Unit 1

Describe the concept of health, illness and health care agencies

Introduction
Concept of Health: Health illness continuum
Factors influencing health
Causes and risk factors for developing illness
Body defences: Immunity and immuniation
Illness and illness Behavior:
Impact of illness on patient and family
Health Care !ervices: Health "romotion and "revention, "rimary Care, Diagnosis,
#reatment, $ehabilitation and Continuing Care
Health care teams
#ypes of health care agencies
Hospitals: #ypes, %rganisation and Functions
Health "romotion and &evels of Disease "revention
"rimary Health care and its delivery: $ole of nurse
Teaching Learning Activities
&ecture discussion
'isit to health care agencies
Unit 2
( )*plain concept and scope of nursing
Describe values, code of ethics and professional conduct for nurses of India
Nursing as a profession
Definition and Characteristics of a profession
+ursing:
o Definition, Concepts, philosophy, ob,ectives
o Characteristics, nature and scope of nursing practice
o Functions of nurse
o -ualities of a nurse
o Categories of nursing personnel
o +ursing as a profession
o History of +ursing in India.
'alues: Definition, #ypes, 'alues Classification and values in professional +ursing:
Caring / 0dvocacy
)thics:
o Definition and )thical "rinciples
o Code of ethics and professional conduct for nurses.
Teaching Learning Activities
&ecture discussion
Case discussion
$ole plays
Unit 3
)*plain the admission and discharge procedure
"erforms admission and discharge procedure
Hospital admission and discharge
0dmission to the hospital
o 1nit and its preparation2admission bed
o 0dmission procedure
o !pecial considerations
o 3edico2legal issues
o $oles and $esponsibilities of the nurse
Discharge from the hospital
o #ypes: "lanned discharge, &030 and abscond, $eferrals and transfers
o Discharge "lanning
o Discharge procedure
o !pecial consideration
o 3edico2legal issues
o $oles and $esponsibilities of the nurse
o Care of the unit after discharge
Teaching Learning Activities
&ecture discussion
Demonstration
&ab "ractice
!upervised Clinical practice
Unit 4
Communicate effectively 4ith patient, families and team members and maintain effective
human relations 5pro,ecting professional image6
0ppreciate the importance of patient teaching in nursing
Communication and Nurse patient relationship
Communication: &evels, )lements, #ypes, 3odes, "rocess, Factors influencing
Communication
o 3ethods of )ffective Communication: 0ttending skills, $apport building skills,
)mpathy skills
o Barriers to effective communication
Helping $elationship 5+"$6: Dimensions of Helping $elationships, "hase of a helping
relationship
Communicating effectively 4ith patient, families and team members and maintain
effective human relations 4ith special reference to communicating 4ith vulnerable
group5children, 4omen, physically and mentally challenged and elderly6
"atient #eaching: Importance, "urposes, "rocess, role of nurse and Integrating
teaching in +ursing "rocess.
Teaching Learning Activities
&ecture discussion
$ole play and video film on the nurses interacting 4ith the patient
"ractice session on patient teaching
!upervised Clinical "ractice
Unit
)*plain the concept, uses, format and steps of nursing process
Documents nursing process as per the format #he +ursing "rocess
Critical #hinking and +ursing 7udgment
Critical #hinking: #hinking and &earning
Competencies, 0ttitudes for Critical #hinking, &evels of critical thinking in +ursing
+ursing "rocess %vervie4:0pplication in "ractice
+ursing process format: I+C, current format
0ssessment
Collection of Data : #ypes, !ources, 3ethods
Formulating +ursing 7udgment: Data interpretation
+ursing Diagnosis
Identification of client problems
+ursing diagnosis statement
Difference bet4een medical and nursing diagnosis
"lanning
)stablishing "riorities
)stablishing 8oals and )*pected %utcomes
!election of interventions : "rotocols and standing %rders
9riting the +ursing Care "lan
Implementation
Implementing the plan of care
)valuation
%utcome of care
$evie4 and 3odify
Documentation and $eporting
#eaching &earning 0ctivities
&ecture discussion
Demonstration
)*ercise
!upervised Clinical "ractice
Unit !
Describe the purposes, types and techni:ues of recording and reporting Documentation and
$eporting
Documentation : "urposes of $ecording and reporting
Communication 4ithin the Health Care #eam
#ypes of records; 4ard records, medical<nursing records,
Common $ecord2keeping forms, Computeried documentation
8uidelines for $eporting: Factual Basis, 0ccuracy, Completeness, currentness, %rganiation,
confidentiality
3ethods of $ecording
$eporting: Change of shift reports: #ransfer reports, incident reports
3inimiing legal &iability through effective record keeping
#eaching &earning 0ctivities
&ecture discussion
Demonstration
"ractice !ession
!upervised Clinical "ractice
Unit "
Describe principles and techni:ues of monitoring and maintaining vital signs
3onitor and maintain vital signs 'ital signs
8uidelines for taking vital signs :
Body temperature:
"hysiology, $egulation, Factors affecting body temperature,
0ssessment of body temperature: sites, e:uipments and techni:ue, special considerations
#emperature alterations: Hyperthermia, Heatstroke, Hypothermia
Hot and cold applications
"ulse:
"hysiology / $egulation,Characteristics of the pulse, Factors affecting pulse
0ssessment of the pulse: sites, location, e:uipments and techni:ue, special considerations
0lterations in pulse:
$espiration
"hysiology and $egulation, 3echanics of breathing Characteristics of the respiration, Factors
affecting respiration
0ssessment of respirations:#echni:ue, special considerations
0lterations in respiration
Blood pressure :
"hysiology and $egulation, Characteristics of the blood pressure, Factors affecting blood
pressure
0ssessment of blood pressure: sites, e:uipments and techni:ue, special considerations
0lterations in blood pressure$ecording of vital signs#eaching &earning 0ctivities
&ecture discussion
Demonstration
"ractice
!upervised Clinical "ractice
Unit #
Describe purpose and process of health assessment
Describe the health assessment of each body system
"erform health assessment of each body system Health assessment
"urposes
"rocess of Health assessment
Health History
"hysical e*amination :
3ethods2Inspection, "alpation, "ercussion, 0uscultation, %lfaction
"reparation for e*amination: patient and unit
8eneral assessment
0ssessment of each body system
$ecording of health assessment#eaching &earning 0ctivities
&ecture discussion
Demonstration
"ractice on stimulators
!upervised Clinical "ractice
Unit $
Identify the various machinery, e:uipment and linen and their care 3achinery, ):uipment
and linen
#ypes: Disposables and reusable2 &inen, rubber goods, glass 4are, metal, plastics, furniture,
machinery
Introduction
Indent
3aintenance
Inventory#eaching &earning 0ctivities
&ecture discussion
Demonstration
Unit 1%
Describe the basic, psychological needs of patient
Describe the principles and techni:ues for meeting basic, "hysiological and psychosocial
needs of patient
"erform nursing assessment, plan implement and evaluate the care for meeting basic,
physiological and psychosocial needs of patient 3eeting needs of patient
Basic needs 50ctivities of daily living6
"roviding safe and clean environment:
"hysical2environment: #emperature, Humidity, +oise, 'entilation, light, %dour, pests control
$eduction of physical haards: fire, accidents
!afety devices: $estraints, side rails, air4ays, trapee etc.
$ole of nurse in providing safe and clean environment.
Hygiene:2
Factors Influencing Hygienic "ractice
Hygienic care: Care of the !kin2Bath and pressure points, feet and nail, %ral cavity, Hair
Care, )yes, )ars and +ose
0ssessment, "rinciples, #ypes, ):uipments, "rocedure, !pecial Considerations2 "atient
environment: $oom ):uipment and linen, making patient beds
#ypes of beds and bed making
Comfort:2
Factors influencing Comfort
Comfort devices
"hysiological needs:2
!leep and $est :
"hysiology of sleep
Factors affecting sleep
"romoting $est and sleep
!leep Disorders
+utrition :2
Importance
Factors affecting nutritional needs
0ssessment of nutritional needs
3eeting +utritional needs:"rinciples, e:uipments, procedure and special considerations
%ral
)nteral : +aso< %rogastric, gastrostomy
"arenteral :
1rinary )*amination
$evie4 of "hysiology of 1rine )limination, Composition and characteristics of urine.
Factors influencing 1rination
0lteration in 1rinary )limination
#ypes and Collection of urine specimen:%bservation, urine testing
Facilitating urine elimination: assessment, types, e:uipments, procedures and special
considerations
"roviding urinal<bed pan
Condom drainage
"erineal care
Catheteriation
Care of urinary drainage
Care of urinary diversions
Bladder irrigation
Bo4el )limination
$evie4 of "hysiology of Bo4el )limination, Composition and characteristics of faeces
Factors affecting Bo4el elimination
0lteration in Bo4el )limination
#ypes and Collection of specimen of faeces: %bservation
Facilitating bo4el elimination: assessment, e:uipments, procedures and special
considerations
"assing of Flatus tube
)nemas
!uppository
!it bath
Bo4el 4as
Care of %stomies
3obility and Immobility
"rinciples of Body 3echanics
3aintenance of normal body 0lignment and mobility
Factors affecting body 0lignment and mobility
Haards associated 4ith immobility
0lteration In body 0lignment and mobility
+ursing interventions for impaired Body 0lignment and 3obility: assessment, types, devices
used, method and special considerations, rehabilitation aspects
$ange of motion e*ercises
3aintaining body alignment: "ositions
3oving
&ifting
#ransferring
9alking
$estraints
%*ygenation
$evie4 of Cardiovascular and respiratory "hysiology
Factors 0ffecting %*ygenation
0lterations in o*ygenation
+ursing interventions in o*ygenation : assessment, types, e:uipment used, procedure and
special considerations
3aintenance of patent air4ay
%*ygen administration
!uction
Inhalations: dry and moist
Chest physiotherapy and postural drainage
"ulse o*imetry
C"$2Basic life support
Fluid, )lectrolyte, and 0cid Base Balances
$evie4 of "hysiological regulation of Fluid, )lectrolyte, and 0cid2Base Balances
Factors 0ffecting Fluid, )lectrolyte, and 0cid2Base Balances
0lterations in Fluid, )lectrolyte, and 0cid
Base Balances
+ursing interventions in Fluid, )lectrolyte and 0cid
Base Imbalances :assessment, types, e:uipment, procedure and special considerations
3easurement fluid intake and output
Correcting Fluid)lectrolyte Imbalance:
$eplacement of fluids:%ral and "arenteral 2'enipuncture, regulating I' flo4 rates, changing
I' solutions and tubing, changing I' dressing,
0dministering Blood transfusion
$estriction of fluids
"sychosocial +eeds
Concepts of Cultural Diversity, !tress and 0daptation, !elf2concept, !e*uality, !piritual
Health, coping 4ith loss, death and grieving
0ssessment of psychosocial needs
+ursing intervention for psychosocial needs
0ssist 4ith coping and adaptation
Creating therapeutic environment
$ecreational and diversional therapies#eaching &earning 0ctivities
&ecture discussion
Demonstration
"ractice sessions
!upervised Clinical "ractice
Unit 11
Describe principles and techni:ues for infection control and biomedical 4aste management
in !upervised Clinical settings Infection control in Clinical settings
Infection control
+ature of infection
Chain of infection transmission
Defenses against infection: +atural and ac:uired
Hospital ac:uired infection5+osocomial infection6
Concept of asepsis: medical asepsis, and surgical asepsis
Isolation precautions 5Barrier nursing6:
Hand 4ashing: simple, hand antisepsis and surgical antisepsis 5scrub6
Isolation: source and protective
"ersonal protecting e:uipments: types, uses and techni:ue of 4earing and removing
Decontamination of e:uipment and unit
#ransportation of infected patients
!tandard safety precautions 51niversal precautions6
#ransmission based precautions
Biomedical 4aste management :
Importance
#ypes of hospital 4aste
Haards associated 4ith hospital 4aste
Decontamination of hospital 4aste
!egregation and #ransportation and disposal#eaching &earning 0ctivities
&ecture discussion(Demonstration
"ractice session
!upervised Clinical practice
Unit 12
)*plain the principles, routes, effects of administration of medications
Calculate conversions of drugs and dosages 4ithin and bet4een systems of measurements
0dminister drugs by the follo4ing routes2oral, Intradermal, !ubcutaneous, Intramuscular,
Intra 'enous topical, inhalation 0dministration of 3edications
8eneral "rinciples<Considerations
"urposes of 3edication
"rinciples: = rights, !pecial Considerations, "rescriptions, !afety in 0dministering
3edications and 3edication )rror
Drugs forms
$outes of administration
!torage and maintenance of drugs and +urses responsibility
Broad classification of drugs
#herapeutic )ffect, !ide )ffects, #o*ic )ffects, Idiosyncratic $eactions, 0llergic $eactions,
Drug #olerance, Drug Interactions,
Factors influencing drug 0ctions,
!ystems of Drug 3easurement: 3etric !ystem, 0pothecary !ystem, Household
3easurements, !olutions.
Converting 3easurements units: Conversions 4ithin one system, Conversion bet4een
systems, Dosage Calculation,
#erminologies and abbreviations used in prescriptions of medications
%ral Drugs 0dministration: %ral, !ublingual and Buccal : ):uipment, procedure
"arenteral
8eneral principles:Decontamination and disposal of syringes and needles
#ypes of parentaral therapies
#ypes of syringes, needles, canula, and infusion sets
"rotection from +eedlestick In,uries: 8iving 3edications 4ith a safety syringes
$outes of parentaral therapies
Intradermal: purpose, site, e:uipment, procedure, special considerations.
!ubcutaneous: purpose, site, e:uipment, procedure, special considerations
Intramuscular: purpose, site, e:uipment, procedure, special considerations
Intra 'enous: purpose, site, e:uipment, procedure, special considerations
0dvanced techni:ues: epidural, intrathecal, intraosseous, intraperitonial, intraplural,intra
arterial
$ole of nurse
#opical 0dministration :purposes, site, e:uipment, procedure, special considerations for
0pplication to !kin
0pplication to mucous membrane
Direct application of li:uids28argle and s4abbing the throat
Insertion of Drug into body cavity: !uppository< medicated packing in rectum<vagina
Institutions: )ar, )ye, +asal, Bladder, and $ectal
Irrigations: )ye, )ar, Bladder, 'aginal and $ectal
!praying: +ose and throat
Inhalation: +asal, oral, endotracheal<tracheal 5steam, o*ygen and medications6 2purposes,
types, e:uipment, procedure, special considerations
$ecording and reporting of medications administered#eaching &earning 0ctivities
&ecture discussion
Demonstration
"ractice session
!upervised Clinical practice
Unit 13
Describe the pre and post operative care of patients
)*plain the process of 4ound healing
)*plain the principles and techni:ues of 4ound care
"erform care of 4ounds 3eeting needs of "erioperative patients
Definition and concept of "erioperative +ursing
"reoperative "hase
"reparation of patient for surgery
Intraoperative
%peration theatre !et up and environment
$ole of nurse
"ostoperative "hase
$ecovery unit
"ost operative unit
"ost operative care,
9ounds: types, Classifications, 4ound Healing "rocess, Factors affecting 9ound,
Complications of 9ound Healing
!urgical asepsis
Care of the 4ound: types, e:uipments, procedure and special consideration
Dressings, !uture Care,
Care of Drainage
0pplication of Bandages, Binders, !plints / !lings
Heat and Cold #herapy#eaching &earning 0ctivities
&ecture discussion
Demonstration
"ractice session
!upervised Clinical practice
Unit 14
)*plain care of patients having alterations in body functioning 3eeting special needs of the
patient
Care of patients having alteration in
#emperature 5hyper and hypothermia6; #ypes, 0ssessment, 3anagement
!ensorium51nconsciousness6;0ssessment, 3anagement
1rinary )limination 5retention and incontinence6;0ssessment, 3anagement
Functioning of sensory organs: 5'isual / hearing impairment6
0ssessment of !elf2Care ability
Communication methods and special considerations
3obility 5physically challenged, cast6 assessment of !elf2Care ability: Communication
3ethods and special considerations
3ental state 5mentally challenged6, assessment of !elf2Care ability;
Communication 3ethods and special considerations
$espiration 5distress6; #ypes, 0ssessment, 3anagement
Comfort 5"ain6 +ature, #ypes, Factors influencing "ain, Coping, 0ssessment,
3anagement;
#reatment related to gastrointestinal system : naso2gastric suction, gastric irrigation, gastric
analysis. #eaching &earning 0ctivities
&ecture discussion
Case Discussions
!upervised Clinical practice
Unit 1
)*plain care of terminally ill patient Care of #erminally ill patient
Concepts of &oss, 8rief, grieving "rocess
!igns of clinical death
Care of dying patient: special considerations
0dvance directives: )uthanasia, 4ill, dying declaration, organ donation etc.
3edico2legal issues
Care of dead body: e:uipment, procedure and care of unit
0utopsy
)mbalming#eaching &earning 0ctivities
&ecture discussion
Demonstration
Case discussion<$ole play
"ractice session
!upervised Clinical practice
Unit 1!
)*plain the basic concepts of conceptual and theoretical models of nursing "rofessional
+ursing concepts and practices
Conceptual and theoretical models of nursing practice: Introduction of models2holistic
model, health belief model, health promotion model etc.
Introduction to #heories in +ursing; "eplau>s, Henderson>s, %rem>s, +euman>s, $oger>s and
$oy>s
&inking theories 4ith nursing process#eaching &earning 0ctivities
&ecture discussion