: Examine of ear, nose, throat and History K,S,A Small group 6hours
IV SEM1.2 taking discussion
2. N-AHN (II) 225: Applying bandages to Ear, Nose K,S Small group 6hours
IV SEM1.2 discussion
3. N-AHN (II) 225: Describe tracheostomy care K,S,A Small group 6hours
IV SEM1.2 discussion
4. Preparation of patient, assisting and K,S Small group 6hours
N-AHN (II) 225:
monitoring of patients undergoing discussion
IV SEM1.2
diagnostic procedures
5. N-AHN (II) 225: Explain the Auditory screening tests and o K,S Small group 6hours
IV SEM1.2 Audiometric tests discussion
6. Preparing the patient and assisting in K,S,A Small group 6hours
N-AHN (II) 225:
special procedures like Anterior/ posterior discussion
IV SEM1.2
nasal packing, Ear Packing and Syringing
7. N-AHN (II) 225: Preparation and after care of patients K,S Small group 6hours
IV SEM1.2 undergoing ENT surgical procedures discussion
8. N-AHN (II) 225: Instillationofdrops/medication K,S Small group 6hours
IV SEM1.2 discussion
9. N-AHN (II) 225:  Historytaking,Examinationofeyesandinte K,S Small group 10 hours
IV SEM2.2 rpretation discussion
10. K,S Small group 10 hours
 Assistingprocedures
discussion
o Visualacuity
N-AHN (II) 225:
IV SEM2.2 o Fundoscopy,
retinoscopy,ophthalmoscopy,ton
ometry,
Refractiontests
11. N-AHN (II) 225:  Preandpost-operativecare K,S Small group 10 hours
IV SEM2.2 discussion
 Instillationofdrops/ medication
12. K,S Small group 10 hours
 Eyeirrigation
N-AHN (II) 225: discussion
IV SEM2.2  Applicationofeyebandage
Assistingwithforeignbodyremoval
13. N-AHN (II) 225:  Assessment of kidneyandurinarysystem K,S Small group 10 hours
IV SEM 3.1 discussion
o Historytaking
o Physicalexamination
o Testicularself-examination
odigitalrectalexam
14. N-AHN (II) 225: K,S Small group 10 hours
 Preparationandassistingwithdiagnostican
IV SEM 3.1 dtherapeuticprocedures
discussion

o Cystoscopy,Cystometrogram,
o Contraststudies:IVPetc.
o Peritonealdialysis
o Hemodialysis,
o Lithotripsy
o Specific tests: Semen
analysis,gonorreoeatest,Renal/ProstateB
iopsyetc.
15. N-AHN (II) 225: K,S Small group 10 hours
 Catheterization:care
IV SEM 3.1 discussion
16. N-AHN (II) 225: K,S Small group 9 hours
 Bladderirrigation
IV SEM 3.1 discussion
17. N-AHN (II) 225: K,S Small group 9 hours
 I/Orecordingandmonitoring
IV SEM 3.1 discussion
Ambulationandexercise
18. N-AHN (II) 225:  Assessmentofburns K,S Small group 10 hours
IV SEM 5.2 discussion
19. N-AHN (II) 225: K,S Small group 10 hours
 Firstaidofburns
IV SEM 5.2 discussion
 Fluid &
electrolytereplacementtherapy
20. N-AHN (II) 225: K,S Small group 10 hours
 Skincare
IV SEM 5.2 discussion
 CareofBurnwounds
 Bathing
 Dressing
21. N-AHN (II) 225: K,S Small group 9 hours
 Pre-operative and post-
IV SEM 5.2 discussion
operativecareofpatients
22. N-AHN (II) 225: K,S Small group 9 hours
 Caringofskingraftandpostcosmeticsurger
IV SEM 5.2 discussion
y
 Rehabilitation
23. N-AHN (II) 225:  Historytaking;NeurologicalExa K,S Small group 20hours
IV SEM 6.2 mination discussion
24. K,S Small group 20 hours
N-AHN (II) 225:  Patientmonitoring
discussion
IV SEM 6.2
 Prepare and assist for various
 invasiveand non-invasive
diagnosticprocedures
25. K,S Small group 20hours
 Rangeofmotionexercises,musclestren
discussion
N-AHN (II) 225: gthening
IV SEM 6.2
 Careofmedical,surgicalandrehabilitati
vepatients
26.  Historytaking K,S Small group 8 hours
N-AHN (II) 225: discussion
 Immunological status assessment
IV SEM 7.4 (e.g.HIV) and Interpretation of
specifictests
27. N-AHN (II) 225: Caringofpatientswithlowimmunity K,S Small group 8 hours
IV SEM 7.4 discussion
28. N-AHN (II) 225: Practicingofstandardsafetymeasures,precauti K,S Small group 8 hours
ons/barrier nursing/reversebarrier/isolation discussion
IV SEM 7.4
skills
29.
N-AHN (II) 225:  Historytaking&physicalexaminationofca K,S Small group 10 hours
ncer patients discussion
IV SEM 8.2
30. N-AHN (II) 225: •Screening for common cancers: TNM K,S Small group 10 hours
IV SEM 8.2 classification discussion
31. •Preparation, assisting and after care K,S Small group 11 hours
patients undergoing diagnostic procedures discussion
N-AHN (II) 225:
Biopsies/FNAC
IV SEM 8.2
Pap smear
Bone-marrow aspiration
32. K,S Small group 11 hours
 Variousmodalitiesoftreatment
discussion
 Chemotherapy
 Radiotherapy
 Painmanagement
N-AHN (II) 225:
IV SEM 8.5  Stomatherapy
 Hormonaltherapy
 Immunotherapy
 Genetherapy
 Alternative therapy
33. N-AHN (II) 225: Stomacareandfeeding K,S Small group 10 hours
IV SEM 8.6 discussion
34. N-AHN (II) 225: K,S Small group 10 hours
 Caringofpatientstreatedwithnuclearmed
IV SEM 8.3 discussion
icine
35. N-AHN (II) 225: Rehabilitation K,S Small group 10 hours
IV SEM 8.2 discussion
36.  Practicing‗triage‘ K,S Small group 4 hours
N-AHN (II) 225: discussion
IV SEM 9.1  Primary and secondary survey
inemergency
37. N-AHN (II) 225: Examination, investigations & K,S Small group 5 hours
theirinterpretations,inemergency&disastersit discussion
IV SEM 9.1
uations
38. N-AHN (II) 225: K,S Small group 5 hours
 Emergencycareofmedicalandtraumaticinju
IV SEM 9.1 discussion
ry patients
39. N-AHN (II) 225: K,S Small group 5 hours
 Documentations,assistinginlegalpr
IV SEM 9.1 discussion
oceduresin emergencyunit
40. K,S Small group 5 hours
 Managingcrowd
N-AHN (II) 225: discussion
IV SEM 9.1  Counseling the patient and family
indealingwithgrieving&bereavement
41. N-AHN (II) 225: History takingandassessmentof K,S Small group 24 hours
 IV SEM 10.1 Geriatricpatient discussion
42. N-AHN (II) 225:  Assessmentofcriticallyillpatients K,S Small group 3 hours
IV SEM 11.1 discussion
 Assisting in arterial puncture, ET
tubeintubation&extubation

43. N-AHN (II) 225: ABG analysis & interpretation - K,S Small group 3 hours
IV SEM 11.3 respiratoryacidosis,respiratoryalkalosis,meta discussion
bolicacidosis,metabolicalkalosis
44. N-AHN (II) 225:  Setting up of Ventilator modes
K,S Small group 3 hours
IV SEM 11.1 andsettingsandcareof patientonaventilator discussion
45. N-AHN (II) 225:  Setupoftrolleywithinstruments K,S Small group 3 hours
IV SEM 11.1 discussion
 MonitoringandmaintenanceofChestdr
ainagesystem
46. N-AHN (II) 225:  Bagandmaskventilation K,S Small group 3 hours
IV SEM 11.3 discussion
 AssistingandmaintenanceofCentralandpe
ripherallines invasive
47. N-AHN (II) 225:  Settingupofinfusionpump,defibrillator, K,S Small group 3 hours
IV SEM 11.2 discussion
 Drugadministration-
infusion,intracardic,intrathecal,epidural,
48. N-AHN (II) 225:  Monitoringpacemaker K,S Small group 3 hours
IV SEM 11.3 discussion
 ICUcarebundle
49. N-AHN (II) 225: ManagementofthedyingpatientintheICU K,S Small group 3 hours
IV SEM 11.6 discussion
50. N-AHN (II) 225: Palliative care module K,S Small group 20 Hrs
IV SEM 8.5 discussion
Total 480 hrs

Skill Lab (24 Hrs) Use of Mannequins and Simulators

Sr No Comp. no TOPIC Domain T-L Method Teaching

Hrs
N-AHN (II) 225: Tracheostomy care K,S Small group discussion 2hour
1.
IV SEM1 and demonstration
Instilling Ear and Nasal K,S,A Small group discussion 2hour
2. N-AHN (II) 225: medications and demonstration
IV SEM1 Bandage application
N-AHN (II) 225: Eye bandage K,S Small group discussion 2hour
3.
IV SEM2 and demonstration
N-AHN (II) 225: Assessment: kidney & K,S Small group discussion 2hour
4. urinary system and demonstration
IV SEM 3
N-AHN (II) 225: Preparation: dialysis K,S Small group discussion 2hour
5. and demonstration
IV SEM 3
N-AHN (II) 225: Catheterizationandcare K,S Small group discussion 2hour
6.
IV SEM 3 and demonstration
N-AHN (II) 225: Assessment of burns K,S Small group discussion 2hour
7. wound and demonstration
IV SEM 4
N-AHN (II) 225: Wound dressing K,S Small group discussion 2hour
8.
IV SEM 4 and demonstration
N-AHN (II) 225: Range of motion exercises K,S,A Small group discussion 2hour
9. and demonstration
IV SEM 5
N-AHN (II) 225: Muscle strengthening K,S Small group discussion 2hour
10.
IV SEM 5 exercises and demonstration
N-AHN (II) 225: K,S Small group discussion 2hour
11. Crutchwalking
IV SEM 5 and demonstration
N-AHN (II) 225: Barrier Nursing K,S Small group discussion 2hour
12.
IV SEM 6 and demonstration
 N-AHN (II) 225: Reverse Barrier Nursing K,S Small group discussion 2hour
13. and demonstration
IV SEM 6
N-AHN (II) 225: Application of topical K,S Small group discussion 2hour
14.
IV SEM 7 medication and demonstration
N-AHN (II) 225: Administrationofchemothera K,S Small group discussion 2hour
15.
IV SEM 7 py and demonstration
N-AHN (II) 225: Assessment:primaryandseco K,S,A Small group discussion 2hour
16.
IV SEM 8 ndarysurvey and demonstration
N-AHN (II) 225: Traumacare:bandaging,wou K,S,A Small group discussion 2hour
17.
IV SEM 8 ndcare,splinting,positions and demonstration
N-AHN (II) 225: Useofassistivesafetydevices K,S Small group discussion 2hour
18.
IV SEM 9 and demonstration
N-AHN (II) 225: Assessment critically ill K,S Small group discussion 2hour
19.
IV SEM 10 and demonstration
N-AHN (II) 225: ET tube set up –suction K,S Small group discussion 2hour
20.
IV SEM 10 and demonstration
N-AHN (II) 225: TT suction K,S Small group discussion 2hour
21.
IV SEM 10 and demonstration
N-AHN (II) 225: Ventilator set up K,S,A Small group discussion 2hour
22.
IV SEM 10 and demonstration
Chest drainage K,S,A Small group discussion 3hour
N-AHN (II) 225:
23. Bag mask ventilation and demonstration
IV SEM 10
N-AHN (II) 225: Central & Peripheral line K,S Small group discussion 3hour
24.
IV SEM 10 Pacemaker and demonstration
Total 24 hrs

Tutorials (10 Hrs)

Sr. No Comp. no TOPIC Domain T-L Method Teaching Hrs

1. N-AHN (II) 225: Otitis Media K Tutorials 1 hour
IV SEM1.3
2. N-AHN (II) 225: Cataract K Tutorials 1 hour
IV SEM2.4
3. N-AHN (II) 225: Renal calculi K Tutorials 1 hour
IV SEM 3.2
4. N-AHN (II) 225: Burn Management K Tutorials 1 hour
IV SEM 5.4
5. N-AHN (II) 225: Meningitis K Tutorials 1 hour
IV SEM 6.5
6. N-AHN (II) 225: CVA K Tutorials 1 hour
IV SEM 6.6
7. N-AHN (II) 225: Parkinson‘s disease K Tutorials 1 hour
IV SEM 6.6
8. N-AHN (II) 225: Cancer of larynx K Tutorials 1 hour
IV SEM 8.4
9. N-AHN (II) 225: Types of Disaster K Tutorials 1 hour
IV SEM 9.2
10. N-AHN (II) 225: Modes of ventilator K Tutorials 1 hour
IV SEM 11.1
Total 10 hours
Integration/MPBL- 6 Hrs

Sr. Comp. no TOPIC Domain T-L Method Teaching Hrs

No
1 N-AHN (II) 225: Leukaemia K Lecture cum discussion
IV SEM 8.4
2 N-AHN (II) 225: Disaster management K Lecture cum discussion 6 hour
IV SEM 9.2
3 N-AHN (II) Occupational disorder K Lecture cum discussion
225:
IV SEM 12.1
TEACHING STRATEGY:

Total Hours: 660, Theory Hours: 140, Skill lab: 40 hours, Clinical/Practical Hours: 480 hours

Theory
Continuous Assessment: 10Marks

Sr. Assignments Percentage of Allotted Total Marks for

No Attendance required marks attendance
1 Attendance 95-100% 2
90-94% 1.5
85-89% 1 2 marks
80-84% 0.5
<80% 0
Number of Total Marks
Marks
assignments required allotted
2 Written Assignments 2 2X5 10
3 Seminar/Microteaching/Individual
2 2x6 12
presentation
4 Group work/Work/Report 1 1x6 06
5 Mandatory Module : 1 1x10 10

Total 40/4=10Marks

Note: If there is mandatory module in that semester, marks obtained by student out of 10 can be added to
30 totaling 40 marks.
 Practical
Continuous assessment:20 marks (Double the weightage as 20 marks for continuous assessment)

Sr. Assignments Percentage of Allotted marks Total Marks for

No Attendance attendance
1 Attendance 95-100% 2
90-94% 1.5
85-89% 1 2 marks
80-84% 0.5
<80% 0
Number
Marks Total Marks
assignments
2 Clinical presentation(Pressure 3x20
soreassessment( Individual 60
teaching)
i 1x20
ii 1x20
iii 1x20
10marks
3 Drug presentation and report 2x20 40
i 1x20 20
ii 1x20 20
4 Case study report/Name 5x20
100
of the case
i 1x20
ii 1x20
iii 1x20
iv 1x20
v 1x20
5 Continuous evaluation of 01
10marks 10marks
clinical performance
6 End of posting OSCE 01 05marks 05marks
7 Completion of procedures
03marks 03marks
and clinical requirements
Total 30/3=10

Note: For Adult Health Nursing I, Adult Health Nursing II, Community Health Nursing I & Community
Health Nursing II,the marks can be calculated as per weightage. Double the weightage as 20 marks
for continuous assessment and 30 forsessionalexams.
 Formative Assessment

1. Sessional Examinations: Theory: I

Name of the Institute: SRMM College of Nursing

Name of Examination: Fourth Semester B.Sc. Nursing
Semester IV/Sessional I: Adult Health Nursing -II
N-AHN(II)225: IV -SEM/Primary/2021-2025

Must to Know Desirable to Nice to Marks=30

(MK) know (DK) know (NK)

Essay/Situation (2) 10Mx1=10M

type (2) Level-I-1
1/2 Level-II-1

Short(3) (2) (1) 5Mx2=10M

2/ 3 Level I-1 Level I-1
Level II-1

Very Short (4) (2) (1) (1) 2Mx3=6M

3/4 Level I-1 Level I-1 Level-I-1
Level II-1

MCQ (4) (2) (1) (1) 1Mx4=4M

4/4 Level I-1 Level I-1 Level-1
Level II-1

About 60:30:10 (MK:DK:NK) Total =30

Level of Learning 80:20
 2. Sessional Examinations: Theory: II

Name of the Institute: SRMM College of Nursing

Name of Examination: Fourth Semester Basic B.Sc. Nursing
Semester IV/Sessional II: Adult Health Nursing -II
N-AHN(II)225: IV -SEM/Primary/2021-2025

Must to Know Desirable to Nice to Marks=75

(MK) know (DK) know (NK)

Essay/Situation (4) 15Mx2=30M

type (4) Level-I-2
2/4 Level-II-2

Short(6) (3) (2) (1) 5Mx5=25

5/6 Level I-2 Level I-1 Level I-1
Level II-1 Level II-1

Very Short (5) (3) (1) (1) 4Mx2=8M

4/5 Level I-2 Level I-1 Level-I-1
Level II-1

MCQ(12) (7) (4) (1) 12Mx1=12M

12/12 Level I-5 Level I-3 Level-1
Level II-2 Level II-1

About 60:30:10 (MK:DK:NK) Total =75 Marks

Level of Learning 80:20
2. Formative Assessment: Practical
a. Practical: Sessional examinations: II
Exam pattern Sessional examination I Total

OSCE 10 marks 30Marks

DOP (Directly observed 20marks
practical in the clinical
setting)

b. Practical: Sessional examinations: II

Exam pattern Sessional examination II Total

OSCE 10 marks 30 Marks

DOP (Directly 20marks
observed practical
in the clinical
setting)
 3. Summative Assessment

a. Theory:

Name of the Institute: SRMM College of Nursing

Name of Examination: Fourth Semester Basic B.Sc. Nursing
Semester IV/University Exam: Adult Health Nursing- II
N-AHN(II)225: IV-SEM/Primary/2021-2025

Must to Know Desirable to know Nice to know Marks=75

(MK) (DK) (NK)

Essay/Situation (4) 15Mx2=30M

type (4) Level-I-2
2/4 Level-II-2

Short(6) (3) (2) (1) 5Mx5=25

5/6 Level I-2 Level I-1 Level I-1
Level II-1 Level II-1

Very Short (5) (3) (1) (1) 4Mx2=8M

4/5 Level I-2 Level I-1 Level-I-1
Level II-1

MCQ(12) (7) (4) (1) 12Mx1=12M

12/12 Level I-5 Level I-3 Level-1
Level II-2 Level II-1

About 60:30:10 (MK:DK:NK) Total =75 Marks

Level of Learning 80:20

b. Practical:
Method of Allotted marks Total marks
assessment
OSCE 15 50 Marks
DOP 35

Recommended Books

TEXT BOOKS:
• Text book of Medical Surgical Nursing –Brunner and Suddarth
• Medical Surgical Nursing –Clinical Positive outcome-Joyce and Black
• Medical Surgical Assessment and Management of clinical problems –Lewis ,Colliner
• Medical Surgical Nursing –A Psychopathologic Approach –Luckmann and Sorensen
• Medical Surgical Nursing –A Nursing process Approach
• Medical Surgical nursing –B.T.Basvanthappa
• Medical Surgical Nursing an integrated approach;-White L,Delmar
• Moroneys Surgery for nurses –Colmer
• API Textbook of Medicine :-Shah N.S
• Pharmacology and Pharmacotherapeutics-SatoskarR.S.Bhandarkar
• Fundamental of Operation theatre Services –Datta T.K
• Essentials of Orthopaedics:-Maheshwari
• Illustrated Textbook of Dermatology-ParischaJ.S.,Gupta
• Davidsons Principles and Practice of Medicine –Haslett C,Chilvers E.

Journals:

• IndianJournalofMedical-SurgicalNursing(IJMSN),
• Americanjournalofnursing

• International Journal of Medical Surgical Nursing

• Medical surgical nursing journal