aRevised Ordinance Governing Regulations and Curriculum of
Basic B.Sc. Nursing Degree Course 2006
Volume I REGULATIONS AND CURRICULUM
Rajiv Gandhi University of Health Sciences, Karnataka 4th ‘T’ Block, Jayanagar, Bangalore 560 041.
Revised Ordinance Governing Regulations and Curriculum of Basic B.Sc. Nursing Degree Course and Curriculum - 2006 Volume I & Volume II
I Edition printed : 1997 II Edition printed : 1999
Rs.
Copies may be obtained from : The Director, Prasaranga, Rajiv Gandhi University of Health Sciences, 4th T Block, Jayanagar, Bangalore 560 041.
Rajiv Gandhi University of Health Sciences, Karnataka bangalore,
The Emblem
The Emblem of the Rajiv Gandhi University of Health Sciences is a symbolic expression of the confluence of both Eastern and Western Health Sciences. A central wand with entwined snakes symbolises Greek and Roman Gods of Health called Hermis and Mercury is adapted as symbol of modern medical science. The pot above depicts Amrutha Amrutha Kalasham Kalasham of Dhanvanthri Dhanvanthri the the father of of all Health Sciences. The wings above it depicts Human Soul called Hamsa (Swan) in Indian philosophy. The rising Sun at the top symbolises knowledge and enlightenment. The two twigs of leaves in western philosophy symbolises Olive branches, which is an expression of Peace, Love and Harmony. In Hindu Philosophy it depicts the Vanaspathi (also called as Oushadi) held in the hands of Dhanvanthri, which are the source of all Medicines. The lamp at the bottom depicts human energy (kundalini). The script “Devahitham “Devahitha m Yadayahu” inside the lamp is taken from Upanishath Shanthi Manthram (Bhadram (Bhadra m Karnebhi Shrunuyanadev…), which says “ May we live the full span of our lives allotted by God in perfect health” which is the motto of the Rajiv Gandhi University of Health Sciences.
����� ������ ���������� �� ������ ��������� ��������� ���������
������ ��������� The Rajiv Gandhi University of Health Sciences, Karnataka, aims at bringing about a confluence of both Eastern and Western Health Sciences to enable the humankind “Live the full span of our lives allotted by God in Perfect Health”
It would strive for achievement of academic excellence by Educating and Training Health Professionals who
Shall recognize health needs of community, Carry out professional obligations Ethically and Equitably and in keeping with National Health Policy,
It would promote development of scientific temper and Health Sciences Research.
It would Encourage inculcation of Social Accountability amongst students, teachers and institutions. It would Support Quality Assurance for all its educational programmes
Motto Right for Rightful Health Sciences Education
SECTION I
Philosophy, Aims and Objectives Philosophy
(Adapted from Indian Nursing Council) Indian Nursing Council believes that: Health is a state of well-being that enables a person to lead a psychologically, socially and economically productive life. Health is a right of all the people. people. Individuals, Families and and communities have responsibility towards maintaining their health. Nursing contributes to the health services in vital and significant way in the health care delivery system. system. It recognizes national health goals goals and is committed committed to participate in the implementation of National National Health policies and and programmes. programmes. It aims at identifying identifying health needs of the people, planning and providing quality care in collaboration with other health professionals and community groups. Scope of nursing practice encompasses provision of promotive, preventive, curative and rehabilitative aspects of care to people across their life span in wide variety of health care settings. Practice of nursing is based based upon application of basic basic concepts concepts and principles principles derived from the physical, biological, and behavioural b ehavioural sciences, medicine and nursing. Nursing is based on values of caring and aims to help individuals to attain independence in self care. It necessitates development development of compassion and and understanding of human behaviour behaviour among its practitioners to provide care with respect, dignity and protect the rights of individuals & groups. Undergraduate nursing programme is broad based education within an academic framework specifically directed to the development of critical thinking skills, competencies & standards required for practice of professional nursing and midwifery as envisaged in National Health Policy 2002. The teachers have the responsibility to be role models and create learning environment that enables students to acquire inquiry driven, self directed learning and foster an attitude of life long learning. Under graduate nursing education program prepares its graduates to become exemplary citizen by adhering to code of ethics and professional conduct at all times in fulfilling personal, social and professional obligations so as to respond to national aspirations.
Aim The aim of the undergraduate nursing program is to: •
•
Prepare graduates to assume responsibilities as professional, competent nurses and midwives in providing promotive, preventive, curative, and rehabilitative services. Prepare nurses who can make independent decisions in nursing situations, protect the rights and facilitate individuals and groups in pursuit of health, function in the hospital, community nursing services, and conduct research studies in the areas of nursing practice. They are also expected to assume assume the role of teacher, supervisor and manager in a clinical / public health setting.
Objectives
On completion of the four year B.Sc. Nursing program the graduate will be able to: 1. Apply knowledge from physical, biological, and behavioural sciences, medicine including alternative systems and providing nursing care to individuals, families and communities. 2.
Demonstrate understanding of life style and other factors, which affect health of individuals and groups.
3.
Provide nursing care care based on steps of nursing process in collaboration collaboration with the individuals and groups.
4.
Demonstrate critical thinking skill in making decisions in all situations in all situations in order to provide quality care.
5.
Utilize the latest trends and technology in providing health care.
6.
Provide promotive, preventive, and restorative health services in line with the national health policies and programmes.
7.
Practice within the framework of code of ethics and professional conduct, and acceptable standards of practice within the legal boundaries.
8.
Communicate effectively with individuals and groups, and members of the health team in order to promote effective interpersonal relationships and teamwork.
9.
Demonstrate skills in teaching to individuals and groups in clinical/community health settings.
10.
Participate effectively as members of the health team in health care delivery system.
11.
Demonstrate leadership and managerial skills in clinical/community health settings.
12.
Conduct need based research studies in various settings and utilize the research findings to improve the quality of care.
13.
Demonstrate awareness, interest and contribute towards advancement of self and of the profession.
(S chedule chedule annexed to University Notification No. UA/SYN/ORD/B.Sc.(N)/32/2005-06 dated 08.08.2006)
Revised Ordinance Governing Regulations and Curriculum of Basic B.Sc. Nursing Degree Course - 2006 (as per Indian Nursing Council Guidelines of 2004, vide letter from from the Secretary, Secretary, INC, No. 12-1/2004-INC dated 07.05.2005)
SECTION – II REGULATIONS 1. Eligibility 1.1 Qualifying Examination
A candidate seeking admission to first Basic B.Sc. Nursing course: i)
ii)
iii)
shall have passed two years Pre University examination conducted by Department of Pre-University Education, Karnataka State, with English as one of the subjects and Physics, Chemistry and Biology as optional subjects. The candidate shall have passed subjects of English, Physics, Chemistry and Biology individually and must have obtained a minimum of not less than 50% marks in Physics, Chemistry, Biology and English (PCBE) taken together in the qualifying examination. In respect of candidates belonging to Scheduled Castes, Scheduled Tribes or Other Backward Classes, the marks obtained in Physics, Chemistry, Biology and English taken together in qualifying examination be not less than 40% instead of 50% as above. OR shall have passed any other examination conducted by Boards /Councils/ Intermediate Education established by State Governments/ Central Government and recognised as equivalent to two year Pre University examination by the Rajiv Gandhi University of Health Sciences/Association of Indian Universities (AIU), with English as one of the subjects and Physics, Chemistry and Biology as optional subjects and the candidate shall have passed subjects of English, Physics, Chemistry and Biology individually and must have obtained a minimum of not less than 50% marks in Physics, Chemistry, Biology and English taken together in the qualifying examination. In respect of candidates belonging to Scheduled Castes, Scheduled Tribes or Other Backward Classes, the marks obtained in Physics, Chemistry, Biology and English taken together in qualifying examination be not less than 40% instead of 50% as above. OR In case of candidates from the stream of Vocational Higher Secondary Course conducted by the Board of Vocational Higher Secondary Examination, Kerala, the candidate shall have taken a minimum of 5 (five) subjects including Physics, Chemistry, Biology and English in addition to the vocational subject (vide RGUHS Notification No. RGUHS/SEF/EC.B.Sc.Nsg/191/2005-06 dated 18.05.2006.) and shall have passed the said examination in all the subjects individually and shall have obtained a minimum of not less than 50% marks in Physics, Chemistry, Biology and English taken together in the qualifying examination. In respect of candidates
belonging to Scheduled Castes, Scheduled Tribes or Other Backward Classes, the marks obtained in Physics, Chemistry, Biology and English taken together in the qualifying examination be not less than 40% instead of 50% as above. st
1.2 Age: The candidate should should have completed completed 17 years on on or before 31 day of December of the year of admission. 1.3
Candidate shall be medically fit.
2. Selection
Selection of the candidates should be based on the merit in the entrance examination held by University or competent authority. 3. Duration of the Course
Duration of the course shall be four completed years including clinical training of 24 weeks. 4. Medium of Instruction
English shall be the medium of for the course as well as for the examination. 5. Course of Study Candidates shall undergo course of instruction in the following subjects. Details of Subjects and Distribution of Hours of Teaching in Theory and Practical from First to Fourth Year are given in the Tables 1 to 4.
Table 1-First year Basic BSC Nursing : SL NO
SUBJECTS
THEORY HOURS
PRACTICAL /CLINICAL HOURS
TOTAL
1. 2. 3. 4. 5. 6.
Anatomy Physiology and Biochemistry Basic principles and practice of Nursing General and Education Psychology Microbiology Introduction to Community Health Nursing Sociology English Kannada (Regional Language) Language)
60 60+30 240 45+45 45 75
20 20+13 300 15 45
80 125 540 90 60 120
60 90 45
-
60 90 45
7. 8. 9.
Table 2-Second year basic BSC Nursing; SL NO
SUBJECTS
THEORY HOURS
PRACTICAL/ CLINICAL HOURS
TOTAL
1. 2. 3. 4.
Pharmacology Medical surgical nursing-1 Community health nursing-1 Growth and development including nutrition Statistics and introduction to nursing research
30 270 75 60
15 600 105 30
45 870 180 90
30+45
-
75
5.
Table 3-Third year basic BSC Nursing:
SL NO
SUBJECTS
THEORY HOURS
PRACTICAL/ CLINICAL HOURS
TOTAL
1. 2. 3. 4
Child health nursing Medical Medical surgical nursing-II Mental health nursing Midwifery including maternity and gynecological nursing-1 Nursing Education
75 75 75 60
240 210 240 150
315 285 315 210
60
150
210
5.
Table 4-Fourth year BSC Nursing:
SL NO
SUBJECTS
THEORY HOURS
1.
Midwifery including maternity and gynecological nursing-II Community Health Nursing Nursing Administration Trends and issues in Nursing Electives-Computer Science
2. 3. 4. 5.
TOTAL
60
PRACTICAL /CLINICAL HOURS 300
60 60 45 45
450 105 30
510 165 45 75
360
Note: All practical examinations must be held in the respective clinical areas.
One internal and one external examiner should jointly conduct practical /clinical examination for each student.
�� �������� ��� ����� � ����� � ��������� ��� �� ������� ��� ��������� ��������� For declaration of pass in any subject in the University examination, a candidate shall pass both in Theory and Practical/Clinical examinations components separately as stipulated below: The Theory component consists of marks obtained in University Written paper(s) and internal Assessment (Theory). For a pass in theory, a candidate shall secure not less than 50% marks in aggregate i.e., marks obtained in written examination and internal assessment (theory) added together. For a pass in practical/clinical examination, a candidate shall secure not less than 50% marks in aggregate, i.e., marks obtained in university practical /clinical examination and internal assessment assessment (practical) added together . A candidate not securing 50% marks in aggregate in Theory or Practical/Clinical examination in a subject shall be declared to have failed in that subject and is required to appear for both Theory and Practical/Clinical again in the subsequent examination in that subject.
However, for a pass in English paper, a candidate shall secure not less than 40% of maximum prescribed marks in theory and 40% of maximum prescribed marks in internal assessment.
10.
a)
b)
c)
d)
Declaration of Class: (Only in the final year examination) A candidate having appeared in all the subjects in the same examination and passed that examination in the first attempt and secures 75% of marks or more of grand total marks prescribed will be declared to have passed the examination with distinction. A candidate having appeared in all the subjects in the same examination and passed that examination in the first attempt and secures 65% of marks or more but less than 75% of grand total marks prescribed will be declared to have passed the examination in First Class. A candidate having appeared in all the subjects in the same examination and passed that examination in the first attempt and secures 50% of marks or more but less than 65% of grand total marks prescribed will be declared to have passed the examination in Second Class. A candidate passing a university examination in more than one attempt shall be placed in Pass class irrespective of the percentage of marks secured by him/her in the examination.
[Please note fraction of marks should not be rounded off for clauses (a), (b) and (c)] 11.
Carry Over
1. A candidate failing in more then two subjects will not be promoted to the next year. 2. Candidate shall not be admitted to the subsequent higher examination unless the candidate has passed in all the papers in the previous examination. 3. If a candidate fails in theory or practical exam in i n a paper in that paper he/she has to re-appear for both in Theory and Practical. 12.
Maximum number of attempts and maximum period for completion of the course 1. Maximum number of attempts permitted for each paper is three including first attempt. 2. The maximum period to complete the course successfully should not exceed eight years.
13.
Award of degree Must have 100 % attendance in each of the practical areas before award of degree.
14. Number of Examiners: One internal and one external examiner should jointly conduct practical / clinical examination for each student. 14.
Eligibility of Examiner 1. To be eligible to be an examiner, one should have passed M.Sc (N) in concerned subject, should have a minimum of three years teaching experience in a college of nursing and should be holding a full time post of Lecturer or above. 2. To be an examiner for Nursing Foundations course, a teacher should have passed M.Sc (N) in concerned subject, should have a minimum of three years teaching experience in a college of nursing and should be holding a full time post of Lecturer or above
COURSE DESCRIPTION: FIRST YEAR BSC NURSING ANATOMY
COURSE OUTLINE Placement:
st
1 year,leading to bsc nursing(basic) degree
Time allotted: theory:60 hours, practicals-20hours Course description: This course is designed to increase knowledge and understanding of the concepts of structure and functions of the human body. bod y. Behavioral objectives: 1.Possesses a more more meaningful comprehension of the structure and functions functions of body parts. 2.Understands principles of anatomy which are necessary for the practice of nursing. UNIT 1: The human body as a whole: General structure, terminology, cavities, regions, systems and functional u nits. UNIT 2: The cell: Structure, function, cellular environment. UNIT 3: The body tissues: Nature, location, functions, tissue repair processes and condition favourable to wound healing. UNIT 4: Locomotion and support: - The skeletal function and classification of bones in the whole body. - Joints-structure, Joints-structure, classification, type of movements. - Muscular tissue, properties, classification, functions and physiology of contraction. - Function of muscle in the whole body and their relationship of nerve and blood supply.
UNIT 5:Generalised control and response to environment: A: anatomy of the nervous system Components of nervous activities The spinal cord, principal spinal pathway Spinal nerves The brain, organization and functions of cranial nerves. n erves. B: general physiology of sensations: Sensations: cutaneous, position position sense, taste smell, hearing ,equilibrium ,equilibrium and vision. C: The autonomic nervous system
UNIT 6: Means of distributing materials to and from the cells: The heart and blood vessels: v essels: structure UNIT 7: Distribution of materials: The respiratory organs: structure, portal circulation circulation The structure of alimentary tract: structure of liver and pancreas. Gall bladder and other structure in abdomen and pelvis Hormones: classification, structure of endocrine glands. UNIT 8: Maintenance of homeostasis-body fluids: Structure of kidneys, ureters, bladder UNIT 9: Human reproduction: Male and female organs of reproduction: structures
PHYSIOLOGY st
Placement: 1 year,leading to (basic) bsc nursing degree course. Time allotted: 60+30 hours Course description: The course is designed to increase knowledge and understanding of the concepts of functions of human body.
Behavioral objectives: 1. Possess of comprehension of the functions of human body parts. 2. Appreciate the principles of physiology which are necessary of the th e practice of nursing.
UNIT 1: General physiology: The cell, cellular environment, body fluid compartment. UNTI 2: Physiology of nerve and muscle: Conduction of nerve impulse, synapses Mechanism of muscle contraction Neuromuscular junction UNIT 3: Function of nervous system: Sensations: cutaneous, position sense, taste, smell hearing, equilibrium and vision. Autonomous nervous system. UNIT 4: Means of distributing materials to and from the cells: -
Blood and lymph; functions, coagulation, blood groups and typing. Cardio vascular system; functions Physiology of circulation Function of the lymph vascular system Practicals: cell count, estimation of hb; blood grouping.
UNIT 5: Distribution of materials: Physiology of respiration and control Digestive system function: absorption and utilization of nutrients Temperature regulation Hormones regulation.
UNIT 6: Maintenance of homeostasis-body fluids: Urine formation, micturation reflexes UNIT 7: Human reproduction: Functions of male and female reproductive organs. Hormonal control,menstruation. control,menstruation.
BIO-CHEMISTRY st
Placement: 1 year, leading to bsc nursing (basic) degree Time allotted -: 30+15 hours Course description: The course introduces fundamental principles of bio chemistry related to nursing practice, so as to enable the students to apply the knowledge in relevant nursing situation. Behavioral objectives: 1. Knows major chemical changes that takes place in cells. 2. Understands the application of these principles in relevant nursing activities and situations.
UNIT 1: Introduction: Definition,scope
UNIT 2: Electrolytes: -
theory of ionization Nature of acids, base and salts Demonstration of simple experiments to illustrate
UNIT 3: Food chemistry: -
Carbohydrates, fats, proteins and vitamins Classifications of different types Chemical composition Properties – physical and chemical Chemistry of digestion Metabolism Demonstration of tests for detection of carbohydrates , fats and proteins in urine and body fluids.
UNIT 4: Blood chemistry: -
Normal range of components Factors maintaining homeostasis of blood Serum electrolyte levels Respiratory and metabolic acidosis and alkalosis Demonstration to illustrate
Unit 5 : Urine: -
Normal physical characteristics Chemical components of urine and their significance Pathological components of urine – test for same Kidney function tests
BASIC PRINCIPLES AND PRACTICE OF NURSING THEORY: st
Placement: 1 year leading to bsc nu nursing rsing (basic) degree Time allotted : theory 240 hours, practicals-300 hours Course description: This course is is designed to introduce the students students to nursing concept and and components related to nursing practice in present day society. Emphasis is on holistic approach in meeting the health hea lth needs of an individual in a scientific manner. Behavioral objectives: 1. Realize the concepts of nursing practice and the role of nursing in the present health care delivery system. 2. Appreciates the need for inter personal relationships and an effective communication. 3. Develops an ability to function as an team member. 4. Develops skills in meeting the basic need of an a n individual in a scientific way.
UNIT 1: Introduction to health and illness: -
definition, changing changing concepts of health, illness concept. Health illness continueum Concept of community health, current health problems. Role of a nurse in health h ealth care delivery system. Health care levels and health care delivery d elivery system. UNIT 2: Introduction to nursing:
-
Definition, concept of nursing, evolution, nursing as a community servicenature and scope of nursing. Nursing as a profession-is p rofession-is nursing a profession?-qualities, professional professional and ethical behavior, principles and roles and responsibilities of a nurse. Concepts of nursing care and models of nursing nu rsing practice-team nursing, progressive nursing care,principles and roles and responsibilities responsibilities of a nurse. UNIT 3: Health care agencies for health service:
-
Primary health care services. Agencies providing patient care :public ,private, voluntary and indigenous systems. Home care services, extended care services, rehabilitative services Environmental conditions in health care agencies- air, light, humidity, noise, privacy and temperature.
Practicum: visit to different health health care agencies to observe their functions. UNIT 4: Health care providers: Health team, multi disciplinary approach, nursing team, inter and intra disciplinary, community participants of health care providers. UNIT 5: Man as an individual and recipient of nursing care: -
Man as a bio psycho social so cial being. Man interacting with his environment en vironment Basic need of a man Mans response to stress and illness, sick role and behavior, stigma and cultural effects on behavior stress, anxiety, fear, coping strategies. Health illness continuem and levels of care Causes of illness
UNIT 6: Interpersonal relationship and communication. -
Definition, principles, theories, nature, scope Communication process, culture and communication Communicating with persons with disabilities Interpersonal techniques, reporting and recording Observation- subjective and objective Interviewing, process recording, role play interacting, effective speech’
UNIT 7 : Nursing process-needs, objectives ,steps components: A: assessing health status of individual: data collection- objective and subjective : observation, observation, interviews, physical examination, tools and techniques. B: nursing diagnosis: statement of nursing nu rsing diagnosis, goal setting. intervention and evaluation.
UNIT 8: Admission and discharge of a client to health care agency: - admission: types and procedure - discharge including terminally ill patients and last offices of the dead. UNIT 9: Meeting the basic need of a client : A: comfort, rest, sleep, making simple, occupied, P.O.P and special beds , hygienic needs personal and environment , care of skin, hair. eyes, ears, oral hygiene ,pressure points, menstrual hygiene, environmental en vironmental hygiene. B: activity and exercise: - posture and ambulation, shifting, lifting, lifting, transferring, body mechanics. C: Nutritional needs: role of nutrition in health and illness, types of nutrients, serving and feeding, feeding with helpless patients. D: elimination needs: promoting urinal u rinal and intestinal elimination, Observation of urine, faeces. Sputum, Sputum, intake and output charts, charts, maintain fluid and electrolyte imbalance. Disturbance in elimination. E: learning need: Safety need: prevention and control con trol of infection,injuries,physical,clinical infection,injuries,physical,clinical and biological F: spiritual needs: Student activity: student identifies the basic needs of a hospital h ospital and non institutionalized clients clients and provides service based on the the needs . UNIT 10: First aid in emergencies: -
Meaning, scope, objective, principles Review of human body- structure and functions Common emergencies and first aid for these conditions Wounds and dressings Bandages, types, materials used, special bandages, splints- preparation and application.
UNIT 11: Scientific principles in nursing :
-
Definition, utilization, analysis of scientific principles, hand washing, handling transfer forceps and thermometer thermometer technique, recording BP , pulse, respiration.
UNIT 12:Managing some common problems in illness: -
-
Disturbance in gastro-intestinal tract- diarrhoea, vomiting, vomiting, anorexia, constipation, incontinence of faeces, inspection, distention, therapeutic measure- enema, suppositories, colon injuries. Disturbance in urinary tract. Retention, incontinence, catheterization and condom drainage. Disturbance in respiratory system. Dysnoea, apnoea, cyanosis Measure to promote normal breathing- breathing exercise Coughing exercise, inhalation, oxygen inhalation.
UNIT 13: Rehabilitation aspects of nursing care: -
Definition, philosophy, principles – development of rehabilitation to movement – rehabilitation process, rehabilitation team - Role of a nurse in rehabilitation. UNIT 14: Introduction in pharmacological theory: -
General principles of drug therapy, weight, measure
-
Administration of drug-oral , parentral- intraderma Intramuscular, subcutaneous, intravenous. topical administration, instillation, inhalation,insertions.
UNIT 15:Assisting diagnostic measures and specific therapeutic measures: -
Collection of specimens Venous puncture, blood transfusion, lumbar puncture Paracentesis, thoracentesis, gastric gastric and duodenal and suction Gastric analysis, gastric gavage, electrocardiogram.
UNIT 16: Management of patients with common problems: -
Immobility, unconciousnous, pain, abnormal body temperature, shock, traction and plaster cast.
BASIC PRINCIPLES AND PRACTICE OF NURSING PRACTICALS:
(1) Hospital admission and discharge (III) * Admission * Prepare Unit for new patient * Prepare admission bed * Performs admission procedure o New patient o Transfer in * Prepare patient records (2) Discharge / Transfer out * Gives discharge counseling * Perform discharge procedure (Planned discharge, LAMA and abscond, Referrals and transfers) * Prepare records of discharge/transfer * Dismantle, and disinfect unit and equipment after discharge / transfer. (3) Perform assessment: * History taking, Nursing diagnosis, problem list, Prioritization, Goals & Expected Outcomes, selection of interventions * Write Nursing Care Plan * Gives care as per the plan
(4) Communication * Use verbal and non verbal communication techniques
(5) Prepare a plan for patient teaching session
(6) Write patient report * Change-of shift reports, Transfer reports, Incident reports etc. * Presents patient report
(7) Vital Signs * Measure, Records and interpret alterations in body temperature, pulse respiration and blood pressure
(8) Health assessment * Health history taking * Perform assessment: o General o Body system * Use various methods of physical examination * Inspection, Palpation, Percussion, Auscultation, Olfaction * Identification of system wise deviations (9) Prepare Patient’s unit: * Prepare beds: o Open, closed, occupied, operation, amputation, o Cardiac, facture, burn, Divided, & Fowlers bed * Pain assessment and provision for comfort ( 10 ) Use comfort devices Hygienic care * Oral hygiene: * Baths and care of pressure points * Hair wash, Pediculosis treatment (11) Feeding: * Oral, Enteral, Naso/Orogastric, gastrostomy and Parenteral feeding * Naso-gastric insertion, suction, and irrigation (12) Assisting patient in urinary elimination * Provides urinal/bed pan * Condom drainage * Perineal care * Catheterization * Care of urinary drainage ( 13) Bladder irrigation Assisting bowel Elimination: * Insertion of Flatus tube * Enemas
* Insertion of Suppository ( 14 ) Bowel wash Body Alignment and Mobility: o Range of motion exercises o Positioning: Recumbent, Lateral (rt/lt), Flowers, Sims, Lithotomy, Prone, Trendelenburg position o Assist patient in Moving lifting, transferring, walking, o Restraints (15) Oxygen administration (16) Suctioning: Oropharyngeal, nasopharyngeal (17) Chest physiotherapy and postural drainage (18) Care of Chest drainage (19) CPR-Basic life support (20) Intravenous therapy (21) Blood and blood component therapy (22) Collect/assist for collection of specimens for investigations Urine, sputum, faeces, vomitus, blood and other body fluids (23) Perform lab tests: * Urine: sugar, albumin, acetone * Blood: sugar(with strip/ gluco-meter) (24) Hot and cold applications: Local and general Sitz bath (25) Communicating and assisting with self-care of visually & hearing impaired patients (26) Communicating and assisting with self-care of mentally challenged/disturbed patients Recreational and diversional therapies. (27) Caring of patient with alteration in sensorium (28) Infection control * Perform following procedures : o Hand washing techniques
o o o
o
(Simple, hand antisepsis and surgical antisepsis (scrub) Prepare isolation unit in lab/ward Practice technique of wearing and removing Personal protective p rotective equipment (PPE) Practice Standard safety precautions (Universal precautions)
(29) Decontamination of equipment and unit:* Surgical asepsis: o Sterilization o Handling sterilized equipment o Calculate strengths of lotions, o Prepare lotions • Care of articles (30) Pre and post operative care: * Skin preparations for surgery : Local * Preparation of Post operative unit * Pre & Post operative ope rative teaching and counseling * Pre & Post operative ope rative monitoring * Care of the wound * Dressings, Suture Care, care of Drainage, Application of Bandages, Binders, splints & Slings * Bandaging of various body parts p arts (31) Administration of medications * Administer medications in different forms and routes * Oral, Sublingual and Buccal * Parenteral : Intradermal, subcutaneous, Intramuscular etc. * Assist with Intra venous mediations * Drug measurements and dose calculations * Preparation of lotions and solutions * Administers topical applications * Insertion of drug into body cavity: ca vity: Suppository & medicated packing etc. * Instillation of medicines and spray into Ear, Eye, Nose and throat * Irrigations: Eye, Ear, Bladder, Vagina and Rectum * Inhalations: dry and moist
(32) Care of dying patient * Caring and packing of dead body * Counseling and supporting grieving relatives * Terminal care of the unit u nit
GENERAL AND EDUCATION PSYCHOLOGY : st
Placement: 1 year leading to bsc nu nursing rsing (basic) degree. Allotted time: 90 hours. Course description: Basic introduction to the study of psychology and the psychological aspects of education. emphasis is on perception, motivation, motivation, development and organization of personality, theories of personality, pe rsonality, methods of assessing the person : nature and fundamental principles of learning, procedure and conditions which make for efficient learning and relation, chief forms of learning and application to teching problems. p roblems.
Behavioral objectives: 1. Possesses knowledge of the basic concepts and fundamental principles of general and education psychology. 2. Understands human behavior 3. Acquires knowledge of the nature and development d evelopment of the child. 4. Acquires knowledge of the behavior and problems related to it 5. Acquires knowledge of psychological principles principles and laws governing the principles of teaching and learning 6. Develops the ability to apply the knowledge kno wledge of psychology to situations in and outside the classroom.
General psychology:
UNIT 1: Psychology as a science of behavior: -
Definition and scope of psychology Methods of psychology The behavior of organism Integrated responses Levels of functioning Heredity and environment Principles of heredity
UNIT 2: Attention and perception: A: - Attention - Definition of attention - Varieties - Determinants - Duration and degree of attention B: -
Perception Meaning of perception Sensation and perception Organization of perception Factors influencing perception Extra-sensory perception
UNIT 3: Motivation: -
Drives and needs- their range and classification Biological motives Person and social motives Views on motivation Conflict in motive and relation
UNIT 4: Emotions: -
Definition of emotion-emotional status-emotion as motives Emotion and health-general theories of emotion
UNIT 5: Personality: -
Definition of personality – types of personality Development and organization of personality- methods of assessing the person – theories of personality – importance of personality in nursing. EDUCATIONAL PSYCHOLOGY
UNIT 1: Introduction:
-
Meaning of psychology
-
Meaning and scope of educational psychology (reference to be made to development and social psychology) Methods of educational psychology • Introspection Observation • • Experimental method • Case study
UNIT 2: The individual difference: -
-
Nature and causes of individual differences Educational age, physical traits, psychological/personality traits. Intelligence, sex, social traits : implication for education influence of learning. Role of heredity and environment in human development and in causing individual difference. Intelligence: Meaning and distribution of intelligence, types of intelligence,tests,uses Creativity Nature and factors influencing creativity, c reativity, fostering of creativity.
UNIT 3: Psychology of learning: -
Meaning of learning Types of learning- trial and error (thorndike) Learning by conditioning (Pavlov), operational conditioning (skinner) Learning by insight (gestalt) their educational edu cational implication.
-
Factors affecting learning: Role of maturation-motivation attention
-
Laws of learning The educational implication
-
Transfer of learning Meaning-mordern theories ( theories of identical elements and generalization of experience) – educational implication.
-
Remembering and forgetting Their nature- factors influencing remembering methods of memorizing.
-
Learning of concepts and skills Development of concepts – specific reference to be made to piagets and burners contribution contribution in the concept development.
UNIT 4: Thinking and reasoning: -
Type Development of thinking, tools of thinking, errors in thinking Methods of developing developing right habits of thinking attributes attributes Definition, development of attributes, modification of attributes.
UNIT 5: - Characteristics of effective teaching - Teacher learner relationship - Evaluation and concepts-tools
UNIT 6: Attitudes: -
Meaning of nature of attitudes Development of attitude Measurement of attitudes
UNIT 7: Evaluation: - Meaning of evaluation - Steps of evaluation - Purpose of evaluation - Tools of evaluation- achievement tests; meaning; types and oral tests – essay type, short answer type and objective type tests.
MICROBIOLOGY st
Placement: 1 year leading to bsc nu nursing rsing (basic) degree Allotted time: 60 hours (45 +15) Course description: The course introduces the principles of microbiology and immunology. Emphasis is placed upon organisms pathogenic to man and a nd methods and of control. Laboratory work experience, identification and structure of representative forms. Behavioral objectives:
1. Possesses knowledge of common pathogenic micro-organisms and methods of control. 2. Knows the basic principles of microbiology and their relationship to health and disease. UNIT 1: Morphology and classification of microbes: -
Morphological types Size and shape of bacteria b acteria Motility Classification of micro organisms Practice in use of microscope Examination of smears
UNIT 2: Growth and nutrition of bacteria: - Effects of environmental factors on microbes - Nutrition in bacteria - Growth and multiplication of bacteria ba cteria - Practice in preparation of media and culture techniques. UNIT 3: Identification of micro organisms: -
Discussion of of laboratory methods methods of identifying identifying methods methods Microscopic diagnosis of bacxterial diseases Practice in staining techniques Gram staining,acid fast bacilli staining
UNIT 4: Inhibition and destruction of microbes
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Sterilization and disinfection Principles and methods of sterilization Principles and methods of disinfection Chemotherapy and antibiotics Sensitive tests for antibiotics
UNIT 5: Disease producing micro organisms : A; pathogenic properties characteristics of Cocci Bacilii Fungi Spirochates Rickettsiae B: identification and study of the following organisms in the laboratory: Streptococci Gonococci Staphylococci Pneumococci Salmonella Diphtheria bacilli E.coli Spirochetes
UNIT 6: Infection and immunity: Infection and factors factors influencing infection, infection, body defence against infection infection Immunity and hypersensitivity h ypersensitivity Immunization- baccines, dosage, indications, Demonstration of serological methods. UNIT 7: Viruses: -
Characteristics and classification of viruses Common diseases caused by viruses in mean Prevention and control of illness
UNIT 8: Pasrasites and vectors: -
Characteristics and classification of parasies, pa rasies, Protozoal infection including amoebiasis Tape worms, helminthic infections Diagnosis of parasitic infections Vectors and diseases transmitted by them Examination of stool for ova, amoeba and cysts demonstration
UNIT 9: Micro-organisms transmitted through food: -
Food poisoning Food borne infections Demonstration
INTRODUCTION TO COMMUNITY COMMUNITY HEALTH NURSING: NURSING: st
Placement: 1 year leading to bsc nu nursing rsing (basic) degree Time allotted: theory 75 hours, practicals-45 hours Course description: This is an introductory course designed to provide basic concepts c oncepts of community health nursing including an epidemiological approach to communicable and non communicable diseases with an emphasis emphasis to the levels levels of prevention. Behavioral objectives: On completion of this course students will be able to: 1. Describe the concepts of community health and community co mmunity health nursing 2. Apply the principles of epidemiology in community health nursing nu rsing practice. 3. Demonstrates skill in assessing the nutritional status of different age groups and in physiological conditions. 4. Demonstrates skill in providing health education based on health needs o f the community.
UNIT 1: Introduction:
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Review concepts of community, community, health and nursing Definition, nature, philosophy, scope, goals, objectives of community health nursing . Determinants of community health, principles of community health and and community health nursing. Community health team and functions of its members
UNIT 2: Historogenesis of health service in India: -
Evolution of community health service in India Review of health care delivery system in india-union to peripheral level. Health status of india Health problems of india
UNIT 3: Health for all and primary health care: -
Meaning, definition, definition, and strategies for health for all Concepts and principles of primary health care Role of community community health care in in primary health care
UNIT 4: Environmental health: -
Definition, types of environment, health hazards of environment Air composition, needs of the human body, indices of thermal Air pollution and its effects and prevention Lighting- requirements of good lighting, measurements of lighting Types – effects of light on health, control of ill effects. Ventilation- types, standard, ill effects and its prevention. Noise- source and properties, effects of noise, noise control Radiation- sources, types, effects on health, h ealth, protective measure Meteriological environment Elements of climate, effects of climate, and its measurements Housing- criteria of healthful house, standards, effects of poor housingand remedies town planning. Disposal of solid waste- sources, effects, storage, collection and methods of its disposal. Disposal of human excreta. ex creta. Water sources, water pollution and its hazards. Hardness of water and its removal, purification of water. Sanitation of fairs, festival camps, swimming pool Traffic sanitation, rural sanitation.
UNIT 5: community health aspects of nutrition:
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Review of nutrients-macro and micronutrients Food sanitation, food adulteration and its prevention Assessment and management of malnutrition-PEM, vitamin deficiency, mineral deficiency, obesity Approaches to nutrition education, nutritional nu tritional supplements, and nutritional rehabilitation Special nutritional programmes of government and non government agencies Role of nurse in nutrition educationand programmes.
UNIT 6: Epidemiology in community health nursing: -
Definition, objectives, scope and principles of epidemiology Advantages/uses of epidemiology in community health he alth nursing Epidemiological triad. triad. Natural history history of disease and levels of prevention Approaches and methods of epidemiology Modes of disease transmission General measures of controlling communicable diseases Legislation of certain diseases of national and international international importance Role of community health nurse in epidemics
UNIT 7: Health education: - Information, Education, and communication - Meaning, definition, aims, objectives of health education - Health education principles - Education and barriers of communication in health education - Concepts, selection, preparation and use of AV aids. - Administration of health education at all levels - Role of nurse in health education and planning implementation And valuation of health education programmes. PRACTICALS:
1. Under the guidance of the faculty students will have observational visits. -
Water purification plant Disposal of liquid and solid waste plant Central leprosarium Epidemic disease hospital Food preparation and preservative centre Urban community to study environmental en vironmental conditions.
2. Conducts health teaching 3. Observation of slides and specimens METHODS OF TEACHING:
Lecture, discussion, demonstration, seminar, clinical experience, field trip. SOCIOLOGY
Placement: first year leading to bsc nursing (basic) degree Allotted time: 60 hours Course description: Introduction to basic social concepts principles and social processes study of social institutions in relation to the individual family family and community in India India changing social structure , social welfare planning in India. Behavioral objectives: 1. Possess knowledge of sociological principle and social institution in relation to to the individual, family and groups g roups 2. Understand the role of sociology in nursing and in understanding the individual, family and community problems in India. 3. Possess the knowledge knowledge of the various social factors affecting affecting Indian society. 4. Understand social welfare planning in India. UNIT 1: What is sociology: Definition of sociology, nature and scope, importance of sociology, use of sociology in nursing. UNIT 2: Man and society: -
Definition of society and community- nature of society Difference between society and community- process of socializationindividualisation
UNIT 3: Social processes: -
Co-operation- competition-conflict-accomm competition-conflict-accommodationodation- assimilation-isolation assimilation-isolation
UNIT 4: Social groups: The meaning of group-classification of groups- primary and secondary- ingroup vs outgroup-class tribes, caste, economic, political and religious groups,crowd, public and audience. UNIT 5: Family and marriage: A: -
Family, types of family, functions of o f family The modern family, changes in the modern family Family problems of the modern family, family welfare services The Indian family Joint family system Change in the Indian family Legislation on Indian marriage and family
B: - Marriage: Forms of marriage, marriage and family problems in India UNIT 6: Rural community in India: -
Features of village community Characteristics of Indian village Change in Indian rural life Community development project and planning.
UNIT 7: The urban and regional community:
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A: Urban The growth in the cities, features of urban community City community in India Urban-rural contact Major urban problems B: The regional community:
UNIT 8: Social stratification: -
Class and caste
The Indian caste system Orgin of caste Outstanding features Caste in Indian today Features of caste system in India Social mobility
UNIT 9: Social system: -
Definition of social system Principle type of social systems Role and status
UNIT 10: Race UNIT 11: Population: - Society and population - Population distribution in India - Mathusian theory UNIT 12: Social control: -
Norms and values: folkways and mores: customs Laws and fashion: religion and public opinion
UNIT 13: Social change: -
The theories of social change The factors of social change Culture and functions of social change Social disorganization Major social problems Social welfare planning in India
ENGLISH
Placement: first year leading to bsc nursing( basic) degree Allotted time: 90 hours Communication is essential to nursing. Thus its necessary to update all communication skills in reading, writing and speaking of nursing students. The course should be designed for reading comprehension. The student should be introduced to various kinds of writing, which will also improve the voc abulary, reading comprehension and writing skills. The teaching should be based on the reading material so that the examples are live and students do not view grammar as something dull and boring. The object is to help develop the language skill of the students and also to make it enjoyable and expose the students to good literary work. For reading comprehension, comprehension, for the sake of convenience, convenience, the texts prescribed st for the 1 year degree course of Bangalore university, u niversity, Bangalore be prescribed for nursing also, as the texts are easily available. Whenever the degree texts are changed, the degree texts are changed , the same changed should be followed here. -
An anthology of English essays, poems and short stories, published by: prasaranga, Bangalore university, Bangalore
1. Prose:
Essays: 1. 2. 3. 4.
The canker untruth - M K Gandhi Students mobs - J B Priestley A layman looks at science- Raymond B Fosclick Can we afford to keep open mindsminds- Bertrand Russel
Short stories: 5. 6. 7. 8.
A cup of tea – Katherine Mansfield The exploits of hanuman- J.E.B Gray The tiger in the tunnel - Ruskin bond Sweets for angels - R.K Narayan
2. Poetry:
1. 2. 3. 4.
A little learning – A pope On the grasshopper and cricket – John keats Work – D.H Lawrence Homeless – Vikram seth
3. Grammar with emphasis on usage 4. Composition a. Writing formal letters b. Writing reports c. Notes taking d. Summaries e. Table and charts f. Speaking skills conversation g. Interview and h. Seminars.
SECOND YEARS BSC NURSING (BASIC) DEGREE
Placement: Second year bsc nursing nu rsing (basic) degree Allotted time: 30 hours + 15 (practicals) = 45 hours h ours Course description: The course is designed to introduce introduce the student to the source source of drugs ; action of drugs in living tissue; and poisonous effects that may be produced by drugs. Behavioral objectives: 1. Knows how drugs affect human cells 2. Knows the sources, types of preparation, the actions of common pharmaceutical preparation and the routes of administration. 3. Recognize toxic symptoms symptoms relating to common drugs and poisons. UNIT 1: Introduction: -
Brief history Drugs, standard, laws Drugs control Sources of drugs- active principles
UNIT 2: pharmaceutical principles: -
Solids Liquids Colouring Flavouring Other auxillary agents
UNIT 3: Drugs information sources: -
Local, national, international
UNIT 4: Dosage of drugs: -
Definitions Dose- minimal; maximum; toxic; lethal Indiosyncracy Hypersensitivity
UNIT 5: Weight and measures - Metric system - Apothecaries table of equivalents - Calculation of dosage - Preparation of solution - Common abbreviation in use UNIT 6: Sites of drug action: -
Local Systemic
UNIT 7: Therapeutic action of some common drugs: -
Analgesics Antihelmintics and ameobicides Antiseptics Disinfectants Enzymes Antibiotics Hormones Serums Tranquilizers Minerals Vitamins Sulfonamides Vaccines
UNIT8: Common poisons: -
Symptoms and antidotes MEDICAL SURGICAL NURSING -1
Placement: Second year bsc nursing (basic) degree Time allotted: theory-270 hours, practicals-600 hours Course description: Nursing care of patients with most prevalent medical surgical conditions includes principles of nursing care derived from patho physiology of diseases, emphasis is on the problem solving approach to patients care
during various phase of illness and physiological mechanisms by which alteration occurs. Behavioral objectives: 1. Investigates patients health care problems p roblems systematically 2. Understands the basic pathogenic process in the body. 3. Identifies and utilizes underlying principles from social, behavioral, b ehavioral, biological and physical science in assessing planning and administrating preventive, curative and rehabilitative care. 4. Uses discerning judgement in evaluating the effectiveness effectiveness of intervention and patients response to nursing actions.
UNIT 1: Concepts basic to the care of patients medical surgical condition: A. Introduction to medical surgical nursing: Brief history of evaluation evaluation of modern medicine medicine and surgery General principles in the care of patients Concepts of diseases, causes, classification,effects General and preventive measures Common terms used in medicine and surgery B. Basic pathogenic process: Inflammatory processes Suppuration Regeneration (includes healing) Degeneration UNIT 2: Nursing care: -
Pre-operative preparation Post-operative care
UNIT 3: Introduction to operation theatre technique: -
The theatre and operating suite Operating table and position used Preparation of operative theatre and sterile supplies Laying operation table and assisting the surgeon
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Anaesthesia- types, methods of induction, care before, during and after anaesthesia.
UNIT 4: Intensive nursing care: -
Principles of intensive nursing care Organization Special technologies and procedures Emergencies treatment Intensive care records Psychological consideration
UNIT 5: Specific method surgical conditions, alterations in structure and functions of vascular system, genitor urinary system, liver, gallbladder, pancreas, male reproductive tract, muscles and bones and skin including pathophysiology, p athophysiology, diagnostic procedures, treatment and nursing management A. Vascular system:
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Hypertension- hypotension Arteriosclerosis Anaemia- pernicious, hemolytic and iron deficiency Leukaemias Purpura Hemophilia Thrombo agitis obliterans
B. Genito urinary system:
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Congenital anomalies Nephritis Pyelitis Nephritic syndrome Urinary infection Calculi Cystitis Acute and chronic renal failure Dialysis- hemo and peritoneal
C. Male reproductive tract:
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Orchitis, epidymitis, hydrocele, variocele
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Undescended testis Benign hyperplasia of the prostate
D. Production and activity of chemical regulations:
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Diabetes mellitus Diabetes inspidus Hypothyroidism and hyperthyroidism Addisons disease Cushings syndrome Pituitary disorders
E. Intake, digestions and absorptions of nutrients:
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Diseases of mouth, pharynx and oesophagus Peptic ulcers Intestinal obstructions Appendicitis Hernia Parasitic infestation Fistula, fissure and haemorrhoids Ulcerative colitis Malabsorption syndrome Intestinal- T.B Diarrhea Dysentery- bacillary and amoebic Food poisoning Deficiency diseases
F. Liver, gallbladder and pancreras:
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Hepatitis Liver abscess Cirrhosis of liver Biliary conditions Pancreatitis
G. Muscle and bones:
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Talipes equinovarus, torticollis to rticollis Arthritis and arthoplasty Osteoporosis Osteomyellitis
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Fractures Amputations- above knee and below knee Spondilitis Scoliosis Lordosis Kyphosis
H: skin: -
Parasitic infestation Pediculosis, scabies Infections of the skin: bacterial and fungal Eczema and vascular disorders, uritcaria, leucoderma Psoriasis Lichen planus Pemphigus vulgaris
I: Burns, scalds and reconstructive surgery: UNIT 6: management of patients with oncological conditions including pathophysiology , diagnostic procedures, treatment, nursing nursing management. Histological overview -
Epidemiology Classification Pathology Symptomatology Patients reaction to cancer Prevention and control Treatment Surgery • • Radiology • Chemotherapy
-
Rehabilitation
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Nursing management of patients with of cancer ofMouth, breast, respiratory tract, bladder, male and female genital organs, leukemia, hodgkins disease and bone.
PRACTICUM:
In selected medical and surgical units each student will plan and administrator comprehensive care to patients and their families utilizing the problem solving process. Nursing conference: presentation and analysis of problems encountered in the clinical settings.
COMMUNITY HEALTH NURSING-1
Placement: second year to bsc nursing nu rsing (basic) degree Time allotted: theory:75 hours Practicals: 105 hours Course description: The course is designed to provide p rovide need based family and community health care with an emphasis on the application of nursing process and principles of nursing practice. Behavioral objectives: On completion of this course students will be able to: 1. Conduct baseline survey and identify community health problems plans and implement actions. 2. Provide family health care by conducting home ho me visits and provide comprehensive health care to individual family and community. co mmunity. 3. Demonstrate beginning skills in conducting home visits and provide comprehensive health care to individual, family and community. co mmunity. 4. Recognize the need for maintenance of personal and mental health. 5. Describe the reproductive and child health services and participate p articipate in related specific clinics. 6. Develop an ability to maintain relevant records and reports of community health nursing practice/service rendered COURSE CONTENT: UNIT 1: personal and mental health maintenance: -
Personal hygiene hygiene and its importance importance in health Care of the persons-head to foot Importance of clotting , exercises, habits, sex in health
-
Promotional measures of personal and mental health .
UNIT 2: community health nursing process: -
Community assessment/identification assessment/identification and community health diagnosis d iagnosis Definition, nature and implication of nursing process Components of nursing nursing process – establishing IPR/contact, assessment, assessment, nursing diagnosis, planning, planning, implementation, implementation, and evaluation. evaluation. Community nursing care plan
UNIT 3: Records and reports in community health nursing: -
Meaning, definition and importance of records and reports Purposes and principles of recording and reporting Types of records, registers, reports in C.H.N Legal implication of records and reports Role of community health nurse in recording,reporting
UNIT 4: Family health care: -
Review concepts of family and its functions Family as a unit of community health services Aims, objectives and principles of family health care Concepts, principles principles and steps steps for home visit Bag technique and procedures used in family health care Family profile and family nursing care plan Records and reports pertaining to family health care
UNIT 5: Reproductive health and child health service -
Evolution of maternal and child health services in India Review of reproductive system Aims and objectives of MCH/RCH services Safe motherhood- menstrual care, changes in pregnancy, care at antenatal, intranatal, postnatal period. Safe childhood - neonatal care, infant infant care, care of under lives and school age children, care of adolescent. Development of MCH services/ programmes at rural and urban levels Role of nurse in reproductive and child c hild health programme
UNIT 6: Family welfare services:
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Review concepts of demography and population po pulation explosion Methods of fertility, regulations and recent trends National family welfare programme- goals and objectives -timing of birth, spacing of birth, limitation of birth and new trends. - planning ,organizing, implementing and evaluation of family welfare programmes. - role of nurse nurse in family welfare programme Under the supervision and guidance of the faculty the students will: - Conduct a family/community health survey in urban area - Select five families to provide need based health care - Perform required assessment including nutritional assessment - Conduct health teaching to individuals nutritional assessment assessment - Conduct health teaching to individuals , groups and public - Participate in MCH clinics, F.P clinic/camps - Participate in national health programmes p rogrammes - Visits to PHC, sub centre, CHC, Anganwadis ,PPC , family welfare bureaus - Observe IUDs, medical termination of pregnancy, tubectomy, tu bectomy, vasectomy. Methods of teaching:
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Lecture, discussion, demonstration, seminars, Clinical experience, field trips,observation trips,observation visits. GROWTH AND DEVELOPMENT INCLUDING NUTRITION:
Placement: second year, leading to bsc nursing nursing (basic) degree Time allotted: theory-60 hours Practicals-30 hours Course description: SECTION- A GROWTH AND DEVELOPMENT
UNIT 1: Introduction to growth and development -
Current concepts of growth and development Biological principles of growth and development Factors influencing growth and development Theories of growth and development-Erickson, Freud
UNIT 2: Prenatal development: -
Pregnancy Embryo and fetal development by age Factors influencing fetal development
UNIT 3: Physical growth and psychosocial development: A. Newborn (birth to one mouth): -
Physical growth Physical adjustment Neuro muscular endownment of the newborn Emotional outlook of the newborn Interpersonal relationship Appraisal of the newborn B. Infant from one month to one year
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Developmental tasks Physical growth Social and emotional problems, common behavior problems Appraisal of infants C. Child from one to five years:
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Development tasks Physical growth Social and emotional development Care and guidance during training training period D. Child from six to twelve years:
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Development tasks Physical growth Social, emotional and intellectual development Emotional preparation for sucees in school E. Adolescence
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Developmental tasks Physical growth Emotional, social and intellectual development
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Guidance during emotional instability Recreational and vocational interest Special problems for the adolescence in society,sex edication
UNIT 4: Dynamics of human behavior and adjustments: -
Maturity developmental tasks Some normal problems of adulthood Preparation of marriage Marital adjustment Planned parenthood The family Occupation
UNIT 5: Later maturity and old age: -
Later maturity- developmental tasks Physiological and psychological changes Problems of management Old age Physical, psychosocial, social ages affecting old persons Health problems and health needs of the elderly
Practicum:
Appraisal of individuals at various stages of growth and development SECTION-B NUTRITION
UNIT 1: Introduction to the science of nutrition: -
Definition Food pattern and relation to health he alth Factors influencing food habits and selections: selections: and food food stuffs stuffs Superstitions, culture, religious, income, composition of family, age, occupation, spl group etc Food selection, storage and preservation Prevention of food adultertation
UNIT 2: Classification of nutrients:
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Macronutrients and micronutrients Proteins-types, sources, requirements and deficiency Carbohydrates- sources, requirements , deficiency Fats- types, sources, requirements and deficiency of fats Water- sources of drinking water, requirements and preservation of water Minerals- types, types, sources, requirements, deficiency deficiency of minerals Vitamins- types, sources, requirements and deficiency of vitamins
UNIT 3: Planning diets: -
Need for planning diets Concept of a balanced diet Food group and balanced diet Influence of age, sex, occupation and physiological state Recommended dietry intake in planning diet Steps in planning balanced diet Planning diet for newborn, infant, preschool, school age child, adolescent, adult, worker expectant and lactating mother old age
UNIT 4: Introduction to cookery: -
Purpose and methods methods of cooking Effects of heat on cooking of foods Preparation of basic recipes – clear fluids, full fluids Vegetable preparation, egg recipes, fish and meat recipes , light pudding
UNIT 5: Assessment of nutritional status:
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1. Preparation of recipes Tea, coffee, fruit juice Barley water Albumin water Lime whey
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2. Fluid diet: Egg flip Dhal soup Vegetable soup Butter milk
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3. Light diet Toast porridge Salads,jelly
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Arrowroot Boiled egg, egg custard Scrambled egg Steamed fish
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4. Dinner: Planning, inviting inviting and entertaining entertaining guests, serving serving and cleaning cleaning 5. Preparation of normal diet for different age groups STATISTICS AND INTRODUCTION TO NURSING RESEARCH
Placement: second year bsc nursing (basic) degree Allotted time : 45+30 hours Course description: Introduction to basic statistical concepts: methods of statistical analysis:and interpretation data. Behavioral objectives: 1. Understands statistical forms. 2. Possesses knowledge and skill in the use of basic ba sic statistical research methodology. UNIT 1: Introduction: -
Meaning, definition, characteristics of statistics Importance of the study of statistics Branches of statistics Statistics and health science including nursing Parameters and estimates Descriptive and inferential statistics Variables and their types Measurements scales
UNIT 2: Tabulation of data: -
Raw data, the array, frequency distribution Multiple classification classification Basic principles of tabulation of data Working method of preparation of tables
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Tally marks method Mechanical tabulation – marginal or edge punch p unch cards Tabulation of mortalities, morbidities and other data Basic principles of graphical representation Types of diagrams- histograms, frequency polygons, smooth frequency polygon, commulative frequency curve, ogive. Normal probability curve.
UNIT 3: Measure of central tendency: -
Need to measures of central tendency Definition and calculation of mean- under grouped and grouped Meaning, interpretation and calculation of median ungrouped and grouped Meaning and calculation of mode Composition of the mean and mode Guidelines for the use of various measures of central tendency
UNIT 4: Measures of variability: -
Need of measure of dispression The range, the average deviation The variance and standard deviation Calculation of variance and standard deviation- un grouped and grouped Properties and uses of variance and SD
UNIT 5: Measures of relative standards -
Age norms, grade norms-percentiles Calculation of percentiles- rank for ungrouped data and grouped g rouped data Standard scores , chi- square, t test
UNIT 6: sampling techniques: -
Need for sampling-criteria for good samples Application of sampling in community Procedures of sampling and sampling designs errors Sampling variation and tests of significance
UNIT 7: Correlation and regression: -
Meaning and definition of correlation Scatter diagram, co-variance, correlation, co-efficient Properties of correlation co efficient and its calculation
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Regression-linear, non linear Multiple correlation and regression
UNIT 8: health indicator: -
Importance of health indicators Indication of population, morbidity, mortality, health services Calculations of rates and rations of health SECTION B: INTRODUCTION TO NURSING RESEARCH
Course contents: Introduction to research methodology:
UNIT 1: steps of scientific methods, definition of research, need for nursing research, characteristics of good research, research process. UNIT 2: statement of research problem, problem, statements of purpose purpose and objectives, definition of research terms - Review of literature UNIT 3: research approaches - Historical, surbey and experimental UNIT 4: Sampling, techniques and methods of data d ata collection - Sampling - Instruments- questionaire, interviews - Observation schedule, records, measurements - Reliability and validity of instruments UNIT 5: Analysis of data tabulation, classification, summarization, presentation Interpretation data UNIT 6: writing report: organizing materials for writing format on the report, use of report. Introduction to statistics:
UNIT 7: descriptative descriptative statistics, frequency frequency distribution,- types types of measurefrequencies, class interval, graphic methods of o f describing frequency.
Measures of variability: range, standard deviation, introduction to normal probability UNIT 8: correlation: compulation by rank difference methods, uses of correlation coefficient. UNIT 9: Biostatistics: crude rates and standardized rates, ration and estimation of the trends. PRACTICUM:
Students will conduct research products in small groups in selected areas of nursing and submit a report (group study may include inc lude studying of existing health practices improved practices of nursing (procedures), health records, patient records and survey of nursing literature.
THIRD YEAR BSC NURSING (BASIC) DEGREE CHILD HEALTH NURSING
Placement: third year leading to bsc nursing (basic) degree Time allotted: theory-75 hours, practicals-240 hours Course description: The course designed to assist the student in identification id entification and applying nursing principles specific to the area of children . This identification of principles and the nursing responsibilities are purposefully selective so that uniqueness of nursing of children, in health and illness, may be brought into focus. Behavioral objectives: The student shall be able to: 1. 2. 3. 4. 5. 6.
Possess knowledge of common childhood c hildhood disorders. Apply knowledge of preventive paediatrics Know the community organization for care care of the handicapped children. Know the management of children with behavioral problems Appreciate the nurses role of child guidance clinic Develop skill in identification and applications principles specific to area and in the nursing care of o f children 7. Develop skill to provide comprehensive nursing care to children in a range of situations , both in health and illness. 8. Appreciates problems which children are confronted with on hospitalization. UNIT 1: Introduction to child health: -
-
Historical background of nursing of children as a speciality Introduction to modern concepts of care Changing trends in paediatric nursing Changing trends towards hospital care Aspects of child health • Promotive • Preventive • Curative • Rehabilitative Role of pediatric nurse.
UNIT 2: Prevention of diseases in children: -
-
Assessment of child health by history, physical examination, growth chart, speech, hearing and vision test. Preventive measures Maternal and child health programme • MCH clinics • Under five clinics • ICDS • Child survival and safe motherhood (CSSM) reproductive and child health programme (RCH). • Baby friendly hospital intiative • Child to child concept • School health programme • Immunization schedule Nutrition programme Child welfare programme Child health programme
UNIT 3: The sick child: -
Anatomical, physiological and psychological difference of o f children Manifestation of illness in children Identification of congenital anomalies Nursing process applied to care of child Admission of children to hospital Reaction to hospitalization Role of parents in care of child Concepts of pre and post operative ope rative care of children
UNIT 4: Pediatric variation of nursing interventions: -
Restraining- positions Collecting specimen Clinic procedures Administration of medication Intravenous fluid therapy Oxygen inhalation Steam inhalation, nebulizer Feeding of children Resuscitation Care of children in incubator
UNIT 5: development and health deviations according to various system; Etiology, signs and symptoms, symptoms, diagnosis, medical and surgical, nursing management, diet and drug therapy, complications co mplications and preventions of diseases in children. A. Respiratory system
-
Acute respiratory infection Pneumonia Bronchial asthma Bronchitis Cystic fibrosis Diphtheria Tuberculosis AIDS B. Gastro intestinal tract
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Cleft and palate Trachea esophageal fistula, atresia Pyloric stenosis Gastro- oesophageal reflex Portal hypertension Billiary atresia Viral hepatitis (jaundice) Diarrhea and dysentery Helminthic infestation Celiac disease Intestinal obstruction Hernia Congenital megacolon Anogenital anomalies Rectal prolapsed C. Cardio-vascular system:
-
General consideration- congenital anomalies Patent ductus arteriosis- tetralogy of fallot (TOF) Septal defects – congestive cardiac failure Rheumatic ,fever, infective endocarditis
D. Haemotological system:
-
Anaemias – iron deficiency Sickle cell anaemia Aplastic Thalessemia Hemophilia – thrombocytic purpura -epistaxis Leukaemia-lymphomas E. Genitor urinary system:
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Nephritis-nephrotic syndrome Urinary tract infections Malformations • Hypospadias,-epispadias-extrophy Hypospadias,-epispadias-extrop hy of bladder • Hydronephrosis- posterior urethral valve-phimosis • Undescended testis-adrogenital syndrome • Wilms tumour F. Central nervous system:
-
Meningitis-encephalitis-convulsive Meningitis-encephalitis-convulsive disorders Cerebral palsy-downs syndrome Malformations spinobifida, hydrocephalus Micro and macro cephalus Brain tumour- neuro blastoma – head injury Cerebral palsy G. Nutritional disorder:
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Marasmus – kwashirokar- vitamin deficiencies H. Endocrine system:
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Dwarfism, gigantism, acromegaly,- diabetes insipidus Diabetes mellitus – cretinism, goitre , hyperthyroidism] h yperthyroidism] Parathyroid , hypo and hyper function – addisons diseases Cushing syndrome I. Skeletal system:
-
Congenital deformities – club foot Torticollis – hip replacement – oxteomyelitis
J. Integumentary system:
-
Scabies-impetigo- seborrhic dermatitis- burns
UNIT 6: Care of a child with communicable disease: -
Review: Pertusis- measles-chicken pox- mumps-diptheria Poliomyelitis- tetanus- AIDS-cholera
UNIT 7: nursing care of handicapped child and those with behavioral problems: -
Community of organization for physically and mentally Handicapped – delinquency- exceptional child
-
Battered child syndrome/ child-enuresis c hild-enuresis Speech defects – thumpsucking- somnambulism- tics
UNIT 8: Pediatric emergencies: -
Foreign body aspiration-accidents-poisoning and stings, Pediatric ICU
Suggested practicals:
-
Clinical experience in hospital/OPD and community health centre centre Visit to centre of physically, mentally handicapped Demonstration techniques in: Admission procedure: • Feeding children-collection specimen • Visit to centre of physically, mentally handicapped • Medication: oral, intramuscular, intravenous, other router as available – IV fluids • Immunization • Assisting in painful procedure- steam inhalation • Oxygen administration- use of restraints • Assisting in resuscitation
METHODS OF TEACHING:
-
Lecture with discussion-clinical presentation Demonstration- field visits Observation of children
MEDICAL SURGICAL NURSING – II
Placement: third year bsc nursing (basic) degree time allotted: 75+20 hours (theory and practicals) Course description: Assessment of needs of patient with complex medical surgical conditions in various clinical settings. Integration of knowledge from the physical, biological, social and behavioral sciences in helping the patients to meet these needs. Behavioral objectives: 1. Investigates systematically complex health care problems of patients based on the social, behavioral, physical and biological sciences 2. Discusses manifestation of clinical problems, analysee these in terms of appropriate nursing intervention. 3. Interprets, demonstrates, teaches professional nursing care to patients, their families and other members of the health team. UNIT 1: Specific medical surgical conditions:
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A. Alteration in structure and function of eye, ear, nose, throat. Foreign bodies. Epistaxis Loss of hearing Otitis media Mastoiditits Laryngeal and tracheal obstruction Injuries and infections of eye Glaucoma Cataract Corneal transplant Blindness Rhinitis, sinusitis, DNS, polyp, tonsillitis, adenoiditis, pharyngitis, laryngitis B. Cardio-thoracic structure and functions:
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Heart rhythm, endocarditis, pericarditis, rheumatic heart disease, cardiac arrest Conjestive heart failure Coronary heart disease Lung Pulmonary tuberculosis Cystic lung Hypoxia and respiratory failure Asthma, bronchitis, bronchiectasis, lung abscess, pneumothorax, emphysema, pleural effusion, atelectasis, COPD (chronic obstructive pulmonary disease) C. 1. Head injuriesLevel of unconciousnous Cerebral concussion and compression co mpression 2. Spinal injuries Paraplegia Quadriplegia Spinal cord compression 3. Infection4. Epileptic seizures 5. Cerebro vascular accident Hemiplegia and aphasia 6. Tumors of the brain and spinal cord 7. Degenerative diseases Multiple sclerosis Parkinsons disease PRACTICUM:
The student will plan and administer care for patient atleast one patient of a selected group. Teaching experience with patient, family and other group will be arranged. At seminars, selected nursing care reports and problems will be considered by each student MENTAL HEALTH NURSING
Placement: third year leading to (basic) bsc nursing degree Time allotted: theory 75 hours, practicals – 240 hours Course description: The course introduces the basic principles and concepts of mental mental health nursing, emphasis is placed on therapeutic interventions with individuals, families and groups. groups. Focus is on maladaptive behavior and crisis crisis situation. Behavioral objectives: 1. Knows the basic principles and concepts of mental health he alth nursing and understands maladaptive behavioral based on knowledge of the normal. 2. Acquires knowledge of the various mental disorders, the current treatments and existing community resources. 3. Acquires knowledge of the current trends in mental health nursing. 4. Understands the underlying principles, from the social and behavioral science and utilizes them in planning , implementing , and evaluating the mental health nursing care, based on needs nee ds of the patients and their families 5. Understands the implication implication for nursing in meeting crisis situation situation UNIT 1: Introduction: -
Concepts of normalcy and abnormalacy Causes of abnormal behavior Problems of mental disorders Review of personality development
UNIT 2: Principles and concepts of mental health nursing: -
Meaning, definitions and terminologies Scope Historical developments and current trends in mental health nursing Standards of mental health nursing General principles Classification of mental disorders
UNIT 3: Therapeutic nurse-patient relationship:
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Type of relationship Phases of nurse- patient relationship Interpersonal environment Therapeutic dynamics Process recording
UNIT 4: Conceptual models: -
Psycho-analytical models Behavioral model Interpersonal model Communication model Nursing model Medical model Holistic model
UNIT 5: The individual with functional psychiatric disorder: -
Schizophrenic disorder Mood disorder Etiology Dynamics Therapy
UNIT 6: The individual with organic disorder: - Toxins and poisons - Degeneration – senile dementia - Epilepsy - Brain tumors and head injury - Etiology - Dynamics - Therapy UNIT 7: The individual with psycho-neurotic disorder -
Anxiety Phobias Dissociation and conversion disorder Obsession and compulsion Multiple personality Etiology Dynamics Therapy
UNIT 8:The individual with psycho physiological disorder -
Types Etiology Dynamics Therapy
UNIT 9: The individual with character disorder and addition: -
Sociopath reactions Sexual disorders Alcohol dependence syndrome Substance abuse Therapy
UNIT 10: Childhood disorders: -
Mental retardation Conduct disorder Emotional disorder Specific development disorder Personality disorder Tics and mannerism disorder
UNIT 11: Mordern therapies: -
Physical therapy Psycho pharmacology Therapeutic community Psychological therapies Individual Family Group Behavioral therapy Psycho-analytical therapy Play therapy Activity therapy • Occupation therapy • Music therapy • Dance therapy • Psycho therapy • Recreational therapy
UNIT 12: Crisis situation: -
Theory grief grief process types of crisis crisis intervention suicidal prevention
UNIT 13: Legal aspects of mental health nursing: -
admission and discharge procedure Indian lunacy act 1912 The mental health act 1987 Civil responsibility Criminal responsibility
UNIT 14: Community mental health nursing: - Historical development of community health nursing - National mental health programme - Levels of prevention - Mental health services available - Nurses role PRACTICAL: 1. The student will plan and administer care to selected patients p atients in psychiatric setting. 2. Analysis of problems encountered in in clinical areas like community community mental health centres, child guidance clinics, O.P.D and psychiatric hospitals will be presented in nursing conference. 3. The student will write present process recording of minimum 2 (two) elected in psychiatric nursing.
MIDWIFERY INCLUDING MATERNITY AND GYNAECOLOGICAL NURSING-1
Placement: third year bsc nursing (basic) degree Time allotted: theory-50 hours Practicals-150 hours
Course description: The course is designed to increase the knowledge and skills of students in Administering comprehensive care to the mothers through out maternity maternity cycle and care of the newborn infant. It also includes planning and providing care to the women on reproductive health aspects. family welfare emphasized through out the course. Behavioral objectives: 1. Possesses knowledge and understanding understanding of the maternity cycle. 2. Possesses ability to assess nursing needs and provides care to the mothers throughout the maternity cycle. 3. Demonstrating cycles in conducting normal deliveries and providing immediate care to the newborn. 4. Understanding basic concepts of family welfare and develops the ability to supply them .
5. Understands common gynaecological disorders 6. Provide care to the the the patients with gynaecological problems. problems.
UNIT 1: Introduction to maternal and child health nursing: -
History, scope, objectives, nature and scope of women and child health. h ealth. Trends in M.C.H Review morbidity and mortality in mothers and children. Factors influencing maternal health Planned parenthood
UNIT 2: Review of the reproductive system, conception and development of the fertilized ovum: A. Review of the reproductive system B. Review female pelvis and its measurements, fertilization, changes in the fertilized ovum.
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Development of normal placenta and foetal sac, abnormal abno rmal placenta, foetal circulation Development of embryo Influence of the hereditary factors on growth and development d evelopment of foetus and health of the newborn.
UNIT 3: Normal pregnancy and management -
Maternal changes during pregnancy Signs, symptoms and diagnosis of pregnancy Management during pregnancy Minor disorder during pregnancy Attitudes of the family towards the pregnant mother Health teaching to the mother and family Services available at the community level
UNIT 4: Normal labour and management: -
Physiological changes Stages of labour Factors influencing labour Management of normal labour Immediate care of the baby Birth injuries, asphyxia and malformation Home delivery Parto graph
UNIT 5: Normal purperium and management: -
Physiology of purperium Management and nursing care of the mother, baby and family Physiology of lactation and establishment of lactation. Customs and beliefs in relation to confinement of lactation.
UNIT 6: New born: -
Review of normal characteristics of new born Management of newborn immediate care, immunization Breast feeding, weaning Neonatal problems Information of the newborn Haemolytic disease of the newborn Still births, incidence, cause and prevention
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Care of high risk infants Care of under fives
UNIT 7: Family welfare: -
Definition, scope and need for family planning Health rationale for family planning Target population, eligible couple, target free approach Contraceptive methods- use, advantages, disadvantages Post partum programme Medical termination of pregnancy Nurses responsibility of in family planning Client finding- education Client holding Follow up Sterility – diagnosis and management Assisted reproductive technologies Artificial inseminations, in vitro fertilization
UNIT 8: Drugs in midwifery: -
Drugs in common use in midwifery Indication and administration of drugs Standing orders for practice of midwifery Drugs permitted for the use by nurse/midwife
Practicum:
Each student is required to have following experience: 1. Conducts antenatal examinations – 30 2. Witness normal deliveries - 20 3. Conducts normal delivery -5 Hospital • • Home 4. Conducts vaginal examinations - 5 5. Episiotomy and suturing -2 6. Provides care to postnatal mother • Hospitalized - 20 • Home -3
NURSING EDUCATION
Placement: third year leading to bsc nursing nu rsing (basic) degree Time allotted: 60+150 (theory+ practical) Course description: The course includes the philosophy and objectives of nursing education, concepts and principles of curriculum development, evaluation methods of teaching, use of different A.V aids, guidance and counseling. Specific objectives: On completion of the course the students will be able to: 1. Explain the basic concepts of education edu cation and nursing education, curriculum development. 2. Appreciates the different steps in curriculum planning and implementation 3. Use various educational methods and media for effective teaching 4. Apply principles for education and learning process when developing plans to teach in the field of nursing 5. Prepare evaluation tools for evaluating the effectiveness of theory and practical teaching. UNIT 1: Introduction of education: -
Definition of terms, meaning, aims, objectives, principles agencies and a nd function Historical development of education and philosophy Meaning and scope of philosophy • Naturalism • Idealism • Realism • Pragmatism
UNIT 2: Philosophy of education: -
Philosophy and role of philosophy in nursing education educ ation Current trends in nursing education
UNIT 3: Curriculum:
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Meaning and concepts of curriculum Principles of curriculum Factors influencing curriculum construction Steps in curriculum development • Formulation of philosophy and objectives • Statement of objectives • Types of objectives • Importance of objectives in evaluation Curriculum change Curriculum committee Current trends in planning nursing curriculum
UNIT 4: Organisational pattern of nursing curriculum: -
Current pattern of curriculum organization Course divisions with time allotment and plan of work Selection and organization of learning experience Course plan, unit plan, lesson plan • Master schedule of course Organization of clinical experience •
UNIT 5: Clinical component in nursing education: -
Correlation between theory and practical Master and individual rotation plan Organization of clinical area for clinical teaching (hospital and community ) Maintenance of teaching and learning records
UNIT 6: Educational strategies used in nursing : -
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Essential of teaching • Definition of terms • Aims and objectives of teaching • Concept of good teacher and good learner Teaching methods (classroom) lecture demonstration, questioning, group discussion, role play, laboratory, project symposium, seminar programme instruction, problem solving, micro teaching, simulation assignment and library work.
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Teaching methods (clinical) nursing clinics, nursing rounds, nursing conference, demonstration, reports ,process recording, field trips, individual conference, observational visits.
UNIT 7: Learning methods: -
Principles and methods of learning Learning process Types of learning Factors promoting learning Theories of learning Adult learning
UNIT 8: Instructional method: -
Definitions and purposes Principles and preparation of use Types (projected, non projected and audio aids
UNIT 9: Evaluation: -
Definitions, purpose, scope and principles of evaluation Criteria for evaluation Types of evaluation Types of tools Construction and use of evaluations tools Evaluation tools for clinical performance and an d classroom
Practicum:
1. Conduct practice teaching classes in classroom including micro – teaching clinical area. 2. Prepare different A.V aids and prepare a folder 3. Visit school of nursing and collect date pertaining to organization, o rganization, implementation and evaluation of student programme.
FOURTH YEAR BSC NURSING (BASIC) DEGREE: MIDWIFERY INCLUDING MATERNITY AND GYNAECOLOGICAL NURSING
Placement: fourth year year leading to bsc nursing nursing (basic) degree Time allotted: 60+300 (theory+ practical) p ractical) Course description: This course is designed to increase the knowledge and skill of students in identifying the high risk factors associated with pregnancy, labour and puerperium and to administer comprehensive nursing care to the mothers throughout the maternity cycle. Behavioral objectives: 1. Identify the deviation from normal pregnancy, labour and pueperium. pu eperium. 2. Explain the care of high risk mother during pregnancy, labour and puerperium. 3. Appraise the newborn, identify the high risk in newborn and provide suitable interventions im giving care to both normal and high risk new born. 4. Identify the obstetric emergencies and provide appropriate interventions. 5. Assist in conducting abnormal deliveries 6. Conduct normal delivery and provide family centred care c are in the community. 7. Understand common gynaecological disorder 8. Tp provide care to the patients p atients with gynaecological problems.
UNIT 1: Review: -
Review of normal pregnancy Assessment of risk factors in pregnancy Bio-physical
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Bio-chemical Maternal assays Electronic monitoring and nursing role.
UNIT 2: Abnormal pregnancy and management: A. Bleeding in early pregnancy”
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Miscellaneous causes vaginal bleeding Abortion Ectopic pregnancy Molar, pregnancy B. Disorder caused by pregnancy:
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Hyperemesis gravidarum Toxaemias of pregnancy RH incompatibility C. Disorder of pregnancy:
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Antepartum haemorrhage Blood coagulation failure Disorder of amniotic fluid • Polyhydraminos • Oligohydraminos D. Disease associated with pregnancy:
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Infection Cardiac disease Anaemias Essential hypertension Renal problems Endocrine and metabolic disorder of pregnancy • Diabetes mellitus • Thyroid disorder • Pheny ketonuria Epilepsy Hepatic necrosis E. Gynaecological conditions complicating pregnancy:
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Fibroid uterus Uterine prolapsed Ovarian cysts F. Structural abnormalities affecting pregnancy
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Uterine malformations Displacement of pregnant uterus Abnormality of pregnant uterus G. Genital and sexually transmmisible infections in pregnancy:
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Local infection of the vulva and vagina Protozoal infection Bacterial infection Viral infection AIDS
UNIT 3: Review of normal labour and management UNIT 4:Abnormal labour and management: A. Abnormal presentation and positions.
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Occipito, posterior Breech Face Shoulder Unstable lie, compound presentations B. Multiple presentations C. Obstetrics emergencies
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Presentation and prolapsed of cord Placenta previa Amniotic fluid embolism • Rupture of the uterus • Acute inversion of the uterus • Cervical dystocia • Haemorrhagfe and shock D. Prolonged pregnancy and disorder of uterine action
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Prolonged pregnancy Induction of labour Abnormal uterine action Prolonged labour Obstructed labour E. Complication of third stage of labour F. Injuries of the birth canal G. Obstetric operations
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Version Episiotomy Forceps delivery Vacuum extraction Caeserrean section Destructive operation
UNIT 5: Review of normal pueperium: UNIT 6: Abnormal puerperium: -
Puerperium infection Breast infection Urinary tract infection Respiratory infection Subinvolution of uterus Psychiatric disorder of pregnancy Thrombo phlebitis and venous thrombosis Difficulties of lactation Suppression of lactation
UNIT 7: Gynaecological nursing: -
Disorders of menstrual cycle Gynaecological examination and diagnostic procedure biopsy Inflammatory conditions of female reproductive organs New growths, malignant, polyps, cysts Displacement of uterus Menopause Pre and post operative care VVF and RVF
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Congenital deformities
UNIT 8: Review of normal newborn UNIT 9: Neonatal problems: -
Birth injuries Asphyxia neonatorum Congenital malformation Neonatal jaundice Convulsions Vomiting Metabolic disorder Pre term babies and post dated babies Still birth- incidence, course and prevention Haemorrhagic disorders of the newborn
Practicum:
1. 2. 3. 4.
5. 6. 7. 8.
Witness abnormal deliveries - 10 Motivation of planned parenthood – 2 Attend antennal and postnatal clinics Assist with obstetrical and gynaecological operations o perations episiotomy, evacuation, forceps delivery, caeserrean section, IUD insertion , sterilization (male and female). Provides care to high risk mothers - 5 nos Provides care to neonatal (high risk) – 5 nos Assist in abnormal deliveries – 5 nos Clinical experience in atenatal, postnatal ward, gynaic ward, septic labour ward, operation theatre, neonatal ward.
COMMUNITY HEALTH NURSING – II
Placement: fourth year leading to bsc nursing nu rsing (basic) degree Time allotted: theory- 60 hours, practicals- 450 hours Course description: The course is intended to give a broader understanding of managerial aspects of community health nursing practice with emphasis of planning, organizing, implementing and evaluation of community health programme. Behavioral objectives: At the end of the course the student will be able to: 1. Explain the health care delivery system in India ie, union, un ion, state, district block and local level 2. Describe the national health planning in India, 3. Recognize the role of community health nurses n urses in national health programme in India 4. Describe the voluntary health care agencies and their contributions to national health care systems 5. Apply principles of management, supervision and personal management in community health nursing services 6. Identify the training needs and conduct self development de velopment programme for different functionaries in the community. 7. Prepare job description for different categories of community health nursing. 8. Plan and organizes the special community health he alth nursing programme
UNIT 1: Health administration in India: -
Brief history of health administration in India
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Health organization and function at union level- union ministry of health and family welfare, DGHS ( directorate general of health services, New Delhi , central, councils and family welfare, NHFW (national institute of health and family welfare) Trends and objectives of health administration. Health organization functions at state level. leve l. Ministry of H and F W, health secretariat , health directorates, HFWTCS Health organization, function at district,block and local level.
UNIT 2: Health planning in India: -
Evolution of health planning in India National health comitees of pre and post independent independ ent India National health policy Planning commission of India National development and health Planning process in community health nursing National health programme: • • • • •
•
• • • • • • •
NMEP -National malaria eradication programme NFCO - National filarial filarial control control programme programme NLCO – National leprosy eradication programme NTCP – National tuberculosis control programme NPVICB – National programme for prevention of visual impairment and control of blindness. NSTDP – National sexually transmitted transmitted disease control programme. DDCP – Diarhoel disease control programme CSSM- Child survival safe motherhood RCH – Reproductive and child health h ealth UIP – Universal immunization programme p rogramme NFWP – National family welfare programme NCCP – National water supply and sanitation programme Guines worm eradication programme And other vertical health programmes
UNIT 3: International and voluntary health agencies: -
Definition, objectives and functions of voluntary health agencies and their contributions of health. International health agencies
• • • • • • • • • • •
WHO UNICEF UNESCO USAID UNDP FAO CARE ROCKETFELLER FOUNDATION FORD FOUNDATION COLOMBO PLAN WORLD BANK
Voluntary health agencies in India and their contributions • • • • • • • • •
Indian red cross society Hind kusht nivaran sangh Indian council of chilf welfare Bharat sevak samaj Central social welfare board Kasturba memorial fund Family planning association of India All India womens conference All India blind relief societies
Professional bodies: • TNAI MCI • • DCI • PCI • COUNCIL OF ISM • ICN
UNIT 4: Staff management and development in communit health nursing : -
Qualities and trends in management of community health personnel Recommendation of high power committee in nursing Methods of recruitment and techniques of supervision Qualification, qualities and responsibilities of supervisor sup ervisor Working relationship with team members and community Preparation of evaluation tools and record of effective supervision Methods of supervision- staff and individual
Conference., auditing and review of records • Use of coping index and family process • Review and field supervision – anecdotal reports, Staff development • Orientation- guidance and counseling in C.H.N service • Inservice education, continuing education, skill training • Community health nursing standards • Trends in manpower planning in C.H services •
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UNIT 5: School health programme (SHP) -
Development of SHP in India Definition, nature, scope and objective of SHP Contents/ components of SHP Role and responsibilities of nurse in planning Implementation and evaluation of school health programme
UNIT 6: Occupation health programme (OCP) -
Development of occupation health in India Definition, nature, scope and objective of OHP Occupational hazards Health acts and health measures of OHP Role of nurse in promotion of occupational health
C MHNP) UNIT 7: community mental health nursing programme ( CMHNP)
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Review, concepts of mental health and illness Mental health movement in India Meaning, scope and objective of community co mmunity mental health programme Promotional measures of mental health in community Preventive measures of mental illness in community Role of nurse in community mental health programme
UNIT 8: Nursing and disaster: -
Nature, scope and objective and types of o f disasters Role of nurse in various disasters
UNIT 9 : Communicable and communicable diseases:
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Communicable diseases- diphtheria, tetanus, pertusis, poliomyelitis, measles, mumps, tuberculosis, malaria, filarial, leprosy, diarrhoel dia rrhoel disease, worm infestation, STD, AIDS, JEB, jaundice, rabies, KFD, dengue fever, plague and others. Non communicable diseases and conditions: heart diseases, cancer, diabetes, hypertension, accidents,. Trends in management of prevailing communicable and non communicable diseases and conditions.
Practicals:
Under the supervision and guidance of faculty, students will : -
Visit health organizations and institutions of national and international importance during the educational tour and prepare p repare reports.
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Plan organize/participate in special health programmes such as school health, mental health and disaster belief.
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Visit to school, rural health centre, local industries.
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Conduct group activities – Community health survey in geographical area and plan health care and also participate in health centre activities and research activities
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Perform individual activities – selecting five families and providing care and conduct health teaching for selected groups of individual.
NURSING ADMINISTRATION
Placement : fourth year, leading to bsc nursing (basic) degree Time allotted: 60=105 hours ( theory + practical ) Course description: The course is designed to orient the student to the basic concepts of administration applied in nursing service and education with emphasis on developing beginning skills of management. Behavioral objectives:
1. Describe basic concepts and and principles p rinciples of management 2. Appreciates different techniques of management skills 3. Realize the responsibilities of nurse administrator ad ministrator in different areas/levels. UNIT 1: Basic concepts of administration: -
Significance, meaning, nature, scope and philosophy of administration. ad ministration. Approaches to the study of public administration Human factor in administration Public and private administration Administration and management Administration, science, art or both Elements of administration planning, organizing Staffing, delegating, coordination, reporting, budget, Tools of administration- human relation communication Review of leadership in administration- nurse as a leader Innovation and charge – use of o f creativity
UNIT 2: Health administration and hospital -
Definition, nature, scope, objectives, and principles of o f health administration Definition, classification of hospitals ho spitals Evolution of Indian hospitals Hospitals, organization and function/
Unit 3: nursing service administration: -
Nature, scope, philosophy, objective and principles of nursing administration Planning nursing service at all levels- centre state, local hospital and community. Techniques of management in nursing – management by objective, management by evaluation, PERT. Importance of records and reports in nursing administration Trends and issues in nursing service.
UNIT 4: Function of nursing administration: -
Human resources management and role of nurse manager. Staff- recruiting, selection, induction, confirmation, probation, p robation, termination, personel policies, staff computation, job analysis, job specification, job description, staff assignments.
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-
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Supervison- meaning, nature, scope, objectives ob jectives of supervision. Supervision of staff and clients care Staff development – definitions, nature, scope and objectives of staff development, inservice education, continuing education, orientation, skill training,. Staff welfare – working condition, safety health, salaries, benefits, recreation. Maternal management and the role of nurse manager Demand estimation, procurement, receipt and inspection storage, issue and use of maintenance and repair disposal , accounting and information system inventory control . Financial management and role of nurse manager Financial system, source of funds, budgeting,- principles and process.
UNIT 5: Nursing management of a unit/department. -
Organization and management of nursing unit Factors influencing good unit/ward management Planning for daily patient care Physical facilities, equipment and supplies Assignment Maintaining of records and reports repo rts Quality assurance, setting nursing standards Evaluation of patient care / nursing care
UNIT 6: Nursing education administration: -
Aspects of educational management Physical facilities for nursing schools, colleges Recruitment and selection of faculty and students Job description of teachers- schools and college of nursing Rules and regulation policies of nursing education Affiliation and accreditation of nursing education instruction Trends and issues of nursing education in India Evaluation tool for effectiveness of teaching and student programme Records and reports pertaining to staff and students Utilization of nursing service personal and nursing education
UNIT 7: Medical aspects of nursing: -
Legal terminology Consumer protection act Legal limits in nursing
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Registration act Legal issues in speciality areas in medical, surgical, obstetrics and gynecology Psychiatric and community health nursing.
PRACTICALS:
Each student will be required to : -
Work with the charge nurse and apply app ly the principles of administration pertaining to the unit. Present reports of patients, copies of various records, reports and job description. Plan, organizes, and implement total nursing care and present nursing care plans Report of the education tours.
TRENDS AND ISSUES IN NURSING
Placement : fourth year leading to bsc nursing (basic) degree Time allotted: 45 hours Course description: This is an introductory course that deal with the development and structural changes of organized nursing in selected areas of o f the world. Emphasis is on the general trends of events on recent happenings happ enings on the profession. Behavioral objectives: 1. Understands the responsibilities of nursing and its development as a profession. 2. Appreciates the present role of nurse in selected countries. 3. Increases understanding understanding of the activities activities of international agencies in the development of nursing. UNIT 1: Introduction: -
Course frame work Evolution of society – a transition phase Nursing as a profession p rofession
UNIT 2: Influence of cultural patterns on health improvement: -
Seminar: nursing problem Focus: nursing care delivery in relation to health problems found in one particular section of the state or country.
UNIT 3: Structure of organized nursing in India: -
Indian nursing council- State nursing council Trained nurses association of India Development and role of state branches
UNIT 4: Development of nursing in different parts of the world: -
Seminar- modern nursing in the world today Focus- social and economic status of nursing and conditions c onditions for work basic preparation programmes in India and other countries.
UNIT 5: International organizations and their implication of nursing: -
Seminar- international agencies Focus - how these agencies can assist nursing and improve improve health health in world. ELECTIVES YOGA
Placement: fourth year leading to bsc nursing nu rsing (basic)degree Time allotted: 45 hours ( 20 hours hou rs practicals and 25 hours theory) Course description: this course is designed to equip the bsc nursing degree nursing students with basic concepts of yoga. Scope is also given to study the patients and rectify their behavioral and habits which are harmful. h armful. Behavioral objectives: 1. Acquire knowledge about the basic concepts of yoga. 2. Integrate the knowledge in attaining the optimum level of health. h ealth. 3. Appy this knowledge in bringing about the therapeutic effectiveness in disease conditions.
UNIT 1: - Introduction to yoga - History of yoga UNIT 2: - Different types of yoga - Raja yoga, bhaktiyoga, karma yoga, gyana yoga, hata yoga, laya yoga UNIT 3: - Asthanga yoga of maharshi patanjali - Yama,niyama, asama, pranayama, prathyahaara, dharma, dhyana, Samadhi. UNIT 4: - Important yoga sutras of patanjali UNIT 5: - Theory of pacha-kosha, anatomy and physiological ph ysiological related to yogic practices. UNIT 6: - Difference between yogic practices and misconception of yoga. UNIT 7: - Shatkriyas- neti, dhouli, nanti, kapalabhati and trataka. UNIT 8: - Rules to be followed for practice of yogic methods. UNIT 9: - Classification of asanas - Meditative, culture and relaxative asanas and their psycho-somatic effects. UNIT 10: - Breathing exercise, pranayamaas, their types and effects UNIT 11: - Dharma and syama (concentration and meditation), types of dharma and their effects. UNIT 12: - Yoga for women,young,aged UNIT 13:
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Mudhras and bandhas- role of basic asanas in maintaining health and curing diseases.
Practicum:
Yogic methods of practice: A. B. C. D. E.
Sukshama vyayama Surya namaskaras – shavasana (relaxation) Abdominal exercise Spinal exercise Asanas (pacting sequence)
1. Vjrasana- mandukasana 2. Bhadrasana 3. Gomukasana 4. Bhjangasana- sarpasana 5. Ardha salambasana- porna shalambasana 6. Marasana (relaxation) 7. Sukasana- ardha-padmasna, padmasana 8. Vipareethakami 9. Matsyasana 10.Halasana 10.Halasana 11.Ahanurvasana11.Ahanurvasana- shavasana 12.Vakrasana 12.Vakrasana 13.Ardha 13.Ardha matsendrasana 14.Yoga-mudra 14.Yoga-mudra 15.Navasana 15.Navasana 16.Nowkasana16.Nowkasana- mukarasana 17.Janitrasana 17.Janitrasana 18.Pachimothrasana18.Pachimothrasana- shavasana 19.Poorvatharwasana 19.Poorvatharwasana 20.Chakrasana20.Chakrasana- shavasana 21.Shirasana-shavasana 21.Shirasana-shavasana 22.Standing 22.Standing postures 23.Ukatasana 23.Ukatasana 24.Trikonasana 24.Trikonasana 25.Parshova-chakrasena 25.Parshova-chakrasena 26.Nata26.Nata- rajasana 27.Veer 27.Veer bhadrasana F. Shatkriyas:
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Jala neti Sutra neti Kunjala Vastra shonti Kapala bhonti Trataka G. Breathing exercises Upper respiratory Diaphragmatic breathing Lower respiratory Tiger breathing H. Pranayamas : pooraka:kumbaka: rechaka
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Anulama- viloma Nadi-shudi pranayama Seethkari Seethali Bharrika Bramari I. Yoga nidra: (conscious relaxation) J. Practice of meditation APPRECIATION OF FINE ARTS
Placement: fourth year year leading to bsc nursing (basic) degree Time allotted: 45 hours Course description: The course is designed to enable e nable the student appreciate and utilize the concepts and principles in personal and professional activities. The approach is generic and focuses on individual expression and aspects of culture and the role of social institution in changing trends. Behavioral objectives: 1. Appreciates the arts as an expression of individuals and the culture. 2. Enjoys and appreciates beauty whereever it is found. UNIT 1: Introduction:
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What is art ?definitions, nature beauty, how art began, sources in magic and ritual, decorations, crafts, imitations i mitations
UNIT 2: Psychology of art appreciation: -
Art as idea, imagination, design, form, order, arts as expression, creativity, communication, catharsis.
UNIT 3: Areas of art activity: -
General introduction Visual arts and plastic arts – useful arts
UNIT 4: Fine arts: -
Painting – drawing, colour, composition, materials Sculpture – modeling, carving, narrative and religious, sculpture, relating to architecture. Music – sound, form, voice, voice , instruments, classical and light traditions Indian musical ideas. Dance – language of movement, grace, body, body, employment of music. Drama – entertainment and instructions, language, message, cinema. Crafts – jewellery, costumery, decoration, pottery.
UNIT 5: Culture and appreciation: -
Artistic purposes and styles in cultural areas The individual and society in India Civilization and changing trends Art criticism Principles Problems
UNIT 6: Utilization of principles of art appreciation: -
Environmental beauty Flower arrangement Interior decoration Behavioral beauty Manners Conversational elegance Aesthetic and effective aspects
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Communicative beauty Teaching art appreciation. COMPUTER SCIENCE IN NURSING
Placement: fourth year leading to bsc nursing nu rsing (basic) degree Duration: theory: 25 hours Practicals : 20 hours Course description: The course is designed to study the th e fundamental of computers – application of computers – data processing in India – logic of computer- development of algorithms – flow chart – word processing processing – storing files – storing storing and analysis of data graphics. Objectives: The student 1. 2. 3. 4. 5. 6. 7. 8.
Acquires basic knowledge of computer Finds the utility of computer application of in other fields Develops the ability in creating database Learns database programming Appreciates the utility of computer through algorithms and flowcharts Prepare files and store files Stores and analysis data Represents the data through graphics COMPUTER SCIENCE
1. Fundamentals in computers:
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Historical view of computers Types of computers Parts of computers Applications of computer – scientific – educational – medical science Computer languages 2. Data processing concepts:
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Booting DOS commands
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Creating a data base Creating reports An approach to data programming Learning database programming 3. Approach to problem solving”:
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The logic of computer Problems definition Algorithms - definitions Step by step development of algorithm Flowcharts – symbols and structured programming. 4. Word processor:
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Word processing Storing of files Use of computer in nursing research Storing and analysis in data Graphics.
