Bachelor of Nursing Syllabus

SHREE GURU GOBING SINGH TRICENTENARY UNIVERSITY
BUDHERA GURUGRAM
FACULTY OF NURSING
INTRODUCTION TO CREDIT SYSTEM
SYLLABUS AND CURRICULUM

FOR
BACHELOR OF NURSING DEGREE COURSE
2019
1
INDEX
S.No. CONTENT PAGE No.
1. Course of study for B.Sc. Nursing 4-6

2. Revised Scheme Of Examinations For Bachelor Of 7-16
Science In Nursing Programme
1ST SEMESTER
3. Anatomy 18-28
4. Physiology 29-40
5. Biochemistry 41-50
6. Nutrition 51-59
7. Nursing Foundation 60-78
8. English 79-83
2ND SEMESTER
9. Nursing Foundation : Part B 85-94
10. Nursing Foundation – Practical 95-107
11. Psychology 108-116
12. Microbiology 117-124
13. Introduction to computers 125-129
3RD SEMESTER
14. Sociology 131-148
15. Pharmacology 149-161
16. Pathology 162-175
17. Genetics 176-180
18. Community Health Nursing 181-195
19. Community Health Nursing- Practical 196
20. Medical Surgical Nursing( Adult 197-212
including Geriatrics)-I
21. Environmental studies 213—226
4TH SEMESTER
including Geriatrics)-I
2
including Geriatrics) - I- Practical
24. Communication & Educational 266-281
Technology
5TH SEMESTER283-316
including Geriatrics)-II
26. Mental Health Nursing 317-337
27. Mental Health Nursing- Practical 338-339
6TH SEMESTER
28. Child Health Nursing 341-353
29. Child Health Nursing- Practical 354-356
30. Nursing research and statistics 357-366
including Geriatrics)-II
including Geriatrics)-II - Practical
7th SEMESTER
33. Community Health Nursing-II 405-422
34. Community Health Nursing-II Practical 428-429
35. Midwifery and Obstetrical Nursing 430-449
36. Midwifery and Obstetrical Nursing 450-453
37. Management of Nursing Service & 454-470
Education
8TH SEMESTER
38. Internship
3
Course of study for B.Sc. Nursing
BASIC B.Sc. (NURSING) PROGAMME
1. Eligibility for Admission:

1. Educational requirement: is the passing of Higher Secondary school certificate
examination (12 years course) with science or senior school certificate
examination (10+2), pre degree examination (10+2)
or
Any other exam equivalent to 12 years schooling from a recognized board or
university with science (Physics, Chemistry, Biology) and English with minimum
of 45% aggregate marks (PCBE)
2. Age 17 years on or before 31st December of the year of the admission.
3. Students shall be physically and mentally fit.
4. Possess good moral character as certified by principal of the institute college
last attended.
2. Medium of Instruction : English
3. Eligibility for Appearing in the Examination:

(i) A candidate must have minimum of 80% attendance (irrespective of the kind of
absence) in theory and practical of the each subject for appearing for
examination.
(ii) A candidate must have 100% attendance in each of the practical areas before
award of degree.
Duration
Course Duration 4 Years
Weeks available per year 52 weeks

Vacation 8 weeks
Gazetted holidays 3 weeks
Examination (Including preparatory) 4 Weeks
Available weeks 37 weeks
Hours per week 40
Practical 30 hours per week
Theory 10 hours per week
Internship practical 48 hours per week
Hours available per academic year 1480 (37 weeks x 40 hours)
4
Curriculum
Philosophy:
We believe that:
1. Health is a state of well- being that enables a person to lead a psychologically, socially
and economically productive life. Health is a right of all the people. Individuals, families
and communities have a responsibility towards maintaining their health.
2. Nursing contributes to the health services in a vital and significant way in the health
care delivery system. It recognizes national health goals and is committed to
participate in the implementation of National Health Policies and programmes. It aims
at identifying health needs of the people, planning and providing quality care in
collaboration with other health professional and community groups.
3. Scope of nursing practice encompasses provision of promotive, preventive, curative
and rehabilitative aspects of care to people across their life span in wide variety of
health care settings. Practice of nursing is based upon application of basic concepts
and principles derived from the physical, biological and behavioural sciences,
medicine and nursing.
4. Nursing is based on values of caring, and aims to help individuals to attain
independence in self-care. It necessitates development of compassion and
understanding of human behavior among its practitioners to provide care with respect
and dignity and protect the rights of individuals & groups.
5. Undergraduate nursing program is broad based education within an academic
framework specifically directed to the development of critical thinking skills,
competencies & standards required for practice of professional nursing and midwifery
as envisaged in National Health Policy 2002.
6. The teachers have the responsibility to be role models and create learning
environment that enables students to acquire inquiry driven, self directed learning and
foster an attitude of lifelong learning.
7. Under graduate nursing education program prepares its graduates to become
exemplary citizen by adhering to code of ethics and professional conduct at all times in
fulfilling personal, social and professional obligations so as to respond to national
aspirations.
AIMS:
The aim of the undergraduate nursing program is to:
1. Prepare graduates to assume responsibilities as professionals, competent nurses and
midwives in providing promotive, preventive, curative, and rehabilitative services.
2. Prepare nurses who can make independent decisions in nursing situations, protect the
rights of and facilitate individuals and groups in pursuit of health, functions in the
hospital, community nursing services, and conduct research studies in the areas of
nursing practice
5
3. They are also expected to assume the role of teacher, supervisor, and manager in a
clinical /public health settings.
Objectives:
On completion of four year B.Sc. Nursing Program the graduate will be able to:
1. Apply knowledge from physical, biological and behavioral sciences, medicine including
alternative systems and nursing in providing nursing care to individuals, families and
communities.
2. Demonstrate understanding of life styles and other factors, which affect health of
individuals and groups.
3. Provide nursing care based on steps of nursing process in collaboration with
individuals and groups.
4. Demonstrate critical thinking skill in making decisions in all situations in order to
provide quality care.
5. Utilize the latest trends and technology in providing health care.
6. Provide promotive, preventive and restorative health services in line with the National
Health Policies and Programmes.
7. Practice within the frame work of code of ethics and professional conduct, and
acceptable standards of practice within the legal boundaries.
8. Communicate effectively with individuals and groups, and members of the health team
in order to promote effective inter personal relationship and team work.
9. Demonstrate skills in teaching to individuals and groups in clinical and community
health settings.
10. Participate effectively as members of the health team in health care delivery system.
11. Demonstrate leadership and managerial skills in clinical / community health settings.
12. Conduct need based research studies in various settings and utilize the research
findings to improve the quality of care.
13. Demonstrate awareness, interest, and contribute towards advancement of self and of
the profession.
6
COURSE INSTRUCTION
REVISED SCHEME OF EXAMINATIONS FOR BACHELOR OF SCIENCE IN NURSING PROGRAMME
W.E.F. ACADEMIC SESSION 2017 – 2018

{01 Credit = 15 Hours in Theory}
{01 Credit=30 Hours in Practical}
1. Distribution of marks
Basic B.Sc. Nursing – 1stSEMESTER

Subject Paper Teaching Scheme Examination Scheme
Code Total Theory Practical Total Duration

Credit of Paper
Theo Skill/ Internal External Internal External
ry/ / Practi (TH/PR)
Lab. cal
(Hours)
Anatomy & 04100101 4+4 - 8 25 75 - - 100 3
Physiology =8
Nutrition & 04100102 4+2 - 6 25 75 - - 100 3

Biochemistry =6
Nursing 04100103 10+ 5 21 25 75 - - 100 3

Foundation -I 6=
16
Library work 2 - 2 - - - - - -
/Self Study
Co-curricular 1 - 1 - - - - - -
activities
Subsidiary Subject
English 04100104 4 - 4 25 75 - - 100 3
*Hindi/ Regional 04100105 *2 - 2 - - - - - -

language
Total 37 5 42 100 300 - - 400 -
*Optional
7
Basic B.Sc. Nursing – 2nd Semester


Credit of Paper
Theory Skill/ Internal External Internal External
/ Lab. Practical (TH/PR)
(Hours)
Nursing 04100201 8+7 = 10 25 25 75 100 100 300 3/4
Foundation 15
-II
Psychology 04100202 4 - 4 25 75 - - 100 3
Microbiolo 04100203 4 - 4 25 75 - - 100 3

gy
Library 1 - 1 - - - - - -
work /Self
Study
Subsidiary Subject
Introduction 04100204 3 - 3 25 75 - - 100 3

to
Computers
Total 27 10 37 100 300 100 100 600 -
# = clinical and practical credits of semester first to be credited with second semester.
8
Basic B.Sc. Nursing – 3rd Semester#

Credit of Paper
/ Lab. Practic (TH/PR)
al
(Hours)
Sociology 04100301 4 - 4 25 75 - - 100 3
Pharmacolo 04100302 3+2+1 - 6 25 75 - - 100 3

gy, =6
Pathology,
Genetics
Community 04100303 6 5 11 25 75 - - 100 3
Health
Nursing I
Medical 04100304 8 8 16 25 75 - - 100 3
Surgical
Nursing
(adult
including
geriatrics) –
I
(Part-A
Library work 2 - 2 - - - - - -
/Self Study
Co- 1 - 1 - - - - - -
curricular
activities
Subsidiary Subject
Environment 04100305 4 - 4 25 75 - - 100 3

al Studies
Total 21 13 34 125 375 - - 500 -
9
Basic B.Sc. Nursing – 4th Semester

Credit of Paper
The Skill/ Internal External Internal External
ory / Practical (TH/PR)
Lab.
(Hours)
Medical 04100401 6 16 22 25 75 100 100 200 3/4
Surgical
Nursing (adult
including
geriatrics) – I
(Part-B)
Communicati 04100402 6 - 6 25 75 - - 100 3
on and
Educational
Technology
Library work 2 - 2 - - - - - -
/Self Study
Co-curricular 1 - 1 - - - - - -
activities
Total 15 16 31 50 150 100 100 300 -
# = clinical and practical credits of semester 3rd to be credited with 4th semester.
10


Credit of Paper
The Skill/ Internal External Internal External (TH/PR)
ory / Practical (Hours)
Lab.
Mental 04100502 6 9 15 25 75 50 50 200 3/4

Health
Nursing
Medical 04100501 4 5 9 25 75 - - 100 3
Surgical
Nursing (adult
including
geriatrics) –
II
Library work 2 - 2 - - - - - -
/Self Study
Co-curricular 2 - 2 - - - - - -
activities
Total 14 14 28 50 150 50 50 300 -


Credit of Paper
Theor Skill/ Internal External Internal External
y/ Practical (TH/PR)
Lab.
(Hours)
Medical 04100603 4 4 8 25 75 50 50 200 3/4
Surgical
Nursing
(adult
including
geriatrics) –
II
11
Child Health 04100601 6 9 15 25 75 50 50 200 3/4
Nursing
Nursing 04100602 3 - 3 25 75 - - 100 3
Research &
Statistics
Library work 2 - 2 - - - - - -
/Self Study
Co- 1 - 1 - - - - - -
curricular
activities
Total 16 13 29 50 150 100 100 400 -
# = clinical and practical credits of semester 5 th to be credited with 6th semester.

Credit of Paper
/ Lab. Practical (TH/PR)
(Hours)
Community 0410070 6 5 11 25 75 50 50 200 3/4
1
Health
Nursing II
Management 041007 6 - 6 25 75 100 3
of Nursing 02
Service and
Education
Midwifery 041007 6 10 16 - - - - -
and 03
Obstetrical
Nursing
Total 18 15 33 50 150 50 50 300

Credit of Paper
Theo Skill/ Internal External Internal External (TH/PR)
ry / Practica (Hours)
Lab. l
Midwifery 04100801 - 10 10 25 75 50 50 200 3/4

and
Obstetrical
Nursing
Community 04100802 - 4 4 - - - - -
Health
12
Nursing
Medical 04100803 - 9 9 - - - - -
Surgical
nursing
Child Health 04100804 - 3 3 - - - - -
Nursing
Mental 04100805 - 2 2 - - - - -
Health
Nursing
Research - 1 1 - - - - -
Project
Total - 29 29 25 75 50 50 200
# = clinical and practical credits of semester 7 th to be credited with 8th semester.
Note:
a) 1st Semester Examination: “Anatomy and Physiology” question paper will
consist of Section -I Anatomy of 37 marks and Section-II Physiology of 38
marks. It is essential to pass in both the parts.
b) 1st Semester Examination: “Nutrition and Biochemistry” question paper will
consist of Section -I Nutrition of 45 marks and Section -II Biochemistry of 30
marks. It is essential to pass in both the parts
c) 3rd Semester Examination: “Pharmacology, Pathology, Genetics” question
paper will consist of Section -I “Pharmacology” of 38 marks Section -II
“Pathology and Genetics”” of 25 and 12 marks, respectively. It is essential to
pass in both the parts
d) 6th Semester Examination: “Nursing Research & Statistics” question paper
will consist of Section -I “Nursing Research” of 50 marks and Section -II
“Statistics” of 25 marks. It is essential to pass in both the parts
e) Subsidiary Subjects: It is essential to pass in subsidiary subjects but their
marks will not be added in the total marks for calculation of grade/division.
Examination of these subjects will be conducted by the Controller of
Examinations and papers will be set by internal faculty.
2. Guidelines for Paper Setting and Internal Evaluation:

(A) Theory Paper:
a) Duration of all papers including subsidiary subjects shall be 03 hours.
b) Maximum marks shall be as given under Clause 1 (Distribution of Marks)
above.
c) Question papers will be set as per the following guidelines:
Single Subjects (Subjects other than “Anatomy & Physiology” or “Nutrition &
Biochemistry”, “Pharmacology, Genetics, Pathology”, and “Nursing Research &
Statistics”)
S.No. Type of Question Part Total No. No. of Marks for Total marks
of Question Question to be each question
attempted
1. Long Essay type 01 01 10 10
13
2. Short Note 05 03 5 15
3. Definitions 05 05 02 10
4. Differentiation 03 03 02 6
5. Problem Based 03 02 02 4
Question/Interpretation
question
A
6. Single Response Questions 10 10 01 10
7. True And False 05 05 01 05
8. Multiple Response 05 05 01 05
Questions/ Assertion-
Reasoning
9. Matching Questions/Text- 05 05 01 05
Numerical Question
B
10. Sequencing 05 05 01 05
Grand totals 75
“Anatomy & Physiology” and “Pharmacology, Genetics, Pathology”
S.No. Type of Question Part Total No. of No. of Marks for Total marks
Question Question to be each
attempted question
Section 1 (37marks)
2. Short Note 03 02 3 06
5. Problem Based A 01 01 02 02
question
Reasoning B
Numerical Question
10. Sequencing 01 01 01 01
Grand total Marks 37
Section 2 (38 marks)
Short Note 03 02 3 06
Definitions 02 01 02 02
Differentiation 01 01 02 02
Problem Based A 01 01 02 02
question
Reasoning B
Numerical Question
16. Sequencing 02 02 01 02
14
“Nutrition & Biochemistry”
S.No. Type of Question Part Total No. of No. of Question Marks for Total marks
Question to be attempted each question
Section 1 (45marks)
2. Short Note 04 02 5 10
5. Problem Based 01 01 02 02
A
question
Reasoning B
Numerical Question
Section 2 (30 marks)
Short Note 02 01 5 5
Definitions 02 01 02 02
Differentiation 01 01 02 02
A
13. Matching Question/Text- 03 03 01 03
Numerical Question
B
15
“Nursing Research & Statistics”
S.No. Type of Question Part Total No. of No. of Marks for Total marks
Question Question to each
be attempted question
Section 1 Nursing Research (50 marks)
2. Short Note 04 02 05 10
A
Reasoning B
Numerical Question
Grand total marks 50
Section 2 Statistics (25 marks)
1 Long Essay type 01 01 10 10
2 Definitions 03 03 01 03
3 Problem Based 02 01 02 02
question
A
4 Single Response Questions B 05 05 01 05
5 Multiple Response 05 05 01 05
Reasoning
a) Marks should be indicated against the question.

b) There should be no repetition of question.
c) The Paper Setter may refer to the sample question papers for guidance.
(B) Practical Paper:=
a) Maximum marks and their distribution shall be as given under Clause 1 (Distribution of
Marks) above.
16
b) Board of 02 examiners shall conduct the practical examinations. The Board shall
consist of 01 internal and 01 external examiner.
c) A batch of 30 students will be examined per day.
(C) Assessment of Internship

a) The student after passing the 6th semester examination and before appearing in the
final semester examination shall go in for 24 weeks compulsory rotatory internship in
parent Institution/Hospital.
b) The student will be allowed to appear in the 8th semester final examination only after
completing internship.
c) Internship should be carried out as 8 hours per day @ 48 hours per week in which 2
weeks of evening and night shift duties are included.
d) The student shall repeat the period of Internship where it was assessed
unsatisfactory.
e) The student during internship will be supervised by nursing teachers
17
1 ST
SEMESTER
BSC NURSING 1ST SEMESTER SYLLABUS

ANATOMY
Code: 04100101
PLACEMENT: B.Sc.NURSING1ST YEAR HOURS OF INSTRUCTION
THEORY: 60 Hours/4 credit
TOTAL : 60 Hours/4 credit
PREAMBLE
Anatomy is the science of the structure of the body. When used without qualification, the term is
applied usually to human anatomy. The word is derived indirectly from the Greek anatome, a term
built from ana, meaning "up," and tome, meaning "a cutting" (compare the words tome, microtome,
and epitome). From an etymological point of view, the term" dissection" (dis-, meaning" asunder, "
and secare, meaning "to cut") is the Latin equivalent of the Greek anatome.
Anatomy, wrote Vesalius in the preface to his De Fabrica (1543), "should rightly be regarded as
the firm foundation of the whole art of medicine and its essential preliminary." Moreover, the study of
anatomy introduces the student to the greater part of medical terminology.
18
Anatomy "is to physiology as geography is to history" (Female); that is, it provides the setting for
the events. Although the primary concern of anatomy is with structure, structure and function should
be considered together. Moreover, by means of surface and radiological anatomy, emphasis should be
placed on the anatomy of the living body. As Whitnall expressed it, "I cannot put before you too
strongly the value and interest of this rather neglected [surface] aspect of anatomy. Many a student
first realizes its importance only when brought to the bedside or the operating table of his patient,
when the first thing he is faced with is the last and least he has considered." The classical methods of
physical examination of the body and the use of some of the various "-scopes," e.g., the stethoscope
and the ophthalmoscope, should be included. Radiological studies facilitate achievement of "an
understanding of the fluid character of anatomy and physiology of the living" (A.E. Barclay), and the
importance of variation should be kept in mind.
In relation to the size of the parts studied, anatomy is usually divided into (1) macroscopic or
gross anatomy, and (2) microscopic anatomy or histology (now used synonymously). In addition,
embryology is the study of the embryo and the fetus, that is, the study of prenatal development,
whereas the study of congenital malformations is known as teratology.
In general, works dealing with human anatomy are arranged either (1) systemically, that is,
according to the various systems of the body (skeletal, muscular, digestive, etc.) or (2) regionally, that
is, according to the natural, main subdivisions of the body (head and neck, upper limb, thorax, etc.). In
this book, after the general features of certain systems have been discussed in introductory chapters,
the remainder of the work will general follow a regional approach. The regional plan has been adopted
chiefly because the vast majority of laboratory courses in human anatomy are based on regional
dissection.
GOALS
The primary goal of anatomy is to widen the students knowledge about the structure and functioning of
the human body.
OBJECTIVES
1. Develop a vocabulary of appropriate terminology to effectively communicate information related
to anatomy and physiology.
2. Recognize the anatomical structures and explain the physiological functions of body systems.
3. Use anatomical knowledge to predict physiological consequences, and use knowledge of function
to predict the features of anatomical structures.
4. Recognize and explain the interrelationships within and between anatomical and physiological
systems of the human body.
5. Synthesize ideas to make a connection between knowledge of anatomy and physiology and real-
world situations, including healthy lifestyle decisions and homeostatic imbalances.
19
6. Demonstrate laboratory procedures used to examine anatomical structures and evaluate
physiological functions of each organ system.
7. Interpret graphs of anatomical and physiological data.
ELIGIBILITY
 The minimum age for admission shall be 17 years on 31st December of the year in which
admission is sought.
 Minimum education:
o 10+2 class passed with Science (PCB) & English Core/English Elective with
aggregate of 45% marks from recognized board under
AISSCE/CBSE/ICSE/SSCE/HSCE or other equivalent Board.
 Student shall be medically fit.
 Students appearing in 10+2 examination in Science conducted by National Institute of
Open School with 45% marks.
 Student shall be admitted once in a year.
CAREER OPPORTUNITIIES:
Registered Nurses (RNs) may work in more than 50 different areas of practice from public health to
palliative care.
Gerontological Nursing
Gerontological nursing isn't just about end-of-life activities — it's about maximizing functional health
and psychological well being for people over 65. Nursing who specialize in gerontology find
themselves working in diverse settings, and caring for older adults in various stages of life.
Home Health Nursing
The last 20 years, we’ve witnessed nursing care shift to the community from hospitals. Discover all the
interventions home health care nurses now deliver, allowing Canadians to successful manage
increasingly complex conditions in the comfort of their homes.
Occupational Health Nursing
Occupational Health Nurses are knowledgeable, and highly skilled, with specialized education in many
related workplace health and environmental safety fields. Learn more about how the OHN may be the
employee’s first contact with primary health care.
Palliative care
20
palliative care nursing is not only end of life care. In fact, as RN, CNS, APN or NP, nurses spend time
focusing on a holistic approach to care delivery, attending to the physical, spiritual, psycho-social and
practical issues that may arise during an illness period
ublic Health Nursing
Public health nursing in Ontario is rooted in the traditions of Florence Nightingale, Jeanne Mance, and
women in religious orders such as the Grey Nuns. Early North American PHNs understood the
importance of social, economic, environmental, and political determinants of health, and believed that
social activism and collaboration with community organizations and governments was a fundamental
aspect of public health nursing practice
Nurse Practitioner
Nurse practitioners (NP) are registered nurses with advanced university education who provide
personalized, quality health care to patients. NPs offer health-care services to individuals, families and
communities. They practise in a variety of settings, including hospitals and community based clinics in
Ontario cities and towns.
TEACHING STRATEGIES
The interdisciplinary curriculum is based on both clinical and public health model for practice. The
major focus is to provide quality care to patients and use of new technologies. Fellows are prepared to
participate in multidisciplinary approach in planning, implementing, managing and evaluating
programme. It is assumed that there will be approximately 60 teaching hours in one year period of
fellowship course.
COURSE DISTRIBUTION
TOPIC HOURS CREDITS
 Introduction to Anatomical Terms and Organization of 5

the Human Body 6
 Skeletal System 7
6
 Muscular System
6 4
 Nervous system 7
 Sensory organs 5
 Circulatory and Lymphatic System: 6
 Respiratory System 4
 Digestive System
21
 Excretory System (Urinary): 4
 Endocrine System
4
 Reproductive System including Breast
Following guidelines should be followed in order to have a common standardized syllabus
format for the whole university.
 Chapters should be as per respective council i.e INC
 If the chapters have got units then unit wise description should be given.
 The core knowledge should be specified into three domains ,categories i.e MUST
KNOW,DESIRABLE TO KNOW and NICE TO KNOW.
Teaching Methodology
1. Student Interactive session

2. Project Based Learning
3. Role Play
4. Student Seminar
5. Panel discussion
6. Teacher Seminar
7. Presentations
REFERENCES
 Gray,s Anatomy 41 Edition Writer Susan Standriy 03 Nos Printed by Churchill, Living stone.
 Gray,s Anatomy for Student 2 nd Edition Author Richard 03 Nos. L.Drak, A. Wayne Vogl,
printed by Churchill, Living stone
 Last,s Anatomy. 11 Edition Regional and applied printed by Churchill, living stone. 03 Nos
 Clinically Oriented Anatomy, 06 th Edition, Keith L. Moore, Arthur F. Dally, printed by
Wolters Kluwer 03 Nos (Health).
 Clinical Anatomy. By regions 8 th Edition 03 Nos Richards S. Snell. Printed by Walters
Kluwer.
 Clinical Anatomy 11 th Editions, 03 Nos Writer Harold Ellis, printed by Blach Well.
 Anatomy and Physiology. For Nurses, 16 th Edition, 100 Nos Evelyn Pearce
ANATOMY
PLACEMENT: BSc.NURSING1ST YEAR HOURS OF INSTRUCTION

S.NO TOPIC DOMAIN HRS
1 Introduction to Anatomical Terms

and Organization of the Human
Body  Must know 5HRS
 Desirable to know
 To discuss about Human cell
structure.
 Tissues – Definition,
Types,Characteristics,  Desirable to know
Classification, Location, Functions
and Formation
 Membranes and glands –
22
classification and structure
Alterations in disease
 Applications and implications in  Must know
nursing
 Must know
Skeletal System  Must know
2  Must know
 To discuss about Bones-types,  Desirable to know
structure, Axial & Appendicular  Desirable to know
Skeleton.
 Bone formation and growth. 6HRS
 Description of bones.
 Joints-classification and structure.
 Alterations in disease.
 Applications and implications in
nursing.  Must know
 Must know
Muscular System  Nice to know
3  Desirable to know
 Types and structure of muscles.
 Muscle groups. 7HRS
 Alterations in disease.  Must know
 Applications and implications in  Must know
nursing  Desirable to know
Nervous system
4 6hrs
 Structure of neurologia & neurons.
 Somatic nervous system.  Must know
 Structure of brain, spinal cord,  Desirable to know
cranial nerves, spinal nerves,  Desirable to know
peripheral nerves.
Autonomic Nervous System-

sympathetic, parasympathetic –
 structure, location.
 Alterations in disease.  Must know
 Applications and implications in  Desirable to know
nursing  Desirable to know
Sensory organs
5 6hrs
 Structure of skin, eye, ear, nose,
tongue (Auditory and Olfactory
apparatus).
nursing.
 Must know
 Must know
23
6 Circulatory and Lymphatic System:
 Circulatory System.  Nice to know
 Blood–microscopic structure.
 Structure of the heart. 7hrs
 Structure of the blood vessels.
 Must know
 Arterial and venous system.  Desirable to know
 Circulation: Systemic, pulmonary,  Desirable to know
coronary.  Desirable to know
 Nice to know.
 Lymphatic system  Desirable to know
 Lymphatic vessels and lymph.
 Nice to know
 Lymphatic tissues.
 Thymus gland.
 Lymph nodes.
 Spleen.
 Lymphatic nodules.
nursing.
 Must know
 Must know
Respiratory System:  Desirable to know
7  Must know
 Structure of the organs of  Nice to know
respiration.
 Muscles of respiration.
 Intercostals and Diaphragm. 5hrs
nursing
8
Digestive System  Desirable to know
 Structure of Alimentary tract and  Must know

accessory organs of digestion.
 Alterations in disease.  Desirable to know
 Applications and implications in 6hrs
nursing.
Excretory System (Urinary)

9  Must know
 Structure of organs of urinary  Must know
system : Kidney, Ureters, Urinary  Desirable to know
bladder, Urethra.  desirable to know
 Alterations in disease
nursing 4hrs
24
Endocrine System
10
 Structure of Pituitary, Pancreas,
Thyroid, Parathyroid, Thymus and  must know
Adrenal glands.  desirable to know
 Alterations in disease.  desirable to know
 Applications and implications in  desirable to know
nursing  must kno 4hrs
11 Reproductive System including

Breast  Desirable to know
 Structure of female reproductive  Desirable to know
organs.  Desirable to know
 Structure of male reproductive
organs. 4hrs
 Structure of the breast.
nursing.
S.no Topic Learning Objectives Teaching Guidelines Methodology Hours
1 Introduction  To discuss about To cover about the Didactic lecture 5

to Human cell structure. Human cell through power
Anatomical  Tissues – Definition, structure.Tissues – point projections.
Terms and Types, Characteristics, Definition, Types, Group
Organization Classification, Characteristics, discussion.
of the Human Location, Functions Classification,
Body and Formation Location, Functions Demonstration
 Membranes and and Formation.
glands – classification Membranes and Simulated
and structure glands – method.
Alterations in disease classification and
applications and structure Alterations Conventional
in disease
25
implications in applications and method
nursing. implications in
nursing Student
interactive
session.
2 Skeletal  To discuss about about To cover about the Didactic lecture 6

System structure and functions Bones-types, through power
of bones and joints structure, Axial & point projections.
Appendicular Group discussion
Skeleton.Bone
formation and
growth. Description
of bones. Joints-
classification and
structure. Alterations
in disease.
Applications and
implications in
nursing.
3 Muscular To discuss about To cover about types Panel discussion 7
System and structure of
structure and functions of muscles. Muscle Simulated
muscles. groups. Alterations in method
disease. .Applications
and implications in Student
nursing. interactive
session ,
cooperative
learning, models
4 Nervous To describe about the To cover about Didactic lecture 6

system structure and function of Structure of through power
nervous system neurologia & point projections.
neurons. Somatic Group
nervous system. discussion,simula
Structure of brain, tion
spinal cord, cranial method,group
nerves, spinal nerves, discussion,
peripheral nerves. student
Autonomic Nervous interactive
System-sympathetic, session, models
parasympathetic –
structure, location.
Alterations in
disease. Applications
and implications in
nursing
5 Sensory To describe about To include about Didactic lecture 6
organs structure and functioning Structure of skin, through power
eye, ear, nose, tongue point projections.
26
of sensory organs (Auditory and Group
Olfactory apparatus). discussion,
Alterations in simulation
disease. Applications method, student
and implications in interaction,
nursing. models,
cooperative
learning,
6 Circulatory To discuss about the To cover about. Didactic lecture 7

and structure and functions of Circulatory through power
Lymphatic circulatory system and System.Blood– point projections.
System lymphatic system microscopic Group
structure.Structure of discussion,
the heart.Structure of simulation
the blood method, student
vessels.Arterial and interactive
venous system. method, models,
Circulation: cooperative
Systemic, pulmonary, method
coronary. Lymphatic
system:Lymphatic
vessels and lymph.
Lymphatic tissues.
Thymus gland.
Lymph nodes.
Spleen. Lymphatic
nodules
Alterations in
disease.Applications
and implications in
nursing
7 Respiratory To discuss about the To cover about Didactic lecture 5

System: structure and function Structure of the through power
about respiratory system organs of respiration. point projections.
Muscles of Group
respiration. discussion,
Intercostals and student
Diaphragm. interactive
Alterations in session, models,
disease. Applications cooperative
and implications in method,
nursing simulation
method.,
coopeartive
learning
27
8 Digestive To discuss about the To cover about Didactic lecture 6
System structure and function of Structure of through power
digestive system Alimentary tract and point projections.
accessory organs of Group
digestion. Alterations discussion,
in disease. student
Applications and interactive
implications in session,
nursing. simulation
method,cooperati
ve learning.
9 Excretory To describe about the To cover about Didactic lecture 4

System structure and functions of Structure of organs of through power
(Urinary): urinary system urinary system : point projections.
Kidney, Ureters, Group
Urinary bladder, discussion,
Urethra. Alterations models,
in disease simulation
Applications and method, student
implications in interactive
nursing. session,
specimen
10 Endocrine To discuss about the To cover about Didactic lecture 4

System structure and functions of Structure of Pituitary, through power
endocrine system Pancreas, Thyroid, point projections.
Parathyroid, Thymus Group
and Adrenal glands. discussion,
Alterations in simulation
disease. Applications method,
and implications in specimen,
nursing cooperative
method, student
interaction
method
28
11 To cover about Didactic lecture 4
Structure of female through power
Reproductive To discuss about the reproductive organs. point projections.
System structure and functions of Structure of male Group
including respiratory system reproductive organs. discussion,
Breast Structure of the simulation
breast. Alterations in method, student
disease. Applications interaction
and implications in method,
nursing. cooperative
method, models,
specimen

Physiology
Code: 04100101
TOTAL : 60 Hours/ 4 credit
PREAMBLE
29
PHYSIOLOGY is science the branch of biology dealing with the functions and activities of living
organisms and their parts, including all physical and chemical processes. Physiology from Ancient
Greek, meaning 'nature, origin', (-logia), meaning 'study of' is the scientific study of
normal mechanisms, and their interactions, which operate within a living system. A sub-
discipline of biology, its focus is in how organisms, organ systems, organs, cells, and
biomolecules carry out the chemical or physical functions that exist in a living system. ] Given the size
of the field, it is divided into, among others, animal physiology (including that of humans), plant
physiology, cellular physiology, microbial physiology (microbial metabolism), bacterial physiology,
and viral physiology. Central to an understanding of physiological functioning is its integrated nature
with other disciplines such as chemistry and physics, coordinated homeostatic control mechanisms,
and continuous communication between cells. Physiology is the study of normal function within living
creatures. It is a sub-section of biology, covering a range of topics that include organs, anatomy, cells,
biological compounds, and how they all interact to make life possible.
The major systems covered in the study of human physiology are as follows:
 Circulatory system - including the heart, the blood vessels, properties of the blood, and how
circulation works in sickness and health.
 Digestive/excretory system - this domain charts the movement of solids from the mouth to the anus
and includes study of the spleen, liver, and pancreas, the conversion of food into fuel and its
consequent expulsion from the body.
 Endocrine system - the study of endocrine hormones that carry signals throughout the organism,
helping it to respond in concert. The principal endocrine glands - the pituitary, thyroid, adrenals,
pancreas, parathyroids, and gonads - are a major focus, but nearly all organs release endocrine
hormones.
 Immune system - the body's natural defense system is comprised of white blood cells, the thymus,
and lymph systems. A complex array of receptors and molecules combine to protect the host from
attacks by pathogens. Molecules such as antibodies and cytokines feature heavily etc.
GOAL-
The primary goal of physiology is to widen the students knowledge about the functioning with the
functions and activities of living organisms and their parts, including all physical and chemical
processes.
OBJECTIVES
30
1. Develop a vocabulary of appropriate terminology to effectively communicate information
related to anatomy and physiology.
2. Recognize the anatomical structures and explain the physiological functions of body systems.
3. Use anatomical knowledge to predict physiological consequences, and use knowledge of
function to predict the features of anatomical structures.
4. Recognize and explain the interrelationships within and between anatomical and physiological
systems of the human body.
5. Synthesize ideas to make a connection between knowledge of anatomy and physiology and
real-world situations, including healthy lifestyle decisions and homeostatic imbalances.
6. Demonstrate laboratory procedures used to examine anatomical structures and evaluate
physiological functions of each organ system.
7. Interpret graphs of anatomical and physiological data.

3. Role Play
4. Student Seminar
5. Panel discussion
6. Teacher Seminar
7. Presentations
COURSE DISTRIBUTION
31
S.No. TOPIC HOURS CREDITS
1 CELL PHYSIOLOGY 4
2 SKELTAL SYSTEM 4
3 MUSCULAR SYSTEM 4
4 NERVOUS SYSTEM 7
5 CIRCULATORY SYSTEM 8
6 THE RESPIRATORY SYSTEM 6

4
7 THE DIGESTIVE SYSTEM 6
8 THE EXCRETORY SYSTEM 5
9 SENSORY SYSYTEM 4
10 THE ENDOCRINE SYSTEM 5
11 THE REPRODUCTIVE SYSTEM 5
12 LYMPHATIC AND 2
IMMUNOLOGICAL SYSTEM
REFERENCES –
1. Chaudhuri, Concise Medical Physiology, New Central Book Agency Pvt. Ltd., Calcutta, 4th
Edition, 2002.
2. Kathleen (JW), Ross & Wilson Anatomy and physiology in Health and Illness, Churchil
Livingston Publication, Philadelphia, 8th Edition, 1999.
3. Tortora, Principles of Anatomy & Physiology, John Wiley & Sons, New York, 8th Edition,
2003.
4. Thibodeau (GA), Anthony’s Textbook of Anatomy & Physiology, Elsevier, 18th Edition,
2007.
SNO TOPIC DOMAIN HOURS
1 CELL PHYSOLOGY  Must know 4

 Tissue formation, repair
 Membranes & glands- functions
32
nursing
2 SKELTAL SYSTEM  Must know 4

 Bone formation & growth
 Bones – Functions and movements
of bones of axial and appendicular
skeleton, bone healing  Desirable to know
 Joints and joint movement
nursing
3 MUSCULAR SYSTEM  Must know 4

 Muscle movements, Muscle tone,
Physiology of contraction, levels
and maintenance of posture
 Alteration in disease  Desirable to know
 Application and implications in
nursing
4 NERVOUS SYSTEM  Must know 7

 Functions of Neuroglia & Neurons
Stimulus
 Nerve – impulse-definitions and
mechanism  Desirable to know
 Functions of brain, Spinal cord,
cranial and spinal nerves
 Cerebrospinal fluid-composition,
Circulation and functions
5 CIRCULATORY SYSTEM 8
 Blood formation, composition,

blood groups , blood coagulation  Must know
 Hemoglobin: Structure, synthesis  Desirable to know
and Breakdown, variation of
molecules, estimation
 Functions of heart, conduction,
cardiac cycle, circulation –  Desirable to know
principles,control, factors
influencing BP, and pulse
33
 Alternation in disease
nursing
6 THE RESPIRATORY SYSTEM  Must know 6

 Functions of respiratory organs
 Physiology of respirations
 Pulmonary ventilation, Volume
 Mechanics of respirations  Desirable to know
 Gaseous exchange in lungs
 Carriage of oxygen and carbon-
dioxide
 Exchanges of gases in tissues
 Regulation of respirations
nursing
7 THE DIGESTIVE SYSTEM  Must know 6

 Functions of organs of digestive
tract, movements of alimentary
tract,digestion in mouth, stomach,
small intestine, absorption of food,  Desirable to know
functions of liver, gall bladder and
pancreas
 Metabolism of carbohydrate, protein
and fat
8 THE EXCRETORY SYSTEM  Must know 5

 Functions of kidneys, ureters,
urinary bladder urethra Composition
of urine
 Mechanism of urine formation  Desirable to know
 Regulations of body temperature
 Fluid and electrolyte balance  NICE TO KNOW
 Alterations in disease and
implications in nursing
9 SENSORY SYSYTEM  Must know 4
 Functions of skin, eye, ear, nose,
tongue
34
nursing
10 THE ENDOCRINE SYSTEM  Must know 5

 Functions of pituitary, pineal body,
Thymus, Thyroid, Parathyroid,
pancreas, Suprarenal, placenta and
Ovaries and Testes  Desirable to know
nursing
11 THE REPRODUCTIVE SYSTEM  Must know 5
Functions of female reproductive organs:
Functions of breast, female sexual cycle

Introduction to embryology
Functions of male reproductive organs:

fertility system
Applications and implications in nursing
12 LYMPHATIC AND  Must know 2

IMMUNOLOGICAL SYSTEM  Desirable to know
 Circulation of lymph
 Community
 Formations of T- Cells and B- Cells  Desirable to know
 Types of Immune response
 Antigens
 Cytokine
 Antibodies
CURRICULUM
35
SNO CONTENT OF LEARNING Teaching Methodology HOURS
TOPIC OBJECTIVES(at objectives
the end of session
student will able to)
1 CELL 4
PHYSOLOGY
 To describe about To teach and  Didactic
 Tissue the cell discuss about the lecture
formation, physiology Membranes & through
repair  Tissue formation, glands- PowerPoint
 Membranes & repair functions and projections.
glands-  Membranes & Alterations in  Student
functions glands- functions disease interactive
 Alterations in  Alterations in sessions
disease disease  Teacher
 Applications seminar
and
implications
in nursing
2 SKELTAL  Didactic 4
SYSTEM lecture
Elaborate and discuss To teach and through
 Bone about about Bones discuss about PowerPoint
formation & – Functions and Bone formation projections.
growth movements of bones & growth  Student
 Bones – of axial and interactive
Functions and appendicular skeleton sessions
movements of  Teacher
bones of axial seminar
and
appendicular
skeleton,bone
healing
 Joints and
joint
movement
Alterations in
disease
 Applications
and
implications
in nursing
36
3 MUSCULAR  Didactic 4
SYSTEM lecture
through
 Muscle PowerPoint
movements, Describe the Muscle To teach and projections.
Muscle tone, movements, Muscle discuss about  Student
Physiology of tone, Physiology of the muscular interactive
contraction, contraction, levels and system sessions
levels and  Teacher
maintenance maintenance of seminar
of posture posture
 Alteration in
disease
 Application
and
implications
in nursing
4 NERVOUS To teach and  Didactic 7

SYSTEM discuss about the lecture
Describe about the nervous system through
 Functions of Functions of PowerPoint
Neuroglia & Neuroglia & Neurons projections.
Neurons Stimulus  Student
Stimulus interactive
 Nerve – Nerve – impulse- sessions
impulse- definitions and  Teacher
definitions mechanism seminar
and
mechanism Functions of brain,
 Functions of Spinal cord, cranial
brain, Spinal and spinal nerves
cord, cranial
and spinal
nerves
 Cerebrospinal
fluid-
composition,
Circulation
and functions
5 CIRCULATOR To teach and  Didactic 8

Y SYSTEM discuss about the lecture
circulatory through
 Blood system PowerPoint
formation, Describe about the projections.
composition, circulatory system  Student
blood groups , interactive
blood sessions
37
coagulation  Teacher
 Hemoglobin: seminar
Structure,
synthesis and
Breakdown,
variation of
molecules,
estimation
 Functions of
heart,
conduction,
cardiac cycle,
circulation –
principles,con
trol, factors
influencing
BP, and pulse
 Alternation in
disease
 Applications
and
implications
in nursing
6 THE To teach and  Didactic 6

RESPIRATORY discuss about the lecture
SYSTEM Physiology of through
respirations PowerPoint
 Functions of Describe about the projections.
respiratory Physiology of  Student
organs respirations interactive
 Physiology of sessions
respirations  Teacher
 Pulmonary seminar
ventilation,
Volume
 Mechanics of
respirations
 Gaseous
exchange in
lungs
 Carriage of
oxygen and
carbon-
dioxide
 Exchanges of
gases in
tissues
 Regulation of
respirations
 Alterations in
38
disease
 Applications
and
implications
in nursing
7 THE  Describe To teach and  Didactic 6

DIGESTIVE about the discuss about the lecture
SYSTEM Functions of digestive system through
organs of Functions of PowerPoint
 Functions of digestive tract organs of projections.
organs of digestive tract,  Student
digestive movements of interactive
tract, alimentary tract, sessions
movements of  Teacher
alimentary digestion in seminar
tract,digestion mouth, stomach,
in mouth, small intestine,
stomach, absorption of
small food, functions
intestine,
absorption of of liver, gall
food, bladder and
functions of pancreas
liver, gall
bladder and Metabolism of
pancreas carbohydrate,
protein and fat
 Metabolism
of
carbohydrate,
protein and fat
8 THE Elaborate the To teach and  Didactic 5
EXCRETORY physiology of discuss about the lecture
SYSTEM excretory system physiology of through
excretory system PowerPoint
 Functions of Functions of projections.
kidneys, kidneys, ureters,  Student
ureters, urinary bladder interactive
urinary urethra sessions
bladder Composition of  Teacher
urethra seminar
Composition urine
of urine
 Mechanism of Mechanism of
urine urine formation
formation
 Regulations Regulations of
of body body
39
temperature temperature
 Fluid and
electrolyte Fluid and
balance electrolyte
 Alterations in balance
disease
 Applications
and
implications
in nursing
SENSORY Describe about the To teach and  Didactic 4

SYSYTEM physiology of sensory discuss about the lecture
system Functions of through
Functions of skin, skin, eye, ear, PowerPoint
eye, ear, nose, nose, tongue projections.
tongue  Student
Alterations in interactive
 Alterations in disease sessions
disease  Teacher
 Applications seminar
and
implications
in nursing
10 THE Described about the To teach and  Didactic 5

ENDOCRINE physiology of discuss about lecture
SYSTEM endocrine system. Functions of through
pituitary, pineal PowerPoint
 Functions of body, Thymus, projections.
pituitary, Thyroid,  Student
pineal body, Parathyroid, interactive
Thymus, sessions
Thyroid, pancreas,  Teacher
Parathyroid, Suprarenal, seminar
 pancreas, placenta and
Suprarenal, Ovaries and
placenta and Testes
Ovaries and
Testes
 Alterations in
disease
 Applications
and
implications
in nursing
11 THE Describe about the To teach and  Didactic 5

REPRODUCTI physiology of discuss about the lecture
VE SYSTEM reproductive system Functions of through
female PowerPoint
 Functions of reproductive projections.
40
female organs:  Student
reproductive interactive
organs:  Functions of sessions
 Functions of breast,female  Teacher
breast, sexual cycle seminar
female  Introduction
sexual cycle to
 Introduction embryology
to  Functions of
embryology male
 Functions of reproductive
male organs:
reproductive
organs:fertilit fertility system
y system
 Alterations in
disease
 Applications
and
implications
in nursing
12 LYMPHATIC Describe about the To teach and  Didactic 2

AND LYMPHATIC AND discuss about the lecture
IMMUNOLOGI IMMUNOLOGICAL Community through
CAL SYSTEM SYSTEM PowerPoint
 Formations projections.
 Circulation of of T- Cells  Student
lymph and B- Cells interactive
 Community  Types of sessions
 Formations of Immune  Teacher
T- Cells and response seminar
B- Cells  Antigens
 Types of  Cytokines
Immune  Antibodies
response
 Antigens
 Cytokines
 Antibodies
41
BIOCHEMISTRY
Code: 04100102

THEORY: 30 Hours/ 2 credit
TOTAL : 30 Hours/ 2 credit
PREAMBLE
"The chemistry of life" Study of the structure and properties of molecules in living organisms and
how those molecules are made, changed, and broken down. It help to acquire knowledge of the normal
biochemical composition and functioning of human body and understand the alterations in
biochemistry in diseases for practice of nursing. Biochemistry, sometimes called biological
chemistry, is the study of chemical processes within and relating to living organisms. By controlling
information flow through biochemical signaling and the flow of chemical energy through metabolism,
biochemical processes give rise to the complexity of life. biochemistry is closely related to molecular
biology, the study of the molecular mechanisms by which genetic information encoded in DNA is able
to result in the processes of life Depending on the exact definition of the terms used, molecular biology
can be thought of as a branch of biochemistry, or biochemistry as a tool with which to investigate and
study molecular biology.
Much of biochemistry deals with the structures, functions and interactions of
biological macromolecules, such as proteins, nucleic acids, carbohydrates and lipids, which provide
the structure of cells and perform many of the functions associated with life. The chemistry of the cell
also depends on the reactions of smaller molecules and ions. These can be inorganic, for
example water and metal ions, or organic, for example the amino acids, which are used to synthesize
proteins. The mechanisms by which cells harness energy from their environment via chemical
reactions are known as metabolism. The findings of biochemistry are applied primarily
in medicine, nutrition, and agriculture. In medicine, biochemists investigate the causes
and cures of diseases
Objectives
To acquire knowledge of the normal biochemical composition and functioning of human body and
understand the alterations in biochemistry in diseases for practice of nursing.
42
Course plan
SNO CONTENT HOURS CREDIT
1 Introduction 3 2
2 Structure and function of cell membrane 6
3 Composition and metabolism of 6

carbohydrates
4 Composition and metabolism of lipids 4
5 Composition and metabolism of amino acids 6

and proteins
6 Composition and metabolism of vitamins and 2

minerals
7 Immunochemistry 3

3. Role Play
4. Student Seminar
5. Panel discussion
6. Teacher Seminar
7. Presentations
43
References
1. Vasudevan (DM), Text Book of Biochemistry, J.P.Brothers Publication New Delhi,
2. Lehninger, Principles of Biochemistry, Worth Publishers, NewYork, 3rd Edition, 2002.
3. Manoj Kr. Sharma, Biochemistry for Nurses
4. D.C. Sharma, Biochemistry for Nurses
5. S. P. Singh, Principles of Biochemistry
6. ShwetaSingla, Medical Biochemistry for Nurses
7. S.N.Raju, Nutrition & Biochemistry
44
CURRICULUM PLANNING
SNO TOPIC DOMAIN HOURS
1 Introduction  Must know 3

 Desirable to
 Definition and significance in know
nursing
 Review of structure,
composition and functions of
cell  Desirable to
 Prokaryote and Eukaryote cell know
organism
 Microscopy  Nice to know
2 Structure and functions of cell  Must know 6

membrane  Desirable to
know
 Fluid mosaic model tight
junction, Cytoskeleton
 Transport mechanism:
diffusion, osmosis, filtration,  Desirable to
active channel, sodium pump know
 Acid Base balance
maintenance & Diagnostic  Nice to know
tests - PH Buffers
3 Composition and metabolism of  Must know 6

Carbohydrates  Desirable to
know
 Types, structure, composition
and uses
 Monosaccharide’s
 Disaccharides  Desirable to
 Polysaccharides know
 Oligosaccharides
 Metabolism Pathways of  Nice to know
glucose:
 Glycolysis
 Gluconeogenesis: Cori’s
cycle,
 Tricarboxylic acid (TCA)
cycle
 Pentose phosphate pathways
(Hexose monophosphate)
 Regulation of blood glucose
level
 Investigation and their
45
interpretations
Lipids  Desirable to
know.
 Types, structure, composition  Desirable to
and uses of fatty acids know
 Nomenclature, Roles and
Prostaglandins  Nice to know
 Metabolism of fatty acid
 Breakdown
 Synthesis
 Metabolismof triacylglycerols
 Cholesterol metabolism
 Biosynthesis and its
Regulation
 Bile salts and bilirubin
 Vitamin D
 Steroid hormones
 Lipoproteins and their
functions:
 VLDLs IDLs, LDLs and
HDLs
Amino acids and proteins  Desirable to
know
 Types, structure, Composition
and uses of Amino acids and
proteins
 Metabolism of Amino acids  Desirable to
and proteins know
 Proteins synthesis, targeting
and glycosylation  Nice to know
 Chromatography
 Electrophoresis
 Sequencing
 Metabolism of Nitrogen:
 Fixation and Assimilation
 Urea Cycle
 Hemes and chlorophylls
 Enzymes and co-enzymes
 Classification
 Properties
 Absorption
 Storage & transportation
 Normal concentration,
 Investigations and their
interpretations
6 Composition of Vitamins and  Must know 2

minerals:  Desirable to
know
46
 Structure
 Classification
 Properties
 Desirable to
 Absorption
know
 Storage & transportation
 Normal concentration
 Nice to know
interpretations
7 Immunochemistry  Must know 3

 Desirable to
 Immune response know
 Structure and classification of
immunoglobins
 Mechanism of antibody
production  Desirable to
 Antigens: HLA typing know
 Free radical and Antioxidants
 Specialized Protein: Collagen,  Nice to know
Elastin, Keratin, Myosin, Lens
Protein
 Electrophoretic and
Quantitative determination of
immunoglobins ELISAetc.,
interpretations
47
CURRICULUM
SN TOPIC Learning objectives Teaching Methodology Hours
O learning
activities
1 Introduction  Describe the To teach  Lecture 3

structure, and discuss discussion
 Definition and composition and about using
significance in functions of cell structure, charts,
nursing  Differentiate composition slides
 Review of structure, between Prokaryote and  Demonstrat
composition and cell functions of e use of
functions of cell  Identify techniques cell microscope
 Prokaryote and of Microscopy
Eukaryote cell
organism
 Microscopy
2 Structure and Describe

To teach
structure
Lecture
and functions of
6 cell membrane
functions of cell and discuss discussion
membrane about using charts,
structure slides
Fluid mosaic model and
tight junction, functions of Student
Cytoskeleton cell interactive
membrane session
Transport mechanism:
diffusion, osmosis,
filtration, active
channel, sodium pump
Acid Base balance

maintenance &
Diagnostic tests - PH
Buffers
3 Composition and To teach  Lecture 6

metabolism of and discuss discussion
Carbohydrates Explain the metabolism about  Demonstra
of carbohydrates metabolism tion of
 Types,structure, of blood
composition and carbohydrat glucose
uses es monitoring
 Monosaccharide
’s
 Disaccharides
 Polysaccharides
48
 Oligosaccharide
s
 Metabolism
Pathways of
glucose:
 Glycolysis
 Gluconeogenesi
s: Cori’s cycle,
 Tricarboxylic
acid (TCA)
cycle
 Pentose
phosphate
pathways
(Hexose
monophosphate)
 Regulation of
blood glucose
level
 Investigation
and their
interpretations
4 Compositioand Explain the metabolism To teach Lecture 4

metabolism of Lipids of Lipids and discuss discussion
about
 Types,structure, metabolism Explain using
composition and of lipids Charts, Films
uses of fatty
acids
 Nomenclature,
Roles and
Prostaglandins
 Metabolism of
fatty acid
 Breakdown
 Synthesis
 Metabolism of
triacylglycerols
 Cholesterol
metabolism
 Biosynthesis
and its
Regulation
 Bile salts and
bilirubin
 Vitamin D
 Steroid
hormones
 Lipoproteins
and their
functions:
49
 VLDLs IDLs,
LDLs and HDLs
5 Composition and  Explain the To teach  Lecture 6

metabolism of Amino metabolism of and discuss discussion
acids and proteins Amino acids about  Demonstra
and proteins metabolism tion of
 Types, structure, of Amino Laboratory
Composition acids and tests
and uses of proteins
Amino acids and
proteins
 Metabolism of
Amino acids and
proteins
 Proteins
synthesis,
targeting and
glycosylation
 Chromatography
 Electrophoresis
 Sequencing
 Metabolism of
Nitrogen:
 Fixation and
Assimilation
 Urea Cycle
 Hemes and
chlorophylls
 Enzymes and
co-enzymes
 Classification
 Properties
 Absorption
 Storage &
transportation
 Normal
concentration,
 Investigations
and their
interpretations
6 Vitamins and minerals: Describe the types, To Lecture 2
composition and teac discussi
 Structure utilization of Vitamins h on
 Classification & minerals and
 Properties disc De
uss monstra
Absorption abou tion of
t Laborat
Storage & vita
50
transportation mins ory tests
and
Normal concentration mine
rals
Investigations and their
interpretations
7 Immunochemistry Describe Immuno To teach  Lecture 3

chemistry and discuss discussion
 Immune about  Demonstrati
response Immuno on of
 Structure and chemistry Laboratory
classification of tests
immunoglobins
 Mechanism of
antibody
production
 Antigens: HLA
typing
 Free radical and
Antioxidants
 Specialized
Protein:
Collagen,
Elastin, Keratin,
Myosin, Lens
Protein
 Electrophoretic
and Quantitative
determination of
immunoglobins
ELISA etc.,
 Investigations
and their
interpretations
51
NUTRITION
Code: 04100102

TOTAL : 60 Hours/4credit
Preamble
Nutrition is the science that interprets the interaction of nutrients and other substances in food in
relation to maintenance, growth, reproduction, health and disease of an organism. It includes food
intake, absorption, assimilation, biosynthesis, catabolism and excretion.[1]
The diet of an organism is what it eats, which is largely determined by the availability, the processing
and palatability of foods. A healthy diet includes preparation of food and storage methods that preserve
nutrients from oxidation, heat or leaching, and that reduce risk of foodborne illness.
A poor diet can cause deficiency diseases such as blindness, anemia, scurvy, preterm
birth, stillbirth and cretinism;[2] health-threatening conditions like obesity[3][4] and metabolic
syndrome;[5] and such common chronic systemic diseases as cardiovascular
disease,[6] diabetes,[7][8] and osteoporosis. A poor diet can cause the wasting of kwashiorkor in acute
cases, and the stunting of marasmus in chronic cases of malnutrition
52
Subject distribution:
The subject will be for 1 year duration. The topics covered under theory training are as follows
Unit Topic Hours Credit
1. Introduction 4
2. Carbohydrate 2
3. Fat 2
4. Proteins 2
5. Energy 3
6. Vitamins 4
7. Minerals 4
8. Water & electrolytes 3
9. Cookery rules and 20

preservation of
nutrients
10. Balanced diet 12
11. Role of nurse in 4

nutritional programme
TOTAL 60 4

3. Role Play
4. Student Seminar
5. Panel discussion
6. Teacher Seminar
7. Presentations
53
CURRICULUM
1 Introduction
Nutrition:
 History  Must know

 Concepts  Desirable to
 Role of nutrition in maintaining health know 4 Hrs.
 Nutritional problems in India  Must know
 Must know
 National Health Policy
 Factors affecting food and nutrition:
socio- economic, culture, tradition,
production, System of distribution, life  Must know
cycle and food habits etc.,
 Need to know
 Role of food and its medicinal value  Desirable to
 Classification of foods know
 Elements of nutrition: macro and micro  Must know
 Calorie, BMR
2 2hrs
CARBOHYDRATES:
 Must know
To cover the  Desirable to
know
 Classification  Must know
 Caloric value  Must know
 Recommended daily allowance  Desirable to
 Dietary sources know
 Functions  Must know
 Digestion,absorption,storage and
metabolism of carbohydrates
 Malnutrition: deficiencies and over
 Need to know
consumption
3 FATS 3hrs
To cover the
 Classification  Desirable to
 Caloric value know
 Recommended daily allowance  Desirable to
 Dietary sources know
 Digestion,absorption,storage and  Must know
metabolism of carbohydrates  Must know
 Need to know
consumption
 Must know
54
4 PROTEINS 2hrs
To cover the
Classification  Must know

Caloric value  Must know
Recommended daily allowances  Must know
Dietary sources  Desirable to
Functions know
Digestion,absorption,storage and  Must know
metabolism of carbohydrates  Need to know
 Must know
consumption
5 ENERGY 3hrs
To cover the  Must know

 Must know
 Unit of energy-kcal  Must know
 Energy requirements of different  Desirable to
categories of people know
 Measurement of energy  Need to know
 Body mass index and basic metabolism  Need to know
 Basal metabolism rate
 Determinates and factors affecting
6 VITAMINES To cover the  Must know 4hrs

 Desirable to
Classification know
Caloric value  Must know
Recommended daily allowances  Must know
Dietary sources  Must know
Functions  Must know
Absorption,synthesis,metabolism,storage  Need to know
and excretion  Must know
 Deficiencies  Must know
 Hypervitaminoisis
7 MINERALS 4hrs
To cover the
 Classification  Must know

 Caloric value  Must know
 Recommended daily allowances  Need to know
 Dietary sources  Need to know
 Absorption,synthesis,metabolism,storage  Desirable to
and excretion know
 Desirable to
55
 Deficiencies know
 Over consumption and toxicity
 Must know
 Must know
8 3hrs
WATER AND ELECTROLYTES
To cover the
 Water: daily requirements, regulation of  Must know

water metabolism ,distribution of body  Must know
water  Must know
 Electrolytes: types,sources,composition of  Desirable to
body fluids know
 Maintance of fluid and electrolytes balance  Must know
 Over hydration and dehydration and water  Must know
intoxication
 Electrolyte
5hrs 15 hr
practi
9 COOKRY RULES AND PRESERVATION cal
OF FOOD
To cover the  Must know

 Desirable to
Principles, methods of cooking and know
serving  Must know
 Preservation of nutrients safe food  Need to know
handling-toxicity  Need to know
 Storage of food  Need to know
 Food preservation, food additives and its  Must know
principles
 Prevention of food adulteration act
 Food standards
 Preparation of simple beverages and
different type of food
10 BALANCE DIET 7hrs 5hrs
 Must know practi
To cover the  Must know cal
 Elements  Must know
 Food groups  Desirable to
 Recommended daily allowances know
 Nutritive values of foods  Desirable to
 Calculation of balance diet for different know
categories of peoples
 Planning menu  Need to know
 Must know
 Budgeting of food
 Must know
 Introduction to therapeutic diet
naturopathy diets
56
11. ROLE OF NURSE IN NUTRITIONAL 4hrs
PROGRAM
To cover the
National programs related to nutrition  Desirable to
 Vitamins- deficiency program know
 National iodine deficiency disorders  Need to know
 (IDD)program  Must know
 Mid-day meal program  Must know
 Integrated child development scheme  Must know
 (ICDS)  Must know
 Desirable to
 National and international agencies
working towards food /nutrition know
 Desirable to
 NIPCCD,CARE,FAO,NIN,CFTRI(central
know
food technology and research institute)
 Need to know
 Assessment of nutritional status
 Need to know
 Nutrition education and role of nurse  Must know
57
CURRICULUM
S. Topic Learning Teaching guidelines Methodology Time

No. objectives (hrs)
(At the end of
the session the
students will be
able to
1 Introduction Describing the  To cover the Didactic 4
to Nutrition relationship Concept of lecture
between Nutrition  Role of nutrition in through
and health maintain health power point
 Nutritional problems presentation
in India
 National health
policy
 Factors affecting the
food and nutrition,
socio economic,
culture, traditional
production, system
of distribution, life
cycle and food
habits etc.
 Role of food and its
medical value
 Classification of
food
 Elements of
nutrition: macro and
micro
 Calorie, BMR
2 CARBOHYD Describe the To cover the Classification, Didactic 2
RATES: classification Caloric value, lecture
functions sources Recommended daily through
and allowance, Dietary sources, power point
recommended Functions, Digestion, presentation,
daily allowances absorption, storage and
of carbohydrates. metabolism of Carbohydrate Exhibit charts
, Malnutrition: deficiencies
and over consumption
3 Fats Describe the To cover the Classification, Didactic 2

classification Caloric value, lecture
recommended Functions, Digestion, presentation
daily allowances absorption, storage and
of fats metabolism of fats,
Malnutrition: deficiencies
and over consumption.
58
4 Proteins Describe the To cover the Classification, Didactic 2
classification Caloric value, lecture
recommended Functions, proteins presentation
daily allowances Digestion, absorption,
of Protein storage and metabolism of
pro, Malnutrition:
deficiencies and over
consumption
5 Energy Describe daily To cover the Unit of energy- Teaching 3

calorie kcal, Energy requirements seminar
requirement for of different categories of
different people, Measurement of
categories of energy, Body mass index
people. and basic metabolism, Basal Interactive
metabolism rate session
,Determinates and factors
affecting
6 Vitamins Describe the To cover the Classification, Teaching 4

classification Caloric value, seminar
functions sources Recommended daily
and allowance, Dietary sources,
recommended Functions, proteins
daily allowances Digestion, absorption, Interactive
of Vitamins storage and metabolism of session
Vitamins , Malnutrition:
consumption
7 Minerals Describe the To cover the Classification, Teaching 4

classification Caloric value, seminar
functions sources Recommended daily
and allowance, Dietary sources,
recommended Functions, proteins
daily allowances Digestion, absorption, Interactive
of Minerals. storage and metabolism of session
Minerals , Malnutrition:
consumption
8 Water and Describe the To cover Water: daily Teaching 3

Electrolyte functions sources requirement, regulation of seminar
and requirement water metabolism,
of water and distribution of body water,
electrolytes electrolytes: types, sources,
composition of body fluids, Interactive
maintenance of fluid and session
electrolyte balance, over
hydration, dehydration and
water intoxication,
electrolyte imbalance
59
9 Cookery rules Describe cookery To cover Principals, Teaching 5-
and rules and methods of cooking and seminar Theory
preservation preservation of serving, preservation of
of nutrients nutrients nutrients, 15-
safe food handling – Practica
Prepare and serve toxicity, storage of food, Interactive l
simple beverages food preservation of session
and different food adulteration act(PFA),
types of food. food standards, preparation
of simple beverage and
different types of food’
10 Balanced Diet Describe and plan To cover Elements, food Teaching 7
balanced diet for groups, recommended daily, seminar Theory
different allowance, nutritive value
categories of of foods calculation of 5
people balanced diet for different Practica
categories of people, Interactive l
planning menu, budgeting session
of food, introduction
of therapeutic diets:
Naturopathy- Diet
11 Role of Nurse  Describe To cover National Teaching 4
in Nutritional various programme related to seminar
Programme national nutrition, vitamin-A
programs deficiency programme,
related to · national iodine (IDD)
nutrition programme, mid-day meal Interactive
 Describe the programme, midday meal session
role of nurse programme, integrated child
in assessment development
of nutritional scheme(ICDS), national and
status and international agencies Didactic
nutrition working towards lecture
education food/nutrition,NIPCCD,
CARE,FAO,NIN,CFTRI
(central food technology
and research institute)
etc, assessment of
nutritional status, nutritional
education and role of nurse.
60
NURSING FOUNDATION
Code: 04100103

THEORY: 150 Hours/10credit
Lab : 95 Hours /6 Credits
Total : 240 Hours/16credit
Preamble
The basic principles and practices of nursing as taught in educational programs for nurses. In a course
on the fundamentals of nursing, the student attends classes and gives care to selected patients. A
fundamentals of nursing course emphasizes the importance of the fundamental needs of humans as
well as competence in basic skills as prerequisites to providing comprehensive nursing care.
Fundamentals of nursing provides a solid foundation in critical thinking, evidence-based practice,
nursing theory, and safe clinical care in all settings. This course will introduce fundamentals of nursing
care for selected health problems including the activities of daily living and variations of such
activities across the lifespan.
Goals
The primary goal of the subject is to train nursing students with basic procedures that they are required
to practice in the patient bedside in order to give effective and efficient care to the patient. The area of
care is not only restricted to the hospital setting but instead can be extended to nursing homes and all
kinds of health care agencies.
Objectives
 To integrate and apply knowledge from nursing science and evidence based practice to
health care needs of an individual with simple acute health problems
 To integrate biological, physiological and pharmacological sciences with nursing the
patient with an acute illness
To identify relevant activities of daily living for a patient with a selected health problem
 To articulate considerations of varying needs of patients who are ill across the lifespan
 To identify nutritional requirements for a patient with an acute illness
 To identify and explain diagnostic tests relevant to selected health problems
 To identify and describe pharmacokinetics for selected health problems
61
1 SEMESTER –PART 1
Theory Lab Practical/

Clinical
1 Topic Credits Hours Credits Hours Credits Hours
1. Introduction 2 10 5 150
2. Nursing as a profession 16
3. Hospital Admission and 4 10

Discharge
4. Communication and Nurse 3 10

Patient Relation ship
5. The nursing process 15 10
6. Vital signs 15 5
7. Documentation and reporting 4 5
8. Machinery, equipment and 3 5

linen
9. Meeting needs of the patient 41 50
10. Health assessment 2 30 10
TOTAL 10 150 6 95 5 150

3. Role Play
4. Student Seminar
5. Panel discussion
6. Teacher Seminar
7. Presentations
62
II SEMESTER –PART II
Theory Lab Practical/

Clinical
1 Topic Credits Hours Credits Hours Credits Hours
1. Meeting needs of the patient 1 19
2. Infection control in clinical 4 20

settings
3. Administration of 40
medications
4. Meeting needs of 3 10
perioperative patients
5. Meeting special needs of the 15

patient
6. Care of terminally ill patient 5
7. Professional nursing 6
concepts and practices
TOTAL 8 115 7 105 10 300
63
Clinical Training
The students will be exposed to practical demonstrations in various departments for above purposes.
Clinical training comprises of 650 hours (200 Lab+ 450 Clinical). A student must complete 100% of
attendance notified in each of the practical areas before award of degree.
• Apply knowledge from physical, biological and behavioural sciences, medicine including
alternative systems and nursing in providing nursing care to individuals, families and
communities.
• Demonstrate understanding of life styles and other factors, which affect health of
individualsand groups.
• Provide nursing care based on steps of nursing process in collaboration with individualsand
groups.
• Demonstrate critical thinking skill in making decisions in all situations in order to
providequality care.
• Utilize the latest trends and technology in providing health care.
• Provide promotive, preventive and restorative health services in line with the National Health
Policies and Programmes.
• Practice within the frame work of code of ethics and professional conduct, and
acceptablestandards of practice within the legal boundaries.
• Communicate effectively with individuals and groups, and members of the health team inorder
to promote effective inter personal relationship and team work.
• Demonstrate skills in teaching to individuals and groups in clinical and community
healthsettings.
• Participate effectively as members of the health team in health care delivery system.
64
CLINICAL
Department Hours/departmen Total Credit Total Credit Assignments
t hour s hours s
s per per year
year
Semester I Semeste
r II
Demonstration 105 3.5 105 • Lab practice

Laboratory
Practice Hours
General, Medical 240 225 7.5

and Surgical
Hours 8
1. Male 30 30 • Practice in Unit

Medicine or Hospital
Ward • Nursing process
2. Female 30 30 records of
Medicine patient
Ward 1. Simulated: 1
3. Male 30 30 2. Actual: 1
Surgery • Role plays in
Ward simulated
4. Female 30 30 situations in
Surgery communications
Ward techniques: 1
5. Male 30 30 • Health talk: 1
Ortho • Writing nurses’
Ward notes and
6. Female 30 30 present patient
Ortho report of 2-3
Ward assigned patients
7. OBG 30 30 • Measure vital
ward signs of assigned
8. CSSD/ 30 30
patients.
Micro Lab
• Observation
study: 2
o CSSD:1
TOTAL HOURS 345 330 Hrs
hrs
65
The theory training will be primarily from cognitive domain while practical training will be from
cognitive, psychomotor and affective domain.

3. Role Play
4. Student Seminar
5. Panel discussion
6. Teacher Seminar
7. Presentations
References
Syllabus books
1. Potter p. a., Perry, A. G., Fundamentals of Nursing, Mosby publishers, 9 th ed.

2. S. Anuradha, A Textbook of Fundamental of Nursing, Vijayam publication, 1 st edition, 2015
3. Swearingen, P.L., All-in-One Nursing Care Planning Resource: Medical-Surgical, Pediatric,
Maternity and Psychiatric-Mental Health (All in One Care Planning Resource), Elsevier Health
Publisher, 4th edition.
4. Doenges, M.E., Moorhouse, M.F., Murr, A.C., Nurse's Pocket Guide: Diagnoses, Prioritized
Interventions and Rationales, F.A. Davis Company, 14th edition
5. Taylor, C., Lillis, C., Lynn, C., Fundamentals of Nursing (Fundamentals of Nursing: The Art &
Science of Nursing Care, Lippincott Williams and Wilkins publisher, 8th edition
6. Lynn, P., Taylor's Clinical Nursing Skills: A Nursing Process Approach, Lippincott Williams
and Wilkins Publisher, 4th Revised edition
7. NANDA International, Nursing Diagnoses 2015-17: Definitions and Classification, Wiley-
Blackwell Publications, 10 edition.
8. Treas, L.S., Wilkinson, J.M., Basic Nursing Concepts,Skills& Reasoning, F A Davis publisher,
1 edition, 2014
9. Jarvis, Physical Examination and Health Assessment, Elsevier Health publisher, 7 edition (15
February 2015)
10. Ackley, Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning Care, Elsevier
Health publisher, 11 edition (2016)
11. Perry, Clinical Nursing Skills and Techniques, Elsevier Health Publisher, 8 edition (14
February 2013)
Scheme of examination: According to Indian Nursing Council
Nursing Foundations subject will consist of 3 sessional examination and 1 final examination.
Minimum Pass marks for all other subjects shall be 50% in each of the Theory and Practical papers
separately. Minimum pass marks shall be 40% for English only. A candidate must have minimum of
80% attendance (irrespective of the kind of absence) in theory and practical in each subject for
appearing for examination.
66
Nursing Foundation
THEORY: 150 Hours/10credit
Lab : 95 Hours /6 Credits
Total : 240 Hours/16credit
S. No TOPIC DOMAIN HRS
1. Introduction: 10
• Concept of health, Factors influencing health,  Must know

Causes and risk factors for developing illness.
• Body defences, Illness and illness behaviour

 Must know
Impact of illness on patient and family  Must know
• Health care services,: Health promotion and

prevention, primary care, Diagnosis, treatment,
Rehabilitation and continuing care.
Health care teams
Types of Health care agencies.
Hospitals: Types, Organisation and functions
Health promotions and levels of diseases, Primary

health care and its delivery: Role of Nurse
2. Nursing as a Profession 16
 Nursing as a profession and history of nursing in  Nice to know

India
 Definition, concepts, philosophy, objectives,
characteristics, nature, and scope of nursing
practice  Desirable to
 Functions of nurse, Qualities of nurse, know
Categories of nursing personnel
 Must know
Nursing as a profession
67
History of nursing in India.
Values : definition, types, values clarification and

values in professional nursing : caring and advocacy
Ethics :
- definition and ethical principles
- code of ethics and professional conduct of nurses
3. Hospital Admission and Discharge 4

Admission to the hospital
- Unit and its preparation :  Must know
Admission bed
- Admission procedures
- Special considerations
- Medico-legal issues  Must know
- Role and responsibilities of the
nurse.  Desirable to
Discharge from the hospital know
- Types: Planned discharge, LAMA  Must know
and abscond, Referrals and Transfers.
- Discharge Planning
- Discharge Procedures
- Medico-legal issues
- Roles and responsibilities of the
nurse
- Care of the unit after discharge
4. Communication and Nurse Patient relationship  Desirable to 10

Communication : Levels, Elements, Types, know
Modes, Process, Factors influencing  Must know
Communication
Methods of effective communication:
- Attending skills
- Rapport building skills
- Empathy skills
- Barriers to effective communication
Helping relationships (NPR): Dimensions of
Helping Relationship, Phases of a Helping
Relationship
Communicating effectively with patients, families

and team members and maintain
effective human relations with special

reference to communicating with vulnerable
68
group
(children, women, physically and mentally

challenged and elderly)
Patient teaching; Importance, Purposes, Process,

Role of Nurse and Integrating teaching in Nursing
Process
5. The Nursing Process 15

Critical Thinking and Nursing Judgment :
- Critical Thinking : Thinking and
Learning
- Competencies, Attitudes for Critical  Desirable to
Thinking, Levels of critical thinking know
in  Must know
Nursing
Nursing Process Overview : Application in Practice
- Nursing process format : Current
format, INC
Assessment:
- Collection of Data : Types, Sources,
Methods
- Formulating Nursing judgment
Data interpretation Nursing
Diagnosis:
- Identification of client problems
- Nursing diagnosis statement
- Difference between medical and
nursing diagnosis
Planning:
- Establishing priorities
- Establishing goals and expected
outcomes
- Selection of interventions :
Protocols and Standing orders
- Writing the Nursing care plan
Implementation:
- Implementing the plan of care
Evaluation:
- Outcome of care
- Review and Modify
Documentation and Reporting
6. Documentation and Reporting 4
Documentation : Purposes of Recording and

reporting
Communication within the Health Care Team  Desirable to
Types of records : ward records, medical/nursing know
records  Must know
Common record keeping forms, computerized
documentation
Guidelines for reporting : Factual basis, Accuracy,
69
Completeness, Correctness,
Organization, Confidentiality
Methods of Recording
Reporting : Change of shift reports, Incident reports
Minimizing legal Liability through effective record
keeping
7. Vital signs 15
Guidelines for taking vital signs  Must know

Body temperature :  Must know
- Physiology, Regulation, Factors  Must know
affecting body temperature
- Assessment of body temperature :
sites, equipments and technique,
special
considerations
- Temperature alterations :
Hyperthermia, Heatstroke,
Hypothermia
- Hot and cold applications
Pulse :
- Physiology and Regulation,
Characteristics of the pulse, Factors
affecting pulse
- Assessment of pulse : sites,
location, equipments and technique,
special
considerations
- Alterations in pulse
Respiration :
- Physiology and regulation,
mechanics of breathing,
characteristics of the
respiration, factors affecting
respiration
Blood pressure :
- Assessment of blood pressure :
sites, equipments and technique and
special
considerations
- Alterations in blood pressure
Recording of vital signs
8. Health assessment 30
 Purposes  Must know

Process of health assessment :
- Health history
- Physical examination : Methods : Inspection,
Palpation, Percussion, Auscultation,  Desirable to
know
70
Olfaction
Preparation for examination : Patient and unit
Desirable to know
- General assessment
- Assessment of each body system
- Recording of health assessment
9. Machinery, Equipment and linen 5
 Types : Disposables and reusables- Linen,  Desirable to

Rubber goods, Glass ware, Metal, Plastics, know
Furniture, Machinery
Introduction :
- Indent
- Maintenance
- Inventory
10. Meeting needs of patient 36
Basic needs (Activities of Daily Living)
 Providing safe and clean environment, Hygiene,  Must know

Comfort  Must know
 Physiological needs assessment, Sleep and Rest,
Nutrition, Bowel elimination
71
CURRICULUM
LEARNING
OBJECTIVES
S. CONTENT OF METHODOLO
(at the end of TEACHING OBJECTIVES TIME
NO TOPICS GY
the session the
student should
be able to)
1 Introduction: To teach and discuss about
1.Describe the concept of health: health –
 Concept of concept of illness continuum, Factors  Interactive 10 hrs
health, health and list influencing health, Causes and session with
Factors the causes risk factors for developing the students
influencing cum risk illness, Body defenses : regarding
health, factors of immunity and immunization, factors
Causes and illness. Illness and illness behavior, influencing
risk factors Impact of illness on patient and health, causes
for 2.Describe the family, Health care services: and risk
developing body health promotion and factors for
illness. defenses prevention, primary care illness.
along with diagnosis,treatment,
 Body illness and rehabilitation and continuing  Integrated
defenses, illness care, Health care teams, Types vertical
Illness and behavior. of health care agencies, teaching on
illness Hospitals: types, organization body defenses
behavior and functions, Health and illness
promotions and levels of behavior.
3.Describe the diseases, Primary health care
 Health care Health care and its delivery: role of nurse.
services, services and  Visit to health
Health care teams, Health care agencies
teams, promotions
Health and levels of
promotions diseases,
and levels Primary
of diseases, health care
Primary and its
health care delivery
and its
delivery
72
2 Nursing as a
Profession 1.Explain  Didactic
concept and To teach and discuss about lecture 16 hrs
 Nursing as scope of definition, concepts, through
a nursing philosophy, objectives, PowerPoint
profession Characteristics, nature, and projections.
and history 2.Describe scope of nursing practice. To
of nursing values, code discuss regarding the functions  Teachers
in India of ethics and of nurse, qualities of nurse, seminar on
professional Categories of nursing history of
 Definition, conduct for personnel, Nursing as a Nursing in
concepts, nurses in profession, History of nursing India.
philosophy, India in India, Values: definition,
objectives, types, values clarification and  Interactive
characterist values in professional nursing: session with
ics, nature, caring students
and scope regarding
of nursing and advocacy, Ethics: definition qualities and
practice and ethical principles, code of functions of a
ethics and professional conduct Nurse.
of nurses
 Functions
of nurse,  Role play on
Qualities of functions of a
nurse, nurse.
Categories
of nursing
personnel
3 Hospital
Admission
and Discharge 1.Explain the To teach and discuss about  Didactic
admission admission to the hospital lecture
 Admission, and discharge including Unit and its through 4 hrs
Discharge, procedure preparation, Admission bed, PowerPoint
Referrals Admission procedures, Special projections.
and 2.Perform the considerations, Medico-legal
Transfersfr admission issues, Role and responsibilities  Visit to local
om the and discharge of the nurse, Discharge from the Hospital
hospital, procedure hospital, Types: Planned 
Care of the
unit after discharge, LAMA and abscond,
discharge referrals and Transfers,
Discharge Planning, Discharge  Student
 Roles and Procedures, Medico-legal seminar on
responsibili issues, Roles and admission
ties of the responsibilities of the nurse, discharge
nurse Care of the unit after discharge. procedure.
73
4 Communicati To teach and discuss about
on and Nurse communication: Levels,
Patient Elements, Types, Modes,
relationship 1.Communicate
Process, Factors influencing  Didactic
effectively lecture
 Communic with patient, through
ation, families and Communication, Methods of PowerPoint 10 hrs
Methods team effective projections
of members and communication:Attending
effective maintain skills, Rapport building skills,  Role play and
communic effective Empathy skills, Barriers to video film on
ation and human relations effective communication, the nurses
Communic (projecting interacting
ating helping relationships (NPR),
professional with the
effectively image) Dimensions of Helping
patient
Relationship, Phases of a
 Helping 2.Appreciate Helping Relationship,
relationshi the communicating effectively with
ps (NPR) importance of patients, families and team  Problem
and patient members and maintain based learning
Patient teaching in for
teaching nursing maintaining
effective human relations with
nurse patient
special reference to relationship.
communicating with vulnerable
group(children, women,
physically and mentally
challenged and elderly), Patient
teaching; Importance, Purposes,
Process, Role of Nurse and
Integrating teaching in Nursing
Process\
5 The Nursing To teach and discuss about 15

Process Critical Thinking: Thinking and
Learning, Competencies,
Critical 1.Explain the
Attitudes for Critical  Didactic
Thinking and concept, uses, lecture
format and Thinking,Levels of critical
Nursing through
Judgment steps of thinking inNursing, Nursing PowerPoint
nursing Process, Overview: Application projections.
 Critical process in Practice, Nursing process
Thinking format: Current format, INC,  Simulated
Application 2.Documents Assessment:Collection of Data: learning on
in Practice, nursing Nursing
Types, Sources, methods:
Protocols process as per process
and the format Formulating Nursing judgment,
formulation
Standing Data interpretation Nursing and
orders Diagnosis:Identification of implementatio
client problems, - Nursing n.
 Nursing diagnosis statement, -
74
Process, Difference between medical and
Assessment nursing diagnosis, Planning:
, Diagnosis, Establishing priorities,
Planning,
Establishing goals and expected
expected
outcomes, outcomes, Selection of
Implementa interventions :Protocols and
tion, Standing orders, Writing the
Evaluation, Nursing care plan,
documentat Implementation:Implementing
ion and the plan of care, Evaluation:
Reporting
Outcome of care, Review and
Modify, Documentation and
Reporting
6 Vital signs
 Simulated
 Guidelines, 1.Describe the To teach and discuss about learning of 15 hrs
characteristi principles and guidelines for taking vital signs, assessment of
cs, factors techniques of vital signs
Body temperature:
affecting monitoring
vital signs and
- Physiology, Regulation,  Didactic
assessment: maintaining lecture
Temperatur vital signs factors affecting body
through
e, Pulse, temperature- Assessment of PowerPoint
Respiration, body temperature: sites, regarding
Blood equipment and technique, abnormalities
Pressure. special considerations, in vital signs
Temperature alterations:
Hyperthermia, Heatstroke,
Hypothermia, Hot and cold  Supervised
applications, Pulse: clinical
practice
- Physiology and Regulation,
Characteristics of the pulse,
Factors affecting pulse,
Assessment of pulse: sites,
location, equipment’s and
technique, special
Considerations, Alterations in
pulse, Respiration: Physiology
and regulation, mechanics of
breathing, characteristics of
therespiration, factors affecting
75
respiration, Blood pressure:
Assessment of blood pressure:
sites, equipment’s and
technique and special
Considerations, - Alterations in
blood pressure, recording of
vital signs
7 Health To teach and discuss about

assessment 1.Describe the Purposes, Process of health  Simulated
purpose and assessment including Health learning 30 hrs
 Purposes process of regarding
history, Physical examination
and Process health health
of health assessment Methods: Inspection,Palpation,
assessment.
assessment: Percussion, Auscultation,
Preparation 2.Describe the Olfaction, Preparation for  Didactic
of patient health examination: Patient and unit, lecture
and unit assessment of General assessment, through
each body Assessment of each body PowerPoint
system projections
system, Recording of health
regarding
assessment
abnormal
findings
3.Perform
health
assessment of
each body  Supervised
system clinical
practice
8 Machinery,
Equipment
and linen 1.Identify the To teach and discuss about  Didactic
various types: Disposables and lecture
 Types of machinery, reusables- Linen, Rubber through 5 hrs
linen, equipment goods, Glass ware, Metal, PowerPoint
Furniture and linen and Plastics,Furniture, Machinery, projections.
and their care Introduction:Indent,
Machinery Maintenance, Inventory
76
9 Documentatio
n and
Reporting 1.Describe the To teach and discuss about 4 hrs
purposes, purposes of recording and  Didactic
Documentatio types and lecture
reporting, Communication
n techniques of through
recording and within the Health Care Team,
PowerPoint
 Communic reporting projections.
ation Types of records: ward records,
within the medical/nursing records,  Simulated
Health Common record keeping forms, learning on
Care Team computerized documentation, recording and
Guidelines for reporting: reporting.
 Purposes, Factual basis,
types,
Accuracy,Completeness,
guidelines,
methods of Correctness,Organization,  Student
Recording Confidentiality, Methods of seminar on
and Recording, Reporting: Change communicatio
reporting of shift reports, Incident reports n within the
health care
Minimizing legal Liability team.
through effective record
keeping
10 Meeting needs
of patient
To teach and discuss about
Basic needs 1.Describe the  Didactic
(Activities of basic, Providing safe and clean lecture
Daily Living) physiological through
environment: Physical
and PowerPoint 41hrs
 Providing psychosocial environment: Temperature, projections.
safe and needs of Humidity, Noise, Ventilation,
clean patient Light, Odor, Pests control  Simulated
environmen Reduction of physical hazards: learning on
t, Hygiene, 2.Describe the fire, accidents, Safety devices: manikins.
Comfort principles and Restraints, Side rails, Airways,
techniques
Trapeze, etc. Role of nurse in
 Physiologic for meeting
al needs basic providing safe and clean
assessment, physiological environment, Hygiene: Factors
Sleep and and influencing hygienic practices,
Rest, psychosocial Hygienic care: Care of the
Nutrition, needs of Skin-Bath and pressure points,
Bowel patient Feet and Nail, Oral, cavity, Hair
elimination, 3.Perform
care, Eyes, Ears and Nose,
77
Urinary nursing assessment, principles, types,
Elimination assessment, equipment, procedure, special
plan, considerations, Patient
implement
environment : Room,
and evaluate
the care for Equipment and Linen, Making
meeting patient beds, Types of beds and
basic,physiol bed making, Comfort :Factors
ogical and influencing comfort, Comfort
psychosocial devices
needs of
patient Physiological needs:Sleep and
Rest:Physiology of sleep,
Factors affecting sleep,
promoting rest and sleep, sleep
disorders, Nutrition:Importance,
Factors affecting Nutritional
needs, Assessment of
nutritional needs: variables
Meeting nutritional needs:
Principles, equipment,
procedure and special
considerations, Oral
External: Naso/Orogastric,
Gastrostomy, Parenteral
Urinary elimination:Review of
physiology of urinary
elimination, composition and
characteristics ofurine, Factors
influencing urination,
Alteration in urinary
elimination, Types and
collection of urine specimen:
Observation, Urinetesting,
Facilitating urine elimination:
assessment, types, equipment,
procedures and
special considerations,
providing urinal/bedpan,
Condom drainage, Perineal
care, Catheterization, Care of
urinary drainage, Care of
urinary diversions, Bladder
irrigation, Bowel elimination:
Review of physiology of bowel
elimination, composition and
78
characteristics offeces, Factors
affecting bowel elimination,
Alterations in bowel
elimination, Types and
collection of specimen of
facesObservation, Facilitating
bowel elimination: assessment,
equipment, procedures and
specialconsiderations Passing
of flatus tube,
EnemasSuppository, Sitz bath,
Bowel wash, Care of ostomies
79
ENGLISH
Code:04100104

Preamble
The Course is designed to enable students to enhance ability to comprehend spoken and written
English (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 experiences.
Objectives
 Speak and write grammatically correct English

 Develop ability to read, understand and express meaningfully, the prescribed text.
 Develop writing skills
 Develop skill in English
 Develop skill in listening comprehension
Unit Topic Hours Credits
1) Review of Grammar 10
2) Read and comprehend 30

prescribed course books
4
3) Various forms of 10
composition
4) Spoken English 6
5) Listening Comprehension 4
80
,.
Methodology

3. Role Play
4. Student Seminar
5. Panel discussion
6. Teacher Seminar
7. Presentations
Referneces
Syllabus books
1. David (MT), English for Professional Nursing, BI Publications Pvt. Ltd., Chennai, 2007.
2. Meena, English
3. Sidhu, An Intensive Course in English – A Remedial Work Book, Orient Longman Publication.
4. Jain, R. C., English Grammar and Composition
81
English
Placement: B. Sc. Nursing 1st year
Hours of Instruction
60 hours
1  Review of Grammar  Nice to know 10

 Remedial study of Grammar  Desirable to know
 Building vocabulary  Must know
 Phonetics  Must know
 Public speaking  Desirable to know
2 Read and comprehend prescribed course Desirable to know 30

books
3 Various forms of composition 10
 Letter writing  Must know

 Note taking  Must know
 Precis writing  Must know
 Nurses notes  Must know
 Anecdotal records  Must know
 Diary writing  Desirable to know
 Reports on health problems etc.  Must know
 Resume/CV  Must know
4 Spoken English  Desirable to know 6
 Must know
 Oral report  Nice to know
 Discussion  Nice to know
 Debate  Desirable to know
 Telephone conversation
5 Listening Comprehension 4
 Media, audio, video,  Must know

speeches etc.,
82
S.N Topic Learning Objectives Teaching Methodology Time
o guidelines
(At the end of the
session the student
should be able to)
1  Review of Speak and write To review  Demonstrate 10 hrs

Grammar grammatically correct Grammar, Build use of
 Remedial study English. vocabulary, dictionary
of Grammar Phonetics, and  Class-room
 Building develop skill of conversation
vocabulary Public speaking  Exercise on
 Phonetics use of
 Public speaking Grammar
 Practice in
public
speaking
2 Read and Develop ability to read, To read and Exercise on: 30 hrs
comprehend understand and express comprehend
prescribed course meaningfully, the content from - Reading
books. prescribed text prescribed
course books. - Summarizing
-
Comprehension
3 Various forms of Develop writing skills Teach, discuss Exercises on 10 hrs

composition and practice writing
composition of
 Letter writing Letter writing,  Letter writing
 Note taking note taking,  Nurses notes
 Precis writing Precis writing,  Precis
 Nurses notes Nurses notes,  Diary
 Anecdotal Anecdotal  Anecdote
records records, Diary  Health
 Diary writing writing, Reports problems
 Reports on on health  Story writing
health problems problems and  Resume/CV
etc. Resume/CV
 Resume/CV  Essay writing
 Discussion
on written
reports/docu
ments
83
S.N Topic Learning Objectives Teaching Methodology Time
o guidelines
(At the end of the
session the student
should be able to)
4  Spoken  Develop skill in To study and Exercise on: 6 hrs

English English practice spoken
 Oral report English, Oral  Debating
 Discussion report,  Participating
 Debate Discussion, in seminar,
 Telephone Debate, panel,
conversation Telephone symposium
conversations.  Telephonic
conversation
5  Listening  Develop skill Listening - Exercise on: 4 hrs

Comprehens in listening Comprehension
ion comprehension Listening to
 Media, Media, audio, audio, video
audio, video, speeches tapes and
video, etc., identify the key
speeches points
etc.,
84
2
ND
SEMESTER
85
BSC NURSING 2nd SEMESTER SYLLABUS
Nursing Foundation-II
Code: 04100201
Placement: B. Sc. Nursing 1st year
Theory : 130 hrs (4.5 credits)
Lab : 105 hrs ( 3.5 credits)
Clinical : 225 hrs (7.5 credits)
1. Meeting needs of patient 19
Basic needs (Activities of Daily Living)
 Bowel Elimination Mobility and Immobility,  Must know

Oxygenation, Fluid and Electrolyte, Acid-Base  Must know
imbalances
 Psychological Needs
2. Infection control in clinical settings 20
 Infection control, Isolation precautions, Types, uses

and technique of wearing and removing
 Biomedical waste management, Transportation and  Must know
disposal
 Must know
3. Administration of Medications 40
 General principles/considerations of medication  Must know

administration: Parenteral, Subcutaneous, Intra
muscular, Intra venous, Topical Administration
4. Meeting needs of peri-operative patients 10
 Definition, concept, phrases of peri-operative nursing:  Must know

Preoperative phase, Intra operative, Post-operative
phase
 Wounds, wound healing, Surgical asepsis and Care of
the wound  Must know
86
5. Meeting special needs of the patient 15
 Care of the patients having alteration in Temperature,  Must know

Sensorium, Urinary elimination, Mobility,
 Assessment of self – care ability, treatments related to  Must know
gastro intestinal system
6. Care of Terminally ill patients 5

 Must know
 Concepts of loss, grief, grieving process  Must know
 Care of dying patient, Signs of clinical death, Care of
dead body, medico- Legal issues
7. Professional nursing concepts and practices 6
 Conceptual and theoretical models of nursing practice  Desirable to

Introduction to models know
 Linking theories with nursing process  Desirable to
know
87
CURRICULUM
S. CONTENT OF LEARNING TEACHING METHOD TIME
NO TOPICS OBJECTIV OBJECTIVES OLOGY
ES
(at the end of
the session
the student
should be
able to)
1 Meeting needs of
patient
 Physiological Mobility and
Basic needs needs Immobility:Principles of  Didactic
(Activities of Daily assessment lecture 34hrs
body mechanics,
Living) Mobility and through
Immobility, maintenance of normal
PowerPoi
Oxygenation, body alignment and nt
Fluid and mobility, Factors affecting projection
 Physiological Electrolyte, body alignment and s.
needs assessment, Acid-Base mobility, Hazards
, Bowel imbalances associated with immobility,  Simulated
elimination,  Perform learning
Alteration in body
Mobility and nursing on
Immobility, assessme alignment and mobility,
manikins.
Oxygenation, nt, plan, Nursing interventions for
Fluid and impleme impaired body alignment
Electrolyte, Acid- nt and and mobility:
Base imbalances evaluate Assessment,Types, Devices
Oxygenation, the care used, Method and Social
Fluid and for
Electrolyte, Acid- considerations,
meeting
Base imbalances basic,phy Rehabilitation aspects
siological
and Range of motion exercises
psychoso Maintaining body
cial alignment: positions,
needs of Moving, Lifting,
patient
Transferring, Walking,
Restraints,
Oxygenation:Review of
cardio-vascular and
respiratory physiology,
Factors affecting
oxygenation, Alterations in
oxygenation, Nursing
interventions in
oxygenation: assessment,
types, equipment
used,procedure and special
considerations, maintenance
88
of patent air-way, Oxygen
administration, Suction
Inhalations: dry and moist
Chest physiotherapy and

postural drainage, Care of
chest drainage, Pulse
oximetry, CPR – Basic life
support, Fluid, Electrolytes
and Acid-Base
Balances:Review of
physiological regulation of
Fluid and Electrolyte and
Acid-Base
Balances, Alterations in
Fluid and Electrolyte and
Acid-Base balances,
Nursing interventions in
Fluid and Electrolyte
andAcid-Base
imbalances:assessment,
types, equipment, procedure
and special considerations
Measuring fluid intake and

output, Correcting fluid and
electrolyte imbalance:
Replacement of fluids: Oral

and Parenteral,
Venipuncture,
Regulating IV Flow rates,

changing IV solutions and
tubing’s, changing
IVdressing Administering
blood transfusion,
Restriction of fluids,
Psychosocial needs
Concepts of cultural
diversity, stress and
adaptation, self-
concept,sexuality, spiritual
health, coping with loss,
death and grieving,
89
Assessment of psychosocial
needs, Nursing intervention
for psycho social needs,
assist with coping and
adaptation, creating
therapeutic environment
Recreational and
diversional therapies
2 Infection control in
clinical settings
1.Describe To teach and discuss about  Didactic
 Infection control, principles and Infection control, Nature of lecture
Isolation techniques through 20 hrs
infection, Chain of infection
precautions, for infection PowerPoi
Types, uses and control and transmission, Defenses
nt
technique of bio medical against infection projection
wearing and waste transmission, Hospital s.
removing acquired infection
2.management (Nosocomial infection),  Role play
 Biomedical waste in supervised Isolation precautions on
management, clinical Biomedic
(Barrier nursing) :Hand
Transportation settings al waste
and disposal washing : simple, hand
managem
asepsis (scrub), Isolation : ent
source protective, Personal
protecting equipment
:Types, uses and technique
of wearing and removing,  Problem
based
Decontamination of
learning
equipment and unit, on waste
Transportation of infected disposal
patients, Standard safety
precautions(Universal
precautions), Transmission
 Visit to
based precautions,
local
Biomedical waste waste
management :Importance, disposal
Types of hospital waste, center
90
Hazards associated with
hospital waste,
Decontamination of hospital
waste, Segregation and
Transportation and disposal
3 Administration of General principles,

Medications considerations, Purposes of
1.Explain the
medication, Principles: 5  Integrated
 General principles, vertical
principles/consi routes, effects rights, special teaching 40 hrs
derations of of considerations,
on
medication administratio prescriptions, safety in medicatio
administration: n of administering medications n
Parenteral, medications and medication errors, Drug preparatio
Subcutaneous, forms, Routes of n and
Intra muscular, 2.Calculate administra
administration, Storage and
Intra venous, conversions tion
of drugs and maintenance of drugs and
Topical
dosages nurse’s responsibility,
Administration  Simulated
within and Broad classification of learning
between drugs, Therapeutic effects, based on
systems of side effects, toxic effects, patient
measurement chart and
idiosyncratic reactions, drug
s manikins
3.Administer
drugs by the tolerance, drug interactions,
following Systems of drug
routes-oral, measurement: Metric
intra dermal, system, apothecary system,
subcutaneous, house hold measurements,
intramuscular solutions, converting
, intra venous,
measurements units:
topical,
inhalation. Conversion within one
system, conversion between
systems, dosage
calculations, Terminologies
and abbreviations used in
prescriptions of
medications, Oral Drugs
Administration: Oral,
Sublingual and Buccal,
equipment, procedure,
Parenteral, Types of
parenteral therapies, Types
of syringes, needles,
cannula and infusion sets,
Protection from needle stick
91
injuries; Giving medications
with a safety syringes,
Routes of parenteral
therapies: Intra dermal:
Purposes, site, equipment,
procedure, special
considerations,
Subcutaneous: purposes,
site, equipment, procedure,
special
considerations, Intra
muscular: purposes, site,
special considerations, Intra
venous: purposes, site,
special considerations, -
Advanced techniques:
epidural, intrathecal, intra
osseous, intra peritoneal,
intra
plural, intra-arterial Role of

nurse, Topical
Administration: purposes,
Application to skin,
Application to mucus
membrane:Direct
application of liquids-
Gargles and swabbing the
throat
Insertion of Drug into body

cavity:Suppository/medicate
d packing in rectum/vagina,
Instillation: Ear, Eye, Nasal,
Bladder, Vaginal, Rectal,
Irrigations: Ear, Eye, Nasal,
Bladder, Vaginal, Rectal,
Spraying: Nose and Throat,
inhalation: Nasal, oral,
endotracheal/tracheal
(steam, oxygen and
92
medications)-purposes,

special considerations
4 Meeting needs of
peri-operative
patients 1.Describe the To teach and discuss about  Didactic
pre-and post- meeting needs of peri- lecture
 Definition, operative care through 10 hrs
operative patients,
concept, phrases of patients PowerPoi
of peri-operative Definition and concept of nt
nursing: 2.Explain the peri-operative nursing, projection
Preoperative process of Preoperative phase s.
phase, Intra wound :Preparation of patient for
operative, Post- healing surgery, intra operative  Role play
operativephase 3.Explain the on
:Operation theatre setup and
principles and meeting
environment, Role of nurse,
 Wounds, wound techniques of needs of
healing, Surgical wound care Post-operative phase
peri-
asepsis and Care Perform care :Recovery unit, Post- operative
of the wound of ounds operative unit, Post- patients.
operative care, wounds :
types, classifications,
wound healing process,
factors affecting wound
healing, Surgical asepsis,
Care of the wound: Types,
Dressings, suture care, Care
of drainage, Application of
bandages, binders, splints
and slings, Heat and Cold
Therapy.
5 Meeting special
needs of the patient
To teach and discuss about  Didactic
 Care of the meeting special needs of the lecture
patients having 1.Explain the through 15 hrs
care of patient, Care of the patients
alteration in PowerPoi
Temperature, patients having alteration in
nt
Sensorium, having Temperature (hyper and projection
Urinary alterations in hypothermia): Types, s.
elimination, body Assessment, Management,
Mobility, functioning Sensorium  Simulated
Assessment of learning
(unconsciousness):
self – care on
93
ability, Assessment, Management, manikins.
treatments Urinary elimination
related to gastro (retention and
intestinal system
incontinence):
assessment,Management-
Functioning of sensory
organs (visual and hearing
impairment), Assessment of
self-care ability,
Communication methods
and special considerations,
Mobility (physically
challenged, cast):
Assessment of self – care
ability, Mental status
(mentally challenged) :
Assessment of self-care
ability, Communication
methods and special
considerations, Respiration
(distress): Types,
Assessment, Management,
Comfort (pain): Nature,
Types, Factors influencing
pain, coping,Assessment,
Management, Treatments
related to gastro intestinal
system: Naso gastric
suctioning, Gastric
irrigation, Gastric analysis.
6 Care of Terminally
ill patients
1.Explain the To teach and discuss about  Didactic
 Concepts of loss, care of care of Terminally ill lecture
grief, grieving terminally ill through 5 hrs
patients, Concepts of loss,
process patients PowerPoi
grief, grieving process, nt
 Care of dying Signs of clinical death, Care projection
patient, Signs of of dying patient: special s.
clinical death, considerations, Advance
Care of dead directives, Medico- Legal  Teachers
body, medico- issues, Care of dead body: seminar
Legal issues on grief
equipment, procedure and
and
94
care of unit, Autopsy, grieving
Embalming process
 Simulated
learning
on care of
dead
bodies.
 Essay
writing on
medico-
legal
issues.
7 Professional nursing To teach and discuss about

concepts and professional nursing
practices concepts and practices,
Conceptual and theoretical
 Conceptual and 1.Explain the  Didactic 6 hrs
theoretical models basic models of nursing practice, lecture
of nursing concepts of Introduction to models- through
practice conceptual holistic PowerPoi
Introduction to and nt
models theoretical model, health belief model, projection
models of health promotion model, s.
 Linking theories nursing
etc.,
with nursing
process
Introduction to theories in
nursing-Peplau’s,
Handerson’s, Oram’s,
Neuman’s, Roger’s, and
Roy’s and to learn about
linking theories with
nursing process
95
NURSING FOUNDATION PRACTICAL
1. Hospital admission and discharge Must know Lab: 200

hrs
2. Discharge/ Transfer out Nice to know
3. Perform assessment Must know
4. Communication Desirable to know
5. Prepare a plan for patient teaching Must know

session
6. Write a patient report Desirable to know
7. Vital signs Must know
8. Health assessment Must know
9. Prepare patients unit Desirable to know
10. Use comfort devices Must know
11. Hygiene care Must know
12. Feeding Must know
13. Assisting in bowel elimination Desirable to know
14. Bowel wash Must know
15. Body alignment and mobility Nice to know
16. Oxygen administration Must know
17. Suctioning Desirable to know
18. Chest physiotherapy and postural Nice to know

drainage
96
19. Care of chest drainage Desirable to know
20. CPR- Basic life support Must know
21. Intravenous therapy Must know
22. Blood and blood component therapy Nice to know
23. Collect/ assist for collection of Desirable to know

specimen
24. Perform lab tests Nice to know
25. Hot and cold applications Must know
26. Communicating and assisting with Nice to know

self-care of visually and hearing-
impaired patient
27. Communicating and assisting with Nice to know

self-care of mentally challenged and
disturbed patients.
28. Recreational and diversional therapies Desirable to know
29. Caring of patient with alteration in Nice to know

sensorium
30. Infection control Must know
31. Decontamination of equipment and Must know

unit
32. Pre- and post-operative care Must know
33. Administration of medications Must know
34. Care of dying patients Desirable to know
97
CURRICULUM
S. CONTENT OF THE LEARNING TEACHING METHODOLOGY TIME

NO TOPIC OBJECTIVES OBJECTIVES
(at the end of the
session the
student should be
able to)
1 Hospital admission 1. Describe the To teach and OSCE 5
and discharge (III): admission and discuss
discharge aboutAdmission, OSPE
•Admission procedure preparation unit for
2. Discuss on new patient, Hands on
•Prepare unit for preparation of Preparation of practice
new patient admission unit admission bed,
3. Explain perform admission Demonstration
•Prepare admission preparation of procedure: New
bed unit for transfer patient, Transfer in, Discussion
in and new Prepare patient
•Perform admission patient records
procedure
- New patient
- Transfer in
•Prepare patient
records
2 Discharge/Transfer 1. Discuss on To teach and OSCE 5

out: discharge discuss
procedure aboutdischarge OSPE
•Give discharge 2. Explain on counseling,
counseling maintain discharge Hands on
records of procedure (Planned practice
•Perform discharge discharge and discharge, LAMA,
procedure (Planned transfer. Abscond, Referrals Demonstration
discharge, LAMA, 3. Brief on and
Abscond, Referrals disinfection of Discussion
and the unit. Transfer), records
of
Transfer) discharge/transfer,
disinfect unit and
•Prepare records of equipment after
discharge/transfer discharge/transfer
98
•Dismantle, and
disinfect unit and
equipment after
discharge/transfer
3 Perform assessment: 1. Demonstrate To teach and OSCE 10

history taking discuss about
•History taking, procedure. history taking, OSPE
Nursing diagnoses, 2. Demonstrate Nursing diagnoses,
Problem list, prioritizing Problem list, Hands on
Prioritization, Goals goal and Prioritization, practice
and Expected expected Goals and
outcomes, Section of outcome. Expected, Demonstration
interventions 3. Explain outcomes, Section
writing of interventions, Discussion
•Write Nursing Care nursing care Writing Nursing
Plan plan Care Plan and give
care as per the plan
•Give care as per the
plan
4 Communication 1. Demonstrate To teach and OSCE 5

use of verbal discuss about use
• use verbal and non and nonverbal and OSPE
verbal verbal nonverbal
communication communicatio communication Hands on
techniques n techniques. techniques, Prepare practice
a plan for patient
• Prepare a plan for teaching session Demonstration
patient teaching
session Discussion
5 Write patient 1. Demonstrate To teach and OSCE 5

report writing discuss about
change of Change of shift OSPE
• Change of shift shift report reports, Transfer
reports, Transfer 2. Demonstrate reports, Incident Hands on
reports, Incident writing reports, Presents practice
reports transfer and patient report
incident Demonstration
• Presents patient report.
report Discussion
6 Vital signs 1. Demonstrate To teach and OSCE 5

recording of discuss about
• Measure, Records temperature, Measure, Records OSPE
and interpret pulse and and interpret
alterations in body respiration alterations in body Hands on
temperature pulse 2. Demonstrate temperature pulse practice
99
respiration and recording of respiration and Demonstration
blood pressure blood pressure blood pressure
Discussion
7 Health assessment 1. Demonstaret To teach and OSCE 10

history taking. discuss about
• health history 2. Perform health history OSPE
taking physical taking ,perform
examination. assessment Hands on
• perform (General, Body practice
assessment: system), Use
various methods of Demonstration
• General physical
examination ( Discussion
• Body system Inspection,
Palpation
• Use various Percussion
methods of physical ,Auscultation,
examination Olfaction)
Identification of
• Inspection, system wise
Palpation deviations
Percussion
,Auscultation,
Olfaction
Identification of
system wise
deviations
8 Prepare Patients Demonstrate open To teach and OSCE 5

Unit bed and closed discuss about Open,
bed closed, occupied, OSPE
 Prepare beds: operation,
- Open, closed, Demonstrate amputation.Cardiac Hands on
occupied, occupied and , fracture, burn, practice
operation, operation bed divided, fowlers
amputation. bed. Demonstration
- Cardiac, Demonstrate
fracture, amputation bed Discussion
burn, and cardiac bed.
divided,
fowlers bed. Demonstrate burn
bed and fowlers
bed
9 Use comfort devices Demonstrate use of To demonstae use OSCE 5

comfort devices of pillos, mattress,
trochanter roll, OSPE
trapeze bar, cotton
roll, sand bag, foot Hands on
drop, bed cradle
100
and bed locks. practice
Demonstration
Discussion
10 Hygiene care Demonstrate oral To demonstae Oral OSCE 5

care care, Baths and care
 Oral care of pressure points OSPE
 Baths and Demonstrate baths
care of and care of Hair wash, Hands on
pressure pressure points pediculosis practice
points treatment
 Hair wash, Demonstrate hair Demonstration
pediculosis wash
treatment Discussion
Demonstrate
pediculosis
treatment
11 Feeding Demonstrate oral, To teach and OSCE 5

enteral, demonstrate Oral,
 Oral, enteral, nasogastric enteral, OSPE
nasogastric, feeding nasogastric,
orogastric, orogastric, Hands on
gastrotomy Demonstrate gastrotomy, practice
 Parenteral parenteral feding Parenteral feeding
feeding Demonstration
 Nasogastric Demonstaret NG Nasogastric
insertion, insertion, insertion, suction Discussion
suction and suctioning and and irrigation
irrigation irrigation.
12 Assisting patient in Discuss on To teach and OSCE 5

urinary elimination providing urinal demonstrate on
or bed pan to Provide urinal or OSPE
 Provide patient bed pan, condom
urinal or bed drainage, Perineal Hands on
pan Demonstrate care, practice
 Condom perineal care Catheterization,
drainage Care of urinary Demonstration
 Perineal care Demonstrate drainage
 Catheterizati catheterization Discussion
on
 Care of Demonstrate care
urinary of urinary
drainage drainage
101
13 Bladder irrigation Demonstrate To teach and OSCE 5
procedure on demonstrate on
bladder irrigation bladder irrigation OSPE
Hands on
practice
Demonstration
Discussion
14 Assisting in bowel Demonstrate To teach and OSCE 5

elimination insertion of flatus demonstrate on
tube flatus tube insertion OSPE
 Insertion of and insertion of
flatus tube Demonstrate suppository Hands on
 Insertion of insertion of practice
suppository suppository
Demonstration
Discussion
15 Bowel wash Demonstrate To teach and OSCE 5

procedure of demonstrate the
bowel wash procedure of bowel OSPE
wash
Hands on
practice
Demonstration
Discussion
16 Body alignment and Discuss on ROM To teach and OSCE 10

mobility exercices discuss about
Range of motion OSPE
 Range of Demonstrate exercises,
motion positioning Positioning: Hands on
exercises recumbent, lateral, practice
 Positioning: Demonstrate moving sims, lithotomy,
recumbent, patient prone, Demonstration
lateral, sims, trendlenberg.,
lithotomy, Assist in moving, Discussion
prone, lifting, transferring,
trendlenberg. walking., Restrains
 Assist in
moving,
102
lifting,
transferring,
walking.
 Restrains
17 Oxygen Demonstrate To teach and OSCE 5
administration oxygen demonstrate on
administration oxygen OSPE
administration
Hands on
practice
Demonstration
Discussion
18 Suctioning: Demonstrate To teach and OSCE 5

oropharyngeal, suctioningto demonstrate on
nasopharyngeal discuss and suctioning OSPE
demonstaret
suctioning such Hands on
as oropharyngeal practice
suctioning and
nasopharyngeal Demonstration
suctioning
Discussion
19 Chest physiotherapy Demonstrate chect To teach and OSCE 5

and postural physiotherapy demonstaret on
drainage chest physiotherapy OSPE
Demonstrate and postural
postural drainage drainage Hands on
practice
Demonstration
Discussion
20 Care of chest Demonstrate care To teach and OSCE 5

drainage of chest drainage demonstrate care of
chest drainage OSPE
Hands on
practice
Demonstration
103
Discussion
21 CPR- Basic Life Demonstrate CPR To teach and OSCE 5

Support demonstrate CPR
OSPE
Hands on
practice
Demonstration
Discussion
22 Intravenous therapy Demonstrate IV To teach and OSCE 5

insertion demonstrate IV
therapy OSPE
Demonstrate IV
maintenance Hands on
practice
Demonstration
Discussion
23 Blood and blood Discuss on blood To teach and OSCE 5

component therapy and blood discuss about blood
component and blood OSPE
therapy component therapy.
Hands on
practice
Demonstration
Discussion
24 Collect/ assist for Discuss on Discuss on OSCE 5

collection of collection of collection of
specimen for specimens specimen such as OSPE
investigations:urine, urine, sputum,
sputum, feces, feces, vomitus, Hands on
vomitus, blood and feces and body practice
other body fluids. fluids.
Demonstration
104
Discussion
25 Perform lab tests: Explains on urine Discuss on lab tests OSCE 10

sugar, acetone for urine and blood.
 Urine: sugar, and albumin OSPE
albumin,
acetone Explains blood Hands on
 Blood: sugar sugar. practice
Demonstration
Discussion
26 Hot and cold Explain on hot To teach and OSCE 10

applications: application discuss on hot and
cold applications, OSPE
Local and general Explain on cold Local and general
sitz bath application sitz bath Hands on
practice
Discuss on sitz
bath. Demonstration
Discussion
27 Communicating and Discuss on self- To teach and OSCE 5

assisting with self- care of visually discuss on
care of visually and and hearing communicating and OSPE
hearing-impaired impaired assisting with self-
patients care of visually and Hands on
hearing-impaired practice
patients
Demonstration
Discussion
28 Communicating and Discuss on self- To teach and OSCE 5

assisting with self- care of mentally discuss on
care of mentally challenged communicating and OSPE
challenged/ patients assisting with
disturbed patients mentally Hands on
challenged/ practice
disturbed patients
Demonstration
105
Discussion
29 Recreational and Discuss on To teach and OSCE 5

diversional therapies recreational and discuss on
diversional recreational and OSPE
therapies diversional
therapies Hands on
practice
Demonstration
Discussion
30 Caring of patient Discuss on patients To teach and OSCE 5

with alteration in with alteration in discuss on
sensorium sensorium alteration I OSPE
sensorium.
Hands on
practice
Demonstration
Discussion
31 Infection control Demonstrate the To teach and OSCE 10

procedure on hand demonstaret on
 Perform washing. hand washing OSPE
following techniques,
procedure Demonstrate scrubbing, Prepare Hands on
- Hand wearing PPE. isolation unit in lab practice
washing or ward, practice
techniques Discuss on practice technique of Demonstration
- Scrubbing standard safety wearing and
- Prepare precautions. removing PPE, Discussion
isolation unit Practice standard
in lab or safety precaution.
ward
- Practice
technique of
wearing and
removing
PPE
- Practice
standard
safety
precaution
106
32 Decontamination of Dicuss on surgical To teach and OSCE 5
equipmet and unit asepsis. discuss on :Surgical
asepsis, OSPE
 Surgical Discuss on care of sterilization, hand
asepsis articles sterilized Hands on
- Sterilization, equipment, practice
hand calculate strengths
sterilized of lotions, Prepare Demonstration
equipment, lotions, Care of
calculate articles Discussion
strengths of
lotions.
- Prepare
lotions
 Care of
articles
33 Pre-and post- Discuss on skin To teach and OSCE 10
operative care preparation for demonstrate on
surgery Skin preparation for OSPE
- Skin surgery, preparation
preparation Discuss on pre-and of post operative Hands on
for surgery post-operative unit, Pre andpost practice
- Preparation monitoring. operative teaching
of post- and councelling, Demonstration
operative Demonstrate care Pre and post
unit of wound. operative Discussion
- Pre-andpost- monitoring, Care of
operativeteac Demonstrate on wound, Dressing,
hing and bandaging of suture care, care of
counselling various body drainage,
- Pre andpost- parts. application of
operative banages, binders,
monitoring splints and slings,
- Care of Bandaging of
wound various body parts
- Dressing,
suture care,
care of
drainage,
application
of banages,
binders,
splints and
slings
- Bandaging of
various body
parts
34 Administration of Demonstrate To discuss and OSCE 10
medication medication demonstrate on
administration Administer OSPE
Administer medications
medications Demonstrate drug indifferent forms Hands on
indifferent forms measurement and and routes, Oral, practice
107
and routes dose calcuations Sublingual and Demonstration
Buccal, Parenteral :
Oral, Sublingual and Demonstrate Intra dermal, Sub Discussion
Buccal tropical cutaneous, Intra
application. muscular,
Parenteral : Intra etc.,Assist with
dermal, Sub Demonstrate eye, Intra venous
cutaneous, Intra nose and ear medications, Drug
muscular, etc., instillation. measurements and
dose calculations,
Assist with Intra Demonstrate Preparation of
venous medications inhalation. lotions and
solutions,
Drug measurements Administer topical
and dose applications,
calculations Insertion of drug
into body cavity
Preparation of Suppository and
lotions and solutions medicataed packing
etc.,Instillation of
Administer topical medicines and
applications spray into Ear, Eye,
Nose and Throat,
Insertion of drug Irrigations : Eye,
into body cavity Ear, Bladder,
Suppository and Vagina and
medicataed packing Rectum, Inhalations
etc., : Dry and Moist
Instillation of
medicines and spray
into Ear, Eye, Nose
and Throat
Irrigations : Eye,
Ear, Bladder, Vagina
and Rectum
Inhalations : Dry and

Moist
35 Care of dying patient Dicuss on care of To discuss and OSCE 5

dead body demonstrate on
Caring and packing OSPE
of dead body Explain terminal
care of the unit Hands on
Counseling and practice
supporting grieving
relatives Demonstration
Terminal care of the Discussion

unit
108
BSC NURSING 2ND SEMESTER SYLLABUS
PSYCHOLOGY
Code:04100202

PREAMBLE
This course is designed to assist the students to acquire knowledge of fundaments of psychology and
develop an insight into behavior of self and others. Further it is aimed at helping them to practice the
principles of mental hygiene for promoting mental health in nursing practice.
GOALS
 Prepare graduates to assume responsibilities as professionals, competent nurses and midwives in

providing promotive, preventive, curative, and rehabilitative services.
 Prepare nurses who can make independent decisions in nursing situations, protect the rights of and
facilitate individuals and groups in pursuit of health, functions in the hospital, community nursing
services, and conduct research studies in the areas of nursing practice
 They are also expected to assume the role of teacher, supervisor, and manager in a clinical /public
health settings.
OBJECTIVES
 Describe the history, scope and methods of psychology
 Explain the biology of Human behavior
 Describe various cognitive processes and their applications
 Describe motivation, emotions, stress, attitudes and their influence on behavior
 Explain the concepts of personality and its influence on behavior
 Describe the psychology of people during the life cycle
 Describe the characteristics of Mentally Healthy person Explain Ego defence mechanisms
 Explain the psychological assessments and role of nurse
109
TEACHING STRATEGIES

3. Role Play
4. Student Seminar
5. Panel discussion
6. Teacher Seminar
7. Presentations
COURSE DISTRIBUTION
TOPIC HOURS Credits
1.Introduction of Psychology.
20
2.Biology of behavior
4
3. Cognitive Processes
20
4. Motivation and Emotional Processes

8 4
5. Personality 7
6. Developmental Psychology 7
7. Mental Hygiene and Mental Health

8
8. Psychological assessment & tests 4
110
S.No Topic DOMAIN Time
1 UNIT: I 2 Hrs
Introduction
DESIRABLE TO KNOW
 History and origin of science of
psychology MUST KNOW
 Definition and Scope of
psychology MUST KNOW
 Relevance to nursing MUST KNOW
 Methods of Psychology
2 UNIT: II 4Hrs
Biology of behavior
 Body mind relationship DESIRABLE TO KNOW
modulation process in health and MUST KNOW
illness
 Genetics and behavior: DESIRABLE TO KNOW
Hereditary and environment
 Brain and behavior: Nervous MUST KNOW
System, Neurons and synapse
 Association Cortex, Rt. And Lt. MUST KNOW
Hemispheres Psychology of
Sensations
 Muscular and glandular controls
of behavior.
 Nature of behavior of an
organism/Integrated responses
3 UNIT: III 20 Hrs.
Cognitive Processes
 Attention : Types, determinants, MUST KNOW
Duration & Degree, Alterations
 Perception : Meaning, Principles, MUST KNOW
factors affecting, Errors
 Learning : Nature, Types, learner MUST KNOW
and learning, Factors influencing,
Laws and Theories,
 process, transfer, study habits MUST KNOW
 Memory : Meaning, Types,
Nature, Factors influencing,
Development Theories and MUST KNOW
 methods of Memorizing and
Forgetting
MUST KNOW
 Thinking: Types and levels, Stages of
development, Relationship with 111
language and communication
DESIARBLE TO KNOW
 Intelligence: Meaning,
 Classification, Uses, Theories
Aptitude; Concept, Types, NICE TO KNOW
 Individual differences and Variability
 Psychometric assessments of
cognitive processes
 Alterations in cognitive processes
 Applications
4 UNIT: IV 8 Hrs
Motivation and Emotional Processes
Motivation ; Meaning, Concepts, Types, MUST KNOW

Thzories, Motives and behaviour,
Conflicts and MUST KNOW
frustration, conflict resolution MUST KNOW
Emotion & Stress MUST KNOW
- Emotion: Definition, components,

Changes in emotions, theories,
DESIRABLE TO KNOW
emotional adjustments, emotions in
health and illness NICE TO KNOW
- Stress: Stressors, cycle, effect,

adaptation & coping
Attitude : Meaning, nature, development,

factors affecting
- Behaviour and attitudes
- Attitudinal change
Psychometric assessments of emotions

and attitudes
Alterations in emotions
Applications
5. UNIT: V MUST KNOW 7 Hrs
Personality MUST KNOW

 Definitions, Topography, Types,
Theories DESIRABLE TO KNOW
 Psychometric assessments of
personality NICE TO KNOW
 Alterations in personality
112
 Applications
6. UNIT: VI 7 Hrs
Developmental Psychology MUST KNOW
 Psychology of people at different

ages from infancy to old age
 Psychology of vulnerable MUST KNOW
individuals- challenged, women, sick,
etc.,
 Psychology of groups
7. UNIT: VII 8 Hrs
Mental Hygiene and Mental Health
 Concepts of mental hygiene and MUST KNOW

mental health
 Characteristics of mentally MUST KNOW
healthy person
 Warning signs of poor mental MUST KNOW
health
 Promotive and preventive mental DESIRABLE TO KNOW
health- strategies and services
 Ego defence mechanisms and DESIRABLE TO KNOW
implications
 Personal and social adjustments
 Guidance and Counseling
 Role of Nurse
113
CURRICULUM
LEARNING
OBJECTIVES
S. CONTENT TEACHING METHODOLO
(at the end of the TIME
NO OF TOPICS OBJECTIVES GY
session the
student should
be able to)
1 UNIT: I Describe the history, History and origin of Lecture 2 Hrs

scope and methods science of psychology Discussion
of psychology
Definition and Scope of
psychology
Introduction  Horizontal
Relevance to nursing method
 Students
Methods of Psychology interactive
session
2 UNIT: II Explain the biology Body mind relationship  Lecture 4Hrs

of Human behaviour modulation process in Discussion
health and illness  Horizontal
method
Genetics and behaviour  Students
Biology of : Nervous System, interactive
behavior Neurons and synapse session
Association Cortex, Rt.

And Lt. Hemispheres
Psychology
ofSensations
Muscular and glandular

114
controls of behaviour
Nature of behavior of
an organism/Integrated
responses
3 UNIT: III Describe various Attention : Types, Lecture 20

cognitive processes determinants, Duration Discussion Hrs.
and their & Degree, Alterations
Cognitive applications Psychometric
Processes Perception : Meaning, assessment
Principles, factors
affecting, Errors Practice sessions
Learning : Nature,
Types, learner and
learning, Factors
infludecing, Laws and
Theories,process,
transfer, study habits
Memory : Meaning,
Types, Nature, Factors
influencing,
Development Theories
and methods of
Memorizing and
Forgetting
Thinking: Types and

levels, Stages of
development,
Relationship with
language and
communication
Intelligence: Meaning,
Classification, Uses,
Theories Aptitude;
Concept, Types,
Individual differences
and Variability
Psychometric
assessments of
cognitive processes
Alterations in cognitive
processes Applications
4 UNIT: IV Describe motivation, Motivation ; Meaning,  Lecture 8 Hrs

emotions, stress, Concepts, Types, Discussion
Motivation attitudes and their Theories, Motives and  Role plays
115
and influence on behaviour, Conflicts  Case
Emotional behaviour and frustration, conflict discussion
Processes resolution  Demonstratio
n
Emotion & Stress  Unconventio
nal method
- Emotion: Definition,  Cooperative
components, Changes learning
in emotions, theories,
emotional adjustments,
emotions in health and
illness
- Stress: Stressors,
cycle, effect, adaptation
& coping
Attitude : Meaning,
nature, development,
factors affecting
- Behaviour and
attitudes
- Attitudinal change
Psychometric
assessments of
emotions and attitudes
Alterations in emotions
Applications
5. UNIT: V Explain the concepts Definitions, Lecture 7 Hrs

of personality and its Topography, Types, Discussion
Personality influence on Theories
behavior Demonstration
Psychometric
assessments of Counseling.
personality
 Horizontal
Alterations in  Cooperative
personality learning
Applications
116
6. UNIT: VI Describe the  Psychology of Lecture 7 Hrs
psychology of people at different Discussion
people during the ages from infancy
life cycle to old age Case Discussion
Developmen  Psychology of
tal vulnerable  Vertical
Psychology individuals- method
challenged, women,  Cooperative
sick, etc., learning
 Psychology of
groups
7. UNIT: VII  Describe the Concepts of mental Lecture 8 Hrs
characteristics of hygiene and mental Discussion
Mentally Healthy health
person Explain Case Discussion
Mental Ego defence Characteristics of
Hygiene and mechanisms mentally healthy Role play
Mental person
Health Demonstration
Warning signs of poor
mental health  Student
interactive
Promotive and session
preventive mental
health- strategies and
services
Ego defence
mechanisms and
implications
Personal and social
adjustments
Guidance and
Counseling
Role of Nurse
117
MICROBIOLOGY
Code:04100203
ST
PLACEMENT: B.Sc.NURSING1 YEAR HOURS OF INSTRUCTION
Preamble
The basic principles and practices of nursing as taught in educational programs for nurses. In a
course on the microbiology, the student attends classes and understands about the various micro-
organisms that can affect health. Cellular reproduction is at the basis of every living organism.
While bacteria and viruses are mentioned most often in discussing why microbiology is so
important to nursing, in reality, everything that happens to our body is best understood through a
microbiology basis. Growths, death, disease, mutation (cancer, birth defects, etc…) all have a
basis in understanding microbiology.
Goals
The primary goal of the subject is to enable students to acquire understanding of fundamentals of
Microbiology and identification of various micro-organisms. It also provides opportunities for
practicing infection control measures in hospital and community settings.
Objectives
 To integrate and apply knowledge in understanding the basic concept, principles in

microbiology.
 To gain knowledge regarding general characteristics of microbes.
 To teach about infection control and role of nurse in hospital acquired infection.
 To explain about immunity and Immunization for various diseases Immunization Schedule.
Teaching strategies
The curriculum is based on both clinical and public health sectors of the society. The major
focus is on individuals rather than population aggregates. students are prepared to participate in a
multidisciplinary approach to planning, implementing and evaluating programs and services for
client health and safety.
It is assumed that there will be approximately 915 in the 1 year period of this course subject. Of
which, theory teaching will be for 265 hours and practical will be for 650 hours. Out of the
practical hours, 200 hours will be allotted for lab training of the student and 450 hours will be
allotted in the hospital and health care setting where the student will be taking care of actual sick
patients
The students will be exposed to practical demonstration in various fields of clinical setting
including general wards, ICUs, CSSD.
118
The subject will be for 6 Months duration. The topics covered under theory training are as
follows
1. Introduction 5
2. General Characteristics of 15
Microbes
3. Infection control 12
4. Pathogenic organisms 16
5. Immunity 12
TOTAL 60 4

3. Role Play
4. Student Seminar
5. Panel discussion
6. Teacher Seminar
7. Presentations
Textbook:
1. Ananthanarayanan (R), Textbook of Microbiology, Orient Longman Ltd., Madras,
Reference:
1. Bhatia (R), Essentials of Medical Microbiology, J.P Brotheres Publishers, New Delhi,
2. Arora, Microbiology for Nurses.
3. Malhotra, Medical Microbiology for Nurses.
4. Hug L. L, Muffet, Clinical Microbiology, J. B. Lippincott Co.
119
MICROBIOLOGY
1. Introduction: 5
 Concepts and  Must know

principles of  Must know
microbiology their
 Importance of
microbiology in
nursing.
2. General Characteristics of 15
Microbes
 Must know
 Structure and classification bf
Microbes
 Morphological types, Size
and form of  Nice to know
bacteria,Mortality,
Colonization  Desirable to
 Growth and nutrition of know
microbes, Temperature,
Moisture, Blood and body
fluids
 Laboratory methods for
Identification of Micro
organisms
 Staining techniques, Gram
staining, Acid fast staining,
Hanging drop preparation
Culture ; various medias

3. Infection control 12
 Infection: Sources, portals of  Must know

entry and exit, transmission
 Asepsis, Disinfection: Types

120
and methods, Sterilization:  Nice to know
Types and methods
Chemotherapy and antibiotics  Must know

 Standard safety measures,
Biomedical waste  Must know
management, Role of Nurse
 Hospital acquired infection,
Hospital infection control
programme
 Protocols, collection of
samples, preparation of report
and status of rate of Infection
in the unit / hospital, nurse’s
accountability, continuing
education etc.,
4. Pathogenic organisms 16
 Desirable to
 Micro-organisms know
 Cocci-gram positive and
gram negative, Bacil1i-gram
positive and gram negative,
Spirochete, Mycoplasma,
Rickettsiae, Chlamydia,
Viruses, Fungi-Superficial
and deep mycoses, Parasites
 Nice to know
 Rodents & vectors
Characteristics: Source,
portal of entry, transmission
of
infection Identification of
disease producing micro-  Must know
organisms

Collection, handling and
transportation of various
specimens
5. Immunity 12
 Immunity - Types,  Nice to know

classification, Antigen and
antibody reaction
 Hypersensitivity— skin test,
 Immuno prophylaxis, Vaccines  Must know
& sera-Types & Classification,
storage and handling, cold
chain, Immunization for
various diseases, Immunization
Schedule
121
S.No Topic Learning Objectives Teaching Methodology HRS
guidelines
(At the end of the
session the student
should be able to )
1 Introduction  Explain the To teach  Lecture 5

concepts and Importance and cum
 Importance principles of relevance to Discussion
and relevance microbiology and nursing Historical
to nursing their importance in perspective,
 Historical nursing. Concepts and
perspective terminology,
 Concepts and Principles of
terminology microbiology
 Principles of
microbiology
2 General  Describe the To cover Structure  Lecture 15

Characteristics structure, and classification of Discussion
of Microbes classification Microbes,  Laboratory
morphology and Morphological demonstrati
 Structure and growth of bacteria. types , Size and on
classification  Identify Micro- form of bacteria,
bf Microbes organisms. Mortality
 Morphologica ,Colonization,
l types Growth and
 Size and form nutrition of
of bacteria microbes
 Mortality ,Laboratory
 Colonization methods for
 Growth and Identification of
nutrition of Micro organisms,
microbes Staining
techniques, Gram
Temperature staining, Acid fast
staining, Hanging
drop preparation
Moisture
and Culture ;
various medias
Blood and body
fluids
 Laboratory
methods for
Identification
of Micro
organisms
 Staining
techniques,
Gram 122
staining, Acid
fast staining,
Hanging drop
preparation
 Culture ;
various
medias
3 Infection control  Describe the To teach Infection:  Lecture 12

methods of Sources, portals of Discussio
 Infection: infection entry and exit, n
Sources, control. transmission  Clinical
portals of  Identify the practice
entry and exit, role of nurse in Asepsis,  Seminar/pr
transmission hospital Disinfection: Types esentation
 Asepsis infection and methods Demonstrat
 Disinfection: control ,Sterilization: ion
Types and program. Types and  Visits to
methods methods,Chemother CSSD
 Sterilization: apy and antibiotics,  Clinical
Types and Standard safety practice
methods measures,
 Chemothera Biomedical waste
py and management,Role
antibiotics of Nurse In
 Standard Hospital acquired
safety infection, Hospital
measures infection control
 Biomedical programme,
waste Protocols collection
management of samples,
 Role of Nurse preparation of
 Hospital report and status of
acquired rate of Infection in
infection the unit / hospital,
nurse’s
 Hospital
accountability,
infection
continuing
control
programme
 Protocols,
collection of
samples,
preparation of
report and
status of rate
of
 Infection in
the unit /
hospital,
nurse’s
accountability
, continuing
education etc.,
123
4 Pathogenic  Describe the To discuss  Lecture 16
organisms different disease microorganism , Discussion
producing Cocci-gram  Laboratory
 Micro- organisms. positive and gram Demonstrat
organisms negative ,Bacil1i- ion
 Cocci-gram gram positive and  Clinical
positive and gram negative- practice
gram negative Spirochete,
 Bacil1i-gram Mycoplasma,
positive and Rickettsiae,
gram negative Chlamydia
 Spirochete
 Mycoplasma Viruses,Fungi-
 Rickettsiae Superficial and
 Chlamydia deep mycoses
 Viruses Parasites, Rodents
& vectors
 Fungi-
Superficial Characteristics ,
and deep Source, portal of
mycoses entry, transmission
of Infection,
 Parasites
Identification of
 Rodents &
disease
vectors
producingmicroorg
Characteristic
anisms ,
s, Source,
Collection,handling
portal of
and transportation
entry,
of various
transmission
specimens
of
 infection
Identification
of disease
producing
micro-
organisms
Collection,
 handling and
transportation
of various
specimens
5 Immunity Explain the concept of To explain  Lecture 12
immunity, hyper - Immunity - Discussio
• Immunity - sensitivity and Types,classification n
Types, immunization ,Antigen and  Demonstr
classification antibody reaction, ation
• Antigen and Hypersensitivity—  Seminar/pre
antibody skin testImmuno sentation
reaction prophylaxis  Visits to
• Hypersensitivi CSSD
ty— skin test ,Vaccines & sera-  Clinical
• Immuno Types & practice
prophylaxis Classification,
• Vaccines & storage and
124
sera-Types & handling, cold
Classification, chain
storage and , Immunization for
handling, cold various diseases
chain Immunization
• Immunizati Schedule
on for various
diseases
• Immunization
Schedul
125
Basic B.Sc. Nursing 2ND Semester
INTRODUCTION TO COMPUTERS
Code: 04100204
PLACEMENT: B.Sc. NURSING 1ST YEAR HOURS OF INSTRUCTION

Preamble –
A computer is a device that can be instructed to carry out an arbitrary set

of arithmetic or logical operations automatically. The ability of computers to follow generalized
sequences of operations, called programs, enable them to perform a wide range of tasks.
Such computers are used as control systems for a very wide variety of industrial and consumer
devices.
Goal –
To develop basic understanding of uses of computer and its applications in nursing.
COURSE INSTRUCTION
S.No. Topic Hours CREDIT
1 Introduction 3
2 Introduction to disk operating system 26
3 Multi media: types and uses 5
4 Use of internet and email 4

3
5 Statistical packages :types and their features 4
6 Hospital management systems : types and uses 3
References –
1. Jain (NC), computers for nurses, AIBTS publishers.
126
Basic B.Sc. Nursing 2ND Semester
INTRODUCTION TO COMPUTERS
PLACEMENT: B.Sc. NURSING 1ST YEAR HOURS OF INSTRUCTION

S NO Topic DOMAIN Hours
1 Introduction  MUST TO KNOW 3

 DEIRABLE TO
Concepts of computers KNOW
 NICE TO KNOW
Hardware and software trends and
technology
Application of computers in nursing
2 Introduction to disk operating system  MUST TO KNOW 26

 DEIRABLE TO
- DOS KNOW
 NICE TO KNOW
- Windows ( all version )
Introduction
- MS word
- MS- excel with pictorial

presentation
- MS-access
- MS-PowerPoint
3 Multi media: types and uses  MUST TO KNOW 5

 DEIRABLE TO
Computer aided teaching and testing KNOW
 NICE TO KNOW
4 Use of internet and email  MUST TO KNOW 4

 DEIRABLE TO
KNOW
 NICE TO KNOW
127
5 Statistical packages :types and their  MUST TO KNOW 4
features  DEIRABLE TO
KNOW
 NICE TO KNOW
6 Hospital management systems : types and  MUST TO KNOW 3

uses  DEIRABLE TO
KNOW
 NICE TO KNOW
128
CURRICULUM PLNNING
S NO Topic Learning Teaching Methodology Hour
objectives (at learning s
the end of this activities
session group
will able to )
1 Introduction Identify & To teach and Lecture discussion. 3

define various discuss about
Concepts of computers concepts used the Identify & demonstration
in computer in define various
Hardware and software nursing. concepts used
trends and technology in computer in
Identify nursing
Application of application of
computers in nursing computer in
nursing.
2 Introduction to disk Describe and To teach and Lecture discussion. 26

operating system use the disk discuss about
operating disk operating Demonstration
- DOS system system lecture discussion.
- Windows ( all Demonstrates Demonstration

version ) skill in the use
of MS Office Practice session
Introduction
- MS word
- MS- excel with

pictorial
presentation
- MS-access
- MS-PowerPoint
3 Multi media: types and Demonstrates To teach and Lecture discussion. 5

uses skill in using discuss about
multi media the multimedia. Demonstration
Computer aided teaching
and testing Identify features
of computer
aided teaching
and testing
129
4 Use of internet and Demonstrate To teach and Lecture discussion. 4
email use of internet discuss about
and email internet and Demonstration
mail
5 Statistical Describe and use To teach and Lecture discussion. 4

packages :types and the statistical discuss about
their features packages and use the Demonstration
statistical
packages
6 Hospital management Describe the To teach and Lecture discussion. 3

systems : types and uses use of hospital discuss about
management the use of Demonstration
system hospital
management
system
130
3
RD
SEMESTER
131
Basic B.Sc. Nursing 3rd Semester
SOCIOLOGY
Code: 04100301
PLACEMENT: B.Sc. NURSING 2nd YEAR HOURS OF INSTRUCTION

PREMABLE:-
Sociology, the study of human social behavior and interaction, has become a component of many
nursing education programs because it is believed that undertaking formal study of human
behavior can assist nurses in providing care and performing thorough diagnosis. Incorporating
sociology into the study of nursing emphasizes the social nature of health care and helps nurses
understand their role as a social agents whose job requires interaction with and understanding of many
different types of people from a variety of different backgrounds. Interpersonal care can be an essential
part of a nurse's role as a health care provider, and the study of sociology is believed to help nurses
gain new insight into their patients lives and issues.
Sociology encourages and requires transformational learning which does not sit easily within the
current practical and power context of much of nursing practice. However, when students engage with
the wider issues, and understand that there are different ways of knowing and examine what it means
to develop a sociological imagination an opportunity exists for them to develop into
‘knowledgeable doers’ who may transform both themselves, nursing practice and in turn society.
GOAL:-
At the end of the course students will be able to explain concepts of sociology related to community
and social institutions in India and its relationship with health, illness and nursing.
SPECIFIC OBJECTIVE :
At the end of the class the students can be able to :\

 State the importance of Sociology in Nursing
 Describe the interstate relationship of individual in society and community
 Describe the influence of culture and on health and disease
 Identify various social groups and their interactions
 Explain the growth of population in India and its impact on health
 Describe the types of communities in India, their practices and the impact on health
132
Course Instruction
1 Introduction 1
2 Individual & Society 3
3 Culture 3
4 Social groups and Processes 4
5 Population 6
6 Family and Marriage 5
7 Social Stratification 7
8 Type of communities in India 6
9 Social Change 4
10 Social Organization and social System 4
11 Social Control 2
12 Social Problems 15
TOTAL 60 4
133
TEACHING STRATEGIES:-
It is assumed that there will be 60 theory hours in one year.
Method of Teaching
• Lecture-cum-discussion
• Seminar
• Presentations
• Student interactive session

• Student/ teacher seminar
Methods of Evaluation
• Quiz, Tests (Term)
• Assignments/Term paper
• Presentations
• Project work
Internal Assessment
Term Test(2 tests) 60%
Assignment 20%
Presentation 20%
Total 100%
EFFECTIVE TRAINING/OPTIONAL POSTING
Should be arranged by the faculty for hands on training of the students in the clinical/ community.
134
REFERENCES:-
Syllabus Books
1. Madan (GR), Indian Social Problems, Allied Publishers, Chennai.
2. Mehta (SA), Study of Rural Sociology in India, Chand & Co.
3. Ogbern (F), Handbook of Sociology, Eurasoa Publishing, New Delhi.
4. Majmudar (DN), An Introduction to Social Anthropology, Asia Publishing house,
Bombay.
5. Indirani (TK), Textbook of Sociology for Nurses, Jaypee Brothers, New Delhi, 2006.
6. Neeraja (KP), Textbook of Sociology for Nursing students, Jaypee Brothers, New Delhi
2005.
21
7. Rao (SD), Psychology and Sociology for Para medicals, Jaypee Brothers, New Delhi,
Following guidelines should be followed in order to have a common standardized syllabus format for
the whole university:
 Chapters should be as per the respective Council, INC.
 If the chapters have got units, then unit wise description should be given.
135
S.no. Topic Domain Hours
1 Introduction  MUST TO KNOW 01
Definition of Sociology  DEIRABLE TO KNOW

 NICE TO KNOW
Nature and Scope of the
discipline
Importance and application

of Sociology in Nursing
2 Individual & Society 03
Society and Community  DEIRABLE TO KNOW
Nature of Society
Difference between Society  NICE TO KNOW

and Community
Process of Socialization and

Individualization
Personal disorganization
3 Culture  MUST TO KNOW 03
Nature of culture  DEIRABLE TO KNOW
Evolution of culture
 NICE TO KNOW
Diversity and uniformity of
culture
Trans cultural society
Influence on health and

disease
4 Social groups and  MUST TO KNOW 04

Processes
 NICE TO KNOW
The meaning and
classification of groups
136
Primary & Secondary
Group
In-group V/s. out-group,

Class, Tribe, Caste
Economic, Political,
Religious groups, Mob,
Crowd, Public and
Audience
Interaction & Social

Processes.
Co-operation, Competition,
Conflict
Accommodation,
Assimilation & Isolation
5 Population  MUST TO KNOW 06
Society and population  DEIRABLE TO KNOW

 NICE TO KNOW
Population distribution in
India-Demographic
characteristics
Malthusian theory of
Populations
Population explosion in
India and its impact on
health status
Family welfare programs
6 Family and marriage  MUST TO KNOW 05
Family Functions  DEIRABLE TO KNOW

 NICE TO KNOW
Types-Joint, Nuclear,
Blended and Extended
family:
Characteristics
The Modern Family-

Changes, Problems-Dowry
etc.,
Welfare Services.
137
Changes & Legislations on
family and marriage in
India-marriage acts
Marriage: Forms and

functions of marriage
Marriage and family

problems in India
Family, marriage and their

influence on health and
health practices
7 Social Stratification  MUST TO KNOW 07
Meaning & types of Social  DEIRABLE TO KNOW

stratification  NICE TO KNOW
The Indian Caste System-

Origin & Features
Features of Caste in India

Today
Social Class System and

Status Social Mobility-
Meaning & Types
Races as a biological
concept, criteria of racial
classification
Salient features of Primary

races-Racism
Influence of Class, Caste

and Race on health and
health practices
8 Types of Communication  MUST TO KNOW 06

in India
 DEIRABLE TO KNOW
(Rural, Urban and  NICE TO KNOW
Regional)
Features of village’s
community &
Characteristics of Indian
Village panchayat system,

138
social dynamics
Community Development
project & Planning
Changes in Indian Rural

Life
Availability of health
facilities in rural and its
impact on health and health
practices
Urban-community-features
The growth of cities:

Urbanization and its impact
on health and health
practices
Major Urban problems –

Urban Slums
Region; Problems and

impact on Health
9 Social Change Must know 04
Nature and process of Social NICE TO KNOW

Change
Factors influencing Social

change : Cultural change,
Cultural lag
Introduction to Theories of
social change : Linear,
Cyclical, Marxian,
Functional Role of nurse –

Change agents
10 Social organization and  MUST TO KNOW 04

social system  DEIRABLE TO KNOW
 NICE TO KNOW
Social organization :
elements, types
Democratic and
authoritarian modes of
participation,
139
Voluntary associations
Social System : Definition

and Types of social system
Role and Status as structural

elements of social system
Inter – relationship of
institutions
11 Social control 02
Nature and process of social  DEIRABLE TO KNOW

control
 NICE TO KNOW
Political, Legal, Religious,
Educational, Economic,  NICE TO KNOW
Industrial and Technological  NICE TO KNOW
system, Norms values-
Folkways and Mores
Customs Laws and fashion
Role of nurse
12 Social Problems  NICE TO KNOW 15
Social disorganization  NICE TO KNOW
Control &Planning :  NICE TO KNOW

poverty, housing, illiteracy,
food supplies,  Must Know
prostitution, rights of
women & children,
vulnerable groups:
Elderly, handicapped,
minority groups and other
marginalized groups,
childlabour, child abuse,
delinquency and crime,
substance abuse, HIV
/AIDS.
Social Welfare programs in

India
Role of Nurse
140
CURRICULUM
S.N CONTENTS OF LEARNING TEACHING METHODOLOG TIM

O THE TOPICS OBJECTIVES OBJECTIVES Y E
(at the end of the

session the student
should be able to )
1 Introduction 1.student 1 hrs

 Explain the Interactive session
 Definition of definition, To cover the introduction with the students
Sociology nature ,scope, and definition of regarding
importance sociology. Definition, nature,
and scope
application of
To cover the nature,
 sociology in
Nature and
nursing scope and former or 2. Didactic lecture
Scope of the through power
specialist school of
discipline thought point projections
on Importance and
 Importance application of
To cover the
and Sociology in
importance/significance/
application of Nursing
utility of sociology and
Sociology in importance of studying
Nursing sociology in India
2 Individual & Society 1. Didactic lecture 3h

 Society and Discuss in detail To cover meaning of through power rs
Community, about Society and individualization, point
Nature of Community,Nature of society, evolution of projections and
Society, Society, Difference society, charactyerstics student
Difference between Society and of society, types of interactive
between Community, Process society, Community session
Society and of Socialization and Process of Socialization
Community Individualization, and Individualization and
Process of Personal Personal disorganization
Socialization disorganization
and
Individualizati
on and
Personal
disorganizatio
n
141
Culture  Elaborate the To cover definition of 1. Group 3 hrs
 Nature of meaning of culture. discussion
culture culture on
 Evolution of  Discuss the To cover the concept of definition
culture evolution of culture of culture,
 Diversity and culture concept of
uniformity of  Explain the To cover the nature and culture
culture diversity and characteristics of culture. 2. Student
 Trans cultural uniformity of To cover the diversity interactive
society, culture and uniformity of culture session on
Influence on Discuss the concept of To cover Trans cultural diversity
health and Trans cultural society society, Influence on and
disease and its Influence on health and disease uniformity
health and disease of culture
3. Problem
based
learning on
Trans
cultural
society,
Influence
on health
and disease
4 Social groups and To cover meaning, 1Didactic lecture 4hrs

 Explain the definition of social on meaning,
Processes
meaning and process. definition of social
 The meaning classification of process.
and groups, Primary
To cover meaning,
classification & Secondary classification, 2.Student
of groups, Group importance, type and interactive session
Primary &  Discuss the In- characteristics of social on types of groups
Secondary group V/s. out- groups.
Group group, Class, 3.student seminar
 In-group V/s. Tribe, Caste To cover Co-operation, on Co-operation,
out-group, Competition, Conflict, Competition,
Class, Tribe, Describe the Accommodation, Conflict,
Caste, Economic, Political, Assimilation & Isolation Accommodation,
Economic, Religious groups, Assimilation &
Political, Mob, Crowd, Public Isolation
Religious and Audience
groups, Mob, Interaction & Social
Crowd, Public
and Audience Explain the Co-
 Interaction & operation,
Social Competition, Conflict
Processes. Explain the Co-
 Co-operation, operation, Competition,
Competition, Conflict,
Conflict, Accommodation,
Accommodati Assimilation &
142
on, Isolation
Assimilation
& Isolation
5 Population To cover Society and Group discussion 6hrs

population, Population on Society and
 Society and Describe the Society distribution in India- population,
population and population, Demographic Population
 Population Population characteristics, distribution in
distribution in distribution in India- Malthusian theory of India-Demographic
India- Demographic Populations, Population characteristics.
Demographic characteristics, explosion in India and its
characteristics Malthusian theory of impact on health status
, Malthusian Populations,
theory of Population explosion
Populations, in India and its
Population impact on health
explosion in status
India and its To cover the various Student seminar on
impact on types of Family welfare various types of
health status programs Family welfare
Explain the Family programs
welfare programs
 Family
welfare
programs
143
6 Family and  Discuss the To cover definition of 1. Didactic 5hrs
marriage importance family, structure, lecture
and functions characteristics of family, through
 Family of family. functions, types of family PowerPoint
Functions  Elaborate the and structure, family presentatio
 Types-Joint, various type problems and welfare ns on
Nuclear, of family and services definition
Blended and welfare of family,
Extended services structure,
family:, characterist
Characteristics To cover marriage acts, ics of
, The Modern legislations and special family,
Family- marriage act. functions,
Changes, types of
Problems- family and
Dowry etc., structure,
Welfare To cover definition of family
Services. marriage, type, problems problems
 Changes & related to marriage. and welfare
Legislations services
on family and  Briefly 2. Student
marriage in, discuss the interactive
India-marriage Changes & session on
acts Legislations marriage
 Marriage: on family and acts,
Forms and marriage in, legislations
functions of India and special
marriage,  Explain the marriage
Marriage and various forms act.
family of marriages 3. Group
problems in and its discussion
India, Family, functions on various
marriage and family
their influence problem
on health and
health practice
144
7 Social Stratification  Describe the To cover concept of Students Seminar 7hrs
concepts of definition, meaning, on tools and
 Meaning & social characteristics, types, methods of data
types of Socal stratification theories stratification and collection
stratification, and Indian Indian Caste System
The Indian Caste System-
Caste System-
Origin &
Features of
Caste in India  Explain the
Today social To cover fuctions of
 Social Class mobility, social stratification and Essay writing on
System and social class social caste system. social stratification
Status Social system and social caste
Mobility system.
Meaning &
Types Races
as a biological
concept,
criteria of
racial To cover Influence of
classification  Briefly Class, Caste and Race on
and Salient describe the health and health
features of Influence of practices
Primary races- Class, Caste
Racism and Race on
 Influence of health and
Class, Caste health prctices
and Race on
health and
health Essay writing on
practices Influence of Class,
Caste and Race on
health and health
practices
8 Types of To cover characrtersics, 1. Group 6hrs

Communication in community discussion
India organizations, Indian on urban
villages, Indian riral and rural
(Rural, Urban and Describe the society, rural urabn community
Regional) Characteristics of dieerences, panchayat 2. Student
India Village and system based
 Features of panchayat system and learning on
village’s social dynamics Community
community & Developme
Characteristics nt project &
of Planning
IndiaVillage & Change
panchayat s in Indian
145
system, social Rural Life
dynamics 3. Problem
 Community Explain the based
Development Community learning on
project & Development project To cover Community Availability
Planning & Planning Development project & of health
&Changes in &Changes in Indian Planning & Changes in facilities in
Indian Rural Rural Life Indian Rural Life rural and its
Life impact on
health and
health
Discuss the of health practices
 Availability of facilities in rural and 4. Group
health its impact on health To cover Urban- discussion
facilities in and health practices community-features, The on Urban-
rural and its growth of cities: community
impact on Urbanization and its and Major
health and impact on health and Urban
health health practices Major problems
practices Urban problems – Urban
Explain the Urban- Slums
community-features,
The growth of cities: To cover
 Urban- Urbanization and its impact/problems of
community- impact on health and urbanization on health
features, The health practices and health practices
growth of Major Urban
cities: problems – Urban
Urbanization Slums 5. Student
and its impact seminar on
on health and impact/prob
health lems of
practices Explain the Region; urbanizatio
Major Urban Problems and impact n on health
problems – on Health and health
Urban Slums practices
 Region;
Problems and
impact on
Health
9  Social  Discuss the To cover definition, 1. Didactic 4hrs
Change Nature and nature, definition, lecture on
 Nature and process of process, factors social
process of Social influencing social change and
Social Change, change. Resistance, cultural lag
Change, Factors theories of social change
Factors influencing and cultural lag
influencing Social change
146
Social change : Cultural
: Cultural change,
change, Cultural lag
Cultural lag
 Discuss the To cover various theories 2. Group

 Introduction to to Theories of of social change discussion
Theories of social change on various
social change :  Explain the theories of
Linear, Functional social
Cyclical, Role of nurse change
Marxian – Change
agents To cover the Functional 3. Group
Role of nurse as a discussion
Change agents on
 Functional Functional
Role of nurse Role of
– Change nurse as a
agents Change
agents
10 Social organization  To explain 1. Didactic 4hrs

and social system Social lecture
organization : through
 Social elements, PowerPoint
organization : types To cover definition, presentatio
elements,  To discuss the characteristics, elements, n on Social
types Democratic types and functions of organizatio
 Democratic and Social organization. n :
and authoritarian elements,
authoritarian modes of To cover the Democratic types
modes of participation and authoritarian modes 2. Didactic
participation,  Explain the of participation. lecture
 Voluntary Voluntary through
associations associations To cover various PowerPoint
 Social System  Social System Voluntary associations. presentatio
: Definition : Definition n on
and Types of and Types of To cover Definition and Democratic
social system, social system Types of social system and
Role and  Briefly authoritaria
Status as discuss about To cover the concept of n modes of
structural Inter – Inter – relationship of participatio
elements of relationship of institutions n,
social system institution 3. Student
 Inter – interactive
relationship of session on
147
institutions Voluntary
associations
4. student
interactive
session on
Social
System :
Definition
and Types
of social
system,
Role and
Status as
structural
elements of
social
system
5. group
discussion
on Inter –
relationship
of institutio
11 Social control  Explain the Student interactive 2hrs
Nature and session on
 Nature and process of meaning, need,
process of social control purpose,
social control  Discuss the To cover meaning, need, importance for
 Political, Political, purpose, importance for social control
Legal, Legal, social control
Religious, Religious, Group discussion
Educational, Educational, To cover various means on various means
Economic, Economic, of social control of social control
Industrial and Industrial and
Technological Technological To cover the role of
system, Norms system, nurse in social control
values- Norms Teachers seminar
Folkways and values- on role of nurse in
Mores Folkways and social control
Customs Laws Mores
and fashion Customs
 Role of nurse Laws and
fashion
 Discuss the
Role of nurse
12 Social Problems  Discuss the To cover meaning , 1. Didactic 15hrs

meaning , nature characteristics of lecture
 Social nature Social disorganization through
disorganizatio characteristics power point
n To cover the various type presentatio
148
 Control & of Social of social problems n on
Planning : disorganizatio poverty, housing, meaning ,
poverty, n illiteracy, food supplies, nature
housing,  Explain the prostitution, rights of characterist
illiteracy, food various type women & children, ics of
supplies, of social vulnerable groups: Social
prostitution, problems. Elderly, handicapped, disorganiza
rights of minority groups and tion
women & other marginalized 2. Student
children, groups, childlabour, child interactive
vulnerable  To explain the abuse, delinquency and session on
groups:Elderly Social crime, substance abuse, various
, handicapped, Welfare HIV /AIDS to cover the type of
minority programs in Social Welfare programs social
groups and India in India problems
other  Explain the 3. Group
marginalized role of nurse discussion/
groups, in dealing teacher
childlabour, with social To cover role of nurse in seminar on
child abuse, problems. dealing with social role of
delinquency problems. nurse in
and crime, dealing
substance with social
abuse, HIV problems.
/AIDS.
 Social Welfare
programs in
India
 Role of Nurse
149
PHARMOCOLGY(A) , PATHOLOGY (B) & GENETICS (C)
Code:04100302
PHARMOCOLOGY (A)

TOTAL : 45Hours/3 credit
Preamble
This course in designed to enable students to acquire understanding pharmaco-dynamics, pharmacokinetics,

principles of therapeutics and nursing implications.
Objectives
o Describe pharmaco-dynamics, pharmacokinetics, classification and the principles of

drug administration.
o Describe pharmaco-dynamics, pharmacokinetics, classification and the principles of
drug administration.
o Describe Antiseptics, disinfectants, insecticides, and nurse’s Responsibilities
o Describe drugs action on Gastro Intestinal system and nurse’s Responsibilities
o Describe the drug used on Respiratory Systems and nurse’s Responsibilities
 Describe drugs used on Urinary System and nurse’s responsibilities
o Describe drugs used in dead diction, emergency, deficiency of vitamins and minerals
o Describe drugs and on skin and mucous membranes and nurse’s responsibilities
150
Course Instruction
S.NO TOPIC HRS Credit
1 Introduction to pharmacolog 3
2 Chemotherapy 6
3 Pharmacology of commonly used antiseptic, 2

disinfectants and insecticides
4 Drugs acting on G.I system 2
5 Drugs used on Respiratory Systems 2
6 Drugs used on Urinary System 2
7 Miscellaneous 1
8 Drugs used on skin and mucous membranes 4
9 Drugs acting on Nervous system 8
10 Cardiovascular drugs 5
11 Drugs used for hormonal disorders and 4

supplementation, contraception and medical
termination of pregnancy
12 Introduction to drugs used in alternative systems 6
of medicines
TOTAL 45 3

3. Role Play
4. Student Seminar
5. Panel discussion
6. Teacher Seminar
7. Presentations
151
PHARMOCOLGY(A)

1 Introduction to pharmacology Must know 3
Definitions Must know
Sources Nice to know
Terminology used Desirable to know
Types : Classification Must know
Pharmaco-dynamics: Actions, therapeutic, Must know
Adverse, toxic
Pharmacokinetics: absorption, distribution,
metabolism, interaction,
excretion
Review : Routes and principles of
Administration of drugs
Indian pharmacopoeia: Legal issues
Rational use of drugs
Principles of therapeutics
2 Chemotherapy Must know 6

Pharmacology of commonly used:
- Penicillin Must know
- Cephalosporin’s
- Amino glycosides Nice to know
- Macrolide & Broad Spectrum
Antibiotics Must know
- Sulfonamides
- Quinolones Must know
- Antiamoebic
- Antimalarials Must know
- Anthelmintics
- Antiscabies agents Nice to know
- Antiviral & antifungal agents
- Antitubercular drugs Must know
Anti leprosy drugs
Anticancer drugs
Immuno-suppresants: Composition,
action,dosage, route, indications,
contraindications,drug interactions, side
effects, adverse effects,toxicity and role
of nurse
3 Pharmacology of commonly used antiseptic, Must know 2

disinfectants and insecticides
Antiseptics: Composition, action, dosage, route, Must know
indications,
contraindications, drug interactions, side Nice to know
effects, adverse effects, toxicity Must know
152
and role of nurse Must know
Disinfectants Must know
Insecticides
4 Drugs acting on G.I system 2

Pharmacology of commonly used :
- Antiemetics Desirable to know
- Emetics
- Purgatives Must know
- Antacids
- Cholinergic Must know
- Anticholinergics
- Fluid and electrolyte Must know
- Anti diarrhoeals
- Histamines: Composition, action, dosage,
route, indications,
contraindications, drug interactions, side
effects, adverse effects,
toxicity and role of nurse
5 Drugs used on Respiratory Systems Must know 2

Pharmacology of commonly used: Must know
- Antiasthmatics Nice to know
- Mucolytics
- Decongestants Desirable to know
- Expectorants
- Antitussives Must know
- Bronchodilators
- Broncho constrictors Must know
- Anthistamines Composition, action,
dosage, route, indications, Must know
effects, adverse effects, Desirable to Know
toxicity and role of nurse
6 Drugs used on Urinary System Must know 2
Pharmacology of commonly used : Must know

- Diuretics and antidiuretics
- Urinary antiseptics Must know
- Cholinergic and antichohinergics
- Acidifiers and alkalanizers:
Composition,
action, dosage, route, indications,
contraindications, drug
interactions, side effects, adverse
effects, toxicity and role of nurse.
153
7 Miscellaneous Desirable to know 1
Drugs used in deaddiction
Drugs used in CPR and emergency Must know
Vitamins and minerals
Immuno-suppresants Must know
Antidotes
Antivenom Must know
Vaccines and sera
Desirable to know
Desirable to know
8 Drugs used on skin and mucous membranes Must know 4

Topical applications for skin, eye, ear, nose
and buccal cavity Must know
Antipruritics :Composition, action, dosage,
route, indications, Must know
effects, adverse effects, toxicity
and role of nurse
9 Drugs acting on Nervous system Must know 8

Basic and applied pharmacology of commonly Must know
used: Nice to know
Analgesics and Anaesthetics
Analgesics Desirable to know
- Non steroidal anti inflammatory
(NSAID) drugs Must know
- Antipyretics
- Hipnotics and sedatives Must know
- Opioids Must know
- Non-opioids Nice to know
-Tranquilizers
- General and local anaesthetics Desirable to know
- Gases
- Oxygen Must know
- Nitrous Oxide
- Carbondioxide
Cholinergic and anticholinergics:
- Muscle relaxants
~ Major tranquilizers
~ Ant-psychotics
~ Antidepressants
~ Anticonvulsants
~ Adrenergic
~ Noradregenics
~ Mood stabilizers
~ Acetylcholine
~ Stimulants:
Composition, action, dosage, route,
indications, contraindications, drug
154
interactions, side effects, adverse
effects, toxicity and role of nurse
10 Cardiovascular drugs Must know 5

Haematinics
Must know
Cardiotonics
Anti anginals Nice to know
Anti-hypertensives& Vasodilators
Anti-arrhythmics
Desirable to know
Plasma expanders
Coagulants & anticoagulants
Antiplatelets&thrombolytics Must know
Hypolipidernics: Composition, action, dosage,
route, indications,
and role of nurse

11 Drugs used for hormonal disorders and Must know 4
supplementation, contraception and medical
Must know
termination of pregnancy
Insulins & Oral hypoglycemic Nice to know
Thyroid supplements and suppressants
Steroids, Anabolics
Desirable to know
Uterine stimulants and relaxants
Oral contraceptives
Other estrogen-progestrone preparations Must know
Corticotrophine&Gonadotropines
Adrenaline
Prostaglandins
Calcitonins
Calcium salts
Calcium regulators: Composition, action,
dosages, route, indications,
and role of nurse
12 Introduction to drugs used in alternative systems of Nice to know 6

medicines
Ayurveda, Homeopathy, Unani and Siddha etc
155
S.No Topic Learning Teaching Methodolo Time
Objectives Guidelines gy
( At the end of the
session, the
students should be
able to : )
1 Introduction to Explain the To cover Sources Lecture cum 3
pharmacology definition , types Terminology used
discussion
Definitions action Types
Sources ,Classification
Terminology used Pharmaco- Interactive
Types : Classification dynamics:
session
Pharmaco-dynamics: Pharmacokinetics:
Actions, therapeutic, Review : Routes
Adverse, toxic and principles of Didactic
Pharmacokinetics: Administration of
lecture
absorption, distribution, drugsi ndian
metabolism, interaction, pharmacopoeia:
excretion Legal issues
Review : Routes and Rational use of
principles of drugs.
Indian pharmacopoeia:
Legal issues
Rational use of drugs
Principles of therapeutics
2 Chemotherapy Discuss To cover Teaching 6
Pharmacology of Chemotherapy Pharmacology of
seminar
commonly used: commonly used
- Penicillin drugs Composition,
- Cephalosporin’s action,dosage,
- Amino glycosides route, indications,
- Macrolide & Broad contraindications,dr
Interactive
Spectrum Antibiotics ug interactions, side
- Sulfonamides effects, adverse session
- Quinolones effects,toxicity and
- Antiamoebic role of nurse
-Antimalarials
- Anthelmintics
- Antiscabies agents Didactic
- Antiviral & antifungal L
agents e
- Antitubercular drugs c
Anti leprosy drugs t
Anticancer drugs u
Immuno-suppresants: r
Composition, action, e
dosage, route,
indications,
156
interactions, side effects,
adverse effects, toxicity
and role of nurse
3 Pharmacology of Discuss the To cover Teaching 2

commonly used pharmacology of Antiseptics:
seminar
antiseptic, disinfectants commonly used Composition,
and insecticides antiseptic, action, dosage,
Antiseptics: disinfectants and route, indications, Interactive
Composition, insecticides contraindications,
session
action, dosage, drug interactions,
route, indications, side effects, adverse
contraindications, effects, toxicity Didactic
drug interactions, and role of nurse
lecture
side effects,
adverse effects,
toxicity Lecture cum
and role of nurse
discussion
Disinfectants
Insecticides
4 Drugs acting on G.I Discuss the action of To cover Teaching 2

system drug on G.I System. pharmacology of seminar
Pharmacology commonly used
of commonly drugs acting on G.I Student
used : System seminar
- Antiemetics
- Emetics Student
- Purgatives seminar
- Antacids
- Cholinergic Interactive
- Anticholinergics seminar
- Fluid and
electrolyte
- Anti diarrhoeals
- Histamines:
Composition,
action, dosage,
route, indications,
contraindications,
drug interactions,
side effects,
adverse effects,
toxicity and role
of nurse
157
5 Drugs used on Discuss the action of To cover Teaching 2
Respiratory Systems Pharmacology of seminar
drug on Respiratory
Pharmacology commonly used on
of commonly used: System. respiratory system. Student
- Antiasthmatics seminar
- Mucolytics
- Decongestants Student
- Expectorants seminar
- Antitussives
- Bronchodilators Interactive
- Broncho constrictors seminar
- Anthistamines
Composition, action, Lecture cum
dosage, route,
discussion
indications,
interactions, side effects, Interactive
adverse effects,
toxicity and role of nurse session
Didactic
lecture
6 Drugs used on Urinary Discuss the action of To cover drugs Lecture cum 2
System used on respiratory
drug on Urinary discussion
system
Pharmacology of System.
commonly used : Interactive
- Diuretics and
session
antidiuretics
- Urinary antiseptics
- Cholinergic and Didactic
antichohinergics
lecture
- Acidifiers and
alkalanizers:
Composition, Teaching
action, dosage, route, seminar
indications,
contraindications, drug Student
interactions, side effects, seminar
and role of nurse Student
seminar
Interactive
158
seminar
Lecture cum
discussion
Interactive
session
Didactic
lecture
7 Miscellaneous Discuss the action of To cover Drugs Teaching 1

Drugs used in de- used in de- seminar
drug used in
addiction addiction
Drugs used in emergency in drug Drugs used in CPR Student
CPR and and emergency seminar
deaddiction.
emergency Vitamins and
Vitamins and minerals Student
minerals Immuno- seminar
Immuno- suppresants
suppresants Interactive
Antidotes seminar
Antivenom
Vaccines and sera Lecture cum
discussion
Interactive
session
Didactic
lecture
8 Drugs used on skin and Discuss the action of To cover drugs Teaching 4
mucous membranes drug on skin and used on skin and seminar
Topical mucous membrane . mucous membranes
applications for Student
skin, eye, ear, seminar
nose and buccal
159
cavity Student
Antipruritics seminar
:Composition,
action, dosage, Interactive
route, indications, seminar
contraindications,
drug interactions, Lecture cum
side effects,
adverse effects, discussion
toxicity
and role of nurse Interactive
session
Didactic
lecture
9 Drugs acting on Discuss the action of To cover drug Teaching 8

Nervous system acting on nervous seminar
drug Nervous
Basic and applied system
pharmacology of System. Student
commonly used: seminar
Analgesics and
Anaesthetics Student
Analgesics seminar
- Non steroidal anti
inflammatory (NSAID) Interactive
drugs seminar
- Antipyretics
- Hipnotics and sedatives Lecture cum
- Opioids
discussion
- Non-opioids
Tranquilizers
- General and local Interactive
anaesthetics
session
- Gases
- Oxygen
- Nitrous Oxide
- Carbondioxide
Cholinergic and
anticholinergics: Didactic
- Muscle relaxants lecture
~ Major tranquilizers
~ Ant-psychotics
~ Antidepressants
~ Anticonvulsants
160
~ Adrenergic
~ Noradregenics
~ Mood stabilizers
~ Acetylcholine
~ Stimulants:
Composition, action,
dosage, route,
indications,
interactions, side effects,
and role of nurse
10 Cardiovascular drugs Discuss To cover Teaching 5

Haematinics Haematinics seminar
cardiovascular
Cardiotonics Cardiotonics, Anti
Anti anginals drugs. anginals, Anti- Student
Anti- hypertensives& seminar
hypertensives& Vasodilators, Anti-
Vasodilators arrhythmics, Student
Anti-arrhythmics Plasma expanders, seminar
Plasma expanders Coagulants &
Coagulants & anticoagulants, Interactive
anticoagulants Antiplatelets&thro seminar
Antiplatelets&thr mbolytics,
ombolytics Hypolipidernics. Lecture cum
Hypolipidernics:
discussion
Composition,
action, dosage,
route, indications, Interactive
contraindications,
drug interactions, session
side effects,
adverse effects, Didactic
toxicity and role
of nurse lecture
11 Drugs used for Discuss the action of To cover Drugs Teaching 4

hormonal disorders and drug for hormonal used for hormonal seminar
supplementation, disorders and disorders and
contraception and supplementation, supplementation, Student
medical termination of contraception and contraception and seminar
pregnancy medical termination medical
Insulins & Oral of pregnancy. termination of Student
hypoglycemic pregnancy, seminar
Thyroid Insulins & Oral
supplements and hypoglycemic Interactive
suppressants Thyroid seminar
Steroids, supplements and
161
Anabolics suppressants Lecture cum
Uterine Steroids, Anabolics
stimulants and Uterine stimulants discussion
relaxants and relaxants, Oral
Oral contraceptives Interactive
contraceptives Other estrogen-
Other estrogen- progestrone session
progestrone preparations,
preparations Corticotrophine&G
Corticotrophine& onadotropines,
Gonadotropines Adrenaline
Adrenaline Didactic
lecture
Prostaglandins
Calcitonins
Calcium salts
Calcium
regulators:
Composition,
action, dosages,
route, indications,
contraindications,
drug interactions,
side effects,
adverse effects,
toxicity
and role of nurse
12 Introduction to drugs Discuss the To cover to drugs Student 6

used in alternative used in alternative I
alternative system of
systems of medicines systems of n
medicine. medicines t
Ayurveda, e
Homeopathy, Unani and r
Siddha etc a
c
t
i
v
e
s
n
162
BSC NURSING 3rd SEMESTER SYLLABUS
PATHOLOGY-(B)

PREAMBLE
Pathology itself may be used broadly to refer to the study of disease in general, incorporating a wide
range of biosciences research fields and medical practices. The modern practice of pathology divided
into a number of subdisciplines within the discrete but deeply interconnected aims of biological
research & medical practice. In nursing the pathology is important for students to acquire knowledge
of pathology of various disease condition and apply this knowledge in practice of nursing.
Genetic nursing is a nursing specialty that focuses on providing genetic healthcare to patients. The
integration of genetics into nursing began in the 1980s and has been a slow but important process in
improving the quality of healthcare for patients receiving genetic and genomic based care from
nurses. A genetic nurse helps patient with or at risk for disease related to their genetics, disease like
cancer , heart disease, diabetes, alzheimer’s. These nurses perform risk assessment and analyze the
data found. A career in genetics nursing can be very rewarding, nurse help patients and families
better prepare themselves for the potentially harmful diseases that run in their family.
GOALS :
 Provide knowledge , clinical skills for students to competently theory and clinical pathology
practice .
 Promote the development of investigative skills to better understand pathological processes as
they apply to both individual patients and general patient population.
 Develop realistic, functional and coordinated home care plans for patients and their families.
 Nurse advice and educate the clients and families on such influences that might impact their
health, identify and manage physiological responses.
 To optimize health, reduce health risks, treat disease, and promote wellness.
 Develop realistic, functional and coordinated home care plans for patients and their families.
163
OBJECTIVES :
At the end of the course the students will be able to:

 Apply the concepts of pathology in various medical & surgical conditions in providing care
to clients and their families.
 Apply the concepts of genetic in various medical & surgical conditions in providing care to
clients and their families
 Appreciate the client as a holistic individual
 Perform physical assessment of clients
 Apply nursing process in providing nursing care to patients.
 Teach pathology in nursing to undergraduate students & in-service nurses

Course Instruction Pathology
S. No. TOPIC TIME Credit
1 Introduction 3 Hrs
2 Special Pathology 10 Hrs (Theo) +

5 Hrs (Prac
3 Clinical Pathology 4 Hrs (Theo) + 3

Hrs (Prac)
4 Examination of body cavity fluids, 2 Hrs (Theo) + 1

transudates and exudates Hr (Prac)
5 Urine and faeces 1 Hr (Theo) + 1

Hr (Prac)
Total 30 2
164
Course Instruction Genetics
S. No. TOPIC TIME
1  Introduction 3 Hrs
2  Maternal, prenatal and genetic 3 Hrs

influences on development of defects
and diseases
3 Genetic testing in the neonates and childre 2Hrs
4 Genetic conditions of adolescents and adults 2Hrs
5 Services related to Genetics 5Hrs
Total 15 5

3. Role Play
4. Student Seminar
5. Panel discussion
6. Teacher Seminar
7. Presentations
165
Pathology
Section - A
Theory Hours : 30 hrs
S. No. TOPIC DOMAIN TIME
1 Introduction 3 Hrs
- Importance of the study of Must to know

pathology
- Definition of terms
- Methods and techniques
- Cellular and Tissue changes
- Infiltration and regeneration
- Inflammations and infections
- Wound healing
- Vascular changes
Cellular growth, Neoplasms
- Normal and Cancer cell Must to know

- Benign and Malignant growths
- In situ carcinoma
Disturbances of fluid and electrolyte

imbalance
2 Special Pathology 10 Hrs

(Theo)
Pathological changes in disease conditions Must to know + 5 Hrs
of various systems. (Prac
Respiratory tract
- Tuberculosis, Bronchitis, Pleural

effusion and Pneumonia Must to know
- Lung abscess, Emphysema,
166
Bronchiectasis
- Bronchial asthma, COPD &

Tumors
Cardio-vascular system
- Pericardial effusion
Must to know
- Rheumatic heart disease
- Infective endocarditis,
atherosclerosis
- Ischemia, infarction & aneurysm
Gastro Intestinal Tract
- Peptic ulcer, typhoid Must to know
- Carcinoma of GI tract buccal,

Esophageal,
- Gastric & intestinal
Liver, Gall bladder & Pancreas

Must to know
- Hepatitis, Chronic liver abscess,
cirrhosis
- Tumours of liver, gall bladder and

pancreas,
- Cholecystitis
Must to know
Kidneys & Urinary tract
- Glomerulonephritis,
pyelonephritis
- Calculi, renal failure, renal

carcinoma & cystitis
Male genital systems
- Cryptorchidism, testicular atrophy
- Prostatic hyperplasia, carcinoma

penis & prostate Must to know
167
Female genital system
- Fibroids
- Carcinoma cervix and Must to know

Endometrium
Nice to know
- Vesicular mole, choriocarcinoma
- Ectopic gestation
Desirable to know
- Ovarian cyst & tumour
Cancer Breast
Must to know
Central Nervous system
Nice to know
- Hydrocephalus,
Meningitis, encephalitis,
Nice to know
- Vascular disorders— thrombosis,
embolism
- Stroke, paraplegia, quadriplegia
- Tumours, meningiomas —
gliomas
Metastatic tumours
Skeletal sytem
- Bone healing, osteoporosis,

osteomyelitis
Arthritis & tumours
3 Clinical Pathology 4 Hrs

(Theo)
Various blood and bone marrow Must to know + 3 Hrs
tests in assessment and monitoring (Prac)
of disease conditions.
- Hemoglobin
- RBC, White Cell & platelet counts
168
- Bleeding time, clotting time and
prothrombine time
- Blood group and cross matching
- Blood chemistry
- Blood culture
- Serological and immunological

test
- Other blood tests
- Examination of Bone marrow
- Methods of collection of blood

specimen for various
clinical pathology, biochemistry,

microbiology tests,
inference and normal values
4 Examination of body cavity fluids, 2 Hrs

transudates and exudates (Theo)
+ 1 Hr
The laboratories tests used in CSF (Prac)
analysis Must to know
Examination of other body cavity

fluids, transudates and exudates
sputum, Must to know
wound discharge
Analysis of gastric and duodenal

contents
Desirable to know
Analysis of semen-sperm count,
motility and morphology and their Must to know
importance in infertility
Methods of collection of CSF and

other cavity fluids specimen for Desirable to know
various
clinical pathology, biochemistry,
169
microbiology tests, inference and
normal values
5 Urine and faeces 1 Hr

(Theo)
Urine Must to know + 1 Hr
(Prac)
- Physical characteristics
- Analysis Must to know
- Culture and sensitivity
Faeces Desirable to know
- Characteristics
- Stool examination:
Occult blood, ova, parasite and cyst,

reducing substance etc,
Methods of collection for various

tests, inference and normal values
170
S. Topic Learning objective Teaching Methodology Time
No Guidelines
1. Introduction Define the common Teacher 3 Hrs

terms used in seminar on
Importance of the pathology. To cover the basic definition,
study of pathology knowledge methods,
Appreciate the regarding technique,
- Definition of terms deviations from pathology, its inflammations,
normal to abnormal include definition, infections,
- Methods and structure and methods, wound healing,
techniques functions of the techniques, cellular vascular
body system. & tissue changes, changes.
- Cellular and Tissue infiltration,
changes regeneration,
inflammations,
- Infiltration and infections, wound
regeneration healing, cellular
growth, neoplasm, Student seminar
- Inflammations and in situ carcinoma, on cellular &
infections disturbance of fluid tissue changes.
& electrolyte
- Wound healing imbalance.
- Vascular changes
Cellular growth,
Neoplasms
- Normal and Cancer

cell
- Benign and
Malignant growths
- In situ carcinoma
- Disturbances of fluid
and electrolyte
imbalance
2. Special Pathology Explain the To cover the 10 Hrs

pathological changes pathological (Theo)
Pathological changes in disease conditions changes in disease Teacher seminar + 5
in disease conditions of various systems. conditions of on respiratory Hrs
of various systems. various system- tract infection & (Prac)
respiratory tract, disease.
cardiovascular
171
Respiratory tract system, gastro-
intestinal system,
- Tuberculosis, genitor urinary Conventional
Bronchitis, Pleural system, Male method on
effusion and genital systems disease
Pneumonia condition –
- Cryptorchidism, tuberculosis,
- Lung abscess, testicular atrophy pneumonia,
Emphysema, Prostatic asthma.
Bronchiectasis hyperplasia,
carcinoma penis &
- Bronchial asthma, prostate, Female
COPD & Tumors genital system- Teacher seminar
Fibroids on cardio
Cardio-vascular vascular system
system - Carcinoma cervix disorders.
and Endometrium
- Pericardial effusion
- Vesicular mole,
- Rheumatic heart choriocarcinoma
disease
- Ectopic gestation Teaching
- Infective seminar on GI
endocarditis, - Ovarian cyst & tract infection &
atherosclerosis tumour Cancer disease
Breast
- Ischemia, infarction
& aneurysm Central Nervous
system- Interactive
Gastro Intestinal Tract Hydrocephalus, session on
various
- Peptic ulcer, typhoid Meningitis, pathological
encephalitis, changes occur
- Carcinoma of GI with in the
tract buccal, - Vascular human body.
Esophageal, disorders—
thrombosis,
- Gastric & intestinal embolism
Liver, Gall bladder & - Stroke,

Pancreas paraplegia,
quadriplegia,
- Hepatitis, Chronic Metastatic tumours,
liver abscess, cirrhosis Skeletal sytem
Projection
- Tumours of liver, - Bone healing, method
gall bladder and osteoporosis,
pancreas, osteomyelitis,
Arthritis &
tumours.
172
- Cholecystitis
Kidneys &
Urinary tract
- Glomerulonephritis,
pyelonephritis
- Calculi, renal failure,

renal carcinoma &
cystitis
Male genital Conventional

systems method
- Cryptorchidism,
testicular atrophy -
- Prostatic hyperplasia,
carcinoma penis &
prostate
Female genital
system
- Fibroids
- Carcinoma cervix
and Endometrium
- Vesicular mole,
choriocarcinoma
- Ectopic gestation Teaching

seminar on
- Ovarian cyst & various
tumour disorders & its
pathophysiology
Cancer Breast
Central Nervous system
- Hydrocephalus,
Meningitis,
encephalitis,
- Vascular disorders—
thrombosis, embolism
173
- Stroke, paraplegia,
quadriplegia
- Tumours,
meningiomas —
gliomas
Metastatic
tumours
Skeletal sytem
- Bone healing,
osteoporosis,
osteomyelitis
Arthritis & tumours
3. Clinical Pathology Describe To cover the 4 Hrs

various laboratory various blood & (Theo)
Various blood and tests in assessment bone marrow test in Conventional +3
bone marrow tests in and monitoring of assessment and teaching on Hrs
assessment and disease conditions. monitoring of various sample (Prac)
monitoring of disease disease conditions. collection
conditions. technique,
storage &
- Hemoglobin transportation.
- RBC, White Cell &

platelet counts
- Bleeding time,
clotting time and Teacher seminar
prothrombine time of various test
related to
- Blood group and clinical
cross matching pathology.
- Blood chemistry
- Blood culture
- Serological and
immunological test
- Other blood tests
- Examination of Bone
174
marrow Demonstration
method &
- Methods of conventional
collection of blood method
specimen for various
clinical pathology,
biochemistry,
microbiology tests,
inference and normal

values
4. Examination of body cavity Describe the To cover the The 2 Hrs

fluids, transudates and laboratory tests for laboratories tests (Theo)
exudates examination of body used in CSF Teacher seminar + 1 Hr
cavity analysis, on examination (Prac)
The laboratories tests fluids,transudates Examination of of body cavity
used in CSF analysis and exudates. other body cavity fluids ,
fluids, transudates transudates,
Examination of other and exudates exudates.
body cavity fluids, sputum, wound
transudates and discharge, Analysis Student seminar
exudates sputum, of gastric and on examination
duodenal contents, of body fluids.
wound discharge Analysis of semen-
sperm count,
Analysis of gastric and motility and
duodenal contents morphology and
their importance
Analysis of semen- Discussion on
sperm count, motility in infertility, analysis of
and morphology and Methods of gastric &
their importance collection of CSF duodenal
and other cavity content.
in infertility fluids specimen for
various
Methods of collection
of CSF and other clinical pathology.
cavity fluids specimen
for various
clinical pathology,
biochemistry,
microbiology tests,
values
175
5. Urine and faeces describe the 1 Hr
laboratory tests for (Theo)
Urine examination of To cover the urine + 1 Hr
Urine and faeces. and faeces – (Prac)
- Physical physical Teacher seminar
characteristics characterstics, on methods of
analysis,stool collection for
- Analysis examination, various tests,
Occult blood, ova, inference &
- Culture and parasite and cyst, normal values.
sensitivity reducing substance
etc,
Faeces
Methods of
- Characteristics collection for
various tests, Demonstration
- Stool examination: inference and on sample
normal values collection of
Occult blood, ova, urine & faeces
parasite and cyst, with their
reducing substance characterstics,
etc, culture and
sensitivity,
Methods of collection analysis.
for various tests,
values
176
GENETICS
S. No. TOPIC DOMAIN TIME
1  Introduction 3 Hrs
 Practical application of genetics in
Nursing Must to know.
 Impact of genetic condition on families
 Review of cellular division mitosis and Desirable to know
meiosis.
 Characteristics and structure of genes Nice to know
 Chromosomes — sex determination
 Chromosomal aberrations— Patterns of Nice to know
inheritance:
 Mendalian theory of inheritance Nice to know
 Multiple allots and blood groups
 Sex linked inheritance
 Mechanism of inheritance Must to know
 Errors in transmission (Mutation)
2  Maternal, prenatal and genetic 3 Hrs

influences on development of defects
and diseases Must to know
 Conditions affecting the mother :
genetic and infections Must to know
 Consanguinity atrophy
 Prenatal nutrition and food allergies. Nice to know
 Maternal age
 Maternal drug therapy Desirable to know
 Prenatal testing and diagnosis
 Effect of Radiation, drugs and Desirable to know
chemicals
Must to know
 Infertility
 Spontaneous abortion
Must to know
 Neural Tube Defects and the role of
folic acid in lowering the risks Desirable to know
 Down syndrome (Trisomy 21)
Nice to know
177
3 Genetic testing in the neonates and children 2Hrs
Screening for Must to know
 Congenital abnormalities
 Developmental delay
 Dysmorphism
4 Genetic conditions of adolescents and adults 2Hrs
 Cancer genetics Familial Cancer Must to know

 Inborn errors of metabolism
 Blood group alleles and Must to know
hematological disorder
 Genetic haemochromatosis Must to know
 Huntington’s disease
 Mental illness
Desirable to know
Desirable to know
Nice to know
5 Services related to Genetics 5Hrs
 Genetic testing Must to know

 Human genome project
 Gene therapy Must to know.
 The Eugenics movement
 Genetic Counseling Legal and Must to know
Ethical issues
 Role of nurse Must to know
Must to know
178
S.No Topic Learning Teaching Guidelines Methodology Time
objective
1. Introduction
 Practical To cover the Practical Teacher 3 Hrs

application of application of genetics seminar on
genetics in Nursing Explain in Nursing, Impact of practicale
 Impact of genetic nature, genetic condition on application of
condition on principles families, cellular genetic,
families and division mitosis and cellular
 Review of cellular perspectives meiosis.Characteristics division,
division mitosis of heredity. and structure of genes mitosis and
and meiosis. meiosis
 Characteristics and Chromosomes — sex
structure of genes determination,
 Chromosomes — Mendalian theory of
sex determination inheritance, Multiple
 Chromosomal allots and blood
aberrations— groups- Sex linked Teacher
Patterns of inheritance - seminar on
inheritance: Mechanism of genes,
 Mendalian theory inheritance, Errors in chromosome
of inheritance transmission sex
(Mutation) determination.
 Multiple allots and
blood groups
 Sex linked
inheritance
 Mechanism of
inheritance
 Errors in
transmission
(Mutation)
Teacher
seminar on
Chromosomal
aberrations
2. Maternal, prenatal and Explain To cover the 3 Hrs

genetic influences on maternal, Conditions affecting
development of defects prenatal and the mother : genetic
genetic and infections,
179
and diseases influences on Consanguinity
development atrophy, Prenatal
 Conditions of nutrition and food Discussion on
affecting the allergies. Maternal Maternal,
mother : genetic defects and age, Maternal drug prenatal and
and infections disease. therapy genetic
 Consanguinity influences on
atrophy Prenatal testing and development
 Prenatal nutrition diagnosis, Effect of of defects and
and food allergies. Radiation, drugs and diseases
 Maternal age chemicals, Infertility,
 Maternal drug Spontaneous
therapy abortion, Neural Tube
 Prenatal testing and Defects and the role of
diagnosis folic acid in lowering
the risks, Down
 Effect of Radiation,
syndrome (Trisomy
drugs and
21)
chemicals
 Infertility
 Spontaneous
abortion
 Neural Tube
Defects and the
role of folic acid in
lowering the risks
 Down syndrome
(Trisomy 21)
3. Genetic testing in the Explain the To cover the Discussion 2Hrs

neonates and children screening Screening for- on Genetic
methods for Congenital testing in the
Screening for genetic abnormalities neonates and
defects and Developmental delay, children
 Congenital diseases in Dysmorphism
abnormalities neonates and
 Developmental children.
delay
Dysmorphism
4. Genetic conditions of Identify To cover the Cancer 2Hrs

adolescents and adults genetic genetics Familial
disorders in Cancer Teacher
 Cancer genetics adolescents seminar on
Familial Cancer and adults. Inborn errors of Genetic
 Inborn errors of metabolism, Blood conditions of
metabolism group alleles and adolescents
180
 Blood group alleles hematological and adults
and hematological disorder, Genetic
disorder haemochromatosis
 Genetic
haemochromatosis Huntington’s disease
 Huntington’s
disease Mental illness
 Mental illness
5. Services related to Describe the To cover the Genetic Role play on 5Hrs
Genetics role of nurse testing, Human gene therapy,
in genetic genome project, Gene Genetic
 Genetic testing services and therapy,The Eugenics Counseling
 Human genome counseling. movement,Genetic Legal and
project Counseling Legal and Ethical issues
 Gene therapy Ethical issues, Role of
 The Eugenics nurse Role of
movement nurse
 Genetic Counseling
Legal and Ethical
issues
 Role of nurse
181
COMMUNITY HEALTH NURSING-I
Code: 04100303

PREAMBLE
Community health is a major field of study within the medical and clinical sciences which focuses
on the maintenance, protection and improvement of the health status of population groups and
communities as opposed to the health of individual patients. The word "community" derives fro m
the Old French comuneté, which means, “commonness, community, shared in common".
Community health nursing is defined as the synthesis of nursing and public health practice applied to
promoting and protecting the health of population. It is a practice that is continuous and
comprehensive directed towards all groups of community members. A community comprises people
of various ages, health conditions, social status and cultures. The community health nurses are
expected to focus their work on disease prevention and health promotion, including promotion of
self-care. It combines all the basic elements of professional, clinical nursing with public health and
community practice. The community health nurse or public health nurse is one category of the health
workforce in the community. In all pre-service nursing or nursing and midwifery curricula, there are
one or two courses in community health nursing, which provide basic information on community
health and the role of nurses in the community. The primary goal of community health nursing is to
help a community protect and preserve the health of its members, while the secondary goal is to
promote self-care among individuals and families. In the health-care reform environment, the
community health nurse will probably continue to care for individuals and families, particularly
high-risk clients and those with communicable diseases
182
GOALS
 to prepare graduates to assume responsibilities as community health nurse specialists,

consultants, educators, administrators in a wide variety of professional settings
 to assist students in developing expertise and in depth understanding in the field of
community health nursing
 to analyze components of community health practices
 to develop advanced skills for nursing intervention in various aspects of community health
care settings
 to function as community health Nurse practitioner/specialist
 to function as educator, manager and researcher in the field of community health nursing.
OBJECTIVES
1. Appreciate the history and development in the field of Community Health and Community Health
Nursing.
2. Appreciate role of individuals and families in promoting health of the Community.
3. Perform physical, developmental and nutritional assessment of individuals, families and groups.
4. Apply the concepts of promotive, preventive, curative and rehabilitative aspects of health while
providing care to the people.
5. Apply nursing process approach while providing care to individuals, families, groups and
community.
6. Integrate the concepts of family centered nursing approach while providing care to the
community.
7. Recognize and participate in the management of emergencies, epidemics and disasters.
8. Apply recent technologies and care modalities while delivering community health nursing care.
9. Appreciate legal and ethical issues pertaining to community health nursing care.
183
10. Conduct community health nursing care projects.
11. Participate in planning, implementation and evaluation of various national health and family
welfare programmes at local, state and the national level.
12. Incorporate evidence based nursing practice and identify the areas of research in the community
settings.
13. Participate effectively as a member of Community Health team.
14. Coordinate and collaborate with various agencies operating in the community by using inter-
sectoral approach.
15. Teach community health nursing to undergraduates, in-service nurses and the community health
workers.
Method of Teaching
 Lecture cum discussion
 Demonstration/return demonstration
 Seminar/presentation
 Project work
 Field visits
STUDENT ACTIVITIES
 Identification of community leaders and resource persons(community mapping)

 Community health survey
 Community health nursing process- individual, family and special groups and community
 Counseling
 Health education – campaign, exhibition, folk media, preparation of IEC materials
 Organising and participating in special clinics/camps and national health and welfare
programmes-Organise atleast one health and family welfare mela/fair (all stalls of national
health and family welfare activities should be included)
 Estimation of Vital health statistics -Exercise
184
 Drill for disaster preparedness
 Organise at least one in-service education to ANM’s/LHV/PHN/HW
 Nutrition – Exercise on nutritional assessment on dietary planning, demonstration and
education for various age groups
 Filling up of Records, reports and registers maintained at SC/PHC/CHC
 Assist women in self breast examination
 Conduct antenatal examination
 Conduct vaginal examination
 Conduct deliveries
185
THEORY:90 Hours/6 credit
S. TOPIC DOMAIN HRS

NO
1 Introduction Must know 2
Introduction Must know
Community health nursing Nice to know
Definition, concepts, and dimensions of health Desirable to

know
Promotion of health
Maintenance of health
2 Determinants Of Health Must know 20
 Eugenics Must know

 Environment:
 Physical: Air, Light’ Ventilation, Water, Housing, Nice to know
Sanitation, and
 Disposal of waste, Disposal of dead bodies,
Forestation, Noise, and
 Climate Communication: Infrastructure facilities and
Must know
Linkages
 Acts regulating the environment

 Food hygiene: Production, Preservation, Purchase,
Preparation,Consumption
186
 Acts regulating food hygiene — Prevention of food
adulteration Act,
 Drugs and cosmetic Act
 Socio-cultural
 Customs, taboos
 Marriage system
 Family structure
 Status of special groups: Females, Children, Elderly,
Challenged groups and Sick persons
 Life Style
 Hygiene
 Physical activity
- Recreation and sleep
- Sexual life
- Spiritual life philosophy
- Self reliance
- Dietary pattern
- Education•
- Occupation
 Financial Management
- Income
- Budget
- Purchasing power
- Security
3 Must know 10
Epidemiology
Must know
Definition, concept, aims, scope, uses and terminology used
in epidemiology
Nice to know
Dynamics of disease Transmission: Epidemiological triad
Morbidity and mortality: Measurements Must know
Levels of prevention
Methods of epidemiology of Must know
- Descriptive
Must know
- Analytical: Epidemic investigation
- Experimental
4 Epidemiology And Nursing Management Of Common 25
187
Communicable Diseases Desirable to
Respiratory infections know
- Small pox
- Chicken pox Must know
- Measles
Must know
- Influenza
- Rubella Must know
- ARI’s & Pneumonia
- Mumps
- Diphtheria
- Whooping cough
- Meningococcal meningitis
- Tuberculosis
-SARS Desirable to
Intestinal Infections know
- Poliomyelitis
Must know
- Viral Hepatitis
- Diarrhoeal diseases Must know
- Typhoid fever
- Food poisoning Must know
- Amoebiasis
- Hook worm infection
- Ascariasis
- Dracunculiasis
Arthropod infections
• Dengue
- Malaria
- Filariasis
Zoonoses
-Viral
- Rabies
- Yellow fever
- Japanese encephalitis
- Kyasnur Forrest Disease
188
Bacterial
- Brucellosis
-Plagues
- Human Salmonellosis
- Anthrax
- Leptospirosis
Rickettsial diseases
- RickettsialZoonoses
- Scrub typhus
- Murine typhus
- Tick typhus
- Q fever
Parasitic zoonoses
- Taeniasis
- Tetanus
- Leprosy
-STD & RTI
- Yaws
- HIV / AIDS, Any other
5 Epidemiology and nursing management of common Non- Must know 10
communicable diseases
Must know
Malnutrition: Under nutrition, over nutrition, nutritional
deficiencies
Nice to know
Anaemia
Hypertension
Stroke Desirable to
know
Rheumatic Heart Disease
Coronary Heart Disease Must know
Cancer
Must know
Diabetes mellitus
Must know
Blindness
189
Accidents Desirable to
Know
Mental illness
Obesity
Iodine deficiency
Fluorosis
Epilepsy
6 Demography Must know 6

 Definition, concepts and scope
Must know
 Methods of collection, analysis and interpretation of
demographic data
 Demographic rates and ratios Must know
7 Population and its control Desirable to 17

know
Population explosion and its impact on social, economic
development of individual, society and country
Must know
Population control:
Must know
- Overall development, Women empowerment, Social,
Economic and Educational development
Must know
Limiting family size;
Desirable to
- Promotion of small family norm
know
- Methods: spacing (Natural, Biological, Chemical,
Mechanical methods, etc.,)
Desirable to
- Terminal: Surgical methods know
- Emergency contraception
190
S.No Topic Learning Teaching Methodolo Time
Objectives Guidelines gy
( At the end of the
session, the
students should be
able to : )
1 Introduction  Discuss the To cover historical Lecture cum 2
historical development of discussion
Introduction
development of Community Health
Interactive
Community and Community
Community health
session
Health and health Nursing,
nursing
Community define health,
Definition, concepts, and health Nursing. concepts, and
dimensions of health  Define health dimensions of Didactic
 Describe the health, promotion of lecture
Promotion of health concepts and health and
dimensions of maintenance of
Maintenance of health
health health
 Discuss the
promotion of
health and
maintenance.
2 Determinants Of Health  Discuss To cover Teaching 20

Eugenics eugenics,environme seminar
 Eugenics
 Discuss nt, Acts regulating
 Environment:
 Physical: Air, Environment: the environment,
Light’ Ventilation,  Enumerate Acts financial
Interactive
Water, Housing, regulating the Management
Sanitation, and session
environment:
 Disposal of waste,
Disposal of dead  Discuss the
bodies, Forestation,
191
Noise, and Financial Didactic
 Climate Management lecture
Communication:
Infrastructure
Lecture cum
facilities and
Linkages discussion
 Acts regulating the
environment
 Food hygiene:
Production,
Preservation,
Purchase,
Preparation,Consu
mption
 Acts regulating
food hygiene —
Prevention of food
adulteration Act,
 Drugs and
cosmetic Act
 Socio-cultural
 Customs, taboos
 Marriage system
 Family structure
 Status of special
groups: Females,
Children, Elderly,
Challenged groups
and Sick persons
 Life Style
 Hygiene
 Physical activity
- Recreation and
sleep
- Sexual life
- Spiritual life
philosophy
- Self reliance
- Dietary pattern
- Education•
- Occupation
 Financial
Management
192
- Income
- Budget
- Purchasing power
- Security
3 Epidemiology Describe the To cover the Teaching 10
Definition, concept, concepts, scope, concepts, scope, seminar
aims, scope, uses and uses, methods and uses, methods and
Interactive
terminology used in approaches of approaches of
session
epidemiology epidemiology epidemiology,
Dynamics of disease dynamics of disease
Didactic
Transmission: Transmission,
lecture
Epidemiological triad Morbidity and
Morbidity and mortality: mortality: Lecture cum
Measurements Measurements and discussion
Levels of prevention levels of prevention
Methods of epidemiology
of
- Descriptive
- Analytical: Epidemic
investigation
- Experimental
4 Epidemiology And Describe To cover the Lecture 25

Nursing Management Of epidemiology and epidemiology and Discussion
Common Communicable nursing nursing management
Using
Diseases management of of common
charts,
Respiratory infections common communicable
graphs,
- Small pox communicable diseases
models,
- Chicken pox diseases
films, slides
- Measles
- Influenza
- Rubella
- ARI’s & Seminar
193
Pneumonia
- Mumps
- Diphtheria Supervised
- Whooping cough field
- Meningococcal practice-
meningitis health
- Tuberculosis centers,
-SARS clinics and
Intestinal Infections homes
- Poliomyelitis
Group
- Viral Hepatitis
projects /
- Diarrhoeal
Health
diseases
education
- Typhoid fever
- Food poisoning
- Amoebiasis
- Hook worm
infection
- Ascariasis
- Dracunculiasis
Arthropod infections
• Dengue
- Malaria
- Filariasis
Zoonoses
-Viral
- Rabies
- Yellow fever
- Japanese
encephalitis
- Kyasnur Forrest
Disease
Bacterial
- Brucellosis
194
-Plagues
- Human
Salmonellosis
- Anthrax
- Leptospirosis
Rickettsial diseases
-
RickettsialZoonose
s
- Scrub typhus
- Murine typhus
- Tick typhus
- Q fever
Parasitic zoonoses
- Taeniasis
- Tetanus
- Leprosy
-STD & RTI
- Yaws
- HIV / AIDS, Any othe
5 Epidemiology and  Describe To cover the Lecture 10
nursing management of
epidemiology epidemiology and Discussion
common Non-
communicable diseases and nursing nursing management
management of of common Non
Malnutrition: Under
nutrition, over nutrition, common non- communicable
using charts,
nutritional deficiencies
communicable diseases
graphs,
Anaemia diseases.
models,
Hypertension films, slides
Stroke
Rheumatic Heart Disease

Seminar
Coronary Heart Disease
Cancer
195
Diabetes mellitus Supervised
field
Blindness
practice-
Accidents
health
Mental illness centers,
clinics and
Obesity
homes
Iodine deficiency
Group
Fluorosis
projects /
Epilepsy Health
education
6 Demography  Describe the To cover the Lecture 6

concepts and definition, concepts Discussion
 Definition,
concepts and scope scope of and scope,methods
 Methods of demography. of collection,
collection, analysis
and interpretation Describe methods analysis and
Community
of demographic of
interpretation of
data data collection, identificatio
 Demographic rates analysis and demographic data,
n survey
and ratios interpretation of
demographic rates
demographic data
and ratios
7  Identify the To cover the Counseling 17

impact of epidemiology and
Population and its
control population nursing management
explosion in of common non-
Population explosion and Demonstrati
its impact on social, India. communicable
on
economic development of
diseases.
individual, society and
country
Population control:  Describe

Practice
196
- Overall development, methods of session
Women empowerment, population
Social, Economic and
Educational development control.
Limiting family size; Supervised

f
- Promotion of small i
family norm e
l
- Methods: spacing d
(Natural, Biological,
Chemical, Mechanical p
methods, etc.,) r
a
- Terminal: Surgical c
methods t
i
- Emergency contraception c
e
197
COMMUNITY HEALTH NURSING –I PRACTICAL
AREA DURA OBJECTIVES SKILLS ASSIGNMENT ASSESSME
TION NT
OF METHOD
WEEK
Community 2 Wks Build and Use Techniques of interpersonal To work with Assess
health nursing urban Maintain rapport relationship 2 assigned clinical
and -Identification of health families each performanc
2wks Identify’demogr determinants of community in urban and e with
rural aphic -History taking rural rating scale
characteristics, -Physical examination Family
health -Collect specimens— study Assess
determinants and Sputum, malaria smear Family each skill
community Perform simple lab tests at study-1 with
health resources centre-blood for Observation checklist
Haemoglobin and sugar, urine report of
Diagnose health for albumin and sugar community-1 Evaluatio
needs of Administer vaccines and n of family
individual and medications to adults Health talks- study,
families Counsel and teach individual, 2(1 in urban observation
family and community and in rural) report and
-Provide primary Nutrition health talk
care in health Hygiene
centre
Self health monitoring Completi
Seeking health services on of
-Counsel and activity
educate Healthy life style
record
individual, Family welfare methods
family and Health promotion
community
198
Medical Surgical Nursing ( Adult including Geriatrics) - I- Part A

Code: 04100304

PREAMBLE
Medical-surgical nursing is a nursing specialty area concerned with the care of adult patients in a
broad range of settings. The Academy of Medical-Surgical Nurses (AMSN) is a specialty nursing
organization dedicated to nurturing medical-surgical nurses as they advance their careers.
Traditionally, medical-surgical nursing was an entry-level position that most nurses viewed as a
stepping stone to specialty areas. Medical-surgical nursing is the largest group of professionals in the
field of nursing. Advances in medicine and nursing have resulted in medical-surgical nursing
evolving into its own specialty
Many years ago a majority of hospital nurses worked on wards, and everyone was a medical-surgical
nurse. Today licensed medical-surgical nurses work in a variety of positions, inpatient clinics,
emergency departments, HMO’s, administration, outpatient surgical centers, home health
care, humanitarian relief work, ambulatory surgical care, and skilled nursing homes. Some military
medical-surgical nurses serve on battlefields.
GOALS

 Prepare nurses who can make independent decisions in nursing situations, protect the rights of
and facilitate individuals and groups in pursuit of health, functions in the hospital, community
nursing services, and conduct research studies in the areas of nursing practice
199
 They are also expected to assume the role of teacher, supervisor, and manager in a clinical
/public health settings.
OBJECTIVES
 Appreciate the trends in medical and surgical nursing.

 Describe the role of a nurse in caring for adult patient in hospital and community.
 Describe the concepts of Medical Surgical aspects.
 Describe the common signs, symptoms, problems and their specific nursing intervention.
 Describe the etiology, pathophysiology, clinical manifestations, diagnostic measures and
management of patients.
COURSE DISTRIBUTION
TOPIC HOURS Credit
1. Introduction and concept of medical surgical nursing 15 1

2.Common signs and symptoms and management 1
3. Nursing management of patients (adults including elderly) with respiratory 15
problems 1
4. Nursing management of patients (adults including elderly) with disorders of 20
digestive system
30 2
5. Nursing management of patients (adults including elderly) with blood and 30 2
cardio vascular problems
TOTAL 110 8
Textbook:
1. Brunner (V), Medical Surgical Nursing, LWW, 10th Edition.
References:
1. Black, Medical Surgical Nursing: Clinical Management for positive outcomes, Elsevier,7 th
Edition.
2. Willams, Understanding Medical Surgical Nursing, Jaypee, 3id Edition.
3. Timby, Introductory Medical Surgical Nursing, LWW, 9th Edition.
4. Lewis, Medical Surgical Nursing Assessment & Management of Clinical Problems, Elsevier
7th edition
5. Ignatavicius, Critical Thinking for Collaborative Care, Elsevier, 5th Edition.
6. Monahan, Phipp’s Medical Surgical Nursing: Health & illness perspectives practice, Jaypee,
8th Edition.
7. Gulanick, Nursing Care Plans: Nursing Diagnosis & Interventions, Mosby, 5th edition
8. Lippincott’s Manual of Nursing Practice, Jaypee , Edition.
9. Ulrich, Nursing Care Planning Guides: For adults in acute extended &Home care settings,
Elsevier, 6th edition.
10. White, Foundations of Adulth Health Nursing, Thompson, 2 nd edition.
11. V Redfern, Nursing Older People, Churchill Livingstone , edition.
12. Phillip, Berry & Kohn’s Operating room techniques, Elsevier, 11th Edition.
13. Marks, Roxburgh’s Common Skin Diseases, Arnold, 17th edition.
200
Medical Surgical Nursing ( Adult including Geriatrics) - I- Part A

S. Topic DOMAIN Time

No
1 UNIT: I 15
Hrs
Introduction  MUST KNOW
Introduction to medical surgical nursing-Evolution

and trends of medical and Surgical nursing
 NICE TO KNOW
Review of Concepts of Health and illness Disease-
concepts, causations,classification- International
Classification Diseases (ICD -10 or later
version),Acute illness chronic stages if illness
Review of concepts of comprehensive nursing care in

medical surgicalconditions based on nursing process
 MUST KNOW
• Role of Nurse, patient and family in care of adult
patient
• Role and responsibilities of a nurse in medical

surgical
 DESIRABLE TO KNOW
settings:
- Outpatient department.
 MUST KNOW
- In-patient unit.
- Intensive care unit  MUST KNOW

- Home and Community setting
Introduction to Medical Surgical asepsis
- Inflammation and Infection Immunity  MUST KNOW
- Wound healing 201

Care of Surgical Patient
- Pre-operative
- Intra operative
- Post Operative
2 UNIT: II 15Hrs
Common signs and symptoms and management  MUST KNOW
Fluid and electrolyte imbalance
 Vomiting
Dyspnea and cough, respiratory obstruction
Fever
Shock
Unconsciousness, syncope
Pain
Incontinence
Edema
Age related problems-geriatric

3 UNIT: III 20
Hrs.
Nursing management of patients (adults including
elderly) with respiratory problems
Review of anatomy and physiology of respiratory

system,  NICETO KNOW
Nursing Assessment—History and Physiology  DESIRABLE TO KNOW

assessment
 MUST KNOW
Etiology, Pathophysiology,
Clinical manifestations, diagnosis, treatment

 MUST KNOW
modalities and medical, surgical,dietetics& nursing
202
management of adult including elderly with—
- Upper Respiratory tract infections.
- Bronchitis
- Asthma
- Emphysema
- Empyema
- Atelectasis
- Chronic obstructive -
- Pulmonary Diseases (COPD)
- Bronchiectasis
- Pneumonia -
- Pulmonary tuberculosis
- Lung abscess
- Pleural effusion
- Cysts and Tumors
- Chest injuries
- Respiratory arrest and insufficiency
- Pulmonary embolism special therapies,alternative

therapies
Nursing procedures: Drugs used in treatment of

respiratory disorders
 DESIRABLEE TO KNOW
4 UNIT: IV 30
Hrs
elderly) with disorders of digestive system  NICE TO KNOW
Review of anatomy and physiology of digestive  DESIRABLE TO KNOW

system,
203
Nursing Assessment—History and Physical
assessment
Clinical manifestations, diagnosis, treatment  MUST KNOW

modalities and medical, surgical, dietetics& nursing
management  MUST KNOW
Disorders of
 MUST KNOW
- Oral cavity- lips, gums, tongue, salivary glands and
teeth
- Esophagus-inflammation,stricture, obstruction,
bleeding and tumors
- Stomach and deodenumhiatus hernia, gastritis,
peptic and duodenal ulcer, bleeding, tumors, pyloric

stenosis
- Small intestinal disorders inflammation and

infection,
enteritis, malabsorption, obstruction, tumor and

perforation
- Large intestinal disorders- Colitis, inflammation

and infection, obstruction and tumor and lump
- Hernias
- Appendixinflammation, mass, abscess, rupture
- Anal & Rectum; hemorrhoids, fissures, Fistulas

- Peritonitis/acute abdomen
- Pancreas;inflammation, cyst, abscess and tumours
- Liver; inflammation, cyst, abscess, cirrhosis, portal

hypertension,hepatic failure, tumours
- Gall Bladder;inflammation, obstruction, stones and

Tumours Special therapies, alternative therapies

disorders of digestive system.
204
5. UNIT: V 30
Hrs
elderly) with blood and cardio vascular problems
Review of anatomy and physiology of blood and

cardio vascular system  NICE TO KNOW
Nursing Assessment-History and Physical assessment
Etiology, Pathophysiology, clinical manifestations,  NICE TO KNOW

diagnosis, treatment
modalities and medical, surgical, dietetics & nursing

management of—
Vascular system  MUST KNOW
- Hypertension, Hypotension
- Atherosclerosis
 MUST KNOW
- Raynaud’s disease
- Aneurism and Perpherial vascular disorders
 Heart
 MUST KNOW
Coronary artery diseases
- Ischemic Heart Disease

 MUST KNOW
- Ischemic Heart Disease
- Coronary atherosclerosis
- Angina pectoris
 MUST KNOW
- Myocardial infarction
Valvular disorders of the heart
- Congential and acquired
- Rheumatic Heart diseases
Endocarditis, Pericarditis Myocarditis
Cardio Myopathies
205
Cardiac dysrhythmias, Heart Block
Congestive cardiac failure
- Cor-pulmonale, Pulmonary edema, cardiogenic

shock, cardiac temponade
Cardiac emergencies and arrest
Cardio Pulmonary Resuscitation (CPR)
Blood
- Anaemias
- Polycythemia
- Bleeding disorders; clotting factor defects and

platelets defects  DESIRABLE TO KNOW
 NICE TO KNO
- Thalassemia
- Leukaemias
- Leukopenias and agranulocytosis
- Lymphomas
- Myelomas
Special therapies
- Blood transfusion, safety checks, procedure and

requirements, management of adverse transfusion
reaction, records for blood transfusion.
- Management and counseling of blood donors,

phlebotomy procedure, and post donation
management.
Blood bank functioning and hospital transfusion
committee. Bio-safety and waste management in

relation to blood Transfusion
- Role of a nurse in Organ donation, retrieval and

banking
Alternative therapies Nursing procedures: Drugs used

intreatment of blood and cardio vascular disorder
206
CURRICULUM
S. CONTENT OF - TEACHING METHODO TIME

NO TOPICS OBJECTIVES LOGY
1 UNIT: I Appreciate the trends in Introduction to Lecture 15 Hrs

medical and surgical nursing. medical surgical Discussion
nursing-Evolution
Describe the role of a nurse and trends of Demonstrati
Introduction in caring for adult patient in medical and on
hospital and community. Surgical nursing
Practice
Describe the concepts of Review of Session.
Medical Surgical aspects. Concepts of Health
and illness Disease- Supervised
concepts, clinical
causations, practice.
classification-
International  Vertical
Classification  Problem
Diseases (ICD -10 based
or later learning
version),Acute  Cooperati
illness chronic ve
stages if illness learning
Review of
concepts of
comprehensive
nursing care in
medical surgical
conditions based on
nursing process •
Role of Nurse,
patient and family
in care of adult
patient • Role and
responsibilities of a
nurse in medical
surgical
settings:
- Outpatient
department.
207
- In-patient unit.
- Intensive care unit

- Home and
Community setting
Introduction to
Medical Surgical
asepsis
- Inflammation and
Infection Immunity
- Wound healing
Care of Surgical
Patient
- Pre-operative
- Intra operative
- Post Operative
2 UNIT: II Describe the common Fluid and Lecture 15Hrs

signs, symptoms, problems electrolyte Discussion
Common signs and their imbalance •
and symptoms Vomiting Seminar
and management Specific nursing
intervention. Dyspnea and Case
cough, respiratory Discussion.
208
obstruction  Problem
based
Fever learning
 Cooperati
Shock ve
learning
Unconsciousness,
syncope
Pain
Incontinence
Edema
Age related
problems-geriatric
3 UNIT: III Describe the etiology, Review of Lecture 20 Hrs.

patho-physiology, clinical anatomy and Discussion
Nursing manifestations, diagnostic physiology of
management of measures and management respiratory system, Explain
patients (adults of patients (adults including using Charts,
including elderly) Nursing graphs
elderly) with Assessment—
respiratory with disorders of respiratory History and Models,
problems systems. Physiology films slide.
assessment
Demonstrati
Etiology, on
Pathophysiology,
Practice
Clinical Session
manifestations,
diagnosis, treatment Case
modalities and Discussion /
medical, surgical, Seminar
dietetics& nursing Health

management of education
adult including
elderly with— Supervised
clinical
- Upper Respiratory practice
tract infections.
Drug book /
- Bronchitis presentation.
209
- Asthma
- Emphysema
- Empyema
- Atelectasis
- Chronic
obstructive -
- Pulmonary
Diseases (COPD)
- Bronchiectasis
- Pneumonia -
- Pulmonary
tuberculosis
- Lung abscess
- Pleural effusion
- Cysts and
Tumours
- Chest injuries
- Respiratory arrest
and insufficiency
- Pulmonary
embolism special
therapies,
alternative therapies
Nursing
procedures: Drugs
used in treatment of
respiratory
disorders
4 UNIT: IV Describe the etiology, Review of Lecture 30 Hrs

Nursing patho-physiology, clinical anatomy and Discussion
management of manifestations, diagnostic physiology of
patients (adults measures and management digestive system, Explain
including of patients (adults including Nursing using Charts,
elderly) with elderly) with disorders of Assessment— graphs
disorders of digestive systems. History and
digestive system Physical assessment Models,
Etiology, films slide.
Pathophysiology, Demonstrati
Clinical on
manifestations,
diagnosis, treatment Practice
modalities and Session
medical, surgical,
dietetics& nursing Case
management Discussion /
210
Disorders of Seminar
- Oral cavity- lips,
gums, tongue, Health
salivary glands and
education
teeth
- Oesophagus-
inflammation,
stricture, Supervised
obstruction, clinical
bleeding and practice
tumours
- Stomach and
deudenumhiatus Drug book /
hernia, gastritis, presentation.
peptic and duodenal
ulcer, bleeding,
tumours, pyloric
stenosis
- Small intestinal
disorders
inflammation and
infection,
enteritis,
malabsorption,
obstruction, tumour
and
perforation
- Large intestinal
disorders- Colitis,  Student
inflammation and interactive
infection, session
obstruction and
tumour and lump
- Hernias  Problem
- based
Appendixinflammat learning
ion, mass, abscess,
rupture
- Anal & Rectum;
hemorrhoids,
fissures, Fistulas
- Peritonitis/acute
abdomen
-
Pancreas;inflammat
ion, cyst, abscess
and tumours
- Liver;
inflammation, cyst,
abscess, cirrhosis,
portal hypertension,
211
hepatic failure,
tumours
- Gall
Bladder;inflammati
on, obstruction,
stones and
Tumours Special
therapies,
alternative therapies
Nursing
procedures: Drugs
used in treatment of
disorders of
digestive system.
5. UNIT: V Describe the etiology, Review of Lecture 30 Hrs

Nursing patho-physiology, clinical anatomy and Discussion
management of manifestations, diagnostic physiology of blood Explain
patients (adults measures and management and cardio vascular using Charts,
including of patients (adults including system graphs
elderly) with elderly) Nursing
blood and cardio with blood and cardio Assessment-History Models,
vascular vascular problems. and Physical films slide.
problems Describe the vascular assessment Demonstrati
conditions and its nursing Etiology, on
management. Pathophysiology,
clinical Practice
manifestations, Session
diagnosis,
treatement
modalities and Case
medical, surgical, Discussion /
dietetics & nursing Seminar
management of— 
Vascular system 
- Hypertension, 
Hypotension 
- Atherosclerosis

- Raynaud’s disease

- Aneurism and
Perpherial vascular 
disorders 
Heart 
Coronary artery 
diseases 
- Ischemic Heart 
Disease 
- Ischemic Heart 
Disease 
- Cornory 
212
atherosclerosis 
- Angina pectoris 
- Myocardial 
infarction 
Valvular 
disorders of the 
heart 
- Congential and

acquired

- Rheumatic Heart
diseases 
Endocarditis, 
Pericarditis 
Myocarditis 
Cardio 
Myopathies 
Cardiac 
dysrhythmias, 
Heart Block 
Congestive Health
cardiac failure education
- Cor-pulmonale, Supervised
Pulmonary edema, clinical
cardiogenic shock, practice
cardiac temponade 
Cardiac Drug book /
emergencies and presentation.
arrest Visit to blob
Cardio Pulmonary bank
Resuscitation 
(CPR) Participation
Blood in blood
- Anaemias donation
- Polycythemia camps
- Bleeding 
disorders; clotting Counseling.
factor defects and  Horizontal
platelets defects  Cooperati
- Thalassemia ve
- Leukaemias learning
- Leukopenias and
agranulocytosis
- Lymphomas
- Myelomas
Special therapies
- Blood transfusion,
safety checks,
procedure and
requirements,
management of
213
adverse transfusion
reaction, records for
blood transfusion.
- Management and
counseling of blood
donors, phlebotomy
procedure, and post
donation
management.
Blood bank
functioning and
hospital transfusion
committee. Bio-
safety and waste
management in
relation to blood
Transfusion
- Role of a nurse in
Organ donation,
retrieval and
banking
Alternative
therapies Nursing
procedures Drugs
used in
treatment of blood
and cardio vascular
disorders
214
Environmental Studies
Code: 04100305
THEORY: 50 Hours/3.5
credit
TOTAL : 50 Hours/3.5 credit
Preamble
Environmental studies is a multidisciplinary academic field which systematically studies human

interaction with the environment in the interests of solving complex problems. Environmental
studies brings together the principles of sciences, commerce/ economics and social sciences so as to
solve contemporary environmental problems. It is a broad field of study that includes the natural
environment, the built environment, and the sets of relationships between them. The field
encompasses study in basic principles of ecology and environmental science, as well as associated
subjects such as ethics, geography, policy, politics, law, economics, philosophy, environmental
sociology and environmental justice, planning, pollution control and natural resource management.
Objectives
1. Creating the awareness about environmental problems among people

2. Imparting basic knowledge about the environment and its allied problems.
3. Developing an attitude of concern for the environment.
4. Motivating public to participate in environment protection and environment improvement.
5. Acquiring skills to help the concerned individuals in identifying and solving environmental
problems.
6. Striving to attain harmony with Nature.
Teaching strategies
The curriculum is based on both clinical and public health sectors of the society. Themajor focus is
on individuals rather than population aggregates. students are prepared to participate in a
multidisciplinary approach to planning, implementing and evaluating programs and services for
client health and safety.
It is assumed that there will be approximately 50 hrs in the 1 year period of this course subject.
215
1. The multidisciplinary nature of environmental studies 2
2. Natural Resources 8
3. Concept of an ecosystem 6
4. Biodiversity and its conservation 8
5. Environmental pollution 8
6. Social Issues and the environment: 7
7. Human population and the environment 6
8. Field Work 5
TOTAL 50 3.5
216
References
1. Agarwal, K.C. Environmental Biology. Bikaner: Nidi Publ., 2001

2. Bharucha, Erach. The Biodiversity of India. Ahmecdabad: Mapin Publishing.
3. Brunner, R.C. Hazardous Waste Incineration. New York: McGraw Hill, 1989.
4. Clark, R.S. Marine Pollution. Oxford: Clanderson Press.
5. Chnningham, W.P., T.H. Cooper, E. Gorhani. Hepworth. M.T.Environmental
Encyclopedia. Mumbai: Jaico Publishing House.
6. De, A.K. Environmental Chemistry. Wiley Eastern, 2001.
7. Centre for Science and Environment. Down to Earth.
8. Gleick, H.P., Water in crisis. Pacific Institute for Studies in Dev. Environment &Sccurity.
Stockholm Env. Institute. Oxford: Oxford Univ. Press.
9. Hawkins, R.E. Encyclopedia of India Natural History. Bombay: Bombay Natural History
Society.
10. Heywood, V.H and R.T. Waston. Global Biodiversity Assessment. Cambridge:
Cambridge Univ. Press.
11. Jadhav, H & V.M. Bhosale. Environmental Protection and Laws. Delhi: Himalaya Pub.
House.
12. McKinney, M.L. & School, R.M. Environmental Science system & solution. Web
enhanced ed.
13. Mhaskar, A.K. matter Hazardous. Techno-Science Publication.
14. Miller, T.G., Jr. Environmental Science. Wadworth Publishing.
15. Odum, E.P. Fundamentals of Ecology. Philadelphia. W.B. Saunders.
16. Rao, M. N ., A.K. Datta. Waste water treatment. New Delhi: Oxford & IBH.
17. Sharma, B.K. Environmental Chemistry. Meerut: Geol Publ. House.
18. Survey of the Environment. The Hindu.
19. Townsend, C., J.Harper, and Begon, Michael. Essentials of Ecology. Blackwell Science
217
Environmental Studies
THEORY: 50 Hours/3.5 credit
TOTAL : 50 Hours/3.5 credit
1. The multidisciplinary nature of environmental Desirable to know 2

studies
2. Natural Resources 8
 Forest resources
 Water resources  Must know
 Mineral resources  Must know
 Food Resources  Must know
 Energy resources  Must know
 Land resources  Must know
 Must know
3.  Concept of an ecosystem  Must know 6
 Structure and function of an ecosystem  Must know
 Procedures, consumers and decomposers  Must know
 Must know
 Energy flow in the ecosystem
 Must know
 Ecological succession
 Must know
 Food chains, food webs ecological pyramids  Must know
 Introduction, types, characteristic feature,  Nice to know
structure and function
4. Biodiversity and its conservation 8
1. Introduction- Definition: genetic, species and  Must know

ecosystem diversity  Must know
2. Biogeographically classification of India  Must know
3. Value of diversity: consumptive use,
productive use, social, ethical, aesthetic and
option value  Must know
4. Biodiversity at global, National and local  Nice to know
levels
5. India as a mega-diversity nation
6. Hot –sport of diversity
7. Threat to biodiversity: habitant loss,  Must know
 Must know
poaching of wildlife, man-wildlife conflicts
8. Endangered and endemic species of India  Must know
 Must know
9. Conservation of biodiversity: In- situ and Ex-
218
situ conservation of biodiversity
5. Environmental pollution 8
1. Definition  Must know

2. Cause, effects and control measures of:  Must know
a. Air pollution
b. Water pollution
c. Soil [pollution
d. Marine pollution
e. Noise pollution
f. Thermal pollution
g. Nuclear pollution  Must know
3. Solid waste Management: Causes, effects
and control measures of urban and industrial
wastes.  Must know
4. Role of an individual in prevention of  Must know
pollution  Must know
5. Pollution case studies
6. Disaster management: floods, earthquake,
cyclone and landslides
6. Social Issues and the environment: 7
1. From unsustainable to sustainable  Must know

development  Nice to know
2. Urban problems related to energy  Must know
3. Water conservation, rain water harvesting,
watershed management
4. Resettlement and rehabilitation of people, its  Must know
problem and concerns. Case studies
5. Environmental ethics: Issues and possible  Must know
solutions  Must know
6. Climate change, global warming, acid rain,
ozone layer depletion, nuclear accidents and  Must know
holocaust. Case studies  Must know
7. Wasteland reclamation  Must know
 Must know
8. Consumerism and waste products
 Must know
9. Environment protection Act
 Must know
10. Air(Prevention and control pollution)Act
 Must know
11. Water(Prevention and control pollution) Act
12. Wildlife protection Act
13. Forest Conservation Act
14. Issues involved in enforcement of
219
environment legislation
15. Public awareness
7. Human population and the environment 6
1. Population growth, variation among nations

2. Population explosion- family welfare
programme  Must know
3. Environment and human health  Must know
4. Human rights  Must know
 Must know
5. Value education
 Must know
6. HIV/AIDS
 Must know
7. Women child welfare  Must know
8. Role of Information technology in  Must know
environment and human health  Must know
9. Case studies
8. Field Work 5
1. Visit to a local area to document environment  Nice to know

asserts- river/forest/grassland/hill/mountain  Desirable to
2. Visit to a local polluted site- know
urban/rural/industrial/ agriculture  Must know
3. Study of common plants, insects, birds  Nice to know
4. Study of simple ecosystems-pond, river, hill,
slopes, etc
220
CURRICULUM
S. CONTENT OF LEARNING TEACHING METHOD TIME

NO TOPICS OBJECTIV OBJECTIVES OLOGY
ES
(at the end of

the session
the student
should be
able to)
1 Content: 1. Define To teach and discuss
environmental about the  Interactiv
The multidisciplinary studies multidisciplinary e session 2hrs
nature of 2. Discuss nature of with the
environmental studies: scope of environmental students
EVS studies: Definition, regarding
1. Definition, 3. Discuss scope and factors
scope and need for importance, Need for influenci
importance public public awareness ng
2. Need for public awarenes health,
awareness s causes
and risk
factors
for
illness.
 Integrate
d vertical
teaching
on body
defenses
and
illness
behavior.
221
2 Natural Resources: 1. Discuss To teach and discuss
Renewable and Non- on about Forest  Didactic
renewable resources: forest resources: Use and lecture 8hrs
resource over-exploitation, through
1. Forest s deforestation, case PowerPoi
resources: Use 2. Discuss studies. Timber nt
and over- on extraction, mining, projectio
exploitation, water dams and their effects ns.
deforestation, resource on forest and tribal
case studies. s people.  Teachers
Timber 3. Discuss seminar
extraction, on Water resources: use on
mining, dams mineral and over-utilization history of
and their effects resource of surface and ground Nursing
on forest and s water, floods, in India.
tribal people. 4. Discuss drought, conflicts
2. Water on food over water, dams-  Interactiv
resources: use resource benefits and e session
and over- s problems. Mineral with
utilization of 5. Discuss resources: use and students
surface and on exploitation, regarding
ground water, energy environmental effects environm
floods, drought, resource of extracting and ental
conflicts over s using mineral resources
water, dams- 6. Discuss resources, case .
benefits and on land studies. Food
problems. resource Resources: World
3. Mineral s food problems,
resources: use Changes caused by
and agriculture and
exploitation, overgrazing, Effect of
environmental modern agriculture,
effects of Fertilizer-pesticide
extracting and problems, Water
using mineral logging, salinity,
resources, case Case studies
studies.
4. Food Energy resources:
Resources: growing energy
World food needs, renewable and
problems, non renewable energy
Changes caused sources, use of
by agriculture alternate energy
and sources, case studies.
overgrazing,
Effect of Land resources: land
modern as a resource, land
agriculture, degradation, man
Fertilizer- induced landslides,
pesticide soil erosion and
problems,
222
Water logging, desertification
salinity, Case
studies
5. Energy
resources:
growing energy
needs,
renewable and
non renewable
energy sources,
use of alternate
energy sources,
case studies.
6. Land resources:
land as a
resource, land
degradation,
man induced
landslides, soil
erosion and
desertification
 Role of an
individual in
conversatio
n of natural
resources.
 Equitable
use of
resources
for
sustainable
lifestyle.
3 1. Concept of an 1. Describ To teach and discuss

ecosystem e about Concept of an
2. Structure and ecosyste ecosystem,.  Didactic
function of an m Structure and lecture
ecosystem 2. List the function of an through 6hrs
3. Procedures, function ecosystem, PowerPoi
consumers and s of eco Procedures, nt
decomposers system consumers and projectio
4. Energy flow in 3. Describ decomposers, ns.
the ecosystem e the Energy flow in the
5. Ecological function ecosystem,
succession of eco Ecological
6. Food chains, system succession, Food
food webs chains, food webs
ecological ecological pyramids,
pyramids introduction, types,
223
7. Introduction, characteristic feature,
types, structure and function
characteristic of the following
feature, ecosystem:Forest
structure and ecosystem, Grassland
function of the ecosystem, Desert
following ecosystem, Aquatic
ecosystem: ecosystem (ponds,
a. Forest stream, lakes, rivers,
ecosystem oceans, estuaries)
b. Grassland
ecosystem
c. Desert
ecosystem
d. Aquatic
ecosystem
(ponds,
stream,
lakes, rivers,
oceans,
estuaries)
4 Biodiversity and its 1. Describe To teach and discuss

conservation genetic, on Biodiversity and
species its
10. Introduction- and eco conservationIntroduct  Didactic
Definition: system ion- Definition: lecture
genetic, species diversity. genetic, species and through
and ecosystem 2. Describe ecosystem diversity, PowerPoi 8hrs
diversity biodivers biogeographically nt
11. Biogeographica ity at classification of projectio
lly classification local, India, Value of ns
of India national diversity:
12. Value of and consumptive use,
diversity: global productive use,
consumptive levels. social, ethical,
use, productive 3. Discuss aesthetic and option  Problem
use, social, on value, Biodiversity at based
ethical, conservat global, National and learning
aesthetic and ion of local levels, India
option value biodivers as a mega-diversity
13. Biodiversity at ity nation, Hot –sport of
global, National diversity, Threat to
and local levels biodiversity: habitant
14. India as a mega- loss, poaching of
diversity nation wildlife, man-wildlife
15. Hot –sport of conflicts, Endangered
diversity and endemic species
16. Threat to of India,
224
biodiversity: Conservation of
habitant loss, biodiversity: In- situ
poaching of and Ex-situ
wildlife, man- conservation of
wildlife biodiversity
conflicts
17. Endangered and
endemic species
of India
18. Conservation of
biodiversity: In-
situ and Ex-situ
conservation of
biodiversity
5 Environmental 1. Define To teach and discuss 8hrs

pollution environm on environmental
ental pollution Definition,
7. Definition pollution Cause, effects and  Didactic
8. Cause, effects 2. List the control measures lecture
and control causes of of:Air pollution, through
measures of: environm Water PowerPoi
h. Air pollution ental pollution, Soil nt
i. Water pollution [pollution, Marine projectio
pollution 3. Discuss pollution, Noise ns.
j. Soil on solid pollution, thermal
[pollution waste pollution, Nuclear  Simulate
k. Marine managem pollution, Solid waste d
pollution ent Management: Causes, learning
l. Noise 4. Discuss effects and control
pollution on role of measures of urban
m. Thermal individua and industrial wastes,
pollution in Role of an individual
n. Nuclear managing in prevention of
pollution pollution pollution, Pollution
9. Solid waste 5. Discuss case studies, Disaster
Management: on management: floods,
Causes, effects disaster earthquake, cyclone
and control managem and landslides
measures of ent
urban and
industrial
wastes.
10. Role of an
individual in
prevention of
pollution
11. Pollution case
studies
225
12. Disaster
management:
floods,
earthquake,
cyclone and
landslides
6 Social Issues and the 1. Discuss To teach and discuss

environment: on on Social Issues and
water the environment:
16. From conserv From  Didactic
unsustainable to ation unsustainable to lecture
sustainable 2. Discuss sustainable through
development on development, Urban PowerPoi 7hrs
17. Urban problems global problems related to nt
related to warmin energy, Water projectio
energy g conservation, rain ns.
18. Water 3. Discuss water harvesting,
conservation, on air watershed  Simulate
rain water preventi management, d
harvesting, on and Resettlement learning
watershed control and rehabilitation of on
management pollutio people, its problem recording
19. Resettlement n act and concerns. Case and
and 4. Discuss studies, reporting.
rehabilitation of on Environmental ethics:
people, its wastela Issues and possible
problem and nd solutions, Climate
concerns. Case redempt change, global  Student
studies ion warming, acid rain, seminar
20. Environmental 5. Discuss ozone layer
ethics: Issues on wild depletion, nuclear
and possible life accidents and
solutions protecti holocaust. Case
21. Climate change, on act studies, wasteland
global warming, reclamation,
acid rain, ozone consumerism and
layer depletion, waste products,
nuclear Environment
accidents and protection Act,
holocaust. Case Air(Prevention and
studies control pollution)Act,
22. Wasteland water(Prevention and
reclamation control pollution)
23. Consumerism Act, wildlife
and waste protection Act, Forest
products Conservation Act,
24. Environment Issues involved in
protection Act enforcement of
226
25. Air(Prevention environment
and control legislation, Public
pollution)Act awareness
26. Water(Preventi
on and control
pollution) Act
27. Wildlife
protection Act
28. Forest
Conservation
Act
29. Issues involved
in enforcement
of environment
legislation
30. Public
awareness
7 Human population 1. Discuss To teach and discuss

and the environment on on Human population  Simulate
populatio and the environment: d 6hrs
10. Population n Population growth, learning
growth, explosion variation among of
variation among 2. List the nations, population assessme
nations human explosion- family nt of vital
11. Population rights welfare programme, signs
explosion- 3. Explain Environment and
family welfare value human health,  Didactic
programme education Human rights, Value lecture
12. Environment 4. Brief on education, through
and human women HIV/AIDS, Women PowerPoi
health and child child welfare, Role of nt
13. Human rights welfare Information
14. Value education technology in
15. HIV/AIDS environment and
16. Women child human health, Case  Supervis
welfare studies ed
17. Role of
Information
technology in
environment
and human
health
18. Case studies
8 Field Work 1. Brief on To visit local area to

ecosystem document  Simulate
227
5. Visit to a local environment asserts- d 5hrs
area to river/forest/grassland/ learning
document hill/mountain regarding
environment health
asserts- Visit to a local assessme
river/forest/gras polluted site- nt.
sland/hill/mount urban/rural/industrial/
ain agriculture  Didactic
6. Visit to a local lecture
polluted site- Study of common through
urban/rural/indu plants, insects, birds PowerPoi
strial/ nt
agriculture projectio
7. Study of ns
common plants, regarding
insects, birds abnormal
8. Study of simple findings
ecosystems-
pond, river, hill,
slopes, etc

228
4
TH
SEMESTER
229
Basic B.Sc. Nursing :- 4th Semester
Medical Surgical Nursing ( Adult including Geriatrics) - I- Part B

Code:04100401

Practical: 90 Hours/6 credit
Total : 90 Hours/6 credit
PREAMBLE
Medical-surgical nursing is a nursing specialty area concerned with the care of adult patients in a
broad range of settings. The Academy of Medical-Surgical Nurses (AMSN) is a specialty nursing
organization dedicated to nurturing medical-surgical nurses as they advance their careers.
Traditionally, medical-surgical nursing was an entry-level position that most nurses viewed as a
stepping stone to specialty areas. Medical-surgical nursing is the largest group of professionals in the
field of nursing. Advances in medicine and nursing have resulted in medical-surgical nursing
evolving into its own specialty
Many years ago a majority of hospital nurses worked on wards, and everyone was a medical-surgical
nurse. Today licensed medical-surgical nurses work in a variety of positions, inpatient clinics,
emergency departments, HMO’s, administration, outpatient surgical centers, home health
care, humanitarian relief work, ambulatory surgical care, and skilled nursing homes. Some military
medical-surgical nurses serve on battlefields.
GOALS

 Prepare nurses who can make independent decisions in nursing situations, protect the rights of
and facilitate individuals and groups in pursuit of health, functions in the hospital, community
nursing services, and conduct research studies in the areas of nursing practice
 They are also expected to assume the role of teacher, supervisor, and manager in a clinical
/public health settings.
230
OBJECTIVES

 Describe the role of a nurse in caring for adult patient in hospital and community.
 Describe the common signs, symptoms, problems and their specific nursing intervention.
 Describe the etiology, pathophysiology, clinical manifestations, diagnostic measures and
management of patients
COURSE DISTRIBUTION
TOPIC HOURS Credit
1.Nursing management of patients (adults including elderly) with genito-urinary 10
problems
2. Nursing management of patients (adults including elderly) reproductive 5
system
3. Nursing management of patients (adults including elderly) with disorders of 10
endocrine system
4. Nursing management of patients (adults including elderly) 10

6
with disorders of Integumentary system
5. Nursing management of patients (adults including elderly) with 15
Musculoskeletal problems
6. Nursing management of patients (adults including elderly) with

10
Immunological problems
7. Nursing management of patients (adults including elderly) with 20
Musculoskeletal problems
8. Pre Operative nursing

25
231
Clinical Training
AREAS DURATION(in weeks)
1.General Medical Ward (* Respiratory, GI, Endocrine, 6

Renal, Haemotology)
2. General Surgical Ward (GI, Urinary, CTVS) 6
3.Cardiology 2
4. Skin & Communicable diseases Ward 1
5. Orthopaedic ward 2
6. Operation Theatre Skin & Communicable diseases Ward 6
7. ENT 1
8. Ophthalmology 1
9. Neurology 2
10. Gynecology ward 1
11. Burns unit 1
12. Oncology Unit 1
13. Critical Care Unit 2
14. Casualty /Emergency 1
Textbook:
1. Brunner (V), Medical Surgical Nursing, LWW, 10th Edition.
References:
1. Black, Medical Surgical Nursing: Clinical Management for positive outcomes, Elsevier,7th
232
Edition.
2. Willams, Understanding Medical Surgical Nursing, Jaypee, 3id Edition.
3. Timby, Introductory Medical Surgical Nursing, LWW, 9th Edition.
4. Lewis, Medical Surgical Nursing Assessment & Management of Clinical Problems,

Elsevier
7th edition
5. Ignatavicius, Critical Thinking for Collaborative Care, Elsevier, 5th Edition.
6. Monahan, Phipp’s Medical Surgical Nursing: Health & illness perspectives practice,
Jaypee,
8th Edition.
7. Gulanick, Nursing Care Plans: Nursing Diagnosis & Interventions, Mosby, 5th edition
8. Lippincott’s Manual of Nursing Practice, Jaypee , Edition.
9. Ulrich, Nursing Care Planning Guides: For adults in acute extended &Home care settings,
Elsevier, 6th edition.
10. White, Foundations of Adulth Health Nursing, Thompson, 2nd edition.
11. V Redfern, Nursing Older People, Churchill Livingstone , edition.
12. Phillip, Berry & Kohn’s Operating room techniques, Elsevier, 11th Edition.
13. Marks, Roxburgh’s Common Skin Diseases, Arnold, 17th edition.
14. Thappa, Essential in Dermatology with MCQ’s, Ahuja publishing
15. Hughes (P), Clinical Practice Protocols in Oncology Nursing, Jones &Balet, 2007
16. Hickey, The Clinical Practice of Neurological & Neurosurgical Surgical
Nursing, Lippincott, 5th Edition.
233
Medical Surgical Nursing ( Adult including Geriatrics) - I- Part B
Practical: 90 Hours/6 credit
S.No Topic DOMAIN Time
1. UNIT: VI 10 Hrs
Nursing management of patients (adults

including elderly) with genito-urinary
problems
Review of anatomy and physiology of genitor-  NICE TO KNOW

urinary system
Nursing Assessment— History and Physical

assessment  DESIRABLE TO
KNOW
Etiology, Pathophysiology, clinical
manifestations, diagnosis, treatment
modalities and medical, surgical, dietetics &

Nursing management of
 MUST KNOW
Nephritis
Nephrotic syndrome
Nephrosis
 MUST KNOW
Renal calculus
Tumors
Acute renal failure
Chronic renal failure
End stage renal transplant
Congenital disorders, urinary bladder and urethra

inflammation, infection,stricture, obstruction,
tumor, prostrate
Special therapies, alternative therapies  NICE TO KNOW

genitor-urinary disorder
234
2. UNIT: VII 5 Hrs

including elderly) reproductive system
Review of anatomy and physiology of male

reproductive system.  NICE TO KNOW

assessment
 DESIRABLE TTO
Etiology, Pathophysiology, clinical KNOW

nursing management of disorders of male
reproductive system
 MUST KNOW
Congenital malformation; cryptorchidism
Hypospadiasis, Epispadiasis
Infections
Testis and adjacent structures
Penis
 MUST KNOW
Prostate: inflammation, infection, hypertrophy,
tumor
Sexual Dysfunction
Infertility
 NICE TO KNOW
Contraception
Brest; gynecomastia, tumor
changes special therapies, alternative therapies

disorders of male reproductive system
3. UNIT: VIII 10 Hrs

including elderly) with disorders of endocrine
235
system  NICE TO KNOW
Review of anatomy and physiology endocrine

system.
 DESIRABLE TO
Nursing Assessment — History and Physical KNOW
assessment

modalities and medical, surgical, dietetics &  MUST KNOW

nursing management of disorders of Thyroid and
Parathyroid
- Diabetes mellitus  NICE TO KNOW

 NICE TO KNOW
- Diabetes insipidus
- Adrenal tumor
- Pituitary disorders
Special therapies,alternative therapies

disorders of endocrine system
4. UNIT: IX 10 Hrs

including elderly) with disorders of
Integumentary  NICE TO KNOW
system
Review of anatomy and physiology of skin and  DESIRABLE TO

its appendages. KNOW

assessment
 MUST KNOW

nursing management of disorders
of skin and its appendages.
236
- Lesions and abrasions
- Infection and infestations; Dermatitis
- Dermatoses; infectious and Non-infectious

“inflammatory dermatoses”
- Acne Vulgaris
 NICE TO KNOW
- Allergies and Eczema
- Psoriasis
 NICE TO KNOW
- Malignant melanoma
- Alopecia
Special therapies, alternative therapies

disorders of Integumentary system
5. UNIT: X 15 Hrs

including elderly) with Musculoskeletal
problems
Review of anatomy and physiology of  NICE TO KNOW

musculoskeletal system.

assessment  DESIRABLE TO
KNOW
manifestations, diagnosis, treatment modalities
and medical, surgical, dietetics & nursing
management of—  MUST KNOW
Disorders of:
- Muscles, Ligaments and joints-inflammation,

infection, trauma
 MUST KNOW
- Bones-inflammation, infection, dislocation,
fracture, tremor and trauma
- Osteomalacia and osteoporosis
237
- Arthritis  DESIRABLE TO
KNOW
- Congenital deformities
- Spinal coloumn-defects and deformities,

Tumor,
Prolapsed inter vertebral disc, pott’s spine  NICE TO KNOW
- Paget’s disease
 NICE TO KNOW
Amputation
Prostheses
Transplant & replacement surgeries
Rehabilitation, Special therapies, alternative

therapies

disorder of musculoskeletal system
6. UNIT: XI
Nursing management of patients (adults 10 Hrs

including elderly) with Immunological
problems.
Review of Immune system. Nursing  NICE TO KNOW

Assessment— Historyand Physical assessment

manifestations, diagnosis, treatment  MUST KNOW

nursing management of—
Immunodeficiency disorder
 DESIRABLE TO
Primary immuno deficiency KNOW
 DESIRABLE TO
KNOW
Phagocytic dysfunction
 MUST KNOW
 MUST KNOW
B-cell and T-cell deficiencies
Secondary immunodeficiency’s
 MUST KNOW
238
Acquired immunodeficiency’s and Acquired
immunodeficiency Syndrome
(AIDS)
Incidence of HIV & AIDS  MUST KNOW
Transmission-Prevention of Transmission
Standard safety precautions

 DESIRABLE TO
Role of Nurse; Counseling
KNOW
 MUST KNOW
Health education and home care consideration
 NICE TO KNOW
National AIDS Control Programme-NACO,
various national and international
 DESIRABLE TO
agencies KNOW
 NICE TO KNOW
Infection control program  NICE TO KNOW
 NICE TO KNOW
Rehabilitation Special therapies, alternative
therapies

disorders of Immunological system
7. UNIT: XII 20 Hrs

including elderly) with Musculoskeletal
problems
Review of anatomy and physiology of  NICE TO KNOW

musculoskeletal system.
Nursing Assessment — History and Physical

assessment Epidemiology,infectious process,  MUST KNOW
clinical manifestations, diagnosis, treatment,
prevention anddietics. Control and eradication of
common Communicable Diseases
- Tuberculosis
- Diarrhoeal diseases
239
- Hepatitis A-B
- Herpes
- Chickenpox
- Smallpox
- Typhoid
- Meningitis
- Gas gangrene
- Leprosy’
- Dengue
- Plague
- Malaria
- Diphtheria
- Pertussis
- Poliomyelitis
- Measles
- Mumps
- Influenza
- Tetanus  MUST KNOW
- Yellow fever
- Filariasis  DESIRABLE TO
KNOW
- HIV, AIDS
Reproductive Tract Infections
Special Infection control measures: Notification,

 NICE TO KNOW
Isolation, Quarantine,Immunization, Infectious
Diseases HospitalsSpecial therapies, alternative
therapies
Nursing Procedures: Drug used in treatment of
240
Communicable diseases
8. UNIT: XIII 25 hrs
Pre Operative nursing
Organisation and Physical set up of the Operation  MUST KNOW

Theatre (OT):
- Classifications
- O. T. DESIGN
- Staffing
- Members of the OT team
- Duties and responsibilities of nurse in O.T.
- Principles of Health and operating room attire.
- Instruments,
 DESIRABLE TO
- Sutures and suture materials KNOW
- Equipments
 MUST KNOW
- O.T. tables and sets for common surgical
procedures
- Positions and draping for common surgical

procedures
- Scrubbing procedures
 MUST KNOW
- Gowning and gloving
- Preparation of O.T. Sets
- Monitoring the patient during surgical

procedures
Maintenance of therapeutic environment in O.T.
Standard Safety measures  DESIRABLE TO

KNOW
- Infection control; fumigation, disinfection and  NICE TO KNOW
sterilization
- Biomedical waste management
241
- Prevention of accidents and hazards in O.T.
Anaesthesia
- Types
- Methods of administration
- Equipments
- Drugs
Cardio Pulmonary Resuscitation (CPR)
Pain management techniques
Legal Aspects
242
CURRICULUM
S. CONTENT OF LEARNING TEACHING METHOD TIM

NO TOPICS OBJECTIVES OBJECTIVES OLOGY E
(at the end of the session
the student should be
able to)
1 UNIT: I Appreciate the trends in Introduction to Lecture 15
medical and surgical nursing. medical surgical Discussion Hrs
nursing-Evolution
Describe the role of a nurse and trends of Demonst
Introduction in caring for adult patient in medical and ration
hospital and community. Surgical nursing
Practice
Describe the concepts of Review of Session.
Medical Surgical aspects. Concepts of Health
and illness Supervis
Disease-concepts, ed clinical
causations,classific practice.
ation- International
Classification  Vertica
Diseases (ICD -10 l
or later  Proble
version),Acute m
illness chronic based
stages if illness learnin
g
Review of  Cooper
concepts of ative
comprehensive learnin
nursing care in g
medical surgical
conditions based
on nursing process
• Role of Nurse,
patient and family
in care of adult
patient • Role and
responsibilities of
a nurse in medical
surgical
settings:
- Outpatient
243
department.
- In-patient unit.
- Intensive care
unit
- Home and
Community setting
Introduction to
Medical Surgical
asepsis
- Inflammation and
Infection
Immunity
- Wound healing
Care of Surgical
Patient
- Pre-operative
- Intra operative
- Post Operative
2 UNIT: II Describe the common Fluid and Lecture 15Hrs

signs, symptoms, problems electrolyte Discussion
Common signs and their imbalance •
and symptoms Vomiting Seminar
and management Specific nursing
intervention. Dyspnea and Case
cough, respiratory Discussion.
obstruction
 Proble
Fever m
based
Shock learnin
g
Unconsciousness  Cooper
, syncope ative
learnin
Pain g
244
Incontinence
Edema
Age related
problems-geriatric
3 UNIT: III Describe the etiology, Review of Lecture 20

patho-physiology, clinical anatomy and Discussion Hrs.
management of measures and management respiratory system, Explain
patients (adults of patients (adults including using
including elderly) Nursing Charts,
elderly) with Assessment— graphs
respiratory with disorders of respiratory History and
problems systems. Physiology Models,
assessment films slide.
Etiology, Demonst
Pathophysiology, ration
Clinical Practice
diagnosis,
treatment Case
modalities and Discussion
medical, surgical, / Seminar

adult including
elderly with— Supervis
ed clinical
- Upper practice
Respiratory tract
infections. Drug
book /
- Bronchitis presentatio
n.
- Asthma
- Emphysema
- Empyema
- Atelectasis
- Chronic
245
obstructive -
- Pulmonary
Diseases (COPD)
- Bronchiectasis
- Pneumonia -
- Pulmonary
tuberculosis
- Lung abscess
- Pleural effusion
- Cysts and
Tumours
- Chest injuries
- Respiratory arrest
and insufficiency
- Pulmonary
embolism special
therapies,
alternative
therapies
Nursing
procedures: Drugs
used in treatment
of respiratory
disorders
4 UNIT: IV Describe the etiology, Review of Lecture 30

patho-physiology, clinical anatomy and Discussion Hrs
management of measures and management digestive system, Explain
patients (adults of patients (adults including using
including elderly) Nursing Charts,
elderly) with Assessment— graphs
disorders of with disorders of digestive History and
digestive system systems. Physical Models,
246
 assessment films slide.
Clinical Practice
diagnosis,

management education
Disorders of Supervis
ed clinical
- Oral cavity- lips, practice
gums, tongue,
salivary glands and Drug
teeth book /
presentatio
- Oesophagus- n.
inflammation,
stricture,  Student
obstruction, interact
ive
bleeding and session
tumours  Proble
m
- Stomach and based
deudenumhiatus learnin
hernia, gastritis, g
peptic and
duodenal ulcer,
bleeding, tumours,
pyloric
stenosis
- Small intestinal
disorders
inflammation and
infection,
enteritis,
malabsorption,
obstruction,
247
tumour and
perforation
- Large intestinal
disorders- Colitis,
inflammation and
infection,
obstruction and
tumour and lump
- Hernias
-
Appendixinflamm
ation, mass,
abscess, rupture
- Anal & Rectum;

hemorrhoids,
fissures, Fistulas
- Peritonitis/acute
abdomen
-
Pancreas;inflamma
tion, cyst, abscess
and tumours
- Liver;
inflammation,
cyst, abscess,
cirrhosis, portal
hypertension,
hepatic failure,
tumours
- Gall
Bladder;inflammat
ion, obstruction,
stones and
Tumours Special
therapies,
alternative
therapies
Nursing
248
procedures: Drugs
used in treatment
of disorders of
digestive system.
5. UNIT: V Describe the etiology, Review of Lecture 30

management of measures and management blood and cardio Explain
patients (adults of patients (adults including vascular system using
including elderly) Charts,
elderly) with Nursing graphs
blood and cardio with blood and cardio Assessment-
vascular vascular problems. History and Models,
problems Physical films slide.
Describe the vascular assessment
conditions and its nursing Demonst
management. Etiology, ration
Pathophysiology,
diagnosis,
treatement Case
Discussion
modalities and / Seminar
medical, surgical,
dietetics & nursing Health
management of— education
Vascular system Supervis

ed clinical
- Hypertension, practice
Hypotension
Drug
- Atherosclerosis book /
presentatio
- Raynaud’s n.
disease
Visit to
- Aneurism and blob bank
Perpherial vascular
disorders
Participat
ion in
Heart
blood
donation
Coronary artery camps
diseases
Counseli
249
- Ischemic Heart ng.
Disease
 Horizo
- Ischemic Heart ntal
Disease  Cooper
ative
- Cornory learnin
atherosclerosis g
- Angina pectoris
- Myocardial
infarction
Valvular
disorders of the
heart
- Congential and
acquired
- Rheumatic Heart
diseases
Endocarditis,
Pericarditis
Myocarditis
Cardio
Myopathies
Cardiac
dysrhythmias,
Heart Block
Congestive
cardiac failure
- Cor-pulmonale,
Pulmonary edema,
cardiogenic shock,
cardiac temponade
Cardiac
emergencies and
arrest
Cardio
Pulmonary
Resuscitation
250
(CPR)
Blood
- Anaemias
- Polycythemia
- Bleeding
disorders; clotting
factor defects and
platelets defects
- Thalassemia
- Leukaemias
- Leukopenias and
agranulocytosis
- Lymphomas
- Myelomas
Special therapies
- Blood
transfusion, safety
checks, procedure
and requirements,
management of
adverse
transfusion
reaction, records
for blood
transfusion.
- Management and
counseling of
blood donors,
phlebotomy
procedure, and
post donation
management.
Blood bank
functioning and
hospital
transfusion
251
committee. Bio-
safety and waste
management in
relation to blood
Transfusion
- Role of a nurse in
Organ donation,
retrieval and
banking
Alternative
therapies Nursing
procedures Drugs
used in
treatment of blood
and cardio
vascular disorders
6. UNIT: VI Describe the etiology, Review of Lecture 10

manifestations, diagnostic physiology of
measures and management genitor-urinary Explain
Nursing of patients (adults including system using
management of elderly) Charts,
patients (adults Nursing graphs
including with disorders of genitor- Assessment—
elderly) with urinary system. History and Models,
genito-urinary Physical films slide.
problems  assessment
Demonst
Etiology, ration
Pathophysiology,
diagnosis,
Discussion
medical, surgical,
dietetics & Health
Nursing education
management of
Supervis
Nephritis ed clinical
practice
Nephrotic
252
syndrome Drug
book /
Nephrosis presentatio
n.
Renal calculus
 Student
Tumours interact
ion
Acute renal session
failure  Proble
m
Chronic renal based
failure learnin
g
End stage renal
transplant
Congenital
disorders, urinary
bladder and
urethera
inflammation,
infection,
stricture,
obstruction,
tumour, prostrate
Special
therapies,
alternative
therapies
Nursing
procedures: Drugs
used in treatment
of genitor-urinary
disorders
7. UNIT: VII Describe the etiology, Review of Lecture 5 Hrs

patho-physiology, clinical anatomy and Discussion
Nursing manifestations,diagnostic physiology of male
management of measures and management reproductive Explain
patients (adults of patients (adults including system. using
including elderly) Charts,
elderly) Nursing graphs
reproductive with disorders of genitor- Assessment—
system urinary system. History and Models,
Physical films slide.
253
 assessment Demonst
ration
Etiology,
Pathophysiology, Practice
clinical Session
manifestations,
diagnosis, Case
treatment Discussion
/ Seminar
modalities and
medical, surgical, Health
dietetics & nursing education
management of
disorders of male
Supervis
reproductive ed clinical
system practice
Congenital Drug
malformation; book /
cryptorchidism
presentatio
n.
Hypospadiasis,
Epispadiasis  Horizo
ntal
Infections  Proble
m
Testis and based
adjacent structures learnin
g
Penis
Prostate:
inflammation,
infection,
hypertrophy,
tumour
Sexual
Dysfunction
Infertility
Contraception
Brest;
gynecomastia,
tumour
Climacteric
changes special
254
therapies,
alternative
therapies
Nursing
procedures: Drugs
used in treatment
of disorders of
male reproductive
system
8. UNIT: VIII Describe the etiology, Review of Lecture 10

manifestations, diagnostic physiology
measures and management endocrine system. Explain
Nursing of patients (adults including using
management of elderly) Nursing Charts,
patients (adults Assessment — graphs
including with disorders of genito- History and
elderly) with urinary system. Physical Models,
disorders of assessment films slide.
endocrine system 
clinical
manifestations, Practice
diagnosis, Session
treatment
Case
dietetics & nursing
management of Health
disorders of education
Thyroid and
Parathyroid Supervis
ed clinical
- Diabetes mellitus practice
- Diabetes Drug
insipidus book /
presentatio
- Adrenal tumour n.
- Pituitary  Horizo
disorders, special ntal
therapies, method
 Student
alternative interact
therapies ive
255
Nursing session
procedures: Drugs
used in treatment 
of disorders of
endocrine system
9. UNIT: IX Describe the etiology, Review of Lecture 10

manifestations,diagnostic physiology of skin
measures and management and its Explain
Nursing of patients (adults including appendages. using
including with disorders of skin. Assessment—
elderly) with History and Models,
disorders of  Physical films slide.
Integumentary assessment
Demonst
system Etiology, ration
Pathophysiology,
diagnosis,
Discussion
medical, surgical,
disorders
Supervis
of skin and its ed clinical
appendages. practice
- Lesions and Drug
abrasions book /
presentatio
- Infection and n.
infestations;
Dermatitis  Horizo
ntal
- Dermatoses; method
infectious and Non  Uncon
infectious vention
“inflammatory al
dermatoses” method
- Acne Vulgaris
- Allergies and
256
Eczema
- Psoriasis
- Malignant
melanoma
- Alopecia
Special therapies,
alternative
therapies
Nursing
procedures: Drugs
used in treatment
of disorders of
Integumentary
system
10. UNIT: X Describe the etiology, Review of Lecture 15

measures and management musculoskeletal Explain
Nursing of patients (adults including system. using
including with disorders of Assessment—
elderly) with musculoskeletal system. History and Models,
Musculoskeletal Physical films slide.
problems  assessment
Demonst
Etiology, ration
Pathophysiology,
diagnosis,
Discussion
medical, surgical,
management of— education
Disorders of: Supervis

ed clinical
- Muscles,
257
Ligaments and practice
joints-
inflammation, Drug
infection, trauma book /
presentatio
- Bones- n.
inflammation,
infection,  Simulat
dislocation, ed
fracture, trmour learnin
and trauma g
 Proble
- Osteomalacia and m
osteoporosis based
learnin
- Arthritis g.
- Congenital 
deformities
- Spinal coloumn-
defects and
deformities,
Tumor,
Prolapsed inter
vertebral disc,
pott’s spine
- Paget’s disease
Amputation
Prostheses
Transplant &
replacement
surgeries
Rehabilitation,
Special therapies,
alternative
therapies
Nursing
procedures: Drugs
used in treatment
of disorder of
musculoskeletal
258
system
11. UNIT: XI Describe the etiology, Review of Lecture

patho-physiology, clinical Immune system. Discussion
manifestations,diagnostic Nursing 10
measures and management Assessment— Explain Hrs
Nursing of patients (adults including History using
patients (adults and Physical graphs
including elderly) with disorders of assessment
with Immunological problems Models,
Immunological Etiology, films slide.
problems. Pathophysiology,
clinical Demonst
manifestations, ration
diagnosis,
treatment Practice
Session
modalities and
medical, surgical, Case
dietetics & nursing Discussion
management of— / Seminar
Immunodeficien Health
cy disorder education
Primary immuno Supervis

deficiency ed clinical
practice
Phagocytic
dysfunction Drug
book /
B-cell and T-cell presentatio
deficiencies n.
Secondary  Uncon
immunodeficiency vention
’s al
method
Acquired  Student
immunodeficiency interact
’s and Acquired ion
immunodeficiency session
Syndrome
(AIDS)
Incidence of HIV
259
& AIDS
Transmission-
Prevention of
Transmission 0
Standard safety
precautions
Role of Nurse;
Counseling
Health education
and home care
consideration
National AIDS
Control
Programme-
NACO, various
national and
international
agencies
Infection control
program
Rehabilitation
Special therapies,
alternative
therapies
Nursing
procedures: Drugs
used in treatment
of disorders of
Immunological
system
12. UNIT: XII Describe the etiology, Review of Lecture 20

measures and management musculoskeletal Explain
Nursing of patients (adults including system. using
including Assessment —
260
elderly) with with communicable disease. History and Models,
Musculoskeletal Physical films slide.
problems assessment
Epidemiology, Demonst
ration
infectious process,
diagnosis,
treatment, Case
prevention and Discussion
/ Seminar
dietics. Control
and eradication of
Health
common
education
Communicable
Diseases
Supervis
ed clinical
- Tuberculosis
practice
- Diarrhoeal
diseases Drug
book /
- Hepatitis A-B presentatio
n.
- Herpes
 Vertica
l
- Chickenpox
method
 Uncon
- Smallpox
vention
al
- Typhoid
method
- Meningitis
- Gas gangrene
- Leprosy’
- Dengue
- Plague
- Malaria
- Diphtheria
- Pertussis
261
- Poliomyelitis
- Measles
- Mumps
- Influenza
- Tetanus
- Yellow fever
- Filariasis
- HIV, AIDS
Reproductive
Tract Infections
Special Infection
control measures:
Notification,
Isolation,
Quarantine,
Immunization,
Infectious
Diseases Hospitals
Special therapies,
alternative
therapies
Nursing
Procedures: Drug
used in treatment
of Communicable
diseases
13. UNIT: XIII Describe the Organisation Organisation and Lecture 25Hrs
and physical set up of Physical set up of Discussion
operation theatre. the Operation
Theatre (OT): Explain
Pen Operative Identify the various using
nursing instruments and equipments - Classifications Charts,
used for common surgical graphs
procedures. - O. T. DESIGN
Models,
262
Describe the infection - Staffing films slide.
control measures in the
Operation theatre. - Members of the Demonst
OT team ration
Describe the role of the
nurse in the Peri Operative - Duties and Practice
nursing care. responsibilities of Session
nurse in O.T.
 Case
- Principles of Discussion
Health and / Seminar
operating room
attire. Health
education
- Instruments,
Supervis
- Sutures and ed clinical
suture materials practice
- Equipments Drug
book /
- O.T. tables and presentatio
sets for common n.
surgical
procedures  Horizo
ntal
- Positions and method
draping for  Uncon
common surgical vention
procedures al
method
- Scrubbing
procedures
- Gowning and
gloving
- Preparation of
O.T. Sets
- Monitoring the
patient during
surgical
procedures
Maintenance of
therapeutic
environment in
O.T.
263
Standard Safety
measures
- Infection control;
fumigation,
disinfection and
sterilization
- Biomedical waste
management
- Prevention of
accidents and
hazards in O.T.
Anaesthesia
- Types
- Methods of
administration
- Equipments
- Drugs
Cardio
Pulmonary
Resuscitation
(CPR)
Pain
management
techniques
Legal Aspects
264
Medical Surgical Nursing ( Adult including Geriatrics) - I-
Practical
Code:04100401
Practical:480Hours/16 credit
TION NT
OF METHOD
WEEK
General 6 Provide nursing Assessment of the patient Plan and Assess

Medical Ward care to adult Taking history Perform give care to 3- performanc
(*Respiratory, patients with general and specific physical 4 assigned e with
GI, Endocrine, medical examination Patients rating scale
Renal, disorders Identify alterations and
Hematology) deviations Nursing care Assess
Counsel and Practice medical surgical plan -2 each skill
educate patients asepsis-Standard safety with
and families measures Nursing checklist
Administer medications case study / Evaluatio
Oral, IV, TM, Subcutaneous presentation-I n of case
IV therapy study /
IV canulation Drug presentatio
Maintenance and Monitoring presentation-1 n
Oxygen therapy by different Completi
methods Maintain on of
practical
Nebulization drug book
record.
Chest physiotherapy
Naso gastric feeding Maintain
Assist in common diagnostic Practical
record book
Perform/Assist in therapeutic
procedures
Blood and component therapy
Throat Suctioning
Collect specimens for
common investigations.
Maintain elimination
Catheterization
Bowel wash
Enema
Urinary drainage
265
Maintain Intake, output and
documentation
Counsel and teach related to
specific disease conditions
General 6 Provide pre and Practice medical surgical Plan and give Assess
Surgical Ward post operative asepsis-Standard safety care to 3-4 performance
(GI, Urinary, nursing care to measures assigned with rating
CTVS) adult patients Pre operative preparation of Patients scale
with surgical patients Nursing care Assess
disorders Post operative care- Receiving plan -2 each skill
Pt, assessment, monitoring, care Nursing with
Counsel and checklist
Care of wounds and drainage case study /
Evaluatio
educate patients Suture removal presentation-I
Drug n of case
and families Ambulation and exercise
study/
Naso gastric aspiration presentation-I
presentatio
Care of chest drainage Maintain
n
Ostomy care drug book
Completi
Gastrostomy on of
Colostomy practical
Enterostomy record.
Blood and component therapy
Practice universal precautions
Cardiology 2 Provide nursing Physical examination of the Plan and give Assess
care to patients cardio vascular system care to 2-3 performanc
with cardiac Recording and interpreting assigned e with
disorders ECG patients rating scale
Monitoring of patients Nursing care Assess
Counsel and Preparation and assisting in Plan-l each skill
educate patients non-invasive and invasive Nursing with
and families diagnostic procedures case study / • checklist
Administer cardiac drugs Presentation/ Evaluatio
Cardio pulmonary Health talk-I n of case
Resuscitation Maintain study /
Teach patients and families drug book presentatio
Practice medical and surgical n / health
asepsis-Standard safety talk
measures
Skin & 1 Identify skin Assessment of the patient with Plan and give Assess
Communicable problems skin disorders care to 2-3 performanc
diseases Ward Provide Assist in diagnostic and assigned e with
nursing care to therapeutic procedures Patients rating scale
patients with Administer topical medication
Skin disorders & Practice medical surgical Health talk! Evaluatio
266
Communicable asepsis-Standard safety Counseling n health
diseases measures HIV positive talk/Couns
Counsel and Use of personal protective patients and eling
educate patients equipment (PPE) families— I session
and families Give Medicated baths
Counseling HIV, positive Maintain Completi
patients drug book on of
activity
record
Orthopaedic 2 Provide nursing Assessment of orthopaedic Plan and give Assess

ward care to patients patients care to 2-3 performanc
with Assist in application of plaster assigned e with
musculoskeletal cast and removal of cast patients rating scale
disorders Apply skin traction-buck’s Nursing care Evaluatio
Counsel and extension traction plan -l n of
educate patients Assist in application and Nursing Nursing
and families removal of prosthesis case study / care plan
Physiotherapy-Range of presentation and
motion exercises (ROM), —1 Nursing
muscle strengthening exercises Maintain case
Crutch maneuvering drug book study/prese
technique ntation
Activities of daily living Completi
Ambulation Teach and on of
counsel patients families activity
record
Operation 6 Identify Scrubbing, gowning, gloving Assist as a Assess
Theatre Skin & instruments used Identify instruments, suturing circulatory performanc
Communicable in common materials for common nurse in e with
diseases Ward operations operations Major cases- rating scale
Participate in Disinfection, Carbolization, 10 Completi
infection control fumigation Minor on of
practices in the Preparation of instrument sets cases-S activity
Operation for common operations Assist as a record
Theatre Sterilization of sharps and scrub nurse in
Set-up the other instruments Major cases-
table/trolleys for Prepare the OT table l0
common depending upon the operation Minor
operative Positioning and monitoring of cases-S
procedures patients Maintain
Assist in Endotracheal intubation drug book
giving anesthesia Assisting in minor and major
Assist in the operations
operative Handling specimens
procedures Disposal of waste as per the
Provide pen guidelines
operative nursing
care
267
COMMUNICATION & EDUCATIONAL TECHNOLOGY
Code:04100402
Preamble
Educational technology is a wide field. Therefore, one can find many definitions, some of which are
conflicting. Educational technology can be considered either as a design science or as a collection of
different research interests addressing fundamental issues of learning, teaching and social
organization. Educational technology is the study and ethical practice of facilitating learning and
improving performance by creating, using, and managing appropriate technological processes and
resources. As a field, educational technology emphasizes communication skills and approaches to
teaching and learning through the judicious use and integration of diverse media. Scholars in the
field examine the uses of innovative media and technologies for education, examining all aspects
from direct student learning to management and impacts on institutions. As in all forms of applied
technology, the field studies how theoretical knowledge and scientific principles can be applied to
problems that arise in a social context. Information and communication technologies (ICTs) used in
the health sector have well-known advantages. They can promote patient-centered healthcare,
improve quality of care, and educate health professionals and patients. ... The use of ICTs
by nurses can have impacts in their practice.
Goal
Communication & educational technology is essential to prepare nurses to improve the teaching
and learning process in India. It prepares nurses for leadership position in nursing and health
fields who can function as nurse specialists, consultants, educators, administrators and researchers
in a wide variety of professional settings in meeting the National priorities and the changing
needs of the society.
268
Objectives:
At the end of the course, the students will able to:
1. Describe the communication process
2. Identify techniques of effective communication
3. Establish effective interpersonal relations the patients, families & coworkers.
4. Develop effective human relations in context of nursing
5. Develop basic skills of counseling and guidance
6. Describe the philosophy & principles of education.
7. Explain the teaching learning process
8. Demonstrate teaching skill using various teaching methods in clinical, classroom and community
settings.
9. Prepare and use different types of educational media effectively
10. Prepare different types of questions for assessment of knowledge, skills and attitudes.
11. Teaching individuals, group and communities about health with their active participation.

3. Role Play
4. Student Seminar
5. Panel discussion
6. Teacher Seminar
7. Presentations
Activities
Each student should:
1. Conduct five planned teaching using different method and media.
2. Prepare different types of teaching aids
3. Plan, organize and conduct inservice education programme.
4. Conduct at least one counselling session.
5. Prepare rotation plans.
269
COURSE DISCRIPTION:
S.NO TOPIC HRS CREDIT
1 Introduction to Education: 5 hrs
2 Interpersonal relations 5hrs
3 Human Relation 5 hrs
4 - Guidance & counseling 10

5- Practical
5 Principles of education & teaching learning
process 10hrs
6 Methods of teaching 10
10- Practical
7 Educational media 10
 8 – Practical
8 Methods of assessment 5
7 Practical
9 Information, Education & communication for 5 hrs
health (IEC
TOTAL 90 8
TEACHING AND CLINICAL HOURS
Total hours of instructions is Theory 90hrs.
Method of Evaluation
270
 Tests
 Presentation
 Project work
 Written assignments
Internal Assessment
Techniques
Test- (2 test) 50
Assignment 25
Seminar/ presentation 25
Practical- Internal assessment
Learning resource material 25
Practice teaching 50
Conduct workshop/short term course 25
Practical-external assessment
Practice teaching-1 50
Preparation/use of learning resource material 25
Construction of tests/ rotation plan 25
References:
1.Heidgerkohn, D.E. Teaching and Learning in School of Nursing. Philadelphia: 3.0.Billioet Co.
2. WHO. Curriculum Guide for the Schools of Nursing in India. New Delhi: WHO.
3. Neeraja. Textbook of Nursing Education. New Delhi: Jaypee Brothers.
4. Tyler, R.W. Basic of Curriculum and Instruction. Chicago: University of Chicago Press.
5. Dinesh K. Sharma, Communication and education technology, second edit, lotus Publication
6. P. Anurag Bhai, Communication and education technology, Pearson publication
271
COMMUNICATION AND EDUCATIONAL TECHNOLOGY
Placement: B.Sc. Nursing 2nd Year Hours of Instruction
Theory 90 Hours
1 Introduction to Education: 5 hrs

 Review of Communication Process
 Process: elements and chance
 Facilitators Must to know
 Barriers and methods of overcoming
Desirable to know
Techniques
Desirable to know
Must to know
2 5hrs
Interpersonal relations
 Purpose & types Must know

 Phases
 Barriers & methods of overcoming Desirable to know
 Johari Window
Must to know
Nice to know
3 Human Relation 5 hrs
 Understanding self motivation, social Desirable to know

attitudes
 Individual and groups Must to know
272
 Groups & individual Nice to know
 Human relations in context of nursing
 Group dynamics Desirable to know
 Team work
Desirable to know
Must to know
4 - Guidance & counseling 10
 Definition Desirable to know 5-

 Purpose, scope and nee Practical
 Basic principles Must to know
 Organization of counseling services
 Types of counseling approaches Desirable to know
 Role and presentation of counselor
 Issues for counseling in Nursing: Desirable to know
studies and practitioners
 Counseling process-steps & technique Must to know
stools of counselor
 Managing disciplinary problems Desirable to know
 Management of crisis & referral
Must to know
5 Principles of education & teaching learning

process
 Education: meaning, philosophy, Must to know 10hrs
aims, functions & principles
Nature and characteristics of Desirable to know
learning
Principles and maxims of teaching Nice to know
Formulating objectives; general and
specific Desirable to know
Lesson planning
Classroom management Nice to know
Desirable to know
6 Methods of teaching
 Teaching methods Must to know 10-

 Lecture Practical
 Discussion must to know
 Demonstration
273
 Group discussion must to know
 Project
 Role play must to know
 Panel discussion
 Symposium must to know
 seminar
 Field trip must to know
 Workshop
 Exhibition Must to know
 Programmed instruction
 Computer assisted learning. Must to know
Clinical teaching methods: must to know

 Case methods
 case presentation must to know
 nursing rounds and reports
 bedside clinic
 conference (individual and group)
 recording of interaction process.
7 Educational media 10
 Purposes and types of audio-visual 8–

aids. Must to know Practical
 Graphics aid: chalk-board, charts, Desirable to know
graphs, posters, flash cards, flannel
graph/khadigraph, bulletiri, cartoon, Must to know
 Three dimensional aids: objects:'
specimen, models, puppets. Desirable to know
 Printed aids: pamphlets and leaflets Must to know
 Projected aids: slides, films and
televisions, VCR
8 Methods of assessment 5
 Purpose and scope of evaluation and 7

assessment Practical
 Criteria for selection of assessment Must to know
techniques and methods
 Assessment of knowledge: essay type Desirable to know
question, SAQ (Short Answer
Questions), Desirable to know
 MCQ (multiple choice questions),
 Assessment of skills: Observation, Desirable to know
Check list. Practical Examination,
Viva, Objective structured clinical Must to know
examination.
274
 Assessment of attitude: Attitude scale.
9 Information, Education & communication Must to know 5 hrs

for health (IEC)
Desirable to know
 Health behaviour and health education
 Planning for health education Desirable to know
 Health education with individuals,
groups & communities Must to know
 Communicating health messages Must to know

 Methods & media for communicating
health messages
275
CURRICULUM PLANNING
Placement- B.Sc. Nursing 2nd year

Time Theory – 90 hour
S.No Topic Learning objective Teaching Methodology Time

Guidelines
Introduction to Didactic 5 HRS

Education: lecturer
1. Describe the To cover process through
Review of communication of power point
Communication process and communication, projection
Process Identify the facilitators,
techniques of barriers, and ,
Process: effective method of Roleplays,
elements and communication overcoming Exercises
chance techniques.
with
Facilitators audio/video
tapes
Barriers and
methods of
overcoming
Techniques
2.
Interpersonal
relations
 Purpose Establish effective 1. Didactic 5HRS

& types inter-personal To cover the lecturer
 Phases relations the Purpose & types through
 Barriers patients, families & power
& coworkers. ,Phases, Barriers point
methods & methods of projection
of overcoming
overco interpersonal
ming relationship and
 Johari Johari Window 2. Role
Windo plays,
w Exercises
with
audio/video
276
tapes
3 Didactic 5 HRS
lecturer
Human Relation Develop effective To cover the through power
human relations in point projection
concept of
 Underst context of nursing Human Relation,
anding Understanding
self self motivation,
motivati Sociometry
social attitudes, Group games
on, Individual and Psychometric
social groups, Human exercise
attitudes relations in followed by
 Individu context of nursing discussion
al and Short Answer
groups Group Objective type
 Groups dynamics,Team
& work
individu
al
 Human
relations
in
context
of
nursing
 Group
dynamic
s
 Team
work
4 - Guidance & . Develop basic To cover the Lecture 10 HRS

counseling skills of counseling concept of Discussion,
and guidance Guidance & Role plays on
 Definiti counseling its counselling in
on Definition, different
 Purpose, Purpose, scope situations
scope and nee, Basic followed by
and nee principles, discussion.
 Basic Organization of
principle counseling
s services, Types of
 Organiz counseling
ation of approaches, Role
counseli and presentation 1.
ng
277
services of counselor
 Types of
counseli Issues for
ng counseling in
approac Nursing: studies
hes and practitioners
 Role and
presenta Counseling
tion of process-steps &
counselo technique stools
r of counselor
 Issues
for Managing
counseli disciplinary
ng in problems
Nursing:
studies Management of
and crisis & referral
practitio
ners
 Counseli
ng
process-
steps &
techniqu
e stools
of
counselo
r
 Managin
g
disciplin
ary
problem
s
 Manage
ment of
crisis &
referral
5 Philosophy of To cover the 1. Didact 10 HRS

Education concept of ic
Describe the Philosophy of lecture
 Factors Philosophy and Education, Its r
influenci principles of Factors throug
ng Education, Explain influencing h
develop the teaching development of power
278
ment of learning process philosophy of point
philosop nursing project
hy of Education, ion
nursing Teaching
Educatio Learning Process,
n Nature and
 Teachin characteristics of
g learning,
Learnin Principles and 2 ,Prepare
g maxims of lesson
Process learning, plan,Micro
 Nature Formulating teaching
and Objectives
characte ,Exercise on
ristics of Lesson planning writing
learning objectives
 Principl
es and
maxims
of
learning
 Formula
ting
Objectiv
es
 Lesson
planning
Methods of To cover the 1. Didact 10HRS

teaching Teaching ic
6. Demonstrate methods ,Lecture lecture
 Teachin teaching skill using , Discussion, r
g various teaching Demonstration throug
methods methods in clinical, ,Group h
 Lecture classroom and discussion, power
 Discussi community Project ,Role play point
on settings. ,Panel discussion, project
 Demons Symposium ion
tration ,seminar , Field
 Group trip ,Workshop
discussi Exhibition
on ,Programmed 2
 Project instruction Conduct 5
 Role ,Computer teaching
play assisted learning.
 Panel
discussi To cover the sessions using
on Clinical teaching
 Symposi methods: Case
279
um method , case different
 seminar presentation , methods &
 Field nursing rounds
trip and reports , media
 Worksh bedside clinic
op conference
 Exhibiti (individual and
on group) , recording
 Program of interaction
med process.
instructi
on
 Comput
er
assisted
learning.
Clinical
teachin
g
method
s:
 Case
methods
 case
presenta
tion
 nursing
rounds
and
reports
 bedside
clinic
 conferen
ce
(individ
ual and
group)
 recordin
g of
interacti
on
process.
280
7. Educational To Cover the 1. Didactic 8HRS
media concept of lecturer
Educational through
 Purpose media its power
s and Describe different Purposes and point
types of types of educational types of audio- projection.
audio- media effectively visual
visual aids.,Graphics 2. Demonstr
aids. aid: chalk-board, ation
 Graphic charts, graphs,
s aid: posters, flash 3. Prepare
chalk- cards, flannel different
board, graph/khadigraph, teaching
charts, bulletiri, cartoon, aids-
graphs, Three projected
posters, dimensional aids: & non
flash objects:' projected
cards, specimen,
flannel models, puppets.
graph/kh Printed aids:
adigraph pamphlets and
, leaflets Projected
bulletiri, aids: slides, films
cartoon, and televisions,
 Three VCR
dimensi
onal
aids:
objects:'
specime
n,
models,
puppets.
 Printed
aids:
pamphle
ts and
leaflets
Projected aids:
slides, films and
televisions,
VCR
8. Methods of To cover the 1. Didactic 5HRS

assessment concept of lecturer
To describe methods of through
 Purpose different types of assessment , its power
and questions for Purpose and point
281
scope of assessment of scope of projection
evaluati knowledge, skills evaluation and
on and and attitudes. assessment 2. Exercise
assessm ,Criteria for on writing
ent selection of different
 Criteria assessment types of
for techniques and assessmen
selection methods t tools
of ,Assessment of
assessm knowledge: essay
ent type question,
techniqu SAQ (Short
es and Answer
methods Questions),
 Assessm
ent of MCQ (multiple
knowled choice questions),
ge: Assessment of
essay skills:
type Observation,
question Check list.
, SAQ Practical
(Short Examination,
Answer Viva, Objective
Questio structured clinical
ns), examination.
 MCQ
(multipl Assessment of
e choice attitude: Attitude
question scale.
s),
 Assessm
ent of
skills:
Observa
tion,
Check
list.
Practical
Examina
tion,
Viva,
Objectiv
e
structure
d
clinical
examina
tion.
 Assessm
ent of
282
attitude:
Attitude
scale.
9. Information, To cover the Didactic 5 hrs
Education & concept of Lecture
communicatio Discuss about information, ,Discussion,
n for health Teaching Education & Plan and
(IEC) individuals, group communication conduct
and communities for health (IEC) health
 Health about health with education
behavio their active ,Health behaviour sessions for
ur and participation. and health individuals,
health education,Plannin group &
educatio g for health communities
n education,Health
 Planning education with
for individuals,
health groups &
educatio communities,Co
n mmunicating
 Health health
educatio messages,Method
n with s & media for
individu communicating
als, health messages
groups
&
commun
ities
 Commu
nicating
health
message
s
 Methods
& media
for
commun
icating
health
message
283
5
TH
SEMESTER
284
Medical Surgical Nursing ( Adult including Geriatrics) - II
Code: 04100501
PLACEMENT: B.Sc. NURSING 3RD YEAR HOURS OF INSTRUCTION

THEORY: 60Hours/4 credit
PREAMBLE
Medical-surgical nursing is a nursing specialty area concerned with the care of adult
patients in a broad range of settings. The Academy of Medical-Surgical
Nurses (AMSN) is a specialty nursing organization dedicated to nurturing medical-
surgical nurses as they advance their careers. Traditionally, medical-surgical nursing
was an entry-level position that most nurses viewed as a stepping stone to specialty
areas. Medical-surgical nursing is the largest group of professionals in the field of
nursing. Advances in medicine and nursing have resulted in medical-surgical nursing
evolving into its own specialty.
Many years ago a majority of hospital nurses worked on wards, and everyone was a
medical-surgical nurse. Today licensed medical-surgical nurses work in a variety of
positions, inpatient clinics, emergency departments, HMO’s, administration,
outpatient surgical centers, home health care, humanitarian relief
work, ambulatory surgical care, and skilled nursing homes. Some military medical-
surgical nurses serve on battlefields.
GOALS
285
 Prepare graduates to assume responsibilities as professionals, competent nurses
and midwives in providing promotive, preventive, curative, and rehabilitative
services.
 Prepare nurses who can make independent decisions in nursing situations, protect
the rights of and facilitate individuals and groups in pursuit of health, functions in
the hospital, community nursing services, and conduct research studies in the areas
of nursing practice
 They are also expected to assume the role of teacher, supervisor, and manager in a
OBJECTIVES

 Describe the role of a nurse in caring for adult patient in hospital and
community.
 Describe the common signs, symptoms, problems and their specific nursing
intervention.
 Describe the etiology, pathophysiology, clinical manifestations, diagnostic
measures and management of patients
COURSE DISTRIBUTION COURSE DISTRIBUTION
TOPIC HOURS
1. Nursing management of patient with disorders of Ear, Nose and 15

Throat
2. Nursing management of patient with disorders of Eye

15
3. Nursing management of patient with neurological disorders
16
4. Nursing management of patient with disorders of female
reproductive system 16
5. Nursing management of patient with Burns, reconstructive and

cosmetic surgery.
10
286
CLINICAL TRAINING
AREAS DURATION CREDIT
(in weeks)
1.General Medical Ward (* Respiratory, GI, 6 6

Endocrine, Renal, Haemotology)
2. General Surgical Ward (GI, Urinary, CTVS) 6 6
3.Cardiology 2 2
4. Skin & Communicable diseases Ward 1 1
5. Orthopaedic ward 2 2
6. Operation Theatre Skin & Communicable 6 6

diseases Ward
7. ENT 1 1
8. Ophthalmology 1 1
9. Neurology 2 2
10. Gynecology ward 1 1
11. Burns unit 1 1
12. Oncology Unit 1 1
13. Critical Care Unit 2 2
14. Casualty /Emergency 1 1
TOTAL 33
287
Total credit of instructions is 13 out of which theory is 4 credit is theory and practical
is 9 Credit.
Assessment
The B.Sc. Nursing course is assessed through essay type and objective type a written
multiple choice test and a practical test.
Grade Points:
A 10- point grading system with corresponding letter grades and percentage of marks,
as given below, is followed Letter Grade Point Percentage of marks:
Grade Percentage of marks
O (Outstanding) 10 Marks >= 80 and Marks <= 100
A+ (Excellent) 9 Marks >= 70 and Marks < 80
A (Very Good) 8 Marks >= 60 and Marks < 70
B+ (Good) 7 Marks >= 55 and Marks < 60
B(Above Average) 6 Marks >= 50 and Marks < 55
C (Average) 5 Marks >= 45 and Marks < 50
P (Pass) 4 Marks >= 40 and Marks < 45
F (Fail) 0 Marks < 40
Ab (Absent) 0
288
S.N Topic DOMAIN Time
o
1 UNIT: I 15 Hrs
Nursing management of patient

with disorders of Ear, Nose and
Throat
Review of anatomy and DESAIRABLE TO

physiology of the Ear ,Nose and KNOW
Throat.
DESAIRABLE TO
Nursing Assessment – History KNOW
and Physical assessment.
MUST KNOW
clinical manifestations, diagnostic
treatment
modalities& surgical nursing

management of Ear Nose and
Throat disorders:
External ear: deformities otalgia,

foreign bodies, and tumors.
MUST KNOW
Middle Ear-Impacted was,
Tympanic membrane perforation,
otitis media,
MUST KNOW
289
otosclerosis, mastoidities, tumors.
Inner ear-Meniere’s Disease,

labyrinthitis, ototoxity, tumors
MUST KNOW
Upper airway infections-
common cold, sinusitis, ethinitis,
rhinitis, pharyngitis,
MUST KNOW
tonsillitis and adenoiditis,
peritonsillar abscess, laryngitis
Upper respiratory airway-

epistaxis, Nasal obstruction,
laryngeal obstruction,
cancer of the larynx
Cancer of the Oral cavity
Speech defects and therapy MUST KNOW
Deafness
Prevention, control and MUST KNOW

rehabilitation
MUST KNOW
Hearing Aids, implanted hearing
MUST KNOW
devices
MUST KNOW
Special therapies
MUST KNOW
Nursing procedures
Drugs used in treatment of

disorders of Ear Nose and Throat DESIRABLE TO
KNOW
Role of nurse communicating
with hearing impaired and MUST KNOW
muteness.
MUST KNOW
290
2 UNIT: II 15Hrs

Throat
Review of anatomy and DESIRABLE TO

physiology of the Eye. KNOW
Nursing Assessment – History DESIRABLE TO

and Physical assessment. KNOW
Etiology, Pathophysiology, MUST KNOW

treatment modalities& surgical
nursing management of Eye
disorders:
Refractive errors o Eyelids-

infection, tumours and
MUST KNOW
deformities
-inflammation and infection,

bleeding MUST KNOW
Cornea-inflammation and
infection
MUST KNOW
Lens-Cataracts
MUST KNOW
Glaucoma
MUST KNOW
Disorder of the uveal tract,
MUST KNOW
Ocular tumours
MUST KNOW
Disorders of posterior chamber
and retina: Retinal and vitreous MUST KNOW
problems.
291
Retinal detachment MUST KNOW
Ocular emergencies and their MUST KNOW

prevention
Blindness
MUST KNOW
National blindness control
program MUST KNOW
Eye Banking Eye prostheses DESIRABLE TO

and Rehabilitation KNOW
Role of a nurse-Communication MUST KNOW

with visually impaired patient,
Eye camps DESIRABLE TO
KNOW
Special therapies
MUST KNOW
Nursing procedures
MUST KNOW
disorders of eye
3 UNIT: III 16 Hrs.
Nursing management of patient MUST KNOW

with neurological disorders
Review of anatomy and

physiology of the neurological DESIRABLE TO
system KNOW
Nursing Assessment-History DESIRABLE TO

and Physical and neurological KNOW
Etiology, pathophysiology, MUST KNOW

clinical manifestations, diagnosis,
treatment
modalities and medical &

surgical nursing management of
neurological MUST KNOW
292
disorders:
Congenital malformation MUST KNOW
Headache MUST KNOW
Spinal Injuries: MUST KNOW
Hemiplegia
Quadriplegia
Spinal cord compression, MUST KNOW

herniation of intervertebral disc
Tumors of the brain & spinal

cord MUST KNOW
Intra cranial and cerebral MUST KNOW

aneurysms
MUST KNOW
Infections:
MUST KNOW
Meningitis, Encephalitis, Brain
abscess, neurocysticercosis. MUST KNOW
Movement disorders V MUST KNOW
Chorea MUST KNOW
Seizures MUST KNOW
Epilepsies
Cerebro Vascular Accident MUST KNOW

(CVA)
Cranial, Spinal Neuropathies,

Bell’s palsy, trigeminal neuralgia MUST KNOW
Peripheral Neuropathies;
Guillain-Barr’s Syndrome
MUST KNOW
Myasthenia gravis
293
Multiple sclerosis
Degenerative disease MUST KNOW
Delirium
Dementia
Alzheimer’s disease
Parkinson’s disease
Management of unconscious
patients and patients with stroke
Role of the nurse in

communicating with patient
having neurological deficit
Rehabilitation of patients with

neurological deficit
Role of nurse in long stay

facility (institutions) and at home
MUST KNOW
Special therapies
Nursing procedures

neurological disorders
4 UNIT: IV 16 Hrs

with disorders of female
reproductive system

physiology of the female
reproductive system DESIRABLE TO
KNOW
Nursing Assessment-History
and Physical assessment. DESIRABLE TO
KNOW
294
Breast Self Examination MUST KNOW

treatment
modalities and medical &

disorders of
female reproductive system
Congenital abnormalities of
MUST KNOW
Sexuality and Reproductive
Health
Sexual Health Assessment MUST KNOW
Menstrual Disorders; MUST KNOW

Dysmenorrhea, Premenstrual
MUST KNOW
Syndrome
Abnormal Uterine Bleeding;

Menorrhagia, Metrorrhagia MUST KNOW
Pelvic Inflammatory Disease
Ovarian and fallopian tube

disorders; infections, cysts,
tumours MUST KNOW
Uterine and cervical disorders,
Endometriosis, polyps, Fibroids,
Cervical MUST KNOW
and uterine tumours, Uterine

displacement, Cystocele /
Urethrocele /
Rectocele
Vaginal disorders; Infections,
295
cysts, tumours
Diseases of breasts; MUST KNOW

Deformities, Infections, Cysts and
Tumours
Menopause and Hormonal

Replacement Therapy
MUST KNOW
Infertility
MUST KNOW
Contraception; Types Methods,
Risk and effectiveness
* Spacing Methods MUST KNOW
* Barrier methods, Intra Uterine MUST KNOW

Devices, Hormonal,
* Post Conceptional Methods, etc
* Terminal methods
- Sterilization
Emergency Contraception
methods
Abortion— Natural, Medical

and surgical abortion— MTPAct
Toxic Shock Syndrome

MUST KNOW
Injuries and Trauma; Sexual
violence MUST KNOW
Special therapies
Nursing procedures MUST KNOW
Drugs used in treatment of MUST KNOW

gynecological disorders
DESIRABLE TO
National family welfare KNOW
programme
296
MUST KNOW
5. UNIT: V 10 Hrs

with Burns, reconstructive and
cosmetic surgery

physiology of skin and
connective tissues and DESIRABLE TO
KNOW
various deformities
and Physical assessment and DESIRABLE TO
Assessment of KNOW
burns and fluid and electrolyte

loss.
Etiology, Classification,
pathophysiology, clinical MUST KNOW
manifestations, diagnosis,
MUST KNOW
treatment modalities and medical
& surgical MUST KNOW
Nursing management of Burns MUST KNOW
and Re-constructive and
Cosmetic surgery; MUST KNOW
Types of Re-constructive and
Cosmetic surgery; for burns,
congenital MUST KNOW
deformities, injuries and cosmetic

purposes
DESIRABLE TO
Role of Nurse KNOW
Legal aspects
297
Rehabilitation
Special therapies o Psycho

social aspects
MUST KNOW
Nursing procedures Drugs used
in treatment of Burns,
reconstructive and cosmetic
surgery
6. UNIT: VI 10 Hrs

with oncological conditions
DESIRABLE TO
Structure & characteristics of KNOW
normal & cancer cells
MUST KNOW
and Physical assessment
Prevention, Screening, Early MUST KNOW

detection, Warning signs of
cancer
Epidemiology, Etiology,
Classification, Path physiology,
Staging, clinical manifestations,
diagnosis, treatment of
MUST KNOW
oncological conditions
Common malignancies of
various body systems; Oral,
larynx, lung,
Stomach and Colon, Liver,

Leukemias and lymphomas,
Breast, cervix,
Ovary, Uterus, Sarcoma, Brain,

Renal, Bladder, Prostate etc MUST KNOW
298
Oncological emergences MUST KNOW
Modalities of treatment
* Immunotherapy
* Chemotherapy
* Radiotherapy
* Surgical Interventions
* Stem cell and Bone marrow

transplants
* Gene therapy
*Other forms of treatment
Psycho social aspects of cancer
Rehabilitation
Palliative care; Symptom and

Pain management, Nutritional
support
Home care
Hospice care
MUST KNOW
Stomal Therapy
Special therapies - Psycho

social aspects
Nursing procedures
7. UNIT: VII 10 Hrs
patients in emergency&
disaster situations
Disaster Nursing
299
Concepts and principles of
Disaster Nursing
DESIRABLE TO
Causes and Types of Disaster: KNOW
Natural and Man made MUST KNOW
- Earthquakes, Floods,
Epidemics, Cyclones
- Fire, Explosion, Accidents
- Violence, Terrorism, Bio

chemical, War MUST KNOW
Policies related to
emergency/disaster management:
International, MUST KNOW
National, State and Institutional MUST KNOW
Disaster preparedness
Team, Guidelines, Protocols, MUST KNOW

Equipments, Resources
Coordination and involvement

of Community, various
Government
departments, Non Govt.

MUST KNOW
organizations and International
Agencies DESIRABLE TO
KNOW
Role of nurse : working
Legal Aspects of Disaster

Nursing DESIRABLE TO
KNOW
Impact of Health after effects:
Post traumatic stress disaster MUST KNOW
Rehabilitation: Physical, MUST KNOW
Psycho social, Financial,
300
Relocation MUST KNOW
Emergency Nursing
Concept, priorities, principles

and scope of emergency nursing DESIRABLE TO
KNOW
Organization of emergency
services: physical set up, staffing, MUST KNOW
equipment
MUST KNOW
and supplies, protocols, concepts
of triage and role of triage nurse MUST KNOW
Co ordination and involvement

of different departments and
facilities
Nursing assessment - History

Etiology, Patho physiology,

Clinical manifestations,
Diagnosis,
Treatment modalities and

medical surgical nursing
management of patient with
medical surgical emergency
Principles of emergency
management
Common emergencies
Respiratory emergencies
Cardiac emergencies
Shock and Hemorrhage
Pain
Poly trauma, road accidents,
301
crush injuries, wound
Seizures
Thermal Emergencies: Heat

stroke & cold injuries
Pediatric emergencies
Psychiatric emergencies
Obstetrical emergencies
Violence, Abuse, Sexual assault
Cardio pulmonary resuscitation
Crisis intervention
Role of nurse: Communication

and Inter Personal Relations
Medico- legal Aspects
Nursing care of the elderly
Nursing assessment—history
and physical assessment DESIRABLE TO
KNOW
Aging;
MUST KNOW
Demography; Myths and
realities MUST KNOW
Concepts and theories of aging MUST KNOW
Cognitive aspects of aging MUST KNOW
Normal biological aging MUST KNOW
Age related body systems MUST KNOW

changes
302
Psyscho social aspects of aging MUST KNOW
medications and elderly
Stress and coping in older MUST KNOW

adults
Common health problems and

nursing management; MUST KNOW
Cardiovascular, respiratory,
Musculoskeletal,
MUST KNOW
Endocrine, genitor-urinary,
gastrointestinal
Neurological, skin and other MUST KNOW

sensory organs
Psychosocial and sexual

MUST KNOW
Abuse of elderly
Role of nurse for care of

elderly: ambulation MUST KNOW
Nutritional, communicational,
psychosocial, and spiritual
MUST KNOW
Role of nurse for caregivers of
elderly
MUST KNOW
Role of family and formal and
non-formal care givers
use of aids and prosthesis MUST KNOW

(hearing aids, dentures)
legal and ethical issues

Provisions and programmes for MUST KNOW
elderly; privileges,
Community programmes and

health services; MUST KNOW
303
home and institutional care DESIRABLE TO
KNOW
9. UNIT: IX 10 Hrs

in critical care units
Nursing assessment-History DESIRABLE TO

and physical assessment KNOW
Classification
Principles of critical care DESIRABLE TO

nursing KNOW
Organization; Physical setup, DESIRABLE TO

policies, staffing norms, KNOW
Protocols, equipment and MUST KNOW

supplies
Special equipments; ventilators,

cardiac monitors, defibrillators,
Resuscitation equipments MUST KNOW
Infection control protocols MUST KNOW
Nursing management of MUST KNOW

critically patients;
Monitoring of critically ill

patient
CPR-Advance cardiac Life MUST KNOW

support
MUST KNOW
Treatments and procedures
MUST KNOW
Transitional care
MUST KNOW
Ethical and legal Aspects
DESIRABLE TO
304
Communication with patient KNOW
and family
DESIRABLE TO
Intensive care records KNOW
Crisis Intervention MUST KNOW
Death and Dying—coping with
Drugs used in critical care unit MUST KNOW
MUST KNOW
10. UNIT: X 8 Hrs
patients’ adults including
elderly with occupational and
Industrial
disorders.
Nursing assessment - History and

physical assessment
Etiology, pathophysiology DESIRABLE TO

,clinical manifestations ,diagnosis KNOW
,treatment
DESIRABLE TO
modalities and medical & KNOW
occupational
and industrial health disorders MUST KNOW
Role of nurse MUST KNOW
Special therapies, alternative MUST KNOW

therapies,
MUST KNOW
Nursing procedures
Drug used in treatment of

occupational and industrial
disorders
305
CURRICULUM
Sr. Topic Learning Teaching Methodology Time

No. objectives guidelines
I UNIT: I Describe the Review of Lecture 15

etiology, patho- anatomy and Discussion Hrs
physiology, physiology of the
clinical Ear ,Nose and Explain
Nursing management manifestations, Throat. using Charts,
of patient with diagnostic graphs
disorders of Ear, measures and Nursing
Nose and Throat management of Assessment – Models,
patients with History and films, slides
disorders of Physical
Ear, Nose and assessment. Demonstrat
Throat. ion
Etiology,
Pathophysiology, Practice
clinical Session.
manifestations,
diagnostic Case
treatment discussion /
Seminar
modalities&
surgical nursing Health
management of Education
Ear Nose and
Supervised
Throat disorders:
clinical
External ear: practice.
deformities
Drug book /
otalgia, foreign
presentation
bodies, and
tumors.  Horizontal
method
Middle Ear-
Impacted was, Students
Tympanic interactive
membrane session
perforation, otitis
media,
306
otosclerosis,
mastoidities,
tumors.
Inner ear-
Meniere’s
Disease,
labyrinthitis,
ototoxity, tumors
Upper airway 4. Integrated

infections- vertical
common cold, teaching on
sinusitis, ethinitis, Evidence
rhinitis, based
pharyngitis, midwifery
practice
tonsillitis and
adenoiditis,
peritonsillar
abscess,
laryngitis
Upper
respiratory
airway-epistaxis,
Nasal
obstruction,
laryngeal
sobstruction,
cancer of the
larynx
Cancer of the
Oral cavity
Speech defects
and therapy
Deafness
Prevention,
control and
307
rehabilitation
Hearing Aids,
implanted hearing
devices
Special
therapies
Nursing
procedures
Drugs used in
treatment of
disorders of Ear
Nose and Throat
Role of nurse
communicating
with hearing
impaired and
muteness.
II Nursing management Describe the Review of Lecture 15Hr

of patient with etiology, patho- anatomy and Discussion s
disorders of Ear, physiology, physiology of the
Nose and Throat clinical Eye. Explain
manifestations, using Charts,
diagnostic Nursing graphs
measures and Assessment –
management of History and Models,
patients with Physical films, slides
disorders of Eye assessment.
Demonstrat
Etiology, ion
Pathophysiology,
clinical Practice
manifestations, Session.
diagnostic
treatment Case
discussion /
modalities& Seminar
surgical nursing
management of Health
308
Eye disorders: Education
Refractive Supervised
errors o Eyelids- clinical
infection, practice. /
tumours and presentation
deformities
Visit to eye
Conjunctiva- bank
inflammation and
infection, Participatio
bleeding n in eye-
camps
Cornea-
inflammation and  Horizontal
infection method
Lens-Cataracts Students
interactive
Glaucoma session
Disorder of the
uveal tract,
Ocular tumours
Disorders of
posterior chamber
and retina:
Retinal and
vitreous
problems.
Retinal
detachment
Ocular
emergencies and
their prevention
Blindness
National
blindness control
309
program
Eye Banking
Eye prostheses
and
Rehabilitation
Role of a nurse-
Communication
with visually
impaired patient,
Eye camps
Special
therapies
Nursing
procedures
Drugs used in
treatment of
disorders of eye
III UNIT: III Describe the Review of Lecture

etiology, patho- anatomy and Discussion
Nursing management 16
physiology, physiology of the Hrs
of patient with clinical neurological Explain
neurological manifestations, system using Charts,
disorders diagnostic graphs
measures and Nursing
management of Assessment- Models,
patients with History and films, slides
neurological Physical and
disorders. neurological Demonstrat
ion
Etiology,
pathophysiology, Practice
clinical Session.
manifestations,
diagnosis, Case
treatment discussion /
Seminar
modalities and
310
medical & Health
surgical nursing Education
management of
neurological Supervised
clinical
disorders: practice. /
presentation
Congenital
malformation Drug book /
presentation
Headache
Visit to
Spinal Injuries: rehabilitation
center.
Hemiplegia
 Problem
Quadriplegia based
learning
Spinal cord
compression,
herniation of
intervertebral disc
Tumors of the
brain & spinal
cord
Intra cranial
and cerebral
aneurysms
Infections:
Meningitis,
Encephalitis,
Brain abscess,
neurocysticercosi
s.
Movement
disorders V
Chorea
311
Seizures
Epilepsies
Cerebro
Vascular
Accident (CVA)
Cranial, Spinal
Neuropathies,
Bell’s palsy,
trigeminal
neuralgia
Peripheral
Neuropathies;
Guillain-Barr’s
Syndrome
Myasthenia
gravis
Multiple
sclerosis
Degenerative
disease
Delirium
Dementia
Alzheimer’s
disease
Parkinson’s
disease
Management of
unconscious
patients and
patients with
stroke
Role of the
312
nurse in
communicating
with patient
having
neurological
deficit
Rehabilitation
of patients with
neurological
deficit
Role of nurse in
long stay facility
(institutions) and
at home
Special
therapies
Nursing
procedures
Drugs used in
treatment of
neurological
disorders
IV UNIT: IV Describe the Review of 16

etiology, patho- anatomy and Hrs
Nursing management physiology, physiology of the
of patient with clinical female
disorders of female manifestations, reproductive
reproductive system diagnostic system
measures and
management of Nursing
patients with Assessment-
disorders of History and
female Physical
assessment.
reproductive
system. Breast Self
Examination
Describe
Etiology,
313
concepts of pathophysiology,
reproductive clinical
health and manifestations,
family welfare diagnosis,
programme treatment
modalities and
medical &
surgical nursing
management of
disorders of
female
reproductive
system
Congenital
abnormalities of
female
reproductive
system
Sexuality and
Reproductive
Health
Sexual Health
Assessment
Menstrual
Disorders;
Dysmenorrhea,
Premenstrual
Syndrome
Abnormal
Uterine Bleeding;
Menorrhagia,
Metrorrhagia
Pelvic
Inflammatory
Disease
314
Ovarian and
fallopian tube
disorders;
infections, cysts,
tumours
Uterine and
cervical
disorders,
Endometriosis,
polyps, Fibroids,
Cervical
and uterine
tumours, Uterine
displacement,
Cystocele /
Urethrocele /
Rectocele
Vaginal
disorders;
Infections, cysts,
tumours
Diseases of
breasts;
Deformities,
Infections, Cysts
and Tumours
Menopause and
Hormonal
Replacement
Therapy
Infertility
Contraception;
Types Methods,
Risk and
effectiveness
315
* Spacing
Methods
* Barrier
methods, Intra
Uterine Devices,
Hormonal,
* Post
Conceptional
Methods, etc
* Terminal
methods
- Sterilization
Emergency
Contraception
methods
Abortion—
Natural, Medical
and surgical
abortion— MTP
Act
Toxic Shock
Syndrome
Injuries and
Trauma; Sexual
violence
Special
therapies
Nursing
procedures
Drugs used in
treatment of
gynecological
316
disorders
National family
welfare
programme
V UNIT: V Describe Review of Lecture 10

the etiology, anatomy and Discussion Hrs
Nursing management pathophysiology of
of patient with Burns, physiology, skin and Explain
reconstructive and clinical connective tissues using Charts,
cosmetic surgery manifestations, and graphs
diagnostic
measures and various Models,
management of deformities films, slides
patients with
burns Nursing Demonstrat
reconstructive Assessment- ion
History and
and cosmetic Physical Practice
surgery. assessment and Session.
Assessment of
Case
burns and fluid discussion /
and electrolyte Seminar
loss.
Health
Etiology, Education
Classification,
pathophysiology, Supervised
clinical clinical
manifestations, practice. /
presentation
diagnosis,
treatment Drug book /
modalities and presentation
medical &
Visit to
surgical
rehabilitation
Nursing center
management of
Counseling.
Burns and Re-
constructive and
317
Cosmetic  Horizontal
surgery;
Cooperative
Types of Re- learning
constructive and
Cosmetic
surgery; for
burns, congenital
deformities,
injuries and
cosmetic
purposes
Role of Nurse
Legal aspects
Rehabilitation
Special
therapies o
Psycho social
aspects
Nursing
procedures Drugs
used in treatment
of Burns,
reconstructive
and cosmetic
surgery
318
MENTAL HEALTH NURSING
Code: 04100502

PREAMBLE
The Mental Health Nurse provides a critical role in the delivery of health care services related to
Mental Health. As experts in the assessment of patients in order to diagnose and treat mental and
emotional health disorders, the Mental Health Nurse acts as one of the primary care givers for
Mental Health patients. There are two distinct levels of Mental Health nursing basic and advanced.
As you gain more experience and education as a Mental Health nurse, your job expectations will
also change and grow. For many who are undergoing a Mental Health crisis the establishment of
patient rapport is absolutely key and the sooner this happens as they enter into the Healthcare system
the better.
The Mental Health Nurse is often the first point of contact by a care provider with the client and so
they have an opportunity to establish a relationship with the client right away so the client can begin
to feel safe and comfortable as they grow through the incredibly vulnerable process of healing
during a Mental Health crisis. Psychiatric mental health nurses also work in rehabilitation settings
where people are recovering from a crisis episode and where the aim is social inclusion and a return
to living independently in society. These nurses are sometimes referred to as community psychiatric
nurses Psychiatric mental health nurses also work in forensic psychiatry with people who have
mental health problems and have committed crimes.
GOALS
This course is designed for developing an understanding of the modern approach to

mental health, identification, prevention and nursing management of common
mental health problems with special emphasis on therapeutic interventions for
individuals,family and community.
OBJECTIVES:

1. Appreciate the trends and issues in the field of psychiatry and psychiatric nursing.
2. Explain the dynamics of personality development and human behaviour.
3. Describe the concepts of psychobiology in mental disorders and its implications for psychiatric
nursing
4. Demonstrate therapeutic communications skills in all interactions
5. Demonstrate the role of psychiatric nurse practitioner in various therapeutic modalities
6. Establish and maintain therapeutic relationship with individual and groups
7. Uses assertive techniques in personal and professional actions
8. Promotes self-esteem of clients, others and self
9. Apply the nursing process approach in caring for patients with mental disorders
10. Describe the psychopharmacological agents, their effects and nurses role
11. Recognize the role of psychiatric nurse practitioner and as a member of the psychiatric and
mental health team
12. Describe various types of alternative system of medicines used in psychiatric settings
319
DURATION:
Six month course (full time in Fifth Semester)
TEACHING STRATEGIES
Procedures performed
 History taking
• Mental health assessment
• Psychometric assessment
• Personality assessment
• Process recording
• Therapies- Group Therapy
• Family Therapy
• Psychotherapy
• Milieu Therapy
• The Therapeutic Community
• Occupational therapy
• Recreational therapy
• Play therapy
• music therapy
• Pet therapy •
• Counselling
• Assisted ECT
• Assisted EEG
• Case studies
• Case presentation
• Project work
• Socio and psycho drama
• Field visits
320
CLINICAL TRAINING
Clinical posting in the following areas:
S.No. Deptt./Unit No. of Week Total credit
1 Psychiatric O.P.D 1 30 Hours
2 Child Guidance Clinic 1 30 Hours
3 Inpatient ward 6 180 Hours
4 Community Psychiatry 1 30 Hours
5 TOTAL 9 weeks 270 hours

3. Role Play
4. Student Seminar
5. Panel discussion
6. Teacher Seminar
7. Presentations
321
S.No Topic Teaching Guidelines Time
1 Introduction 05Hrs
•Perspective of Mental Health and Must to know

Mental Health Nursing: evolution of
Must to know
mental health services, treatments
and nursing practices. Must to know
•Prevalence and incidence of mental Desirable to know

health problems and disorders.
Must to know
•Mental Health Act
•National Mental Health Policy vis a

vis National Health Policy Desirable to know
•Mental health team Must to know
•Nature and scope of mental health Must to know

nursing
Must to know
•Role and functions of mental health
nurse in various settings Concepts of
normal and abnormal behavior
2 Principles and Concepts of Mental 05 Hrs

Health Nursing
Must to know
 Definition: Mental health
nursing and terminology used Desirable to know
 Classification of mental
disorders : ICD Desirable to know
 Review of personality
development, defense Desirable to know
mechanisms
 Maladaptive behaviour of Desirable to know
individuals and groups: stress,
crisis and Desirable to know
 disasters
 Etiology: Bio-psycho-social
factors
 Psychopathology of mental Desirable to know
disorders: Review of structure
and functions Desirable to know
 of brain, limbic system and
322
abnormal Neuro transmission
Principles of Mental health
nursing practice Desirable to know
Conceptual models and the
role of nurse: Must to know
 - Existential Model
 - Psycho-analytical models
 - Behavioural models
 - Inter personal model
3 Assessment of mental health status 08 Hrs
 History taking Must to know

 Mental status examination
 Mini mental status examination
 Neurological examination
review Must to know
 Investigations: Related Blood
chemistry, EEG, CT & MRI Must to know
 Psychological tests Role and
responsibilities of nurse Must to know
Must to know
4 Therapeutic communication and 06 Hrs

nurse-patient relationship
Need to know
 Therapeutic communication:
 Types, Techniques,
Characteristics
 Types of relationship, Need to know
 Ethics and responsibilities
 Elements of nurse patient Need to know
contract
 Review of technique of IPR- Must to know
Johari Window
 Goals, phases, tasks, therapeutic
techniques
Therapeutic impasse and its
intervention
5 Treatment modalities and 14 Hrs

therapies used in mental disorders
Must to know
Psycho pharmacology
Desirable to know
Psychological therapies
323
Therapeutic community, psycho Must to know
analytical, cognitive and supportive,
family group, group Desirable to know
behavioural, play, psycho-drama, Desirable to know

music, dance, recreational and light
therapy Relaxation Must to know
therapies: Yoga, Meditation, Bio-

feedback Alterative systems of
medicine Occupational therapy Must to know
•Physical therapy: electro convulsive

therapy
Need to know
 Geriatric considerations Role
of nurse in above therapies
6 Nursing management of patients 05Hrs
with Schizophrenia, and other
psychotic Need to know
disorders Must to know
•Classification : ICD Desirable to know
•Etiology, psycho-pathology, types, Must to know

clinical manifestations, diagnosis
Must to know
•Nursing Assessment – History,
Physical and Mental assessment
•Treatment modalities and nursing

management of patients with
Schizophrenia, and other psychotic

disorders
 Geriatric considerations
with mood disorders
Must to know
•Mood disorders: Bipolar affective
disorder, mania, Depression and
Dysphasia etc., Desirable to know
•Etiology, psycho-pathology, types, Desirable to know

324
Physical and Mental assessment Must to know
•Treatment modalities and nursing Must to know

management of patients with mood
disorders
•Follow-up and home care and

rehabilitation

with neurotic, stress related and
somatization disorders
•Anxiety disorders, phobias, Must to know

Dissociation and Conversion
disorders, Must to know
Obsessive compulsive disorders,

somatoform disorders, Post
traumatic Must to know
stress disorders
•Etiology, psycho-pathology, Desirable to know


Physical and Mental assessment

neurotic,
stress related and somatization

disorders
•Geriatric considerations

rehabilitation

with substance use disorders
Need to know
•Commonly used psychotropic
substance : Classification, forms,
routes,
Must to know
action, intoxication and withdrawal
325
•Etiology of dependence : Desirable to know
Tolerance, psychological and
physical
dependence, withdrawal syndrome,

diagnosis,
Desirable to know
•Nursing assessment – History,
Physical, mental assessment and
drug assay
Must to know
•Treatment (Detoxification, antabuse
and narcotic antagonist therapy and Must to know
harm reduction) and nursing

substance use
disorders
•Follow –up and home care and

rehabilitation

with Personality, Sexual and
Eating disorders
•Classification of Must to know

disorders’*Etiology, psycho-
pathology, characteristics &
diagnosis Must to know
•Nursing assessment – History, Must to know

physical, mental assessment
Desirable to know
Personality, Sexual and Eating Must to know

disorders

rehabilitation
326
11 Nursing management of childhood 06Hrs
and adolescent disorders including
mental deficiency
Classification of disorders Must to know
•Etiology, psycho-pathology, Must to know

characteristics & diagnosis
Must to know
•Nursing assessment – History,
physical, mental assessment Desirable to know

Personality, Sexual and Eating

disorders
•Follow –up and home care and

rehabilitation

with organic brain disorders
Need to know
Classification: ICD
Must to know
•Etiology, psycho-pathology clinical
features, diagnosis and differential Desirable to know
diagnosis(Parkinson’s and
Alzheimers)
•Nursing assessment-History,
physical, mental and neurological Desirable to know
assessment

management of patients with organic Must to know
brain disorders

rehabilitation
327
13 Psychiatric emergencies and crisis 06Hrs
intervention
Must to know
•Types of psychiatric emergencies
and their management Must to know
•Stress adaptation model :Stress and

stressors, coping, resources and
Must to know
mechanism
Desirable to know
•Grief: Theories of grieving process,
principles, techniques of counseling
•Types of crisis Must to know
•Crisis intervention : principles,

techniques and process
Geriatric considerations Role and

teacher seminar responsibilities of
nurse
14 Legal issue in Mental Health 04Hrs

Nursing
Need to know
•The mental health act in 1987 Act,
Sections, Articles and their Must to know
implications etc.
•Indian Lunacy Act 1912

Desirable to know
•Right of mentally ill clients
•Forensic psychiatry
Must to know
•Acts related to narcotic and
psychotropic substances and illegal
drugs trafficking
Must to know
•Admission and discharge procedure
Must to know
Role and responsibilities of nurse
328
15 Community Mental Health 04Hrs
Nursing
Must to know
•Development of community mental
health services Must to know
•National Mental Health Programme Must to know
•Institutionalization Versus De Desirable to know

institutionalization
Must to know
•Model of Preventive psychiatry:
Levels of Prevention Must to know
•Mental Health Services available at Must to know

the primary, secondary, tertiary
levels
including rehabilitation and role of

nurse
•Mental Health Agencies:

Government and Voluntary,
National and
International
•Mental Health Nursing issues for

special populations: Children,
Adolescence, Women, Elderly,

Victims of violence and abuse,
Handicapped, HIV/AIDS, etc.,
Theory : 90 hours
Practical : 270 hours
Total : 360 hour
Credit hours : 6 (Theory) Practical/ Skill: 9
S.N Topic Learning objective Teaching Methodolo Time
329
o Guidelines gy
I.Introduction Describe the To Cover netics 05Hrs

historical Introduction
•Perspective of Mental Health development & Mental Health and
and Mental Health Nursing: current trends in Mental Illness
evolution of mental health ,Historical
perspectives
mental health services, nursing ,Trends, issues and
treatments and nursing magnitude
practices. •Describe the Prevalence and
epidemiology of incidence of mental
•Prevalence and incidence of mental health health problems
mental health problems and problems and disorders.
disorders.
•Describe the Mental Health Act
•Mental Health Act National Mental
Health Act National Mental
•National Mental Health Health Policy vis a
Policy vis a vis National •Discuss the scope vis National Health
Health Policy of mental health Policy
nursing
•Mental health team Mental health team
•Describe the
•Nature and scope of mental concept of normal & Nature and scope of
health nursing abnormal behavior mental health
nursing
•Role and functions of mental
health nurse in various Role and functions
settings Concepts of normal of mental health
and abnormal behaviour nurse in various
settngs.
Concepts of normal
and abnormal
behaviour
II. Principles and Concepts of Define the various To cover 05 Hrs

Mental Health Nursing terms used in mental •Definition: Mental
health Nursing health nursing and Convention
 Definition: Mental health terminology used al method
nursing and terminology •Explain the
used classification of Classification of
 Classification of mental mental disorders :
330
disorders : ICD mental disorders ICD
 Review of personality
development, defense •Explain Review of
mechanisms psychodynamics of personality
 Maladaptive behaviour of maladaptive development, Demonstrati
individuals and groups: behaviour defense on
stress, crisis and mechanisms
 disasters •Discuss the
 Etiology: Bio-psycho- etiological factors, Maladaptive
social factors Psychopathology of behaviour of
 Psychopathology of mental disorders individuals and
mental disorders: Review groups:
of structure and functions •Explain the
 of brain, limbic system Principles and •Principles of
and abnormal Neuro standards of Mental Mental health
transmission health nursing nursing practice
Principles of Mental
health nursing practice Describe the Conceptual models
Conceptual models conceptual models and the role of
and the role of nurse: of mental health nurse
 - Existential Model nursing
 - Psycho-analytical
models
 - Behavioural models
 - Inter personal model
III.Assessment of mental health Describe nature, To cover History 08 Hrs
status purpose and process taking
of assessment of
 History taking mental health status Mental status
 Mental status examination examination Unconventi
 Mini mental status onal
examination Mini mental status method
 Neurological examination examination
review
 Investigations: Related Neurological
Blood chemistry, EEG, examination review Horizontal
CT & MRI teaching
 Psychological tests Role Investigations:
and responsibilities of Related Blood
nurse chemistry, EEG,
CT & MRI Teaching
seminar
Psychological tests
Role and
responsibilities of
nurse
IV. Therapeutic •Identify To cover 06 Hrs

communication and nurse- therapeutic Therapeutic
communication communication:Ty
331
patient relationship techniques pes, Techniques,
Characteristics
 Therapeutic •Describe
communication: therapeutic Types of
 Types, Techniques, relationship relationship,Ethics
Characteristics and responsibilities
 Types of relationship, •Describe Elements of nurse Teaching
 Ethics and therapeutic impasse patient contract seminar
responsibilities and its intervention Review of
 Elements of nurse patient technique of IPR-
contract Johari Window
 Review of technique of
IPR-Johari Window Goals, phases,
 Goals, phases, tasks, tasks, therapeutic
therapeutic techniques techniques
Therapeutic impasse and
its intervention Therapeutic
impasse and its
intervention
V.Treatment modalities and •Explain treatment To cover Psycho 14 Hrs

therapies used in mental modalities and pharmacology
disorders therapies used in
mental disorders and Psychological
Psycho pharmacology therapies
role of the nurse
Psychological therapies Therapeutic
community, psycho
Therapeutic community, analytical,
psycho analytical, cognitive cognitive and
and supportive, family group, supportive, family
group group, group
behavioural, play, psycho- behavioural, play,

drama, music, dance, psycho-drama,
recreational and light therapy music, dance,
Relaxation recreational and
light therapy
therapies: Yoga, Meditation, Relaxation
Bio-feedback Alterative
systems of medicine therapies: Yoga,
Occupational therapy Meditation, Bio-
feedback Alterative
•Physical therapy: electro systems of
convulsive therapy medicine
Occupational
 Geriatric therapy
considerations Role of
nurse in above •Physical therapy:
therapies electro convulsive
332
therapy
Geriatric
considerations Role
of nurse in above
therapies
VI.Nursing management of To cover Nursing Videos 05Hrs

patients with Schizophrenia, management of plotting
and other psychotic Describe the patients with schizophren
etiology, psycho- Schizophrenia, and ia
disorders pathology, clinical other psychotic
manifestations, Sign and
•Classification : ICD diagnostic criteria disorders symptoms
and
•Etiology, psycho-pathology, Classification : ICD
types, clinical manifestations, management of
diagnosis patients with Etiology, psycho- Interactive
Schizophrenia, and pathology, types, seminar
•Nursing Assessment – other psychotic clinical
History, Physical and Mental disorders manifestations,
assessment diagnosis
•Treatment modalities and Nursing

nursing management of Assessment –
patients with History, Physical
and Mental
Schizophrenia, and other assessment
psychotic disorders
Treatment
 Geriatric considerations modalities and
nursing
management of
patients with
Schizophrenia, and
other psychotic
disorders
VII.Nursing management of Describe the To cover Mood Teacher 05Hrs

patients with mood etiology, psycho- disorders: Bipolar seminar
disorders pathology, clinical affective disorder,
manifestations, mania, Depression
•Mood disorders: Bipolar diagnostic criteria and
affective disorder, mania, and
Depression and Dysphasia etc.,
management of
Dysphasia etc., patients with mood Etiology, psycho-
pathology, types,
333
•Etiology, psycho-pathology, disorders clinical
types, clinical manifestations, manifestations,
diagnosis diagnosis
•Nursing Assessment – Nursing

History, Physical and Mental Assessment –
assessment History, Physical
and Mental
•Treatment modalities and assessment
patients with mood Treatment
modalities and
disorders nursing
management of
•Follow-up and home care patients with mood
and rehabilitation
disorders
Follow-up and
home care and
rehabilitation
VIII.Nursing management of Describe the To cover Anxiety Role play 08Hrs

patients with neurotic, stressetiology, psycho- disorders, phobias, on stress
related and somatization pathology, clinical Dissociation and and its
disorders manifestations, Conversion managemen
diagnostic criteria disorders, t
•Anxiety disorders, phobias, and
Dissociation and Conversion Obsessive
disorders, management of compulsive
patients with disorders,
Obsessive compulsive neurotic, stress somatoform
disorders, somatoform related and disorders, Post
disorders, Post traumatic somatization traumatic
disorders Teaching
stress disorders stress disorders seminar
•Etiology, psycho-pathology, Etiology, psycho-

clinical manifestations, pathology, clinical
diagnosis manifestations,
diagnosis
•Nursing Assessment –
History, Physical and Mental Nursing
assessment Assessment –
History, Physical
•Treatment modalities and and Mental
nursing management of assessment
patients with neurotic,
Treatment
stress related and modalities and
nursing
334
somatization disorders management of
patients with
•Geriatric considerations neurotic,
•Follow-up and home care stress related and

and rehabilitation somatization
disorders
Geriatric
considerations
Follow-up and
home care and
rehabilitation
IX.Nursing management of Describe the To cover Teacher 05Hrs

patients with substance use etiology, psycho- Commonly used seminar
disorders pathology, clinical psychotropic
manifestations, substance :
•Commonly used diagnostic criteria Classification,
psychotropic substance : and forms, routes,
Classification, forms, routes,
management of action, intoxication
action, intoxication and patients with and withdrawal
withdrawal substance use
disorders Etiology of
•Etiology of dependence : dependence : Student
Tolerance, psychological and Tolerance, seminar
physical psychological and
physical
dependence, withdrawal
syndrome, diagnosis, dependence,
withdrawal
•Nursing assessment – syndrome,
History, Physical, mental diagnosis,
assessment and drug assay
Nursing assessment
•Treatment (Detoxification, – History, Physical,
antabuse and narcotic mental assessment
antagonist therapy and and drug assay
harm reduction) and nursing Treatment

management of patients with (Detoxification,
substance use antabuse and
narcotic antagonist
disorders therapy and
•Geriatric considerations harm reduction)

and nursing
•Follow –up and home care management of
patients with
335
and rehabilitation substance use
disorders
X.Nursing management of Describe the To coverVideos 04Hrs

patients with Personality, etiology, psycho- Classification ofplotting
Sexual and Eating disorders pathology, clinical disorders’*Etiology sign
manifestations, , psycho-pathology, symptoms
•Classification of diagnostic criteria characteristics & and
disorders’*Etiology, psycho- and managemen
pathology, characteristics & diagnosis t of eating,
management of sexual and
diagnosis patients with Nursing assessment personality
Personality, Sexual – History, physical, disorders
•Nursing assessment – and Eating disorders mental assessment
History, physical, mental
assessment Treatment
modalities and
nursing management of management of
patients with patients with
Personality, Sexual and Personality, Sexual

Eating disorders and Eating
disorders
Geriatric
•Follow-up and home care considerations
and rehabilitation
Follow-up and
home care and
rehabilitation
XI.Nursing management of Describe the To cover Student 06Hrs

childhood and adolescent etiology, psycho- Classification of seminar
disorders including mental pathology, clinical, disorders
deficiency Manifestations,
diagnostic criteria Etiology, psycho-
Classification of disorders and pathology,
characteristics &
•Etiology, psycho-pathology, management of diagnosis Nursing
characteristics & diagnosis childhood and assessment –
adolescent disorders History, physical,
•Nursing assessment – including mental mental assessment
History, physical, mental deficiency
assessment Treatment
modalities and
nursing management of management of
patients with patients with
336
Personality, Sexual and Personality, Sexual
Eating disorders and Eating
disorders
Geriatric
•Follow –up and home care considerations
and rehabilitation
Follow –up and
home care and
rehabilitation
XII.Nursing management of Describe the To cover Role play 05Hrs

patients with organic brain etiology, psycho- Classification: ICD on delirium
disorders pathology, clinical and
manifestations, Etiology, psycho- dementia
Classification: ICD diagnostic criteria pathology clinical
and features, diagnosis
•Etiology, psycho-pathology and differential
clinical features, diagnosis management of
and differential patients with organic diagnosis(Parkinso
brain disorders n’s and
diagnosis(Parkinson’s and Alzheimers)
Alzheimers)
Nursing
•Nursing assessment-History, assessment-History,
physical, mental and physical, mental
neurological assessment and neurological
assessment
•Treatment modalities and
nursing management of Treatment
patients with organic modalities and
nursing
brain disorders management of
patients with
•Geriatric considerations organic
•Follow-up and home care brain disorders

and rehabilitation
Geriatric
considerations
Follow-up and
home care and
rehabilitation
XIII.Psychiatric emergencies and Identify psychiatric To cover Types of Teacher 06Hrs

crisis intervention emergencies and psychiatric seminar
carryout crisis emergencies and
•Types of psychiatric intervention their management
emergencies and their
Stress adaptation
337
management model :Stress and
stressors, coping,
•Stress adaptation model resources and
:Stress and stressors, coping,
resources and mechanism
mechanism Grief: Theories of

grieving process,
•Grief: Theories of grieving principles,
process, principles, techniques techniques of
of counseling counseling
•Types of crisis Types of crisis
•Crisis intervention : Crisis intervention :

principles, techniques and principles,
process techniques and
process
Geriatric considerations Role
and teacher seminar Geriatric
responsibilities of nurse considerations Role
and responsibilities
of nurse
XIV.Legal issue in Mental Health  Explain legal To cover mental Student 04Hrs
Nursing aspects health act in 1987 interactive
applied in Act, Sections, seminar
•The mental health act in mental health Articles and their
1987 Act, Sections, Articles setting and implications etc.
and their implications etc. role of the
nurse Indian Lunacy Act
•Indian Lunacy Act 1912 1912
•Right of mentally ill clients Right of mentally

ill clients
•Forensic psychiatry
Forensic psychiatry
•Acts related to narcotic and
psychotropic substances and Acts related to
illegal drugs trafficking narcotic and
psychotropic
•Admission and discharge substances and
procedure illegal drugs
trafficking
Role and responsibilities of
nurse Admission and
discharge procedure
Role and
responsibilities of
338
nurse
XV.Community Mental Health Describe the model To cover National 04Hrs

Nursing of preventive Mental Health
psychiatry Programme Teacher
•Development of community seminar
mental health services • Describe Institutionalization
community mental Versus De
•National Mental Health health services and institutionalization
Programme role of the nurse Student
Model of seminar
•Institutionalization Versus Preventive
De institutionalization psychiatry: Levels
of Prevention
•Model of Preventive
psychiatry: Levels of Mental Health
Prevention Services available
at the primary,
•Mental Health Services secondary, tertiary
available at the primary, levels
secondary, tertiary levels
including
including rehabilitation and rehabilitation and
role of nurse role of nurse
•Mental Health Agencies: Mental Health

Government and Voluntary, Agencies:
National and Government and
Voluntary, National
International and
•Mental Health Nursing issues International

for special populations:
Children, Mental Health
Nursing issues for
Adolescence, Women, special populations:
Elderly, Victims of violence Children,
and abuse,
Adolescence,
Handicapped, HIV/AIDS, Women, Elderly,
etc., Victims of violence
and abuse,
Handicapped,
HIV/AIDS, et
339
MENTAL HEALTH NURSING:- Practical
Mental Health Nursing- Practical

AREA DURATI OBJECTIVES SKILLS ASSIGNMENT ASSESSMENT
ON OF METHOD
WEEK
Psychiatric 1 WEEK Assess patients History taking History taking Assess

OPD with mental perform mental status and Mental performance
health problems examination (MSE) status with rating
Observe and Assist in Psychometric examination -2 scale
assist in assessment Health Assess each
therapies perform Neurological education - I skill with
Counsel and examination Observation checklist
educate patient, Observe and assist in report of OPD Evaluation
and families therapies of health
Teach patients and family education
members Assessment
of observation
report
Completion
of activity
record.
Child 1WEEK Assessment of History taking Case work -1 Assess

Guidance children with Assist in psychometric Observation performance
Clinic various mental assessment report of with rating
health problems. Observe and assist in different scale
Counsel and various therapies therapies -1 Assess each
educate children, Teach family and skill with
families and significant others checklist
significant Evaluation
others. of the
observation
report
Inpatient 6 WEEK Assess patients History taking Give care to 2-3 Assess
ward with mental perform mental status patients with performance
health problems examination (MSE) various mental with rating
To provide Perform neurological disorders scale
nursing care for examination Case study -1 Assess each
patients with Assist in psychometric Care plan -2 skill with
various mental assessment Clinical checklist
health problems
340
Assist in Record therapeutic presentation -1 Evaluation
various therapies communication process of the case
Counsel and Administer medications recording 2 study, Care
educate patients, Assist in Electro Maintain drug plan, clinical
families and convulsive Therapy (ECT) book presentation,
significant others participate in all therapies process
prepare patients for recording
Activities of Daily living Completion
(ADL) of activity
Conduct admission and record.
discharge counseling
Counsel and teach
patients and families
Community To identify Conduct case work Case work -l Assess

Psychiatry patients with Identify performance
various mental individuals with Observation with rating
disorders mental health report on field scale
problems visits
To motivate Counsel and Evaluation
patients for early Teach family of case work
treatment and members, patients and
follow up and community observation
report
To assist in
follow up clinic Completion
of activity
Counsel and record
educate patient,
family and
community
341
6
TH
SEMESTER
342
CHILD HEALTH NURSING
Code: 04100601

PREAMBLE
Pediatrics is the branch of medicine that deals with the medical care of infants, children,
and adolescents and the age limit usually ranges from birth up to 18-21 years of age. The
word paediatrics and its cognates mean "healer of children"; they derive from
two Greek words: (pais "child") and (iatros "doctor, healer"). Pediatricians work both in hospitals,
particularly those working in its specialized subfields such as neonatology, and as primary care
physicians. Paediatric nursing is the medical care of neonates and children up to adolescence, usually
in an in-patient hospital or day-clinic. The main role of pediatric nurses is to administer directly
procedures and medicines to children according to prescribed nursing care plans. Nurses also
continually assess the patient by observing vital signs, and developing communication skills with
children and family members and with medical teams. Being a support to children and their families
is one component of direct nursing care. Awareness of the concerns of children and parents, being
present physically at times of stress and implementing strategies to help children and family
members cope are all part of the work.
GOALS :
 Normalise the life of the child during hospitalisation in preparation for the family home, school
and community.
 Minimise the impact of the child's unique condition.
 Foster maximal growth and development.
 Develop realistic, functional and coordinated home care plans for the children and families.
 Respect the roles of the families in the care of their children.
OBJECTIVES :

 Appreciate the history and developments in the field of pediatrics and pediatric nursing as a
specialty
 Apply the concepts of growth and development in providing care to the pediatric clients and
their families.
 Appreciate the child as a holistic individual
 Perform physical, developmental, and nutritional assessment of pediatric clients
 Apply nursing process in providing nursing care to neonates & children
343
 Integrate the concept of family centered pediatric nursing care with related areas such as
genetic disorders, congenital malformations and long term illness.
 Recognize and manage emergencies in neonates
 Describe various recent technologies and treatment modalities in the management of high
risk neonates
 Appreciate the legal and ethical issues pertaining to pediatric and neonatal nursing
 Prepare a design for layout and management of neonatal unit
 Incorporate evidence based nursing practice and identify the areas of research in the field of
pediatric/neonatal nursing
 Recognize the role of pediatric nurse practitioner and as a member of the pediatric and
neonatal health teaching
 Teach pediatric nursing to undergraduate students & in-service nurses
 COURSE DISTRIBUTION
S.No TOPIC HOURS CREDITS
1 Introduction 15
2 The Healthy Child 20 6
3 Nursing care of Neonate 15
4 IMNCI 10
5 Nursing care of common childhood 10

illness
6 Management of behavioral and social 20

problems in children
The fellows will be exposed to practical demonstration in various areas for above purposes
TOTAL HOURS : 300 hrs.
344
TOPIC No. of week Hours
Pediatric Medicine Ward 2 60 Hours
Pediatric Surgery Ward 2 60 Hours
Pediatric OPD 1 30 Hours
NICU 3 90 Hours
Creche 1 30 Hours
Child Guidance Clinic 1 30 Hours
TOTAL 10weeks 300 Hours
Student Activities
 Clinical presentations
 Nursing care plans
 Clinical Case studies
 Growth & developmental assessment
 Assessment & prescription of nursing interventions for sick children
 Health education related to disease conditions
 Nutritional assessment
 Project work
 Field visits

3. Role Play
4. Student Seminar
5. Panel discussion
6. Teacher Seminar
345
7. Presentations
RESEARCH TRAINING
Research opportunities in health sector focusing on pediatric group are available which is a requirement of
B.Sc Nursing 4th year curriculum.
ELECTIVE TRAINING/OPTIONALTRAINING
Should be arranged by the faculty for hands on practice and training of the students in the hospital or
similar organization for improving the skills of students.
REFRENCES
 Donna L. Wong,David Wilson,Essentials of Pediatric Nursing,6 th ed.,Harcourt Private
limited; 1999. p. 523-33.
 Marlow. R. Dorothy and Reddy. A. Barbara: Textbook of Paediatric Nursing. 6 th ed.W. B
Saunders Company; 1961..
 Datta Parul,Pediatric Nursing,2nd ed.,Jaypee Brothers Medical Publisher;2009
 Gupte Piyush.,Pediatric Nursing,1st ed,A.P. Jain Publisher;2004
 Elizabeth K.E. Fundamentals of Pediatrics.3rd ed.,Paras Publications.
 Adele Pilliteri.Maternal and Child Health Nursing.1st ed.,Lippincott Williams and
Wilkins.p.902-4.
346
S. No Topic Teaching Guidelines Time
1. Introduction: 15 hrs.
 Modem concepts of child care- Must to know

Internationally accepted rights of the child.
 National policy and legislations in relation Desirable to know
to child health and welfare.
 National programmes related tochild
health and welfare -agencies related to
welfare services to the children . Desirable to know
 Changing trends in hospital care,
preventive, promotive and curative aspects
of child health. -Child morbidity and
mortality rates -Differences between an Must to know
adult and child -Hospital environment for
a sick child.
 Impact of hospitalization on the child and
family -Grief and bereavement. Must to know
 Theory of a child health nurse in caring for
a hospitalized child. Must to kno
 Principles of pre and post operative care of
Must to know
infants and children -Child health nursing
procedures.
2. The healthy child Must to know 20 hrs
Principles of growth & development Must to know
Factors affecting growth & Nice to know

development
Must to know
Growth and development from birth
347
to adolescence.
The needs of normal children through Desirable to know

the stages of developmental and
parental guidance
Nutritional needs of children &

infants: breast feeding, exclusive breast Must to know
feeding, supplementary/artificial feeding

and weaning
Baby friendly hospital concept

Must to know
Accidents: causes and prevention
Desirable to know
Value of play and selection of play
material Must to know
Preventive immunization, Must to know

immunization program and cold chain
preventive paediatrics
Nice to know
Care of under five & under five
clinics/ well baby clinics Must to know
3. Nursing care of a neonate Must to know 15 hrs.
Nursing care of a normal newborn Desirable to know

care/Essential newborn care
Neonatal resuscitation
Must to know ,
Nursing management of a low birth
weight baby Must to know
Kangaroo mother care Must to know
Nursing management of common Must to know

neonatal disorders
Desirable to know
Organization of neonatal unit
Identification and nursing

management of common congenital Must to know
348
malformations.
4. Integrated management of neonatal and Must to know 10 hrs

childhood illness (IMNCI)
5. Nursing management in common childhood Must to know 20 hrs

diseases
Nice to know
Nutritional deficiency disorders
Must to know
Respiratory disorders and infections
Gestrointestinal infections,
infectations and congenital defects and
rheumatic fever, rheumatic heart disease
Genito-urinary disorders: acute Desirable to know

glomurulo nephritis, Nephrotic syndrome,
Wilms’ tumor, infection and congenital

disorders.
Neurological infections and disorders: Must to know
Convulsions, epilepsy, meningitis,

hydrocephalous, spina-bifida.
Haematological disorders:
Must to know
Anaemia, thalassemia, ITP,
Leukemia, hemophilia
Endocrine disorders: Juvenile Nice to know

Diabetes Mellitus
Orthopedic disorders: club feet, hip

dislocation and fracture.
Disorders of skin, eye, and ears Must to know
Common communicable diseases in Nice to know

children, their identification, nursing
management in hospital and home and

prevention Child health
349
emergencies:
Poisoning, foreign bodies, Must to know

haemorrhage, burns and drowning
6. Management of behavioral and social Must to know 10 hrs.

problems in children
Must to know
Management of common behavioral
disorders Nice to know
Management of common psychiatric Nice to know

problems
Management of challenged children:

Mentally, physically & socially
challenged Must to know
Welfare services for challenged

children in India
Must to know
Child guidance clinics
350
S.No Topic Learning Teaching Methodology Time
objective Guidelines
1. Introduction: Explain To Cover Teaching seminar 15 hrs.
the modem Historical on national health
development of programmes,
 Modem concepts of concept of
child care and Pediatrics and trends
child care- Pediatric Nursing
Internationally accepted principles of in India, Current
rights of the child . child health status of child
 National policy and nursing. health in India, Students seminar
legislations in relation to Trends in on rights of child
child health and welfare Describe Pediatrics and
. national Pediatric
 National programmes policy Nursing,
related to child health programmes Project on
and welfare -agencies and legislation Ethical and collection of vital
in relation to cultural issues in statistics related
related to welfare
child pediatric care to child health.
services to the children. ,Rights of
 Changing trends in children
hospital care, health and
preventive, promotive welfare
National health
and curative aspects of Teaching seminar
policy for
List major on hospital
child health. children, special
causes of environment for a
 Child morbidity and laws and
sick child
mortality rates - death during ordinances
Differences between an infancy, early relating to
adult and child . and late children.
 Hospital environment childhood
National goals Interactive
for a sick child -Impact ,Five year plans , session stressors
of hospitalization on the Describe during
child and family . the major hospitalization
functions and National health
 Grief and bereavement - programs related
and reaction
Theory of a child health role of the related to
to child health.
nurse in caring for a paediatric developmental
preparation for
nurse in caring stages.
hospitalized child . hospitalization,
for
 Principles of pre and effects of
post operative care of hospitalization
a hospitalized on the child and
infants and children -
child. family Stressors
Child health nursing
and reactions
procedures. related to
Describe
the principles developmental
of child health stages, play
activities for ill
nursing.
hospitalized
child. Nursing 351
care of
hospitalized
child and family
-principles and
practices.
2. The healthy child  Describe To cover Conventional 20 hrs.

the normal Developmental method on
growth & assessment growth &
Principles of growth & Physical
developme development
development assessment assessments
nt of Nutritional
Factors affecting growth children at assessment , Demonstration
& development different Family on preventive
ages assessment. paediatrics.
Growth and development
from birth to adolescence. Identify To cover Student seminar
the needs of Principles of on immunization
The needs of normal children at growth and & cold chain.
different ages development,
children through the stages of
& provide Concepts and Demonstration
developmental and parental theories of
guidance parental on play therapy .
growth and
guidance development, Role play
Nutritional needs of Developmental
children & infants: breast Identify tasks and special
Videos Plotting of
feeding, exclusive breast the nutritional needs from
growth chart on
feeding, needs of infancy to growth &
supplementary/artificial children at adolescence, development &
feeding and weaning different ages developmental reflexes
and ways of milestones,
Assessment of
Baby friendly hospital growth and
concept meeting the
development of Conventional
needs pediatric clients method on reflexes
Accidents: causes and and Factors
prevention Appreciate affecting growth
the role of and
Value of play and play for development.
selection of play material normal & sick
children. the child,
Preventive immunization, preventive
immunization program and Appreciate technique for
cold chain the preventive home accidents .
measures and
preventive paediatrics strategies for
children.
Care of under five &
under five clinics/ well baby
clinics
352
3. Nursing care of a Provide To cover the 15hrs.
neonate care to normal care of the new
&high risk born and family. Conventional
Nursing care of a neonates method on
normal newborn High risk neonatal
care/Essential Perform newborn- pre resuscitation.
term and term
newborn care neonatal
neonate and
resuscitation. growth retarded
Neonatal babies, Teaching seminar
resuscitation Recognize on neonatal
and manage Identification problems.
Nursing Common and classification
management of a low neonatal of neonates with
birth weight baby problems infections,
Describe the Problem based
Kangaroo mother major HIV & AIDS, learning on
care functions and Ophthalmia neonatal
role of the neonatorum, disorders
paediatric congenital
Nursing
syphilis.
management of nurse in caring
common neonatal for a
Identification,
disorders hospitalized classification and
child. nursing
Organization of management of
neonatal unit high risk new
born-
Identification and lOrganization of
nursing management neonatal care,
of common congenital services(Levels),
transport,
neonatal
malformations.
intensive care
unit,
organization and
management of
nursing services
in NICU.
4. IMNCI Discuss the To cover Student seminar 10Hrs

management of Integrated on IMNCI
(Integrated management of neonatal illness, management of assessment.
neonatal and childhood neonatal and
illnesses) childhood Interactive
illnesses session on
IMNCI protocol
& process.
5. Management of behavioral Manage To cover 10 hrs

behavioural
353
and social problems in the child with problem acc. To Visit to anganwadi
children behavioral and age group , schools, remand
social social & homes & adoption
psychiatric centers&
Management of problems. orphanage,child
common behavioral development,
mentally , social guidance clinic.
disorders Identify & physically
the social and challenged
Management of welfare childrens.child
common psychiatric services for guidance clinic.
problems challenged
children .
Management of
challenged children:
Mentally, physically
& socially
challenged
Welfare services
for challenged
children in India
Child guidance
clinics
6. Nursing management in Provide To cover Teacher seminar 20 hrs

common childhood diseases nursing care in Embryological on nutritional
common and fetal deficiencies,
childhood development, respiratory
Nutritional
Prenatal factors disorders,
deficiency disorders diseases-
influencing gastrointestinal
Identify growth and infection,
Respiratory measures to development of neurological
disorders and fetus, Genetic infection &
infections prevent patterns of disorders.
common common
Gestrointestinal childhood pediatric
infections, diseases disorders,
infectations and including chromosomal Student seminar
congenital defects and immunization aberrations, on genitourinary
genetic disorders.
assessment and
rheumatic fever, counseling legal
rheumatic heart and ethical
disease aspects of
genetic,
Genito-urinary screening and
disorders: acute counseling role
glomurulo nephritis, of nurse in
Nephrotic syndrome, genetic
counseling,
Wilms’ tumor,
infection and Importance of
354
congenital disorders. prenatal care and
role of pediatric
Neurological nurse.
infections and
disorders:
Convulsions,
epilepsy, meningitis,
hydrocephalous,
spina-bifida.
Haematological
disorders:
Anaemia,
thalassemia, ITP,
Leukemia, hemophilia
Endocrine
disorders: Juvenile
Diabetes Mellitus
Orthopedic
disorders: club feet,
hip dislocation and
fracture.
Disorders of skin,
eye, and ears
Common
communicable
diseases in children,
their identification,
nursing
management in
hospital and home and
prevention Child
health
emergencies:
Poisoning, foreign
bodies, haemorrhage,
burns and drowning
355
Child Health Nursing- Practical

AREA DURATI OBJECTIVES SKILLS ASSIGNMENT ASSESSMENT
ON OF METHOD
WEEK
Paediatric 3 Provide nursing Taking paediatric History Give care to Assess clinical
Medicine care to children Physical examination and three assigned performance
Ward with various assessment of children paediatric with rating
medical Administer of oral, I/M patients scale
disorders & IV medicine fluids Nursing care Assess each
Counsel and Calculation of fluid plan-I skill with
educate parents requirements Case checklist
prepare different study/presentati OSCE/OSPE
strengths of I.V fluids on-1 Evaluation of
Apply restraints Health talk-I case study
Administer 02 inhalation presentation
by different methods and health
Give baby bath education
Feed children by Katori, session
spoon, etc. Completion
collect specimens for of activity
common investigations record.
Assist with comm.
Diagnostic procedures
Teach mothers parents
Malnutrition, Oral
rehydration therapy.
Feeding & weaning
Immunization schedule
Play therapy Specific
Disease conditions
Paediatric 3 Recognise Calculate, prepare and Give care to Assess clinical

Surgery different administer I/V fluids three assigned Performance
Ward pediatric surgical Do bowel wash paediatric with rating
conditions/malfo Care for ostomie surgical patients scale
rmations Colostomy irrigation
Nursing care Assess each
Provide Ureterostomy plan-I skill with
pre and checklist
post Gastrostomy Case
operative study/presenta OSCE/OSP
care to Urinary catherization and tion E
children drainage
with Evaluation of
common Feeding case
356
paediatric study/presentat
Naso-gastric ion
surgical
condition Gastrostomy Completion
s/malfor of activity
mation Jejunostomy record.
Counse Care of surgical wounds

l and Dressing
educate
parents Suture removal
Paediatric 1 Perform Assessment of children Developmental Assess clinical

OPD/Immuni assessment of study-I performance
zation room children: Health, Health assessment with rating
developmental scale
and Developmental
Anthropometric assessment Complication
of activity
Perform Anthropometric record
Immunization assessment
Give health Immunization

Education/Nutrit
ional Education Health/ Nutritional
Education
Paediatric 2 Provide nursing Care of a baby in Nursing care Assess

Medicine and care to incubator/warmer Plan-I clinical
Surgery ICU critically ill performance
children Care of a child on Observation with rating
ventilator report-I scale
End tracheal suction Complication

of activity
Chest physiotherapy record
Administer fluids with Evaluation of

infusion pump observation
report
Total parenteral nutrition
Phototherapy
Monitoring if babies
357
Cardio pulmonary
resuscitation
358
NURSING RESEARCH AND STATISTICS
Code: 04100602

PREAMBLE
The course is designed to assist the students to develop an understanding of basic

concepts of research and statistics, use the findings of nursing research in nursing
practice, apply the knowledge in conducting project(s) and solve problems related
to nursing using scientific method.
Objectives
At the end of the course, the students will:-
1. Define the terms and concepts of nursing research
2. Identify needs and scope of nursing research
3. Identify and define a research problem
4. Locate and list sources of literature for a specific study
5. Describe different research approaches, methods of data collection and
sampling techniques with a special reference to survey method.
6. Develop tool for data collection
7. . Enumerate steps of data analysis and present data summary in tabular form
8. Use descriptive and co-relational statistics in data analysis
9. Conduct a group research project
359
COURSE DISTRIBUTION
Unit Topic Hours Credits
1) Research Process 4
2) Problem statement 3
3) Review of Literature 4
4) research approaches and 4

designs
5) sampling and data 8

collection
6) Analyze, interpret 4
and summarize the research
data
7) Introduction to 14
Statistics
8) Communicate and 4
utilize the research findings
Total 45 3

3. Role Play
4. Student Seminar
5. Panel discussion
6. Teacher Seminar
7. Presentations
360
Reference Books:
1. Basavanthappa, B.T, Nursing Research, Jaypee Brothers, 2003, New Delhi.
2. Mahajan, B.K, Methods in Biostatistics, Jayppe Brothers, 1999, New Delhi.
3. Rose Hott & Budin. Notter’s, Essentials of Nursing Research, Spinger Publisher, 1999, New
York.
4. Patricial Nunhall. Nursing Research, James & Bar, 2001, Canada.
5. Caroly M.H, Research Methods for Clinical Therapists Applied Project Design and Analysis,
1999,Churchill Livingstone.
6. Indrani P.K., T.K, Research Methods for Nurses. Jayppe Brothers, 2005 New Delhi
361
S.No Topic Learning objective Domain Time
1. Steps of scientific methods  Describe the Must Know 4 Hrs
 Definition of research concept of
 Need for nursing research, terms,
research need and areas of
 Characteristics of research in Nice to know
good research. nursing.
Research Process  Explain the steps
of research
process. Must Know
 Research and
research process
2.  Statement of research  Identify and state 3 Hrs

problem. the research
 Statement of purpose problem and Nice to Know
and objectives. objectives
 Definition of research  Review the
terms. related literature
Desirable to know
 Review of literature
Nice to know
3. Research approaches  Describe the

and designs research
approaches and Must know
Historical, Survey and designs
experimental 4 Hrs
Qualitative and
quantitative designs
4. Sampling and data  Explain the Must Know 4Hrs

collection sampling and
data collection
Definition of
population Sample, Nice to know
sampling criteria, factors
influencing
sampling process, types Must Know

of sampling techniques.
362
Data-why, what from
whom, when and where
to collect
Data collection methods

and instruments:
Methods of data
collection
Questioning, interviewing
.Observations, record
analysis and measurement
Pilot study
Data collection procedure
5. Analysis of data: Analyze, interpret Must Know 4 Hrs

and summarize the
Complication, Tabulation, research data Nice to know
Summarization,
presentation, Must Know
interpretation of
Nice to know
Data
6.  Communication and  Communicate Nice to know 3 hrs

utilization of Research and utilize the
research findings
Communication of
research findings Must Know
Verbal report .Writing

research report .Writing
scientific article/paper
Critical review of
published research
Utilization of research
findings
7. Explain the use of  Explain the use Must Know 14 Hrs

statistics, scales of of statistics,
measurement and scales of
graphical measurement and
graphical Nice to know
presentation of data.
presentation of
Describe the measures data.
of central tendency and Must Know
variability and methods of Describe the
363
correlation. measures of
central tendency
and variability
and methods of
correlation.
8.  Correlation  Explain Must Know 4 Hrs

 Computation by rank correlation and
difference methods. uses of Nice to know
 Uses of correlation correlation
co-efficient. coefficient Must Know
Desirable to know
9.  Biostatistics: Crude  Discuss Must Know 4hrs

rates and standardized Biostatistics
rates, ratio and
estimation of the
trends.
10.  Introduction to Describe application of 4hrs

computers in nursing computer in nursing.
 Introduction to Nice to know
computers and disk-
operating system, Desirable to know
 Introduction to word
processing
 Introduction to data
base Nice to know
 Windows
applications, word,
excel, power point,
multimedia.
 Use of statistical
packages.
 Introduction to
Internet & use of
electronic mail
• Computer aided
teaching & testing
364
CURRICULUM
S.NO Topic Learning Teaching Methodo Tim

objective Guidelines logy e
1.  Steps of  Describe the To cover Introduction Teacher 4 Hrs
scientific concept of and need for nursing seminar on
methods research, research , Definition
 Definition of terms, need of research and Needs for
and areas of nursing research, nursing
research
research and
 Need for research in Steps of scientific
steps of
nursing nursing. method,
scientific
research  Explain the Characteristics of method.
 Characteristics steps of good research
of good research
research. process. Steps of research
Research  Research and process- overview Interactive
Process research session on
process characteristi
cs of good
research.
2. Research  Identify and To cover Research Teacher 3 Hrs

problem/question state the problem/question seminar on
research research
Identification of problem problem and Identification of problem
area objectives problem area,
Exercise on

Problem statement Problem statement, writing
Criteria of a good statement
Criteria of a good research problem of problem
research problem and
Writing objectives, objectives
Writing objectives Teaching Learning
Activities: Lecture
Discussion.
Exercise on writing
statement of problem
and objectives
3. Review of Literature  Review the Lecture 3 hrs

related Discussion
Location literature
Exercise
365
Sources on
reviewing
On line search; one
CTNHAL, COCHRANE research
etc report
article for a
Purposes selected
research
Method of review problem
Prepare
annotated
bibliograph
y
4. Research approaches and  Describe the To cover Research Teacher

designs research approaches and seminar on
approaches designs, Historical, research
Historical, Survey and and designs Survey and approaches
experimental experimental and design. 4 Hrs
Qualitative and Qualitative and

quantitative designs quantitative designs
5. Sampling and data  Explain the 4Hrs

collection sampling and
data To cover Sampling and Teacher
Definition of population collection data collection seminar on
Sample, sampling sampling
criteria, factors Definition of and data
collection.
influencing sampling population Sample,
process, types of sampling criteria,
sampling techniques. factors influencing
Data-why, what from sampling process,

whom, when and where types of sampling
to collect techniques, Data-why,
what from whom,
Data collection methods when and where to
and instruments: collect
Methods of data Data collection

collection methods and
instruments:, Methods
Questioning, of data collection,
interviewing Questioning,
.Observations, record interviewing
analysis and Observations, record
366
measurement analysis and
Pilot study measurement
Data collection procedure Pilot study, Data

collection procedure
6. Analysis of data: Analyze, interpret To Cover Analysis of Teacher 4 Hrs

and summarize the data: Complication, , seminar on
Complication, research data Summarization, data analysis
Tabulation, presentation,
Summarization, interpretation of
presentation,
interpretation of Data Data
7. Explain the use of  Explain the To Cover Explain the Vertical 14 Hrs
statistics, scales of use of use of statistics, scales teaching on
measurement and statistics, of measurement and use of
graphical presentation of scales of graphical presentation statistics and
data. of data, Describe the graphical
measurement
presentation
and graphical measures of central
of data.
Describe the measures of tendency and
central tendency and presentation variability and
variability and methods of data. methods of
of correlation. correlation.
Describe
the measures
of central
tendency and
variability
and methods
of
correlation.
8.  Communication  Communicat To Cover Student 3 hrs

and utilization of e and utilize Communication and seminar on
Research the research utilization of communicat
findings Research, ion and
Communication of utilization of
Communicati
research.
on of research research findings,
findings Verbal report,
Writing research
Verbal report report .Writing
367
.Writing research scientific article/paper,
report .Writing Critical review of
scientific published research,
article/paper Utilization of research
findings
Critical
review of
published
research
Utilization of
research findings
368
MEDICAL SURGICAL NURSING-II-Part B
Code: 04100603
PLACEMENT: B.Sc. NURSING 3RD YEAR HOURS OF

INSTRUCTION
PREAMBLE
Medical-surgical nursing is a nursing specialty area concerned with the care of adult
patients in a broad range of settings. The Academy of Medical-Surgical
Nurses (AMSN) is a specialty nursing organization dedicated to nurturing medical-
surgical nurses as they advance their careers. Traditionally, medical-surgical nursing
was an entry-level position that most nurses viewed as a stepping stone to specialty
areas. Medical-surgical nursing is the largest group of professionals in the field of
nursing. Advances in medicine and nursing have resulted in medical-surgical nursing
evolving into its own specialty.
Many years ago a majority of hospital nurses worked on wards, and everyone was a
medical-surgical nurse. Today licensed medical-surgical nurses work in a variety of
positions, inpatient clinics, emergency departments, HMO’s, administration,
outpatient surgical centers, home health care, humanitarian relief
work, ambulatory surgical care, and skilled nursing homes. Some military medical-
surgical nurses serve on battlefields.
GOALS
369
 Prepare graduates to assume responsibilities as professionals, competent nurses

and midwives in providing promotive, preventive, curative, and rehabilitative
services.
 Prepare nurses who can make independent decisions in nursing situations, protect
the rights of and facilitate individuals and groups in pursuit of health, functions in
the hospital, community nursing services, and conduct research studies in the areas
of nursing practice
 They are also expected to assume the role of teacher, supervisor, and manager in a
OBJECTIVES

 Describe the role of a nurse in caring for adult patient in hospital and
community.
 Describe the common signs, symptoms, problems and their specific nursing
intervention.
 Describe the etiology, pathophysiology, clinical manifestations, diagnostic
measures and management of patients
COURSE DISTRIBUTION
TOPIC HOURS
1. Nursing management of patient with oncological conditions
2. Nursing management of patients in EMERGENCY& 10

DISASTER situations Disaster Nursing
10
3. Nursing care of the elderly
370
4. Nursing management of patient in critical care units
5. Nursing management of patients’ adults including elderly with 10

occupational and Industrial disorders.
10
CLINICAL TRAINING
AREAS DURATION CREDIT
(in weeks)
1.General Medical Ward (* Respiratory, GI, 6 6

Endocrine, Renal, Haemotology)
2. General Surgical Ward (GI, Urinary, CTVS) 6 6
3.Cardiology 2 2
4. Skin & Communicable diseases Ward 1 1
5. Orthopaedic ward 2 2
6. Operation Theatre Skin & Communicable 6 6

diseases Ward
7. ENT 1 1
8. Ophthalmology 1 1
9. Neurology 2 2
10. Gynecology ward 1 1
11. Burns unit 1 1
12. Oncology Unit 1 1
13. Critical Care Unit 2 2
371
14. Casualty /Emergency 1 1
TOTAL 33
Total credit of instructions is 13 out of which theory is 4 credit is theory and practical
is 9 Credit.
Assessment
The B.Sc. Nursing course is assessed through essay type and objective type a written
multiple choice test and a practical test.
Grade Points:
A 10- point grading system with corresponding letter grades and percentage of marks,
as given below, is followed Letter Grade Point Percentage of marks:
Grade Percentage of marks
O (Outstanding) 10 Marks >= 80 and Marks <= 100
A+ (Excellent) 9 Marks >= 70 and Marks < 80
A (Very Good) 8 Marks >= 60 and Marks < 70
B+ (Good) 7 Marks >= 55 and Marks < 60
B(Above Average) 6 Marks >= 50 and Marks < 55
C (Average) 5 Marks >= 45 and Marks < 50
P (Pass) 4 Marks >= 40 and Marks < 45
F (Fail) 0 Marks < 40
Ab (Absent) 0
372
S.N Topic DOMAIN Time
o
1 UNIT: I 15 Hrs

Throat
Review of anatomy and DESAIRABLE TO

physiology of the Ear ,Nose and KNOW
Throat.
DESAIRABLE TO
Nursing Assessment – History KNOW
MUST KNOW
treatment

management of Ear Nose and
Throat disorders:
External ear: deformities

otalgia, foreign bodies, and
tumors. MUST KNOW
Middle Ear-Impacted was,
Tympanic membrane perforation,
373
otitis media, MUST KNOW
otosclerosis, mastoidities, tumors.
Inner ear-Meniere’s Disease,

labyrinthitis, ototoxity, tumors
MUST KNOW
Upper airway infections-
common cold, sinusitis, ethinitis,
rhinitis, pharyngitis,
MUST KNOW
tonsillitis and adenoiditis,
peritonsillar abscess, laryngitis
Upper respiratory airway-

epistaxis, Nasal obstruction,
laryngeal obstruction,
cancer of the larynx
Cancer of the Oral cavity
Speech defects and therapy MUST KNOW
Deafness
Prevention, control and MUST KNOW

rehabilitation
MUST KNOW
Hearing Aids, implanted
hearing devices MUST KNOW
Special therapies MUST KNOW
Nursing procedures MUST KNOW

disorders of Ear Nose and Throat
DESIRABLE TO
Role of nurse communicating KNOW
with hearing impaired and
MUST KNOW
muteness.
374
MUST KNOW
2 UNIT: II 15Hrs

Throat
Review of anatomy and DESIRABLE TO

physiology of the Eye. KNOW
Nursing Assessment – History DESIRABLE TO

and Physical assessment. KNOW
Etiology, Pathophysiology, MUST KNOW

treatment

management of Eye disorders:
Refractive errors o Eyelids-

infection, tumours and MUST KNOW
deformities
Conjunctiva-inflammation and
MUST KNOW
infection, bleeding
Cornea-inflammation and
infection MUST KNOW
Lens-Cataracts MUST KNOW
Glaucoma MUST KNOW
375
Disorder of the uveal tract, MUST KNOW
Ocular tumours MUST KNOW
Disorders of posterior chamber MUST KNOW

and retina: Retinal and vitreous
problems.
Retinal detachment MUST KNOW
Ocular emergencies and their MUST KNOW

prevention
Blindness
MUST KNOW
National blindness control
program MUST KNOW
Eye Banking Eye prostheses DESIRABLE TO

and Rehabilitation KNOW
Role of a nurse-Communication MUST KNOW

with visually impaired patient,
Eye camps DESIRABLE TO
KNOW
Special therapies
MUST KNOW
Nursing procedures
MUST KNOW
disorders of eye
3 UNIT: III 16 Hrs.
Nursing management of patient MUST KNOW

with neurological disorders

physiology of the neurological DESIRABLE TO
system KNOW
Nursing Assessment-History DESIRABLE TO

and Physical and neurological KNOW
376
treatment
modalities and medical & surgical

neurological MUST KNOW
disorders:
Congenital malformation MUST KNOW
Headache MUST KNOW
Spinal Injuries: MUST KNOW
Hemiplegia
Quadriplegia
Spinal cord compression, MUST KNOW

herniation of intervertebral disc
Tumors of the brain & spinal

cord MUST KNOW
Intra cranial and cerebral MUST KNOW

aneurysms
MUST KNOW
Infections:
MUST KNOW
Meningitis, Encephalitis, Brain
MUST KNOW
abscess, neurocysticercosis.
MUST KNOW
Movement disorders V
MUST KNOW
Chorea
MUST KNOW
Seizures
Epilepsies
MUST KNOW
Cerebro Vascular Accident
(CVA)
Cranial, Spinal Neuropathies,

377
Bell’s palsy, trigeminal neuralgia MUST KNOW
Peripheral Neuropathies;
Guillain-Barr’s Syndrome
MUST KNOW
Myasthenia gravis
Multiple sclerosis
Degenerative disease
MUST KNOW
Delirium
Dementia
Alzheimer’s disease
Parkinson’s disease
Management of unconscious
patients and patients with stroke
Role of the nurse in

communicating with patient
having neurological deficit
Rehabilitation of patients with

neurological deficit
Role of nurse in long stay

facility (institutions) and at home
Special therapies MUST KNOW
Nursing procedures

neurological disorders
4 UNIT: IV 16 Hrs

with disorders of female
reproductive system

378
physiology of the female
reproductive system
DESIRABLE TO
Nursing Assessment-History KNOW
DESIRABLE TO
Breast Self Examination KNOW

treatment MUST KNOW

nursing management of disorders
of
Congenital abnormalities of
Sexuality and Reproductive

Health MUST KNOW
Sexual Health Assessment
Menstrual Disorders; MUST KNOW

Dysmenorrhea, Premenstrual
Syndrome MUST KNOW
Abnormal Uterine Bleeding; MUST KNOW

Menorrhagia, Metrorrhagia
Pelvic Inflammatory Disease

MUST KNOW
Ovarian and fallopian tube
disorders; infections, cysts,
tumours
Uterine and cervical disorders, MUST KNOW

Endometriosis, polyps, Fibroids,
Cervical
and uterine tumours, Uterine MUST KNOW

displacement, Cystocele /
379
Urethrocele /
Rectocele
Vaginal disorders; Infections,

cysts, tumours
Diseases of breasts;
Deformities, Infections, Cysts and
Tumours
MUST KNOW
Menopause and Hormonal
Replacement Therapy
Infertility
Contraception; Types Methods, MUST KNOW

Risk and effectiveness
MUST KNOW
* Spacing Methods
* Barrier methods, Intra Uterine

Devices, Hormonal, MUST KNOW
* Post Conceptional Methods, etc MUST KNOW
* Terminal methods
- Sterilization
Emergency Contraception
methods
Abortion— Natural, Medical

and surgical abortion— MTPAct
Toxic Shock Syndrome
Injuries and Trauma; Sexual

violence
MUST KNOW
Special therapies
MUST KNOW
Nursing procedures

380
gynecological disorders MUST KNOW
National family welfare MUST KNOW

programme
DESIRABLE TO
KNOW
MUST KNOW
MUST KNOW
DESIRABLE TO
KNOW
381
5. UNIT: V 10 Hrs

with Burns, reconstructive and
cosmetic surgery

physiology of skin and connective
tissues and DESIRABLE TO
KNOW
various deformities
and Physical assessment and DESIRABLE TO
Assessment of KNOW
burns and fluid and electrolyte

loss.
Etiology, Classification,
pathophysiology, clinical MUST KNOW
manifestations, diagnosis,
treatment modalities and medical
& surgical
Nursing management of Burns MUST KNOW

and Re-constructive and Cosmetic
surgery;
Types of Re-constructive and

Cosmetic surgery; for burns,
congenital MUST KNOW
deformities, injuries and cosmetic

purposes
Role of Nurse
Legal aspects
MUST KNOW
Rehabilitation
Special therapies o Psycho

social aspects
382
Nursing procedures Drugs used
in treatment of Burns,
reconstructive and cosmetic MUST KNOW
surgery
MUST KNOW
DESIRABLE TO
KNOW
MUST KNOW
6. UNIT: VI 10 Hrs

with oncological conditions
DESIRABLE TO
Structure & characteristics of KNOW
normal & cancer cells
MUST KNOW
Prevention, Screening, Early MUST KNOW

detection, Warning signs of
383
cancer
Epidemiology, Etiology,
Classification, Path physiology,
Staging, clinical manifestations,
diagnosis, treatment of
oncological conditions MUST KNOW
Common malignancies of
various body systems; Oral,
larynx, lung,
Stomach and Colon, Liver,

Leukemias and lymphomas,
Breast, cervix,
Ovary, Uterus, Sarcoma, Brain,

Renal, Bladder, Prostate etc
MUST KNOW
Oncological emergences
MUST KNOW
Modalities of treatment
* Immunotherapy
* Chemotherapy
* Radiotherapy
* Surgical Interventions
* Stem cell and Bone marrow

transplants
* Gene therapy
*Other forms of treatment
Psycho social aspects of cancer
Rehabilitation
Palliative care; Symptom and

Pain management, Nutritional
support
384
Home care
Hospice care
Stomal Therapy
Special therapies - Psycho

social aspects
Nursing procedures
MUST KNOW
7. UNIT: VII 10 Hrs
patients in emergency& disaster
situations
Disaster Nursing
Concepts and principles of DESIRABLE TO

Disaster Nursing KNOW
Causes and Types of Disaster: MUST KNOW
Natural and Man made
- Earthquakes, Floods, Epidemics,

Cyclones
- Fire, Explosion, Accidents
- Violence, Terrorism, Bio

chemical, War
Policies related to
385
emergency/disaster management:
International,
National, State and Institutional

MUST KNOW
Disaster preparedness
Team, Guidelines, Protocols,

Equipments, Resources MUST KNOW
Coordination and involvement MUST KNOW

of Community, various
Government
departments, Non Govt. MUST KNOW

organizations and International
Agencies
Role of nurse : working
Legal Aspects of Disaster

Nursing
MUST KNOW
Impact of Health after effects:
Post traumatic stress disaster DESIRABLE TO
KNOW
Rehabilitation: Physical, Psycho
social, Financial, Relocation
Emergency Nursing DESIRABLE TO

KNOW
Concept, priorities, principles
and scope of emergency nursing MUST KNOW
Organization of emergency MUST KNOW

services: physical set up, staffing,
MUST KNOW
equipment
and supplies, protocols, concepts

of triage and role of triage nurse
Co ordination and involvement

of different departments and
facilities
386
Nursing assessment - History
Etiology, Patho physiology,

Clinical manifestations,
Diagnosis,
Treatment modalities and

medical surgical nursing
management of patient with
medical surgical emergency
Principles of emergency
management
Common emergencies
Respiratory emergencies
Cardiac emergencies
Shock and Hemorrhage
Pain
Poly trauma, road accidents,

crush injuries, wound
Seizures
Thermal Emergencies: Heat

stroke & cold injuries
Pediatric emergencies
Psychiatric emergencies
Obstetrical emergencies
Violence, Abuse, Sexual assault
Cardio pulmonary resuscitation
Crisis intervention
Role of nurse: Communication

387
and Inter Personal Relations
Medico- legal Aspects
Nursing care of the elderly
Nursing assessment—history DESIRABLE TO

Aging; MUST KNOW
Demography; Myths and MUST KNOW

realities
MUST KNOW
Concepts and theories of aging
MUST KNOW
Cognitive aspects of aging
MUST KNOW
Normal biological aging
MUST KNOW
Age related body systems
changes MUST KNOW
Psyscho social aspects of aging
medications and elderly MUST KNOW
Stress and coping in older

adults
MUST KNOW
Common health problems and
nursing management;
Cardiovascular, respiratory, MUST KNOW

Musculoskeletal,
Endocrine, genitor-urinary,
gastrointestinal MUST KNOW
Neurological, skin and other
388
sensory organs MUST KNOW
Psychosocial and sexual
Abuse of elderly MUST KNOW
Role of nurse for care of

elderly: ambulation
MUST KNOW
Nutritional, communicational,
psychosocial, and spiritual
Role of nurse for caregivers of MUST KNOW

elderly
Role of family and formal and

non-formal care givers MUST KNOW
use of aids and prosthesis

(hearing aids, dentures)
MUST KNOW
legal and ethical issues
Provisions and programmes for
elderly; privileges,
MUST KNOW
Community programmes and
health services;
home and institutional care

DESIRABLE TO
KNOW
DESIRABLE TO
KNOW
9. UNIT: IX 10 Hrs

in critical care units
DESIRABLE TO
Nursing assessment-History
389
Classification
Principles of critical care DESIRABLE TO

nursing KNOW
Organization; Physical setup, DESIRABLE TO

policies, staffing norms, KNOW
Protocols, equipment and MUST KNOW

supplies
Special equipments; ventilators,

cardiac monitors, defibrillators,
Resuscitation equipments MUST KNOW
Infection control protocols MUST KNOW
Nursing management of MUST KNOW

Monitoring of critically ill

patient
CPR-Advance cardiac Life MUST KNOW

support
MUST KNOW
Treatments and procedures
MUST KNOW
Transitional care
MUST KNOW
Ethical and legal Aspects
DESIRABLE TO
Communication with patient KNOW
and family
DESIRABLE TO
Intensive care records KNOW
Crisis Intervention MUST KNOW
Death and Dying—coping with
Drugs used in critical care unit MUST KNOW
390
MUST KNOW
10. UNIT: X 8 Hrs
patients’ adults including
elderly with occupational and
Industrial
disorders.
Nursing assessment - History and

physical assessment DESIRABLE TO
KNOW
Etiology, pathophysiology
,clinical manifestations ,diagnosis DESIRABLE TO
,treatment KNOW

occupational
and industrial health disorders
Role of nurse MUST KNOW
Special therapies, alternative MUST KNOW

therapies,
Nursing procedures
MUST KNOW
Drug used in treatment of
MUST KNOW
occupational and industrial
disorders
MEDICAL SURGICAL NURSING
391
Theory Credit: 04 Credit
Sr. Topic Learning Teaching Methodology Time

No. objectives guidelines
I UNIT: VI Describe the Structure & Lecture 10

etiology, patho- characteristics of Discussion Hrs
physiology, normal & cancer
clinical cells Explain
Nursing management manifestations, using Charts,
of patient with diagnostic Nursing graphs
oncological conditions measures and Assessment-
management of History and Models,
patients with Physical films, slides
oncology. assessment
Demonstrat
Prevention, ion
Screening, Early
detection, Practice
Warning signs of Session.
cancer
Case
Epidemiology, discussion /
Etiology, Seminar
Classification,
Path physiology, Health
Staging, clinical Education
manifestations, Supervised
diagnosis, clinical
treatment of practice. /
oncological presentation
conditions
Drug book /
Common presentation
malignancies of
Visit to
various body
rehabilitation
systems; Oral,
center
larynx, lung,
Stomach and
Colon, Liver,
Leukemias and
392
lymphomas,
Breast, cervix,
Ovary, Uterus,
Sarcoma, Brain,
Renal, Bladder,
Prostate etc
Oncological
emergences
Modalities of
treatment
* Immunotherapy
* Chemotherapy
* Radiotherapy
* Surgical
Interventions
* Stem cell and

Bone marrow
transplants
* Gene therapy
*Other forms of
treatment
Psycho social
aspects of cancer
Rehabilitation
Palliative care;
Symptom and
Pain
management,
Nutritional
support
393
Home care
Hospice care
Stomal Therapy
Special
therapies -
Psycho social
aspects
Nursing
procedures
II UNIT: VII Describe the Concepts and Lecture 10

organization of principles of Discussion Hrs
emergency and Disaster Nursing
disaster care Explain
Nursing management services Causes and using Charts,
of patients in Types of graphs
emergency& disaster Describe the Disaster:
situations role of nurse in Models,
disaster Natural and Man films slides
Disaster Nursing management made
Demonstrat
Describe the - Earthquakes, ion
role of nurse in Floods,
management of Epidemics, Practice
common Cyclones Session.
Emergencies
- Fire, Explosion, Case
Accidents discussion /
Seminar
- Violence,
Terrorism, Bio Health
chemical, War Education
Policies related Supervised

to clinical
emergency/disast practice. /
er management: presentation
International,
Drug book /
National, State presentation
394
and Institutional Visit to
rehabilitation
Disaster center
preparedness
 Horizontal
Team,  Problem
Guidelines, based
Protocols, learning
Equipments,
Resources
Coordination
and involvement
of Community,
various
Government
departments, Non
Govt.
organizations and
International
Agencies
Role of nurse :
working
Legal Aspects
of Disaster
Nursing
Impact of
Health after
effects: Post
traumatic stress
disaster
Rehabilitation:
Physical, Psycho
social, Financial,
Relocation
Emergency
Nursing
Concept,
395
priorities,
principles and
scope of
emergency
nursing
Organization of
emergency
services: physical
set up, staffing,
equipment
and supplies,
protocols,
concepts of triage
and role of triage
nurse
Co ordination
and involvement
of different
departments and
facilities
Nursing
assessment -
History and
Physical
assessment
Etiology, Patho
physiology,
Clinical
manifestations,
Diagnosis,
Treatment
modalities and
medical surgical
nursing
management of
patient with
medical surgical
396
emergency
Principles of
emergency
management
Common
emergencies
Respiratory
emergencies
Cardiac
emergencies
Shock and
Hemorrhage
Pain
Poly trauma,
road accidents,
crush injuries,
wound
Seizures
Thermal
Emergencies:
Heat stroke &
cold injuries
Pediatric
emergencies
Psychiatric
emergencies
Obstetrical
emergencies
Violence,
Abuse, Sexual
assault
397
Cardio
pulmonary
resuscitation
Crisis
intervention
Role of nurse:
Communication
and Inter
Personal
Relations
Medico- legal
Aspects
III UNIT: VIII Explain the Nursing Lecture 10

concept and assessment— Discussion Hrs
problems of history and
aging. physical Explain
Nursing care of the assessment using Charts,
elderly graphs
Aging;
Models,
Demography; films, slides
Myths and
realities Demonstrat
ion
Concepts and
theories of aging Practice
Session.
Cognitive
aspects of aging Case
discussion /
Normal Seminar
biological aging
Health
Age related Education
body systems
changes Supervised
clinical
Psyscho social practice. /
aspects of aging presentation
medications Drug book /
398
and elderly presentation
Stress and Visit to

coping in older rehabilitation
adults center
Common health  Horizontal

problems and method
nursing  Student
management; interactive
session
Cardiovascular,
respiratory,
Musculoskeletal,
Endocrine,
genitor-urinary,
gastrointestinal
Neurological,
skin and other
sensory organs
Psychosocial
and sexual
Abuse of
elderly
Role of nurse
for care of
elderly:
ambulation
Nutritional,
communicational,
psychosocial, and
spiritual
Role of nurse
for caregivers of
elderly
Role of family
and formal and
399
non-formal care
givers
use of aids and

prosthesis
(hearing aids,
dentures)
legal and
ethical issues
Provisions and
programmes for
elderly;
privileges,
Community
programmes and
health services;
home and
institutional care
IV UNIT: IX Describe Nursing Lecture 10

organization of assessment- Discussion Hrs
critical care History and
units physical Explain
Nursing management assessment using Charts,
of patient in critical Describe the graphs
care units role of nurse in Classification
management of Models,
patients critical Principles of films, slides
care units critical care
nursing Demonstrat
ion
Organization;
Physical setup, Practice
policies, staffing Session.
norms,
Case
Protocols, discussion /
equipment and Seminar
supplies
Health
400
Special Education
equipments;
ventilators, Supervised
cardiac monitors, clinical
defibrillators, practice. /
presentation
Resuscitation
equipments  Drug book /
presentation
Infection  Horizontal
control protocols method
 Unconven
Nursing tional
management of method
Monitoring of
critically ill
patient
CPR-Advance
cardiac Life
support
Treatments and
procedures
Transitional
care
Ethical and
legal Aspects
Communication
with patient and
family
Intensive care
records
Crisis
Intervention
Death and
Dying—coping
401
with
Drugs used in
critical care unit
V UNIT: X Describe the Nursing Lecture 8

etiology, patho assessment - Discussion Hrs
physiology, History and
clinical physical Explain
Nursing management manifestations, assessment using Charts,
of patients’ adults assessment, graphs
including elderly with diagnostic Etiology,
occupational and measures and pathophysiology Models,
Industrial management of ,clinical films, slides
patients with manifestations
disorders. occupational ,diagnosis Demonstrat
and industrial ,treatment ion
health disorder.
modalities and Practice
medical & Session.
surgical nursing
management of Case
occupational discussion /
Seminar
and industrial
health disorders Health
Education
Role of nurse
Supervised
Special clinical
therapies, practice. /
alternative presentation
therapies,
Drug book /
Nursing presentation
procedures
 Horizontal
Drug used in method
treatment of  Unconven
occupational and tional
industrial method
disorders
402
Medical Surgical Nursing ( Adult including Geriatrics) – II PRACTICAL
Code: 04100501


TION NT
OF METHOD
WEEK
ENT 1 Provide care to Perform examination of ear, nose Provide care to Assess each
patients with ENT and throat 2 -3 assigned skill with
disorders. patients checklist
Counsel and Assist with diagnostic procedures
educate patient and Nursing care Assess
families. Assist with therapeutic procedures plan-I performance
with rating
Instillation of drops Observation scale
reports of OPD
Perform / assist with irrigations Evaluation
Maintain drug of
book observation
Apply ear bandage report of
OPD
Perform tracheotomy care
Completion
Teach patients and families of activity
record
Ophthalmology 1 Provide care to Perform examination of eye Provide care to Assess each
patients with Eye 2 -3 assigned skill with
disorders Assist with diagnostic procedures patients checklist
Counsel and Assist with therapeutic procedures Nursing care Assess

educate patient plan - I performance
and families Perform / assist with irrigations with rating
Observation scale
Apply eye bandage reports of OPD
and eye bank Evaluation
of
Apply eye drops /ointments observation
Maintain drug
book report of
Assist with foreign body removal OPD/Eye
bank
Teach patients and families
Completion
403
of activity
record
Neurology 2 Provide care to Perform Neurological examination Provide care to Assess each
patients with assigned 2 -3 skill with
Neurological Use Glasgow Coma Scale patients with checklist
disorders neurological
Assist with diagnostic procedures disorders Assess
Counsel and performance
educate patient Case with rating
Assist with therapeutic procedures
and families study/Case scale
presentation-1
Evaluation
Maintain drug of case
Participate in Rehabilitation book study &
program health
Health teaching
Bathing Teaching-1
Completion
Dressing of activity
record
Perform active & passive exercises
Practice medical & surgical
asepsis
Counsel & Teach patients and

families Participate in rehabilitation
Program
Gynecology 1 Provide care to Assist with Gynecological Provide care to Assess each
Ward patients with examination assigned 2 -3 skill with
Gynecological patients checklist
disorders Assist with diagnostic procedures
Nursing Care Assess
2. Counsel Assist with therapeutic procedures Plan-1 performance
and educate with rating
patient and Maintain drug scale
families book
Evaluation
(a) Teaching self breast
of care plan
examination
(b) Assist with PAP smear Completion

collection of activity
record
Burns Unit Provide care to Assessment of the burns patient Provide care to Assess each
patients with  Percentage of burns 2 -3 assigned skill with
Burns  Degree of burns patients checklist
Counsel and Fluid and electrolyte replacement Nursing care Assess

educate patient therapy plan - I performance
and families  Assess with rating
404
 Calculate scale
 Replace Observation
 Record intake and reports of Burn Evaluation
output unit of care plan
and
care of burns wounds observation
 Bathing report
 Dressing
Completion
Perform active and passive of activity
exercises record
Practice medical and surgical

asepsis
Counsel & Teach Patient and

families
Practice in rehabilitation
programme teach patients and
families
Oncology Unit 1 Provide care to Screen for common cancers – Provide care to Assess each
patients with TNM classification 2-3 assigned skill with
cancer Counsel patients. check list.
and educate Assist with diagnostic procedures Nursing care
patient and  Biopsies plan Assess
Families.  Pap smear performance
 Bone - marrow Observation with rating
aspiration report of cancer scale.
unit.
Breast examination Evaluation
of care plan
Assist with therapeutic and
observation
report.
Participates in various modalities
of treatment
Completion
 Chemotherapy
of activity
 Radiotherapy
record.
 Pain management
 Stomal therapy
Activity
 Hormonal therapy
record
 Immuno therapy
 Gene therapy
 Alternative therapy
Participate in palliative care
Counsel and teach patients

families
 Self Breast
Examination
 Warning signs
Participate in rehabilitation
program
Critical Care 2 Provide care to Monitoring of patients in ICU Provide care to Assess each
Unit critically ill patients 1 assigned skill with
405
patient. check list.
Counsel patient Maintain flow sheet Care of patient
and families for on ventilators Observation Assess
grief and report of critical performance
bereavement. Perform Endotracheal suction care unit with rating
scale.
Demonstrates use of ventilators, Drugs book
cardiac monitors etc. Evaluation
of
observation
Collect specimens and interprets
report.
ABG analysis
Assists with arterial puncture Completion

of activity
record.
Maintain CVP line
Activity
Pulse Oximetry record
CPR – ALS
Defibrillators
Pace makers
Bag-mask ventilation
Emergency tray / trolley- Crash

Cart
 Infusion pump
 Epidural
 Intrathecal
 Intracardiac
Total parenteral therapy
Chest physiotherapy
Perform active & passive exercises
Counsel the patient and family in

dealing with grieving and
bereavement
Casualty/Emerg 1 Provide care to Practice ‘triage”. Observation Assess
ency patients in report of performance
emergency and Assist with assessment, Emergency unit with rating
disaster Situation. examination, investigations & their scale.
interpretations, in emergency and
2.Counsel patient disaster situations Evaluation
and families for of
grief and Assist in documentations observation
bereavement. report.
Assist in legal procedures in
emergency unit Completion
of activity
406
record
Participate in managing crowd
Counsel patient and families in

grief and bereavement.
407
7
TH
SEMESTER
408
Basic B.SC. Nursing 7th semester
COMMUNITY HEALTH NURSING- II
Code: 04100701
PLACEMENT: B.Sc. NURSING 4th YEAR HOURS OF INSTRUCTION

PREAMBLE
Community health is a major field of study within the medical and clinical sciences which focuses
on the maintenance, protection and improvement of the health status of population groups and
communities as opposed to the health of individual patients. The word "community" derives from
the Old French comuneté, which means, “commonness, community, shared in common".
Community health nursing is defined as the synthesis of nursing and public health practice applied to
promoting and protecting the health of population. It is a practice that is continuous and
comprehensive directed towards all groups of community members. A community comprises people
of various ages, health conditions, social status and cultures. The community health nurses are
expected to focus their work on disease prevention and health promotion, including promotion of
self-care. It combines all the basic elements of professional, clinical nursing with public health and
community practice. The community health nurse or public health nurse is one category of the health
workforce in the community. In all pre-service nursing or nursing and midwifery curricula, there are
one or two courses in community health nursing, which provide basic information on community
health and the role of nurses in the community. The primary goal of community health nursing is to
help a community protect and preserve the health of its members, while the secondary goal is to
promote self-care among individuals and families. In the health-care reform environment, the
community health nurse will probably continue to care for individuals and families, particularly
high-risk clients and those with communicable diseases
409
GOALS
 to prepare graduates to assume responsibilities as community health nurse specialists,

consultants, educators, administrators in a wide variety of professional settings
 to assist students in developing expertise and in depth understanding in the field of
community health nursing
 to analyze components of community health practices
 to develop advanced skills for nursing intervention in various aspects of community health
care settings
 to function as community health Nurse practitioner/specialist
 to function as educator, manager and researcher in the field of community health nursing.
OBJECTIVES
1. Appreciate the history and development in the field of Community Health and Community Health
Nursing.
2. Appreciate role of individuals and families in promoting health of the Community.
3. Perform physical, developmental and nutritional assessment of individuals, families and groups.
4. Apply the concepts of promotive, preventive, curative and rehabilitative aspects of health while
providing care to the people.
5. Apply nursing process approach while providing care to individuals, families, groups and
community.
6. Integrate the concepts of family centered nursing approach while providing care to the
community.
7. Recognize and participate in the management of emergencies, epidemics and disasters.
8. Apply recent technologies and care modalities while delivering community health nursing care.
9. Appreciate legal and ethical issues pertaining to community health nursing care.
10. Conduct community health nursing care projects.
11. Participate in planning, implementation and evaluation of various national health and family
welfare programmes at local, state and the national level.
410
12. Incorporate evidence based nursing practice and identify the areas of research in the community
settings.
13. Participate effectively as a member of Community Health team.
14. Coordinate and collaborate with various agencies operating in the community by using inter-
sectoral approach.
15. Teach community health nursing to undergraduates, in-service nurses and the community health
workers.
16. Demonstrate leadership and managerial abilities in community health nursing practice
TEACHING STRATEGIES
 Interactive session with the students

 Seminar
 Didactic lecture through Power point projection
 Demonstrations
 Field visits
 Postings in CHC, PHC , Sub-centers
TOTAL HOURS
THEORY – 90 HOURS
PRACTICAL -- 135 HOURS
TOTAL -- 225 HOURS
STUDENT ACTIVITIES
 Identification of community leaders and resource persons(community mapping)

 Community health survey
 Community health nursing process- individual, family and special groups and community
 Counseling
 Health education – campaign, exhibition, folk media, preparation of IEC materials
 Organising and participating in special clinics/camps and national health and welfare
programmes-Organise atleast one health and family welfare mela/fair (all stalls of national
health and family welfare activities should be included)
 Estimation of Vital health statistics -Exercise
411
 Drill for disaster preparedness
 Organise at least one in-service education to ANM’s/LHV/PHN/HW
 Nutrition – Exercise on nutritional assessment on dietary planning, demonstration and
education for various age groups
 Filling up of Records, reports and registers maintained at SC/PHC/CHC
 Assist women in self breast examination
 Conduct antenatal examination
 Conduct vaginal examination
 Conduct deliveries
 Post natal visits
 Perform Episiotomy and suturing
 Prepare Pap smear
 Conduct Insertion/Removal of IUD
 Blood Slide preparation
 Field visits
412
SR. TOPIC DOMAIN TIME
NO
1 Introduction
Definition, concept & scope of community 4 hours

Health and Community Health Nursing
Must to know
Historical development of
Community health
Community health Nursing
Pre - independence
Desire to know
Post-independence
2
Health planning and policies and problems
Nice to know
 National health planning in India —
Five Year Plans
 Various committees and commissions
Must to know 6 hours
on health and family welfare
o Central council for health and family
welfare (CCH and FW)
o National health policies (1983, 2002) Must to know
o National population policy

o Health problems in India
413
3
Delivery of community health services
Must to know 15 hours
 Planning, budgeting and material
management of SCs, PHC and, CHC
Rural: Organization, staffing and functions of Must to know

rural health services provided by government
at: Desirable to know
Village Sub centre Nice to know
Primary health centre Desirable to know
Community health center / sub Must to know

divisional
Nice to know
Hospitals
Must to know
District
Nice to know
State
Must to know
Centre
Desirable to know
Urban: Organization, staffing and

Desirable to know
functions of urban health services
provided by government at: Desirable to know
Slums Dispensaries Desirable to know
Maternal and child health centers Desirable to know
Special Clinics Must to know
Hospitals
414
Corporation / Municipality / Board
 Components of health services

 Environmental sanitation
 Health education
 Vital statistics Must to know
 M.C.H - antenatal, natal, postnatal MTP
Act, female foeticide act,child adoption
act
Must to know
 Family Welfare
 National health programmes
 School health services
 Occupational health
 Defence services
Desirable to know
 Systems of Medicine and health care
 Allopathy
 Indian System of Medicine and
Homeopathy
 Alternative health care systems like yoga,
meditation, social and spiritual healing
etc.
 Referral system
Community health nursing approaches,

4 Desirable to know 25 hours
concepts and roles and responsibilities of
nursing personnel.
 Approaches
Must to know
- Nursing theories and Nursing

process
- Epidemiological approach
415
- Problem solving approach
- Evidence based approach Desirable to know
- Empowering people to care for Nice to know

themselves
Desirable to know
 Concepts of Primary Health Care:
Must to know
- Equitable distribution
- Community participation
Nice to know
- Focus on prevention
- Use of appropriate technology
- Multi-sectoral approach
 Roles and responsibilities of Community

health nursing personnel in
- Family health services
- Information Education
- Communication (IEC)
- Management information (MIS): Desiable to know
Maintenance of Records & Reports
- Training and supervision of various

categories of health workers
- National Health Programmes
- Environmental sanitation
416
- Maternal and Child health and
Family welfare
- Treatment of minor ailments

Must to know
- School Health Services
Must to know
- Occupational Health
Must to know
- description of Community health
Must to know
nursing personnel
Nice to know
Must to know
5 Must to know 15 hours

Assisting individuals and groups to
promote and maintain their health.
Must to know
 Empowerment for self-care of individual,

Must to know
families and groups in-Assessment of self
and family. Must to know
 Monitoring growth and development
Desirable to know
Mile stones
Must to know
Weight measurement
Social development
Temperature and Blood pressure monitoring

Desirable to know
Menstrual cycle
Desirable to know
Breast self-examination and testicles
Nice to know
Warning signs of various diseases
Nice to know
Tests Urine for sugar and albumin,
417
blood sugar Must to know
Seek health services for Desirable to know
Routine checkup Must to know
Immunization Nice to know
Counseling Must to know
Diagnosis Desirable to know
Treatment Must to know
Follow up
 Maintenance of Health records for self

and family
 Continue medical care and follow up in
community for various diseases and
Must know
disabilities
 Carryout therapeutic procedures as
prescribed / required for self and family
 Waste Management Must to know
• Collection and disposal of waste at

home and community
 Sensitize and handle social issues

affecting health and development for self
and family
Women Empowerment
Women and child abuse
Abuse of elders
418
Female Foeticide
Commercial sex workers
Food adulteration
Substance abuse
 Utilize community resources for and

family
Trauma services
Old age homes
Orphanage
Homes for physically and mentally

challenged individuals
Homes for destitute
National health and family welfare

programmes and the role of a nurse.
6 Nice to know
1) National ART Programme

Must to know
2) Revised National Tuberculosis

Desirable to know
Control Programme (RNTCP)
Must to know
3) National Anti-Malaria Programme
4) National Filaria control programme
5) National Guinea worm eradication

programme
419
6) National Leprosy eradication
programme
7) National AIDS control programme

Nice to know
8) STD control programme
Must to know
9) National programme for control of
Desirable to know
blindness
Must to know
10) Iodine deficiency disorder
programme
11) Expanded programme on

immunization
12) National Family Welfare

Programme-RCH Programme Nice to know
historical development, organization,
Must to know
administration, Research, constraints
Desirable to know
13) National water supply and
Must to know
sanitation programme
14) Minimum Need programme
15) National Diabetics control

programme
16) Polio Eradication Pulse Polio

Programme
17) National cancer control

Programme
18) Yaws Eradication Programme
420
19) National Nutritional Anemia
prophylaxis programme
20) 20 point programme
21) ICDS programme
22) Mid-day meal applied nutritional

programme
23) National mental health

programme Health ESI CGHS Health
insurance
Health Agencies
7
 International — WHO, UNFPA, UNDP,
World Bank, FAO, UNICEF, DANIDA, Nice to know
European Commission (EC).Red cross,
USAID, UNESCO, Colombo Plan, ILO, Must to know
CARE etc.
Desirable to know
 National - Indian Red Cross, Indian
Council for child welfare, Family Must to
Planning Association of India (FPAI),
Tuberculosis Association of India, Hindu
Kusht NivaranSangh, Central Social
Welfare Board, All India Women’s
conference, Blind Association of India
etc.
421
Sr.No Topic Learning Teaching Guidelines Methodolog Time
Objectives y
( At the end of the

session, the
students should be
able to : )
1 Introduction
Definition, concept & Define concepts, To cover concept, Interactive 4 Hrs

scope of community scope, principles and session
scope, definition,
Health and Community historical
HealthNursing development of trends, history and Didactic
lecture on
development of
Historical development Community health Define
of Community health and community modern health and concepts,
health Nursing. scope,
community health
Community health principles
Nursing nursing and historical
development
Pre - independence of
Post-independence Community
health and
community
health
Nursing.
Health planning and Describe health Interactive

To cover health
2 policies and plans, policies, session 6
plans, policies,
problems various health hours
various health
committees and Didactic
committees and
 National health health lecture,
health problems in
planning in India problem
India.
— Five Year problems in India. based
Plans learning
 Various method,
committees and simulated
commissions on learning,
health and cooperative
422
family welfare learning
o Central council
for health and
family welfare
(CCH and FW)
o National health
policies (1983,
2002)
o National
population
policy
Health problems
in India
Describe the system 15

Delivery of community of delivery of hours
3 health services community health To cover the system  Lecture
services in rural and of delivery of discussio
Planning, budgeting and urban areas. community health n
material management of services in rural and  Visits to
SCs, PHC and, CHC List the functions of urban areas. various
various levels and health
Rural: Organization, their staffing pattern List the functions of delivery
staffing and functions of various levels and systems
rural health services their staffing pattern  Supervise
provided by government d field
at: Explain the practice
components of  Panel
Village Sub centre health services Explain the discussio
components of health n
Primary health centre services
Community health
center / sub divisional
Describe alternative
Hospitals systems of health
promotion and Describe alternative
District health maintenance systems of health
promotion and health
State maintenance
Centre
Urban: Organization,
staffing and functions of
urban health services
provided by government
at:
423
Slums Dispensaries
Maternal and child Describe the chain

health centers of referral system
Describe the chain of
Special Clinics referral system
Hospitals
Corporation /
Municipality / Board
Components of health
services
Environmental
sanitation
Health education
Vital statistics
M.C.H - antenatal, natal,

postnatal MTP Act,
female foeticide act,
child adoption act
Family Welfare
National health
programmes
School health services
Occupational health
Defence services
Systems of Medicine
and health care
Allopathy
Indian System of
Medicine and
Homeopathy
Alternative health care

systems like yoga,
424
meditation, social and
spiritual healing etc.
Referral system
Describe community
Health Nursing
Community health approaches and
nursing approaches, concepts. 25
concepts and roles and hours
4 responsibilities of Describe the roles
nursing personnel and responsibilities
Approaches of Community To cover community Lecture
health nursing Health Nursing discussion
 Nursing theories personnel. approaches and
and Nursing concepts. Demonstratio
process n
 Epidemiological To describe the roles
approach and responsibilities of Practice
 Problem solving Community health session
approach nursing personnel.
 Evidence based Supervised
approach field practice
 Empowering Participation
people to care in camps
for themselves
 Concepts of Group
Primary Health Project
Care:
 Equitable
distribution
 Community
participation
 Focus on
prevention
 Use of
appropriate
technology
 Multi-sectoral
approach
 Roles and
responsibilities
of Community
health nursing
personnel in
 Family health
services
 Information
Education
 Communication
425
(IEC)
 Management
information
(MIS):
 Maintenance of
Records &
Reports
- Training and
supervision of
various
categories of
health workers
- National Health
Programmes
- Environmental
sanitation
- Maternal and
Child health and
Family welfare
- Treatment of
minor ailments
- School Health
Services
- Occupational
Health
- description of
Community
health nursing
personnel
Describe and
426
appreciate the 25 hrs
activities of
5 Assisting individuals community health
and groups to promote nurse in
and maintain their To cover the the
health. assisting individuals activities of
and groups to community health Lecture
Empowerment for self- promote and nurse in discussion
care of individual, maintain their health
families and groups in- assisting individuals Demonstratio
Assessment of self and and groups to n Practice
family. promote and maintain session
their health
Monitoring growth and Supervised
development field practice
Mile stones Individual,

group,
Weight measurement family,comm
unity health
Social development education.
Temperature and Blood

pressure monitoring
Menstrual cycle
Breast self-examination
and testicles
Warning signs of
various diseases
Tests Urine for sugar

and albumin, blood
sugar
Seek health services for
Routine checkup
Immunization
Counseling
Diagnosis
Treatment
427
Follow up
Maintenance of Health
records for self and
family
Continue medical care

and follow up in
community for various
diseases and disabilities
Carryout therapeutic
procedures as prescribed
/ required for self and
family
Waste Management
Collection and disposal

of waste at home and
community
Sensitize and handle

social issues affecting
health and development
for self and family
Women Empowerment
Women and child abuse
Abuse of elders
Female Foeticide
Commercial sex
workers
Food adulteration
Substance abuse
Utilize community
resources for and family
Trauma services
Old age homes
428
Orphanage
Homes for physically

and mentally challenged
individuals
Homes for destitute
Describe and
national health and
family welfare
National health and programmes and Lecture 15
family welfare role of nurse. discussion hours
6 programmes and the To cover national
role of a nurse. Describe the various health and family Participation
health schemes in welfare programmes in National
1) National ART India. and role of nurse. Health
Programme Programmes
Describe the various
2) Revised National health schemes in Field visits
Tuberculosis Control India.
Programme (RNTCP)
3) National Anti-
Malaria Programme
4) National Filaria
control programme
5) National Guinea
worm eradication
programme
6) National Leprosy
eradication programme
7) National AIDS
control programme
8) STD control
programme
9) National programme
for control of blindness
10) Iodine deficiency
429
disorder programme
11) Expanded
programme on
immunization
12) National Family

Welfare Programme-
RCH Programme
historical development,
organization,
administration,
Research, constraints
13) National water

supply and sanitation
programme
14) Minimum Need

programme
15) National Diabetics

control programme
16) Polio Eradication

Pulse Polio Programme
17) National cancer

control Programme
18) Yaws Eradication

Programme
19) National Nutritional

Anemia prophylaxis
programme
20) 20 point programme
21) ICDS programme
22) Mid-day meal

applied nutritional
programme
23) National mental

health programme
Health ESI CGHS
Health insurance
430
Explain the roles and
functions of various 20
national and hours
Health Agencies international health To cover the roles Lecture
International — WHO, agencies. and functions of discussion
7 UNFPA, UNDP, World various national and
Bank, FAO, UNICEF, international Field visits
DANIDA, European
health agencies.
Commission (EC).Red
cross, USAID,
UNESCO, Colombo
Plan, ILO, CARE etc.
National - Indian Red

Cross, Indian Council
for child welfare,
Family Planning
Association of India
(FPAI), Tuberculosis
Association of India,
Hindu
KushtNivaranSangh,
Central Social Welfare

Board, All India
Women’s conference,
Blind Association of
India etc.
431
Basic B.SC. Nursing 7th semester
COMMUNITY HEALTH NURSING- II: Practical

TION NT
OF METHOD
WEEK
Community 1 week Identify community Community health survey Community Assess

Health Nursing for profile survey report – clinical
urban; Community diagnosis performance
4 Identify prevalent Family care with rating
weeks communicable study- 1 scale.
Family care : Home adaptation of
for and non- common procedures
rural communicable Project-1 Evaluation
diseases Home visit : Bag technique of
Health talk -1 community
Diagnose health survey
Organize and conduct clinics report,
needs of antenatal, post natal, well baby Case book
Individual, families family care
clinic, campsetc. recording study,
and community
project and
Screen manage and referrals for: health talk.
Plan, provide and
evaluate care
High risk mothers and neonates Completion
Participate in of case
Accidents and emergencies book
school health
recording.
program
Illnesses : Physical and mental
Participate in
national health Disabilities
programmes
Conduct delivery at centre / home
Organize group for episiotomy and suturing
self help and
involve clients in Resuscitate newborn
their own health
activities School Health Programmes
Provide family Screen, manage, refer children

welfare services
Collaborate with health and allied
Counsel and agencies
educate Individual,
family and
Train and Supervise health
community
workers
Collect Vital health
Provide family welfare services:
statistics
insertion of IUD
Maintain Records
Counsel and teach individual,
432
& Reports family and community about: HIV,
TB,
Diabetes, Mental health,

adolescents, elderly’s
health, physically
andmentally challenged
individuals etc.
Collect and Calculate vital health

statistics
Document and maintain
433
MIDWIFERY AND OBSTETRICAL NURSING
Code:
PLACEMENT: B.Sc. NURSING 4TH YEAR HOURS OF INSTRUCTION

PREAMBLE
Midwifery and obstetrical nursing is a nursing specialty area concerned with the care of normal
and high risk pregnant women during antenatal, natal and postnatal periods in hospitals and
community settings. The midwifery nurses in today’s scenario are managing normal and high risk
neonates and participate in family welfare programs as well.
Midwifery and obstetrical nursing is one of the hugegroups of professionals in the field of nursing.
Advances in this specialty have resulted in midwifery and obstetrical nursing evolving into its own
specialty.
Many years ago a majority of hospital nurses worked on wards. Today licensed midwives can work
in a variety of positions, inpatient clinics, emergency departments, HMO’s, administration,
community health centers, home health care, ambulatorycare, and skilled nursing homes and Family
welfare departments.
GOALS
The primary goal ofmidwifery and obstetrical nursing is to widen the student’s knowledge and
develop proficiency in caring for normal, high risk pregnant women, postnatal women and
newborns.
OBJECTIVES
1. Explain relevant anatomy and physiology of women reproductive system of the body.
2. State the historical background and various trends in midwifery and obstetrical nursing.
3. Develop the skills in caring of an antenatal women and taking the history during the
pregnancy.
4. Develop the skills in managing of intranatal women and how to deal in an emergency
situation.
5. Develop skill in giving comprehensive nursing care to patients following the steps of nursing
process in case of high risk women.
6. Assist the patients and their families in identifying and meeting their own health needs.
7. Appreciate the role of the nurse in the midwifery and obstetrical health team.
434

3. Role Play
4. Student Seminar
5. Panel discussion
6. Teacher Seminar
7. Presentations
435
Midwifery and Obstetrical Nursing
Placement: 3rd Year
Theory 90 Hours /6Credits
Practical 180 Hours/6 Credit
Total : 270 Hours/12 Credit
S.NO TOPIC HRS
DOMAIN
1 TRENDS AND ISUUES IN MIDWIFERY: 03

Introduction to midwifery and obstetrical
Nursing
Introduction to concepts of midwifery and Good to know
obstetrical nursing
Trends in midwifery and obstetrical nursing
Historical perspectives and current trends
National policy and legislation in relation to
maternal healthand welfare Desirable to know
 Legal and ethical aspects

Pre-conception care and preparing for
parenthood
Role of nurse in midwifery and obstetrical care Must know
Maternal, morbidity, mortality and fertility
rates
Perinatal, morbidity and mortality rates
ANATOMY AND PHYSIOLOGY OF 08

REPRODUCTIVE ORGANS:
 Review of anatomy and physiology of
Nice to know
female reproductive system andfoetal
436
2 development
 Female organs of reproduction external
genital, internal genital organsand their
anatomicalrelations, musculature-blood
supply, nerves, lymphatic’s, pelvic
cellulartissue.
Desirable to know
 Pelvic peritoneum.
 Human sexuality
 Physiology of menstrual cycle

 Female pelvis-general description of the
bones, joints, ligaments, planes of the Must know
pelvis diameters of the true pelvis,
important landmarks, variations in pelvis
shapes
 Foetal development
 Conception, Fertilization, implantation
(embedding of the ovum), development
of the embryo andplacenta at term-
functions, abnormalities, the foetal sac,
amniotic fluid, the umbilical cord
Foetalcirculation, foetal skull, bones,
sutures and measurements.
 Review of genetics
Must know 08
ANTENATAL PERIOD:
 Assessment and management of
pregnancy(ante-natal)
 Normal pregnancy Must know
 Physiological changes during pregnancy
3.  Reproductive system
 Cardio vascular system
 Respiratory system
 Urinary system
 Gastro intestinal system
 Metabolic changes
 Skeletal changes
 Endocrine system
437
 Psychological changes
 Discomforts of pregnancy
 Diagnosis of pregnancy
 Signs
 Differential diagnosis
 Confirmatory tests
 Ante-natal care
 Objectives
 assessment
 History and physical examination
 Antenatal examination
 Signs of previous child-birth
 Relationship of foetus to uterus and Desirable to know
 Pelvis lie, attitude, presentation,
position.
 Per vaginal Examination
 Screening and assessment for high risk,
Risk approach
 History and physical examination
 Modalities of diagnosis, invasive and
non-invasive, ultrasonics, cardio
tomography, NST,CST Antenatal
preparation Nice to know
 Antenatal counseling
 Antenatal exercise
 Diet
 Substance use
 Education for child birth
 Husband and families
 Preparation for safe confinement
 Prevention from radiation Psychosocial
cultural aspects of pregnancy
 Adjustment to pregnancy
 Unwed mother
 Single parent
 Teen age pregnancy
 Sexual violence
 Adoption
438
4. Intranatal Period 5
 Assessment and management of
intranatal period
 Physiology of labour mechanism of
labour management of labour
First stage
 Signs and symptoms of onset of labour; Must know
normal and abnormal
 Duration
 Preparation of labour room women
 Assessment and observation of women
in labour; partogram-maternal and foetal
monitoring
 Active management of labour, induction
of labour
 Pain relief and comfort in labour
Must know
Second stage
 Signs and symptoms, normal and
abnormal
 Duration
 Conduct of delivery; principles and
techniques
 Episiotomy (only if required)
 Receiving the newborn
 Neonatal resuscitation initial steps and
subsequent resuscitation
 Care of umbilical cord
 Immediate assessment including
screening for congenital anomalies
 Identification
 Bonding
 Initiate feeding
 Screening and transportation of the Must know
neonate
Third stage
 Signs and symptoms; normal and
abnormal
 Duration
 Method of placental expulsion
 Management; principles and techniques
 Examination of the placenta
 Examination of perineum Maintaining
439
records, and reports Forth stage
5 Postnatal period 05
 Assessment and management of women
during postnatal period
 Normal purperium physiology Duration
 Postnatal assessment and management
 Promoting physical and emotional well- Must know
being
 Lactation management
 Immunization
 Family dynamics after child-birth Desirable to know

 Family welfare services; methods,
counseling
 Follow-up
 Records and reports
6 06
Normal newborn
 Assessment and management of normal
neonates
 Normal Neonate; Physiological
adaptation, Initial and daily assessment Must know
 Essential newborn care; thermal control
Breast
 feeding, prevention of infections
 Immunization
 minor disorders of newborn and its
management
 Levels of neonatal care (level I,II,&III)
 At primary, secondary and tertiary levels
 Maintenance of reports and records.
7 High risk pregnancy 10
 High-risk pregnancy-assessment and Must know
management
 Screening and assessment
 Ultrasonics, cardiotomography, NST, Desirable to know
CST, non-invasive and invasive
 Newer modalities of diagnosis high- risk Must know
approach
440
 Levels of care; primary, secondary and
tertiary levels
 Disorders of pregnancy
 Hyper-emesis gravidarum, bleeding in
early pregnancy, abortion, ectopic
 Pregnancy, vesicular mole,
 Antepartum haemorrhageUterine
abnormality and displacement
Diseasesbcomplicating pregnancy
 Medical and surgical conditions Must know
 Infections, RTI (STD), UTI,
HIV,TORCH
 Gynaecological diseases complicating
pregnancy
 Pregnancy induced hypertension and
diabetes, hydramnios
 Rh incompatibility
 Mental disorders
 Adolescent pregnancy, Elderly prime
and grand multipara
 Multiple pregnancy
 Abnormalities of placenta and cord
 Intra-uterine growth-retardation
 Nursing management of mothers with
high-risk pregnancy
 Maintenance of records and report
10
8 Abnormal labour
 Abnormal labour-assessment and
management Must to know
 Disorders in labour
 CPD and contracted pelvis
 Malpositions and malpresentations
 Premature labour, disorders of uterine
actions-precipitate labour,
 Prolonged labour
 Complications of third stage: injuries to
birth canal
 Obstetrical emergencies and their
441
Management;
 Presentation and prolapse of cord, vasa
praevia, amniotic fluid embolism,rupture
of the uterus, shoulder dystocia,
obstetrical shock.
 Obstetrical procedures and operations
 Induction of labour, forceps, vacuum
version, manual removal of placenta,
caesarean section, destructive
operations.
 Nursing management of women
undergoing obstetrical operations and
procedures.
9 Complications of third stage of labour Must know 04
 Abnormalities during postnatal Periods

 Assessment and management of women
with postnatal complications
 Puerperal infections, UTI, thrombo-
Embolic disorders, post-partum
haemorrhage, Desirable to know
 Eclampsia and subinvulations
 Psychological complications:
 Post partum blues
 Post partumdepression Post
partumpsychosis
10 High risk newborns Must know 10
 Assessment and management of high

risk newborn
 Admission of neonates in the neonatal
intensive care units protocols
 Nursing management of:
 Low birth weight babies
 Infections
 Respiratory problems
 Hemolytic disorders
 Birth injuries
 Malformations
 Monitoring high risk neonates
 Feeding of high risk neonates
442
 Organisation and management of
neonatal intensive care units
 Infection control in neonatal intensive Desirable to know
care units maintenance of reports and
records
11 Pharmacotherapeutics 04
 Pharmaco-therapeutics in obstetrics
 Indication, dosage, action,
contraindication and side effects of Must know
drugs
 Effect of drugs on pregnancy, labour and
puerperium
 Nursing responsibilities in the
administration of drugs in obstetrics
 Oxytocin, antihypertensives, diuretics,
tocolyticagents ,anticonvulsants;
 Analgesics and anesthesics in obstetrics
 Effects of maternal medication on foetus
and neonate
12 Family welfare Nice to know 10
 Family welfare programme

 Population’ trends and problem in India
 Concepts, aims, importance and history
of family welfare programme
Must know
 National population: dynamics, policy
and education ‘
 National family welfare programme;
RCH, ICDS, MCH, safe motherhood
 Organization and administration; at
national, state, district, block and village
levels
 Methods of contraception; spacing,
temporary and permanent, Emergency
contraception
 Infertility and its management
 Counselling for family welfare
 Latest research in contraception
 Maintenance of vital statistics
443
 Role of national international and
voluntary organizations
 Role of nurse in family welfare
programme
 Training/supervision/collaboration with
other functionaries in communitylike
ANMs, LHVs, Anganwadi workers,
TBAs (Traditional birth attendant-Dai)
444
S.No Topic Learning Teaching guidelines Methodology Time
Objectives
(At the end of

the session
the student
should be
able to )
1 TRENDS AND Enumerate the To cover midwifery and 1.Interactive 3 hr.

ISUUES IN various trends obstetrical Nursing,concepts session with
MIDWIFERY: and historical of midwifery and obstetrical the students
aspects in nursing, regarding
Historical midwifery. history and
perspective and Trends in midwifery and changing
changing trends
obstetrical nursing, trends in
in midwifery.
midwifery.
Historical perspectives and
current trends,
Legal and ethical aspects,
Pre-conception care and 2. Essay

preparing for parenthood writing on
legal and
Perinatal, morbidity and ethical aspects
mortality rates, and on national
policy related
National policy and to maternal
legislation inrelation to health.
maternal health and welfare,
Maternal, morbidity, mortality
and fertility rates, Role of
nurse in midwifery and 3. Students
obstetrical care. seminar on role
of a nurse in
midwifery and
obstetrical
care.
2 ANATOMY 1. Discussthe To coverthe review of anatomy 1.Didactic

AND female and physiology of female lecture through
PHYSIOLOGY reproductive reproductive system and Power point
OF organs, foetal development Female projections
REPRODUCTI maternal pelvis-general description of 8 hrs.
VE ORGANS: pelvis.
the bones, joints, ligaments,
planes of the pelvis diameters
Anatomy and 2. Explain the 2. Group
of the true pelvis, important 445
physiology of maternal discussion on
female pelvis. landmarks, variations in anatomy and
reproductive physiology of
3. Enumerate pelvis shapes Female organs female
organ. the fetal of reproduction external reproductive
development. genital, internal genital organs organs.
Fetal and their anatomical relations,
development 4. musculature-blood supply,
Comprehendth nerves, lymphatic’s, pelvic
genetics e Concept of cellular tissue,
genetics.
Pelvic peritoneum.
Physiology of menstrual
cycle, Human sexuality
3. Visit to the
genetic
Foetal development ,
counseling
Conception,Fertilization,
centre.
implantation (embedding of
the ovum), development of
the embryo andplacenta at
term-functions, abnormalities,
4. Seminar on
the foetal sac, amniotic fluid,
of menstrual
the umbilical cord
cycle.
Foetal circulation, foetal
skull, bones, sutures and
measurements.
5. Model
presentation on
Review of genetics.
fetal
development
and
fertilization.
3 ANTENATAL 1.Discuss the To cover Assessment and 1.Didactic 8 hrs

PERIOD: antenatal management of lecture through
period. pregnancy(ante-natal) Power point
Antenatal care projection on
2.Describe the assessment and
Normal pregnancy
Normal normal management of
pregnancy pregnancy pregnancy.
Physiological changes during
pregnancy
Physiological 3.Explain the
changes physiological
changes Reproductive system 2.Teacher
during seminar on
pregnancy Cardio vascular system normal
pregnancy and
4.Enumerate Respiratory system physiological
the diagnosis changes during
of pregnancy Urinary system pregnancy.
5.Explain the
446
screening and Gastro intestinal system 3.Demonstration
assessment of on assessment
antenatal on antenatal
Metabolic changes, Skeletal
women women.
changes, Endocrine system,
Psychological changes,
6.Discuss the 4. Model
various Discomforts of
presentation on
adjustment pregnancy,Diagnosis of
different
issues related pregnancy Signs terminologies
to the related to the
pregnancy Differential diagnosis antenatal
examination.
Confirmatory tests
Ante-natal care
5. Posting in
Objectives, assessment antenatal OPDs.
History and physical

examination, Antenatal
examination, Signs of 6. Postings in
Diagnostic
previous child-birth
centres.
Relationship of foetus to
uterus and, Pelvis lie, attitude,
presentation, position,Per 7. Seminar on
vaginal Examination, psychosocial
Screening and assessment for and cultural
high risk, Risk approach aspects of
pregnancy.
History and physical
examination
Modalities of diagnosis,
invasive and non-invasive,
ultrasonics,
cardiotomography, NST,CST
Antenatal preparation
Antenatal counseling
Anteatal exercise
Diet
Substance use
Education for child birth
Husband and families
447
Preparation for safe
confinement
Prevention from radiation

Psychosocial cultural aspects
of pregnancy
Adjustment to pregnancy
Unwed mother
Single parent
Teen age pregnancy
Sexual violence
Adoption
4 INTRANATAL 1. Describe To coverSigns and symptoms 1.Didactic 12 hrs

WOMEN: the of onset of labour; normal and lecture through
physiology abnormal, Duration Power point
First stage of and stages of projections.
labor labour. Preparation of labour room
Second stage of
women,Assessment and
labor
2. Describe observation of women in
2.
the labour; partogram-maternal
Third stage of Demonstration
labor management and on assessment
of women and
Fourth stage of during foetal monitoring, Active management of
labor intranatal management of labour, intranatal
period. induction of labour, Pain women.
relief and comfort in labour
3. Discuss
the Second stage
Assessment 2. Simulation
and Signs and symptoms, normal teaching on
management and abnormal conduction of
of intranatal delivery.
period Duration, Conduct of
delivery; principles and
4. Describe techniques, Episiotomy (only
3.
physiology if required) Demonstration
of labour on neonatal
mechanism Receiving the newborn resuscitation.
of labour
management Neonatal resuscitation initial
of labour. steps and subsequent
resuscitation 4. Clinical
teaching on
448
Care of umbilical cord partograph.
Immediate assessment
including screening for
congenital anomalies 5. Clinical
posting and
demonstration
Identification, Bonding on management
of third stage of
Initiate feeding, Screening labor.
and transportation of the
neonate
Third stage 6. Report

writing.
Signs and symptoms; normal
and abnormal
Duration, Method of placental

expulsion
Management; principles and

techniques
Examination of the placenta,

Examination of perineum
Maintaining records, and
reports
Fourth stage
5. PUERPERIUM: 1. Describe To cover the Assessment and 1.Didactic 5 hrs

the management of women lecture through
physiology during postnatal period, Power point
of Normal purperium projections.
puerperium. physiology, Duration
Postnatal assessment and
2. Describe management,Promoting
2. Clinical
the physical and emotional well-
posting
management being, Lactation demonstration
of women management,Immunization, on assessment
during Family dynamics after child- and
postnatal birth management of
period. postnatal
,Family welfare services; women.
methods, counseling
,Follow-up, Records and

reports 3. Visits to
family welfare
449
departments.
6. NORMAL 1.Describe Assessment and management 1.Didactic 6 hrs

NEONATES: the of normal neonates, Normal lecture through
assessment Neonate; Physiological Power point
and adaptation, Initial and daily projections.
management assessment, Essential
of normal newborn care; thermal
neonate. control, Breast feeding,
2. Students
prevention of
seminars on
essential new
Infections, Immunization born care.
minor disorders of newborn

and its management, Levels
of neonatal care (level 3. Clinical
I,II,&III) At primary, posting and
secondary and tertiary levels, demonstrations
Maintenance of reports and on different
records. level of neonatal
care.
4. Report
writing on
neonatal care.
7. HIGH RISK 1.Describe To cover High-risk 1.Didactic 10 hrs

PREGNANCY: the pregnancy-assessment and lecture through
Identification management, Screening and Power point
and assessment,Ultrasonics,cardio projections.
management tomography, NST, CST, non-
of women invasive and invasive, Newer
with high modalities of diagnosis high-
2. Teacher
risk risk approach, Levels of care;
seminar on
pregnancy. primary, secondary and
High-risk
tertiary levels, Disorders of
pregnancy-
pregnancy, Hyper-emesis assessment and
gravidarum, bleeding in early
management.
pregnancy, abortion, ectopic,
Pregnancy, vesicular mole,
Antepartum haemorrhage
Uterine abnormality and 3. Clinical
displacement Diseases posting and
High-risk
complicating pregnancy pregnancy-
assessment and
Medical and surgical
450
conditions, Infections, RTI management
(STD), UTI, HIV,TORCH,
Gynaecological diseases
complicating pregnancy
4. Report
Pregnancy induced writing on
hypertension and diabetes, neonatal care.
hydramnios
Rh incompatibility
Mental disorders
Adolescent pregnancy,
Elderly prime and grand
multipara, Multiple
pregnancy, Abnormalities of
placenta and cord
Intra-uterine growth-
retardation, Nursing
management of mothers with
high-risk pregnancy
Maintenance of records and

report.
8. ABNORMAL 1.Describe To cover abnormal labour- 1.Didactic 10

LABOUR: management assessment and management, lecture through hrs.
of abnormal Disorders in labour, CPD and Power point
labour and contracted pelvis, projections.
Obstetrical Malpositions and
emergencies malpresentations, Premature
labour, disorders of uterine
2. Teacher
actions-precipitate labour,
seminar on
Prolonged labour
abnormal
labor, CPD and
Complications of third stage: Contracted
injuries to birth canal, pelvis.
Obstetrical emergencies and
their
Management;Presentation and
prolapse of cord, vasa praevia, 3. Clinical
amniotic fluid posting and
embolism,rupture of the management on
uterus, shoulder dystocia, complications
obstetrical shock, Obstetrical on third stage
procedures and operations, and injuries to
Induction of labour, forceps, birth canal.
vacuum version, manual
removal of placenta,caesarean
451
section, destructive
operations, Nursing
management of women 4. Seminars on
undergoing obstetrical Obstetrical
operations and procedures. emergencies.
5. OT postings
for the Cesarean
section and
destructive
operations.
9. POSTNATAL Describe the Abnormalities during 1.Didactic 4 hrs

COMPLICATI management postnatal Periods lectures on
ONS: of postnatal power point
complication Assessment and management projections on
s. postnatal
of women with postnatal
complications.
complications, Puerperal
infections, UTI, thrombo-
Embolic disorders, post-
partum haemorrhage,
Eclampsia and subinvulations,

Psychologicalcomplications,P
ostpartum blues, Post
partumdepression Post
partumpsychosis
10. HIGH RISK Identify the Assessment and management 1.Didactic 10

NEONATES: high risk of high risk newborn, lecture through hrs.
neonates and Admission of neonates in the Power point
their nursing neonatal intensive care units projections.
management protocols Nursing
management of:Low birth
weight babies
2. Teacher
seminar on
Infections, Respiratory High-risk
problems, Hemolytic neonates -
disorders, Birth
assessment and
injuriesMalformations, management.
Monitoring high risk
neonates, Feeding of high risk
neonates, Organisation and
management of neonatal 3. Clinical
intensive care units posting and
452
Infection control in neonatal demonstration
intensive care units on high-risk
maintenance of reportsand neonates-
records assessment and
management
4. Report
writing on high
risk neonatal
care.
11. PHARMACOT Describe Pharmaco-therapeutics in 1.Teacher 4 hrs.

HERAPEUTICS indication obstetrics, Indication, dosage, seminar on
IN dosage, action, contraindication and different drugs
OBSTETRICS: action, side side effects of drugs,Effect of used in
effects and drugs on pregnancy, labour obstetrics.
nurses and puerperium
responsibiliti
es in the Nursing responsibilities in the
administratio administration of drugs in
n of drugs obstetrics
used for Oxytocin,antihypertensives,
mothers. diuretics, tocolyticagents
,anticonvulsants;Analgesics
and anesthesics in
obstetric,Effects of maternal
medication on foetus and
neonate
12. FAMILY 1.Appreciate Family welfare programme 1.Interactive 10

WELFARE: the session with hrs.
importance Population’ trends and the students
of family problem in India regarding
welfare population
programme. Concepts, aims, importance trends.
and history of family welfare
2.Describe programme
the methods
of National population: 2. Debate on
contraception dynamics, policy and problems in
and role of education ‘ India.
nurse in
family National family welfare
welfare programme; RCH, ICDS,
programme. 3. Essay
453
MCH, safe motherhood writing on
Concepts,
Organization and aims,
administration; at national, importance and
state, district, block and history of
family welfare
village levels programme.
Methods of contraception;
spacing, temporary and
permanent, Emergency 4.Field visits
on
contraception organization
and
Infertility and its administration
management,Counselling for at different
family welfare levels.
Latest research in
contraception
5.Student
Maintenance of vital statistics seminars on
contraceptive
Role of national international methods.
and voluntary organizations
Role of nurse in family

welfare programme 6.Field visits
with different
Training/supervision/collabor community
ation with other functionaries workers.
in community like
ANMs, LHVs, Anganwadi

workers, TBAs (Traditional
birth Assistants)
454
MIDWIFERY AND OBSTETRICAL NURSING – PRACTICAL
AREA DUR OBJECTIVES SKILLS ASSIGNME ASSESSM

ATIO NT ENT
N OF METHOD
WEE
K
Antenatal 2 Assessment of Antenatal history taking Conduct Verificatio

Clinics/OPD pregnant women Antenatal n of
2. Physical examination findings
Recording of weight and B.P 2.
Exami 2.
3. HB & Urine testing for nations 30 Ant
sugar and albumin enatal
3. Health examinatio
4. Antenatal examination- talk-1 ns
abdomen and breast
4. Case 3.
5. Immunization book Co
recordings mplication
6. Assessment of risk of
status casebook
recordings
7. Teaching antenatal
mothers
8. Maintenance of
Antenatal records
Labour 4 Assess women in Assessment of women in labour Conduct Assessment

Room/OT labour normal of clinical
2. Per-vaginal deliveries-20 performanc
2. Carry out examinations and interpretation e with
per-vaginal 2. Per- rating scale
examinations 3. Monitoring and caring vaginal
of women in labour examinations- 2.
3. Conduct maintenance of partograph 5 Ass
normal deliveries essment of
4. Conduct normal 3. each skill
4. Perform delivery Perfor with
episiotomy and m and suture checklists
suture it Newborn assessment and the
immediate care episiotomies- 3.
5. 5 Co
455
Resuscita mplication
te newborns 6. Resuscitation of 4. of case
newborns Resusc book
6. Assist itate recordings
with caesarean 7. Assessment of risk newborns-5
sections MTP status of newborn
and other 5. Assist
surgical 8. Episiotomy and suturing with
procedures caesarean
9. Maintenance of labour sections-2
and birth records
6.
10. Arrange for and assist Witnes
with caesarean section and care s abnormal
for women and baby during deliveries-5
caesarean
7. Assist
11. Arrange for and assist with MTP and
with MTP and other surgical other surgical
procedures procedures
8. Case
book
recordings
Postnatal Ward 4 Provide nursing Examination and assessment of Give care to Assessment
care to postnatal mother and Baby postnatal of clinical
mother and baby mothers-20 performanc
2. Identification of e
2. Counsel deviations 2. Health
and teach mother talks-1 2.
and family for 3. Care of postnatal mother Ass
parent hood. and Baby 3. Case essment of
study-1 each skill
4. Perineal care with
4. Case checklists
5. Lactation management presentation-1
3.
6. Breast feeding 5. Case Co
book mpletion of
7. Baby bath recordings case book
recording
8. Immunization
4.
9. Teaching postnatal Eva
mother: .Mother craft luation of
case study
10. Postnatal care & and
Exercises presentatio
456
n and
11. Immunization health
education
sessions
Newborn 2 Provide nursing Newborn assessment Case study-1 Assessment

Nursery care to newborn of clinical
at risk 2. Admission of neonates 2. performanc
Obser e
3. Feeding of at risk vation study-1
neonates 2.
Ass
4. Katori spoon, paladin, essment of
tube feeding, total parenteral each skill
nutrition with
checklists
5. Thermal management-
kangaroo mother care, care of 3.
baby in incubator Eva
luation of
6. Monitoring and care of and
neonates observation
study
7. Administering
medications
8. Intravenous therapy
9. Assisting with
diagnostic procedure
10. Assisting with exchange

transfusion
11. Care of the baby on

ventilator
12. Phototherapy
13. Infection control

protocols in the nursery
14. Teaching and

counseling of parents
15. Maintenance of neonatal

records
Family 1 Counsel for and Counselling technique IUD Assessment
Planning provide family insertion-5 of each
457
Clinic welfare services skill with
2. Insertion of IUD 2. checklists
Obser
3. Teaching on use of vation study-1 2.
family planning methods Eva
3. luation of
4. Arrange for and Assist Couns and
with family planning operations elling- 2 observation
study
5. Maintenance of records 4.
and reports Simula
tion exercise
on recording
and reporting-
I
 Essential requirement for registration as midwife:-
 Antenatal examination 30
 Conducting normal deliveries in hospital/home/health centre 20
 Vaginal examination 5
 Episiotomy and suturing 5
 Neonatal resuscitation 5
 Assist with Caesarean Section 2
 Witness/assist abnormal deliveries 5
 Postnatal cases nursed in hospital/home/health centre 20
 Insertion of IUD 5
Note: All casebooks must be certified by teacher on completion of essential requirements
458
Basic B.SC Nursing 8th Semester
Management of Nursing Services and Education
Code: 04100702
PLACEMENT: B.Sc. NURSING 4TH YEAR HOURS OF INSTRUCTION
PREAMBLE
Nursing management consists of the performance of the leadership functions of governance and decision-
making within organizations employing nurses. It includes processes common to all management like
planning, organizing, staffing, directing and controlling. It is common for registered nurses to seek additional
education to earn a Master of Science in Nursing or Doctor of Nursing Practice to prepare for leadership roles
within nursing. Management positions increasingly require candidates to hold an advanced degree in nursing.
Management of nursing services and administration is important subject in nursing. Nursing service is a part
of total health organization which aims at satisfying the needs of patient and community. Nursing service
administration is complex element in interaction and is organized to achieve excellence in nursing services.
Management of nursing services and care initiate a set of human relationship at all levels of organization. It
establishes adequate staffing pattern. Develop and implement proper communication system. Develop and
implement a proper evaluation and periodic monitoring system.
It assists the hospital authorities for effective personnel management with proper job description and
specification. It helps to formulate and interpret nursing policies, protocols etc. Assist in preparation of
budget.
GOALS
 to prepare graduates to assume responsibilities as educators, administrators in a wide variety

of professional settings
 to assist students in developing expertise and in depth understanding in the field of nursing
management
 to develop advanced skills for administration and management of nursing services
 to function as nurse administrator and nurse manager.
 to function as educator, manager and researcher in the field of nursing management.
459
OBJECTIVES
1. Appreciate the history and development in the field of management of nursing services and education.
2. Describe the elements and process of management.
3. Describe the Management of nursing service in the hospital
4. Describe the function of personnel management.
5. Describe the role of the administrator in budget preparation.
6. Describe the ethical and legal responsibilities of nurse.
7 Explain the nursing practice standards of a professional nurse.
460
COURSE INSTRUCTION
S.No Content Hours Credit
1. Introduction 4
2. Management Process 5
3. Management of Nursing Services in the 8+20

Hospitals and Community
4. Organizational behavior and human 5

relations
5. In service education 5+5
6. Management of Nursing Educational 10

Institutions
7 Nursing as Profession 10
8 Professional advancements: 3
Total 90 6
461
S. TOPIC DOMAIN HRS
NO
Introduction to Management in nursing 4
1  Definitions, concepts Theories Must know

 Administration Vs Management
Must know
 Functions of management
 Principles or management Must know
 Role of nurse as a manager
Must to know
Must know
2
Management Process
Must know
 Planning-meaning nature, principles, mission, philosophy,
objectives, 5
 Operational plan, types,
Must know
 Organization-definition, principles, organizational
structure, organization chart
 Staffing, philosophy, Staffing norms, Must know
 Human Resource Management Recruiting, selecting,
deployment, retraining, promoting, etc,
 Directing Process (leading) Controlling, Nice to know
 Quality Management Programme Must know
 Evaluation and Review Technique (PERT) Must know

 Bench Marking Activity Plan Gantt Chart
Nice to know
 Budgeting concept, principles, types, cost
 Benefit analysis, audit. Must know
 Material management equipment and supplies
462
3 Management of nursing service department
• Philosophy and objectives.
Must know 28
• Organization of the hospital, nursing service department
• The Nursing Service Unit, Planning- Physical facilities, floor
Nice to know
space
• Time planning weekly/Daily plan Must know
• Hospital and Patient Care Unit
• Factors affecting ward management Must know
• Patient Classification System

Must know
• Assignment of patients
• Role of Head Nurse in training of students Ward Teaching, Must know
• Nursing rounds, Nursing care conference
• Setting standards for nursing care Must know
• Procedure manual
• Duties & responsibilities and Job description of various
categories of staff
• Delegation
• Participatory management
• Personnel (Human) Resource management Importance
• Selection & recruitment
• Manpower planning
• Man power recruitment Staff Patient Ratio
• Job description
Must know
Job analysis
• Job specification Must know
• Maintenance of supplies and equipment in nursing service
units Must to know
• Role of the Head Nurse
• Role of administrator
• Evaluation
Nice to know
• Nursing rounds, Nursing protocols, manuals
• Performance appraisal of all categories of staff, Nursing audit Nice to know
• Anecdotal records, Evaluation of Patient care.
Quality assurance Nice to know
463
4 Organizational behavior and human relations Must know
Concept, Principles and theories
5
 Communication- Techniques, channels, IPR
 Leadership definition, function, Leadership styles Must know
 Qualities of a leader
 Leadership in management of nursing service
Assertiveness Must know
 Motivation, concepts & theories

Must know
 Group dynamics
 Human relations Nice to know
 Public relations in context of nursing

Desirable to
 Relations with professional association and employee
know
union’s collective bargaining work culture.
In Service education
5 10
 Nature & scope of in-service education program Must know
 Organization of in-service education

Must know
 Principles of adult learning.
 Planning for in-service education program, techniques, Must know
methods & evaluation of staff education program
Must to know
Management of Nursing Educational Institutions Must to know

6 10
 Review –History of developments of Nursing Education, Must to know
State, National
Must to know
 Organizational pattern of Educational institutions
 Essentials of educational institutions as per I.N. C. norms Must to know
464
-Physical facilities
Must know
-Staff pattern
Must know
School of Nursing
Must know
College of Nursing
Must to know
 Management of faculty
-Selection and recruitment

Must know
-Orientation programme
-Organization chart
Must know
-Job description
Must to know
-Job specification
Must know
 Staff development
Continuing education
In service education
Work shops
Nice to know
 Staff welfare, leave, salary
Nice to know
- Promotion, Placement, guidance and supervision
Must know
-Performance appraisal
Must to know
-Institutional reports and records
Must know
 Administration of students
 Selection and admission, Orientation, Must know
 Students Health Programme
Must know
 Students Welfare Guidance and Counseling
465
 Co-curricular and Professional activities Must to know
 Records and Reports
Must know
 Transcript/C.V
 Cumulative Record Must know
 Admission Register
Nice to know
 Student accommodation
 Hostel facilities – I.N.C
 Transportation facilities
 Administration of curriculum
 Plan organize and install the facilities for implementation
of the curriculum
 Master rotation
 Clinical rotation
 Teaching system
 Clinical facilities Must know
 Affiliation
Must know
 Evaluation
 Student evaluation Must to know
 Teacher evaluation
 Course evaluation
 Periodical revision of the curriculum Must know
 Accreditation Guidelines
 Administration of the Finance Plan, prepare and send the
Must know
budget proposals.
 Utilization of budget
 Procurement of equipment & supplies. Must know
 Library books/Journals.
 A.V aids
 Salary emolument of the employees.
 Stipend to the students
 Publicity of the Institution
 Public relations
 Advertisements
 Conferences
 Campus Selections
466
 Publishing results and annual reports
 Publication, Brochure magazine
Nursing as a Profession
7  Nursing as a profession
 Philosophy, nursing practice
10
 Aims and objectives Must know
 Characteristics of a professional nurse

 Regulatory bodies, Must know
 I.N.C, S.N.C constitution functions
 Current trends and issues in Nursing
 Professional ethics Must to know
 Code of ethics : INC, ICN

 Code of professional conduct INC, I.C.N Must know
 Consumer protection act
 Ethical and legal responsibilities of a professional nurse
 Practice standards for Nursing
 INC laws related to Nursing practice
 Legal terms related to practice, registration & licensing
procedures
 Breach of laws
 Torts
 Penalties and punishments
 Malpractice & Negligence
Professional advancement
Must know
 Continuing education
8  Career Opportunities Must know
 Collective Bargaining
Must know 3
 Membership with professional organization National and
International Must to know
 Participation in research activities

 Publications, Journals, Newspapers etc.
467
Sr. Topic Learning objective Teaching guidelines Methodolog Time
No y
( At the end of
session the students
should be able to)
1. Introduction to Explain the principles To cover the definition, Didactic 4 hrs

management in nursing and functions of concept and functions
management of management. Lecture
 Definition, through Power
concepts and To cover the principles point
of nursing projector.
theories
management.
 Functions of
management To cover the role of
 Principles of nurse as a manager.
management
 Role of nurse as a
manager
2. Management Process
 Planning: mission
Philosophy, Describe the elements To cover the Lecture
objectives and process of management process as Discussion 5h
management whole i.e. planning,
operational plan
operational and Simulated
 Staffing strategic planning. exercises
Philosophy,
Staffing study,
Case studies
Norms,
Activities, Patient To cover the staffing its
classification pattern, norms and
systems, philosophy in nursing
Scheduling and Nurse patient ratio.
 Human resource
management:
recruiting,
selecting, To cover the
deployment recruitment, selection
.deployment, retaining
retaining
of staff, promotion and
 promoting, superannuation of
superannuation nursing staff.
etc.,
 Budgeting:
Concept,
468
principles, types, To cover the budgeting
cost benefit process in nursing
analysis, audit college and hospital.
 Material
management: To cover the
equipment and management of
supplies material supply and
equipment.
 Directing process
(Leading
*controlling:
Quality To cover the directing
management process, quality
program assurance and
 Evaluation management process in
Review hospital.
Technique
(PERT), bench
marking, Activity
 Plan (Gantt,
Chart).
Management of Describe the

Nursing Services in the management of
3 Hospitals and nursing services in 8 Hrs.
To cover the
Community planning: the hospital and programme evaluation (Theory
review technique. )
 Hospital and Community.
patient care units 20 Hrs.
including ward (Practic
management al)
 Emergency and
disaster To cover the
management management of nursing
 Human resource services in hospital and
management: patient care unit during
emergency and disaster
 Recruiting, condition.
selecting,
deployment,
retaining,
promoting,
superannuation
To cover the
etc., recruitment, selection
.deployment, retaining
 Categories of of staff, promotion and
nursing personnel superannuation of
including job nursing staff.
description of all
469
levels
 Patient/population
classification
systems
 Patients/population
assignment and
nursing care To cover the budgeting
responsibilities process in nursing
college and hospital.
and welfare
To cover the Lecture
 Budgeting: Proposal, management of Discussion
projecting material supply and
requirements for equipment Demonstration
staff, equipments
and supplies for To cover the Simulated
 Hospital and patient Procurement, inventory exercises
care units control, auditing and
 Emergency and maintenance of Case studies
disaster management material.
 Material
management:
 Procurement, To cover the
inventory control, supervision and
auditing and guidance.
maintenance in
 Hospital and patient
care units
 Emergency and
disaster management
 Directing and To cover the Implement
leading: standards, policies,
procedures and
 Delegation,
practices
participatory
management
 Assignments,
rotations, To cover the staff
delegations development
 Supervision and programmes like
guidance induction and
 Implement orientation programme,
standards, policies, inservice and
procedures and continuing education.
practices
and welfare
 Maintenance of
discipline
controlling /
evaluation:
 Nursing rounds /
470
Visits, Nursing
protocols, Manuals
 Quality assurance To cover the Concepts
model, and theories of
documentation organizational
 Record and reports behaviors
Performance
Review of channels of
appraisal.
communication
Leadership styles.
Organizational
4
behavior and human
relations To cover the
Discuss motivation, Concepts
 Concepts and organizational and Theories
theories of behavior and human
organizational relation Group dynamics 5 Hrs
behaviors
 Review of Techniques of
channels of
communication Communication and
 Leadership styles
 Review of Inter personal
motivation: relationships
 Concepts and
Theories To cover the human
 Group dynamics relations and Public
 Techniques of relations in context of
 Communication nursing
and
 Inter personal To cover the collective
relationships bargaining
 Human relations
 Public relations in
context of nursing
 Relations with
professional
associations and
employee unions
andcollective
bargaining
471
5 In service education Didactic 5 Hrs.
(Theory
 Nature and scope To cover the Lecture )
of in service organization of in through Power
education Participate in service education its point projector
planning and nature and scope.
program
organization of in organizing in-service
service education education program
 Principles of adult To cover the principles
learning of adult learning
 planning for in
service education
program,
techniques, To cover the evaluation
methods and of in service education
evaluation of staff
education
program
 Preparation of
report
6 Management of
To cover the norms and
Nursing Educational
guidelines of INC to Didactic 10hrs
Institutions establish the school or
college of nursing. Lecture
 Establishment of Describe management
of nursing educational through Power
nursing point projector
educational institutions
institution — INC To cover the
norms and philosophy, objectives,
guidelines affiliation and
 Co ordination accreditation by
with Regulatory regulatory bodies.
bodies
 Accreditation
 Affiliation To cover the physical
Philosophy / structure, facilities, of
objectives college and hostel of
Organization the students.
 Structure
 Committees
Physical facilities
 College / School To cover the admission
 Hostel Students criteria, selection and
counseling of students.
 Selection
 Admission
472
 Guidance and
Counseling
 Maintaining
discipline Faculty
and staff
 Selection
 Recruitment
 Job description
 Placement
 Performance Lecture
appraisal Discussion
 Development and
welfare Visits to INC,
 Budgeting TNAI.
 Equipments and
supplies: audio Discussion
visual about INC
equipments, syllabus.
laboratory
equipments, To cover the methods
 books, journals of teaching, audio-
visual aids, books,
etc.,
journals, laboratory,
 Curriculum: curriculum planning
Planning, and implementation
Implementation and Performance and
and Evaluation evaluation of students.
 Clinical facilities
 Transport
facilities
 Institutional
records and
reports —
administrative,
faculty, staff and
Students.
Nursing as Profession
7
To cover the
 Nursing as a philosophy, aims, 10hrs
Profession objectives, mission,
 Philosophy: vision, characteristics Didactic
Nursing practice of a professional nurse.
Lecture
473
 Aims and Describe ethical and through Power
objectives legal responsibilities point projector
 Characteristics of of a professional
a professional nurse
nurse
Lecture
 Regulatory
Discussion
bodies: INC, SNC
Acts— Explain the nursing Simulated
Constitution, practice standards exercises
Functions
To cover the regulatory
 Current trends bodies: INC, SNC
and issues in Acts— Constitution,
Nursing Functions
professional
ethics Current trends and
 Code of ethics: issues in Nursing
INC, ICN professional ethics
 Code of
professional Code of ethic INC,
conduct: INC, ICN
ICN
 Practice standards
for Nursing: INC
Code of professional
 Consumer conduct and standards
protection Act of nursing practice.
 Legal aspect in To cover the ethical

Nursing and legal
 Legal terms responsibilities of a
related to professional nurse
practice: during working in
Registration and hospital.
Licensing
To cover the Laws
 Laws related to related to Nursing
Nursing practice; practice; Breach and
Breach and Penalties.
Penalties
 Malpractice and
Negligence.

474
8 Seminar 3hrs
Professional Explain the various To cover the methods

advancements: opportunities for which helps in
professional advancement of nursing Participation
advancement. profession like in research
Continuing education continuing education activities.
and in service
Career Opportunities education on career
opportunities,
Collective bargaining collective bargaining,
membership with
Membership with national and
international
Professional organization.
organizations:
To participate in
research activities.
National and
International
Participation in research
activities
Publications: Journals,
Newspapers, etc
475
REFRENCES
Alexander etal, Nursing Service Administration, C.V. Mosby Company St. Louis .
Anna Hellen, Gallaghen, Educational administration in Nursing, The Macmillan Company, New York.
Barret, Jean, Ward Management and Teaching- Himalayan Books, New Delhi.
Barret M.J. Gressner, The Head Nurse- Her leadership Role, Himalayan Books, New Delhi.
Goddard M. Principles of Administration applied to Nursing service.
Chatterjee S.S An introduction to management- its principles and techniques, World Press, Calcutta .
Thomas Kochuthresiamma,Nursing Management and Administration, V Publishers,Kottayam

Textbook:
1. Basavanthappa (BT), Nursing Administration, Jaypee Brother, New Delhi, 2002.
Reference:
1. Stanhope(M), Public Health Nursing: Population-centered Health Care in the Community,
Elsevier, 7th Edition, 2008.
2. T.N.A.I., A Community Nursing Manual, New Gian Offset Press, New Delhi, 1989.
476

Bachelor of Nursing Syllabus

Uploaded by

Document Information

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Bachelor of Nursing Syllabus

Uploaded by

Copyright:

Available Formats

SHREE GURU GOBING SINGH TRICENTENARY UNIVERSITY

INTRODUCTION TO CREDIT SYSTEM

SYLLABUS AND CURRICULUM

1. Course of study for B.Sc. Nursing 4-6

BASIC B.Sc. (NURSING) PROGAMME

1. Eligibility for Admission:

2. Medium of Instruction : English

3. Eligibility for Appearing in the Examination:

Course Duration 4 Years

Weeks available per year 52 weeks

REVISED SCHEME OF EXAMINATIONS FOR BACHELOR OF SCIENCE IN NURSING PROGRAMME

W.E.F. ACADEMIC SESSION 2017 – 2018

Basic B.Sc. Nursing – 1stSEMESTER

Code Total Theory Practical Total Duration

Nutrition & 04100102 4+2 - 6 25 75 - - 100 3

Nursing 04100103 10+ 5 21 25 75 - - 100 3

English 04100104 4 - 4 25 75 - - 100 3

*Hindi/ Regional 04100105 *2 - 2 - - - - - -

Basic B.Sc. Nursing – 2nd Semester

Code Total Theory Practical Total Duration

Microbiolo 04100203 4 - 4 25 75 - - 100 3

Introduction 04100204 3 - 3 25 75 - - 100 3

Basic B.Sc. Nursing – 3rd Semester#

Subject Paper Teaching Scheme Examination Scheme

Code Total Theory Practical Total Duration

Pharmacolo 04100302 3+2+1 - 6 25 75 - - 100 3

Environment 04100305 4 - 4 25 75 - - 100 3

Basic B.Sc. Nursing – 4th Semester

Subject Paper Teaching Scheme Examination Scheme

Code Total Theory Practical Total Duration

Basic B.Sc. Nursing – 5th Semester

Code Total Theory Practical Total Duration

Mental 04100502 6 9 15 25 75 50 50 200 3/4

Basic B.Sc. Nursing – 6th Semester

Code Total Theory Practical Total Duration

# = clinical and practical credits of semester 5 th to be credited with 6th semester.

Code Total Theory Practical Total Duration

Code Total Theory Practical Total Duration

Midwifery 04100801 - 10 10 25 75 50 50 200 3/4

# = clinical and practical credits of semester 7 th to be credited with 8th semester.

2. Guidelines for Paper Setting and Internal Evaluation:

“Anatomy & Physiology” and “Pharmacology, Genetics, Pathology”

“Nutrition & Biochemistry”

a) Marks should be indicated against the question.

(C) Assessment of Internship

BSC NURSING 1ST SEMESTER SYLLABUS

Home Health Nursing

Occupational Health Nursing

ublic Health Nursing

TOPIC HOURS CREDITS

 Introduction to Anatomical Terms and Organization of 5

1. Student Interactive session

BSC NURSING 1ST SEMESTER SYLLABUS

PLACEMENT: BSc.NURSING1ST YEAR HOURS OF INSTRUCTION

S.NO TOPIC DOMAIN HRS

1 Introduction to Anatomical Terms

Autonomic Nervous System-

 Structure of Alimentary tract and  Must know

Excretory System (Urinary)

11 Reproductive System including

S.no Topic Learning Objectives Teaching Guidelines Methodology Hours

1 Introduction  To discuss about To cover about the Didactic lecture 5

2 Skeletal  To discuss about about To cover about the Didactic lecture 6

4 Nervous To describe about the To cover about Didactic lecture 6

Hindi/ Regional 04100105 2 - 2 - - - - - -