MADHYA PRADESH MEDICAL
SCIENCE UNIVERSITY, JABALPUR, M.P.
t ‘The Skeletal System
© Bones types, structure, Axial & Aj i . Skeleton,
© Bone formation and growth
© Description of bones
Joints — Classification re
Alterations in disease
Applications and ina in nursing
. The Muscular
© Types ‘ture of muscles
Alte disease
ications and implications in nursing
IV. jervous system
© Structure of neurologia & neurons
© Somatic Nervous system
Structure of brain, spinal cord, cranial nerves, spinal nerves, peripheral nerves
© Autonomic nervous System- sympathetic, parasympathetic
Structure, location
inAlterations in disease
Applications and implications in nursing
V__| The Sensory Organs
© Structure of skin, eye, ear, nose, tongue, (Auditory and olfactory apparatus)
Application in disease
Applications and implications in nursing
VI ‘culatory and lymphatic system ae
a O
1 Blood ~ Microscopie structure XO
1D _ Structure of Heart NS
1D __ Structure of blood vessels - Arterial & Venous o>)
1D Circulation ~ systemic, pulmonary, coronary
Lymphatic vessels and lymph 2 >
Lymphatic tissues S
‘Thymus gland Ss
- Lymph nodes
- Spleen
- Lymph les
Alterations in disease
Applications and impli in nursing
Vil. | The Respiratory Syste
© Structure.of the organs of respiration
. M ration: Intercostals and Diaphragm
plications in nursing
Vill. Digestive System
Structure of alimentary tract and accessory organs of digestion
Alterations in disease
Applications and implications in nursing
IX. | The Exeretory System (Urinary)
© Structure of organs of urinary System: Kidney, ureters, urinary bladder, urethra
Alterations in disease
‘Applications and implications in nursing‘The Endocrine System
© Structure of Pituitary, Pancreas, thyroid, Parathyroid, thymus and adrenal glands
Alterations in disease
Appl
tions and implications in nursing
XT
‘The Reproductive system
© Structure of female reproductive organs.
© Structure of male reproductive organs. ss
5 Geen ‘OS
Alteration in disease SS
Applications and implications in nursingPhysiology
Placement
: First year Time : Theory - 60 hrs,
Course Description : The Course is designed to assist the students to acquire knowledge of the normal
physiology of various human body systems and understand the alterations in physiology in disease and
practice of nursing.
Unit Content
1 Cell Physiology ~
@Tissue-formaton-epir \
© Membranes & glands ~ functions
Alterations in disease S )
Applications and implications in nursing
‘Skeletal System . 4
© Bone formation & Growth Ny
© Bones —Funetions and movements of wig Spent skeleton, bone healing
Alterations in disease
Applications and implications in nursing
Ti. | Muscular System
© Muscle movements.Muscle fone, Physiology of muscle contraction, levels and
‘maintenance o!
Alterations in
Applicatioy
IV. _ | NervousGys
. ctions of Neurolgia & neurons
pulse-definitions and mechanism
spinal cord, renal and spinal nerves
© Cerebrospinal fluid-composition, circulation and function
© Reflex are, Reflex action and reflexes
© Autonomic Functions
Pain: somatic, visceral, and referred
1D Autonomic learning and biofeedback‘Alterations in disease
Applications and implications in nursing
V.__ | Circulatory System
© Blood formation, composition, blood groups, blood coagulation
¢ Hemoglobin: Structure, synthesis and breakdown, Variation of molecules,
estimation
© Functions of Heart, Conduction, Cardiac cycle, circulation ~ Principles, Controh. WY
factors influencing BP and Pulse
Alternations in disease A
Applications and implications in nursing ra
Vi__| The Respiratory System
© Functions of respiratory organs
© Pulmonary ventilation, Volume n>
© Mechanics of respiration S
© Gaseous exchange in lungs S
© Carriage of oxygen & carbon-diggi
© Exchange of gases in tissues
© Regulation of respi ©
Alterations in disease tS
Applications and imp! in nursing
Vil | The Digestive 5
© Funet oe. of digestive tract. Movements of alimentary tract, Digestion in
im fete small intestines, Large intestines, Absorption of food. Functions of
yall bladder and pancreas
LO. abolism of carbohydrates. Protein and fat
Vili, \/hOEXcretory System
© Functions of kidneys, ureters, urinary bladder & urethra
Composition of urine
© Mechanism of urine formation
© Functions of skin as exeretory organ
© Regulation of body temperature
© Fluid and electrolyte balance.‘Alterations in disease
Applications and implications in nursing
The Sensory Organs
© Functions of skin, eye, ear, nose, tongue.
Alternations in disease
Applications and implications in nursing
‘The Endocrine System
© Functions of Pituitary, pineal body, thymus, Thyroid, parathyroid, we
Suprarenal, Placenta and ovaries & Testes
Alternations in disease
XE
Applications and implications in nursing oy )
The Reproductive System
© Reproduction of cells-DNA, Mitosis, Meiosis, spen nn is, oogenesis,
© Functions of female reproductive organs; Funct ious Ween female sexual cycle.
© Functions of male reproductive wx mi val in reproduction, male ferti
system,
Alterations in disease
Applications and implications in nursing
xi,
Lymphatic and Immunolo;
© Circulation of |
. ae
Easy ion of T-cells and B cells
Seta response
figens
Cytokines
Q AntibodiesNutrition
Placement
: First year Time : Practical - 60 hrs.
Course Description : The Course is designed to assist the students to acquire knowledge of nutrition of
maintenance of optimum health at different stages of life and its application for practice of nursing
Unit ‘Content
1 Introduction
5 Hs A
ing health S
© Nutritional problems in India
© National nutritional policy Y
© Factors affecting food and nutri jon: sovio-econdm ‘cultural, tradition, production,
system of distribution, life style and food &
3
© Classification of foods,
© Food standards c ©
© Elements of nutri ‘and micro
© Calorie, BMR Re)
@ Role of nutrition in main
. including changes caused by
agriculture, overgrazing, fertilizer
© Role of food and its medicinal
lems, water logging and salinity.
i ani
© Classifteat
. imended daily allowances,
Q etary sources
Functions
© Digestion, absorption and storage, metabolism of carbohydrates
‘© Malnutrition: Deficiencies and Over consumption
mL | Fats
© Classification
© Caloric Value
© Recommended daily allowances© Dietary sources
© Functions’ Digestion, absorption and storage, metabolism
© Malnutrition: Deficiencies and over consumption
IV. _ | Proteins
© Classification
© Caloric Value
© Recommended daily allowances
© Digestion, absorption, metabolism and storage Ae)
@ Malnutrition : Deficiencies and over consumption RN
V. | Emergency
© Unit of Energy Keal oh
© Energy requirements of different categories of people
© Measurements of energy 2
© Body Mass Index (BMI) and basic metabolism.
© Basal Metabolic Rate (BMR) — determinat ro) factors affecting
Vi_| Vitamins ay
© Classification
© Recommended daily ae,
© Dietary sources
© Functions
© Absorption, sys ae storage and excretion
© Deficiencie
© Hyper Vittmpindsis,
Vil. | Mineral
. ication
mmended daily allowances
Dietary sources
© Funetions
Absorption, synthesis, metabolism storage and excretion
© Deficiencies
© Over consumption and toxicity
10VIIL | Water & Electrolytes
© Water: Daily requirements, regulation of water metabolism, distribution of body
water.
© Electrolytes: Types, sources, composition of body fluids
© Maintenance of fluid & electrolyte balance
© Overhydration, dehydration and water intoxication Sh
© Electrolyte imbalances ay
TX. | Cookery rules and preservation of nutrients Ni ~
© Principles, methods of cooking and serving
1 Preservation of nutrients C \
© Safe food handling ~ toxicity
© Storage of food Y
© Food preservation, food additives and its principl
© Prevention of food adulteration Act (PFA) S
© Food standards
© Preparation of simple beverages and aw types of food allowance
.
X | Balance Diet [v)
@Elemens S
© Food Groups
. Recommended dail llowance
© Nutritivetyalue)pf foods
© Cale OF balanced diet for different categories of people
or El ‘menu
iidueting of food
R Introduction to therapeutic diets: Naturopathy ~ Diet
ie of nurse in nutritional programmes
© World Food Problems
© National programmes related to nutrition
0 Vitamin A deficiency programme
National iodine deficiency disorders (ID) programme
uMid-day meal programme
1D _ Integrated child development scheme (ICDS)
National and International agencies working towards food/nutrition
1D NIPCCD, CARE, FAQ, NIN, CFTRI Central food technology and research
institute) etc.
Assessment of nutritional status q
Nutrition education and role of nurse Ay
2Biochemistry
Placement
: First year Time : Practical - 30 hrs.
Course Description : The Course is designed to assist the students 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.
Unit Content
aa a8
© Detintion and significances in musing \
© Review of structure, composition and functions of cell \
© Prokaryote and Eukaryote cell organization
© Microscopy
I _ | Structure and functions of cell membrane . 4
© Fluid mosaie model tight junction, Cytoskeleto
© Transport mechanism: diffusion, osmosis, fi oN active channel, sodium pump
© Acid base balance-maintenance & nostic fest
OO PHbuffers
I. | Composition and metabolism of is ‘drates
© Types, structure, coorsp
o Monosac wide’
© Metabolism
o ihe of glucose
Glycolysis
< - Gluconeogenesis : Cori’s cycle, Tricarboxylic acid (TCA) eyele
{d uses
‘accharides, Polysaccharides, Oligosaccharides
Glycogenolysis,
iQ Pentose phosphate pathways (Hexose mono phosphate)
_—_ Regulation of blood glucose level
~ Investigations and their interpretations
TV. | Composition and metabolism of Lipids
© Types, structure, composition and uses of fatty acids
Nomenclature, Roles and Prostaglandins
© Metabolism of fatty acid
1BO Breakdown
Synthesis
Metabolism of triacylglycerols
Cholesterol metabolism
~ Biosynthesis and its Regulation
~ Ble Salts and billubin
- Vitamin D
~ Steroid hormones
Lipoproteins and their functions
CO VLDLs-IDLs, LDLs and HDLs
O Transport of lipids
Atherosclerosis
Investigations and their interpretations
ss
SS
‘Composition and metabolism of Amino acids
© Types, structure, composition and uses of
© Metabolism of Amino acids and profeit
Protein synthesis, targe
Chromatography
C1 Flectrophoresip AC)
CO — Sequenein; S
© Metabolism of
CB __Elettrophortsis,
. of Nitrogen
ixation and Assimilation
Urea Cycle
S —_-Hemes and Chlorophytls
Enzymes and co-enzymes
1D Classification
Properties,
1D —_ Kinetics and inhibition
DO Controt
Investigations and their Interpretations
and
elore and proteins
fycosylation
i“Vi | Composition of Vitamins and minerals
. Vitamins and minerals:
o Structure
o Classification
Gl Properties q
Absorption ay
Storage & transportation SO
Normal concentration XO
Investigations and their interpretations »
orf os
© Immune response,
© Structure and classification of immunoglobins Y
© Mechanism of antibody production >
© Antigens: HLA typing. S
© Free radical and antioxidants S
© Specialised protein: Collagen, in, Myosin, Lens Prote
© Electrophoretic and Quantitat ination of immunoglobins — ELISA ete.
Investigations and their ons
1sNursing Foundations
Placements: First year Time : Theory - 265 hrs.
Practical — 650
(200 lab and 450 clinical)
Course Description
: This course is designed to help the students to develop an understanding of the
philosophy, Objectives, theories and process of nursing in various Supervised Clinical setti
aimed at helping the students to acquire knowledge, understanding and skills in tering)
and practice them in Supervised Clinical settings.
Unit ‘Content
I Introduction “\
© Concept Heal Healhtnss continuum S
. Factors influencing health Y
. ‘Causes and risk factors for developing illness . >
© Body defenses: Immunity and immunizations
© Illness and illness Behaviour
© Impact of illness on patient and fa
© Health Care Services: Health Promotion and Prevention, Primary Care, Diagnosis,
Treatment, Rehabilit
gn 98 Fontnuing Care
. wna ed agentie:
© Health Care teams
© Hospitals: SOX and Functions
. ri motjon and levels of Disease Prevention
fh care and its delivery: role of nurse
Si
Definition, Concepts, Philosophy, Objectives
Characteristics, nature and scope of nursing practice
Funetions of nurse
Qualities of a nurse
Categories of nursing personnel
o
o
El
o
o
o
Nursing as a profession
16History of Nursing in India
© Values: Definition, Types
Values Clarification and values in professional Nursing: Caring and Advocacy
© Ethics:
0 _ Definition and Ethical principles
Code of ethics and professional conduct for nurses
‘Hospital admission and discharge
iil.
© Admission to the hospital Ae)
© —_Unitand its preparation admission bed XO
Admission procedure a
Special considerations oh
1 — Medico-legal issues
1 Roles and Responsibilities of the nurse Y
© Discharge from the hospital 2 Sy
CO Types: Planned discharge LAMA. Br Referrals and transfer
o Discharge Planning ay
Discharge procedure =>
Special considerations
(_— Medico-tegal ists)
O — Roleand eres of the nurse
Oo Caro afier discharge
IV. _ | Communication and Nurse patient relationship
© Com a0) Levels, Elements, Types, Modes, Process, Factors influencing,
gation
Methods of Effective Communication,
- Attending skills
Q = Rapport building skills
- Empathy skills
o Barriers to effective communication,
© Helping Relation:
(NPR): Dimensions of Helping Relationship, Phases of a
helping relationship
© Communicating effectively with patient, families and team members and maintain
effective human relations with special reference to communicating with vulnerable
u‘group (children, woman, physically and mentally challenged and elderly)
© Patient Teaching: Importance, Purposes, Process, role of nurse and integrating
teaching in nursing process.
V__| The Nursing Process
Critical thinking and Nursing Judgment
Critical Thinking: Thinking and Learning,
1 —_ Competencies, Attitudes for Critical Thinking, Levels of critical
Nursing
Nursing Process Overview: Application in Practice XO
1 —_ Nursing Process format: INC, current format a
Assessment oh
- Collection of Data: Types, Sources, Methods
- Formulating nursing judgment: Data Intey ein
oO Nursing diagnosis zi RS
~ Identification of client problems S
- Nursing diagnosis stater —
- Difference between Wid nursing diagnosis
Planning
- Establishing PioKigh
eniainttod and Expected Outcomes,
- Sel intervention: Protocols and standing orders
= ing the nursing care plan
Implementation
- implementing the plan of care
a juation
= Outcome of care
iQ - Review and Modification
Documentation and Reporting
Vil_Y| Documentation and Reporting
© Documentation : Purpose of Recording and reporting
© Communication within the Health Care Team,
© Types of records; ward records medical/nursing records,
© Common record-keeping forms, Computerized documentation
18© Guidelines for Reporting: Factual Basis, Accuracy, Completeness Currentness,
Organizaiton, confidentiality
© Methods, confidenti
.
© Reporting: Transfer reports, Incident reports,
© Minimizing legal Liability through effective record keeping,
ara <=
© Guidelines for taking vital signs: Ae)
© Body temperature: XO
Physiology, Regulation, Factors affecting body temperat ~
Assessment of body temperature: sites, equipment See special
considerations
CO Temperature alterations: Hyperthermia, H oo Hypothermia
CO — Hot and cold applications zi wy
© Pulse:
Physiology and Regulation, stics of the pulse, Factors affecting
pulse
Assessment of pulse: cation, equipments and technique, special
cossidernion ps (J
Alterations in S
© Respiration: QR
Oo Phy ind Regulations, mechanics of Breathing Characteristics of the
rin Factors affecting respiration
sessment of respirations: technique, special considerations
‘Alterations in respiration
lood pressure:
iQ Physiology and Regulation, Characteristics of the blood pressure, Factors
affecting blood pressure
Assessment of blood pressure: sites, equipments and technique, special
considerations
Alterations in blood pressure
© Recording of vital signs
wyVil
Health Assessment
© Purposes
© Process Health assessment
Health history
Physical examination:
- Methods-Inspection, Palpation, Percussion, Auscultation, Olfation ty
- Preparation for examination: patient and unit ay
= General assessment Ae)
= Assessment of each body system SS
- Recording of health assessment
1X | Machinery, Equipment and linen
© Types: Disposables and reusable — Lines, rubber goods glassware, metal, plastics,
furniture, machinery
© Introduction :
OO Indent
Maintenance
Inventory
X__ | Meeting needs of patient
e. Basic needs (Activities
OO Providin; cae eeronmen
S || — environment: Temperature, Humidity, Noise, Ventilation,
light, Odour, pests control
Seen of Physical hazards: fire, accidents
~ Safety devices’ Restraints, side rails, airways, trapez etc
~ Role of nurse in providing safe and clean environment
Hygiene :
= Factors Influencing Hygienic Practice
~ Hygienic Care: Care of the Skin-Bath and Pressure points, feet and
nail, Oral cavity, Hair Care, Eyes, Bars, and Nose
© Assessment, Principles, Types, Equipments, procedure,
Special considerations
~ Patient environment: Room Equipment and linen, making patient
beds
20iQ
= Types of beds and bed making
0 Comfor
~ Factors Influencing Comfort
- Comfort devices
logical needs:
1D Sleep and Rest: e)
= Physiology of sleep ay
- Factors affecting sleep Ae)
- Promoting Rest and sleep SS
- Sleep Disorders
Nutrition oh
= Importance
- Factors affecting nutritional needs
= Assessment of nutritional ret equipments, procedure
and special considerations <2
o Oral
o Enteral: astric, gastrostomy
Urinary Elimination
= Review logy of Urinary Elimination, Composition and
eee of urine
; Ry Influencing urination
Altefation in Urinary Elimination
irs and Collection of urine specimen:
= Observation, urine testing
~ Facilitating urine elimination: assessment, types, equipments,
procedures and special considerations
© Providing urinal/bed pan
© Condom drainage
© Perineal care
© Catheterizaion
© Care of urinary drainage
© Care of urinary diversions
© Bladder irigation
2Bowel Elimination
~ _ Review of Physiology of Bowel Elimination, Composition and
Characteristics of faeces
~ Factors affecting Bowel elimination
= Alteration in Bowel elimination
= Types and collection of specimen of faeces: Observation
= Facilitating bowel elimination : assessment, equipments, proved
and special considerations
© Passing of Flatus tube SS
© Enemas
© —Supporsitory S \
© Sitzbath
© Bowel wash 4
© Care of Ostomies
1D Mobility and Immobility oY
- Principles of Body Me
- Maintenance of, ly Alignment and mobility
~ Factors affecting bady Alignment and mobility
- imaedplgt welt tanectatiag
- Alteration jbody Alignment and mobility
- interventions for impaired Body Alignment and Mobility:
ment, types, devices used, method and special considerations,
rehabilitation aspects
S © Range of motion exerc
© Maintaining body alignment: Positions
© Moving
iQ ©. Lifting
co Transferring
© Walking
co Restraints
es
1 Oxygenation
= Review of Cardiovascular and respiratory Physiology
~ Factors Affecting Oxygenation
2iQ
~ Alterations in oxygenation: assessment, types, equipment used,
procedure and special considerations
~ Maintenance of patent airway
= Oxygen administration
- Suction
- Inhalations: dry and moist
= Chest physiotherapy and postural drainage ss
- Care of chest drainage Ae)
= Pulse oximetry XO
= CPR— Basic life support »
- Fluid, Electrolyte, and Acid oh
= Base Balances
1 Fluid, Electrolyte, and Acid, Base Balances
- Review of Physiological Reg ig Fluid, Electrolyte, and Acid
~ sane S
- Factors Affecting Fluid, lyte, and Acid- Base Balances
- Alterations in Fl .clfolyte — Base Balances
~ Nursing interventions in Fluid, Electrolyte, and Acid
- Base h XG assessment, types, equipment, procedure and
special Considerations
uring fluid intake and output
‘orrecting fluid, Blectrolyte Imbalance:
Replacement of Fluids: Oral and Parenteral- Venipuncture,
regulating IV flow rates, changing IV solutions and tubing Changing
IV dressing,
= Administering Blood transfusion
~ Rest
Psychosocial Needs
1 Concepts of Cultural Diversity, stress and Adaptation, Self-concept,
ion of fluids
Sexuality, Spiritual Health, coping with loss, death and grieving.
1 Assessment of psychosocial needs
1_Narsing interventions for psychosocial needs
~ Assist with coping an adaptation
23~_ Greating therapeutic environment
1 Recreational and diversional therapies
XI | Infection control in Clinical settings
© Infection Control
1 Nature of infection
1 Chain of infection transmission q
1 Defenses against infection: natural and acquired ay
1 Hospital acquired infection (Nosocomial infection) \X
© Cones ot sepia einantsaaialaeis OO”
© Isolation precaution (Barrier nursing): S
1 Hand washing: simple, hand antisepsis minha
1 solation: source and protective
1 Pasnal peteingogpment: ope etige of weg
and removing Oy
1 Decontamination of equipments init
1 Transportation of infected paints
Standard safety pr (niversal Precautions)
1 Transmission based precautions
© Biomedical waste ma
1D _Importgnce
oT, ospital waste
o R associated with hospital waste
gene hospital waste
- Segregation and Transportation of disposal
x | Adi jon of Medications
Q jeneral Principles/Considerations
1 Purposes of Medication
(Principles: 5 rights, Special Considerations, Prescriptions, Safety in
Administering Medications and Medication Errors
Drug forms
Routes of administration
Storage and maintenance of drugs and Nurses responsibility
ooaa
Broad classification of drug
eyTherapeutic Effect, Side Effects, Toxic Effects, Idiosyncratic Reactions,
Allergic Reactions, Drug Tolerance, Drug Interactions,
Factors Influencing drug Actions,
1 Measurement: Metric System, Apothecary System, Household
Measurements, solutions.
Converting Measurements Units: Conversion within one system, e)
Conversion between systems, Dosage Calculation, ay
Terminologies and abbreviation used in prescriptions of medicatiod)
© Oral Drugs Administration: Oral, Sublingual and Buccal: Equip! he ire
© Parenteral ~
General principles: decontamination and disposal ORs and needles
‘Types of parenteral therapies
a
Types of syringes, needles, canula, and infu Sp
Protection from Needle stick Injuries: thet lications with a safety
syringes
Routes of parenteral therapies
- — Intradermal: pro ‘al considerations
~ Subcutaneous purpdse, site, equipment, procedure, special
consid a)
- ee
Doyen
Se -ed techniques: Epidural, intrathecal, intraosseous,
intraperitonial, intraplural, intraarterial-Role of nurse
a
purpose, site, equipment, procedure, special
. Iministration: Purposes, site, equipment, procedure, spe
chii§iderations for
Application to Skin
iQ Application to mucous membrane
- Direct application of liquids-gargle and swabbing the throat
- Insertion of Drug into body cavity: Suppository/medicated packing
in rectum/vagina
* Instillations: Ear, Eye, Nasal, Bladder, and Rectal
- _Iigations: Eye, Ear, Bladder, Vaginal and Rectal
= Spraying: Nose and throat
25~ Inhalation, Nasal, oral endotracheal/tracheal (steam oxygen and
medications) ~ purposes, type, equipment, procedure, special
considerations
= Recording and reporting of medications administered
XIII | Meeting needs of Preoperative patients
© Definitions and concept of preoperative Nursing Sh
ne xy
© Intraoperative XO
O Operation theatre Set up and environment a
1 Role of nurse oh
1 Postoperative phase
1D Recovery unit Y
1D Post operative unit n>
1D Postoperative care S
© Wounds: types, Classification, wo “05 Process, Factors affecting Wound,
Complications of Wound He:
© Surgical asepsis
Casal ti emt pechaagincer, pcedn wad spect eenidecnions
1 Dressings, nn}
1 Care of e
oA ‘of Bandages, Binders, Splints & Slings
ra cold Therapy
XIV | Meeti is of the patient
. patients having alteration in —
S 1 Sensorium (Unconsciousness); Assessment, Management
Temperature (hyper and hypothermia); Types, Assessment, Management
10 Urinary Elimination (retention and incontinence); Assessment, management
1D Functioning of sensory organs; (Visual & hearing impairment)
oA itty
3 Communication methods and special considerations
1D Mobility (physically challenged, cast), assessment of Self-Care ability:
Communication methods and special considerations
26Gi Mental state (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;
CO Treatments related to gastrointestinal system: nasogastric suction, gastric Sh
itrigation, gastric analysis
XV__| Care of Terminally ill patient SY
1D Concepts of Loss, Grief, grieving Process SS
1 Signs of clinical death
1 Care of dying patient: special considerations, S
-Advance directives: euthanasia, will, dying declaration>ofgan donation etc
1 Medico legal issues %
1 Care of dead body: equipment, real en of unit
1D Autopsy
1D Embalming S
XVI_| Professional Nursing concepts and
© Conceptual and theoretical model3\ef nursing practice: Introduction to models
holistic model, health, lel, health promotion model etc
© Introduction to theories i Nursing; Peplau’s, Henderson’s Orem’s, Neuman’s,
Roger's and
3s with nursing process
. os
<
7Nursing Foundation — Practical
Placement
: First year Time : Practical - 650 hrs.
(200 lab and 450 clinical)
Course Deseription: The purpose of this course is to acquire knowledge and develop proficiency in
caring for patients with medical and surgical disorders in varieties of health care settings and “?
Clinical Area: Demonstration Lab, General Medical and surgery ward
Unit Skills to be developed
r ‘Hospital Admission and discharge \S 3
© Admission
© Prepare unit for new patient S )
© Prepare admission bed
© Performs admission procedure 4
New patient
2 hte >
© Prepare patient records ay
Discharge/Transfer out =>
© Gives discharges merc
© Perform discharge vee inned discharge, LAMA and abscond, Referrals and
transfer)
© Prepare record
. Dimi
arge/transfer
disinfect unit and equipment after discharge/transfer
Perform As
mc Nursing diagnosis, problem list, prioritization, Goals & Expected
1s, selection of interventions
ite nursing care plan
Sm care as per the plan
© Use verbal and non verbal communication techniques
Prepare a plan for patient teaching session
28Write patient report
© Change ~ shift reports, Transfer reports, Incident reports ete,
© Presents patient report
Vital signs
© Measure, Records and interpret alterations in body temperature, pulse respiration
and blood pressure
Heath Assessment ss
© Health history taking XO
.
Perform assessment:
O General \
1D Body systems \
© Use various methods of physical examination S
© Inspection, Palpation, Percussion, Auscultation, omy
© Identification of system wise deviations © Sy
Prepare Patient's Unit: S
«Puc <
Open, closed, occupied, oper yutation
Cardiac, fracture, burn, Divided, Fowlers, renal bed
© Pain assessment and provisiogfor comfort
Use comfort devices Hys ce
.
Oral hygiene
© Baths and cage of Pressure points,
Feeding:
fal, Naso/orogastric, gastrostomy and Parenteral feeding
sertion, suction, and irrigation
isting patient in urinary elimination
Provides urinal/bed pan
© Condom drainage
© Perineal care
© Catheterization
© Care of urinary drainage
Bladder irrigation Assisting bowel Elimination:
29© Insertion of Flatus tube
¢ Enemas
¢ Insertion of Suppository
Bowel wash
Body Alignment and Mobilit
Range of motion exercises Sh
Positioning: Recumbent, Lateral (rv/It), Fowlers, Sims, Lithotomy, Prone
‘Trendelenburg position XS
3 Assist patient in Moving, lifting, transferring, walking SS
CO Restraints
Oxygen administration S \
Suctioning: Oropharyngeal, nasopharyngeal
Chest physiotherapy and postural drainage Y
Care of Chest drainage
CPR - Basic life support intravenouse therapy” Sy
Blood and blood component therapy NY
Collect/assist for collection of specimens for
Vomit, blood and other body fins)
ions: Urine, sputum, faeces,
Perform lab tests:
© Urine: sugar, albumin, acetoy
© Blood: sugar (with sti eter)
Hot and cold application;
Local and general sitz
Communicating and assisting with self-care of visually & hearing impaired patient
Communi, assisting with self-care of mentally challenge/disturbed patients
Recreat = diversional therapies
tient with alteration in sensorium
c
dee mn control
Perform following procedures:
Hand washing techniques
Simple, hand antisepsis and surgical antisepsis (scrub)
Prepare isolation unit in lab/ward
oaa
Practice technique of wearing and removing personal protective
equipment (PPE)
30Practice Standard safety precautions precautions (Universal precautions)
Decontamination of equipment and unit:
© Surgical asepsis:
Sterilization
Handling sterilized equipment
1 Calculate strengths of lotions,
Prepare lotions ss
+ Gastnen S
Pre and post operative care: SS
© Skin preparations of surgery: Local
© Preparation of post operative unit oh
© Pre & post operative teaching and counseling
© Pre and post operative monitoring Y
© Care of the wound: e Sy
Se es so ope
Splints & Slings
. vote SO
Administration medications
. Administer Medicatior rent forms and routes.
. Oral, Sublingual and S
. Parenteral : in subcutaneous, Intramuscular etc.
e Assist tra Vénous medications
wit
Dru ents and dose calculations
.
. 2 \n of lotions and solutions
© gq Auitinisters topical applications
OQ ertion of drug into body cavity: Suppository & medicated packing etc.
Instllation of medicines and spray into Ear, Eye, Nose and throat
Irrigations: Eye, Ear, Bladder, Vagina and Rectum
© Inhalations: dry and moist
Care of dying patient
© Caring and packing of dead body
© Counseling and supporting grieving relatives
© Terminal care of the unit
3Psychology
Placement
: First year Time : Theory - 60 hrs,
Course Description: The course is designed to assist the students to acquite knowledge of fundamentals
of psychology and develop an insight into behaviour of self and others, Further it is aimed at, alpine
them to practice the principles of mental hygiene for promoting mental health in nursing pra
Unit ‘Content
T Introduction \S 3
© History and origin of science of psychology
© Definitions & Scope of Psychology S )
© Relevance to nursing
© Methods of Psychology ae
II | Biology of behaviour
© Body mind relationship modulation pes Dn and illness
© Genetics and behaviour: Heredity ar iment” Brain and behaviour: Nervous
system, Neurons and synapse,
Association with cortex, Rt an spheres
Pyychology of Sensations
Muscular and glandular contfbls of behaviour
Nature of behaviour offa ism/Integrated response
TIT | Cognitive processes
© Attention: Typ ants, Duration & degree, alterations
© Perception: Meanin¥/ Principles, factors affecting, Errors,
, Types, learner and learning, factors influencing, laws and theories
°
]
2
nsfer, study habits
Meaning, Types, Nature, factors influencing, Development Theories and
thods 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 assessment of cognitive processes
Alterations in cognitive processes
Applications
32IV
Motivation and Emotional Processes
© Motivation: Meaning, concepts, Types, Theories, Motives and behaviour, Conflicts,
and frustration, conflict resolution
© Emotions & stress
Emotion: Definition, components, Changes in emotions, theories, emotional
adjustments, emotions in health and illness oh
CO _ Stress: stressors, cycle, effect, adaptation & coping ay
© Attitude: Meaning, nature, development, factors affecting, Ae)
1D Behaviour and attitudes SS
— Attitudinal change
© Psychometric assessments of emotions and atitudes S \
© Alterations in emotions
© Application
V__| Personality »
© Definitions, topography, types, theories S
5 eee xr
© Alterations in personality
© Applications
PP =
VI Development Psychology WJ
© Psychology of people at différent ages from infancy to old age
© Psychology of Ie individuals ~ challenged, woken, sick, etc.
© Psycholo; roups
Vit | Metal hygi ntal Health
© Co ‘mental hygiene and mental health
. ics of mentally healthy person
. signs of poor mental health
° jotive and preventive mental health strategies and services
Ego Defense mechanisms and implications
Personal and social adjustments
Guidance and counseling
‘@ Role of nurse
Vill ~ | Psychological assessment & tests
© Types, development, Characteristics, Principles, Uses, Interpretations and role of
nurse in psychological assessmentMicrobiology
Placements: First year ‘Time : Theory - 60 hrs. (Theory 45+15 lab)
Course Description: This Course is designed to enable students to acquire understanding of
fundamentals of microbiology and identification various micro-organisms. It also provides opportunity
for practicing infection control measures
n hospital and community settings.
Unit Content
a a8
© Importance and relevance to musing \
© Historical perspective
© Concepts and terminology S )
© Principles of microbiology
I _ | General characteristics of Microbes 4
© Structure and classi
2 eae >
Size and forms of bacteria ay
Motility =>
Colonization
Growth and nutrition of
DO Temperat
OD Moist
o eas jody fluids
© Labo, 1ods for Identification of Microorganisms
si So. ques, Gram staining, Acid fast staining, Hanging drop preparation
. ele medias
1 eens Control
Infection: Sources, portals of entry and exit, transmission
Asepsis
© Disinfections; Types and methods
© Sterilization; types and methods
© Chemotherapy and antibiotics
© Standard safety measures
© Biomedical waste management
© Role of Nurse‘© Hospital acquired infection
© Hospital infection control programme
1D Protocols, collection of samples, preparation of report and status of rate of
infection in the unit/hospital, nurse’s accountability, continuing education et
IV __ | Pathogenic organisms
© Micro-organism oh
1D _Cocci-gram positive and gram negative ay
0 Bacilli-gram positive and gram negative Ae)
1 Spirochete XO
CO Mycoplasma a
OO Rickettsiae oh
OO Chalmydiae
— %
© Parasites S
© Rodents & vectors Characteristics, Sou al of entry, transmission of infection
Identification of disease Produci rganisms
Collection, handling and transportation of various specimens
Vv ‘Immunity WJ
.
.
.
© Serologicties
eon prbphylaxis
© geVatclines & sera-Types & classification, storage and handling, cold chain
wunization for various disease
Immunization ScheduleIntroduction to Computer
Placements : First year Time : Theory — 45 Hrs.
Course Description: This course is designed for students to develop basic understanding of uses of
‘computer and its applications in nursing.
Unit Content
= as
© Concepts of computers SS
© Hardware and software; trends and technology 4
© Application of computer in nursing GS
°
1 Introduction to disk operating system ¥
El) = Dos! . Sy 0
a Windows (all version) oY
Introduction
CO MS-Word «“Y
C ——_MS-Excel with pictorial presentation
CO —MS-Access
o
m fe
Vv le
VI
pital Management system: Types and uses
36Sociology
Time : Theory ~ 60 Hrs.
Course Description: This course is designed to introduce the concepts of sociology related to
‘community and social institutions in India and its relationship with health, illness and nursin;
Unit ‘Content
1 ae ~O
Tow. fe Deon of Secigy XO
© Nature and Scope of the discipline RY
© Importance and application of Sociology in Nursing GS
idual & Society T
3hrs. |@ Social and community . 4
© Nature of Society
© Difference between Society and commu °
. Process of Socialization and indivic
<=
TL. ‘Culture
oe oy
. Evolution of culty
© Diversity and
y of culture
© Biodiversity and its conservation
n-definition, species and ecosystem diversity
classification of India
Value of biodiversity: consumptive use, productive use,social ethical,
iQ aesthetic and option values
1 Biodiversity at global, National and local levels, hotspots
1 Threats : habitat loss, poaching of wildlife,man-wildlife conflicts
1 Endangered and ender
species of India
1 Conservation of Biodivers
y: In-situ and ex-situ conservation of
biodiversity.
© Culture and socialization
© Transcultural society
a7‘Influence on health and disease
IV. _ | Social groups and Processes
4hrs, |@ The meaning and classification of groups
© Primary & Secondary group
© In-group W/s. Out-group, class Tribe, Caste
© Economic, Political, Religious groups, Mob, Crowd, Public and audience Imeractiogy
& Social Processes ay
© Co-Operation, Competition, Conflict Ae)
© Accommodation, Assimilation & Isolation RN
V. | Population
Ghrs_|@ Society and population oh
© Population distribution in India. Demographic Characteristics
© Malthusian theory of Populations %
© Population explosion in India and its impact oxi Ys
© Family welfare programme a
Vi.__| Family and Marriage rw
Shrs, | © Family —functions
© Types-joint, Nuclear, Blended and Sxtended family:
© The modern Family-C iblems-Dowry etc., Welfare Services
© Changes & legistatio = ly and marriage in India-marriage acts
© Marriage: For inctions of marriage,
© Marriage and famil) problems in India
© Famil ey and their influence on health and health practices
Vil. | Social § ite
This |e ig & types of social stratification
OQ Indian Caste System-origin & features
Features of Caste in India today
© Social Class system and status
Social Mobility-Meaning & Types
© Race as a biological concept, criteria ofr
© Salient features of Primary races-Racism
© Influence of Class, Caste and Race on health and health practices
Vill _| Types of Communities in India (Rural, Urban and Regional)6hrs | @ Features of village community & Characteristics of Indian villages-Panchayat
system, social dynamics
© Community Development project & Planning
© Changes in Indian Rural life
© Availability of health facilities in rural and its impact on health and health practice
© =~ Urban-Community — features
© The growth of cities: Urbanization and its impact on health and health practices
© Major Urban problems ~ Urban slums, Energy problem, water problem XS
© Environmental pollution: cause effect, control and prevention. \
© Region: Problems and impact on Health ae
IX | Social Change
4hrs | @ Nature and process of social change
© Factors influencing social change: cultural change, cul
‘© Introduction to Theories of social change: Linear! ww jarxian, Functional
Role of nurse-Change agents
X __| Social organization and social syste
4hrs | @ Social organiation: elements, ty ‘
© Democratic and authorit sof participation
© Social system: sand Types of social system
© Role and ‘ural elements of social system
XI Social $0)
2hrs fe id process of social control
*olitical, legal, Religious, Educational, Economic, Industrial and technological
na tems, Norms & Values-folkways & Mores customs, Laws and fashion
‘ole of nurse
XI Problem
15hrs | © Social disorganization
© Control & Planning: poverty, housing, illiteracy, food supplies, prostitution, rights of
‘women & children, vulnerable groups: Elderly, handicapped, minority groups and.
other marginalized groups, child labour, child abuse, delinquency and crime,
39substance abuse, HIV/AII
Social welfare programmes in Indi
sePharmacology
Placements : Second year Time : Theory — 45 Hrs.
Course Description: This course is designed to enable students to acquire understanding of pharmaco-
dynamics, pharmacoknetics, principles of therapeutics and nursing implic
Unit Content ST
T Introduction to pharmacology oO
shu. | ¢ Defnions XO
@ Terminology used S
© Types: Classification
Pharmacodynamics : Actions, therapeutic. Y
© Pharmacokinetics: absorption, distribution, Sar,
© Review: Routes and principles of i < of drugs
Indian pharmacopoeia: Legal is:
@ ~~ Rational use of drug
© Principles of therapeuti € ©
1 | Chemotherapy
© Pharmacology Aeon used:
6 hrs, Peni
event
lacrolide & Brord Spectrum Antibiotics
iQ Sulfonamides
Quinolones
Antiamoebie
Antimalarials
Anthelminties
Antiscabies agents,
Antiviral & Anti-fungal agents
gqgoggagaqaaga
Antitubercular durgs
aAnti leprosy drugs
Anticancer drugs
O_ Immuno-suppressants
‘Composition, actions, dosage, route, indications, contraindications, drugs interactions, side
effects, adverse effects, toxicity and role of nurse
Ill | Pharmacology of commonly used antiseptics, disinfectants and insecticides
2hrs, | @ — Antiseptis; Composition, action, dosage, route, indications, containgicatons- ay
interactions, side effects, adverse effects, toxicity and role of nurse %
© Disinfecans XO
© Insecticides »
1V__ | Drugs acting on G.L system
ans, [© Aniementcs
. Emetics Y
5 ee ny
. ‘Antacids
oo Ss
© Anticholinergics =>
© Fluid and electrolyte therapy
© Antidiarthoeals ©
‘Composition, action, foute, indications, contraindications, drug interactions, side
effects, adverse ef oRcity and role of nurse
V Drugs used, — ‘Systems
itiasthmatics
iQ Muxoltrixa
1 Decongestants
Expectorants
Expectorants
Antitussives
Bronchodilators
Broncho constrictors
Antihistamines
gaaqgaa
2‘Composition, action, dosage, route, indications, contraindications, drug interactions, side
effects, adverse effects, toxicity and role of nurse
VI_| Drugs used on urinary system
2hrs. |@ Pharmacology of commonly used-
Diuretics and antidiureties
Urinary antiseptics q
Cholinergic and anticholinergies ay
O Acidifiers and alkalinizes Ae)
‘Composition, action, dosage, route, indications, contraindications, drug ii ay side
effects, adverse effects, toxicity and role of nurse
vil Miscellaneous
hrs. © Drugs used in de-addiction
© — Drug used in CPR and emergency Y
© Vitamins and minerals 5 >
© Immunosuppresants KO
© Antidotes ay
© Antivenom
@ = Vaccines and sera
2
‘VII | Drugs used on skin and mucotis menibranes
hrs, © Topical applications fot skin, eye, ear, nose and buccal cavity Antipruritics
© Compositi mn, dosage, route, indications, contraindications, drug
intel le effects, adverse effects, toxicity and role of nurse
IX | Drugs acti fous system
8 hrs. . {S19 & applied pharmacology of commonly used: Analgesics and
iesthetics:
Analgesics
- Non steroidal antinflammatory (NSAID) drugs
1 Antipyreties
O_ Hypnotics and Sedatives
= Opioids
= Non-Opiodis
- — Tranquilizers
- General & local anesthetics
- Gases: oxygen, nitrous oxide, carbon-dioxide
© Cholinergic and anti-cholinergics:Muscle relaxants
Major tranquilizers
Anti ~ psychoti
Antidepressants
Anticonvulsants
Adrenergics
Noradregenics ss
Mood stabilizers Ae)
Acetylcoline SS
Stimulatns
Composition, action, dosage, route, indications, cong , drug
interactions, side effects, adverse effects, toxicity and roleof nurse
gogoqgagagagagaaaa
X | Cardiovascular drugs
© Cardiotonies S
© Anti anginals Ss
© Anti-hypertensives & Vasodilat
© Anti-arthythmies
Plasma expanders ©
© Coagulants & ants
© Hypolipide
Compositio Seven route, indications, contraindications, drug interactions, side
Fees, toxicity and role of nurse
XT yr hormonal disorders and supplementations, contraception and medical
‘ths \n of pregnancy
Insulins & Oral hypoglycemic
‘Thyroid supplements and suppressants
Steroids, Anabolics
Uterine stimulants and relaxants
Oral contraceptives
Other estrogen-progesterone preparations
Corticotrophin & GonadotraopinesAdrenaline
Prostaglandins
Caleitonins
Calcium salts
© Calcium regulators
‘Composition, action, dosage, route, indications, contraindications, drug interaction:
effects, adverse effects, toxicity and role of nurse
XI
6 hrs.
Introduction to Drugs use in alternative systems of medicine:
© Ayurveda, Homeopathy, Unani and Siddha ete : Y
ohPathology and Genetics
Section A- Pathology
Placements : Second year
Time: Theory ~ 45 hours (Pathology 30 & Genetics 15 hrs)
Course Description: This course is designed to enable students to acquire knowledge of rate of
various disease conditions and apply this knowledge in practice of nursing.
Unit ‘Content
T © Introduction
3 hrs, 0 _ Importance of the study of pathology Cc \
Definition of terms
Methods and techniques 4
Cellular and Tissue changes
Infiltration and regeneration oY
Inflammations and Infections S
Wound healing
Vascular changes
© Cellular growth, Neoplasm(— )
o Normal and fer cell
ignant growths
o nan
1 Insitu carSinoma
gqgaqgqagagadg
© Disturtatheg of uid and electrolyte imbalance
1 |Special
1ohrs, | © __Pathbipgical changes in disease conditions of various system:
o piratory tract
Shs RQ 1 Tuberculosis, Bronchitis, Pleural effusion and pneumonia, Lung abscess,
t emphysema, bronchiectasis
Bronchial asthama, chronic obstructive pulmonary disease & tumours
46Cardio-vascular system
CO Pericardial effusion
CC Rheumatic heart disease
O__ Infective endocarditis, atherosclerosis,
Ischemia, infection & aneurysm
Gastro Intestinal tract
Peptic ulcer, typhoid XO
Gastric & intestinal
Liver, Gall bladder & pancreas S \
Carcinoma of GI tract buccal, Esophageal, AO
Hepatitis, Chronic liver abscess, cirrhosis
Tumours of liver, gall bladder and pancreas Y
CO Cholecystitis o Sy
Kidneys & urinary tract oS
. pyelonephritis, <
Calculi, renal failure, renal carbi cystitis
1D Glomerulonephrit
Male genital systems
O_ Cryptorchidism, test cut trophy
Prostatic hyperpl yeinoma Penis & prostate
Female genital 5
OO Fibroi
cervix and Endometrium
‘mole, choriocarcinoma
pic gestation
Warian eyst & tumour
‘Caner Breast
Central Nervous system
Hydrocephalus, meningitis, encephalitis,
Vascular disorders — thrombosis, embolism
Stroke, paraplegia, quadriplegia
gaa
‘Tumours, meningiomas, gliomas
a© Metastatic toumour
© Skeletal system
Bone healing, osteopor
_ ostemyelitis Arthritis & tumours
I | Clinical Pathology
© Various blood and bone marrow tests in assessment and monitoring of disease
conditions
Hemoglobin ss
pals RBC, White cell & platelet counts NO
o
Bleeding time, clotting time and prothrombine time >
Blood grouping and cross matching SS
Blood chemistry
Blood culture S )
Serological and immunoligical tests
Other blood tests . 4
Examination of Bone marrow
3 hs.
)
googoqgng0gagaaaag
Methods of collection of blood specimign fot various clinical pathology,
Anitecice and normal value
biochemistry, microbiology t
IV _ | Examination of body cavity fluids, jes and exudates
© The laboratories tests used “er ‘alysis,
© Examination of other fluids, transudates and exudates — sputum, wound
discharge ete.
ea QD count, motility and morphology and their importance in
(P)
. lection of CSF and other cavity fluids specimen for various clinical
jiochemistry, microbiology tests, inference and normal values
vo eces
1 hs, ine
om 1 Physical characteristics
Analysis
re 1 Culture and sensitivity
| & Faeces
Characteristics
Stool examination: occult blood, ova, parasite and cyst, reducing
substance etc.
¢ Methods of collection for various tests, inference and normal valuesSection B- Genetics
Time : Theory — 15 Hrs.
Course Description: This course is designed to enable students to acquire understanding of genetics, its
role in causation and management of defects and diseases.
Unit ‘Content
T Introduction
Bus, |e Practica aplication of ges n Nong SO
Impact of genetic conditions on families SS
Review of cellular division mitosis and meiosis
Chromosomes — Sex determination
‘Chromosomal aberrations patterns of inherita Y
Multiple allots and blood groups . wy
‘Sex linked inheritance KO
hheritance ay
Errors in transmission (Mi
Characteris
gooaa
Mechanism of
i | Maternal, prenatal and genetic influences on development of defects and disease
3hrs. |@ Condition affecting the * genetic and infections
© Consanguinity
© Prenatal mutritis allergies.
.
.
. ng and disgnosis
. f Radiation, drugs and chemi
iQ ‘Spontaneous abortion
Neural tube defects and the role of folic acid in lowering the risks
© Down syndrome (Trisomy 21)
I | Genetic testing in the neonates and children
2hrs. |@ Screening for
Congenital abnormalities
Developmental delay
1 Dimorphism
~Iv Genetic conditions of adolescents and adults
2hrs. | @ Cancer genetics ~ Familial cancer
© _Inbor errors of metabolism hematological disorder
© Genetic haemochromatosis
. Huntington’s disease
e Metal illness
v Services related to Genetics
2hrs. |e — Genetic testing
@ Human genome project
© Gene therapy
© The Eugenics movement
© Genetic counseling
Legal and Ethical issues
Role of nurse
50Medical Surgical Nursing
(Adult including Geriatrics) - I
Placements : Second year Time : Theory - 210 hrs.
Practical - 720 hrs.
The purpose of this course is to acquire knowledge and develop proficiepey in
Course Descriptio
caring for patients with medical and surgical disorders in varieties of health care settings and
Unit ‘Content
I Introduction: S
15 |@ Introduction to medical surgical nursing — Evolution and trends ota and
CS surgical nursing A
© Review of Concepts of Health and illness, Disease — sxe Adon,
classification- International Classification of Diseases 10 or later version),
Acute illness chronic illness & Terminal illness, eo iness
© Review of concepts of comprehensive nursins( Sarin medical surgical conditions
based on nursing process.
© Role of nurse, patient and family ine ki patient
© Role and responsibilities of a nurs®ip medical surgical settings:
Outpatient departn (6)
In-patient unit S
1D Intensive
DO Home an unity setting
© Introductiohyto medical surgical asepsis
a pmation and infection
a unity
‘Wound healing
Q Care of surgical patient
Pre-operative
Intra operative
Post operative
SL1
‘Common signs and symptoms and management
15 |@ Fluid and electrolyte imbalance
brs. le Vomiting
© Dyspnea and cough, respiratory obstruction
© Shock ss
© Unconsciousness, syncope NO
. Pain
Fe SS
a RY
© Age related problems-geriatric S
TI | Nursing management of patients (adults including elderly) With respiratory problems
20 |e Review of anatomy and physiology of respiratory sf
hrs.
© Nursing assessment — History and Physical 3s nt
© Etiology, Pathophysilogy, clinical may
and medical, surgical, dietetic & m
Upper Respirsggy infections
Bronchitis
oa
oa
a Asthmi
2 Mi,
o inic Obstruc
Cio
Pneumonia
Pulmonary tuberculosis
Lung abscess
Pleural effusion
Cysts and tumours
Chest Injuries
Respiratory arrest and insufficiency
gaqgagd
Pulmonary embolism
ve Pulmonary Disease (COPD)
diagnosis, treatment modalities
agement of adults including elderly
32‘Special therapies, alternative therapies
Nursing procedures
Drugs used in treatment of respiratory disorders
Vv
30
hrs.
‘Nursing Management of patient (adults including elderly) with disorders of digestive
system
© Review of anatomy and physiology of digestive system
© Nursing assessment-history and physical assessment ay
© Etiology, pathophysiology, Clinical manifestations, diagnosis, treatment mOligliies
and medical, surgical, dietetics & nursing management \
© Dison of ~
1D Oral cavity-lips, gums tongue, salivary glands and te
_ Oesophague ~ inflammation, stricture, obstruction, bleeding and tumours
3 Stomach and deudenum hiatus hernia, gastrit ind duodenal ulcer,
bleeding, tomours, pyloric stenosis. zi
Small intestinal disorders- inflammati a Mecin, enteritis,
malabsorption, obstruction, tumo ferforation
Large intestinal disorders. inflammation and infection, obstruction and
tumour and lump
Hemias ©
Appendix-inflammation, m:
Anal & jemorrhoids, fissures, fistulas
‘acute abdomen
Pe
as; inflammation, cyst, abscess and tumours
a
inflammation, cyst, abscess, citthosis, portal hypertension, hepatic
abscess, rupture
gagqaqagqg
diure, tumours
Gall Bladder; inflammation, obstruction, stones and tumours
ial therapies, alternative therapies
fursing procedures
Drugs used in treatment of disorders of digestive system30
hrs.
‘Nursing management of patient (adults including elderly) with blood and cardio
vascular problems
© Review of anatomy and physiology of blood and cardio vascular system,
© Nursing Assessment-History and physical assessment
© Etiology, Pathophysiology, clinical manifestation diagnosis, treatment modalities
and medical, surgical, dietetics & nursing management of - ss?
© Vascular system NO
10 Hypertension, hypotension Y
Artheriosclerosis SS
Raynaud’s disease \
‘Aneurism and peripheral Vascular disorders S
Heart Y
© Coronary artery diseases © Sy
Ischemic Heart Disease oY
Coronary atherosclerosis
Angina pectoris ay
Myocaridal infarction =>
Valvular disorders ofthe pea? )
Congential and a
1 Rehumati
Endocarditis, periagditis, Myocaridtis
gag
isease
Cardio Myopathies
cusp thmias, Heart Block
c fe cardiac failure
3 ‘or-pulmonale, pulmonary edema, cardiogenic shock,
‘ardiac emergices and arrest
Cardio Pulmonary Resuscitation (CPR)
© Blood
OO Anaemias
Polyeythemia
o
Bleeding disorders; clotting factor defects and platelets defects
ThalassemiaAlternative therapies
Nursing procedures Y
Leukaemias
Leukopenias and agranulocyt
Lymphomas
gaaa
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, “ao
donation management, blood bank functioning and hospital transfu Ox tee.
Bio-safety and waste management in relation to blood ao
Role of a nurse in Organ donation, retrieval and mis
Drugs used in treatment of blood and cardio vascular disorders
VI__| Narsing management of patient (adults inner ly) with genito-urinary
problems
10 |@ Review of anatomy and physiol iito-urinary system
hrs, | Nursing Assessment- History and Physical assessment
© Etiology, Pathophysiol ital manifestations, diagnosis, treatment modalities
and medical, surgical, iy & nursing management of ~
© Nephritis
© Nephrotie s
© Nephr aS
© qLumdors
iQ
te renal failure
Chronic renal failure
End stage renal disease
Dialysis, renal transplant
Congenital disorders, urinary infections
Benign prostate hypertrophy
wrders of ureter, urinary bladder and urethera - inflammation, infection, stricture,
obstruction, tumour, prostrate‘Special therapies, Alternative therapies
Nursing procedures
Drug used in treatment of genito urinary disorders
Vil | Nursing management of disorders of male (adults including elderly) reproductive
Shs. | system
© Review of anatomy and physiology of male reproductive system e)
© Nursing Assessment-History and physical assessment ay
© Etiology, pathophysiology, clinical manifestations, diagnosis, treatment moUaliies
and medical, surgical, dietetics & nursing management of disordei Ao”
reproductive system ~
© Congenital malformations eryptorchidism oh
‘© Hypospadiasis, Epispadiasis
© Penis
© Prostate: inflammation, infection, hype s tumour
© Sexual Dysfunction
© Contraception
© Breast; gynecomastia, hou)
© Climacteric changes, i a alternative therapies
‘Nursing procedures QR
Drugs used in treatment of disorders male reproductive system
Vit | Nursing ‘atment of patient (adults including elderly) with disorders of endocrine
10 | & sqReQy of anatomy and physiology of endocrine system
rs,
‘sing Assessment — History and Physical assessment
Q Etiology, Pathophysiology, clinical manifestations, diagnosis, treatment modalities
and medical, surgical, dietetics and nursing management of -
Disorders of thyroid and parathyroid
Diabetes mellitus
Diabetes insipidus
Adrenal tumour
goaaa
Pituitary disorders,
56‘Special therapies, alternative therapies
Nursing procedure
Drug used in treatment of disorders of endocrine system
1X
10
hrs.
‘Nursing management of patient (adults including elderly) with disorders of
integumentary system
© Review of anatomy and physiology of skin and its appendages Sh
© Nursing Assessment-History and physical assessment ay
@ Biology, Pathophysiology, diagnosis, treatment modalities and medical, saMjo)
dietetics & nursing management of disorders of skin and its appen¢ es
Lesions and abrasions \
Infection and infestations; Dermatitis, \
Dermatoses; infectious and non infectious ‘S ry dermatoses”
Acne Vulgar
Allergies and Eczema 2 >
Psoriasis S
Malignant melanoma Ss
Alopecia
goqgqggaqaa
Special therapies, alternative therapi
Nursing procedures ©
Drugs used in treatment of disorders of Integumentary system
15
hrs.
Nursing manageme
nt (adults including elderly) with musculoskeletal
problems
© Reviesx oPanaidmy and physiology of musculoskeletal system,
° oN eB sees and Physical assessment
© qEtipidzy, Pathophysiology, clinical manifestations, diagnosis, treatment modalities
medical, surgical, dietetics and nursing management of -
Q Muscles, Ligaments and joints-inflammation, infection, trauma
Bones inflammation, infection, dislocation, fracture, tumour and trauma
Osteomalacia and osteoporosis
Arthritis
Congenital deformities
gaaqaa
Spinal column — defects and deformities, tumor, Prolapsed inter vertebral
dise, pott’s spine
7Cl Paget's disease
© Amputation
© Prosthesis
© Transplant & replacement surgeries
© Rehabilitation
© Special therapies,
© Alternative therapies ss
Nursing procedures
XI
10
hrs.
Drugs used in treatment of disorders of musculoskeletal system Y
oTagical
‘Nursing management of patient (adult including elderly) with Imm
problems S
© Review of Immune system,
© Nursing Assessment — History and Physical ass
© Etiology, Pathophysiology, clinical manife win treatment modalities
and medical, surgical, dietetics and nursing sci ment of —
Immunodeficiency disorder ay
.
© Primary immuno deficiency
© Phagocyte dysfunction
© Boel and T-cell deficipebiek
© Secondary imouto)
© Acquired Imm jency Syndrome (AIDS)
© Incidence of §IV &AIDS
© Bpide ae)
eon Sion ~ prevention of Transmission
© St Safety precautions’ role of Nurse; Counseling
Ith education and home care consideration
Q National AIDS control program ~ NACO, various national and international
agencies
© Infection control program
© Rehabilitation
Special therapies, alternative therapies
Nursing procedures
Drugs used in treatment of disorders of immunological systemXI
20
hrs.
‘Nursing management of patient (adults including elderly) with Communicable
Diseases
© Overview of infectious disease, the infectious process
© Nursing Assessment - History and physical assessment
© Epidemiology, infectious process, clinical manifestations, diagnosis, treatment,
prevention and dietics. Control and eradication of common communicable disease
Tuberculosis ay
Diarrhoeal diseases Ae)
Hepatitis A-E SS
Herpes
Chickenpox S \
‘Smallpox
Gas gangrene >
Leprosy
Plague
Malaria (6)
Diphtheria
Pertuss
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umps
Influenza
Yellow fever
Os Ailariasis
OH, AIDS
Reproductive Tract Infections
Special Infection Control measures; Notification,
Infectious Disease Hospitals
Special therapies, alternative therapies
Nursing procedures
solation, Quarantine, Immunization,
Drugs used in treatment of Communicable diseases
9XII Peri Operative nursing:
© Organisation and Physical set up of the Operation Theatre (OT):
25
hrs.
Classifications
OF. Design
Staffing
Members of the OT team, ss
Duties and responsibilities of nurse in O.T. XO
Principles of Health and operating room attire AO
Instruments,
Sutures and suture materials \
Equipments S
7. tables and sets for common surgical procedures
Positions and draping for common surcal ires
Scrubbing procedures oY
Gowning and gloving <
Preparation of O.T. Sets. ay
Monitoring the patient during surgical procedures
© Maintenance of therapeutic epttironment in O.T.
© Standard Safety whey
Infection ceo: Fumigation, disinfections and sterilization
mn of accidents and hazards in O.T.
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. aos
‘pes
Methods of administration
iQ Effects and stages
Equipments
Drugs
Cardio Pulmonary Resuscitation (CPR)
Pain management techniques
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Legal Aspects
0Medical Surgical Nursing
(Adult including Geriatrics) —I
Practical
Placements: Second year ‘Time : Practical - 720 Hours
Clinical Areas: General Medical ward (+Respiratory, GI, Endocrine, Renal, Hey
Surgical ward (GI, Urinary, CTVS), Cardiology ward, Skin & Communicable ws
orthopaedic ward, Operation Theater.
Unit Skill to be developed
1D Perform general and specific physical examinati
1 ‘Assessment of the patient A
Taking history S
0 dentify alterations and deviations
© Practice medical surgical asepsis-s
© Administer medications <
Oral, IV, IM, Subcutaneous ay
© IV therapy =
© IVeanulation
1 Maintenance and Ge
. re
Oxygen therapy bydifferéit methods
© Nebulization
ding
2
2
S
3
A mon diagnostic procedure
Asst in therapeutic procedures
R food and component therapy
‘Throat suctioning
‘© Collect specimens for common investigations,
© Maintain elimination
CO Catheterisation
1 Bowel wash
OC Enema
oUrinary Drainage
© Maintain Intake, output and documentation
© Counsel and teach related to teach related to specific disease conditions
Te Practice medical surgical asepsis Standard safety measures
© Pre operative preparation of patients
© Post operative care-Receiving patient, assessment, monitoring, care oh
© Care of wounds and drainage, ay
= NO
© Ambulation and exercise XO
Nas gas spiaton S
© Care of chest drainage oh
© Ostomy care
0 Gastrostomy Y
CO Colostomy zi >
CO Enterostomy
© Blood and component therapy Ss
#_Pracice mnvesal pemons =
Ui, | Physical examination of the cardio Vascular system Recording and interpreting ECG
© Monitoring of patients XC)
© Preparation and a and invasive diagnosis procedures.
© Administer
© Cardio pul suscitation
. ical and surgical asepsis- Standard safety measures,
wv. fe
. Administer topical medication
Practice medical surgical asepsis standard safety measures
Use of personal protective equipment (PPE)
Give medicated baths
Counseling HIV positive patients
Teaching prevention of infectious diseases
oV. [© Assessment of orthopedic patients
© Assisit in application of plaster cast and removal of cast
© Apply skin traction buck’s extension traction
¢ Assist in application and removal of prosthesis
© Physiotherapy — Range of motion exercises (ROM), muscle strengthening exercises
© Crutch maneuvering technique. s?
© Activites of daily tiving XO
© Ambulation
© Teach and counsel patients and families SS
VI [@ Scrubbing, gowning, gloving —
© Identify instruments, suturing materials for common ope )
© Disinfection, Carbonization, fumigation of OT Y
© Preparation of instrument sets for common oreraion
© Sterilization of sharp and other instruments oy
© Prepare the OT table depending upon the opétati
© Positioning and monitoring of patient ay
© Endotracheal intubation
Assisting in minor and major opatons
© Handling specimens
© Disposal of waste ye ideline
Internship 4) Time: 430 hours (9 weeks)
Areas: ICU, CC IAC OT, Neuro ICU, ITU, OT, Burn and plastic Reconstructive surgery, OT
Laproscopic orth« ic eye ENT
Duration jectives Skills to be developed ‘Assignments ‘Assessment
Gin week ‘Methods
2 ‘ke, To gain proficiency | @ Assistinarterial puncture | @ Article puncture-5 | @ Record book
in ICU nursing for blood gas analysis © Taking out ECG stripe | @ Checking with
© Develop advance | @ Perform ECG and interpret | -5 supervisor
skill in special accordingly. ‘Tracheal suction -5
procedures used in| @ Conduct and analysis of | @ Forall assigned
critical care Unit pulse oximetry. patients.
© Identify potential | @ Care with artificial airway. | @ Oxygen administration
problems and © Care with artificial by CPAP mask and
provide accordingly. | intubation use Ambu bag.
‘© Skill in setting and | @ Setting up ventilator. © Assessment forall
hhandeling ventilator | @ Giving care in ventilator. assigned
© Administer injection | @ Drug sheetin infusion pump.
© Record accurately
findings and
medications.
© Develop IPR with
family members.
© Acquint with OT
technique.
‘© Observation of special
procedure in OT.
‘© Develop skill in
neurological
assessment.
© Give care tothe
patient with head
injury and spinal
injury.
© Care with chest
surgery and cranial
surgery.
‘© Assess neurological
status
© Implement care to head
injury and spinal injury
patients
© Drug sheet
© Pre and postoperative
care with neuro surgery
patients
‘© Assessment for all
assigned patients.
© Nursing care plan-2
@ Drug sheet
Family structure
‘Status of special groups; fe dren, Elderly, challenged groups and sick
persons
Recrei
al i
al life philosophy
if reliance
Dietary pattem
Education,
Occupation
Income
Budget
Purchasing power
Security
66iit
Epidemiology
10hhrs | © Definition, concept, aims, scope, uses and terminology used in epidemiology
© Dynamics of disease transmission: epidemiological triad
© Morbidity and mortality: measurements
© Levels of prevention
© Methods of epidemiology of e)
Descriptive ay
1D Analytical: Epidemic Investigation Ae)
Experimental SO
IV __| Epidemiology and nursing management of Common Communicable
25hrs | Respiratory infections S
Small Pox
1 Chicken Pox Y
Measles ny
Influenza S
CO Rubella Ss
O ART’s & Pneumonia =>
Mumps
CO Diphtheria ©
o Werosenes
CO Mening eningitis
CO Tuberculosis
a
© IntestirfThtections
liomyelitis
Viral Hepatitis
Qe Cholera
Diarrhoeal diseases
Typhoid fever
Food poisoning
OD Amoebiasis
10 Hook worm infection
1 Ascariasis
oiQ
1 Dracunculiasis
Arthropod infections
1 Dengue
Malaria
0 Filariasis
Zoonoses
Viral
Rabies SO
1D Yellow fever SS
Japanese encephalitis,
OO Kyansur forest disease S \
Bacterial
0 Brucellos Y
O Plague zi Sy
Human Salmonellosis oY
CO Anthrax, S
a
Leptospirosis
‘kettsial diseases
Hiker ecemoysty {J
‘Scrub typhus oS
Marine t
o
o
el
o
el
onoses
niasis
Hydatid disease
Leishmaniasis
Surface infection
Trachoma
1D Tetanus
Leprosy
DO STD&RTI
1 YawsO HIV/AIDS
Any Other
10 hrs
Epidemiology and Nursing Management of non Communicable Diseases
© Malnutrition: under nutrition, over nutrition, nutritional deficiencies
© Anaemia
© Hypertension
.
Stroke
© Coronary Heart Disease SS
© Cancer
© Diabetes mellitus S \
© Blindness
Accidents 4
© Mental illness
5c >
© Iodine Deficiency ay
© Fluorosis
© Epilepsy
Rheumatic, Heart Disease XS
s
oVI | Demography
6hrs | Definition, concept and scope
© Methods of collection, analys
and interpret
© Demographic rates an ratios
Vil | Population and its control
Gy
17hrs | © Population explosion and its impact on social, economic development of individi
society and country
© Population control: SO
RN
Overall development: Women empowerment, social, econom)
educational development
© Limiting family size: c )
C_ Promotion of small family norm
‘Methods: spacing (natural, biological, chemiedl ical methods etc)
Terminal: surgical methods oY
Emergency contraception
gaa
70Community Health Nursing — I
Practical
Placements: Second year ‘Time : Practical - 135 Hours
Areas: Urban and Rural Community
Unit Skill to be develop
i
T ‘© Use Techniques of interpersonal relationship
© Identification of health determinants of community
Urban | History taking
2 © Physical examination
weeks | Collect specimen sputum, malaria smear
© Perform simple lab tests at centre-blood for
Rural albumin and sugar oY
2 ~~ Administer vaccines and medications to adults’
weeks | Counsel and teach individual, famil brimunity
Nutrition
o
Cs Hygiene
Self health wi
OC Seeking seWvices
o
o
o
Ith
velfare methods
promotion
=
2
=
and sugar, urine for
&
1Communication & Educational Technology
Placements: Second year Time: Theory - 90 Hours
Course Description: This course is designed to help the students acquire an understanding of the
principles and methods of communication and teaching. It helps to develop skill in communicating
effectively, maintaining effective interpersonal relations, teaching individuals and groups in clinical,
‘community health and educational settings, S
Unit Content Se
r Review of Communication process SS
Shrs | @ Process; elements and channel
© Facilitators c 5)
© Barriers and methods of overcoming techniques
TT _| Interpersonal relations 7
Shrs | © Purpose & Types
oo >
Baris & Methods ofovesming A)
© Johari Window =>
i ‘Human relations
Shrs | @ Understanding self (6)
+ salvo moi oa
. ebieed ee
© Groups & indijdual
Human be context of Nursing
.
© Gro ies
© Tea
2IV | Guidance & conselling
© Definition
10 hrs | © Purpose, scope and need
om
© Basic principles
Organization of counseling services
5 hrs
® ‘Types of conselling approaches
Role and preparation of counselor ss
Issues for counseling in nursing: students and practitioners Ae)
Counselling process- steps & techniques, tools of counselor SS
@ Managing disciplinary problems
© Management of crisis & referral GS
Vv Principle of education & teaching learning process Di
Shrs_| @ Education: meaning, philosophy, aims, functions & pri
© Nature and characteristics of learning, “)
Principles and maxims of teaching, ro)
Formulating objectives; general and 5
Lesson planning
Classroom Management
VI | Methods of teaching
10 hrs
© Lecture, demonstration, group discussion, seminar, symposium, panel discussion, role
° play, project, fi workshop, exhibition, programmed instruction, computer
ai assisted xt ro teaching, problem based learning, self instructional module
and sina
© Clinigal"feadhing methods: case method, nursing round & reports, bedside clinical
jon, conference (individual & group) process recording.
Vil nal Media
a a Purposes & types of A.V. Aids, principles and sources etc.
© Graphic aids: chalk board, chart, graph, poster, flash cards, flannel graph, bulletin,
oe cartoon
© Three dimensional aids: objects, specimens, models, puppets
© Printed aids: pamphlets & leaflets
© Projected aids: slides, overhead projector, films, TV, VCR/VCD, camera,
microscope, LCD
73© Audio aids: tape recorder, public address system
© Computer
VII | Assessment
© Purpose & scope of evaluation & assessment
S hrs
(TD) | Criteria for selection of assessment techniques and methods
ais |® — Assessment of knowledge: essay type questions, short answer ques
) Multiple choice questions (MCQ)
© Assessment of skills: observation checklist, practical exam, Viva,
structured clinical examination (OSCE) SS
© Assessment of Attitudes: Attitude scales
IX | Information, Education & Communication for heath (IEC)
Shrs |e Health behaviour & health education
Planning for health education Y
Health education with individuals, groups & ceo
a
© Communicating health messages
© Methods & media for communicatit sey jessages,
© Using mass media
©
3
s
s
4Medical Surgical Nursing
(Adult including Geriatrics) — II
Placements : Third year Time : Theory - 120 hrs.
Practical - 270 hrs.
én
caring for patients with medical and surgical disorders in varieties of health care settings an e.
Unit ‘Content
I Nursing management of patient with disorders of Ear Nose and Thee >
+ Review of anatomy and physiology of the Ear Nose and Th a)
Course Deseription: The purpose of this course is to acquire knowledge and develop profi
15 | « Nursing Assessment — History and Physical assessment
hrs. | © Etiology, Pathophysiology, Clinical manifestations, diagnosis, treatment modalities
and medical & surgical nursing management of E ‘Throat disorders:
1 External ear: deformities otalgia, foreign bodie
Q Middle Ear-Impacted wax, Tympani a
otosclerosis, mastoidis, tumours A AY
Inner ear-Meniere’s Disease, labyrinthitis, ototoxicity, tumours
id tumours,
brane perforation, otitis media,
o
Upper airway infection
Common cold, sinusi itis, rhinitis, pharyngitis, tonsilitis and
adenoiditis, peritonosilarabscess, laryngitis.
© Nasal obstruction, laryngeal obstruction, cancer of the larynx
: ir <) ral cavity.
“os fects and speech therapy
ness —
Q Prevention, Control and 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.
75I Nursing management of patient with disorders of eye
15 | © Review of anatomy and physiology of the eye
hrs, | * Nursing Assessment History and Physical assessment
«Etiology, pathophysiology, clinical manifestations, diagnosis, treatment modalities and
medical & surgical nursing management of eye disorders:
G) Refractive errors
1 Eyelids-infection, tumours and deformities q
1 Conjunctiva-inflammation and infection, bleeding xy
Q Cornea-inflammation and infection
QO Lens-Cataracts Ae)
Q Glaucoma Y
Q Disorder of the w tract, \
Q Ocular tumours ae
1 Disorders of posterior chamber and retina: Retinal and vit mins
2 Retinal detachment
Ocular emergencies and their prevention 5
* Blindness
© National blindness control program .
rye Bang >
1 Eye prostheses and Rehabilitation
Special therapies
‘Nursing procedures
Drugs used in treatment of. sees of eye
TIT | Nursing management of pati€ht with neurological disorders
Review of anatomy jhySiology of the neurological system
# Nursing Asses re Physical and neurological assessment and Glasgow
16 coma scale
hrs. | «Etiology, ‘aap siology, clinical manifestations, diagnosis, treatment modalities
and mé ical nursing management of neurological disorders
+ Con alformations
=
3 Quadraplegia
Spinal cord compression-herniation of intervertebral disc
© Tumors of the brain & spinal cord
Intra cranial and cerebral aneurysms
* Infections:
© Meningitis, Encephalitis, Brain abscess, neurocysticercosis
« Movement disorders
O Chorea
O Seizures
O Epilepsies
7