THE UNIVERSITY OF LAHORE
Lahore School of Nursing
Adult Health Nursing II
UNIT PLAN
Total units = VI Total weeks 16/6
UNIT I: Orthopedic Nursing 2.5 Theory hours (150 min)
This unit will assist the learners in effective utilization of nursing process in delivering care to
patients with musculo-skeletal problems. The course places emphasis on the important concepts
applicable in musculo-skeletal conditions and rehabilitation of patients.
By the end of this unit, learners will be able to:
1. Relate the normal anatomy and physiology of the musculo-skeletal system to alterations of
normal structures and functions.
2. Display the ability to assist in carrying out diagnostic procedures related to the musculo-
skeletal system and also recognizes and reports the abnormalities in the results.
3. Identify the needs of the client, with different types of tractions and amputation.
4. Use nursing concepts in identifying potential complications associated with musculo-
skeletal disorders.
5. Utilize nursing process in delivering care, promoting and maintaining the optimal wellness
of clients with musculo-skeletal disorders.
6. Collaborate with other members of the health care team in health teaching and discharge
planning.
7. Incorporate relevant research findings in designing a plan of care for clients with musculo-
skeletal disorders.
8. Understands and performs Neuro-Muscular assessment independently on patients having
musculo-skeleton disorder.
9. Demonstrate pre and post-operative nursing care in patients with Musculo-skeletal
surgeries.
Health issue to be covered in this unit
Fracture, Amputation, Osteoarthritis, Osteomyelitis, Osteoporosis,
Rheumatoid arthritis, gout, Soft tissue injury, (150/8=19 min approx)
THE UNIVERSITY OF LAHORE
Lahore School of Nursing
Adult Health Nursing II
LESSON PLAN
Course: Date: Time: 20 Min
Topic: Fracture Facilitator:
No Objective Time
1. Facture 2 min
2. Type of fracture 4 min
3. Causes of fracture 2 min
4. Pathophysiology 3 min
5. Clinical features 3 min
6. First aid for fracture 2 min
7. Medical and surgical intervention 2 min
8. Nursing care and patient teaching 2 min
___________
Faculty Sign
Fracture = 0.20/1.5 x 100 = 16.66 (17%) weightage of assessment
Items= 10 x 17/100 = 1.7 items =2
Table of Specification (TOS) for Assessment: Fracture
Key Content Areas for
Learning Objective Cognitive Level Items
Questions
stages of bone healing; how a
Relate normal A&P to Remembering / Understanding
- fracture disrupts normal structure
alterations. (Low)
or function.
Identifying abnormal clinical
Assist in diagnostics and features (deformity, crepitus) and
Applying (Medium) -
recognize abnormalities. interpreting basic X-ray findings
(e.g., displaced vs. non-displaced).
Nursing care for a patient in
Identify needs of clients traction: monitoring skin,
Applying (Medium) -
with tractions. neurovascular status, pain
management, and mobility needs.
Recognizing signs of compartment
Use nursing concepts to
syndrome, infection, fat embolism,
identify potential Analyzing (High) -
non-union. (This is a critical
complications.
thinking area).
Questions on prioritizing nursing
Utilize nursing process in diagnoses, planning interventions,
Applying / Analyzing (High) 1
delivering care. and evaluating care for a fracture
patient.
Collaborate in health Key teaching points: cast care,
teaching and discharge Applying (Medium) - weight-bearing instructions, signs
planning. of complications to report.
The 6 P's of neurovascular
Perform Neuro-Muscular
Applying / Analyzing (High) 1 assessment; interpreting assessment
assessment independently.
findings and determining actions.
Differentiating pre-op (e.g.,
consent, NPO) and post-op (e.g.,
Demonstrate pre and post-
Applying (Medium) - pain management, wound care,
operative nursing care.
monitoring) responsibilities for
surgical repair (ORIF).
Total
