CHARNOCK HEALTHCARE INSTITUTE

UNIT PLAN
ADULT HEALTH NURSING -I
COURSE OUTLINE

COURSE-ADULT HEALTH NURSING-I

PLACEMENT- III SEMESTER

MARKS- 75+25(EXTERNAL+INTERNAL)

THEORY HOURS- 7 CREDITS (140HOURS)

PRACTICAL HOURS- LAB/SKILL

LAB(SL)-1CREDIT(40HRS) CLINICAL-6

CREDITS(480HOURS)

GENERAL OBJECTIVES-

1. To assist students in developing expertise and in understanding in the field of nursing management.

2. To help students to develop a broad understanding of Principles, concepts, trends and issues related to nursing management.

3. To provide opportunity to students to understand, appreciate and acquire skills in planning, supervision and management
of nursing services at different levels to provide quality nursing services.

SPECIFIC OBJECTIVES-

At the end of the course, students will be able to:

1. Appreciate the trends & issues in the field of Medical – Surgical Nursing.

2. Apply concepts & theories related to health promotion.

3. Appreciate the client as a holistic individual.

4. Perform physical, psychosocial assessment of patients.

5. Apply Nursing process in providing care to patients.

6. Integrate the concept of family centered nursing care with associated disorder such as genetic, congenital and long-term
illness.

7. Recognize and manage emergencies to patients.

8. Describe various recent technologies & treatment modalities in the management of critically ill patients.

9. Appreciate the legal & ethical issues relevant to Adult health Nursing.

10. Appreciate the role of alternative systems of Medicine in care of patients. .

11. Recognize the role of Nurse practitioner.

Students will be evaluated in terms of their achievement of goals / objectives of the course.
 UNIT-I
UNIT I: INTRODUCTION

Teacher:

Time allotted: 6 hours

Teaching method: lecture cum discussion, assigned reading from given bibliography

Evaluation: examination, individual and group discussion and assignment

GENERAL OBJECTIVES

to provide an overview of history and development of adult health nursing.

Duratio Specific objectives Course content Teaching- Evaluation
n learning
activities
1 hr Introduce to medical ▪ Introduction to Lecture Cum Short answer objective
surgical nursing. Medical Surgical type assessing teaching
Nursing - Evolution sessions.
and trends of
Medical and
Surgical Nursing

1hr Identify current status of ▪ Review of concept Lecture

health& disease, acute of health and Cum
illness, chronic illness. disease, Discussi
International on
Classification
diseases, Acute
illness, chronic
illness, &
Terminal illness

Review concept of ▪ Review of concepts

1 hr comprehensive nursing care. of comprehensive Lecture Cum
Nursing care in discussion
Medical Surgical
conditions based
on Nursing process

1 hr Identify role of ▪ Role of Nurse, Lecture Short answer objective

Nurse in Patient patient and Cum type evaluation of
and family care family in care of Discussion assignment
adult patient

1hr Describe role and ▪ Role and Lecture Cum Short answer objective
responsibility of Nurse responsibilities of discussion type assessing teaching
a Nurse in Medical sessions
Surgical settings:
Outpatient
department, In -
Patient unit
1hr Introduce to asepsis Introduction to Medical Lecture Cum Short answer objective
technique. Surgical asepsis Discussion type evaluation of
 Inflammation assignment
and
Infection
 Immunity
 Wound healing
 UNIT-II

UNIT II: Intraoperative care

Teacher:

Time allotted: 15 hours

Teaching method: lecture cum discussion, assigned reading from given bibliography

Evaluation: examination, individual and group discussion and assignment

GENERAL OBJECTIVES

To provide an overview of intraoperative care to adult patients in OT as well as in surgical units

Duration Specific objectives Course content Teaching-learning Evaluation

activities

1 hr Explain organizational set  Organization and physical Lecture cum  Caring for
up of the OT set up of the operation discussion patient
theatre intraoperativ
ely
o Classification  Submit a list
o O.T Design of
disinfectants
o Staffing
used for
o Members of the OT team instruments
Differentiate the role of Demonstration, with the
o Duties and responsibilities
scrub nurse and circulating of the nurse in OT Practice session, action and
1 hr nurse and Case precautions
Discussion
 Position and draping for
Describe the different common surgical Visit to receiving
1hr positioning for various procedures bay
surgeries
 Instruments, sutures and
Apply principles of asepsis suture materials,
2hrs
in handling the sterile equipment for common
equipment surgical procedures
 Disinfection and
sterilization of equipment
 Preparation of sets for
common surgical Demonstration,
procedures Practice session,
1hr Demonstrate skill in  Scrubbing procedures – and Case
scrubbing procedures Gowning, masking and Discussion
Demonstrate skill in gloving
3hrs
assessing the patient and  Monitoring the patient
document accurately the during the procedures
surgical safety checklist
 Maintenance of the
therapeutic environment
 in OT
Visit to receiving
2hrs Develop skill in assisting  Assisting in major and bay
with selected surgeries minor operation,
handling specimen
 Prevention of accidents and
hazards in OT
Explain the types,
4hrs functions, and nursing Anaesthesia – types,
considerations for different methods of administration,
types of anaesthesia effects and stages,
equipment & drugs
Legal aspects
 UNIT-III

UNIT III: COMMON SIGNS AND SYMPTOMS AND MANAGEMENT

Teacher:

Time allotted: 6 hours

Teaching method: lecture cum discussion, assigned reading from given bibliography

Evaluation: examination, individual and group discussion and assignment

GENERAL OBJECTIVES

Student will be able to assess the patient with common signs and symptoms and management.
Duration Specific objectives Course content Teaching- Evaluation
learning
activities
2hrs Describe the common  Fluid and Lecture Cum Short answer
signs, symptoms, electrolyte objective type
problems imbalance assessing teaching
 Vomiting sessions.
 Dyspnea
and cough
 respiratory
obstructio
n
 Acute illness, Lecture
chronic illness, Cum
& Terminal Discussio
illness n

▪ Review of concepts
1hr Enlist etiology of various of comprehensive Lecture Cum
common problems. Nursing care in discussion
Medical Surgical
conditions based
on Nursing process

1hr Describe ▪ Pathophysiology Lecture Short answer

pathophysiolo Cum objective type
gy of those Discussion evaluation of
problems. assignment

Enumerate ▪ Clinical manifestation

1hr
clinical
manifestations
of those
problems
1hr Describe role and ▪ Nursing Lecture Cum Nursing care plan
responsibility of Nurse managemen discussion preparation.
t
 UNIT-IV

UNIT-IV : -NURSING MANAGEMENT OF PATIENTS WITH

RESPIRATORY PROBLEMS

Teacher :
Time allotted : -18 hrs.
Evaluation : -Examination, group and individual discussion,
Assignment clinical evaluation
GENERAL OBJECTIVES: -

Students will have in depth knowledge of disorders of respiratory system and apply this knowledge in
clinical practice

Hour Specific Course content Teaching- Evaluation

s objectives Learning
activities
2 hrs Review anatomy ▪ Anatomy &physiology Assigned Short answer
&physiology of of Respiratory system. Reading objective type
evaluation of
assignment.
Respiratory system.
▪ Etiology of disorders
of respiratory Clinical posting in
2hrs Enlist etiology of system. medical surgical
various disorders of
Respiratory system.
▪ Pathophysiology
3hrs Describe patho Lecture cum
physiology of Discussion
disorders of
Respiratory system
▪ Clinical manifestation
3hrs Enumerate the Demonstration Assessment
clinical health
manifestation education
of resp. session.
disorders

2hrs Identify Clinical posting in

complications after medical surgical
disorders of
▪ Complication
 respiratory system
▪ Treatment modalities
&trends.
ICU Case
2hrs Aware of presentation
▪ Special therapies,
Treatment alternative preparation
Modalities &trends therapy.
Of respiratory disorders Lecture cum discussion
Case study
Describe Special preparation
2hrs therapies, alternative ▪ Nursing procedures
therapies.

Describe role and  Drugs used in

1hr responsibility of treatment of disorders
of respiratory system Lecture cum discussion
Nurse. Nursing process
preparation.
Aware of Drugs
1hr used in treatment of Lecture cum discussion
disorders of
respiratory system
 UNIT–V

UNIT- V: - NURSING MANAGEMENT OF PATIENTS WITH DISORDERS

OF GASTROINTESTINALTRACT

Teacher :
Time allotted : -16 hrs
Evaluation : - Examination, group and individual discussion, assignment
clinical evaluation.

GENERALOBJECTIVES: -

Student will have in depth knowledge of disorders of gastric tract and apply this knowledge in
clinical practice.

Duration Specific objectives Course content Teaching- Evaluation

learning
activities
Explain the etiology,  Lecture, Discussion  Short answer
5 (L)
pathophysiology, clinical Nursing Management of patients  Demonstration,  Quiz
12hrs manifestations, diagnostic tests, with disorders of digestive system
and medical, surgical, nutritional,  Role play  OSCE
and nursing management of  Review of anatomy and physiology
gastrointestinal disorders of GI system  Problem
Based
 Nursing assessment –History and Learning
physical assessment Visit to stoma clinic
1hr Demonstrate skill in
gastrointestinal assessment  GI investigations
 Common GI disorders:

Prepare patient for upper and o Oral cavity: lips, gums and teeth
1hr lower gastrointestinal o GI: Bleeding, Infections,
investigations Inflammation, tumors,
Obstruction, Perforation &
Peritonitis
Demonstrate skill in gastric
decompression, gavage, and stoma o Peptic & duodenal ulcer,
2hrs
care o Mal-absorption, Appendicitis,
Demonstrate skill in different Hernias
feeding techniques
o Hemorrhoids, fissures, Fistulas
Pancreas: inflammation, cysts, and
tumors
o Liver: inflammation, cysts,
abscess, cirrhosis, portal
hypertension, hepatic failure,
tumors
o Gall bladder: inflammation,
Cholelithiasis, tumors
 Gastric decompression, gavage and
stoma care, different feeding
techniques
Alternative therapies, drugs used in
treatment of disorders of digestive
system
 UNIT-VI

UNIT-VI: -MANAGEMENT OF PATIENTS WITH DISORDERS OF CARDIOVASCULAR SYSTEM

Teacher :-
Time allotted : -20 hrs
Evaluation : -Examination, group and individual discussion,
Assignment clinical evaluation
GENERAL OBJECTIVES:-
Student will have in depth knowledge of disorders of cardio – vascular system and apply this in
clinical practice

Hours Specific Course content Teaching- Evaluation

objectives learning
activities
5 (L) Nursing Management of  Lecture, discussion  Care plan
patients with cardiovascular
 Demonstration  Drug record
1hr Explain the etiology, problems
pathophysiology, clinical  Practice session
 Review of anatomy and
manifestations, diagnostic tests, and
physiology of cardio-  Case Discussion
medical, surgical, nutritional, and
vascular system
2hr nursing management of  Health education
cardiovascular disorders  Nursing Assessment: History
and Physical assessment  Drug Book/
presentation
 Invasive & non-invasive
2hrs Demonstrate skill in cardiac procedures
cardiovascular assessment
 Disorders of vascular
system- Hypertension,
Prepare patient for invasive arteriosclerosis, Raynaud‘s
2hrs disease, aneurysm and
and non- invasive cardiac
procedures peripheral vascular disorders
 Coronary artery diseases:
2hrs coronary atherosclerosis,
Demonstrate skill in monitoring Angina pectoris, myocardial
and interpreting clinical signs infarction
related to cardiac disorders
2hrs  Valvular disorders:
congenital and acquired
Complete BLS/BCLS  Rheumatic heart disease:
2hrs module  Completion of
pericarditis, myocarditis,
endocarditis, BCLS Module BLS/ BCLS evaluation
cardiomyopathies
1hr  Cardiac dysrhythmias,
heart block
 Congestive heart failure,
1hr corpulmonale, pulmonary
edema, cardiogenic shock,
cardiac tamponade
 Cardiopulmonary arrest
5hrs
 UNIT-VII

UNIT-VI: - NURSING MANAGEMENT OF PATIENTS WITH DISORDERS OF BLOOD

Teacher :-
Time allotted : - 7 hrs
Evaluation : -Examination, group and individual discussion,
Assignment clinical evaluation
GENERAL OBJECTIVES:-
Student will have in depth knowledge of disorders of blood and apply this in clinical practice

Hours Specific Course content Teaching- Evaluation

objectives learning
activities
Nursing Management of  Field visit to blood bank  Interpretation of blood
3 (L)
Explain the etiology, patients with disorders of  Counseling reports
5hrs pathophysiology, clinical blood  Visit report
manifestations, diagnostic tests, and
 Review of Anatomy
medical, surgical, nutritional, and
and Physiology of
nursing management of
blood
hematological disorders
 Nursing assessment: history,
physical assessment &
1hr Interpret blood reports Diagnostic tests
 Anemia, Polycythemia
1hr Prepare and provides
Bleeding Disorders: clotting factor
health education on
defects and platelets defects,
blood donation
thalassemia, leukemia, leukopenia,
agranulocytosis
Lymphomas, myelomas
 UNIT VIII

MANAGEMENT OF PATIENT WITH DISORDER OF ENDOCRINE SYSTEM

Teacher:

Time allotted: 8 hours

Teaching method: lecture cum discussion, assigned reading from given bibliography

Evaluation: examination, individual and group discussion and assignment

GENERAL OBJECTIVE-

Student will have in depth knowledge of disorders of endocrine system and apply this in clinical
practice

Hours Specific Objectives Course content Teaching learning Evaluation

activity

2 (L)  Lecture, discussion,  Prepare health

demonstration education on
Explain the etiology, self-
Nursing management of patients with  Practice session
pathophysiology, clinical administration
disorders of endocrine system of insulin
manifestations, diagnostic tests,  Case Discussion
1hr and medical, surgical, nutritional,  Review of anatomy and physiology of  Submits a
 Health education diabetic diet
and nursing management of endocrine system
1hr endocrine disorders plan
 Nursing Assessment –History and
Physical assessment

3hrs Demonstrate skill in assessment  Disorders of thyroid and Parathyroid,

of endocrine organ dysfunction Adrenal and Pituitary (Hyper, Hypo,
tumors)
 Diabetes mellitus
3hrs Prepare and provides health
education on diabetic diet
Demonstrate skill in insulin
administration
 UNIT-IX

NURSING MANAGEMENT OF PATIENT WITH DISORDERS OF INTUGEMENTRY SYSTEM

Teacher:

Time allotted: 8 hours

Teaching method: lecture cum discussion, assigned reading from given bibliography

Evaluation: examination, individual and group discussion and assignment

GENERAL OBJECTIVES

Hour s specific objectives Course content Teaching- Evaluation

Learning
activities
Explain the etiology, Nursing management of patients  Drug report
pathophysiology, clinical with disorders of Integumentary  Lecture, discussion  Preparation of Home
manifestations, diagnostic tests, system care plan
and medical, surgical,  Demonstration
 Review of anatomy and
1hr nutritional, and nursing  Practice session
physiology of skin
management of disorders of
integumentary system  Nursing Assessment: History  Case Discussion
1hr
and Physical assessment
 Infection and infestations;
1hr Demonstrate skill in
Dermatitis
integumentary assessment
1hr  Dermatoses; infectious and
Non infectious
1hr Demonstrate skill in
 Acne, Allergies, Eczema
medicated bath
& Pemphigus
1hr Prepare and provide health
education on skin care  Psoriasis, Malignant
melanoma, Alopecia
1hr  Special therapies, alternative
therapies

1hr  Drugs used in treatment of

disorders of integumentary
system
Student will have in depth knowledge of disorder of integumentry system and apply this
in clinical practice
 UNIT-X

NURSING MANAGEMENT OF PATIENT WITH MUSCULOSKELETAL PROBLEMS

Teacher:

Time allotted: 16 hours

Teaching method: lecture cum discussion, assigned reading from given bibliography

Evaluation: examination, individual and group discussion and assignment

GENERAL OBJECTIVES

Student will have in depth knowledge of disorder of musculoskeletal system and apply this in clinical
practice

Hour s specific objectives Course content Teaching- Evaluation

Learning
activities
Explain the etiology, Nursing management of  Lecture, discussion  Nursing care plan
pathophysiology, clinical patients with musculoskeletal  Prepare health
 Demonstration
1hr problems teaching on care of
manifestations, diagnostic tests,  Practice session patient with cast
and medical, surgical, nutritional,  Review of Anatomy and
physiology of the musculoskeletal  Case Discussion
1hr and nursing management of system
musculoskeletal disorders
 Nursing Assessment: History
and physical assessment,
Demonstrate skill in diagnostic tests
2hrs musculoskeletal assessment
 Musculoskeletal trauma:
Dislocation, fracture, sprain,
1hr Prepare patient for radiological strain, contusion, amputation
and non- radiological  Musculoskeletal infections and
investigations of tumors: Osteomyelitis, benign
3hrs musculoskeletal system and malignant tumour
 Orthopedic modalities: Cast,
3hrs Demonstrate skill in crutch splint, traction, crutch walking
walking and splinting  Musculoskeletal inflammation:
Bursitis, synovitis, arthritis
1hr
Demonstrate skill in care of  Special therapies, alternative
2hrs patient with replacement therapies
surgeries  Metabolic bone disorder:
Osteoporosis, osteomalacia
and Paget‘s disease
1hr Prepare and provide health
 Spinal column defects and
education on bone healing deformities – tumor, prolapsed
1hr intervertebral disc, Pott‘s
spine
 Rehabilitation, prosthesis
 Replacement surgeries
UNIT-XI

NURSING MANAGEMENT OF PATIENT WITH COMMUNICABLE DISEASES

Teacher:

Time allotted: 20 hours

Teaching method: lecture cum discussion, assigned reading from given bibliography

Evaluation: examination, individual and group discussion and assignment

GENERAL OBJECTIVES

Student will have in depth knowledge of communicable diseases and apply this in clinical practice

Hour s specific objectives Course content Teaching- Evaluation

Learning
activities
Nursing management of  Lecture, discussion, Prepares and submits
patients with Communicable demonstration protocol on various
1hr Explain the etiology, diseases isolation techniques
 Practice session
pathophysiology, clinical  Overview of infectious
1hr manifestations, diagnostic tests,  Case Discussion/
diseases, the infectious process
and medical, surgical, seminar
nutritional, and nursing  Nursing Assessment: History
 Health education
management of patients with and Physical assessment,
communicable diseases Diagnostic tests  Drug Book/
2hrs presentation
 Tuberculosis
1hr  Refer TB Control
Demonstrate skill in barrier  Diarrhoeal diseases, hepatitis A-
& Management
and reverse barrier E, Typhoid
module
3hrs techniques
 Herpes, chickenpox,
Smallpox, Measles, Mumps,
1hr Influenza
Demonstrate skill in execution of
1hr  Meningitis
different isolation protocols
1hr  Gas gangrene
3hrs
 Leprosy
 Dengue, Plague, Malaria,
2hrs Chikungunya, swine flu,
Filariasis
2hrs  Diphtheria, Pertussis,
Tetanus, Poliomyelitis
2hrs
 COVID-19
Special infection control
measures: Notification, Isolation,
Quarantine, Immunization
References

 Hinkle, J.L. & Cheever, K.H. (2018). Brunner & Suddarth's Textbook of Medical-Surgical
Nursing (14th ed.). Philadelphia: Wolters Kluwer.
 Ignatavicius, D.D., Workman, M.L., & Rebar, C.R. (2018). Medical-Surgical Nursing: Concepts
for Interprofessional Collaborative Care (9th ed.). St. Louis: Elsevier.
 LeMone, P., Burke, K.M., Bauldoff, G., & Gubrud, P. (2015). Medical-Surgical Nursing: Critical
Reasoning in Patient Care (6th ed.). Upper Saddle River, NJ: Pearson/Prentice Hall.
 Lewis, S.L., Dirksen, S.R., Heitkemper, M.M., Bucher, L., & Harding, M.M. (2017). Medical-
Surgical Nursing: Assessment and Management of Clinical Problems (10th ed.). St. Louis:
Elsevier.
 Potter, P.A., Perry, A.G., Stockert, P.A., & Hall, A.M. (2019). Essentials for Nursing
Practice (9th ed.). St. Louis: Elsevier.
 Potter, P.A., Perry, A.G., Stockert, P.A., & Hall, A.M. (2017). Fundamentals of Nursing (9th
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 Wilkinson, J.M., Treas, L.S., Barnett, K.L., & Smith, M.H. (2016). Fundamentals of Nursing:
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