Adult Health Nursing - II B.SC Nursing 4th Semester

Unit

Learning Outcomes

Content

Time

(Hrs)

I

Explain the etiology,

pathophysiology,

clinical manifestations,

diagnostic measures

and medical, surgical,

nutritional and nursing

management of

patients with ENT

disorders

Nursing Management of Patient with Disorders of Ear, Nose and Throat

(Includes etiology, pathophysiology, clinical manifestations, diagnostic measures and medical, surgical, nutritional and nursing management)

·         Review of anatomy and physiology of the ear, nose and throat

·         History, physical assessment, and diagnostic tests

·         Ear

o    External ear: deformities otalgia, foreign bodies and tumors

o    Middle ear: impacted wax, tympanic, membrane perforation, otitis media, and tumors

o    Inner ear: Meniere‘s disease, labyrinthitis, ototoxicity tumors

·         Upper respiratory airway infections:

Rhinitis, sinusitis, tonsillitis, laryngitis

·         Epistaxis, Nasal obstruction, laryngeal obstruction

·         Deafness and its management

12 (T)

4 (SL)

II

Explain the etiology,

pathophysiology,

clinical manifestations,

diagnostic measures

and management of

patients with disorders of eye

Describe eye donation, banking and transplantation

Nursing Management of Patient with Disorder of Eye

·         Review of anatomy and physiology of the eye

·         History, physical assessment, diagnostic assessment

Eye Disorders

·         Refractive errors

·         Eyelids: infection, deformities

·         Conjunctiva: inflammation and infection bleeding

·         Cornea: inflammation and infection

·         Lens: cataract

·         Glaucoma

·         Retinal detachment

·         Blindness

·         Eye donation, banking and transplantation

12 (T)

4 (SL)

III

Explain the etiology,

pathophysiology,

clinical manifestations,

diagnostic tests, and

medical, surgical,

nutritional, and nursing management of Kidney and urinary system disorders

Demonstrate skill in

genitourinary

assessment

Prepare patient for

genitourinary

investigations

Prepare and provide

health education on

prevention of renal

calculi

Nursing Management of Patient with Kidney and Urinary Problems

·         Review of Anatomy and physiology of the genitourinary system

·         History, physical assessment, diagnostic tests

·         Urinary tract infections: acute, chronic, lower, upper

·         Nephritis, nephrotic syndrome

·         Renal calculi

·         Acute and chronic renal failure

·         Disorders of ureter, urinary bladder and Urethra

·         Disorders of prostate: inflammation, infection, stricture, obstruction, and Benign Prostate Hypertrophy

15 (T)

4 (L/SL)

IV

Explain the etiology,

pathophysiology,

clinical manifestations,

diagnostic tests, and

medical, surgical,

nutritional, and nursing management of male reproductive disorders

Nursing Management of Disorders of Male Reproductive System

·         Review of Anatomy and physiology of the male reproductive system

·         History, Physical Assessment, Diagnostic tests

·         Infections of testis, penis and adjacent structures: Phimosis, Epididymitis, and Orchitis

·         Sexual dysfunction, infertility, contraception

·         Male Breast Disorders: gynecomastia, tumor, climacteric changes

6 (T)

V

Explain the etiology,

pathophysiology,

clinical manifestations,

types, diagnostic

measures and

management of

patients with disorders of burns/cosmetic

surgeries and its

significance

Nursing Management of Patient with Burns, Reconstructive and Cosmetic Surgery

·         Review of anatomy and physiology of the skin and connective tissues

·         History, physical assessment, assessment of burns and fluid & electrolyte loss

·         Burns

·         Reconstructive and cosmetic surgery for burns, congenital deformities, injuries and cosmetic purposes, gender reassignment

·         Legal and ethical aspects

·         Special therapies: LAD, vacuumed dressing. Laser, liposuction, skin health rejuvenation, use of derma filters

10 (T)

4 (SL)

VI

Explain the etiology,

pathophysiology,

clinical manifestations,

diagnostic measures

and management of

patients with

neurological disorders

Nursing Management of Patient with Neurological Disorders

·         Review of anatomy and physiology of the neurological system

·         History, physical and neurological assessment, diagnostic tests

·         Headache, Head injuries

·         Spinal injuries: Paraplegia, Hemiplegia, Quadriplegia

·         Spinal cord compression: herniation of  in vertebral disc

·         Intra cranial and cerebral aneurysms

·         Meningitis, encephalitis, brain, abscess, neuro-cysticercosis

·         Movement disorders: Chorea, Seizures & Epilepsies

·         Cerebrovascular disorders: CVA

·         Cranial, spinal neuropathies: Bell‘s palsy, trigeminal neuralgia

·         Peripheral Neuropathies

·         Degenerative diseases: Alzheimer‘s disease, Parkinson‘s disease

·         Guillain-Barré syndrome, Myasthenia gravis & Multiple sclerosis

·         Rehabilitation of patient with neurological deficit

16 (T)

4 (L/SL)

VII

Explain the etiology,

pathophysiology,

clinical manifestations,

diagnostic tests, and

medical, surgical,

nutritional, and nursing

management of

immunological

disorders

Prepare and provides

health education on

prevention of HIV

infection and rehabilitation

Describe the national

infection control programs

Nursing Management of Patients with

Immunological Problems

·         Review of Immune system

·         Nursing Assessment: History and Physical assessment

·         HIV & AIDS: Epidemiology, Transmission, Prevention of Transmission and management of HIV/AIDS

·         Role of Nurse; Counseling, Health education and home care consideration and rehabilitation

·         National AIDS Control Program –NACO, various national and international agencies for infection control

12 (T)

4 (L/SL)

VIII

Explain the etiology,

pathophysiology,

types, clinical

manifestations,

staging, diagnostic

measures and

management of

patients with different

cancer, treatment

modalities including

newer treatments

Nursing Management of Patient with Oncological Conditions

·         Structure and characteristics of normal and cancer cells

·         History, physically assessment, diagnostic tests

·         Prevention screening early detections warning sign of cancer

·         Epidemiology, etiology classification, Pathophysiology, staging clinical manifestations, diagnosis, treatment modalities and medical and surgical nursing management of Oncological condition

·         Common malignancies of various body system eye, ear, nose, larynx, breast, cervix, ovary, uterus, sarcoma, renal, bladder, kidney, prostate Brain, Spinal cord.

·         Oncological emergencies

·         Modalities of treatment:

Chemotherapy, Radiotherapy:

Radiation safety, AERB regulations,

Surgical intervention, Stem cell and

bone marrow transplant,

Immunotherapy, Gene therapy

·         Psychological aspects of cancer: anxiety, depression, insomnia, anger

·         Supportive care

·         Hospice care

12 (T)

4 (L/SL)

IX

Explain the types,

policies, guidelines,

prevention and

management of

disaster and the

etiology,

pathophysiology,

clinical manifestations,

diagnostic measures

and management of

patients with acute

emergencies

Nursing Management of Patient in Emergency and Disaster Situations Disaster Nursing

·         Concept and principles of disaster nursing, Related Policies

·         Types of disaster: Natural and manmade

·         Disaster preparedness: Team, guidelines, protocols, equipment, resources

·         Etiology, classification, Pathophysiology, staging, clinical manifestation, diagnosis, treatment modalities and medical and surgical nursing management of patient with medical and surgical emergencies –Poly trauma, Bites, Poisoning and Thermal emergencies

·         Principles of emergency management

·         Medico legal aspects

15 (T)

4 (L/SL)

X

Explain the Concept,

physiological changes,

and psychosocial

problems of ageing

Describe the nursing

management of the

elderly

Nursing Care of the Elderly

·         History and physical assessment

·         Aging process and age-related body changes and psychosocial aspects

·         Stress and coping in elder patient

·         Psychosocial and sexual abuse of elderly

·         Role of family and formal and nonformal caregivers

·         Use of aids and prosthesis (hearing aids, dentures)

·         Legal and ethical issues

·         National programs for elderly, privileges, community programs and health services

·         Home and institutional care

10 (T)

XI

Explain the etiology,

pathophysiology,

clinical manifestations,

diagnostic measures

and management of

patients in critical care

units

Nursing Management of Patients in Critical Care Units

·         Principles of critical care nursing

·         Organization: physical set-up, policies, staffing norms

·         Protocols, equipment and supplies

·         Use and application of critical care biomedical equipment: ventilators, cardiac monitors, defibrillators, infusion pump, Resuscitation equipment and any other

·         Advanced Cardiac Life support

·         Nursing management of critically ill patient

·         Transitional care

·         Ethical and Legal Aspects

·         Breaking Bad News to Patients and/or their families: Communication with patient and family

·         End of life care

15 (T)

8 (L/SL)

XII

Describe the etiology,

pathophysiology,

clinical manifestations,

diagnostic measures

and management of

patients with

occupational/

industrial health disorders

Nursing Management of Patients Occupational and Industrial Disorders

· History, physical examination, Diagnostic tests

· Occupational diseases and management

5 (T)