Course Plan IV Sem
Course Plan IV Sem
DESCRIPTION: This course is designed to enable students to acquire understanding of Pharmacodynamics, Pharmacokinetics, principles of
therapeutics & nursing implications. Further it develops understanding of fundamental principles of prescribing in students.
UNIT Behavioural Theory Content Teaching Teaching Time Assessment Name of the
Objective Methods Aids (Hours) methods Faculty
T+P
Describe drugs Drugs used in disorders of ear, Lecture cum Blackboard 4 Short answer
I used in disorders of nose, throat & Eye Discussion PPT Objective
ear, nose, throat Drug study/ type
Antihistamines
and eye and nurses‘ presentation
responsibilities Topical applications for
eye (Chloramphenicol,
Gentamycin eye drops), ear
(Soda glycerin, boric spirit
ear drops), nose and buccal
cavity- chlorhexidine
mouthwash
Composition, action,
dosage, route, indications,
contraindications, drug
interactions, side effects, adverse
effects, toxicity and role of nurse
Describe drugs Drugs used on urinary system
II acting on urinary Lecture cum Blackboard 4 Short answer
Pharmacology of
system & nurse‘s Discussion Objective type
commonly used drugs
responsibilities
o Renin angiotensin system
o Diuretics and antidiuretics Drug study/
presentation
o Drugs toxic to kidney
o Urinary antiseptics
o Treatment of UTI –
acidifiers and alkalinizers
Composition, action, dosage,
route, indications,
contraindications, Drug
interactions, side effects, adverse
effects toxicity and role of nurse
Describe drugs Drugs acting on nervous Lecture cum
III used on nervous system Discussion 10 Short answer
system & nurse‘s Black board Objective
Basis & applied
responsibilities Drug study/ type
pharmacology of
commonly used drugs presentation
DESCRIPTION: This course is designed to enable students to acquire knowledge of pathology of various disease conditions, understanding
of genetics, its role in causation and management of defects and diseases and to apply this knowledge in practice of nursing.
UNIT Behavioural Theory Content Teaching Teachin Time Assessment Name of the
Objective Methods g (Hours methods Faculty
Aids )
T+P
I Explain Special Pathology: Lecture 5 Short answer
pathological Blackboar Objective type
Pathological changes in Discussion
changes in disease d
disease conditions of Explain using
conditions of PPT
selected systems
various systems slides, X-rays and
1. Kidneys and Urinary tract
Glomerulonephritis scans
GENETICS
UNIT Behavioural Theory Content Teaching Teaching Time Assessment Name of the
(Hours) methods Faculty
Objective Methods Aids
T+P
I Explain nature, Introduction: Lecture 2 Short answer
principles and Objective type
Practical application of Discussion Blackboard
perspectives of
genetics in nursing
heredity Explain using PPT
Impact of genetic condition on slides
families
Review of cellular division:
mitosis and meiosis
Characteristics and structure of
genes
Chromosomes: sex
determination
Chromosomal aberrations
Patterns of inheritance
Mendelian theory of
inheritance
Multiple allots and blood
groups
Sex linked inheritance
Mechanism of inheritance
Errors in transmission
(mutation)
II Explain maternal, Maternal, prenatal and genetic Lecture Short answer
prenatal and influences on development of Objective
Discussion Blackboard 2
genetic influences defects and diseases type
PPT
on development of Explain using
Conditions affecting the
defects and slides
mother: genetic and infections
diseases
Consanguinity atopy
Prenatal nutrition and food
allergies
Maternal age
Maternal drug therapy
Prenatal testing and diagnosis
Effect of Radiation,
drugs and chemicals
Infertility
Spontaneous abortion
Neural Tube Defects and
the role of folic acid in
lowering the risks
Down syndrome (Trisomy 21)
III Explain the Genetic testing in the Lecture 2 Short answer
screening methods neonates and children Objective
Discussion Blackboard
for genetic defects Screening for Explain using type
and diseases in slides
o Congenital abnormalities
neonates and
children o Developmental delay
Dysmorphism
IV Identify genetic Genetic conditions of Lecture 2 Short answer
disorders in adolescents and adults Blackboard Objective
Discussion
adolescents and type
Cancer genetics: Familial Explain using
adults
cancer slides
Inborn errors of metabolism
Blood group alleles and
hematological disorder
Genetic haemochromatosis
Huntington‘s disease
Mental illness
V Describe the role of Services related to genetics Lecture 2 Short answer
nurse in genetic Discussion Blackboard Objective
Genetic testing
services and type
counselling Gene therapy
Genetic counseling
Legal and Ethical issues
Role of nurse
DESCRIPTION: This course is designed to equip the students to review and apply their knowledge of Anatomy, Physiology, Biochemistry and
Behavioral sciences in caring for adult patients with Medical/Surgical disorders using nursing process approach. It also intends to develop
competencies required for assessment, diagnosis, treatment, nursing management, and supportive/palliative and rehabilitative care to adult
patients with various Medical Surgical disorders
COMPETENCIES: On completion of the course the students will apply nursing process and critical thinking in delivering holistic nursing
care with selected Medical and Surgical conditions.
At the completion of Adult Health Nursing II course, students will
1. Explain the etiology, pathophysiology, manifestations, diagnostic studies, treatments and complications of selected common
medical and surgical disorders.
2. Perform complete health assessment to establish a data base for providing quality patient care and integrate the knowledge of diagnostic
tests in the process of data collection.
3. Identify diagnoses, list them according to priority and formulate nursing care plan.
4. Perform nursing procedures skillfully and apply scientific principles while giving comprehensive nursing care to patients.
5. Integrate knowledge of anatomy, physiology, pathology, nutrition and pharmacology in caring for patients experiencing various
medical and surgical disorders.
6. Identify common diagnostic measures related to the health problems with emphasis on nursing assessment and responsibilities.
7. Demonstrate skill in assisting/performing diagnostic and therapeutic procedures.
8. Demonstrate competencies/skills to patients undergoing treatment for medical surgical disorders.
9. Identify the drugs used in treating patients with selected medical surgical conditions.
10. Plan and provide relevant individual and group education on significant medical surgical topics.
11. Maintain safe environment for patients and the health care personnel in the hospital.
UNIT Behavioural Theory Content Teaching Teaching Time Assessment Name of the
Objective Methods Aids (Hours) methods Faculty
T+P
I Explain the Nursing management of Lecture 12+4 MCQ
etiology, patient with disorders of and Blackboard
Short answer
pathophysiology, Ear, Nose and Throat discussi PPT
clinical (Includes etiology, on Essay
manifestations, pathophysiology, clinical OSCE
Demonstration
diagnostic manifestations, diagnostic of hearing Assessment
measures and measures and medical, aids, nasal of skill (using
medical, surgical, surgical, nutritional and packing, checklist)
nutritional and nursing management) medication
nursing Quiz
Review of anatomy and administration
management of
physiology of the ear, nose Visit to audiology Drug book
patients with ENT
and throat and speech clinic
disorders
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
II Explain the Nursing management of Lecture 12+4
etiology, patient with disorder of eye and Blackboard MCQ
pathophysiology, discussi PPT
Review of anatomy and Short Essay
clinical on
physiology of the eye OSCE
manifestations, Demonstrati
diagnostic History, physical Drug book
on of visual
measures and assessment, diagnostic
aids, lens,
management of assessment
medication
patients with Eye Disorders administratio
disorders of eye n
Refractive errors
Visit to eye bank
Eyelids: infection, deformities
Describe eye
Conjunctiva:
donation, banking
inflammation and
and transplantation
infection bleeding
Cornea: inflammation and
infection
Lens: cataract
Glaucoma
Retinal detachment
Blindness
Eye donation, banking and
transplantation
III Explain the Nursing management of Lecture 15+4 MCQ
etiology, patient with Kidney and cum Blackboard
Short Note
pathophysiology, Urinary problems Discussi PPT
clinical on Long essay
Review of Anatomy and
manifestations, Demonstration Case report
physiology of the
diagnostic tests,
genitourinary system Case Submits health
and medical,
surgical, History, physical Discussion teaching on
nutritional, and assessment, diagnostic prevention of
Health
nursing tests urinary calculi
education
management of Urinary tract
Kidney and urinary Drug book
infections: acute, Field visit –
system disorders chronic, lower, upper Visits
Demonstrate Nephritis, nephrotic hemodialysis unit
skill in syndrome
genitourinary Renal calculi
assessment
Acute and chronic renal
failure
Prepare patient
for Disorders of ureter,
genitourinary urinary bladder and Urethra
investigations Disorders of prostate:
inflammation, infection,
Prepare and stricture, obstruction, and
provide health Benign Prostate Hypertrophy
education on
prevention of renal
calculi
IV Explain the Nursing management of Lecture, 6 Short essay
etiology, disorders of male Discussion Blackboard
pathophysiology, reproductive system PPT
Case
clinical
Review of Anatomy and Discussion
manifestations,
physiology of the male Health education
diagnostic tests,
reproductive system
and medical,
surgical, History, Physical
nutritional, and Assessment, Diagnostic
nursing tests
management of Infections of testis, penis and
male reproductive adjacent structures: Phimosis,
disorders Epididymitis, and Orchitis
Sexual dysfunction,
infertility,
contraception
Male Breast Disorders:
gynecomastia, tumor,
climacteric changes
V Explain the Nursing management of Lecture 10+4
etiology, patient with burns, and Blackboard OSCE
pathophysiology, reconstructive and cosmetic discussi
clinical surgery on PPT Short notes
manifestations,
Review of anatomy and Demonstration
types, diagnostic
physiology of the skin and of burn wound
measures and
connective tissues assessment,
management of
vacuum
patients with History, physical
dressing and
disorders of assessment, assessment
fluid
burns/cosmetic of burns and fluid &
calculations
surgeries and its electrolyte loss
significance Burns Visit to burn
rehabilitation
Reconstructive and cosmetic centers
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
VI Explain the Nursing management of Lecture OSCE
etiology, patient with neurological and
Short notes
pathophysiology, disorders discussi Blackboard 16+4
clinical on PPT Essay
Review of anatomy and
manifestations, Drug book
physiology of the Demonstration
diagnostic
neurological system of
measures and
physiotherapy,
management of History, physical and
neuro
patients with neurological assessment,
assessment,
neurological diagnostic tests
tracheostomy
disorders Headache, Head injuries
care
Spinal injuries: Visit to
Paraplegia, rehabilitation
Hemiplegia, center, long term
Quadriplegia care clinics, EEG,
NCV study unit,
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
VII Explain the Nursing management of Lecture,
etiology, patients with Immunological discussion Blackboard 12+4
pathophysiology, problems Case
clinical Discussion/
Review of Immune system
manifestations, seminar
diagnostic tests, Nursing Assessment:
Refer Module on
and medical, History and Physical HIV/AIDS
surgical, assessment
nutritional, and
nursing HIV & AIDS:
management of Epidemiology,
immunological Transmission, Prevention
disorders of Transmission and
management of
HIV/AIDS
Prepare and Role of Nurse; Counseling,
provides health Health education and home
education on care consideration and
prevention of rehabilitation
HIV infection National AIDS Control
and rehabilitation Program – NACO, various
national and international
agencies for infection control
Describe the
national infection
control programs
VIII Explain the Nursing management of Lecture
etiology, patient with Oncological and Blackboard 12+4 OSCE
pathophysiology, conditions discussi PPT
Essay
types, clinical on
Structure and Quiz
manifestations,
characteristics of normal and Demonstrati
staging, diagnostic Drug book
cancer cells on of
measures and
chemotherap Counseling,
management of History, physically
y health
patients with assessment, diagnostic
preparation teaching
different cancer, tests
and
treatment Prevention screening administratio
modalities early detections warning sign
including newer n
of cancer
treatments
Epidemiology, etiology Visit to BMT,
classification, radiotherapy
Pathophysiology, staging units (linear
clinical manifestations, accelerator,
diagnosis, treatment brachytherapy,
modalities and medical and etc.), nuclear
surgical nursing management medicine unit
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 Completion of
Modalities of palliative care
treatment: Chemotherapy,
Radiotherapy: Radiation module during
safety, AERB regulations, clinical hours (20
Surgical intervention, Stem hours)
cell and bone marrow
transplant, Immunotherapy,
Gene therapy
Psychological aspects
of cancer: anxiety,
depression, insomnia, anger
Supportive care
Hospice care
IX Explain the types, Nursing management of Lecture
policies, patient in Emergency and and Blackboard OSCE
guidelines, Disaster situations discussi PPT 15+4 Case
prevention and on presentations
Disaster Nursing
management of
Demonstration and case study
disaster and the Concept and
of disaster
etiology, principles of disaster
preparedness
pathophysiology, nursing, Related Policies
(Mock drill)
clinical Types of disaster: and triaging
manifestations, Natural and manmade
diagnostic Filed visit to
measures and Disaster local disaster
management of preparedness: Team, management
patients with acute guidelines, protocols, centers or
emergencies equipment, resources demo by fire
Etiology, extinguishers
classification, Group
Pathophysiology, staging, presentation
clinical manifestation, (role play, skit,
diagnosis, treatment concept
modalities and medical and mapping) on
surgical nursing different
management of patient with emergency care
medical and surgical
emergencies – Poly trauma, Refer Trauma
Bites, Poisoning and care
Thermal emergencies management/
ATCN
Principles of emergency module
management Guided reading
Medico legal aspects on National
Disaster
Management
Authority
(NDMA)
guidelines
X Explain the Nursing care of the elderly Lecture 10 OSCE
Concept, and Blackboard
History and physical Case
physiological discussi PPT
assessment Presentation
changes, and on
psychosocial Aging process and age- Assignment
Demonstration
problems of related body changes and on family
of
ageing psychosocial aspects systems of
communication India focusing
Stress and coping in elder with visual and on geriatric
patient hearing
Describe the population
Psychosocial and sexual impaired
nursing
abuse of elderly Field
management of the
visit to
elderly Role of family and formal old age
and non- formal caregivers homes
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
XI Explain the Nursing management of Lecture Objective type
etiology, patients in critical Care and Blackboard 15+8
Short notes
pathophysiology, units discussi PPT
Case
clinical on Presentation
Principles of critical care
manifestations, nursing Demonstratio Assessment of
diagnostic n on the use skill on
measures and Organization: physical set-up, monitoring of
policies, staffing norms of mechanical patients in
management of ventilators,
Protocols, equipment and ICU.
patients in critical cardiac
care units supplies
monitors etc. Written
Use and application of
critical care biomedical Clinical assignmen
equipment: ventilators, practice t on ethical
cardiac monitors, in and legal
defibrillators, infusion different issues in
pump, Resuscitation ICUs critical
equipment and any other care
DESCRIPTION: This course is designed to help students to develop an understanding of professionalism and demonstrate professional
behavior in their workplace with ethics and professional values. Further the students will be able to identify ethical issues in nursing practice
and participate effectively in ethical decision making along with health team members.
COMPETENCIES: On completion of this course, the students will be able to
1. Describe profession and professionalism.
2. Identify the challenges of professionalism.
3. Maintain respectful communication and relationship with other health team members, patients and society.
4. Demonstrate professional conduct.
5. Describe various regulatory bodies and professional organizations related to nursing.
6. Discuss the importance of professional values in patient care.
7. Explain the professional values and demonstrate appropriate professional values in nursing practice.
8. Demonstrate and reflect on the role and responsibilities in providing compassionate care in the healthcare setting.
9. Demonstrate respect, human dignity and privacy and confidentiality to self, patients and their caregivers and other health team
members.
10. Advocate for patients‘ wellbeing, professional growth and advancing the profession.
11. Identify ethical and bioethical concerns, issues and dilemmas in nursing and healthcare.
12. Apply knowledge of ethics and bioethics in ethical decision making along with health team members.
13. Protect and respect patient‘s rights.
UNIT Behavioural Theory Content Teaching Teaching Time Assessment Name of the
Objective Methods Aids (Hours) methods Faculty
T+P
I Discuss nursing PROFESSIONALISM Lecture 5 Short answer
as a profession cum Blackboard
Profession Essay
Discussio PPT
Definition of profession n Objective type
Criteria of a profession Visit reports
Nursing as a profession
Describe the Professionalism
concepts and
attributes of Definition and
professionalism characteristics of
professionalism
Concepts, attributes and
indicators of
professionalism
Challenges of professionalism
Identify the o Personalidentity vs
challenges of professional identity
professionalism
o Preservation of self-
integrity: threat to Debate
Maintain integrity, Deceiving
patient: withholding
respectful
information and falsifying
communication
records
and relationship
with other health o Communication & Role play
team members, Relationship with team
patients and members: Respectful and
society open communication and
relationship pertaining to
relevant interests for ethical
decision making Case
Demonstrate based
o Relationship with patients discussi
professional and society
conduct on
Professional Conduct
Following ethical principles
Respect and
Adhering to policies,
maintain
rules and regulation of
professional
the institutions
boundaries
between patients, Professional etiquettes and
colleagues and behaviours
society Lecture
Professional grooming: cum
Uniform, Dress code
Professional boundaries: Discussio
Professional relationship n
Describe the roles with the patients, caregivers
and responsibilities and team members
of regulatory
bodies and Regulatory Bodies &
professional Professional Organizations:
organizations Roles & Responsibilities Visit to INC,
Regulatory bodies: Indian SNC, TNAI
Nursing Council, State
Nursing Council
Professional Organizations:
Trained Nurses Association of
India (TNAI), Student Nurses
Association (SNA), Nurses
League of Christian Medical
Association of India,
International Council of Nurses
(ICN) and International
Confederation of Midwives
II Lecture 5
Discuss the PROFESSIONAL VALUES cum Blackboard Short answer
importance of Discussio PPT
Values: Definition and Essay
professional n
characteristics of values Assessment of
values Value
Value clarification student‘s
clarification
behavior with
Personal and professional exercise
Distinguish patients and
values
between personal Interactive families
values and Professional learning
professional socialization: Integration of
Story telling
values professional values with
personal values Sharing
experiences
Demonstrate Professional values in nursing
Scenario based
appropriate Importance of discussion
professional values professional values in
in nursing practice nursing and health care
Caring: definition, and
process
Compassion:
Sympathy Vs empathy,
Altruism
Conscientiousness
Dedication/devotion to
work
Respect for the person-
Human dignity
Privacy and
confidentiality: Incidental
disclosure
Honesty and integrity:
Truth telling
Trust and credibility:
Fidelity, Loyalty
Advocacy: Advocacy for
patients, work environment,
nursing education and practice,
and for advancing the profession
III Lecture 10 Short answer
Define ethics ETHICS & BIOETHICS cum Blackboard Essay
& bioethics discussio PPT
Definitions: Ethics, Quiz
n
Bioethics and Ethical
Principles Group Reflective
Explain discussion diary
ethical Beneficence
with Case report
principles Non-maleficence: Patient examples
safety, protecting patient from Attitude test
Flipping/
harm, Reporting errors Assessment of
Identify self- directed
Justice: Treating each person learning assignment
ethical
concerns as equal
Role play
Care without discrimination,
Story telling
equitable access to care and
safety of the public Sharing
experiences
Autonomy: Respects patients‘
autonomy, Self-determination, Case based
Freedom of choice Clinical
discussion
Ethical issues and ethical
Role modeling
dilemma: Common ethical
Group
problems exercise on
Ethical issues and ethical
Conflict of interest
dilemmas in health decision-
care Paternalism
making
Deception following
Privacy and confidentiality steps on a
Valid consent and refusal given
scenario
Allocation of scarce nursing
resources Assignmen
Conflicts concerning new t
technologies
Explain process Whistle-blowing
of ethical Beginning of life issues
decision making
and apply o Abortion
knowledge of o Substance abuse
ethics and
o Fetal therapy
bioethics in
making ethical o Selective deduction
decisions o Intrauterine treatment
of fetal conditions
o Mandated contraception
o Fetal injury
o Infertility treatment
End of life issues
o End of life
o Euthanasia