Obg Syllabus PDF

Master of Science in Nursing
Syllabus & Curriculum

2017
INDEX
S.No Content Page No.
1. Preamble 3
2. Subjects 4
3. Aims 4
4. Objective 4
5. Duration 5
6. Eligibility 5
7. Career opportunities 5
8. Teaching strategies 5
9. Revised M.Sc. (Nursing) Programme Scheme Of Examinations 6-10
FIRST SEMESTER 11
10. Nursing Education 12-27
11. Nursing Research And Statistics 28-38
12. Clinical Speciality-I 39-51
Obstetric And Gynaecological Nursing
13. Clinical Specialty –I 52-58
Child Health (Paediatric) Nursing
14. Clinical Speciality – I 59-66
Mental Health (Psychiatric) Nursing
15. Clinical Speciality- I Medical Surgical Nursing 67-73
Community Health Nursing
SECOND SEMESTER 83
17. Advance Nursing Practice 84-95
18. Clinical Speciality-I 96-110
19. Clinical Specialty –I 111-117
Child Health (Paediatric) Nursing
21. Clinical Speciality – I
Medical Surgical Nursing 127-136
22. Clinical Speciality- I
Community Health Nursing 137-140
THIRD SEMESTER 141
23. Clinical Speciality – II 142-153
24. Nursing Clinical Specialty –II
Child Health (Pediatric) Nursing 154-165
25. Clinical Speciality - II
Psychiatric (Mental Health) Nursing 166-183
Medical Surgical Nursing
Sub Specialties - cardio Vascular and Thoracic Nursing
27. Clinical Speciality – II
Sub Specialties- Critical Care Nursing
Sub Specialties- Oncology
Sub Specialties- Neuroscience Nursing
1
Sub Specialties - Nephro-Urology Nursing
Sub Specialties- Orthopedic
Sub Specialties- Gastro Enterology Nursing
FOURTH SEMSTER 278

34. Nursing Management 279-293
. Medical Surgical Nursing 294-303
Sub Specialties - cardio Vascular and Thoracic Nursing
Sub Specialties- Critical Care Nursing
Sub Specialties- Oncology
Sub Specialties- Neuroscience Nursing
Sub Specialties - Nephro-Urology Nursing
Sub Specialties- Orthopedic
Sub Specialties- Gastro Enterology Nursing
39. Nursing Clinical Specialty –II 368-376
Child Health (Pediatric) Nursing

2
SGT University, Gurugram
Faculty of Nursing
Masters in Nursing
Syllabus
Preamble:
The masters degree program is specifically designed for graduates of any Bachelor of
Nursing degree to enable them to extend their nursing knowledge and skills in a specialist
setting. The Master of Nursing program offers a flexible, external method of study. Some
core courses and those in the Advanced Practice Nursing Field of Study are also delivered
internally.
Students are able to select from five fields of specialization or use the generic Advanced
Practice Nursing field tailored to suit the specialist practice setting of the student. The
Advanced Practice Nursing field of study is offered internally only to domestic students.
Students who do not currently hold Bachelor of Nursing, or equivalent, may only apply for
the Graduate Certificate. When this is successfully completed students may then apply for
entrance into the Graduate Diploma or Master of Nursing or Master of Nurse Practitioner
Studies programs.This course is designed to assist students to develop a broad understanding
of Fundamental Principles, concepts, trends and issues related to education and nursing
education. Further, it would provide opportunity to students to understand, appreciate and
acquire skills in teaching and evaluation, curriculum development, implementation,
maintenance of standards and accreditation of various nursing educational programs.
Philosophy:
We believe that:
National Health Policy (NHP) 2002 emphasizes the need to prepare nurses to function in
super-speciality areas who are required in tertiary care institutions, entrusting some limited
public health functions to nurses after providing adequate training, and increase the ratio of
degree holding vis-a-vis diploma holding nurses.
It is observed that there is an acute shortage of nursing faculty in under graduate and post
graduate nursing programme in India
Indian Nursing Council believes that:

Post Graduate programme is essential to prepare nurses to improve the quality of nursing
education and practice in India. .
Post graduate programme in nursing builds upon and extends competence acquired at the
graduate levels, emphasizes application of relevant theories into nursing practice, education,
administration and development of research skills.
The programme prepares nurses for leadership position in nursing and health fields who can
function as nurse specialists, consultants, educators, administrators and researchers in a wide
variety of professional settings in meeting the National priorities and the changing needs of
the society.
This programme provides the basis for the post masteral programme in nursing. Further the
programme encourages accountability and commitment to life long learning which fosters
3
improvement of quality care
Aim:
The aim of the postgraduate program in nursing is to prepare graduates to assume
responsibilities as nurse specialists, consultants, educators, administrators in a wide variety of
professional settings
Objectives:
On Completion of the two year M.Sc Nursing programme, the graduate will be able to:-
(a) Utilize/apply the concepts, theories and principles of nursing science

(b) Demonstrate advance competence in practice of nursing
(c) Practice as a nurse specialist.
(d) Demonstrate leadership qualities and function effectively as nurse educator and
manager.
(e) Demonstrate skill in conducting nursing research, interpreting and utilizing the
findings from health related research.
(f) Demonstrate the ability to plan and effect change in nursing practice and in the health
care delivery system.
(g) Establish collaborative relationship with members of other disciplines
(h) Demonstrate interest in continued learning for personal and professionaladvancement.
Duration:
Duration of Masters in Nursing is Two Years (4 semester)course
Medium of Instruction and Examination : English
Eligibility Criteria for Admission:
The eligibility criteria for admission shall be as under:
i. The candidate should be a Registered Nurse and Registered midwife or equivalent with any
State Nursing Registration Council.
ii. The minimum education requirements shall be the passing of: B.Sc. Nursing / B.Sc. Hons.
Nursing / Post Basic B.Sc. Nursing with minimum of 55% aggregate marks.
iii. The candidate should have undergone in B.Sc. Nursing / B.Sc. Hons. Nursing / Post Basic
B.Sc. Nursing in an institution which is recognized by Indian Nursing Council.
iv. Minimum one year of work experience after Basic B.Sc. Nursing.
v. Minimum one year of work experience prior or after Post Basic B.Sc. Nursing.
vi. Candidate shall be medically fit.
vii. 5% relaxation of marks for SC/ST candidates may be given.
CAREER OPPURTUNITIES:
➢ Nurse clinician
➢ Nurse educators
➢ Researcher
➢ Administrator
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➢ Nurse specialist
➢ Practitioner
➢ Nurse epidemiologist
➢ Wound care nurse
➢ Manager
➢ Planner
➢ Policy maker
➢ Counselor
➢ Nurse anesthetist
➢ Forensic nurse
➢ Hospice nurse
➢ Travel health nurse
TEACHING STRATEGIES
• Prepare Case studies with Nursing process approach and theoretical basis
• Presentation of comparative picture of theories
• Family case- work using model of prevention
• Annotated bibliography
• Report of field visits (5)
• Lecture cum discussion
• Seminar
• Panel discussion
• Debate
• Case Presentations
• Exposure to scientific conferences
• Field visi
5
REVISED M.Sc. (NURSING) PROGRAMMES
SCHEME OF EXAMINATIONS
W.E.F. ACADEMIC SESSION 2017-2018
Note 1:All Question Papers except “Nursing Research & Statistics” will have Two (02) parts.
S.No. Type of Question Part Total No. No. of Marks for Total marks
of Question Question to be each question
attempted
1. Long Essay type 01 01 10 10
2. Short Note 05 03 5 15
3. Definitions 05 05 02 10
4. Differentiation A 03 03 02 6
5. Problem Based 03 02 02 4
Question/Interpretation
question
6. Single Response Questions 10 10 01 10
7. True And False 05 05 01 05
8. Multiple Response 05 05 01 05
Questions/ Assertion- B
Reasoning
9. Matching Questions/Text- 05 05 01 05
Numerical Question
10. Sequencing 05 05 01 05
Grand totals 75
Note 2: Paper “Nursing Research & Statistics” will have two Sections—Section 1 and Section
2. Section 1 “Nursing Research” will be of 50 marks and Section 2 “Statistics” will be of
25 marks.
S.No. Type of Question Part Total No. of No. of Marks for Total marks
Question Question to be each
attempted question
Section 1 Nursing Research (50 marks)
1. Long Essay type 01 01 10 10
2. Short Note 04 02 05 10
3. Definitions A 03 03 02 06
4. Differentiation 02 02 02 04
5. Single Response Questions 05 05 01 05
6. True And False 05 05 01 05
7. Multiple Response B 05 05 01 05
Questions/ Assertion-
Reasoning
8. Matching Questions/Text- 05 05 01 05
Numerical Question
Grand total marks 50
Section 2 Statistics (25 marks)
1 Long Essay type 01 01 10 10
2 Definitions 03 03 01 03
3 Problem Based A 02 01 02 02
Question/Interpretation
question
4 Single Response Questions B 05 05 01 05
5 Multiple Response 05 05 01 05
Questions/ Assertion-
Reasoning
Grand total Marks 25
6
{01 Credit = 15 Hours in Theory}
{01 Credit=30 Hours in Practical}
1st Semester
Subject Paper Teaching Scheme Examination Scheme
Code Total Theory Practical Total Duration

Credit of Paper
Theory Skill/ Internal External Internal External (TH/PR)
/ Lab. Practical (Hours)
Nursing 10 5 15 25 75 50 50 200 3/4

Education
Nursing 10 2 12 25** 75* - - 100 3
Research
and
Statistics
Clinical Speciality-1 first semester #
Choose any one of the following specialties
Obstetric 4 10 14 25 75 - - 100 3
&
Gynecologi
cal
Nursing-I
(Part-A)
Child 4 10 14 25 75 - - 100 3
Health
(Pediatric)
Nursing-I
(Part-A)
Mental 4 10 14 25 75 - - 100 3
Health
(Psychiatri
c) Nursing-I
(Part-A)
Community 4 10 14 25 75 - - 100 3
Health
Nursing -I
(Part-A)
Medical 4 10 14 25 75 - - 100 3
Surgical
Nursing-I
(Part-A)
Total 24 17 41 125 225 50 50 400
Note: * Nursing Research = 50 marks; Statistics = 25 marks

**Nursing Research = 15; Statistics=10
7
2nd Semester

Credit of Paper
Theory Skill / Internal External Internal External (TH/PR)
Advance 10 7 17 25 75 - - 100 3
Nursing
Practice
Nursing - 2 2 - - - - -
Research
and Statistics
Clinical Speciality-1 first semester #
Obstetric & 6 12 18 25 75 100 100 300 3/4

Gynecologica
l Nursing-I
(Part-B)
Child Health 6 12 18 25 75 100 100 300 3/4
(Pediatric)
Nursing-I
(Part-B)
Mental 6 12 18 25 75 100 100 300 3/4
Health
(Psychiatric)
Nursing-I
(Part-B)
Community 6 12 18 25 75 100 100 300 3/4
Health
Nursing -I
(Part-B)
Medical 6 12 18 25 75 100 100 300 3/4

Surgical
Nursing -I
(Part-B)
Total 16 21 37 50 150 100 100 400
# = clinical and practical credits of semester first to be credited with second semester.
8
3rd Semester

Credit of Paper
Theory Skill/ Internal External Internal External (TH/PR)
Dissertation & - 8 8 - - - - - -
Viva
Clinical Speciality-II Third semester #
Obstetric & 6 18 24 25 75 - - 100 3
Gynecological -
II (Part-A)
Nursing
Child Health 6 18 24 25 75 - - 100 3
(Pediatric)
Nursing-II
(Part-A)
Mental Health 6 18 24 25 75 - - 100 3
(Psychiatric)
Nursing-II
(Part-A)
Community 6 18 24 25 75 - - 100 3
Health
Nursing -II
(Part-A)
Medical 6 18 24 25 75 - - 100 3
Surgical
Nursing-II
(Part-A)***
*** Choose any one Sub specialties in Medical Surgical Nursing –II (Part-A)
(a) Cardio 6 18 24 25 75 - - 100 3
Vascular &
Thoracic
Nursing
(b) Critical 6 18 24 25 75 - - 100 3
care Nursing
(c) Oncology 6 18 24 25 75 - - 100 3
Nursing
(d) 6 18 24 25 75 - - 100 3
Neurosciences
Nursing
(e) Nephro- 6 18 24 25 75 - - 100 3
Urology
Nursing
(f) Orthopedic 6 18 24 25 75 - - 100 3
Nursing
(g) Gastro 6 18 24 25 75 - - 100 3
Enterology
Nursing
Total 6 26 32 25 75 - - 100
9
4th Semester
Subject Pape Teaching Scheme Examination Scheme
r
Total Theory Practical Total Duration
Cod Credit of Paper
e Theory Skill/ Internal External Internal External (TH/PR)
Nursing 10 5 15 25 75 - - 100 3
Management
Dissertation & - 2 02 - - 100 100 200 4
Viva
Library work /Self 1 - 1 - - - - - -
Study
Clinical Specialty-II Fourth semester #
Obstetric & 4 14 18 25 75 100 100 300 3/4
Gynecological
Nursing-II (Part-
B)
Child Health 4 14 18 25 75 100 100 300 3/4
(Pediatric)
Nursing-II (Part-
B)
Mental Health 4 14 18 25 75 100 100 300 3/4
(Psychiatric)
Nursing-II (Part-
B)
Community 4 14 18 25 75 100 100 300 3/4
Health Nursing -
II (Part-B)
Medical Surgical 4 14 18 25 75 100 100 300 3/4
Nursing -II (Part-
B)***
*** Choose any one Sub specialties in Medical Surgical Nursing –II (Part-B)
(a) Cardio 4 14 18 25 75 100 100 300 3/4
Vascular &
Thoracic
Nursing
(b) Critical care 4 14 18 25 75 100 100 300 3/4
Nursing
(c) Oncology 4 14 18 25 75 100 100 300 3/4
Nursing
(d) 4 14 18 25 75 100 100 300 3/4
Neurosciences
Nursing
(e) Nephro- 4 14 18 25 75 100 100 300 3/4
Urology
Nursing
(f) Orthopedic 4 14 18 25 75 100 100 300 3/4
Nursing
(g) Gastro 4 14 18 25 75 100 100 300 3/4
Enterology
Nursing
Total 15 21 36 50 150 200 200 600
# = clinical and practical credits of semester third to be credited with fourth semester
10
FIRST SEMESTER
11
1stSemester
NURSING EDUCATION
Preamble
Nursing education consists of the theoretical and practical training provided to nurses with the purpose
to prepare them for their duties as nurse care professionals. This education is provided to nursing
students by experienced nurses and other medical professionals who have qualified or experienced for
educational tasks. The aim of nursing education is a development of the nursing profession. One way
to promote development is to clarify the professional role. The role definition for nursing is mostly
transmitted through tacit knowledge. We consider that the professional development of the nursing
profession requires a clear and well defined nurse role.
The overall development requires recognition of a professional status together with a clear and well-
defined role. We have found a significant change in the distribution of role conceptions which
occurred after the nurses had experienced their first year as registered nurse.
Goal
Nursing education is essential to prepare nurses to improve the quality of nursing education and
practice in India. It prepares nurses for leadership position in nursing and health fields who can
function as nurse specialists, consultants, educators, administrators and researchers in a wide
variety of professional settings in meeting the National priorities and the changing needs of the
society. It encourages accountability and commitment to lifelong learning which fosters
improvement of quality care. It builds upon and extends competence acquired at the graduate
levels, emphasizes application of relevant theories into nursing practice, education, administration
and development of research skills.
Objectives
At the end of the course, students will be able to:
1. Explain the aims of education, philosophies, trends in education and health: its impact on nursing
education.
2. Describe the teaching learning process.
3. Prepare and utilize various instructional media and methods in teaching learning process.
4. Demonstrate competency in teaching, using various instructional strategies.
5. Critically analyze the existing Nursing educational programs, their problems, issues and future
trends.
6. Describe the process of curriculum development, and the need and methodology of curriculum
change, innovation and integration.
7. Plan and conduct continuing nursing education programs.
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8. Critically analyze the existing teacher preparation programs in Nursing.
9. Demonstrate skill in guidance and counseling.
10. Describe the problems and issues related to Administration of Nursing curriculum including
selection and organization of clinical experience.
11. Explain the development of standards and accreditation process in nursing education
programs.
12. Identify research priorities in nursing education.
13. Discuss various models of collaboration in Nursing education and services.
14. Explain the concept, principles, steps, tools and techniques of evaluation.
15. Construct, administer and evaluate various tools for assessment of knowledge, skill, and attitude.
13
1stSemester
NURSING EDUCATION
HOURS
Theory: (10 credits)150 Hours
Clinical: (5credits)150 Hours
S.No Topic DOMAIN Time
Introduction: 10HRS
1. • Education: Definition, aims, concepts, philosophies & Nice to know
their education implications,
• Impact of Social, economical, political & technological Must know
changes on education:
• Professional education Desirable to know
• Current trends and issues in education
• Educational reforms and National Educational policy, Must to know
various educational commissions reports
• Trends in development of Nursing education in India
Nice to know
S.No Topic DOMAIN Time
2. Teaching – Learning Process 20HRS
• Concepts of teaching and learning: Definition, theories
of teaching and learning, relationship
between teaching and learning. Must to know
• Educational aims and Objectives; types, domains, levels,
elements and writing of educational
Objectives. Desirable to know
• Competency based education (CBE) and outcome based
education (OBE) Must to know
• Instructional design: Planning and designing the lesson,
writing lesson plan: meaning, its need and importance, Desirable to know
formats.
• Instruction strategies – Lecture, discussion, Must to know
demonstration, simulation, laboratory, seminar,
panel, symposium, problem solving, problem based
learning (PBL), workshop, project, roleplay Desirable to know
(Socio-drama), clinical teaching methods, programmed
instruction, self directed
learning(SDL), micro teaching, computer assisted
instruction(CAI), computer assisted learning
(CAL)
3 Instructional media and methods 10
• Key concepts in the selection and use of media in HRS
education
• Developing learning resource material using different Nice to know
media Desirable to know
• Instructional aids – types, uses, selection, preparation, Desirable to know
utilization. Must to know
• Teacher’s role in procuring and managing instructional Nice to know
Aids – Project and non-projected aids, multimedia, video-
14
tele conferencing etc
4. Measurement and evaluation: 10
• Concept and -nature of measurement and evaluation, Must to know HRS
meaning, process, purposes, problems in Nice to know
evaluation and measurement. Desirable to know
• Principles of assessment, formative and summative Nice to know
assessment- internal assessment external
examination, advantages and disadvantages.
• Criterion and norm referenced evaluation
Standardized and non-standardized tests: 12 hrs
5. • Meaning, characteristics, objectivity, validity, reliability, Must to know
usability, norms, construction of Desirable to know
tests-
• Essay, short answers questions and multiple choice Nice to know
questions.
• Rating scales, checklist, OSCE/OSPE (Objective Desirable to know
structured clinical/practical examination)
• Differential scales, and summated scales, Socio-metry, Nice to know
anecdotal record, attitude scale, critical incident
technique. Desirable to know
• Question bank-preparation, validation, moderation by
panel, utilization Desirable to know
• Developing a system for maintaining confidentiality
6. Administration, Scoring and Reporting 8hrs
• Administering a test; scoring, grading versus marks Must to know
• Objective tests, scoring essay test, methods of scoring, Desirable to know
Item analysis
7. Standardized Tools Must to know 12hrs
• Tests of intelligence aptitude, interest, personality,
achievement, socio-economic status scale, tests for
special mental and physical abilities and disabilities
8. Nursing Educational programs 5hrs

• Perspectives of Nursing education: Global and national Must to know
• Patterns of Nursing education and training programmes Desirable to know
in India. Non-university and Nice to know
University programs: ANM, GNM, Basic B.Sc. Nursing, Desirable to know
Post Certificate B.Sc. Nursing, M.Sc. Nice to know
(N) programs, M. Phil. and Ph.D.) in Nursing, post basic Desirable to know
diploma programs, Nurse practitioner
programs.
9. Continuing Education in Nursing Must to know 12hrs
• Concepts – Definition, importance, need scope, Desirable to know
principles of adult learning, assessments of learning Nice to know
needs, priorities, resources. Desirable to know
• Program planning, implementation and evaluation of Nice to know
continuing education programs.
• Research in continuing education.
• Distance education in Nursing.
15
10 Curriculum Development 10hrs
􀂉 Definition, curriculum determinants, process and Must to know
steps of curriculum development, Curriculum Desirable to know
models, Types and framework. Nice to know
􀂉 Formulation of philosophy, objectives, selection and Desirable to know
organization of learning experiences; master plan, Nice to know
course plan, unit plan.
􀂉 Evaluation strategies, process of curriculum change,
role of students, faculty, administrators, statutory
bodies and other stakeholders.
􀂉 Equivalency of courses: Transcripts, credit system.
11 Teacher preparation 8hrs
• Teacher – roles & responsibilities, functions, Must to know
characteristics, competencies, qualities.
• Preparation of professional teacher Desirable to know
• Organizing professional aspects of teacher preparation
programs Nice to know
• Evaluation: self and peer
• Critical analysis of various programs of teacher Desirable to know
education in India. Nice to know
12 Guidance and counseling 10hrs

• Concept, principles, need, difference between guidance Must to know
and counseling, trends and issues.
• Guidance and counseling services: diagnostic and Desirable to know
remedial.
• Coordination and organization of services. Nice to know
• Techniques of counseling: Interview, case work,
characteristics of counselor, problems in Desirable to know
counseling.
• Professional preparation and training for counseling. Nice to know
13 Administration of Nursing Curriculum 15hrs

• Role of curriculum coordinator – planning, Must to know
implementation and evaluation.
• Evaluation of educational programs in Nursing course Desirable to know
and program.
• Factors influencing faculty staff relationship and Nice to know
techniques of working together.
• Concept of faculty supervisor (dual) position. Desirable to know
• Curriculum research in Nursing.
• Different models of collaboration between education Nice to know
and service.
14 Management of Nursing Educational Institutions 10hrs

• Planning, organizing, staffing, budgeting, recruitment,
discipline, public relation, performanceappraisal, welfare Must to know
services, library services, hostel. Desirable to know
Nice to know
Desirable to know
16
15 • Development and maintenance of standards and 5hrs
accreditation in Nursing education programs. Must to know
• Role of Indian Nursing Council, State Registration Desirable to know
Nursing Councils, Boards and University. Nice to know
• Role of Professional associations and unions Desirable to know
Nice to know
1stSemester
NURSING EDUCATION
S.No Topic Learning Teaching Guidelines Methodology Time

objective
Introduction: To cover the concept of Teacher seminar 10HRS
1. • Education: Education: Definition, on Education:
Definition, aims, Explain the aims, concepts, Definition, aims,
concepts, aims of philosophies & their concepts,
philosophies education, education implications, philosophies
&their education philosophies, Impact of Social, &their education
implications, trends in economical, political & implications
• Impact of Social, education and technological changes on
economical, health: its education:Professional Student
political & impact on education interactive
technological nursing • Current trends and issues session on
changes on education. in education Educational Educational
education: reforms and National reforms and
• Professional Educational policy, various National
education educational Educational
• Current trends commissions reports policy, various
and issues in Trends in development of educational
education Nursing education in India commissions
• Educational reports and
reforms and Trends in
National development of
Educational Nursing
policy, various education in
educational India.
commissions
reports
• Trends in
development of
Nursing education
in India
2. Teaching – 20HRS
Learning Process Describe the To cover the Concepts of Teacher seminar
• Concepts of teaching teaching and learning: on Concepts of
teaching and learning Definition, theories of teaching and
learning: process. teaching and learning, learning:
Definition, relationship between Definition,
theories of teaching and learning. theories of
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teaching and Educational aims and teaching and
learning, Objectives; types, domains, learning,
relationship levels, elements and relationship
between teaching writing of educational between teaching
and learning. Objectives. and learning.
• Educational aims • Competency based Student seminar
and Objectives; education (CBE) and on Competency
types, domains, outcome based education based education
levels, elements (OBE) (CBE) and
and writing of • Instructional design: outcome based
educational Planning and designing the education (OBE)
Objectives. lesson, writing lesson plan: Student
• Competency meaning, its need and interactive
based education importance, formats. session on
(CBE) and • Instruction strategies – Instructional
outcome based Lecture, discussion, design: Planning
education (OBE) demonstration, simulation, and designing the
• Instructional laboratory, seminar, lesson, writing
design: Planning panel, symposium, problem lesson plan:
and designing the solving, problem based meaning, its need
lesson, writing learning (PBL), workshop, and importance,
lesson plan: project, roleplay formats.
meaning, its need (Socio-drama), clinical
and importance, teaching methods,
formats. programmed instruction,
• Instruction self directed
strategies – learning(SDL), micro
Lecture, teaching, computer assisted
discussion, instruction(CAI), computer
demonstration, assisted learning
simulation, (CAL)
laboratory,
seminar,
panel, symposium,
problem solving,
problem based
learning (PBL),
workshop, project,
roleplay
(Socio-drama),
clinical teaching
methods,
programmed
instruction, self
directed
learning(SDL),
micro teaching,
computer assisted
instruction(CAI),
computer assisted
learning
18
(CAL)
3 Instructional Describe the To cover the concept of Student 10

media and various Instructional media and interactive HRS
methods instructional methods its Key concepts session on Key
• Key concepts in media and in the selection and use of concepts in the
the selection and methods in media in education, selection and use
use of media in teaching Developing learning of media in
education learning resource material using education.
• Developing process. different media, Teacher seminar
learning resource Instructional aides – types, on Developing
material using uses, selection, preparation, learning resource
different media utilization. material using
• Instructional aids • Teacher’s role in different media.
– types, uses, procuring and managing Hand on practice
selection, instructional Aids – Project on Instructional
preparation, and non-projected aids, aids – types, uses,
utilization. multimedia, video-tele selection,
• Teacher’s role in conferencing etc preparation,
procuring and utilization.
managing
instructional Aids
– Project and non-
projected aids,
multimedia, video-
tele conferencing
etc
4. Measurement To cover the Concept and 10
and evaluation: Demonstrate -nature of measurement Teacher seminar HRS
• Concept and - competency in and evaluation, meaning, on Concept and
nature of teaching, using process, purposes, nature of
measurement and various problems inevaluation and measurement and
evaluation, instructional measurement. evaluation,
meaning, process, strategies. • Principles of assessment, meaning, process,
purposes, formative and summative purposes,
problems in assessment- internal problems in
evaluation and assessment external evaluation and
measurement. examination, advantages measurement
• Principles of and disadvantages. Student
assessment, • Criterion and norm interactive
formative and referenced evaluation. session on
summative Criterion and
assessment- norm referenced
internal evaluation.
assessment
external
examination,
advantages and
disadvantages.
• Criterion and
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norm referenced
evaluation.
Standardized and Describe the To cover the concept of Teacher seminar 12 hrs
5. non-standardized various tools Standardized and non- on Meaning,
tests: for assessment standardized tests: its characteristics,
•Meaning, of knowledge, Meaning, characteristics, objectivity,
characteristics, skill, and objectivity, validity, validity,
objectivity, attitude reliability, usability, norms, reliability,
validity, reliability, construction oftests-Essay, usability, norms,
usability, norms, short answers questions construction of
construction of and multiple choice tests-Essay, short
tests- questions.Rating scales, answers questions
•Essay, short checklist, OSCE/OSPE and multiple
answers questions (Objective structured choice questions.
and multiple clinical/practical -Student
choice questions. examination)Differential interactive
• Rating scales, scales, and summated session on
checklist, scales, Socio-metry, Question bank-
OSCE/OSPE anecdotal record, attitude preparation,
(Objective scale, critical incident validation,
structured technique.Question bank- moderation by
clinical/practical preparation, validation, panel, utilization
examination) moderation by panel, • Developing a
• Differential utilization. Developing a system for
scales, and system for maintaining maintaining
summated scales, confidentiality confidentiality
Socio-metry,
anecdotal record,
attitude scale,
critical incident
technique.
• Question bank-
preparation,
validation,
moderation by
panel, utilization
• Developing a
system for
maintaining
confidentiality
6. Administration, Explain the To cover the concept of Hands on practice 10 hrs
Scoring and concept, Administration, Scoring on Administering
Reporting principles, and a test; scoring,
• Administering a steps, tools and Reporting.Administering a grading versus
test; scoring, techniques of test; scoring, grading marks
grading versus evaluation versus marks • Student
marks • Objective tests, scoring interactive
• Objective tests, essay test, methods of session on
scoring essay test, scoring, Item analysis Objective tests,
methods of scoring essay test,
20
scoring, Item methods of
analysis. scoring, Item
analysis.
7. Standardized Evaluate To cover the concept 12hrs
Tools various tools Standardized Tools Teacher seminar
• Tests of for assessment on Tests of
intelligence of knowledge, • Tests of intelligence intelligence
aptitude, interest, skill, and aptitude, interest, aptitude, interest,
personality, attitude personality, achievement, personality,
achievement, socio-economic status achievement,
socio-economic scale, tests for special socio-economic
status scale, tests mental and physical status scale, tests
for special mental abilities and disabilities for special mental
and physical and physical
abilities and abilities and
disabilities disabilities
8. Nursing Critically To cover the concept of Student 5hrs

Educational analyze the Nursing Educational interactive
programs existing programs session on
Nursing Patterns of
• Perspectives of • Perspectives of Nursing
educational Nursing
Nursing education: education: Global and
programs, their education and
Global and national
problems, training
national
issues and • Patterns of Nursing programmes in
• Patterns of future trends. education and training India.

Nursing education programmes in India. Non-
and training university and
programmes in
University programs:
India. Non-
ANM, GNM, Basic B.Sc.
university and
Nursing, Post Certificate
University B.Sc. Nursing, M.Sc.
programs: ANM,
(N) programs, M. Phil. and
GNM, Basic B.Sc.
Ph.D.) in Nursing, post
Nursing, Post
basic diploma programs,
Certificate B.Sc.
Nurse practitioner
Nursing, M.Sc.
programs.
(N) programs, M.
21
Phil. and Ph.D.) in
Nursing, post basic
diploma programs,
Nurse practitioner
programs
S.No Topic Learning objective Teaching Guidelines Methodology Time
9. Continuing Plan and conduct To cover the Teacher seminar 12 hrs

Education in continuing nursing Concepts – Definition, on Concepts –
Nursing education importance, need Definition,
• Concepts – programs. scope, principles of importance, need
Definition, adult learning, scope, principles
importance, need assessments of of adult learning,
scope, principles learning needs, assessments of
of adult learning, priorities, resources. learning needs,
assessments of • Program planning, priorities,
learning needs, implementation and resources.
priorities, evaluation of
resources. continuing education Student
• Program programs. interactive
planning, • Research in session on
implementation continuing education. Research in
and evaluation of • Distance education continuing
continuing in Nursing. education.
education
programs. Student seminar
• Research in on Distance
continuing education in
education. Nursing.
• Distance
education in
Nursing.
22
10. Curriculum Describe the To cover the concept 10 hrs
Development process of of Curriculum Teacher seminar
• Definition, curriculum Development its on Definition,
curriculum development, and Definition, curriculum curriculum
determinants, the need and determinants, process determinants,
process and steps methodology of and steps of process and steps
of curriculum curriculum change, curriculum of curriculum
development, innovation and development, development,
Curriculum integration. Curriculum models, Curriculum
models, Types and Types and framework. models, Types
framework. • Formulation of and framework.
• Formulation of philosophy, Student
philosophy, Objectives: selection interactive
Objectives: and organization of session on
selection and learning experiences; Formulation of
organization of master plan, course philosophy,
learning plan, unit plan. Objectives:
experiences; • Evaluation strategies, selection and
master plan, process of curriculum organization of
course plan, unit change, role of learning
plan. students, faculty, experiences.
• Evaluation administrators, Hands on practice
strategies, process statutory bodies and on master plan,
of curriculum other stakeholders. course plan, unit
change, role of • Equivalency of plan
students, faculty, courses: Transcripts,
administrators, credit system.
statutory bodies
and other
stakeholders.
• Equivalency of
23
courses:
Transcripts, credit
system.
11. Teacher Analyze the To cover the concept Student seminar
preparation existing teacher of • Teacher – roles & on teacher roles 7HRS
• Teacher – roles preparation responsibilities, & responsibilities,
& responsibilities, programs in functions, functions,
functions, Nursing. characteristics, characteristics,
characteristics, competencies, competencies,
competencies, qualities. qualities.
qualities. • Preparation of • Preparation of
• Preparation of professional teacher professional
professional • Organizing teacher
teacher professional aspects of
• Organizing teacher preparation Student
professional programs interactive
aspects of teacher • Evaluation: self and session on
preparation peer Critical analysis
programs • Critical analysis of of various
• Evaluation: self various programs of programs of
and peer teacher education in teacher education
• Critical analysis India. in India.
of various
programs of
teacher education
in India.
12. Guidance and Demonstrate skill To cover the Concept, Teacher seminar 10 hrs
counseling in guidance and principles, need, on Concept,
• Concept, counselling. difference between principles, need,
principles, need, guidance and difference
difference counseling, trends and between guidance
between guidance issues. and counseling,
and counseling, • Guidance and trends and issues.
24
trends and issues. counseling services: • Guidance and
• Guidance and diagnostic and counseling
counseling remedial. services:
services: • Coordination and diagnostic and
diagnostic and organization of remedial.
remedial. services. Techniques Student seminar
• Coordination and of counseling: on Techniques of
organization of Interview, case work, counseling:
services. characteristics of Interview, case
• Techniques of counselor, problems in work,
counseling: counseling. characteristics of
Interview, case Professional counselor,
work, preparation and problems in
characteristics of training for counseling.
counselor, counseling.
problems in
counseling.
• Professional
preparation and
training for
counseling.
S.No Topic Learning objective Teaching Methodology Time

Guidelines
13. Administration of Administration of 12 hrs
Nursing Curriculum Describe the Nursing Teacher seminar on Role
• Role of curriculum problems and Curriculum of curriculum
coordinator – planning, issues related to • Role of coordinator – planning,
implementation and Administration of curriculum implementation and
evaluation. Nursing curriculum coordinator – evaluation.
• Evaluation of including selection planning, • student interactive
educational programs in and organization of implementation session on Evaluation of
25
Nursing course and clinical experience. and evaluation. educational programs in
program. • Evaluation of Nursing course and
• Factors influencing educational program.
faculty staff relationship programs in Student seminar on
and techniques of Nursing course Factors influencing
working together. and program. faculty staff relationship
• Concept of faculty • Factors and techniques of
supervisor (dual) influencing faculty working together.
position. staff relationship
• Curriculum research in and techniques of
Nursing. working together.
• Different models of • Concept of
collaboration between faculty supervisor
education and service. (dual) position.

• Curriculum
research in
Nursing.
• Different models
of collaboration
between education
and service.
14. Management of Nursing Discuss various To cover the Integrated teaching on 5hrs
Educational models of concept of Planning, organizing,
Institutions collaboration in Management of staffing, budgeting,
• Planning, organizing, Nursing education Nursing recruitment.
staffing, budgeting, and services. Educational Student interactive
recruitment, discipline, Institution its session on discipline,
public relation, Planning, public relation,
performance appraisal, organizing, performance appraisal,
welfare services, library staffing, budgeting, welfare services, library
services, hostel. recruitment, services, hostel.
discipline, public
relation,
performance
appraisal, welfare
services, library
services, hostel.
26
15. • Development and To cover the Student interactive session on 5hrs
maintenance of standards Explain the concept of Development and
and accreditation in development of Development
Nursing education standards and and maintenance of standards
programs. accreditation maintenance of and accreditation in
• Role of Indian Nursing process in standards and
Council, State nursing education accreditation in Nursing education
Registration Nursing programs. Nursing programs.
Councils, Boards and education
University. programs.
• Role of Indian Teacher seminar on Role
Nursing
• Role of Professional Council, State of Indian Nursing
associations and unions. Registration Council,State Registration
Nursing
Councils, Nursing Councils, Boards
Boards and and University
University.
• Role of
Professional
associations and
unions.
Reference Books
1. Aggarwal J.C, Principles, Methods &Techniques of Teaching, Vikas Publishing HouseBasavanthappa B.T,
Nursing Education, Jaypee Brothers, 2005, New Delhi.
2. Bevis, Em Olivia, Curriculum Building in Nursing a Process, C.V Mosby Co., St. Louis.George Kurian
Aleyamma, Principles of Curriculum Development and Evaluation,Vivekanandha Press, 2002.
3. Bhatia B.D, Principles and Methods of Teaching, Doabra House, New Delhi.
4. Billing, Diane M & Halstead, Judith A, Teaching in Nursing: A Guide for Faculty, W.B.Saunders.
5. Bloom, Benjamin S Ed, Taxonomy of Educational Objectives: Cognitive Domain, DavidMckay CO., Inc,
1956, New York.
6. Fuszard, Barbara, Innovating Teaching Strategies in Nursing, Aspen Publishers Inc, 1989,Maryland.
7. Gay L.R., Educational Evaluation and Measurement Competencies for Analysis andApplication, Ion, Charles
E. Merill Publishers Co., 1985, Columbus.
8. Guilbert. J J., Educational Handbook for Health Personnel, World Health Organization, 1982,Geneva.
9. Guinee. Kathleen k, Teaching and Learning in Nursing, Macmillan, 1978, New York.
10. Joyce.B, Models of Teaching, Prentice Hall Inc, Englewood Cliffs, 1986, New Jersey.
11. Keay F.E., A History of Education in India and Pakistan, Oxford University Press, 1964,London.12. Modley
Doris M, Advancing Nursing Education World Wide, Springer Publishing Co., 1995,New York.
13. Neeraja K.P, Text Book of Nursing Education, Jaypee Brothers, New Delhi.
27
1stSemester
NURSING RESEARCH AND STATISTICS
Paper Code :-04120102
Part-A : Nursing Research
PREMAMBLE:-
The term nursing research is defined as the systematic, objective process of analyzing phenomena of
importance to nursing. Using this definition, nursing research includes all studies concerning nursing
practice, nursing education, and nursing administration. Also, studies concerning nurses themselves
are included in the broad category of nursing research. The term clinical nursing research is used here
to indicate nursing research involving clients or studies that have the potential for affecting the care of
clients, such as studies with animals or with so-called normal subjects.
In the past, nursing was frequently thought of as a vocation rather than a profession. In fact, the
struggle to gain professional status has been long and difficult. One of the criteria for a profession is
the existence of a body of knowledge that is distinct from that of other disciplines. Nursing has
traditionally borrowed knowledge from the natural and social sciences, and only in recent years have
nurses concentrated on establishing a unique body of knowledge that would allow nursing to be clearly
identified as a distinct profession
. Through research, nurses can determine what it is that they do and how they do it that distinguishes
them from other groups in the health care field. Nurses must demonstrate to the general public that
nursing makes a difference in the health status of people. At the time this material is being written
(August 2005), Americans have ranked nurses highest in honesty and ethical standards when
comparing them to other professionals, except for 2001, when firefighters scored higher following the
terrorist attack that fall. Nurses must build on this ranking and admiration by the general public and
continue to show what it is that is unique about our services
GOALS :-.
The goals for conducting nursing research are to promote evidence-based nursing practice, ensure
credibility of the nursing profession, provide accountability for nursing practice and document the cost
effectiveness of nursing care
OBJECTIVES :
At the end of the class the students can be able to :
1. Define basic research terms and concepts.

2. Review literature utilizing various sources
3. Describe research methodology
4. Develop a research proposal.
5. Conduct a research study.
6. Communicate research findings
7. Utilize research findings
8. Critically evaluate nursing research studies.
9. Write scientific paper for publication.
28
Hours of Instruction
Theory: (10 credits) 100 Hours

Practical: 2 credits
S.NO TOPIC DOMAIN HRS

1. Introduction- Must to know Method of 10 hrs
• Method of acquiring knowledge- acquiring knowledge-problem
problem solving and scientific solving and scientific method,
method, Research – Definition, Research – Definition,
characteristics, purposes, kinds of characteristics, purposes, kinds
research of research Historical Evolution
of research in nursing, Ethics in
• Historical Evolution of research in research, Basic research terms
nursing, Ethics in research, Basic
research terms
• Scope of nursing research: areas, Desirable to know Scope of

problems in nursing, health and nursing research: areas, problems
social research, Concept of in nursing, health and social
evidence based practice, Overview research, Concept of evidence
of Research process theory based practice, Overview of
Research process theory
2. Review of Literature Must knowReview of Literature: 5hrs

Importance, purposes, sources, criteria for Importance, purposes, sources,
selection of resources and steps in criteria for selection of resources
reviewing literature. and steps in reviewing literature.
3. Must knowQuantitative and 12hrs
Qualitative Historical, survey
Research Approaches and designs:- and experimental
Type: Quantitative and Qualitative
Historical, survey and experimental Desirable to
• Characteristics, types advantages knowCharacteristics, types
and disadvantages, Qualitative: advantages and disadvantages,
phenomenology, grounded theory, Qualitative: phenomenology,
ethnography grounded theory, ethnography
4. Research Problem Desirable to know Identification 10hrs

• Identification of research problem , of research problem ,
Formulation of problem Formulation of problem
statement and research statement and research
objectives objectives, Definition of terms
Assumptions and delimitation
• Definition of terms Assumptions
and delimitation
Nice to know Identification of
• Identification of variables variables Hypothesis –
Hypothesis – definition, definition, formulation and types
formulation and types
29
5 Desirable to knowabout 5hrs
developing
theoretical/conceptual
Developing theoretical/conceptual framework.
framework. Theories: Nature,
• Theories: Nature, characteristics, characteristics, Purpose and uses
Purpose and uses Using, testing Using, testingand developing
and developing conceptual conceptual framework, models
framework, models and theories. and theories.
6. Nice to know Population and 6hrs
Sampling sample,
• Population and sample, Factors
influencing sampling
Must to know about Sampling
• Sampling techniques, Sample size, techniques, Sample size,
Probability and sampling error Probability and sampling error
• Problems of sampling Nice to know about problems of

sampling
7. Desirable to know Concepts of 20hrs

Tools and methods of Data collection: data collection, Data sources,
• Concepts of data collection, Data methods/techniques quantitative
sources, methods/techniques and qualitative.
quantitative and qualitative.
• Tools for data collection – types, Desirable to know Tools for data
characteristics and their collection – types, characteristics
development and their development
Nice to know Validity and

• Validity and reliability of tools reliability of tools, Procedure for
• Procedure for data collection data collection
8. Implementing research plan Desirable to knowPilot Study, 5hrs

• Pilot Study, review research plan review research plan (design).,
(design)., planning for data planning for data collection,
collection, administration of administration of
tool/interventions, collection of tool/interventions, collection of
data data
9. Analysis and interpretation of data Desirable to know Plan for data 10hrs
• Plan for data analysis: quantitative analysis: quantitative and
and qualitative Preparing data for qualitative Preparing data for
computer analysis and presentation computer analysis and
presentation
• Statistical analysis Interpretation of
data Conclusion and Nice to know Statistical analysis
generalizations, Summary and Interpretation of data Conclusion
discussion and generalizations, Summary
and discussion
30
10. 10hrs
Reporting and utilizing research
findings:
Must to know Communication
• Communication of research of research results; oral and
results; oral and written Writing written Writing research report
research report purposes, methods purposes, methods and style-
and style- vancouver, American vancouver, American
Psychological Association(APA), Psychological
Campbell etc Association(APA), Campbell etc
• Writing scientific articles for Nice to know Writing scientific

publication: purposes & style articles for publication:
purposes & style
11. Critical analysis of research reports and Must to know Critical analysis 3hrs
articles of research reports and articles
12. Developing and presenting a research 4hrs

proposal Must to know Developing and
presenting a research proposal
31
1stSemester
NURSING RESEARCH AND STATISTICS
Part-A : Nursing Research
S. Contents Of The Learning Objectives Teaching Methodology Time

No Topics (At The End Of The Objectives
Session The Student
Should Be Able To )
1 • Explain the To cover the 1.student 10
Method of definition of Interactive hrs
acquiring research terms, session with the
knowledge- steps of problem students
problem solving solving, scientific regarding ,
and scientific methods, Research –
Introduction- method, Definition,
definition of
• Method of Research characteristics,
acquiring Definition, research terms, purposes, kinds
knowledge- characteristics, nursing research, of research
problem purposes and difference
solving and types of between problem 2. Essay
scientific research solving and writing on
method, scientific Historical
Research – methods. Evolution of
Definition, research in
characteristics, • Describe the
nursing
purposes, Historical To cover the
kinds of Evolution of historical
research research in Evolution of
nursing, Ethics
research in
• Historical in research,
Basic research nursing in 3.Essay writing
Evolution of
research in terms worldwide, Ethics on Scope of
nursing, Ethics in research, nursing
in research, various ethical research
Basic research principles and
terms • Explain the benefits of ethics
Scope of nursing in nursing
research: areas, research.
• Scope of
nursing problems in
research: nursing, health To cover the
areas, and social Scope of nursing
research, research: areas,
problems in
nursing, health Concept of problems in
evidence based nursing, health
and social
research, practice, and social
Concept of Overview of research, Concept
evidence Research of evidence based
based practice, process theory practice,
Overview of Overview of
Research Research process
process theory, theory,
32
Session The Student
Should Be Able To )
2 • Discuss in detail To cover meaning 1. Didactic 5hrs
about of literature lecture
Importance, review, through
purposes, importance, power point
sources, criteria purposes, sources, projections
Review of Literature for selection of steps, preparing
Importance, purposes, resources and the literature
sources, criteria for steps in review and points
selection of resources reviewing to be considered
and steps in reviewing literature. for literature
literature. review
3 To cover 1. Students 12hrs
Research definition of seminar on
Approaches and research Research
designs:-Type: • Elaborate the approaches, Approaches
Quantitative and various types of selection o and
Qualitative Historical, research research designs, designs:-
survey and approaches and factors affecting
experimental designs and research design,
• Characteristics Characteristics, validity of
, types types advantages research designs,
advantages and types:
and disadvantages, experimental and
disadvantages, Qualitative: non experimental,
Qualitative: phenomenology, their advantages
phenomenolog grounded and
y, grounded theory, disadvantages,
theory, ethnography qualitative and
ethnography quantitative
research designs.
4 1.Problem 10hrs
-Explain the To cover various based learning
Identification of research terms, on
Research Problem research problem , research problem, identification of
-Identification of Formulation of identification and research
research problem , problem statement sources of problem ,
Formulation of and research objectives research problem, Formulation
problem statement -Enumerate the various criteria of of problem
and research research terms, selecting a good statement and
objectives assumptions and research problem, research
-Definition of terms delimitations steps of objectives
Assumptions and -Describe the formulation a 2.Student
delimitation Identification of research problem, interactive
-Identification of variables Hypothesis – identification session on
variables Hypothesis definition, formulation research variables Identification
– definition, and types To cover writing of variables
formulation and types research Hypothesis –
objectives definition,
33
formulation and
types

Session The Student
Should Be Able To )
5 • Describe the To cover meaning Group 5hrs
Developing Theories: of theory meaning discussion on
theoretical/conceptu Nature, of conceptual Developing
al framework. characteristics, model, theoretical theoretical/conc
• Theories: Purpose and uses and conceptual eptual
Nature, Using, testing framework, framework.
characteristics, and developing purposes, uses,
Purpose and conceptual models, Historical
uses Using, framework, Evolution of
testing and models and research in
developing theories nursing, Ethics in
conceptual research, theories,
framework, and frameworks,,
models and nature and
theories. characteristics
6 To cover Didactic lecture 6hrs
• Discuss the terminology used through
Sampling Population and in sampling, PowerPoint
• Population and sample, Factors purposes, presentations
sample, influencing characteristics of
Factors sampling good sample,
influencing • Explain the sampling process, Group
sampling Sampling factors discussion on
• Sampling techniques, influencing Sampling
techniques, Sample size, process, types of techniques,
Sample size, Probability and sampling Sample size,
Probability sampling error techniques, Probability and
and sampling sample size, sampling error
error factors affecting
• Problems of • Problems of sample size,
sampling sampling sampling errors
and problems of
sampling
7 Tools and methods • Describe the To cover concept Students 20hrs

of Data collection: concepts of data of data collection, Seminar on
• Concepts of collection ,Data data sources, tools and
data collection sources, methods and tools methods of data
,Data sources, methods/techniq of data collection, collection
methods/techn ues quantitative selection of Problem based
iques and qualitative. methods of data learning on
quantitative • Explain tools for collection Validity and
and data collection – To cover criteria reliability of
qualitative. types, of evaluation of tool
34
• Tools for data characteristics data collection Essay writing
collection – and their methods: on procedure of
types, development, interview method, data collection
characteristics Validity and questionnaire,
and their reliability of likert scale, visual
development tools analogue scale,
• Validity and • Briefly describe observations,
reliability of the procedure for rating scale,
tools data collection checklists,
• Procedure for biophysical
data collection methods,
projective
technique, Q
sorts, vignettes,
validity and
reliability of
research tools,
pilot study.
8 Implementing 5hrs
research plan
• Pilot Study, • Explain the Pilot To cover Pilot
review Study, review Study, review
research plan research plan research plan
(design)., (design)., (design)., Student
planning for planning for data planning for data interactive
data collection, collection, session on
collection, administration administration of Implementing
administration of tool/interventions, research plan
of tool/intervention collection of data
tool/interventi s, collection of
ons, collection data
of data
9 Analysis and • Discuss the plan To cover Integrated 10hrs
interpretation of for data analysis: definition of learning on
data quantitative and various terms, Plan for data
• Plan for data qualitative analysis of analysis:
analysis: Preparing data uantitaive data, quantitative and
quantitative for computer descriptive qualitative
and qualitative analysis and atatistics, Preparing data
Preparing data presentation measures for computer
for computer • Discuss the tocondense analysis and
analysis and Statistical data,measures of presentation
presentation analysis central tendency,
• Statistical Interpretation of correlation Group
analysis data Conclusion coefficient,inferen discussion
Interpretation and tial statistics, t- onStatistical
of data generalizations, test, Z- test, analysis
Conclusion Summary and ANOVA,chi- Interpretation
and discussion square test, of data
generalizations computer Conclusion and
35
, Summary analyysis of generalizations,
and discussion quantitative data, Summary and
analysis of discussion
qualitative data.
10 • To explain various 10hrs
Reporting and methods of
utilizing research communication of
findings: research results;
Communication of oral and written
research results; oral Writing research Didactic lecture
and written Writing report purposes, To cover criteria of through
research report methods and communicating PowerPoint
purposes, methods and style- vancouver, research, methods presentation on
style- vancouver, American of communicating Reporting and
American Psychological research, writing a utilizing research
Psychological Association(APA) research report: findings.
Association(APA), , Campbell etc format of research
Campbell etc • Briefly discuss report, steps of
• Writing about writing writing report,,
scientific scientific articles utilization of
articles for for publication: research findings, ,
publication: purposes & style
purposes &
style
11 Teachers seminar 3hrs

To cover critical on statistical
analysis of research packages and
report, format of a Critical analysis
Critical analysis of thesis or of research
research reports and • Elaborate the dissertation, writing reports and
articles purposes, steps, the articles
methods, benefits, references/Bibliogr
and point to be aphy,: Vancouver
kept on mind style of references,
while doing the writing research
critical analysis of article, critical
research report review of research
work
12 • Discuss the To cover 4hrs
methods of developing and Student
Developing and Developing and presenting a interactive
presenting a research presenting a research proposal, session on
proposal research proposal uses of computer. Developing and
presenting a
research proposal
36
Part –B : Statistics
Course Description:
At the end of the course, the students will be able to develop an understanding of
the statistical methods and apply them in conducting research studies in nursing.
General Objectives:
At the end of the course the students will be able to:
1. Explain the basic concepts related to statistics
2. Describe the scope of statistics in health and nursing
3. Organize, tabulate and present data meaningfully.
4. Use descriptive and inferential statistics to predict results.
5. Draw conclusions of the study and predict statistical significance of the results.
6. Describe vital health statistics and their use in health related research.
7. Use statistical packages for data analysis
Course Outline
Unit Hours Course Content

Theory Practical
I 7 4 Introduction:
Concepts, types, significance and scope of statistics,
meaning of data,
sample, parameter
type and levels of data and their measurement
Organization and presentation of data – Tabulation of
data;
Frequency distribution
Graphical and tabular presentations.
II 4 4 Measures of central tendency:
Mean, Median, Mode
III 4 5 Measures of variability;

Range, Percentiles, average deviation, quartile deviation,
standard deviation
IV 3 2 Normal Distribution:
Probability, characteristics and application of normal
probability curve; sampling error.
37
Unit Hours
Theory Practical Course Content
V 6 8 Measures of relationship: Correlation – need and
meaning, Rank order correlation; Scatter diagram
method, Product moment correlation, Simple linear
regression analysis and prediction
VI 5 2 Designs and meaning: Experimental designs,Comparison
in pairs, randomized block design, Latin squares.
VII 8 10 Significance of Statistic and Significance of difference
between two Statistics (Testing hypothesis) Non
parametric test – Chi-square test, Sign, median test,
Mann Whitney test. Parametric test – ‘t’ test, ANOVA,
MANOVA,ANCOVA
VIII 5 5 Use of statistical methods in psychology and
education:
Scaling – Z Score, Z Scaling
Standard Score and T Score
Reliability of test Scores: test-retest method,
parallel
forms, split half method.
IX 4 2
Application of statistics in health:
Ratios, Rates, Trends
Vital health statistics – Birth and death rates.
Measures related to fertility, morbidity and
mortality
X 4 8
Use of Computers for data analysis

Use of statistical package.
Activities
• Exercises on organization and tabulation of data,
• Graphical and tabular presentation of data
• Calculation of descriptive and inferential statistics(chi square, t-test, correlation)
• Practice in using statistical package
• Computing vital health statistics
Methods of Teaching:
• Lecture-cum-discussion
• Demonstration – on data organization, tabulation, calculation of statistics, use of
statistical package, Classroom exercises, organization and tabulation of data,
• Computing Descriptive and inferential statistics; vital and health statistics and use of
computer for data entry and analysis using statistical package
38
M.Sc. Nursing First Semester
CLINICAL SPECIALITY-I
OBSTETRIC AND GYNAECOLOGICAL NURSING
Paper Code: 04120103
Placement: FIRST SEMESTER Hours of Instruction

Theory & Practical Credit: 04 Credits (60hrs)
Clinical: 10 Credits (300 hrs)
Total Credit: 14 Credits
PREAMBLE:
Obstetrical nursing, also called Perinatal nursing, is a nursing specialty that works with
patients who are attempting to become pregnant, are currently pregnant, or have recently
delivered. Obstetrical nurses help provide prenatal care and testing, care of patients
experiencing pregnancy complications, care during labour and delivery, and care of patients
following delivery. Obstetrical nurses work closely with obstetrician and midwives. They give
necessary supervision, care and advice to women during pregnancy labour and post partum
period.
Obstetrical nurses conducts deliveries and responsible to render care to the new born and
the infant and perform postoperative care on a surgical unit, stress test evaluations, cardiac
monitoring, vascular monitoring, and health assessments, besides sexual and reproductive
health of women throughout their lives. Obstetrical nurses are required to possess
specialized skills such as electronic foetal monitoring, nonstress test, neonatal resuscitation,
and medication administration by continuous intravenous drip.
Obstetrical nurses work in many different environments such as medical offices, prenatal
clinics, labour& delivery units, ante partum units, postpartum units, operation theatre
and clinical research.
Gynaecology nursing is the medical practice dealing with the health of the female
reproductive systems (vagina, uterus, and ovaries) and the breast. Literally, outside
medicine, the term means "the science of women". Its counterpart is andrology which deals
with medical issues specific to the male reproductive system. A professional in midwifery is
known as a midwife.
Goal :
To assist students in developing expertise and in depth understanding in the field of

Obstetric and Gynecological Nursing so that they appreciate the client as a holistic
individual and develop skill to function as an independent midwifery practitioner (to
function as educator, manager, and researcher in the field of Obstetric and Gynecological
nursing).
39
OBJECTIVES:
1. Appreciate the trends in the field of midwifery, obstetrics and gynecology as a specialty.
2. Describe the population dynamics and indicators of maternal and child health
3. Describe the concepts of biophysical, psychological and spiritual aspects of normal

pregnancy, labor and puerperium.
4. Provide comprehensive nursing care to women during reproductive period and

newborns.
1. Appreciate the trends in the field of midwifery, obstetrics and gynecology as a

specialty.
2. Describe the population dynamics and indicators of maternal and child health
3. Describe the concepts of biophysical, psychological and spiritual aspects of normal
4. Provide comprehensive nursing care to women during reproductive period and
newborns.
5. Integrate the concepts of family centered nursing care and nursing process approach
in obstetric and gynecological nursing.
6. Identify and analyze the deviations from normal birth process and refer
appropriately.
7. Describe the pharmacological agents, their effects during pregnancy, Counsel
adolescents, women and families on issues pertaining to pregnancy, child birth and
lactation
DURATION:
Six month course (full time in First Semester)
MEDIUM OF INSTRUCTION AND EXAMINATION : English
ELIGIBILITY CRITERIA FOR ADMISSION:
i. The candidate should be a Registered Nurse and Registered midwife or

equivalent with any State Nursing Registration Council.
ii. The minimum education requirements shall be the passing of: B.Sc. Nursing /
B.Sc. Hons. Nursing / Post Basic B.Sc. Nursing with minimum of 55% aggregate
marks.
40
iii. The candidate should have undergone in B.Sc. Nursing / B.Sc. Hons. Nursing /
Post Basic B.Sc. Nursing in an institution which is recognized by Indian Nursing
Council.
iv. Minimum one year of work experience after Basic B.Sc. Nursing.
v. Minimum one year of work experience prior or after Post Basic B.Sc. Nursing.
vi. Candidate shall be medically fit.
vii. 5% relaxation of marks for SC/ST candidates may be given.
INTAKE CAPACITY:
5 Seats per year
➢ Nurse clinician
➢ Nurse educators
➢ Researcher
➢ Administrator
➢ Practitioner
➢ Manager
➢ Planner
➢ Policy maker
➢ Counselor
➢ Forensic nurse
➢ Hospice nurse
CORE DEPARTMENT:
Department of obstetrics and gynecological nursing, department of pediatric nursing,
department of community health nursing
FEE STRUCTURE:
Rs 160000 per year, the examination fees will be decided by the university
TEACHING STRATEGIES
Procedures performed
• Antenatal assessment-20
• Postnatal assessment-20
• Assessment during labour : use of partograph - 20
• Per vaginal examination-20
• Conduct of normal delivery-20
• Episiotomy and suturing-10
41
• Setting up of delivery areas
• Insertion of intra uterine devices( copper T)
• Prepare Case studies with Nursing process approach and theoretical basis
• Seminar
• Debate
• Field visits
Procedures observed
• Diagnostic investigations : amniotcentecis, chordocentecis, chorionic villi sampling
• Infertility management: artificial reproduction : artificial insemination, invitro

fertilization, and related procedures
Procedures assisted
Medical termination of pregnancy,
CLINICAL TRAINING
Clinical posting in the following areas:
S.No. Deptt./Unit No. of Week Total credit
1 Anetenatal Wards & OPDs 5 5
2 Ante Natal Ward 5 5
Total Credit 10
TEACHING AND CLINICAL HOURS
Total credit of instructions is 14 out of which theory is 3 credit is theory and practical is10
Credit
Assessment
The M.Sc. course is assessed through essay type and objective type a written multiple
choice test and a practical test.
42
Grade Points:
A 10- point grading system with corresponding letter grades and percentage of marks, as
given below, is followed Letter Grade Point Percentage of marks:
Grade Percentage of marks
O (Outstanding) 10 Marks >= 80 and Marks <= 100
A+ (Excellent) 9 Marks >= 70 and Marks < 80
A (Very Good) 8 Marks >= 60 and Marks < 70
B+ (Good) 7 Marks >= 55 and Marks < 60
B(Above Average) 6 Marks >= 50 and Marks < 55
C (Average) 5 Marks >= 45 and Marks < 50
P (Pass) 4 Marks >= 40 and Marks < 45
F (Fail) 0 Marks < 40
Ab (Absent) 0
43
Domains
S.N Cognitive Affective psychomot

O TOPIC DOMAIN domain, domain or domain
1 Introduction Describes the
Must know historical
Historical and prospective of
contemporary obstetrical
development
perspectives
Must know
Epidemiological aspects
of maternal and child Must know
health
Magnitude of maternal
and child health Must know
problems
Reviews
Issues of maternal and National
Discuss the
child health : Age, health and
issues of Utilize and
Gender, Sexuality, maternal and family welfare
Prevents
child health programme maternal
psycho Socio cultural related to Age, related to and child
factors Gender, health
Sexuality, maternal and complicatio
Preventive obstetrics Desirable to ns.
psycho Socio child health
know cultural factors
National health and

family welfare Practice
programmes related preventive
to maternal and child obstetrics
health: health care
delivery system-
National Rural health

mission, Role of NGO’s
Theories, models and

approaches applied to Applies
Theories, and
44
midwifery practice models to Follows Legal,
midwifery Code of ethics
Role and scope of
practice
midwifery practice: and standards Acts as
Independent Nurse of midwifery Independen
t Nurse
midwifery practitioner practice,
midwifery
Legal and Ethical issues:
practitioner
Code of ethics and
standards of midwifery
practice, standing order
Set
Evidence based Research
priorities in
midwifery practice Write evidence obstetric
based and
Research priorities in gynecologic
midwifery al nursing
obstetric and
practice in India
gynecological nursing.
2 Human reproduction Recognizes

the
Review of anatomy and Must know Describe the importance
of hormonal
physiology of human structure and
cycle to
reproductive functions of receive
Desirable to fertilized
internal female ovum
system: male and know
female
Desirable to
Hormonal cycles Review
Appreciates
know
importance
Embryology Desirable to Embryology the
menstrual
know or
Genetics, teratology
endometrial
and counseling cycle
related to
Clinical implications pregnancy
3 Pregnancy
Maternal adaptation : Identifies the Obtains

of high risk antenatal
45
Physiological, Desirable to cases and history to
psychosocial know refers them to assess the
CHC for further base line
• Assessment – needful data.
Maternal and foetal
measures Maternal
Enumerate the
measures: History invasive and Examine the
taking , exmanination- non-invasive client from
General,physical methods of head to toe
Desirable to foetal diagnosis (physical
and obstetrical know examination
.)
measure, identification
of high risk,
Differentiate
Foetal measure- clinical between
parameters, contraction Screens and
biochemical- human stress test and assesses
non stress test high risk
Desirable to
estriol, Maternal Serum in fetal mothers
know assessment.
Alfa Feto Protein, Acetyl
Choline
esterase (AchE), Triple

Test Aminocentesis,
Cordocentesis,
Detects foetal
• chorionic villus compromise for
appropriate and
sampling (CVS)), timely
intervention.
Biophysical- (US
IMAGING, Foetal
movement count, Ultra Desirable to
know
Sonography,
Arranges
Cardiotocography, and
cardiotomography, Prepares
Non Prepares the client and
pregnant client Advices family for
Stress Test(NST), for child birth nursing ultra sound
and measures for as ordered
Contraction stress
parenthood, minor for foetal
test(CST), amnioscopy, growth
disorders of
pregnancy as
•foetoscopy,Radiologic per the need.
al examination,
Encourages for
Interpretation of advices for
46
diagnostic tests and institutional
nursing implications deliveries .
Nursing management of
the pregnant women,
minor disorders of
pregnancy and
management,
Preparation for child Identifies the

of high risk
birth and parenthood, cases and
importance of refers them to
institutional delivery , CHC for further
needful
choice of birth setting,
importance and
mobilizing of
transportation, prenatal
counseling, role of
nurse and crisis
intervention,
identification of high
risk pregnancy and
refer
Alternative/complemen
tary therapies
4 Normal Labour and

nursing management:
Desirable to
Essential factors of know 1.Describe the
labour Essential
factors of
Stages and onset
labour Stages
First stage: Physiology and onset
Must Know
of normal labour
2.Discuss about
Use of partograph: first stage of
47
Principles, use and labour
critical analysis,
Desirable to 3. Discuss about
evidence based studies use of
know
partograph and
• Analgesia and Various child
anaesthesia in labour birth practice:
water birth,
• Nursing management position change
etc
Curriculum
Sr. Topic Learning Teaching guidelines Methodology Time
No. objectives
I Introduction 1.Describe the To cover the various 1.Interactive 20
Historical and History Historical Historical and session with
contemporary and contemporary contemporary the students
perspectives perspectives perspectives regarding
Epidemiological aspects of Epidemiological Epidemiological history of
maternal and child health aspects of aspects of maternal maternal and
Magnitude of maternal maternal and child and child health child health
and child health problems health Magnitude of
Issues of maternal and Magnitude of maternal and child
child health : Age, Gender, maternal and child health problems
Sexuality, health problems Issues of maternal and 2. Essay
psycho Socio cultural Issues of maternal child health : Age, writing on
factors and child health : Gender, Sexuality, National
Preventive obstetrics Age, Gender, psycho Socio cultural health and
National health and Sexuality, factors family
family welfare psycho Socio Preventive obstetrics welfare
programmes related to cultural factors National health and programmes
maternal and child Preventive family welfare
health: health care obstetrics programmes related
delivery system- to
National Rural health maternal and child
mission, Role of NGO’s health: health care
Theories, models and 2.Enumerate the delivery system-
approaches applied to National health National Rural health
midwifery practice and family mission, Role of NGO’s
Role and scope of welfare Theories, models and 3. Students
midwifery practice: programmes approaches applied to seminar on
Independent Nurse related to midwifery practice Role and
midwifery practitioner maternal and Role and scope of scope of
Legal and Ethical issues: child health midwifery practice: midwifery
Code of ethics and Independent Nurse practice:
48
standards of 3. Explain the Role midwifery practitioner Independent
midwifery practice, and scope of Legal and Ethical Nurse
standing orders midwifery issues: Code of ethics midwifery
Evidence based midwifery practice: and standards of practitioner
practice Independent midwifery practice, Legal and
Research priorities in Nurse standing orders Ethical issues:
obstetric and midwifery Evidence based Code of ethics
gynecological nursing. practitioner midwifery practice and standards
Legal and Ethical Research priorities in of
issues: Code of obstetric and midwifery
ethics and gynecological nursing. practice,
standards of standing
midwifery orders
practice, standing
orders
4. Discuss the 4. Integrated
Evidence based vertical
midwifery practice teaching on
Research priorities Evidence
in obstetric and based
gynecological midwifery
nursing practice
II Human reproduction 1. Discuss in detail To cover the Review 1 Didactic 15
Review of anatomy and Review of of anatomy and lecture
physiology of human anatomy and physiology of human through
reproductive physiology of reproductive power point
system: male and female human system: male and projections
Hormonal cycles reproductive female
Embryology system: male and Hormonal cycles 2.Group
Genetics, teratology and female Embryology discussion on
counseling Genetics, teratology Hormonal
Clinical implications 2.Enumerate the and counseling cycles
Hormonal cycles Clinical implications Embryology
Embryology
3. Group
3.Decribe the discussion on
Genetics, Genetics,
teratology and teratology
counseling and
Clinical counseling
implications Clinical
implications
III Pregnancy 1.Elaborate the To cover the Maternal 1.Teachers 25

Maternal adaptation : Maternal adaptation : seminar on
Physiological, psychosocial adaptation : Physiological, Maternal
49
Assessment – Maternal Physiological, psychosocial adaptation :
and foetal measures psychosocial • Assessment – Physiological,
Maternal measures Assessment – Maternal and foetal psychosocial
History taking , Maternal and measures Maternal Assessment –
exmanination- foetal measures measures:History Maternal and
General,physical and Maternal taking , foetal
obstetrical measure, measures exmanination- measures
identification of high risk, History taking , General,physical Maternal
Foetal measure- clinical exmanination- • and obstetrical measures
parameters, biochemical- General,physical measure, History
human and obstetrical identification of high taking ,
estriol, Maternal Serum measure, risk, exmanination
Alfa Feto Protein, Acetyl identification of Foetal measure- -
Choline high risk, clinical parameters, General,physi
esterase (AchE), Triple biochemical- human cal and
Test Aminocentesis, 2.Enumerate the estriol, Maternal obstetrical
Cordocentesis, list of feotal Serum Alfa Feto measure,
chorionic villus sampling measures Protein, Acetyl Choline identification
(CVS)), esterase (AchE), of high risk,
Biophysical- (US IMAGING, 3.Explain the Triple Test
Foetal movement count, Interpretation of Aminocentesis,
Ultra diagnostic tests Cordocentesis, 2. Students
Sonography, and nursing • chorionic villus Seminar on
Cardiotocography, implications sampling (CVS)), feotal
cardiotomography, Non Nursing Biophysical- (US measures
Stress Test(NST), management of IMAGING, Foetal
Contraction stress the pregnant movement count, 3.Visit to
test(CST), amnioscopy, women, minor Ultra antenatal
foetoscopy, disorders of Sonography, clinics
Radiological examination, pregnancy and Cardiotocography,
Interpretation of management, cardiotomography,
diagnostic tests and preparation for Non
nursing implications child birth and Stress Test(NST),
Nursing management of parenthood, Contraction stress
the pregnant women, importance of test(CST), amnioscopy,
minor disorders of institutional •foetoscopy,
pregnancy and delivery , choice of Radiological
management, preparation birth setting, examination,
for child birth and importance and Interpretation of
parenthood, importance mobilizing of diagnostic tests and
of institutional delivery , transportation, nursing implications
choice of birth setting, prenatal Nursing management
importance and mobilizing counseling, role of of the pregnant
of transportation, prenatal nurse and crisis women, minor
counseling, role of nurse intervention, disorders of
and crisis intervention, identification of pregnancy and
identification of high risk high risk management,
pregnancy and refer pregnancy and preparation for child
50
Alternative/complementar refer birth and parenthood,
y therapies Alternative/compl importance of
ementary institutional delivery ,
therapies choice of birth setting,
importance and
mobilizing of
transportation,
prenatal counseling,
role of nurse and crisis
intervention,
identification of high
risk pregnancy and
refer
Alternative/compleme
ntary therapies
IV Normal Labour and To cover the Essential 1.Essay 10
nursing management: 1.Describe the factors of labour writing on
Essential factors of labour Essential factors of Stages and onset Essential
Stages and onset labour Stages and First stage: Physiology factors of
First stage: Physiology of onset of normal labour labou Stages
normal labour 2.Discuss about Use of partograph: and onset
Use of partograph: first stage of Principles, use and 2. Problem
Principles, use and critical labour critical analysis, based
analysis, evidence based 3. Discuss about evidence based learning on
studies use of partograph studies first stage of
• Analgesia and and Various child • Analgesia and labour
anaesthesia in labour birth practice: anaesthesia in labour
water birth,
position change
etc
51
M.SC. NURSING (FIRST SEMESTER)
CLINICAL SPECIALITY-I
CHILD HEALTH NURSING
Placement: FIRST SEMESTER
Theory : 60 hours(4 credits)

Practical : 300hours(10 credits)
PREAMBLE
Pediatrics is the branch of medicinethat deals with the medical care of infants, children,
and adolescents and the age limit usually ranges from birth up to 18-21 years of age. The
word paediatrics and its cognates mean "healer of children"; they derive from
two Greek words: (pais "child") and (iatros "doctor, healer"). Pediatricians work both
in hospitals, particularly those working in its specialized subfields such as neonatology, and
as primary care physicians. Paediatric nursing is the medical care of neonates and children up
to adolescence, usually in an in-patient hospital or day-clinic. The main role of pediatric
nurses is to administer directly procedures and medicines to children according to prescribed
nursing care plans. Nurses also continually assess the patient by observing vital signs, and
developing communication skills with children and family members and with medical teams.
Being a support to children and their families is one component of direct nursing care.
Awareness of the concerns of children and parents, being present physically at times of stress
and implementing strategies to help children and family members cope are all part of the
work.
GOALS
This course is aimed at developing an understanding of the modern approach

to childcare, the common health problems of children and neonates in health
and sickness.
OBJECTIVES:

1. Appreciate the history and developments in the field of pediatrics and pediatric nursing as
a specialty
2. Apply the concepts of growth and development in providing care to the pediatric clients
and their families.
3. Appreciate the child as a holistic individual
4. Perform physical, developmental, and nutritional assessment of pediatric clients
5. Apply nursing process in providing nursing care to neonates & children
52
6. Integrate the concept of family centered pediatric nursing care with related areas such as
genetic disorders, congenital malformations and long term illness.
7. Recognize and manage emergencies in neonates
8. Describe various recent technologies and treatment modalities in the management of high
risk neonates
9. Appreciate the legal and ethical issues pertaining to pediatric and neonatal nursing
10. Prepare a design for layout and management of neonatal units
11. Incorporate evidence based nursing practice and identify the areas of research in the field
of pediatric/neonatal nursing
12. Recognize the role of pediatric nurse practitioner and as a member of the pediatric and
neonatal health team
13. Teach pediatric nursing to undergraduate students & in-service nurses
DURATION:
viii. The candidate should be a Registered Nurse and Registered midwife or equivalent
with any State Nursing Registration Council.
ix. The minimum education requirements shall be the passing of: B.Sc. Nursing /
marks.
x. The candidate should have undergone in B.Sc. Nursing / B.Sc. Hons. Nursing /
Council.
xi. Minimum one year of work experience after Basic B.Sc. Nursing.
xii. Minimum one year of work experience prior or after Post Basic B.Sc. Nursing.
xiii. Candidate shall be medically fit.
xiv. 5% relaxation of marks for SC/ST candidates may be given.
INTAKE CAPACITY:
5 Seats per year
➢ Nurse clinician
➢ Nurse educators
➢ Researcher
➢ Administrator
➢ Practitioner
➢ Manager
➢ Planner
➢ Policy maker
➢ Counselor
53
➢ Forensic nurse
➢ Hospice nurse
CORE DEPARTMENT:
Department of pediatric nursing ,Department of obstetrics and gynecological nursing, department
of community health nursing
FEE STRUCTURE:
TEACHING STRATEGIES
Prepare Case studies with Nursing process approach and theoretical basis

• Clinical presentations
• Growth & developmental assessment
• Assessment & prescription of nursing interventions for sick children
• Health education related to disease conditions
• Nutritional assessment
• Project work
• Field visits
Procedures observed
• Diagnostic investigations : amniocentesis, chorionic villus sampling

• Umbilical catheterisation
CLINICAL TRAINING
1 Pediatric Medicine Ward 2 60 Hours
2 Pediatric Surgery Ward 2 60 Hours
3 Labor Room/Maternity Ward 2 60 Hours
5 NICU 4 90 Hours
6 Creche 1 30Hours
TOTAL 11 weeks 300 hours
Total credit of instructions is 14 out of which theory is 3 credit is theory and practical is10 Credit
54
Assessment
The M.Sc. course is assessed through essay type and objective type a written multiple choice test and
a practical test.
Grade Points:
A 10- point grading system with corresponding letter grades and percentage of marks, as given below,
is followed Letter Grade Point Percentage of marks:
Ab (Absent) 0
55
S.No Topic Domain Time
I Introduction 10
• Historical development of Pediatrics and Pediatric Nice to know Hrs
Nursing in India.
• Current status of child health in India; Must to know
• Trends in Pediatrics and Pediatric Nursing, Must to know
• Ethical and cultural issues in pediatric care Desirable to know
• Rights of children Must to know
• National health policy for children, special laws and
Desirable to know
ordinances relating to children.
• National goals
Must to know
• Five year plans Must to know
• National health programs related to child health. Must to know
II History taking 10
• Developmental assessment Must to know Hrs
• Physical assessment Must to know
Must to know
• Nutritional assessment Must to know
• Family assessment
III Pre-natal Pediatrics 15
• Embryological and fetal development Desirable to know Hrs
• Prenatal factors influencing growth and development Must to know
of fetus
• Genetic patterns of common pediatric disorders, Desirable to know
chromosomal aberrations
• Genetic assessment and counseling legal and ethical Must to know
aspects of genetic, screening and counseling role of
nurse in genetic counseling,
• Importance of prenatal care and role of pediatric nurse.
Must to know
IV Growth and Development of children 15Hrs

• Principles of growth and development, Need to know
• Concepts and theories of growth and development, Need to know
Must to know
• Developmental tasks and special needs from infancy to
Must to know
adolescence, developmental milestones,
• Assessment of growth and development of pediatric Need to know
clients,
• Factors affecting growth and development.
V Neonatal Nursing 30Hrs
• New born baby- profile and characteristics of the new Must to know
born Desirable to know
• Assessment of the new born
• Nursing care of the new born at birth, care of the new Must to know
born and family.
• High risk newborn- pre term and term neonate and
growth retarded babies, Desirable to know
56
objective
I. Introduction Explain the To Cover Historical Teaching 10
• Historical historical development of seminar Hrs
development of development Pediatrics and Students
Pediatrics and of pediatric, Pediatric Nursing in seminar
Pediatric Nursing India, Current status of Project on
modem
in India. child health in India, collection of
concept of
• Current status of Trends in Pediatrics vital statistics
child care and and Pediatric Nursing, related to
child health in
India; current status Ethical and cultural child health.
• Trends in of child in issues in pediatric care Teaching
Pediatrics and India. ,Rights of children seminar
Pediatric Nursing, National health policy Interactive
• Ethical and Understand the for children, special seminar
concept laws and ordinances
cultural issues in
of the child relating to children.
pediatric care health care,
• Rights of children National goals ,Five
trends &
• National health year plans ,
emerging
policy for challenges for National health
children, special pediatric programs related to
laws and nurses child health.
ordinances
relating to Describe
children. national
• National goals policy
• Five year plans programmes
• National health and ethical
programs related and cultural
to child health. issues in
relation to
child health
and welfare.
II. History taking Discuss To cover 10
Developmental physical, Developmental Conventional Hrs
assessment developmental, assessment Physical method
Physical and nutritional assessment Nutritional Demonstration
assessment assessment of assessment , Family
Nutritional pediatric assessment.
assessment clients.
Family assessment
III. Pre-natal Pediatrics Describe To cover 15
• Embryological prenatal Embryological and Hrs
and fetal fetal development, Unconventional
pediatrics. method
development, Prenatal factors
Prenatal factors influencing growth
Horizontal
influencing and development of
teaching
growth and fetus, Genetic patterns
development of of common pediatric Teaching
fetus, Genetic disorders, seminar
patterns of chromosomal
common pediatric aberrations, genetic
disorders, assessment and
chromosomal counseling legal and
aberrations, ethical aspects of
57
genetic assessment genetic, screening and
and counseling counseling role of
legal and ethical nurse in genetic
aspects of genetic, counseling,
screening and Importance of prenatal
counseling role of care and role of
nurse in genetic pediatric nurse.
counseling,
• Importance of
prenatal care and
role of pediatric
nurse.
IV. Growth and Describe the To cover Principles of 15
Development of children normal growth and Role play Hrs
• Principles of growth growth & development, Videos Plotting
development Concepts and theories of growth chart
and development,
of children
• Concepts and theories of growth and
Conventional
of growth and development, method
development, Developmental tasks
• Developmental tasks and special needs from Teaching
and special needs infancy to seminar
from infancy to adolescence, Demonstration
adolescence, developmental
developmental milestones,
milestones, Assessment of growth
• Assessment of growth and development of
and development of pediatric clients and
pediatric clients, Factors affecting
• Factors affecting growth and
growth and development.
development.
V. Neonatal Nursing Provide care To cover nursing care 10
• New born baby- to normal of the new born at Demonstration Hrs
profile and &high risk birth, care of the new Conventional
characteristics of the neonates born and family. method
new born, Assessment High risk newborn-
of the new born, pre term and term Student
Perform neonate and growth seminar
Nursing care of the
new born at birth, care neonatal retarded babies,
of the new born and resuscitation. Teaching
family. seminar
• High risk newborn- pre Recognize
term and term neonate and manage
and growth retarded Common
babies, neonatal
• problems
58
1st Semester
CLINICAL SPECIALITY – I
MENTAL HEALTH (PSYCHIATRIC) NURSING
Paper Code :
Theory: 60 hrs (4 credits)
Practical: 300hrs (10 credits)
PREMAMBLE:-
The Mental Health Nurse provides a critical role in the delivery of health care services related to
Mental Health. As experts in the assessment of patients in order to diagnose and treat mental and
emotional health disorders, the Mental Health Nurse acts as one of the primary care givers for Mental
Health patients. There are two distinct levels of Mental Health nursing basic and advanced. As you
gain more experience and education as a Mental Health nurse, your job expectations will also change
and grow. For many who are undergoing a Mental Health crisis the establishment of patient rapport is
absolutely key and the sooner this happens as they enter into the Healthcare system the better.
The Mental Health Nurse is often the first point of contact by a care provider with the client and so
they have an opportunity to establish a relationship with the client right away so the client can begin
to feel safe and comfortable as they grow through the incredibly vulnerable process of healing during
a Mental Health crisis. emphasize work on mental health promotion. Psychiatric mental health nurses
also work in rehabilitation settings where people are recovering from a crisis episode and where the
aim is social inclusion and a return to living independently in society. These nurses are sometimes
referred to as community psychiatric nurses Psychiatric mental health nurses also work in forensic
psychiatry with people who have mental health problems and have committed crimes. Forensic
mental health nurses work in adult prisons, young offenders' institutions, medium secure hospitals and
high secure hospitals. In addition forensic mental health nurses work with people in the community
who have been released from prison or hospital and require on-going mental health service support.
Psychiatric mental health nurses may also specialize in areas such as drug and alcohol rehabilitation,
or child and adolescent mental health
People generally require an admission to hospital, voluntarily or involuntarily if they are experiencing
a crisis- that means they are dangerous to themselves or others in some immediate way. However,
people may gain admission for a concentrated period of therapy or for respite. Despite changes in
mental health policy in many countries that have closed psychiatric hospitals, many nurses continue
work in hospitals though patient length of stay has decreased significantly.
GOALS :-
The basic goal of Mental Health or Psychiatric nursing involves working with communities, groups,
families and individuals in the assessment of emotional and mental health needs, the diagnoses of
disorders and the planning and implementation of health interventions. Once a plan has been
implemented the Mental Health nurse will periodically review the success of any interventions or
other healthcare plans to ensure efficacy. The goal of Mental Health nursing is to restore, promote and
maintain optimal mental and emotional health.
OBJECTIVES :
At the end of the class the students can be able to :

• Define basic research terms and concepts.
• Review literature utilizing various sources
• Describe research methodology
• Develop a research proposal.
• Conduct a research study.
59
• Communicate research findings
• Utilize research findings
• Critically evaluate nursing research studies.
• Write scientific paper for publication.
S.No. Area of Posting No. of Week Total Hours

1 Acute Psychiatric Ward 2 90
2 Chronic Psychiatric ward 2 60
3 Psychiatric Emergency Unit 1 30
4 O.P.D 2 60
5 Rehabilitation / Occupational 2 60
Therapy
Unit/Half way home/ Day care
centre
Total 9 300
Student Activities
• History taking
• Mental health assessment
• Psychometric assessment
• Personality assessment
• Process recording
• Therapies- Group Therapy
• Family Therapy
• Psychotherapy
• Milieu Therapy
• The Therapeutic Community
• Occupational therapy
• Recreational therapy
• Play therapy
• music therapy
• Pet therapy
• Counselling
• Assisted ECT
• Assisted EEG
• Case studies
• Case presentation
• Project work
• Socio and psycho drama
• Field visits
60
Domain
S.NO TOPIC DOMAIN HRS
1. Introduction Must to know Mental Health and 15
• Mental Health and Mental Mental Illness, Historical
Illness,Historical perspectives , perspectives Trends, issues and
Trends, issues and magnitude magnitude, Contemporary
Contemporary practices , practices , Mental health
Mental health laws/Acts laws/Acts
• National mental health program Desirable to know National

-National mental health mental health program -National
authority, state mental health mental health authority, state
authority mental health authority ,Human
• Human rights of mentally ill rights of mentally ill
• Mental Health/ Mental Illness
Continuum
• Classification of mental Nice to know Challenges and
illnesses-ICD, DSM Scope of psychiatric
nursingStandards of Psychiatric
• Challenges and Scope of nursingMulti-disciplinary team
psychiatric nursing and role of nurse
• Standards of Psychiatric nursing
• Multi-disciplinary team and role Nice to know Role of psychiatric
of nurse nurse- extended and expanded
Role of psychiatric nurse- extended and

expanded
2. Concepts of Psychobiology Desirable to know The Nervous 10

• The Nervous System An System An Anatomical Review
Anatomical Review The Brain and limbic system
The Brain and limbic system Nerve Nerve Tissue
Tissue Autonomic Nervous system
Autonomic Nervous system Neurotransmitters,
Neurotransmitters, Neuroendocrinology Neuroendocrinology :Pituitary,
:Pituitary, Thyroid Gland ,Circadian Thyroid Gland ,Circadian
Rhythms ,Genetics Rhythms ,Genetics
Nice to know Neuro psychiatric

• Neuro psychiatric disorders disorders Psychoimmunology
Psychoimmunology Normal Normal Immune response
Immune response
Desirable to know Implications
• Implications for psychiatric for psychiatric Illness
Illness
3. Theories of Personality Development Desirable to know Psychoanalytic 10
and relevance to nursing practice Theory- Freud’s
• Psychoanalytic Theory- Freud’s Interpersonal Theory-Sullivan’s
• Interpersonal Theory-Sullivan’s Theory of Psychosocial
• Theory of Psychosocial Development-Erikson’s
61
Development-Erikson’s Theory of object relations
• Theory of object relations Cognitive Development Theory
• Cognitive Development Theory Theory of Moral Development
• Theory of Moral Development A Nursing Model-Hildegard
• A Nursing Model-Hildegard E.Peplau
E.Peplau
4. Stress and its magament Desirable to know An 5

• An introduction to the concepts introduction to the concepts of
of stress , Psychological stress , Psychological Adaptation
Adaptation to stress to stress
• Stress as a Biological Response,

Stress as an Environmental Nice to know Stress as a
Event.,Stress as Transaction Biological Response., Stress as an
between the Individual and the Environmental Event., Stress as
Environment. Transaction between the
Individual and the Environment.
• Stress management
Must to know stress management
5. Therapeutic communication and 10

interpersonal relationship
• Review communication process, Desirable to know Review
factors affecting communication process, factors
communication, affecting communication,
Communication with Communication with individuals
individuals and in groups and in groups
• Techniques of therapeutic Nice to know Techniques of

communication-touch therapy therapeutic communication-touch
therapy
• Barrier of communication with

specific reference to Nice to know Barrier of
psyphopathology communication with specific
reference to psyphopathology
• Therapeutic attitudes, Dynamics
of a therapeutic Nurse-client Desirable to know Therapeutic
relationship;Therapeutic use of attitudes, Dynamics of a
self Gaining self-awareness therapeutic Nurse-client
relationship;Therapeutic use of
self Gaining self-awareness
• Therapeutic nurse-patient
relationship its phases ; Desirable to know Therapeutic
Conditions essential to nurse-patient relationship its
development of a therapeutic phases ; Conditions essential to
relationship development of a therapeutic
relationship
• Therapeutic impasse and its
management
62
Desirable to know Therapeutic
impasse and its management
6. Nice to know Assertive 10

Communication
Nice to know Basic human rights
Nice to know Response Patterns
Assertive Training Desirable to know (Nonassertive
• Assertive Communication Behavior
• Basic human rights Assertive Behavior,Aggressive
• Response Patterns Behavior, Passive-Aggressive
• (Nonassertive Behavior Behavior)
Assertive Behavior,Aggressive • Behavioral
Behavior, Passive-Aggressive Components of
Behavior) Assertive Behavior
• Behavioral Components of • Techniques that
Assertive Behavior Promote Assertive
• Techniques that Promote Behavior Thought-
Assertive Behavior Thought- Stopping Techniques
Stopping Techniques Method Method
• Role of nurse Nice to know Role of nurse
Introduction Apply Mental Health To cover Mental 15HRS

1. -Mental Health and and Mental Health and Mental -Teacher seminar
Mental Illness,Historical Illness,Historical
Illness,Historical perspectives , perspectives , Trends,
perspectives , Trends, issues and issues and magnitude
Trends, issues and magnitude Contemporary
magnitude Contemporary practices , Mental
Contemporary practices , Mental health laws/Acts
practices , Mental health laws/Acts
health laws/Acts -National mental
-National mental health program - -SIS
-National mental health program - National mental health
health program - National mental authority, state mental
National mental health authority, health authority -PBL
health authority, state mental health -Human rights of
state mental health authority mentally ill
authority -Human rights of -Mental Health/
-Human rights of mentally ill Mental Illness
mentally ill -Mental Health/ Continuum -SIS
-Mental Health/ Mental Illness -Classification of
Mental Illness Continuum mental illnesses-ICD,
Continuum -Classification of DSM
-Classification of mental illnesses- SIS
mental illnesses- ICD, DSM -Challenges and
ICD, DSM Scope of psychiatric
-Challenges and nursing
-Challenges and Scope of psychiatric -Standards of
Scope of psychiatric nursing Psychiatric nursing
nursing -Standards of -Multi-disciplinary
63
-Standards of
Psychiatric nursing team and role of nurse
Psychiatric nursing -Multi-disciplinary
-Multi-disciplinary team and role of Role of psychiatric
team and role of nurse nurse- extended and SIS
nurse expanded .
Role of psychiatric
Role of psychiatric nurse- extended and
nurse- extended and expanded
expanded y

2. Concepts of 10
Psychobiology To identify and manage To cover Concepts of Teacher HRS
􀂉The Nervous
Concepts of Psychobiology seminar
System: Psychobiology 􀂉The Nervous
􀂉The Nervous Student
• An Anatomical System:
System: seminar
Review • An Anatomical
• The Brain and • An Anatomical Review
limbic system Review • The Brain and
• Nerve Tissue • The Brain and limbic system student
• Autonomic limbic system • Nerve Tissue interactive
Nervous system • Nerve Tissue • Autonomic session
• • Autonomic Nervous system
Neurotransmitters Nervous system • Neurotransmitters
• Teacher
􀂉Neuroendocrinolo 􀂉Neuroendocrinolog
Neurotransmitters seminar
gy y
􀂉Neuroendocrinolo • Pituitary, Thyroid
• Pituitary, Thyroid
Gland gy Gland Student
• Circadian • Pituitary, Thyroid • Circadian Rhythms seminar
Rhythms Gland 􀂉Genetics
􀂉Genetics
• Circadian 􀂉Neuro psychiatric
􀂉Neuro psychiatric
Rhythms disorders
􀂉Genetics 􀂉Psychoimmunology
disorders
􀂉Neuro psychiatric • Normal Immune
􀂉Psychoimmunolog
y disorders response
􀂉Psychoimmunolog
• Normal Immune • Implications for
response y psychiatric Illness
• Implications for • Normal Immune 􀂉Implications for
psychiatric Illness response
Nursing
􀂉Implications for
• Implications for
Nursing psychiatric Illness
􀂉Implications for
Nursing.
3 Theories of DescribeTheories of To cover Theories of Student

Personality Personality Personality interactive 10HRS
Development and session on
Development and Development and
relevance to Anger and
relevance to relevance to nursing
nursing Aggression,
nursing practice
64
practice practice 􀂉Psychoanalytic Teacher
􀂉Psychoanalytic 􀂉Psychoanalytic Theory- Freud’s seminar on
Theory- Freud’s Theory- Freud’s 􀂉Interpersonal Types,
􀂉Interpersonal 􀂉Interpersonal Theory-Sullivan’s Predisposing
Theory-Sullivan’s Theory-Sullivan’s 􀂉Theory of Factors,
􀂉Theory of 􀂉Theory of Psychosocial Management
Psychosocial Psychosocial Development- • Role of the
Development- Development- Erikson’s Nurse
Erikson’s Erikson’s 􀂉Theory of object
􀂉Theory of object 􀂉Theory of object relations
relations relations 􀂉Cognitive
􀂉Cognitive 􀂉Cognitive Development Theory
Development Development 􀂉Theory of Moral
Theory Theory Development
􀂉Theory of Moral 􀂉Theory of Moral 􀂉A Nursing Model-
Development Development Hildegard E.Peplau
􀂉A Nursing Model- 􀂉A Nursing Model-
Hildegard E.Peplau Hildegard E.Peplau
4. To cover the Stress 5 HRS

Stress and its Describe Stress and and its
management its management Teacher seminar
management
􀂉An introduction to 􀂉An introduction to 􀂉An introduction to
the concepts of the concepts of the concepts of Problem Based
stress stress stress Learning
􀂉Psychological 􀂉Psychological 􀂉Psychological
SIS
Adaptation to stress Adaptation to Adaptation to stress
􀂉Stress as a stress 􀂉Stress as a SIS
Biological 􀂉Stress as a Biological Response.
Response. Biological 􀂉Stress as an SIS
􀂉Stress as an Response. Environmental
Environmental 􀂉Stress as an Event.
Event. Environmental SIS
􀂉Stress as
􀂉Stress as Event. Transaction between
Transaction 􀂉Stress as the Individual and
between the Transaction the
Individual and the between the Environment.
Environment. Individual and the 􀂉Stress
􀂉Stress Environment. management.
management. 􀂉Stress
management.
Therapeutic Describe Therapeutic To cover Therapeutic 10 hrs

5. communication communication and communication and
and interpersonal interpersonal interpersonal
relationship relationship relationship
􀂉Review
􀂉Review 􀂉Review Teacher seminar
communication communication communication
65
process, factors process, factors process, factors
affecting affecting affecting
communication communication communication
􀂉Communication 􀂉Communication 􀂉Communication
Student
with individuals with individuals with individuals and
interactive
and in groups and in groups in groups session
􀂉Techniques of 􀂉Techniques of 􀂉Techniques of
therapeutic therapeutic therapeutic
communication- communication- communication- Student
touch therapy touch therapy touch therapy seminar
􀂉Barrier of 􀂉Barrier of 􀂉Barrier of
communication communication communication with
with specific with specific specific reference to
reference to reference to psychopathology
psychopathology psychopathology 􀂉Therapeutic Teacher
seminar
􀂉Therapeutic 􀂉Therapeutic attitudes
attitudes attitudes 􀂉Dynamics of a
􀂉Dynamics of a 􀂉Dynamics of a therapeutic Nurse-
therapeutic Nurse- therapeutic Nurse- client relationship;
client relationship; client relationship; Therapeutic use of
Therapeutic use of Therapeutic use of self Gaining self-
self Gaining self- self Gaining self- awareness
awareness awareness 􀂉Therapeutic nurse- PBL
􀂉Therapeutic 􀂉Therapeutic patient relationship
nurse-patient nurse-patient its phases ;
relationship its relationship its Conditions
phases ; Conditions phases ; Conditions essential to
essential to essential to development of a
development of a development of a therapeutic
therapeutic therapeutic relationship
relationship relationship 􀂉Therapeutic
􀂉Therapeutic impasse and its
􀂉Therapeutic impasse and its management
impasse and its management
management
6. Assertive Training Explain Assertive To cover Assertive 10hrs

􀂉Assertive Training Training
Communication 􀂉Assertive 􀂉Assertive Teacher
􀂉Basic Human Communication Communication seminar
Rights 􀂉Basic Human 􀂉Basic Human Rights
􀂉Response Patterns Rights 􀂉Response Patterns PBL
• (Nonassertive 􀂉Response Patterns • (Nonassertive
Behavior • (Nonassertive Behavior PBL
• Assertive Behavior • Assertive Behavior
Behavior • Assertive • Aggressive SIS
• Aggressive Behavior Behavior
Behavior • Aggressive • Passive-Aggressive SIS
• Passive- Behavior Behavior)
66
Aggressive • Passive- 􀂉Behavioral Panel
Behavior) Aggressive Components of Discussion
􀂉Behavioral Behavior) Assertive Behavior
Components of 􀂉Behavioral 􀂉Techniques that
Assertive Behavior Components of Promote Assertive
􀂉Techniques that Assertive Behavior Behavior
Promote Assertive 􀂉Techniques that 􀂉Thought-Stopping
Behavior Promote Assertive Techniques Method
􀂉Thought-Stopping Behavior Role of The Nurse
Techniques Method 􀂉Thought-Stopping
Techniques Method
Role of The Nurse Role of The Nurse
MEDICAL SURGICAL NURSING
Paper Code :
Placement: 1st Semester
Theory: 60 Hours (4cerdits)
Practical: 300 Hours (10credits)
PREAMBLE:
This course is common for the students undergoing clinical speciality-II in neuro science
nursing/cardiovascular & thoracic nursing/critical care nursing/oncology
nursing/orthopaedic and rehabilitation nursing/nephro& urology nursing, gastroenterology
nursing/ geriatric nursing.
It is designed to assist students in developing expertise and in depth knowledge in the field
of medical Surgical Nursing. It will help students to appreciate the patient as a holistic
individual and develop skill to function as a specialized Medical-Surgical Nurse. It will further
enable the student to function as educator, manager and researcher in the field of Medical
– Surgical Nursing.
Objectives:
1. Appreciate the trends & issues in the field of Medical – Surgical Nursing as a
speciality.
2. Apply concepts & theories related to health promotion.
3. Appreciate the client as a holistic individual.
4. Perform physical, psychosocial assessment of Medical – Surgical patients.
5. Apply Nursing process in providing care to patients.
6. Integrate the concept of family centered nursing care with associated disorder such
as genetic, congenital and long-term illness.
67
7. Recognize and manage emergencies with Medical- Surgical patients.
8. Describe various recent technologies & treatment modalities in the management of
critically ill patients.
9. Appreciate the legal & ethical issues relevant to Medical – Surgical Nursing.
10. Prepare a design for layout and management of Medical – Surgical Units.
11. Appreciate the role of alternative systems of Medicine in care of patients.
12. Incorporate evidence based Nursing practice and identify the areas of research in
the field of Medical – Surgical Nursing.
13. Recognize the role of Nurse practitioner as a member of the Medical – Surgical
health team.
14. Teach Medical – Surgical Nursing to undergraduate nursing students & in-service
nurses.
S.No. Dept/Unit No. of Week Total Hours

General Medical Ward 3 90
General Surgical Ward 2 60
ICUs 2 60
Emergency Department 2 60
Cardio 1 30
Total 10 300
Student Activities:
• History taking
• Health Assessment
• Nutritional Assessment
• Health Education related to disease conditions
• Case studies
• Project work
• Field visits
68
1st Semester
S. Content Domains Cognitive psychomotor Affective

No
1 Introduction: Good to Discuss Describe the Develops
􀂉 Historical development of know Historical rights of understanding
Medical- Surgical Nursing in India. development patient. Trends &
􀂉 Current status of health and of Medical- issues in
disease burden in India. Essential to Surgical Medical –
􀂉 Current concept of health. perform Nursing in Surgical
􀂉 Trends & issues in Medical – India. Nursing
Surgical Nursing. Desirable to
􀂉 Ethical & cultural issues in perform
Medical – Surgical Nursing.
􀂉 Rights of patients.
􀂉 National health policy, special
laws & ordinances relating to older
people.
􀂉 National goals.
􀂉 Five year plans.
􀂉 National health programs related
to adult health.
2 Health Assessment of patients Good to Analyze Perform health Develops
􀂉 History taking. know Health Assessment of understanding
􀂉 Physical examination of various Essential to Assessment of patients. about Physical
systems. perform patients. examination of
􀂉 Nutritional assessment. various
􀂉 Related investigations and Desirable to systems.
diagnostic assessment. perform
3 Care in hospital settings: Essential to Describe Care Participate for Appreciates

􀂉 Ambulatory care. perform in hospital Care in Care in
69
􀂉 Acute and Critical care. settings hospital hospital
􀂉 Long term care. Desirable to settings settings
􀂉 Home Health Care. perform
􀂉 Characteristics, care models,
practice settings, interdisciplinary Good to
team. know
􀂉 Hospitalization- effects of
hospitalization on the patient &
family.
􀂉 Stressors & reactions related to
disease process.
􀂉 Nursing care using Nursing
process approach.
4 Management of patients with Desirable Evaluate the
disorders of Gastro intestinal to perform patients with
tract disorders of
􀂉 Review of anatomy and Gastro
physiology. intestinal tract
􀂉 Common Disorders-etiology,
Patho physiology, Clinical
manifestations, complications,
prognosis.
􀂉 Health assessment- History
taking, physical examination,
investigation and diagnostic
assessment.
􀂉 Treatment modalities and trends.
􀂉 Nursing management.
􀂉 Related research studies.
􀂉 Evidence based nursing practice.
􀂉 Rehabilitation and follow-up.
5 Management of patients with Essential to
disorders of nervous system perform Write the
􀂉 Review of anatomy and Management
physiology. of patients
􀂉 Common Disorders- etiology, with disorders
Patho physiology,Clinical of nervous
manifestations, complications, system
prognosis.
􀂉 Health assessment-History
assessment.
6 Management of patients with Participate in
disorders of respiratory system Good to Aware about the
􀂉 Review of anatomy and know the Common Management
70
physiology. Disorders of of patients with
􀂉 Common Disorders- etiology, respiratory disorders of
Patho physiology,Clinical Desirable to system respiratory
manifestations, complications, perform . system
prognosis.
assessment.
CURRICULUM
LEARNING
OBJECTIVES
S. (at the end of the TEACHING
CONTENT OF TOPICS METHODOLOGY TIME
NO session the OBJECTIVES
student should be
able to)
1 Introduction: Discuss the historical To teach and Interactive 5 hrs
• Historical development, discuss about session with the
development of concept , trends and historical students
Medical- Surgical issues in medical development, regarding
Nursing in India.
surgical nursing. concept , historical
• Current status of
trends and development,
health and disease
burden in India. issues in concept , trends
• Current concept of medical and issues in
health. surgical medical surgical
• Trends & issues in nursing. nursing.
Medical – Surgical
Nursing.
• Ethical & cultural
issues in Medical –
Surgical Nursing.
• Rights of patients.
• National health
policy, special laws
& ordinances
relating to older
people.
• National goals.
• Five year plans.
• National health
programs related to
adult health.
71
2 Health Assessment of Discuss the To teach and Simulation on 20 hrs
patients investigations and discuss about investigations
• History taking. physical and investigations and physical
• Physical nutritional assessment and physical and nutritional
examination of and assessment
various systems.
nutritional
• Nutritional
assessment
assessment.
• Related
investigations and
diagnostic
assessment.
3 Care in hospital settings: Elaborate the nursing To teach and Student seminar 5 hrs
• Ambulatory care. process in providing discuss about on nursing
• Acute and Critical care to the patient nursing process in
care. process in providing care to
• Long term care. providing care the patient
• Home Health Care. to the patient
• Characteristics, care
models, practice
settings,
interdisciplinary
team.
• Hospitalization-
effects of
hospitalization on
the patient &
family.
• Stressors &
reactions related to
disease process.
• Nursing care using
Nursing process
approach.
4 Management of patients Describe the To teach and Seminar on 10 hrs
with disorders of Gastro Management of discuss about Management of
intestinal tract patients with disorders Management patients with
• Review of anatomy of Gastro intestinal tract of patients disorders of
and physiology. with disorders Gastro intestinal
• Common Disorders- of Gastro tract
etiology, Patho intestinal tract
physiology, Clinical
manifestations,
complications,
prognosis.
• Health assessment-
History taking,
physical
examination,
investigation and
diagnostic
assessment.
72
• Treatment
modalities and
trends.
• Nursing
management.
• Related research
studies.
• Evidence based
nursing practice.
• Rehabilitation and
follow-up.
5 Management of patients Discuss the To teach and Seminar on 10 hrs
with disorders of nervous Management of discuss about Management of
system patients with disorders Management patients with
-Review of anatomy and of nervous system of patients disorders of
physiology. with disorders nervous system
-Common Disorders- of nervous
etiology, Patho system
physiology,Clinical
manifestations,
complications, prognosis.
-Health assessment-History
taking, physical
examination, investigation
and diagnostic assessment.
-Treatment modalities and
trends.
-Nursing management.
-Related research studies.
-Evidence based nursing
practice.
-Rehabilitation and follow-
up.
6 Management of patients Elaborate the To teach and Student seminar 10 hrs
with disorders of respiratory Management of discuss about on Management
system patients with disorders Management of patients with
-Review of anatomy and of respiratory system of patients disorders of
physiology. with disorders respiratory
-Common Disorders- of respiratory system
etiology, Patho physiology, system
Clinical manifestations,
complications, prognosis.
-Health assessment-History
taking, physical
examination, investigation
and diagnostic assessment.
-Treatment modalities and
trends.
-Nursing management.
-Related research studies.
-Evidence based nursing
practice.
-Rehabilitation and follow-
73
up.
CLINICAL SPECIALITY- I
COMMUNITY HEALTH NURSING
PLACEMENT : FIRST YEAR
THEORY -10 credit (150 hours)
PRACTICAL -22 credit (660 hours)
TOTAL -32 credit (810 hours)
PREAMBLE
Community health is a major field of study within the medical and clinical sciences which
focuses on the maintenance, protection and improvement of the health status of population
groups and communities as opposed to the health of individual patients. The word
"community" derives from the Old French comuneté, which means, “ commonness,
community, shared in common".
Community health nursingis defined as the synthesis of nursing and public health practice
applied to promoting and protecting the health of population.It is a practice that is continuous
and comprehensive directed towards all groups of community members. A community
comprises people of various ages, health conditions, social status and cultures. The
community health nurses are expected to focus their work on disease prevention and health
promotion, including promotion of self-care. It combines all the basic elements of
professional, clinical nursing with public health and community practice.The community
health nurse or public health nurse is one category of the health workforce in the community.
In all pre-service nursing or nursing and midwifery curricula, there are one or two courses in
community health nursing, which provide basic information on community health and the
role of nurses in the community. The primary goal of community health nursing is to help a
community protect and preserve the health of its members, while the secondary goal is to
promote self-care among individuals and families. In the health-care reform environment, the
community health nurse will probably continue to care for individuals and families,
particularly high-risk clients and those with communicable diseases
GOALS
✓ to prepare graduates to assume responsibilities as community health nurse specialists,
consultants, educators, administrators in a wide variety of professional settings
✓ to assist students in developing expertise and in depth understanding in the field of
community health nursing
✓ to analyze components of community health practices
74
✓ to develop advanced skills for nursing intervention in various aspects of community
health care settings
✓ to function as community health Nurse practitioner/specialist
✓ to function as educator, manager and researcher in the field of community health
nursing.
OBJECTIVES
1. Appreciate the history and development in the field of Community Health and Community
Health Nursing.
2. Appreciate role of individuals and families in promoting health of the Community.
3. Perform physical, developmental and nutritional assessment of individuals, families and
groups.
4. Apply the concepts of promotive, preventive, curative andrehabilitative aspects of health
while providing care to the people.
5. Apply nursing process approach while providing care to individuals,families, groups and
community.
6. Integrate the concepts of family centered nursing approach while providing care to the
community.
7. Recognize and participate in the management of emergencies, epidemics and disasters.
8. Apply recent technologies and care modalities while delivering community health nursing
care.
9. Appreciate legal and ethical issues pertaining to community health nursing care.
10. Conduct community health nursing care projects.
11. Participate in planning, implementation and evaluation of various national health and
family welfare programmes at local, state and the national level.
12. Incorporate evidence based nursing practice and identify the areas of research in the
community settings.
13. Participate effectively as a member of Community Health team.
14. Coordinate and collaborate with various agencies operating in the community by using
inter-sectoral approach.
15. Teach community health nursing to undergraduates, in-service nurses and the community
health workers.
16. Demonstrate leadership and managerial abilities in community health nursing practice
75
MSc(N) 1ST YEAR
CLINICAL SPECIALITY -1
PLACEMENT : FIRST SEMESTER
PRACTICAL -10credit (300 hours)
COURSE DESCRIPTION
This course is designed to assist in developing expertise and in-depth understanding in the field of
community health nursing .It will help students to develop advanced skills for nursing intervention in
various aspect of community health care setting . It will enable the students to function as community
health nurse practitioner /specialist . It will further enable the students to function as educator ,
manager and researcher in the field of community health nursing.
PRACTICAL 1ST SEMESTER

S.N. DEPARTMENT /UNIT NO OF WEEKS TOTAL CREDIT
1. SUB-CENTER,PHC,CHC 7 7 CREDIT (210 HOURS)
2. URBAN CENTERS 2 2 CREDIT (60 HOURS)
3. FIELD VISIT 1 1 CREDIT (30 HOURS)
S. TOPIC DOMAIN HRS

NO
1 Introduction
􀂉 Historical development of Community Health and Nice to know 10
Community health Nursing- World and India, various
health and family welfare committees Must know
􀂉 Current status, trends and challenges of Community Must know
Health Nursing Must know
􀂉 Health status of the Community-community diagnosis Must know
􀂉 Scope of Community health Nursing practice Desirable to
76
􀂉 Ethical and legal issues know
􀂉 Socio-cultural issues in Community health Nursing Must know
􀂉 National Policies, plans and programmes Must know
• National health policy
• National Population policy
• National Health and welfare Programmes
• National Health goals/ indicators/ Millennium
developmental
goals(MDG)/ Strategies
• Planning process: Five year plans
• National Rural Health Mission Must know
• Panchayat raj institutions
2 Health Must know 10

􀂉 Concepts, issues Must know
􀂉 Determinants Must know
􀂉 Measurements Must know
􀂉 Alternate systems for health promotion and Nice to know
management of health problems Must know
􀂉 Health economics Must know
􀂉 Health technology Must know
􀂉 Genetics and health Desirable to
􀂉 Waste disposal know
􀂉 Eco system
3 Community health Nursing Must know 30

􀂉 Philosophy, Aims, Objectives, Concepts, Scope, Nice to know
Principles, Functions
􀂉 Community health Nursing theories and models Must know
􀂉 Quality assurance: Community health Nursing Desirable to
standards,competencies, Monitoring community health know
nursing, nursing audits
􀂉 Family nursing and Family centered nursing approach Desirable to
77
􀂉 Family health nursing process know
o Family health assessment
o Diagnosis
o Planning
o Intervention
o Evaluation
􀂉 Nursing care for special groups: children, adolescents, Must know
adults,women, elderly, physically and mentally

challenged- Urban and rural population at large
􀂉 Community nutrition
􀂉 Concept, role and responsibilities of community health Must know
Nurse practitioners/nurse midwifery practitioners-

decision making skills, professionalism, legal issues
4 Information, education and communication 10

􀂉 IEC/BCC: Principles and strategies Must know
􀂉 Communication Skills Must know
􀂉 Management information and evaluation system: Must know
Records and reports

􀂉 Information technology Must know
􀂉 Tele-medicine and tele-nursing Must know
􀂉 Journalism Must know
􀂉 Mass media Must know
􀂉 Folk media Must know
78
1st semester
S. Topic Learning Objectives Teaching Methodology Time
No ( At the end of the Guidelines
session, the students
should be able to : )
1 Introduction 10
hours
􀂉 Historical development of Discuss the historical To cover historical
Lecture cum
Community Health and development of development of
discussion
Community health Nursing- Community Health Community Health
onhistorical
World and India, various and Community and Community
development
health and family welfare health Nursing- health Nursing,
of
committees World and India, various health and
Community
􀂉 Current status, trends and various health and family welfare
Health and
challenges of Community family welfare committees,
Community
Health Nursing committees current status,
health
􀂉 Health status of the Discuss the current trends and
Nursing
Community-community status, trends and challenges of
diagnosis challenges of community health
Interactive
􀂉 Scope of Community health Community Health nursing, health
session on
Nursing practice Nursing status of the
ethical, legal
􀂉 Ethical and legal issues Describe the health community-
issues and
􀂉 Socio-cultural issues in status of the community
socio-cultural
Community health Nursing Community- diagnosis; scope of
issues in
􀂉 National Policies, plans and community diagnosis community health
programmes Elaborate the scope nursing practice,
• National health policy of Community health ethical and legal Didactic
• National Population policy Nursing practice issues, socio- lecture on
• National Health and welfare Explain the ethical , cultural issues in national
79
Programmes legal issues community health policies, plans
and
• National Health goals/ and socio-cultural nursing, National
programmes
indicators/ Millennium issues in Community policies, plans and
developmental health Nursing programmes,
goals(MDG)/ Strategies discuss National National health
• Planning process: Five year Policies, plans and policy, National
plans programmes Population policy,
• National Rural Health National Health
Mission and welfare
• Panchayat raj institutions Programmes,
National Health
goals/ indicators/
Millennium
developmental
goals(MDG)/
Strategies,
Planning process:
Five year plans,
National Rural
Health Mission
and Panchayat raj
institutions
Health Discuss Concepts, To coverthe

Teaching 10 hrs
2 􀂉 Concepts, issues issues, determinants concepts, issues, seminar
􀂉 Determinants and measurements determinants,
Interactive
􀂉 Measurements Explain alternate measurements, session
􀂉 Alternate systems for health systems for health Alternate systems
Didactic
promotion and management of promotion and for health lecture
health problems management of promotion and
Field visits to
􀂉 Health economics health problems. management of water supply,
sewage
􀂉 Health technology Describe health health problems,
disposal,
􀂉 Genetics and health economics and health Health economics,
Clinical
􀂉 Waste disposal technology Health technology,
Postings in
80
􀂉 Eco system Discuss genetics and Genetics and AYUSH
Department in
health health, Waste
CHC
Discuss waste disposal and Eco
disposal system
Discuss eco system
Community health Nursing Discuss philosophy, To cover 30 hrs

3 Lecture cum
􀂉 Philosophy, Aims, aims, objectives, philosophy, aims,
discussion
Objectives, Concepts, Scope, concepts, scope, objectives,
Didactic
Principles, Functions principles and concepts, scope,
lecture
􀂉 Community health Nursing functions. principles,
visit to family
theories and models Explain community functions,
planning
􀂉 Quality assurance: health nursing community health camp
Community health Nursing theories and models. nursing theories
Clinical
standards, competencies, Elaborate quality and models, Postings in
CHC, PHC
Monitoring community health assurance, standards, Quality assurance,
nursing, nursing audits competencies, Community health
􀂉 Family nursing and Family monitoring Nursing standards,
centered nursing approach community health competencies,
nursing and nursing Monitoring
􀂉 Family health nursing audits community health
process Discuss family nursing, nursing
o Family health assessment nursing and family audits, family
o Diagnosis centered nursing nursing and family
o Planning approach centered nursing
o Intervention Explain family health approach, family
o Evaluation nursing process health nursing Didactic
lecture
􀂉 Nursing care for special Discuss nursing care process, nursing
groups: children, adolescents, for special groups care for special
adults,women, elderly, Discuss community groups,
Demonstratio
physically and mentally nutrition community
n on family
challenged- Urban and rural Explain the concept, nutrition; concept,
health
population at large role and role and
assessment
responsibilities of responsibilities of
81
􀂉 Community nutrition community health community health
􀂉 Concept, role and nurse Nurse
responsibilities of community practitioners/nurse practitioners/nurse Family visits
health Nurse midwifery midwifery
Clinical
practitioners/nurse midwifery practitioners-decision practitioners- Postings in
CHC, PHC
practitioners-decision making making skills, decision making
skills, professionalism, legal professionalism, legal skills,
issues issues professionalism
Explain and legal issues
10 hrs
4 Information, education and Explain the Principles strategies of IEC,
Teaching
communication and strategies of IEC communication
seminar
􀂉 IEC/BCC: Principles and Discuss Skills,
strategies communication skills management
Interactive
􀂉 Communication Skills Describe the information and session
􀂉 Management information management evaluation system,
and evaluation system: information and information Field visits
Records and reports evaluation system: technology, tele-
Clinical
􀂉 Information technology Describe information medicine and tele- postings
􀂉 Tele-medicine and tele- technology, telenursing,
nursing medicine and tele- journalism, mass postings
􀂉 Journalism nursing media and folk
Group
􀂉 Mass media Discuss journalism, media projects
􀂉 Folk media mass media and folk
Role plays
media
82
SECOND SEMESTER
83
ADVANCE NURSING PRACTICE
Placement: Second Semester
PREAMBLE:
Advanced practice is a level of practice, rather than a type or specialty of practice. Advanced
practitioners are educated at masters’ level in advanced practice and are assessed as
competent in practice, using expert knowledge and skills. They have the freedom and
authority to act, making autonomous decisions in the assessment, diagnosis and treatment of
patients. Use this guide to find information resources relating to advanced nursing practice
including books, reports and journal articles. An advanced practice registered
nurse (APRN) is a nurse with post-graduate education in nursing. APRNs are prepared with
advanced didactic and clinical education, knowledge, skills, and scope of practice
in nursing.[1]
Advance nursing practice defines a level of nursing practice that utilizes extended and
expanded skills, experience and knowledge in assessment, planning, implementation,
diagnosis and evaluation of the care required. Nurses practicing at this level are educationally
prepared at the post-graduate level and may work in either a specialist or generalist capacity.
However, the basis of advanced practice is the high degree of knowledge, skill and
experience that is applied within the nurse-patient/client relationship to achieve optimal
outcomes through critical analysis, problem solving and evidence-based decision making.
Advance nursing practice demonstrates effective integration of theory, practice and
experiences along with increasing degrees of autonomy in judgments and interventions.
Intensive post-graduate education is designed to teach an APRN to use multiple approaches
to decision-making, manage the care of individuals and groups, engage in collaborative
practices with the patient or client to achieve best outcomes; provide a supportive
environment for colleagues; manage the utilization of staff and physical resources; engage in
ethically justifiable nursing practice; protect the rights of individuals and groups; engage in
activities to improve nursing practice; develop therapeutic and caring relationships; fulfil the
conduct requirements of the profession; act to enhance the professional development of self;
and function in accordance with legislation and common law affecting nursing practice.[2]
Advance practice registered nurse education forms the basis of four recognized general areas
of specialization:
• Nurse anaesthetists (in the United States, certified registered nurse anaesthetists or
CRNAs)
• Nurse midwives (in the United States, certified nurse midwives or CNMs)
84
• Clinical nurse specialists (CNSs)
• Nurse practitioners (NPs in India)
GOALS
An advanced nursing student will learn from leading researchers in nursing practice and the
study of clinical environments. This course will solidify the theoretical foundations of
nursing practice and develop the confidence to use the latest research based evidence to
inform your clinical decision making.
During this one year degree, the student will build on the knowledge they have gained
through clinical practice, with an emphasis on the provision of high quality care and patient
safety. It will cover core units in the foundations of clinical practice and assessment before
taking a range of elective units which allow the student to further advance their knowledge in
clinical areas of particular interest. A work-based project or research thesis will comprise the
capstone experience of this degree, providing the opportunity for the student to apply
expertise as they develop a nuanced understanding of nursing practice and clinical
environments.
Upon completion of this course, students will have the knowledge, skills and attributes
required to develop initiatives in healthcare and make a substantial contribution to healthcare
policy and development. Completion of this degree can also be a pathway into the Master of
Nursing (Nurse Practitioner).
OBJECTIVES:
1. Appreciate and analyze the development of Nursing as a Profession.

2. Describe ethical, legal, political and economic aspects of health care delivery and Nursing
practice.
3. Explain bio- psycho- social dynamics of health, life style and health care delivery system.
4. Discuss concepts, principles, theories, models, approaches relevant to Nursing and their
application.
5. Describe scope of Nursing Practice.
6. Provide holistic and competent Nursing care following Nursing process approach.
7. Identify latest trends in Nursing and the basis of advance Nursing Practice.
8. Perform extended and expanded role of Nurse.
9. Describe alternative modalities of Nursing Care.
10. Describe the concept of quality control in Nursing.
11. Identify the scope of Nursing Research.
12. Use computer in patient care delivery system and Nursing practice.
85
ADVANCE NURSING PRACTICE
Placement :Second Semester
Theory: 150 Hours (10 credits)
Practical: 200 Hours(7 credits)
S.NO TOPIC HRS

DOMAIN
1 Nursing as a Profession 10
• History of development of Nursing ➢ Must know
profession,Characteristics
• criteria of the profession ➢ Must know
• perspective of Nursing profession-national, global ➢ Must know
• Code of ethics (INC)
• Code of professional conduct (INC), ➢ Must know
• Autonomy and accountability ➢ Must know
➢ Must know
• Assertiveness
➢ Must know
• Visibility of Nurses
➢ Must know
• legal considerations
➢ Must know
• Role of regulatory bodies
• Professional organizations and unions-self defence, ➢ Must know
individual and collective bargaining.
• Educational preparations, continuing education, career ➢ Must know
opportunities,
• Professional Advancement & role and scope of ➢ Must know
Nursing Education. ➢ Must know
• Role of research, leadership and management.
• Quality assurance in Nursing (INC).
• Futuristic Nursing
➢ Must know
2 Health care delivery 5

• Health care environment, ➢ Must know
• economics, ➢ Must know
• constraints, ➢ Must know
• planning process, ➢ Must know
• policies, political process vis a Nursing
86
profession.
• Health care delivery system- national, state, district and ➢ Must know
local level. ➢ Must know
• Major stakeholders in the health care system-
➢ Must know
Government, non-govt., Industry and other
professionals. ➢ Must know
• Patterns of Nursing care delivery in India. ➢ Must know
• Health care delivery concerns, national health and ➢ Must know
family welfare programs, ➢ Desirable to
• inter sectoral coordination, know
• role of nongovernmental agencies.
• Information, education and communication
(IEC).
• Tele-medicine.
3 Genetics 10
• Review of cellular division, mutation and law of ➢ Must know
inheritance ➢ Must know
human genome project
➢ Must know
The Genomic era.
• Basic concepts of Genes ➢ Must know
Chromosomes & DNA. ➢ Must know
• Approaches to common genetic disorders. ➢ Must know
➢ Must know
• Genetic testing – basis of genetic diagnosis, Pre
symptomatic and predisposition testing ➢ Must know
Prenatal diagnosis & screening, Ethical, legal &
➢ Must know
psychosocial issues in genetic testing.
• Genetic counseling. ➢ Must know
• Practical application of genetics in Nursing. ➢ Desirable to
know
➢ Desirable to
know
4 Epidemiology 10
• Scope, epidemiological approach and methods ➢ Must know
Morbidity, mortality,
Concepts of causation of diseases and their screening, ➢ Must know
• Application of epidemiology in health care delivery,
➢ Must know
Health surveillance and health informatics
• Role of Nurse ➢ Must know
5 Bio-Psycho social pathology 20

• Path physiology and Psychodynamics of disease ➢ Must know
causation.
• Life processes, ➢ Desirable to
• homeostatic mechanism, know
• biological and psycho-social dynamics in
➢ Must know
causation of disease,life style.
• Common problems: Oxygen insufficiency, fluid and ➢ Desirable to
electrolyte imbalance, nutritional Problems, haemorrhage know
and shock ➢ Must know
• altered body temperature,unconsciousness ➢ Must know
87
• sleep pattern and its disturbances ➢ Must know
• Pain and sensory deprivation. ➢ Must know
• Treatment aspects: pharmacological and pre- post ➢ Must know
operative care aspects, ➢ Must know
• Cardio pulmonary resuscitation.
➢ Must know
• End of life Care
• Infection prevention (including HIV) and standard ➢ Must know
safety measures, bio-medical waste Management.
• Role of Nurse- Evidence based Nursing practice; Best ➢ Must know
practices
• Innovations in Nursing.
6 Philosophy and Theories of Nursing 20
• Values, Conceptual Models and Approaches. ➢ Must know
• Nursing theories: Nightingale’s, Hendersons’s, Roger’s, ➢ Must know
Peplau’s, Abdella’s, Lewine’s, ➢ Must know
Orem’s, Johnson’s, King’s, Neuman’s, Roy’s, Watson
➢ Must know
Parsce, etc and their applications,
• Health belief models, communication and management, ➢ Must know
etc ➢ Must know
• Concept of Self health. ➢ Must know
• Evidence based practice model. ➢ Desirable to
know
7 Nursing process approach 10
• Health Assessment- illness status of patients/clients Must know
(Individuals, family, community),
• Identification of health illness problems, health Desirable to know
behaviours
• signs and symptoms of clients. Desirable to know
• Methods of collection, analysis and utilization of data
relevant to Nursing Process. Must know
• Formulation of nursing care plans
health goals, implementation, modification and Must know
evaluation of care.
8 Psychological aspects and Human relations 30

• Human behaviour, Life processes & growth and Must know
development, personality development, defence
mechanisms,
• Communication, interpersonal relationships, individual Must know
and group, group dynamics, and
organizational behaviour,
• Basic human needs, Growth and development, Must know
(Conception through preschool, School age through
adolescence, Young & middle adult, and Older adult)
• Sexuality and sexual health. Desirable to know
• Stress and adaptation, crisis and its intervention,
Coping with loss, death and grieving, Must know
• Principles and techniques of Counselling.
Must know
88
9 Nursing practice 10
• Framework, scope and trends. Must know
• Alternative modalities of care, alternative systems of Desirable to know
health and complimentary therapies.
• Extended and expanded role of the Nurse, in promotive, Must know
preventive, curative and restorative health care delivery
system in community and institutions.
• Health promotion and primary health care. Must know
• Independent practice issues: - Independent Nurse- Must know
midwifery practitioner.
• Collaboration issues and models-within and outside
Nursing. Must know
• Models of Prevention,
• Family Nursing, Home Nursing, Must know
• Gender sensitive issues and women empowerment.
• Disaster Nursing. Desirable to know
• Geriatric considerations in Nursing. Must know
• Evidence based Nursing practice- best practices
• Trans-cultural Nursing. Must know
10 Computer applications for patient care delivery 25

system and Nursing Practice ➢ Must know
• Use of computers in teaching, learning, research and
Nursing practice. ➢ Must know
• Windows, MS office: Word, Excel, Power Point,
• Internet, literature search, ➢ Desirable to
• Statistical packages, know
• Hospital management information system: software. ➢ Must know
Curriculum
S. Contents Of The Topics Learning Objectives Teaching Objectives Methodology Time

No (At The End Of The
Session The Student
Should Be Able To )
1 Nursing as a Profession 1.Describe the To cover the various 1.Interactive 10
• History of development History of history History of session with
of Nursing profession, development of development of the students
characteristics, criteria of Nursing Nursing profession, regarding
the profession, perspective profession, characteristics, criteria history of
of Nursing profession- characteristics and of the profession, nursing
national, global criteria of the perspective of Nursing profession
profession, profession-national,
global, Code of ethics
(INC), code of
• Code of ethics (INC), 2.Enumerate the professional conduct 2. Essay
code of professional Code of ethics (INC), autonomy and writing on
conduct (INC), autonomy (INC), code of accountability, code of ethics
and accountability, professional assertiveness, visibility
89
assertiveness, visibility of conduct (INC), of Nurses, legal
Nurses, legal autonomy and considerations, Role of
considerations, accountability, regulatory bodies,
Assertiveness, Professional
visibility of organizations and
Nurses, legal unions-self defence,
considerations. individual and
• Role of regulatory collective bargaining., 3. Students
bodies 3. Explain the role Educational seminar on
• Professional of regulatory preparations, collective
organizations and unions- bodies continuing education, bargaining
self defence, individual career opportunities,
and collective bargaining. professional
• Educational advancement & role
preparations, continuing and scope of Nursing
education, career Education, Role of
opportunities, professional research, leadership
Advancement & role and and management,
scope of Nursing 4. Discuss the Role Quality assurance in
Education. of research, Nursing (INC)and 4. Integrated
• Role of research, leadership and Futuristic Nursing vertical
leadership and management teaching on
management. futuristic
• Quality assurance in nursing
Nursing (INC).
• Futuristic Nursing
2 Health care delivery To cover the various 5
• Health care 1. Discuss in detail health care delivery 1 Didactic
environment, economics, health care system which includes lecture through
constraints, planning delivery system- Health care power point
process, policies, political national, state, environment, projections
process vis a Nursing district and local economics, constraints,
profession. level. planning process,
• Health care delivery policies, political
system- national, state, process vis a Nursing
district and local level. profession, Health care
• Major stakeholders in delivery system-
the health care system- national, state, district 2.Group
Government, non-govt., and local level, Major discussion on
Industry and other 2.Enumerate the stakeholders in the patterns of
professionals. various patterns of health care system- nursing care
• Patterns of Nursing care nursing care Government, non- delivery in
delivery in India. delivery in India govt., Industry and India
• Health care delivery other professionals.,
concerns, national health Patterns of Nursing
and family welfare 3.Decribe the care delivery in India.,
programs, inter sectoral importance of Health care delivery 3. Group
coordination, role of information, concerns, national discussion on
nongovernmental education and health and family tele medicine
agencies. communication welfare programs, inter
• Information, sectoral coordination,
90
education and role of
communication nongovernmental
(IEC). agencies, Information,
• Tele-medicine. education and
communication (IEC).
And Tele-medicine.
3 Genetics To cover the various 10

• Review of cellular 1.Elaborate the topics in genetics 1.Teachers
division, mutation and law process of cellular which include Review seminar on
of inheritance, human division, mutation of cellular division, cellular
genome project, The and law of mutation and law of division,
Genomic era. inheritance inheritance, human mutation and
• Basic concepts of Genes, genome project, The law of
Chromosomes & DNA. Genomic era, Basic inheritance
• Approaches to common concepts of Genes,
genetic disorders. 2.Enumerate the Chromosomes &
• Genetic testing – basis of basis of genetic DNA., Approaches to
genetic diagnosis, Pre diagnosis common genetic 2. Students
symptomatic and disorders, Genetic Seminar on
predisposition testing – basis of prenatal
testing,Prenatal diagnosis 3.Explain the genetic diagnosis, Pre diagnosis and
& screening, Ethical, legal process of genetic symptomatic and screening in
& psychosocial issues in counselling predisposition testing pregnancy
genetic testing. ,Prenatal diagnosis &
• Genetic counselling. screening, Ethical, 3.Visit to the
• Practical application of legal & psychosocial genetic
genetics in Nursing issues in genetic counselling
testing, Genetic centre
counselling and
Practical application of
genetics in Nursing
4 Epidemiology To cover the various 1.Essay writing 10
• Scope, epidemiological 1.Describe the topics In epidemiology on scope of
approach and methods, scope of which includes Scope, epidemiology
Morbidity, mortality, epidemiology epidemiological
Concepts of causation of approach and methods, 2. Problem
diseases and their Morbidity, mortality, based learning
screening, 2.Discuss The Concepts of causation on concepts of
• Application of application of of diseases and their causation of
epidemiology in health epidemiology in screening, diseases and
care delivery, Health health care ,Application of their screening
surveillance and health delivery system epidemiology in health
informatics care delivery, Health
• Role of Nurse surveillance and health
Informatics and Role of
Nurse
5 Bio-Psycho social To cover the various 1.Students 20
pathology 1.Explain the path bio psycho social seminar on
• Path physiology and physiology and pathology which path
91
Psychodynamics of psychodynamics includes physiology and
disease causation. of disease Path physiology and psychodynami
• Life processes, causation Psychodynamics of cs of disease
homeostatic mechanism, disease causation, Life causation
biological and psycho- processes, homeostatic
social dynamics in mechanism, biological
causation of disease, life and psycho-social 2. Group
style. dynamics in causation Discussion on
• Common problems: 2.Discuss the of disease, life style, common
Oxygen insufficiency, various sleep Common problems: problems:
fluid and electrolyte pattern and its Oxygen insufficiency, Oxygen
imbalance, nutritional disturbances fluid and electrolyte insufficiency,
problems, hemorrhage and imbalance, nutritional fluid and
shock, altered body 3.Enlist the steps problems, haemorrhage electrolyte
temperature, of cardio and shock, altered body imbalance,
unconsciousness, sleep pulmonary temperature, nutritional
pattern and its resuscitation unconsciousness, sleep problems,
disturbances, pain, pattern and its haemorrhage
sensory deprivation. disturbances, pain, and shock,
• Treatment aspects: sensory deprivation, altered body
pharmacological and pre- 4. Enlist the role of Treatment aspects: temperature,
post operative care nurse in evidence pharmacological and unconsciousne
aspects, based nursing pre- post operative care ss, sleep
• Cardio pulmonary practice. aspects, Cardio pattern and its
resuscitation. pulmonary disturbances,
• End of life Care resuscitation, End of pain, sensory
• Infection prevention life Care ,Infection deprivation.
(including HIV) and prevention (including
standard safety measures, HIV) and standard 3.Simulation
bio-medical waste safety measures, bio- learning on
Management. medical waste, innovations in
• Role of Nurse- Evidence Management, Role of nursing
based Nursing practice; Nurse- Evidence based
Best practices Nursing practice; Best
• Innovations in Nursing. practices and
Innovations in Nursing.
6 Philosophy and Theories To cover the various 20

of Nursing 1.Enumerate the philosophy and theories 1. Didactic
• Values, Conceptual various nursing of nursing which lecture through
Models, Approaches. theories includes Values, power point
• Nursing theories: Conceptual Models, projections
Nightingale’s, Approaches, Nursing 2.Students
Hendersons’s, Roger’s, theories: Nightingale’s, seminar on
Peplau’s, Abdella’s, Hendersons’s, Roger’s, Nursing
Lewine’s,Orem’s, Peplau’s, Abdella’s, theories:
Johnson’s, King’s, 2. Differentiate Lewine’s,Orem’s, Nightingale’s,
Neuman’s, Roy’s, Watson health belief Johnson’s, King’s, Hendersons’s,
Parsce, etc and their models and Neuman’s, Roy’s, Roger’s,
applications, evidence based Watson Parsce, etc and Peplau’s,
• Health belief models, practice models their applications, Abdella’s,
92
communication and Health belief models, Lewine’s,Ore
management, etc communication and m’s,
• Concept of Self health. management, etc, Johnson’s,
• Evidence based practice Concept of Self health. King’s,
model. And Evidence based Neuman’s,
practice model Roy’s, Watson
Parsce, etc and
their
applications,
7 Nursing process To cover the nursing 10
approach 1.Describe the process approach 1. . Didactic
• Health Assessment- health assessment which includes Health lecture through
illness status of in detail Assessment- illness power point
patients/clients status of projections
(Individuals, family, patients/clients
community), (Individuals, family,
Identification of health community),Identificati
illness problems, health 2.Enlist the on of health illness 2.Teachers
behaviors, signs and various methods of problems, health seminar on
symptoms of clients. collection, analysis behaviours, signs and methods of
• Methods of collection, and utilization of symptoms of clients, collection ,
analysis and utilization of data relevant to Methods of collection, analysis and
data relevant to Nursing nursing process analysis and utilization utilization of
Process. 3.Describe the of data relevant to data relevant to
process of Nursing Process, nursing
formulation of Formulation of nursing process
nursing care plans care plans, health goals,
Formulation of nursing implementation, 3.Students
care plans, health goals, modification and seminar on
implementation, evaluation of care. formulation of
modification and nursing care
evaluation of care. plans
8 Psychological aspects To cover the 30

and Human relations 1.Explain the psychological aspects 1.Students
• Human behavior, Life various defence and human relations interactive
processes & growth and mechanism which comprises of session on
development, personality Human behaviour, Life personality
development, defense processes & growth development
mechanisms, 2.Discuss the and development,
• Communication, process of personality 2.Group
interpersonal communication development, defence discussion on
relationships, individual and interpersonal mechanisms, communication
and group, group relationship Communication,
dynamics, and 3.Enumerate the interpersonal 3.Integrated
organizational behavior, process of growth relationships, teaching on
and development individual and group, basic human
• Basic human needs, from conception group dynamics, and needs
Growth and development, till death organizational
(Conception through behaviour, Basic
93
preschool, School age human needs, Growth
through adolescence, and development,
Young & middle adult, (Conception through
and Older adult) preschool, School age
4.Describe the through adolescence,
• Sexuality and sexual principles and Young & middle adult, 4.Visit to
health. techniques of and Older adult), guidance and
• Stress and adaptation, counselling Sexuality and sexual counselling
crisis and its intervention, health. centre
Coping with loss, death , Stress and adaptation,
and grieving, crisis and its
• Principles and intervention, Coping
techniques of Counselling. with loss, death and
grieving, Principles and
techniques of
Counselling.
9 Nursing practice 10
• Framework, scope and 1.Discuss the To cover the 1. Didactic
trends. framework, Scope Framework, scope and lecture through
and trends of trends, Alternative power point
nursing practice modalities of care, projections
alternative systems of
health and
• Alternative modalities of complimentary 2. Group
care, alternative systems therapies. discussion on
of health and Extended and alternative
complimentary therapies. 2.Explain the expanded role of the modalities of
• Extended and expanded extended and Nurse, in promotive, care
role of the Nurse, in expanded role of preventive, curative
promotive, preventive, the nurse and restorative health
curative and restorative care delivery system in
health care delivery community and
system in community and institutions, Health
institutions. promotion and primary
• Health promotion and health care,
primary health care. Independent practice
• Independent practice issues: - Independent
issues: - Independent Nurse-midwifery
Nurse-midwifery practitioner, 3. Students
practitioner. Collaboration issues seminar on
• Collaboration issues and and models-within and models of
models-within and outside outside Nursing, prevention
Nursing. 3.Describe disaster Models of Prevention,
• Models of Prevention, nursing in detail Family Nursing, Home
• Family Nursing, Home Nursing, Gender
Nursing, sensitive issues and 4. Visit to old
• Gender sensitive issues women empowerment., age home
and women Disaster Nursing,
empowerment. Geriatric considerations
• Disaster Nursing. in Nursing, Evidence
94
• Geriatric considerations based Nursing practice-
in Nursing. best practices
• Evidence based Nursing And Trans-cultural
practice- best practices Nursing.
• Trans-cultural Nursing.
10 Computer applications To cover the Use of 25

for patient care delivery computers in teaching, 1. Didactic
system and Nursing 1.Explain the use learning, research and lecture through
Practice of computers in Nursing practice, power point
• Use of computers in teaching, learning , Windows, MS office: projections
teaching, learning, research and Word, Excel, Power
research and Nursing nursing practice Point, Internet,
practice. literature search,
• Windows, MS office: Statistical packages,
Word, Excel, Power Point, Hospital management
• Internet, literature information system: 2.Teachers
search, 2.Decribe hospital software. seminar on
• Statistical packages, management statistical
• Hospital management information packages
information system: system
software.
Assessment techniques for Theory

• Monthly teat (objective type)
• Sessional Examination Objective structured clinical examination (OSCE)
• Pre University Examination (OSCE)
• Assignment
• Project work
• Practice teaching
• Annotated references from journals
Assessment techniques for practical
• Sessional Examination =Objective structured practical examination
(OSPE)
• Pre University Examination (OSPE)
• Clinical conference
• Nursing Rounds
• Clinical assignments
• Clinical evaluation
Clinical Training
• Specialty area- in-patient unit - 2 weeks
• Community health center/PHC - 2 weeks
• Emergency/ICU - 2 weeks
Teaching and Clinical Hours
Total Hours of Instructions is 350 Hrs Out of which theory is 150 hours and practical is 200
hours
Research Responsibilities:
➢ Identified and implement research based innovations for improving client care,
organizations and systems
➢ Identify, conduct and support research as primary investigator or collaborator
95
➢ Evaluate current practice at individual and system levels in light of research findings
➢ Collect data on and evaluate the outcome of, advanced nursing practice for clients, the
nursing profession and health care system
➢ Critique , interpret, apply and disseminate evidence based findings
Obstetric and gynecological Nursing
Placement: Second Semester Hours of Instruction
Theory & Practical Credit: 6 Credits (90hrs)
Clinical: 12 Credits (360hrs)
PREAMBLE:
Obstetrical nursing, also called Perinatal nursing, is a nursing specialty that works with
experiencing pregnancy complications, care during labour and delivery, and care of patients
following delivery. Obstetrical nurses work closely with obstetrician and midwives. They give
necessary supervision, care and advice to women during pregnancy labour and post partum
period.
Obstetrical nurses conducts deliveries and responsible to render care to the new born and
the infant and perform postoperative care on a surgical unit, stress test evaluations, cardiac
monitoring, vascular monitoring, and health assessments, besides sexual and reproductive
health of women throughout their lives. Obstetrical nurses are required to possess
specialized skills such as electronic foetal monitoring, nonstress test, neonatal resuscitation,
and medication administration by continuous intravenous drip.
clinics, labour& delivery units, ante partum units, postpartum units, operation theatre
reproductive systems (vagina, uterus, and ovaries) and the breast. Literally, outside
medicine, the term means "the science of women". Its counterpart is andrology which deals
with medical issues specific to the male reproductive system. A professional in midwifery is
known as a midwife.
Goal :
96
To assist students in developing expertise and in depth understanding in the field of
Obstetric and Gynecological Nursing so that they appreciate the client as a holistic
individual and develop skill to function as an independent midwifery practitioner (to
function as educator, manager, and researcher in the field of Obstetric and Gynecological
nursing).
OBJECTIVES:
• Describe the concepts of biophysical, psychological and spiritual aspects of normal

• Provide comprehensive nursing care to women during reproductive period and
newborns.
• Integrate the concepts of family centered nursing care and nursing process approach
in obstetric and gynecological nursing.
• Identify and analyze the deviations from normal birth process and refer
appropriately.
• Describe the pharmacological agents, their effects during pregnancy, Counsel
adolescents, women and families on issues pertaining to pregnancy, child birth and
lactation
DURATION:
• The candidate should be a Registered Nurse and Registered midwife or

• The minimum education requirements shall be the passing of: B.Sc. Nursing /
B.Sc. Hons. Nursing / Post Basic B.Sc. Nursing with minimum of 55%
aggregate marks.
97
• The candidate should have undergone in B.Sc. Nursing / B.Sc. Hons. Nursing /
Post Basic B.Sc. Nursing in an institution which is recognized by Indian
Nursing Council.
• Minimum one year of work experience after Basic B.Sc. Nursing.
• Minimum one year of work experience prior or after Post Basic B.Sc. Nursing.
• Candidate shall be medically fit.
• 5% relaxation of marks for SC/ST candidates may be given.
INTAKE CAPACITY:
5 Seats per year
➢ Nurse clinician
➢ Nurse educators
➢ Researcher
➢ Administrator
➢ Practitioner
➢ Manager
➢ Planner
➢ Policy maker
➢ Counselor
➢ Forensic nurse
➢ Hospice nurse
CORE DEPARTMENT:
Department of obstetrics and gynecological nursing, department of pediatric nursing,
department of community health nursing
FEE STRUCTURE:
TEACHING STRATEGIES
• Antenatal assessment-20
• Postnatal assessment-20
98
• Setting up of delivery areas
• Insertion of intra uterine devices( copper T)

• Seminar
• Debate
• Field visits
Procedures observed
• Diagnostic investigations : amniotcentecis, chordocentecis, chorionic villi sampling
• Infertility management: artificial reproduction : artificial insemination, invitro

fertilization, and related procedures
Procedures assisted
Medical termination of pregnancy,
CLINICAL TRAINING
S.No. Deptt./Unit No. of Week
99
1 Maternity OT 1
2 Family Planning Clinics 1
3 Labour room 4
4 Postnatal Ward 3
5 NICU & PICU 2
4 Community Health Centre 1
Total Credit 12
Total credit of instructions is 18 out of which theory is 2 credit is theory / practical and
clinical is16 Credit
ASSESSMENT
100
Domain
S.No Topic Domain Cognitive Affective Psychomotor
Normal Labour and nursing Describe the role

management hormones in
4 causation of
Second stage labour
Must to
Explain the
Physiology , intrapartum know Monitors the
physiology of
monitoring and nursing Second
labour
management. stage of
Critically analysis labour
Resuscitation , immediate the plotted
newborn care and initiate breast partograpgh for Records the
feeding (Guidelines of National early detection of progress of
abnormal labour and
neonatalogy forum of India)
progress of condition of
Third stage labour. mother and
Must to fetus on
Discusses the partograph
• Physiology and nursing know importance
management analgesia and
anesthesia in
Fourth stage – Observation, obstetric
critical analysis and Nursing
Monitors Conduct the
management.
maternal and delivery of
Various child birth practice: fetal well being foetus
water birth, position change etc Must to during the child
know birth process
• Evidence based practice in Provide
Keeps the
relation to labour intervention immediate
resuscitation
nursing care
equipment ready
Role of nurse midwifery to newborn
for emergency
practitioner•
Alternative/complementary Explain the
101
therapies Physiology
changes during
third stage of Observe
labour maternal
condition for
Explain the postpartum
various child birth haemmorage
practices
Describe the role
of nurse
practioner.
5 Normal puerperium and

nursing management
Must to
Physiology of puerperium know Identifies the
physiological
Physiology of lactation, changes during
puerperium
lactation management,
exclusive breast
feeding ,Baby friendly hospital

Makes post
intitative(BFHI)
Describes the natal
common assessment
Assessment of postnatal discomfort of a risk factors
women . postnatal mother
Advices
Minor discomforts and nursing
complications of puerperium measure for
discomfort in Assume the
Management of mothers postnatal
Role of nurse
during puerperium: Postnatal period
midwifery
exercises Rooming in, practitioner
bonding, warm chain
Evidence based studies
Role of nurse midwifery

practitioner
102
Alternative/complementary
therapies
6 Normal Newborn
Physiology and characteristics Desirabl

of normal newborn e to Makes the
know Physical and
Physical and Behavioural Render
behavior essential
assessment of newborn Desirabl
assessment of newborn
e to care.
Needs of newborn newborn
know
Essential newborn care:
Exclusive breast feeding,
Immunization, Hygiene
measures, Newborn nutrition Desirabl
e to
know
Organization of neonatal care,
services(Levels), transport,
Desirabl
neonatal intensive care unit, Participates
e to
organization and management in
know
of organization
neonatal
nursing services in NICU intensive
Observation and care of care unit
newborn
Parenting process Must to

know
7 Pharmoco dynamics in Classify the drugs Discusses the

obstetrics Must to used in obstetrics drugs
know affecting
• Drugs used in pregnancy,
developing
pregnancy, labour,
embryo and
post partum and foetus
newborn
• Calculation of drug
dose and
administration
• Effects of drugs used
103
• Anaesthesia and
analgesia in obstetrics
• Roles and Follows the
responsibilities of Standing
midwifery nurse orders and
practitioner Describes the role
of nurse in protocols for
• Standing orders and use of
administration of
protocols and use of medication in selected life
selected life saving pregnancy and saving
• drugs and labour,
interventions of intervenes
obstetric emergencies of obstetric
approved by the emergencies
MOHFW as approved
by the
MOHFW
10 Menopause
Must
Physiological, psychological know Describe the
and social aspects Physiological,
psychological and
Hormone Replacement social aspects of
Therapy menopause
Surgical menopause
Counseling and guidance
Role of midwifery nurse

practitioner.
11 Abortion Must to Identifies the

common causes
Types, causes know of bleeding in
early pregnancy
Legislations, Clinical rights
and professional responsibility
Explains the
Abortion procedures Legislations,
Clinical rights and
Complications professional
responsibility
Nursing management
Role of midwifery nurse

practitioner
104
Second Semester
CURRICULUM
S.No Contents Of The Topics Learning Objectives Teaching Methodology Time

(At The End Of The Objectives
Session The Student
Should Be Able To )
4 Normal Labour and Describe the role To cover Second 15
nursing management hormones in stage hrs
Second stage causation of labour Physiology , SIS
Physiology , intrapartum Explain the physiology intrapartum
monitoring and nursing of labour monitoring and
management. Critically analysis the nursing
plotted partograpgh SIS
Resuscitation , immediate management.
newborn care and initiate for early detection of Resuscitation ,
breast feeding (Guidelines abnormal progress of immediate
labour. newborn care and PBL
of National neonatalogy
forum of India) Discusses the initiate breast
Third stage importance analgesia feeding Demonstrati
• Physiology and nursing and anesthesia in (Guidelines of on
management obstetric National
Fourth stage – Observation, Monitors maternal neonatalogy
critical analysis and and fetal well being forum of India) FGD
Nursing management. during the child birth Third stage
Various child birth practice:
process • Physiology and
water birth, position change
Keeps the nursing
etc
resuscitation management
equipment ready for SIS
• Evidence based practice in Fourth stage –
emergency Observation,
relation to labour
Explain the Physiology critical analysis SIS
intervention
changes during third and Nursing
Role of nurse midwifery
stage of labour management.
practitioner•
Explain the various Various child birth
Alternative/complementary
child birth practices practice: water
therapies
Describe the role of birth, position
nurse practioner. change etc
• Evidence based SIS
practice in relation
to labour
intervention
Role of nurse SIS
105
midwifery
practitioner•
Alternative/compl
ementary
therapies
V Normal puerperium and 1.Explain the Normal To cover 1.Students 20
nursing management puerperium Physiology of seminar on
Physiology of puerperium puerperium Physiology of
Physiology of lactation, Physiology of puerperium
lactation management, 2.Discuss the lactation, Physiology of
exclusive breast Assessment of lactation lactation,
feeding ,Baby friendly postnatal women . management, lactation
hospital intitative(BFHI) exclusive breast management
Assessment of postnatal feeding ,Baby , exclusive
women . 3.Enlist the steps of friendly hospital breast
Minor discomforts and Postnatal intitative(BFHI) feeding ,Baby
complications of exercises Rooming in, Assessment of friendly
puerperium bonding, warm chain postnatal hospital
Management of women . intitative(BF
mothers during Minor HI)
puerperium: Postnatal discomforts and
exercises Rooming in, complications of
bonding, warm chain 4. Enlist the role of puerperium 2. Group
Evidence based studies nurse in evidence Management of Discussion on
Role of nurse midwifery based nursing mothers during Assessment
practitioner practice. puerperium: of postnatal
Alternative/complementa Postnatal women .
ry therapies exercises Minor
Rooming in, discomforts
bonding, warm and
chain complication
Evidence based s of
studies puerperium
Role of nurse Management
midwifery of mothers
practitioner during
Alternative/com puerperium:
plementary Postnatal
therapies exercises
Rooming in,
bonding,
warm chain
3.Simulation
learning on
evidence
based
nursing
practice.
106
VI Normal Newborn 1.Enumerate the To cover 1. Didactic 20
Physiology and Physiology and Physiology and lecture
characteristics of normal characteristics of characteristics of through
newborn normal newborn normal newborn power point
Physical and Behavioural Physical and Physical and projections
assessment of newborn Behavioural Behavioural
Needs of newborn assessment of assessment of 2.Students
Essential newborn care: newborn newborn seminar on
Exclusive breast feeding, Needs of newborn Needs of Parenting
Immunization, Hygiene Essential newborn newborn process
measures, Newborn care: Exclusive breast Essential
nutrition feeding, newborn care: 3. visit to N
Organization of neonatal Immunization, Exclusive breast ICU
care, services(Levels), Hygiene measures, feeding,
transport, Newborn nutrition Immunization,
neonatal intensive care Hygiene
unit, organization and measures,
management of Newborn
nursing services in NICU nutrition
Observation and care of Organization of
newborn neonatal care,
Parenting process services(Levels),
transport,
neonatal
intensive care
unit,
organization and
management of
nursing services
in NICU
Observation and
care of newborn
Parenting
process
VII Pharmoco dynamics in 1.Describe the Drugs To cover Drugs 10

obstetrics used in pregnancy, used in 1. . Didactic
Drugs used in pregnancy, labour, post partum pregnancy, lecture
labour, post partum and and newborn labour, post through
newborn partum and power point
Calculation of drug dose newborn projections
and administration Calculation of
Effects of drugs used drug dose and
Anaesthesia and 2.Enlist the various administration
analgesia in obstetrics methods of Effects of drugs 2.Teachers
Roles and responsibilities Calculation of drug used seminar on
107
of midwifery nurse dose and Anaesthesia and methods of
practitioner administration analgesia in Calculation
Standing orders and Effects of drugs used obstetrics of drug dose
protocols and use of Anaesthesia and Roles and and
selected life saving analgesia in obstetrics responsibilities administratio
drugs and interventions of midwifery n
of obstetric emergencies 3.Describe the Roles nurse Effects of
approved by the MOHFW and responsibilities of practitioner drugs used
midwifery nurse Standing orders Anaesthesia
practitioner and protocols and analgesia
Standing orders and and use of in obstetrics
protocols and use of selected life
selected life saving saving 3.Students
drugs and drugs and seminar on
interventions of interventions of Roles and
obstetric emergencies obstetric responsibiliti
approved by the emergencies es of
MOHFW approved by the midwifery
MOHFW nurse
practitioner
Standing
orders and
protocols
and use of
selected life
saving
drugs and
interventions
of obstetric
emergencies
approved by
the MOHFW
VIII Family welfare services 1.Explain the Roles To cover 10
Population dynamics and responsibilities of Population 1.Group
Demography trends: midwifery nurse dynamics discussion on
vital statistics, calculation practitioner Demography Population
of indicators Standing orders and trends: vital dynamics
especially maternal and protocols and use of statistics,
neonatal mortality rates selected life saving calculation of Demography
and problems drugs and indicators trends: vital
and other health interventions of especially statistics,
problems obstetric emergencies maternal and calculation of
Recent advancement in approved by the neonatal indicators
contraceptive technology MOHFW mortality rates especially
Role of nurses in family and problems maternal and
welfare programmes in and other neonatal
all settings 2.Discuss the Role of health problems mortality
Role of independent nurses in family Recent rates and
108
nurse midwifery welfare programmes advancement in problems
practitioner in all settings contraceptive and other
Family life education Role of independent technology health
Evidence based studies nurse midwifery Role of nurses problems
Information, Education practitioner in family welfare
and Communication(IEC) 3.Enumerate the programmes in 2.Teacher
Management Family life education all settings seminar on
information and Evidence based Role of Role of
evaluation system(MIES) studies independent nurses in
Teaching and Information, nurse midwifery family
supervision of health Education and practitioner welfare
team members Communication(IEC) Family life programmes
Management education in all settings
information and Evidence based Role of
evaluation studies independent
system(MIES) Information, nurse
Teaching and Education and midwifery
supervision of health Communication(I practitioner
team members EC)
Management 3.Integrated
information and teaching on
evaluation Family life
system(MIES) education
Teaching and Evidence
supervision of based studies
health team Information,
members Education
and
Communicati
on(IEC)
Management
information
and
evaluation
system(MIES)
IX Infertility 1.Discuss the Primary To cover the 1. Didactic 5

Primary and secondary and secondary causes Primary and lecture
causes of infertility secondary through
Diagnostic procedures Diagnostic causes power point
Counseling: ethical and procedures Diagnostic projections
legal aspects of assisted Counseling: ethical procedures
reproductive and legal aspects of Counseling:
technology(ART) assisted reproductive ethical and legal 2. Group
Recent advancement in technology(ART) aspects of discussion on
infertility management. assisted Recent
Adoption procedures 2.Explain the reproductive advancement
109
Role of nurses in Recent advancement technology(ART) in infertility
infertility management. in infertility Recent management
management. advancement in .
Adoption procedures infertility Adoption
Role of nurses in management. procedures
infertility Adoption Role of
management. procedures nurses in
Role of nurses infertility
in infertility management
management. .
best practices
And Trans-
cultural Nursing. 4. Visit to
infertility
clinic
X Menopause 1.Explain the To cover 1. Didactic 5

Physiological, Physiological, Physiological, lecture
psychological and social psychological and psychological through
aspects social aspects and social power point
Hormone Replacement aspects projections
Therapy Hormone 2.Teachers
Surgical menopause Replacement seminar on
Counseling and guidance Therapy Hormone
Role of midwifery nurse Surgical Replacement
practitioner 2.Decribe Hormone menopause Therapy
Replacement Therapy Counseling and Surgical
Surgical menopause guidance menopause
Counseling and Role of Counseling
guidance midwifery nurse and guidance
Role of midwifery practitioner Role of
nurse practitioner midwifery
nurse
practitioner
XI Abortion 1.Explain the Types, To cover 1.Teachers 5
Types, causes causes Legislations, Abortion seminar on
Legislations, Clinical Clinical rights and Types, causes Types, causes
rights and professional professional Legislations, Legislations,
responsibility responsibility Clinical rights Clinical rights
Abortion procedures and professional and
Complications 2.Decribe Abortion responsibility professional
Nursing management procedures Abortion responsibility
Role of midwifery nurse Complications procedures Abortion
practitioner Nursing Complications procedures
management Nursing
Role of midwifery management Complication
nurse practitioner Role of s
midwifery nurse 2. group
110
practitioner discussion on
Complication
s
Nursing
management
Role of
midwifery
nurse
practitioner
FACULTY OF NURSING, SGT UNIVERSITY

M.SC. NURSING (SECOND SEMESTER)
CHILD HEALTH NURSING
Paper Code:
Theory : 90 hours(6credits)
Practical : 360 hours(12credits)
PREAMBLE
Pediatrics is the branch of medicine that deals with the medical care of infants, children,
work.
GOALS
This course is aimed at developing an understanding of the modern approach

to childcare, the common health problems of children and neonates in health
and sickness.
OBJECTIVES:
111
1. Appreciate the history and developments in the field of pediatrics and pediatric nursing as
a specialty
and their families.
risk neonates
13. Teach pediatric nursing to undergraduate students & in-service nurses
DURATION:

aggregate marks.
• The candidate should have undergone in B.Sc. Nursing / B.Sc. Hons. Nursing
/ Post Basic B.Sc. Nursing in an institution which is recognized by Indian
Nursing Council.
INTAKE CAPACITY:
5 Seats per year
➢ Nurse clinician
➢ Nurse educators
112
➢ Researcher
➢ Administrator
➢ Practitioner
➢ Manager
➢ Planner
➢ Policy maker
➢ Counselor
➢ Forensic nurse
➢ Hospice nurse
CORE DEPARTMENT:
Department of pediatric nursing ,Department of obstetrics and gynecological nursing, department
of community health nursing
FEE STRUCTURE:
TEACHING STRATEGIES

• Project work
• Field visits
Procedures observed
• Diagnostic investigations : amniocentesis, chorionic villus sampling

• Umbilical catheterisation
CLINICAL TRAINING
1 Pediatric Medicine Ward 2 60 Hours
113
2 Pediatric Surgery Ward 2 60 Hours
3 Pediatric OPD 2 60 Hours
4 Creche 1 30 Hours
5 Community 4 120 Hours
TOTAL 11 weeks 330hours
Total credit of instructions is 14 out of which theory is 3 credit is theory and

practical is10 Credit
Assessment
The M.Sc. course is assessed through essay type and objective type a written
multiple choice test and a practical test.
Grade Points:
A 10- point grading system with corresponding letter grades and percentage of
marks, as given below, is followed Letter Grade Point Percentage of marks:

Ab (Absent) 0
114
S.No Topic Teaching Guidelines Time
I. Neonatal Nursing 20hrs

-Identification and classification of neonates with Nice to know
infections,
-HIV & AIDS, Ophthalmia neonatorum, congenital Must to Know
syphilis.
-High risk new born- Identification, classification and
Desirable to know
nursing management Organization of neonatal care,
services(Levels), transport, neonatal intensive care unit, Nice to know
organization and management of nursing services in
NICU.
II. I Hospitalized child 10 Hrs
• Meaning of hospitalization of the child, Desirable to know
preparation for hospitalization, Must to know
• Effects of hospitalization on the child and family Must to know
Stressors and reactions related to developmental
stages
• Play activities for ill hospitalized child. Nice to know
Must to know
• Nursing care of hospitalized child and family -
principles and practices
III. I Behavioral Pediatrics and Pediatric Nursing 15 Hrs
I • Parent child relationship, Desirable to know
• Basic behavioral pediatric principles and specific Must to know
behavioral problems
• Pediatric concepts/disorders- maternal
deprivation, failure to thrive, child abuse, the Must to know
battered child,
Need to know
• Common behavioral problems and their
management, Need to know
• Child guidance clinic.
IV. I Preventive Pediatrics and Pediatric Nursing Desirable to know 15Hrs
I • Concept, aims and scope of preventive pediatrics, Must to know
I • Maternal health and its influence on child health Must to know
antenatal aspects of preventive pediatrics,
Immunization, expanded program on Must to know
immunization/ Must to know
universal immunization program and
cold chain,
• Nutrition and nutritional requirements of Must to know
115
children, changing patterns of feeding
• Baby- friendly hospital initiative and exclusive Must to know
breast feeding,
• Health education, nutritional education for Desirable to know
children
• Nutritional programs Nice to know
• National and international organizations related Nice to know
to child health, Nice to know
• Role of pediatric nurse in the hospital and
community. Need to know
V. I IMNCI Must to know 30 Hrs
V(Integrated management of neonatal and childhood
illnesses)
Curriculum
I Neonatal Nursing Describe To Cover 20hrs

-Identification and classification of identification and Identification and SIS
neonates with infections, classification of classification of
-HIV & AIDS, Ophthalmia neonates with neonates with PBL
neonatorum, congenital syphilis. infections infections,
High risk new born- Identification, Describe HIV & -HIV & AIDS,
Teacher
classification and nursing AIDS, Ophthalmia Ophthalmia Seminar
management Organization of neonatorum, neonatorum,
neonatal care, services(Levels), congenital syphilis congenital syphilis. FGD
transport, neonatal intensive care Describe High risk High risk new born-
unit, organization and management new born- Identification, SIS
of nursing services in NICU. Identification, classification and
classification and nursing management
nursing management Organization of
neonatal care, services(Levels),
services(Levels), transport, neonatal
transport, neonatal intensive care unit,
intensive care unit, organization and
organization and management of
management of nursing services in
nursing services in NICU.
NICU.
II Hospitalized child Describe the major To cover Meaning of 10 H
• Meaning of hospitalization functions and role hospitalization of Conventional o
of the child, preparation of the paediatric the child, method u
for hospitalization, effects nurse in caring for a preparation for r
of hospitalization on the hospitalized child. hospitalization, Teaching s
child and family Stressors effects of seminar
and reactions related to hospitalization on
developmental stages, play
Describe the the child and family Problem
activities for ill principles of child Stressors and based
hospitalized child. health nursing. reactions related to learning
• Nursing care of developmental
hospitalized child and stages, play
family -principles and activities for ill
116
practices hospitalized child.
Nursing care of
hospitalized child
and family -
principles and
practices
III Behavioral Pediatrics and Describe the To cover Parent child 15 H
Pediatric Nursing management of relationship, o
• Parent child relationship, behavioral disorders Basic behavioral Student u
and common health
• Basic behavioral pediatric problems of children,
pediatric principles seminar r
principles and specific and specific Teaching s
Demonstrate skills seminar
behavioral problems in the prevention & behavioral pediatric
• pediatric concepts/disorders- implementation of concepts/disorders-
maternal Interactive
maternal deprivation, failure medical & nursing
deprivation, failure seminar
to thrive, child abuse, the management of
behavioral disorders& to thrive, child Unconventio
battered child,
nal method
• Common behavioral problems common health abuse, the battered
problems. child,
and their management,
• Child guidance clinic. Common behavioral
problems and their
management, Child
guidance clinic
IV Preventive Pediatrics and Discuss concept of To cover maternal
Pediatric Nursing preventive pediatrics. health and its Demonstration 15
• Concept, aims and scope of influence on child Hours
health antenatal Simulation.
preventive pediatrics, Appreciate the
• Maternal health and its preventive aspects of
influence on child health measures and preventive Visit to
antenatal aspects of strategies for pediatrics, anganwadi
preventive pediatrics, Immunization, baby- schools,
children
Immunization, expanded friendly hospital remand homes
program on immunization/ initiative, breast & adoption
universal immunization feeding centers
program and Identify the
cold chain, nutritional needs of Health education, Teaching
children at different seminar
• Nutrition and nutritional nutritional education
requirements of children, ages and ways of for children
Student
changing patterns of feeding, meeting the needs Nutritional programs seminar
baby- friendly hospital
initiative and exclusive breast National and
feeding, international
• Health education, nutritional organizations related
education for children to child health,
• Nutritional programs
• National and international Role of pediatric
organizations related to child nurse in the hospital
health, and community.
• Role of pediatric nurse in the
hospital and community.
V IMNCI Discuss the To cover Integrated Student
(Integrated management of management of management of seminar 30Hrs
neonatal and childhood illnesses) neonatal illness, neonatal and Interactive
childhood illnesses seminar
117
FACULTY OF NURSING, SGT UNIVERSITY
M.SC. NURSING (SECOND SEMESTER)
MENTAL HEALTH NURSING
Theory : 90 hours
Practical : 360 hours
Credit hours : 6 (Theory)
Skill/clinical : 12
PREAMBLE
The Mental Health Nurse provides a critical role in the delivery of health care services related
to Mental Health. As experts in the assessment of patients in order to diagnose and treat
mental and emotional health disorders, the Mental Health Nurse acts as one of the primary
care givers for Mental Health patients. There are two distinct levels of Mental Health nursing
basic and advanced. As you gain more experience and education as a Mental Health nurse,
your job expectations will also change and grow. For many who are undergoing a Mental
Health crisis the establishment of patient rapport is absolutely key and the sooner this
happens as they enter into the Healthcare system the better.
The Mental Health Nurse is often the first point of contact by a care provider with the client
and so they have an opportunity to establish a relationship with the client right away so the
client can begin to feel safe and comfortable as they grow through the incredibly vulnerable
process of healing during a Mental Health crisis. Psychiatric mental health nurses also work
in rehabilitation settings where people are recovering from a crisis episode and where the aim
is social inclusion and a return to living independently in society. These nurses are sometimes
referred to as community psychiatric nurses Psychiatric mental health nurses also work
in forensic psychiatry with people who have mental health problems and have committed
crimes.
GOALS
This course is designed to assist students in developing expertise and in-

depth understanding in the field of Psychiatric Nursing. It will help students
to appreciate the client as a holistic individual and develop skill to function
psychiatric nurse specialist . It will further enable the student to function as
educator, manager, and researcher in the field of Psychiatric nursing
118
OBJECTIVES:

1. Appreciate the trends and issues in the field of psychiatry and psychiatric nursing.
2. Explain the dynamics of personality development and human behaviour.
3. Describe the concepts of psychobiology in mental disorders and its implications for
psychiatric nursing
4. Demonstrate therapeutic communications skills in all interactions
5. Demonstrate the role of psychiatric nurse practitioner in various therapeutic modalities
6. Establish and maintain therapeutic relationship with individual and groups
7. Uses assertive techniques in personal and professional actions
8. Promotes self-esteem of clients, others and self
9. Apply the nursing process approach in caring for patients with mental disorders
10. Describe the psychopharmacological agents, their effects and nurses role
11. Recognize the role of psychiatric nurse practitioner and as a member of the psychiatric
and mental health team
12. Describe various types of alternative system of medicines used in psychiatric settings
of psychiatric nursing
DURATION:
xv. The candidate should be a Registered Nurse and Registered midwife or equivalent
with any State Nursing Registration Council.
xvi. The minimum education requirements shall be the passing of: B.Sc. Nursing /
marks.
xvii. The candidate should have undergone in B.Sc. Nursing / B.Sc. Hons. Nursing /
Council.
xviii. Minimum one year of work experience after Basic B.Sc. Nursing.
xix. Minimum one year of work experience prior or after Post Basic B.Sc. Nursing.
xx. Candidate shall be medically fit.
xxi. 5% relaxation of marks for SC/ST candidates may be given.
INTAKE CAPACITY:
5 Seats per year
119
➢ Nurse clinician
➢ Nurse educators
➢ Researcher
➢ Administrator
➢ Practitioner
➢ Manager
➢ Planner
➢ Policy maker
➢ Counselor
➢ Forensic nurse
➢ Hospice nurse
CORE DEPARTMENT:
Department of psychiatric nursing , Department of clinical psychology.
FEE STRUCTURE:
TEACHING STRATEGIES
• History taking • Play therapy
• Mental health assessment • music therapy
• Psychometric assessment • Pet therapy •
• Personality assessment • Counselling
• Process recording • Assisted ECT
• Therapies- Group Therapy • Assisted EEG
• Family Therapy • Case studies
• Psychotherapy • Case presentation
• Milieu Therapy • Project work
• The Therapeutic Community • Socio and psycho drama
• Occupational therapy • Field visits
CLINICAL TRAINING
1 Acute Psychiatric Ward 2 60 Hours
2 Chronic Psychiatric Ward 2 60 Hours
3 Psychiatric emergency unit 1 30 Hours
5 O.P.D 1 30 Hours
6 Community Mental Health Nursing 2 60 Hours
120
Rehabilitation / Occupational Therapy Unit/Half 60 Hours
7 way home/ Day care centre 2
8. Family psychiatric unit 2 60 Hours
8 TOTAL 12 weeks 360 hours
Total credit of instructions is 18 out of which theory is 6 credit is theory and practical is12 Credit
Assessment
The M.Sc. course is assessed through essay type and objective type a written multiple choice test and
a practical test.
Grade Points:
A 10- point grading system with corresponding letter grades and percentage of marks, as given below,
is followed Letter Grade Point Percentage of marks:
Ab (Absent) 0
121
MENTAL HEALTH NURSING
Theory : 90 hours
Practical : 360 hours
Total : 450 hours
Credit hours : 6 (Theory)
Skill/clinical : 12
S.No Topic Teaching Guidelines Time
I Promoting Self-Esteem 11Hours

• Components of Self-Concept Must to know
• The Development of Self-Esteem Must to know
• The Manifestations of Low-Self-Esteem Must to know
Boundaries
• Role of The Nurse Must to know
II Women and Mental Health 05Hours

• Normal reaction to conception, pregnancy Desirable to know
and puerperium
• Problems related to conception, pregnancy Desirable to know
and puerperium and its management.
• Counselling – Premarital, marital and genetic Need to know
III The nursing process in psychiatric/mental health 10

nursing Hours
• Mental health assessment- History taking, Must to know
mental status examination Physical and
neurological examination
• Psychometric assessment Investigations, Must to know
Diagnosis and Differential diagnosis
Interpretation of investigations
• Nurse’s role Nursing case management Must to know
• Critical pathways of care
Documentation
• Problem-oriented recording
• Focus charting
• The PIE method Desirable to know
122
IV Psycho social and physical therapies
• Individual therapy Must to know 35Hrs
• Behavioural Therapy-Relaxation therapy, Must to know
cognitive therapy, positive- negative
reinforcement, bio-feedback, guided
imagery, ab-reactive therapy
• Group Therapy Must to know
• Family Therapy Must to know
• Milieu Therapy Must to know
• The Therapeutic Community Must to know
Desirable to know
Need to know
Need to know
• Play therapy Need to know
• Music therapy Need to know
• Light therapy Need to know
• Color therapy Need to know
• Aroma therapy Need to know
V Electroconvulsive Therapy 05 Hours
• Historical Perspectives Need to know
• Indications Must to know
• Contraindications Must to know
• Mechanisms of Action Desirable to know
• Side Effects Must to know
• Risks Associated with Electroconvulsive Need to know
Therapy
Must to know
• The Role of The Nurse in Electroconvulsive
Therapy
VI Alternative systems of medicine in mental health 10 Hours
• Types of Therapies Desirable to know
• Herbal Medicine Desirable to know
• Unani Desirable to know
• Siddha Desirable to know
• Homeopathic Desirable to know
• Acupressure and Acupuncture Desirable to know
Desirable to know
• Diet and Nutrition • Chiropractic Medicine
Desirable to know
• Therapeutic Touch and Massage
Desirable to know
• Yoga
Desirable to know
• Explain Pet Therapy
VI Psychopharmacology 15 Hours
Historical Perspectives Need to know
Role of a Nurse in Psychopharmacological Therapy Must to know
• Antianxiety Agents Must to know
• Antidepressants Agents Must to know
• Mood stabilizers Must to know
• Antipsychotics Must to know
• Sedative-Hypnotics Must to know
• Central Nervous System Stimulants Must to know
Future developments Desirable to know
123
CURRICULUM
I Promoting Self-Esteem Explain the concept of To cover Meaning of 11 H

• Components of self esteem and its self esteem, Conventional o
Self-Concept importance for promoting components of self method u
• The Development mental health. esteem, development of Teaching r
of Self-Esteem Explain the symptoms of self esteem, barriers in seminar s
• The low self esteem and role developing self esteem. Problem
Manifestations of of nurse Sign and symptoms of based
Low-Self-Esteem low self esteem, learning
Boundaries boundaries of self Interactive
• Role of The Nurse esteem and role of seminar
nurse
II Women and Mental Describe the normal To cover normal and 05Ho
Health reaction to pregnancy and abnormal psychological Student urs
• Normal reaction to puerperium with various reaction of women seminar
problems related to during pregnancy and
conception,
pregnancy and pregnancy and in puerperium, various Interactive
puerperium puerperium. problems related to seminar
Explain the – Premarital, conception
• Problems related and
marital and genetic puerperium like post
to conception,
Counselling partum depression etc Unconventio
pregnancy and
puerperium and its and pre marital marital nal method
management. and genetic counseling.
• Counselling –
Premarital, marital
and genetic
III The nursing process in Discuss concept of To cover Mental health
psychiatric/mental health nursing process in assessment- History 10
nursing psychiatric/mental health taking, mental status Demonstration Hours
• Mental health nursing. examination Physical
assessment- and neurological
History taking, Explain the various examination , mini Visit to foster
mental status health assessment mental status home and
examination techniques and role of examination, their need orphanage
Physical and nurse in assessment and and importance in home
neurological recording psychiatry.
examination
To cover Psychometric
124
• Psychometric assessment
assessment Investigations, Interactive
Investigations, Diagnosis and seminar
Diagnosis and Differential diagnosis
Differential Interpretation of
diagnosis investigations, Nurse’s
Interpretation of role Nursing case
investigations management
• Nurse’s role
Nursing case
management
• Critical
pathways
of care
Document
ation
• Problem-
oriented
recording
• Focus
charting
• The PIE method
IV Psycho social and Discuss the various kinds To cover various kinds
physical therapies of psychotherapies with of psychotherapies: Teacher 35Hrs
• Individual role of nurse Individual therapy seminar
therapy Behavioural Therapy Teacher
• Behavioural Group Therapy, Family seminar
Therapy- Therapy , Milieu
Relaxation Therapy, The
therapy, cognitive Therapeutic
therapy, positive- Community
negative ,Occupational therapy Teacher
reinforcement, Recreational therapy seminar
bio-feedback, ,Play therapy Music Teacher
guided imagery, therapy, Light therapy semi
ab-reactive Color therapy , Aroma nar
therapy therapy and role of
• Group Therapy nurse
• Family Therapy Student
• Milieu Therapy seminar
• The Therapeutic
Student
Community
seminar
• Occupational
therapy Student
• Recreational seminar
therapy Student
• Play therapy seminar
• Music therapy
• Light therapy
• Color therapy
• Aroma therapy
V Electroconvulsive Explain the concept of To cover Historical Demonstratio 05
Therapy ECT, its importance , Perspectives n Hours
• Historical indications , side effects Indications
Perspectives and role of nurse Contraindications
125
Indications Mechanisms of Action, Visit to ECT
Contraindications Side Effects , Risks room
• Mechanisms of Associated with
Action Electroconvulsive
• Side Effects Therapy, The Role of
• Risks Associated nurse in ECT
with
Electroconvulsive
Therapy
• The Role of The
Nurse in
Electroconvulsive
Therapy
VAlternative systems of Explain the various To cover various therapiesVisit to 10
I medicine in mental therapies used in under alternative auyurveda Hours
health Alternative systems of systems of medicine in hospital for
• Types of medicine in mental health mental health like demonstratio
Therapies Herbal Medicine n
• Herbal Medicine Unani, Siddha,
• Unani Homeopathic Student
• Siddha Acupressure and seminar
• Homeopathic Acupuncture, Diet and
Nutrition , Chiropractic Student
• Acupressure and
Medicine, Therapeutic seminar
Acupuncture
Touch and Massage,
• Diet and Nutrition
Yoga, Pet Therapy
• Chiropractic
Medicine Student
seminar
• Therapeutic Touch
and Massage
Student
• Yoga seminar
• Explain Pet
Therapy
VPsychopharmacology Discuss the historical To cover the historical 15
I Historical Perspectives perspective of perspective of Student Hours
I Role of a Nurse in Psychopharmacology, Psychopharmacology, seminar
Psychopharmacological various drugs and role of various drugs,
Therapy nurse indications, dosage, Teacher
• Antianxiety Agents pharmacokinetics, seminar
• Antidepressants Agents mechanism of action,
• Mood stabilizers side effects, route of Visit to
• Antipsychotics administration and psychiatric
• Sedative-Hypnotics responsibilities of wards and
• Central Nervous System nurse. showing
Stimulants To cover future psycho
Future developments development of therapeutic
psychopharmacology in drugs
India as well as in
abroad
126
Placement: Second Semester Hours Distribution
Theory Hours: 90hrs(6credits)
Practical Hour:360hrs(12credits)
PREAMBLE:
This course is common for the students undergoing clinical speciality-II in neuro science
nursing/cardiovascular & thoracic nursing/critical care nursing/oncology nursing/orthopaedic
and rehabilitation nursing/nephro& urology nursing, gastroenterology nursing/ geriatric
nursing.
It is designed to assist students in developing expertise and in depth knowledge in the field of
medical Surgical Nursing. It will help students to appreciate the patient as a holistic
individual and develop skill to function as a specialized Medical-Surgical Nurse. It will
further enable the student to function as educator, manager and researcher in the field of
Medical – Surgical Nursing.
Objectives:
• Appreciate the trends & issues in the field of Medical – Surgical Nursing as a
speciality.
• Apply concepts & theories related to health promotion.
• Appreciate the client as a holistic individual.
• Perform physical, psychosocial assessment of Medical – Surgical patients.
• Apply Nursing process in providing care to patients.
• Integrate the concept of family centered nursing care with associated disorder such as
genetic, congenital and long-term illness.
• Recognize and manage emergencies with Medical- Surgical patients.
• Describe various recent technologies & treatment modalities in the management of
critically ill patients.
127
• Appreciate the legal & ethical issues relevant to Medical – Surgical Nursing.
• Prepare a design for layout and management of Medical – Surgical Units.
• Appreciate the role of alternative systems of Medicine in care of patients.
• Incorporate evidence based Nursing practice and identify the areas of research in the
field of Medical – Surgical Nursing.
• Recognize the role of Nurse practitioner as a member of the Medical – Surgical health
team.
• Teach Medical – Surgical Nursing to undergraduate nursing students & in-service
nurses.
S.No. Dept/Unit No. of Week Total Hours

1 General Medical Ward 1 30
2 General Surgical Ward 2 60
3 ICUs 2 60
4 Cardio 1 30
6 Oncology 2 60
7 Ortho 2 60
8 Neuro 2 60
Total 12 360
Student Activities:
• History taking
• Health Assessment
• Nutritional Assessment
• Health Education related to disease conditions
• Case studies
• Project work
• Field visits
128
Semester - 2
Paper Code: 04150202
Theory 90 hours
S. Content hours unit credit Semester

No
1 Management of patients with 15 7 3 2
disorders of cardio vascular
system
􀂉 Review of anatomy and
physiology.
􀂉 Common Disorders- etiology,
Patho physiology,Clinical
prognosis.
assessment.
2 Management of patients with 5 8
disorders of blood
physiology.
prognosis.
129
assessment.
􀂉 Related research studies
􀂉 Evidence based nursing practice
􀂉 Rehabilitation and follow-up
disorders of genito urinary
system
physiology.
prognosis.
Health assessment-History taking,
physical examination,
assessment.
4 Management of patients with 10 10 4 credit
disorders of endocrine system
physiology.
prognosis.
assessment.
disorders of musculo-skeletal
system
physiology.
130
prognosis.
assessment.
disorders of integumentory
system
physiology.
prognosis.
assessment.
disorders of Eye and ENT
physiology.
􀂉 Common Disorders-etiology,
prognosis.
assessment.
a) 􀂉 Treatment modalities and
trends.
Nursing management.
a) 􀂉 Rehabilitation and
follow-up.
8 Management of patients with 8 14 5 credit
disorders of reproductive system
physiology.
131
prognosis.
assessment.
9 Geriatric nursing 8 15
􀂉 Nursing Assessment-History and
Physical assessment.
􀂉 Ageing;
􀂉 Demography; Myths and
realities.
􀂉 Concepts and theories of ageing.
􀂉 Cognitive Aspects of Ageing.
􀂉 Normal biological ageing.
􀂉 Age related body systems
changes.
􀂉 Psychosocial Aspects of Aging.
􀂉 Medications and elderly.
􀂉 Stress & coping in older adults.
􀂉 Common Health Problems &
Nursing Management;
􀂉 Psychosocial and Sexual.
􀂉 Abuse of elderly.
􀂉 Role of nurse for care of elderly:
ambulation, nutritional,
communicational, psychosocial and
spiritual.
􀂉 Role of nurse for caregivers of
elderly.
􀂉 Role of family and formal and
non formal caregivers.
􀂉 Use of aids and prosthesis
(hearing aids, dentures,
􀂉 Legal & Ethical Issues.
􀂉 Provisions and Programmes for
elderly; privileges, Community
Programs and health services;
􀂉 Home and institutional care.
􀂉 Issues, problems and trends.
communicable and sexually
transmitted diseases:
􀂉 Review of immune system.
132
􀂉 Common Disorders of immune
system – HIV/AIDS.
􀂉 Review of infectious disease
process.
􀂉 Communicable Diseases-
etiology, Patho physiology, Clinical
prognosis.
assessment.
Nursing management.
11 Emergency, trauma and multi- 8 17
system organ failure
􀂉 DIC (disseminated intravascular
coagulation)
􀂉 Trauma, burns, poisoning
􀂉 Etiology, Patho physiology,
Clinical manifestations,
complications,
prognosis.
assessment.
• Treatment modalities and trends.
• Nursing management.
• Related research studies.
• Evidence based nursing practice.
• Rehabilitation and follow-up.
CURRICULUM
Learning Objectives
S. (At The End Of The Teaching
Content Of Topics Methodology Time
No Session The Student Objectives
Should Be Able To)
1 Introduction: Discuss the historical To teach and Interactive 5 hrs
• Historical development, concept, discuss about session with the
development of trends and issues in historical students regarding
Medical- Surgical medical surgical development, historical
Nursing in India. nursing. concept, trends development,
• Current status of and issues in concept, trends
health and disease medical and issues in
burden in India. surgical medical surgical
• Current concept of nursing. nursing.
health.
133
• Trends & issues in
Medical – Surgical
Nursing.
• Ethical & cultural
issues in Medical –
Surgical Nursing.
• Rights of patients.
• National health
policy, special laws
& ordinances
relating to older
people.
• National goals.
• Five year plans.
• National health
programs related to
adult health.
2 Health Assessment of Discuss the To teach and Simulation on 20 hrs
patients investigations and discuss about investigations and
• History taking. physical and nutritional investigations physical and
• Physical assessment and physical nutritional
examination of and nutritional assessment
various systems. assessment
• Nutritional
assessment.
• Related
investigations and
diagnostic
assessment.
3 Care in hospital settings: ‰ Elaborate the nursing To teach and Student seminar 5 hrs
• Ambulatory care. ‰ process in providing discuss about on nursing
• Acute and Critical care to the patient nursing process in
care. ‰ process in providing care to
• Long term care. ‰ providing care the patient
• Home Health Care. to the patient
• Characteristics, care
models, practice
settings,
interdisciplinary
team.
• Hospitalization-
effects of
hospitalization on
the patient &
family.
• Stressors &
reactions related to
disease process.
• Nursing care using
Nursing process
approach.
134
4 Management of patients Describe the To teach and Seminar on 10 hrs
with disorders of Gastro Management of patients discuss about Management of
intestinal tract with disorders of Gastro Management patients with
• Review of anatomy intestinal tract of patients disorders of
and physiology. with disorders Gastro intestinal
• Common Disorders- of Gastro tract
etiology, Patho intestinal tract
manifestations,
complications,
prognosis.
History taking,
physical
examination,
investigation and
diagnostic
assessment.
• Treatment
modalities and
trends.
• Nursing
management.
studies.
• Evidence based
nursing practice.
follow-up.
5 Management of patients Discuss the To teach and Seminar on 10 hrs
with disorders of nervous Management of patients discuss about Management of
system with disorders of Management patients with
• Review of anatomy nervous system of patients disorders of
and physiology. with disorders nervous system
• Common Disorders- of nervous
physiology,Clinical
manifestations,
complications,
prognosis.
History taking,
physical
examination,
investigation and
diagnostic
assessment.
• Treatment
modalities and
trends.
• Nursing
135
management.
studies.
• Evidence based
nursing practice.
follow-up.
6 Management of patients Elaborate the To teach and Student seminar 10 hrs
with disorders of Management of patients discuss about on Management
respiratory system with disorders of Management of patients with
• Review of anatomy respiratory system of patients disorders of
and physiology. with disorders respiratory
• Common Disorders- of respiratory system
manifestations,
complications,
prognosis.
History taking,
physical
examination,
investigation and
diagnostic
assessment.
• Treatment
modalities and
trends.
• Nursing
management.
studies.
• Evidence based
nursing practice.
follow-up.
136
MSc(N) 1ST YEAR
PLACEMENT : SECOND SEMESTER
COURSE DESCRIPTION
PRACTICAL 2nd SEMESTER

S.N. DEPARTMENT /UNIT NO OF WEEKS TOTAL CREDIT
1. SUB-CENTER,PHC,CHC 5 5 CREDIT (150 HOURS)
2. URBAN CENTERS 4 4 CREDIT (120 HOURS)
3. FIELD VISIT 2 2 CREDIT (60 HOURS)
4 DISTRICT FAMILY 1 1 CREDIT (30 HOURS)
WELFARE BUREAU
S. TOPIC DOMAIN HRS

NO
1 Population dynamics and control

􀂉 Demography Must know 15
􀂉 Transition and theories of population Nice to know
􀂉 National population policy Must know
􀂉 National population programmes Nice to know
􀂉 Population control and related programmes Must to know
􀂉 Methods of family limiting and spacing Must know
􀂉 Research, Census, National Family Health Survey Desirable to
know
2 Maternal and neonatal care 45
􀂉 IMNCI(Integrated Management of Neonatal And Must know
Childhood Illnesses) module
137
􀂉 Skilled Birth Attendant (SBA) module Must know
3 Disaster nursing 15
(INC module on Reaching out: Nursing Care in Must know
emergencies)
4 Health care delivery system: Urban, rural, tribal and 15

difficult
areas
􀂉 Health organization: National, State, District, CHC, Must know
PHC, Sub Centre, Village - Functions, Staffing, pattern of
assistance,layout, drugs, equipments and supplies,Roles
and Responsibilities of DPHNO
􀂉 Critical review of functioning of various levels, Must know
evaluation studies, recommendations and nursing
perspectives
􀂉 Alternative systems of medicine Must know
􀂉 Training and supervision of health workers Health Must know
agencies: NGO’s, Roles and functions
􀂉 Inter-sectoral coordination Must know
􀂉 Public private partnership Must know
􀂉 Challenges of health care delivery system Must know
138
2ND semester
No ( At the end of the Guidelines
1 Population dynamics and Explain demography, To cover Lecture cum 15
discussion hours
control the transition and demography,
􀂉 Demography theories of population transition and Didactic
lecture
􀂉 Transition and theories of theories of
population Elaborate National population, visit to family
planning
􀂉 National population policy population policy, National
camp
􀂉 National population National population population policy,
Clinical
programmes programmes, National
Postings in
􀂉 Population control and Population control population CHC, PHC
related programmes and related programmes,
􀂉 Methods of family limiting programmes population control
and spacing Explain the methods and related
􀂉 Research, Census, National of family limiting and programmes,
Family Health Survey spacing methods of family
Discuss research, limiting and
census and National spacing, research,
Family Health Survey census and
National family
health Survey.
2 Maternal and neonatal care 45 hrs

Teaching
􀂉 IMNCI(Integrated Explain To cover IMNCI
seminar
Management of Neonatal And IMNCI(Integrated module
Interactive
Childhood Illnesses) module Management of and Skilled Birth
session
139
Neonatal And Attendant (SBA)
􀂉 Skilled Birth Attendant Childhood Illnesses) module
(SBA) module module
Discuss Skilled Birth
Attendant (SBA)
module
Interactive
Disaster nursing Discuss INC module To cover INC
session 15 hrs
INC module on Reaching out: on Reaching out: module on
Disaster drill
(Nursing Care in emergencies) Nursing Care in Reaching out:
emergencies Nursing Care in
emergencies
3
Health care delivery system: Describe the health To cover the Teaching
seminar
Urban, rural, tribal and organization of India health
15 hrs
difficult Describe the organization,
Interactive
areas functioning of the functioning of
session
􀂉 Health organization: various levels, various levels,
National, State, District, CHC, evaluation studies, recommendations
4 Field visits
PHC, Sub Centre, Village - recommendations and and nursing
Clinical
Functions, Staffing, pattern of nursing perspectives perspectives, the
postings
assistance, layout, drugs, Explain the alternative systems
equipments and supplies, roles alternative systems of of medicine, the
and Responsibilities of medicine training and
DPHNO Discuss the training supervision of
􀂉 Critical review of and supervision of health
functioning of various levels, health workers, workers,health
evaluation studies, health agencies agencies, inter-
recommendations and nursing sectoral
perspectives Explain inter-sectoral coordination,
􀂉 Alternative systems of coordination public private
medicine and public private partnership and the
􀂉 Training and supervision of partnership challenges of
health workers Health Discuss the health care
agencies: NGO’s, Roles and challenges of health delivery system
140
functions care delivery system
􀂉 Inter-sectoral coordination
􀂉 Public private partnership
􀂉 Challenges of health care
delivery system
THIRD SEMESTER
141
CLINICAL SPECIALITY – II
Placement: Third Semester Hours of Instruction

Theory :90 Hours(6credits)
Practical : 540Hours(18credits)
PREAMBLE:
Obstetrical nursing, also called perinatal nursing, is a nursing specialty that works with
experiencing pregnancy complications, care during labor and delivery, and care of patients
following delivery. Obstetrical nurses work closely with obstetricians, midwives, and nurse
practitioners. They also provide supervision of patient care technicians and surgical
technologists.
Obstetrical nurses perform postoperative care on a surgical unit, stress test evaluations,
cardiac monitoring, vascular monitoring, and health assessments. Obstetrical nurses are
required to possess specialized skills such as electronic fetal monitoring, nonstress
tests, neonatal resuscitation, and medication administration by continuous intravenous drip.
clinics, labor& delivery units, antepartum units, postpartum units, operating theatres,
reproductive systems (vagina, uterus, and ovaries) and the breasts. Literally, outside
medicine, the term means "the science of women". Its counterpart is andrology, which deals
with medical issues specific to the male reproductive system.
Midwifery, as known as obstetrics, is a health science and health profession that deals
with pregnancy, childbirth, and the postpartum period (including care of
the newborn), besides sexual and reproductive health of women throughout their lives. In
many countries, midwifery is a medical profession (special for its independent and direct
specialized education; should not be confused with a medical specialty, which depends on a
previous general training). A professional in midwifery is known as a midwife.
GOALS
An obstetrics and gynaecological nursing student will learn from leading researchers in
nursing practice and the study of obstetrics and gynaecological. This course will solidify the
theoretical foundations of nursing practice and develop the confidence to use the latest
research based evidence to make practice cost effective
During this one year degree, the student will build on the knowledge they have gained
through clinical practice, with an emphasis on the provision of high quality care and patient
safety. It will cover core units in the foundations of clinical practice and assessment before
142
taking a range of elective units which allow the student to further advance their knowledge in
clinical areas of particular interest. A work-based project or research thesis will comprise the
capstone experience of this degree, providing the opportunity for the student to apply
expertise as they develop a nuanced understanding of nursing practice and clinical
environments.
Upon completion of this course, students will have the knowledge, skills and attributes
required to develop initiatives in healthcare and make a substantial contribution to healthcare
policy and development. Completion of this degree can also be a pathway into the Master of
Nursing (Nurse Practitioner).
OBJECTIVES:
1. Describe the epidemiology, etiology, pathophysiology and diagnostic assessment of

women with obstetric and gynaecological conditions
2. Perform physical, psychosocial, cultural & spiritual assessment
3. Demonstrate competence in caring for women with obstetrical and gynaecological
conditions
4. Demonstrate competence in caring for high risk newborn.
5. Identify and Manage obstetrical and neonatal emergencies as per protocol.
6. Practice infection control measures
7. Utilize recent technology and various diagnostic therapeutic modalities in the
management of obstetrical gynaecological and neonatal care.
8. Demonstrate skill in handling various equipments/gadgets used for obstetrical,
gynaecological and neonatal care.
Subject distribution:
3SEMESTER –PART 1
S. Units Hours Credit

no.
1. Management of problems of women 25
during pregnancy
2. Pregnancy at risk due to pre-existing 15
problems
3. Abnormal labour, pre-term labour& 15 06
obstetrical emergencies
4. Post partum complications 10
5. High risk new born 25

Hrs to be taken per semester:
15hr=1credit
Teaching Learning Activities
(i) Methods of Teaching:
√ Lecture
√ Demonstration & Discussion
143
√ Supervised practice √ Seminar
√ Role play
√ Workshop
√ Conference
√ Skill training
√ Simulations
√ Field visits
(ii) A.V Aids:
√ Slide Projector
√ White board
√ Graphic Aids
√ Programmed – Video shows
√ Models & Specimens
√ LCD projector
√ Computer
METHODS OF ASSESSMENT:
√ Written examination
√ Objective type
√ Short notes
√ Assignments
√ Case studies/care notes
√ Clinical presentation
√ Seminars
√ Project
Examination Pattern:
The students will be assessed on the weekly, monthly and periodically based tests and exams. The
final assessments will be given on the basis of internal assessment and university exams.
Sr. Letter Grade Grade Point
No.
1. O (outstanding) 10
2. A+ (excellent) 09
3. A (very Good) 08
4. B+(good) 07
5. B (above average) 06
6. C (average) 05
7. P (pass) 04
144
8. F (fail) 00
9. Ab (absent) 00
Question paper setting: -
As a routine, Question paper shall consist of 3 parts:
1. Long Essay questions:

Applied questions may be asked. Student is required to anticipate the patient’s requirements
and has to answer the questions appropriately. No negative markings will be given.
2. Short notes:
Definitions and differentiations. Each question will consist of 5 marks each. The questions will
be theory based and direct. No applied questions will be asked and no negative markings will be
given.
3. Short Answers:
They can be MCQ, true and false and single response type questions, multiple choice questions,
sequencing order questions, assertion and reasoning types, match the columns. Student shall be
required to answer every Question. No negative markings will be given.
Maternal Nursing
Time Allotted:Theory -90hrs
Practical - 540 hrs
S.NO TOPIC HRS DOMAIN

1 Management of problems of women during Must knowRisk approach of 25
pregnancy obstetrical nursing care, concept
Risk approach of obstetrical nursing care, &goals.
concept &goals. Screening of high-risk pregnancy,
Screening of high-risk pregnancy, newer newer modalities
modalities of diagnosis. of diagnosis.
Nursing Management of Pregnancies at risk-
due to obstetrical complication
• Pernicious Vomiting.
Desirable to
• Bleeding in early pregnancy, abortion, knowManagement of
ectopic pregnancy, and gestational Pregnancies at risk-due to
trophoblostic diseases. obstetrical complication
• Hemorrhage during late pregnancy, ante • Pernicious Vomiting.
partum hemorrhage, Placenta praevia, • Bleeding in early pregnancy,
abruptio placenta. abortion, ectopic pregnancy, and
• Hypertensive disorders in pregnancy, pre- gestational trophoblostic diseases.
eclampsia, eclampsia, Heomolysis Elevated • Hemorrhage during late
liver enzyme Low Platelet count (HELLP) pregnancy, ante partum
• Iso–immune diseases. Rh and ABO hemorrhage, Placenta praevia,
incompatibility abruptio placenta.
• Hematological problems in pregnancy. • Hypertensive disorders in
• Hydramnios-oligohydramnios pregnancy, pre-eclampsia,
• Prolonged pregnancy- post term, post eclampsia, HeomolysisElevated
maturity. liver enzyme Low Platelet count
• Multiple pregnancies. (HELLP)
145
• Intra uterine infection & pain during • Iso–immune diseases. Rh and
pregnancy. ABO incompatibility
• Intra Uterine Growth Retardation(IUGR), • Hematological problems in
Premature Rupture of Membrane(PROM), pregnancy.
intra uterine death • Hydramnios-oligohydramnios
• Prolonged pregnancy- post term,
post maturity.
• Multiple pregnancies.
• Intra uterine infection & pain
during pregnancy.
• Intra Uterine Growth
Retardation(IUGR), Premature
Rupture of Membrane(PROM),
intra uterine death
2 Pregnancies at risk-due to pre-existing Must knowMetabolic 15
health problems conditions.
Metabolic conditions. Anemia and nutritional
Anemia and nutritional deficiencies deficiencies HepatitisCardio-
HepatitisCardio-vascular disease. Thyroid vascular disease. Thyroid diseases.
diseases. Epilepsy. Epilepsy.
Essential hypertension Chronic renal failure. Essential hypertension Chronic
Tropical diseases. Psychiatric disorders renal failure. Tropical diseases.
Infections Toxoplasmosis Rubella Psychiatric disorders
Cytomegalo virus Herpes (TORCH); Infections Toxoplasmosis Rubella
Reproductive Tract Infection(RTI);STD; Cytomegalo virus Herpes (TORCH);
HIV/AIDS, Vaginal infections; Leprosy, Reproductive Tract
Tuberculosis Infection(RTI);STD; HIV/AIDS,
Other risk factors: Age- Adolescents, elderly; Vaginal infections; Leprosy,
unwed mothers, sexual abuse, substance Tuberculosis
usePregnancies complicating with tumors,
uterine anomalies, prolapse, ovarian cyst
Desirable to knowOther
risk factors: Age- Adolescents,
elderly; unwed mothers, sexual
abuse, substance usePregnancies
complicating with tumors, uterine
anomalies, prolapse, ovarian cyst
3 Abnormal labour, pre-term labour& Desirable to knowEtiology, 15
obstetrical emergencies pathopyhsiology and nursing
Etiology, pathopyhsiology and nursing management of Uncoordinated
management of uterine actions, Atony of uterus,
• Uncoordinated uterine actions, Atony of precipitate labour, prolonged
uterus, precipitate labour, prolonged labour. labour
• Abnormal lie, presentation, position Must knowAbnormal lie,
compound presentation
presentation, position compound
• Contracted pelvis-CPD; dystocia.
presentation
• Obstetrical emergencies Obstetrical shock,
• Contracted pelvis-CPD; dystocia.
vasa praevia, inversion of uterus, amniotic
• Obstetrical emergencies
fluid embolism, rupture uterus, presentation
Obstetrical shock, vasa praevia,
and prolapse cord.
inversion of uterus, amniotic fluid
• Augmentation of labour. Medical and
embolism, rupture uterus,
surgical induction.
presentation and prolapse cord.
• Version
• Augmentation of labour. Medical
146
• Manual removal of placenta. and surgical induction.
• Obstetrical operation: Forceps delivery, • Version
Ventouse, Caesarian section, Destructive • Manual removal of placenta.
operations • Obstetrical operation: Forceps
• Genital tract injuries-Third degree perineal delivery, Ventouse, Caesarian
tear, VVF, RVF section, Destructive operations
Complications of third stage of labour: • Genital tract injuries-Third
• Post partum Hemorrhage. degree perineal tear, VVF, RVF
• Retained placenta. Complications of third stage of
labour:
• Post partum Hemorrhage.
• Retained placenta
4 Post partum complications Must knowNursing 10

Nursing management of management of
• Puerperal infections, puerperal sepsis, Puerperal infections, puerperal
urinary complications, puerperal venous sepsis, urinary complications,
thrombosis and pulmonary embolism puerperal venous thrombosis and
• Sub involution of uterus, Breast pulmonary embolism
conditions, Thrombophlebitis Sub involution of uterus, Breast
• Psychological complications, post partum conditions, Thrombophlebitis
blues, depression, psychosis Psychological complications, post
partum blues, depression,
psychosis
5 High Risk Newborn Must know Concept, goals, 25
Concept, goals, assessment, principles. assessment, principles.
Nursing management of Nursing management of
• Pre-term, small for gestational age, post- • Pre-term, small for gestational
mature infant, and baby of diabetic and age, post-mature infant, and baby
substance use mothers. of diabetic and substance use
• Respiratory conditions, Asphyxia mothers.
neonatorum, neonatal apnoea meconium • Respiratory conditions, Asphyxia
aspiration syndrome, pneumo thorax, neonatorum, neonatal apnoea
pneumo mediastinum meconium aspiration syndrome,
• Icterus neonatorum. pneumo thorax, pneumo
• Birth injuries. mediastinum
• Hypoxic ischaemicencephelopathy • Icterus neonatorum.
• Congenital anomalies. • Birth injuries.
• Neonatal seizures. • Hypoxic
• Neonatal hypocalcaemia, hypoglycemia, ischaemicencephelopathy
hypomagnesaemia. • Congenital anomalies.
• Neonatal heart diseases. • Neonatal seizures.
• Neonatal hemolytic diseases • Neonatal hypocalcaemia,
• Neonatal infections, neonatal sepsis, hypoglycemia, hypomagnesaemia.
opthalmia neonatorum, cogenital syphilis, • Neonatal heart diseases.
HIV/AIDS • Neonatal hemolytic diseases
• Advanced neonatal procedures. • Neonatal infections, neonatal
• Calculation of fluid requirements. sepsis, opthalmia neonatorum,
• Hematological conditions – cogenital syphilis, HIV/AIDS
erythroblastosis fetalis, hemorrhagic Desirable to knowAdvanced
disorder in the newborn neonatal procedures.
• Organization of neonatal care, Calculation of fluid requirements.
147
services(Levels), transport, neonatal Hematological conditions –
intensive care unit, organization and erythroblastosis fetalis,
management of nursing services in NICU hemorrhagic disorder in the
newborn
services(Levels), transport,
neonatal intensive care unit,
organization and management of
nursing services in NICU
Sr. No. Topic Learning Teaching guidelines Methodology Time

objectives
I Management of problems of 1.Describe To cover Risk 1.Interactive 25
women during pregnancy the, approach of session with
Risk approach of obstetrical Risk approach obstetrical nursing the students
nursing care, concept &goals. of obstetrical care, concept regarding Risk
Screening of high-risk nursing care, &goals. approach of
pregnancy, newer modalities of concept &goals Screening of high- obstetrical
diagnosis. risk pregnancy, nursing care,
Nursing Management of 2.Enumerate newer modalities concept &goals.
Pregnancies at risk-due to theScreening of diagnosis. Screening of
obstetrical complication of high-risk Nursing high-risk
• Pernicious Vomiting. pregnancy, Management of pregnancy,
• Bleeding in early pregnancy, newer Pregnancies at risk- newer
abortion, ectopic pregnancy, modalities of due to obstetrical modalities of
and gestational trophoblostic diagnosis. complication diagnosis.
diseases. • Pernicious
• Hemorrhage during late Vomiting.
2. Essay
pregnancy, ante partum • Bleeding in early
hemorrhage, Placenta praevia, pregnancy, writing on
abruptio placenta.
3. Explain the abortion, ectopic Management of
Screening of pregnancy at
• Hypertensive disorders in pregnancy, and
high-risk high risk
pregnancy, pre-eclampsia, gestational
pregnancy,
eclampsia, Heomolysis Elevated trophoblostic
newer
liver enzyme Low Platelet count diseases.
modalities of
(HELLP) • Hemorrhage
diagnosis.
• Iso–immune diseases. Rh and during late
ABO incompatibility pregnancy, ante
• Hematological problems in partum
pregnancy. hemorrhage,
• Hydramnios-oligohydramnios Placenta praevia,
• Prolonged pregnancy- post abruptio placenta.
term, post maturity. • Hypertensive
• Multiple pregnancies. disorders in
• Intra uterine infection & pain pregnancy, pre-
during pregnancy. eclampsia,
• Intra Uterine Growth eclampsia,
Retardation(IUGR), Premature Heomolysis
Rupture of Membrane(PROM), Elevated liver
intra uterine death enzyme Low
Platelet count
(HELLP)
148
• Iso–immune
diseases. Rh and
ABO
incompatibility
• Hematological
problems in
pregnancy.
• Hydramnios-
oligohydramnios
• Prolonged
pregnancy- post
term, post
maturity.
• Multiple
pregnancies.
• Intra uterine
infection & pain
during pregnancy.
• Intra Uterine
Growth
Retardation(IUGR),
Premature Rupture
of
Membrane(PROM),
intra uterine death
II Pregnancies at risk-due to pre- 1. Discuss To cover 1 Didactic 15
existing health problems about Pregnancies at risk- lecture
Metabolic conditions. Pregnancies at due to pre-existing through power
Anemia and nutritional risk-due to pre- health problems point
deficiencies Hepatitis existing health Metabolic
projections
Cardio-vascular disease. Thyroid problems conditions.
diseases. Epilepsy. Anemia and
Essential hypertension Chronic nutritional
renal failure. Tropical diseases. deficiencies
Psychiatric disorders Hepatitis
Infections Toxoplasmosis Cardio-vascular
Rubella Cytomegalo virus disease. Thyroid
Herpes (TORCH); Reproductive diseases. Epilepsy. 2.Group
Tract Infection(RTI);STD; Essential discussion on
HIV/AIDS, Vaginal infections; hypertension Pregnancies at
Leprosy, Tuberculosis Chronic renal risk-due to pre-
Other risk factors: Age- failure. Tropical existing health
Adolescents, elderly; unwed diseases. problems
mothers, sexual abuse, Psychiatric
substance use disorders
Pregnancies complicating with Infections
tumors, uterine anomalies, Toxoplasmosis
prolapse, ovarian cyst Rubella
Cytomegalo virus
Herpes (TORCH);
Reproductive Tract
Infection(RTI);STD;
HIV/AIDS, Vaginal
149
infections; Leprosy,
Tuberculosis
Other risk factors:
Age- Adolescents,
elderly; unwed
mothers, sexual
abuse, substance
use
Pregnancies
complicating with
tumors, uterine
anomalies,
prolapse, ovarian
cyst
III Abnormal labour, pre-term 1.Elaborate To cover Etiology, 1.Teachers 15
labour& obstetrical the pathopyhsiology seminar on
emergencies Abnormallabou and nursing Obstetrical
Etiology, pathopyhsiology and r, pre-term management of emergencies
nursing management of labour& • Uncoordinated
• Uncoordinated uterine obstetrical uterine actions,
actions, Atony of uterus, emergencies Atony of uterus,
precipitate labour, prolonged precipitate labour,
labour. prolonged labour. 2. Students
• Abnormal lie, presentation, • Abnormal lie, Seminar on
position compound presentation, diagnosis and
presentation position compound screening test
• Contracted pelvis-CPD; 2.Enumerate presentation
dystocia. the list of • Contracted
• Obstetrical emergencies genital pelvis-CPD;
Obstetrical shock, vasa praevia, injurises dystocia.
inversion of uterus, amniotic • Obstetrical
fluid embolism, rupture uterus, emergencies
presentation and prolapse cord. 3.Explain the Obstetrical shock,
• Augmentation of labour. Complications vasa praevia,
Medical and surgical induction. of third stage of inversion of uterus,
• Version labour amniotic fluid
• Manual removal of placenta. embolism, rupture
• Obstetrical operation: uterus,
Forceps delivery, Ventouse, presentation and
Caesarian section, Destructive prolapse cord.
operations • Augmentation of
• Genital tract injuries-Third labour. Medical
degree perineal tear, VVF, RVF and surgical
Complications of third stage of induction.
labour: • Version
• Post partum Hemorrhage. • Manual removal
• Retained placenta. of placenta.
• Obstetrical
operation: Forceps
delivery, Ventouse,
Caesarian section,
Destructive
operations
150
• Genital tract
injuries-Third
degree perineal
tear, VVF, RVF
Complications of
third stage of
labour:
• Post partum
Hemorrhage.
• Retained
placenta
VI Post partum complications 1.Describe the To cover Nursing 1.Essay writing 10
Nursing management of Post partum management of on post
• Puerperal infections, complications Puerperal partum
puerperal sepsis, urinary infections, complications
complications, puerperal venous puerperal sepsis,
2. Problem
thrombosis and pulmonary 2.Discuss urinary
based learning
embolism Nursing complications,
• Sub involution of uterus, puerperal venous on psychiatric
management of complications
Breast conditions, post partum thrombosis and
Thrombophlebitis pulmonary related to post
complication
• Psychological complications, embolism partum period
post partum blues, depression, Sub involution of
psychosis uterus, Breast
conditions,
Thrombophlebitis
Psychological
complications, post
partum blues,
depression,
psychosis
V High Risk Newborn 1.Explain the To cover High Risk 25
Concept, goals, assessment, High Risk NewbornConcept,
principles. Newborn goals, assessment, 1. Group
Nursing management of Concept, goals, principles. Discussion on
• Pre-term, small for gestational assessment, Nursing
high risk
age, post-mature infant, and principles. management of
newborn
baby of diabetic and substance • Pre-term, small
use mothers. for gestational age,
• Respiratory conditions, post-mature infant, 2.Simulation
Asphyxia neonatorum, neonatal and baby of learning on
apnoea meconium aspiration diabetic and phototherapy
syndrome, pneumo thorax, substance use
pneumo mediastinum mothers.
• Icterus neonatorum. 2.Discuss the • Respiratory
• Birth injuries. high risk conditions,
• Hypoxic newborn Asphyxia
ischaemicencephelopathy complications neonatorum, 3. visit to ICU
• Congenital anomalies. management neonatal apnoea
• Neonatal seizures. 3.Enlist high meconium
• Neonatal hypocalcaemia, risk newborn aspiration
hypoglycemia, complications syndrome, pneumo
hypomagnesaemia. thorax, pneumo
151
• Neonatal heart diseases. mediastinum
• Neonatal hemolytic diseases 4. Enlist the • Icterus
• Neonatal infections, neonatal Advanced neonatorum.
sepsis, opthalmia neonatorum, neonatal • Birth injuries.
cogenital syphilis, HIV/AIDS procedures. • Hypoxic
• Advanced neonatal Calculation of ischaemicencephel
procedures. fluid opathy
• Calculation of fluid requirements. • Congenital
requirements. anomalies.
• Hematological conditions – • Neonatal
erythroblastosis fetalis, seizures.
hemorrhagic disorder in the • Neonatal
newborn hypocalcaemia,
• Organization of neonatal care, hypoglycemia,
services(Levels), transport, hypomagnesaemia.
neonatal intensive care unit, • Neonatal heart
organization and management diseases.
of nursing services in NICU • Neonatal
hemolytic diseases
• Neonatal
infections,
neonatal sepsis,
opthalmia
neonatorum,
cogenital syphilis,
HIV/AIDS
• Advanced
neonatal
procedures.
• Calculation of
fluid requirements.
• Hematological
conditions –
erythroblastosis
fetalis,
hemorrhagic
disorder in the
newborn
• Organization of
neonatal care,
services(Levels),
transport, neonatal
intensive care unit,
organization and
management of
nursing services in
NICU
CLINICAL TRAINING

S.No. Deptt./Unit No. of Week Total Hours
152
1 Anetenatal Wards & OPDs 4 120
2 Labour Room 6 180
3 Postnatal Ward 2 60
4 PHC/Rural maternity settings 2 60
5 Maternity OT 2 60
6 NICU 2 60
Total 18 Weeks 540Hours

30hr=1credit
Textbook:
1. Fraser (DM), MMyles Textbook of Midwives, Churchill Livingstone, 14th Edtion, 2003
References:
1. Dutta (DC), Textbook of Obstetrics, New Central Book Agency.
2. Lowdermilk, Maternity Nursing, Mosby, 7th Edition.
3. Willams, Obstetrics, McGrawhill, 22’ Edition.
4. Bobak, Maternity Nursing Care, Elsevier.
5. Maternity & Child Health Nursing Care for the childbearing family, LWW, 5ch edition.
6. Wong, Maternity Child Nursing Care, Mosby, 3 Edition.
153
M.Sc. Nursing :- 3RD Semester
CLINICAL SPECIALTY –II
CHILD HEALTH (PEDIATRIC) NURSING
Paper Code : 04040211
PLACEMENT: M.Sc. NURSING 2ND YEAR HOURS OF INSTRUCTION
THEORY: 90Hours/6credit
TOTAL : 90 Hours/6 credit
PREAMBLE
Pediatrics is the branch of medicine that deals with the medical care
of infants, children,and adolescents and the age limit usually ranges from birth up to 18-21
years of age. The word paediatrics and its cognates mean "healer of children"; they derive
from two Greek words: (pais "child") and (iatros "doctor, healer"). Pediatricians work both
work.
GOALS :
• Normalise the life of the child during hospitalisation in preparation for the family home,
school and community.
• Minimise the impact of the child's unique condition.
• Foster maximal growth and development.
• Develop realistic, functional and coordinated home care plans for the children and
families.
• Respect the roles of the families in the care of their children.
OBJECTIVES :
1.Appreciate the history and developments in the field of pediatrics and pediatric nursing as a
specialty
154
and their families.
risk neonates
13. Teach pediatric nursing to undergraduate students & in-service nurses.

90 Hours /6Credit
UNIT COMPETENCIES CONTENTS DOMAIN HOURS

NO. The student is able to:
I. • Explain the modem Introduction 5

concept of child care 􀂉Current principles, Nice to know
Must to know
and principles of child practices and trends in
Must to know
health nursing. Pediatric Nursing Desirable to know
• List major causes of Must to know
death during infancy, 􀂉Role of pediatric
early and late childhood nurse in various
• Describe the major settings -Expanded
functions and role of the and extended
paediatric nurse in
caring fora hospitalized
child.
II. Provide nursing care in Pathophysiology, 35

common childhood diseases- assessment(including Must to know
Must to know
Identify measures to prevent interpretation of Must to know
common childhood diseases various invasive and
including immunization. non-invasive Must to know
diagnostic
procedures),
treatment modalities
and nursing
155
intervention in Desirable to know
selected
pediatric medical
disorders
Must to know
• Child with
respiratory disorders:
- Upper respiratory
tract: choanal atresia, Must to know
tonsillitis,
epistaxis, aspiration.
- Lower respiratory
tract: Broncheolitis, Must to know
Bronchopneumonia,
Desirable to know
Asthma, cystic fibrosis
• Child with gastro-
intestinal disorders:
- Diarrheal diseases, Must to know
gastro-esophageal
reflux.
- Hepatic disorders:
Hepatitis, Indian Must to know
childhood
cirrhosis, liver
transplantation. Must to know
- Malabsorption
syndrome,
Malnutrition
• Child with renal/
urinary tract
Desirable to know
disorders: Nephrotic
syndrome, Nephritis, Must to know
Hydronephrosis,
hemolytic-uremic Must to know
syndrome, kidney
transplantation Must to know
• Child with cardio- Desirable to know
vascular disorders:
Must to know
- Acquired: Rheumatic
fever, Rheumatic heart Must to know
disease, Must to know
- Congenital: Cynotic Must to know
and acynotic
• Child with
endocrine/metabolic
disorders: Diabetes
insipidus, Diabetes
Mellitus – IDDM,
NIDDM, hyper and
hypo thyroidism,
phenylketonuria,
156
galactosemia
• Child with
Neurological
disorders:
Convulsions,
Meningitis,
encephalitis, guillian-
Barre syndrome
• Child with
oncological disorders:
Leukemias,
Lymphomas, Wilms’
tumor,
nephroblastomas,
neuroblastomas,
Rhabdomyosarcoma,
retinoblastoma,
hepatoblastoma, bone
tumors
• Child with blood
disorders: Anemias,
thalassemias,
hemophilia,
polycythemia,
thrombocytopenia, and
disseminated
intravascular
coagulation
• Child with skin
disorders
• Common Eye and
ENT disorders
• Common
Communicable
diseases
III. Provide nursing care in Assessment(including Desirable to know 35
selected pediatric surgical interpretation of
problems/ Disorders various invasive and Must to know
non-invasive
Must to know
diagnostic
procedures), treatment Must to know
modalities
including cosmetic
surgery and nursing Must to know
interventions in Must to know
selected pediatric
surgical problems/
Nice to know
Disorders Must to know
• Gastrointestinal
system: Cleft lip, cleft
157
palate and
conditions requiring Desirable to know
plastic surgery,
Tracheo esophageal Must to know
fistula/atresia, Must to know
Hirschsprungs’
disease/megacolon, Must to know
malrotation, intestinal
obstruction, duodenal
atresia,
127
gastrochisis,
exomphalus, anorectal
malformation,
omphalocele,
diaphragmatic hernia
• Anomalies of the
nervous system: Spina
bifida,
Meningocele,
Myelomeningocele,
hydrocephalus
genito-urinary system:
Hypospadias,
Epispadias,
Undescended testes,
Exstrophy bladder
skeletal system
• Eye and ENT
disorders
• Nursing management
of the child with
traumatic injuries:
General principles of
managing Pediatric
trauma
- Head injury,
abdominal injury,
poisoning, foreign
body
obstruction, burns
- & Bites
• Child with
oncological disorders:
Solid tumors of
childhood,
Nephroblastoma,
Neuro blastoma,
158
Hodgkin's/Non
Hodgkin's Lymphoma,
Hepatoblastoma,
Rhabdomyosarcoma
• Management of
stomas, catheters and
tubes
• Management of
wounds and drainages
IV. Manage the child in intensive care Intensive care for 10
for pediatric clients. pediatric clients Desirable to know
Must to know
􀂉Resuscitation,
stabilization & Desirable to know
monitoring of pediatric
patients Must to know
􀂉Anatomical &
physiological basis of
critical illness in Must to know
infancy
and childhood
􀂉Care of child
requiring long-term
ventilation
􀂉Nutritional needs of
critically ill child
􀂉Legal and ethical
issues in pediatric
intensive care
􀂉Intensive care
procedures, equipment
and techniques
􀂉Documentation
V. Manage the child in crisis Crisis and nursing 5

intervention Must to know
Desirable to know
􀂉The hospitalized
child, Must to know
􀂉Terminal illness &
death during
childhood
􀂉Nursing
intervention-
counseling
CURRICULUM
159
Guidelines
I Explain the Introduction To cover Teaching 5

modem concept 􀂉Current principles, Current seminar
of child care and Students
practices and trends in principles,
principles of child seminar
Pediatric Nursing practices and Project on
health nursing.
List major causes trends in collection of
Pediatric vital statistics
of death during 􀂉Role of pediatric nurse in
related to child
infancy, early and various settings -Expanded Nursing, Role health.
late childhood and extended of pediatric Teaching
Describe the nurse in seminar
major functions Interactive
various
and role of the seminar
paediatric nurse settings -
in caring fora Expanded and
hospitalized child. extended
.
II Provide nursing Pathophysiology, To cover Teaching 35

care in common assessment(including Pathophysiolo seminar
childhood Interactive
interpretation of gy,
diseases-Identify seminar
various invasive and non- assessment(inc
measures to
prevent common invasive diagnostic luding Conventional
childhood procedures), interpretation method
Demonstration
diseases including treatment modalities and of
immunization. nursing intervention in various
selected invasive and
pediatric medical disorders non-invasive
diagnostic
• Child with respiratory
procedures
disorders:
- Upper respiratory tract:
choanal atresia, tonsillitis,
epistaxis, aspiration.
- Lower respiratory tract:
Broncheolitis,
Bronchopneumonia,
Asthma, cystic fibrosis
• Child with gastro-
intestinal disorders:
- Diarrheal diseases, gastro-
esophageal reflux.
- Hepatic disorders:
Hepatitis, Indian childhood
cirrhosis, liver
transplantation.
160
- Malabsorption syndrome,
Malnutrition
• Child with renal/ urinary
tract disorders: Nephrotic
syndrome, Nephritis,
Hydronephrosis, hemolytic-
uremic
syndrome, kidney
transplantation
• Child with cardio-vascular
disorders:
- Acquired: Rheumatic
fever, Rheumatic heart
disease,
- Congenital: Cynotic and
acynotic
• Child with
endocrine/metabolic
disorders: Diabetes
insipidus, Diabetes Mellitus
– IDDM, NIDDM, hyper and
hypo thyroidism,
phenylketonuria,
galactosemia
• Child with Neurological
disorders: Convulsions,
Meningitis, encephalitis,
guillian- Barre syndrome
• Child with oncological
disorders: Leukemias,
Lymphomas, Wilms’ tumor,
nephroblastomas,
neuroblastomas,
Rhabdomyosarcoma,
retinoblastoma,
hepatoblastoma, bone
tumors
• Child with blood
disorders: Anemias,
thalassemias,
hemophilia, polycythemia,
thrombocytopenia, and
disseminated intravascular
coagulation
161
• Child with skin disorders
• Common Eye and ENT
disorders
• Common Communicable
diseases
II Provide nursing Assessment(including To cover 35
I. care in interpretation of various Assessment(in Conventional
selected invasive and cluding
method
pediatric
non-invasive diagnostic interpretation Teaching
surgical
procedures), treatment of various seminar
problems/
Disorders modalities invasive and
Problem based
including cosmetic surgery non-invasive learning
and nursing interventions in diagnostic
selected pediatric surgical procedures),
problems/ Disorders treatment
• Gastrointestinal system: modalities
Cleft lip, cleft palate and including
conditions requiring plastic cosmetic
surgery, Tracheo surgery and
esophageal nursing
fistula/atresia, interventions
Hirschsprungs’ in
disease/megacolon, selected
malrotation, intestinal pediatric
obstruction, duodenal surgical
atresia, problems/
127 Disorders
gastrochisis, exomphalus,
anorectal malformation,
omphalocele, diaphragmatic
hernia
• Anomalies of the nervous
system: Spina bifida,
Meningocele,
Myelomeningocele,
hydrocephalus
• Anomalies of the genito-
urinary system:
Hypospadias,
Epispadias, Undescended
testes, Exstrophy bladder
• Anomalies of the skeletal
system
162
• Eye and ENT disorders
• Nursing management of
the child with traumatic
injuries:
General principles of
managing Pediatric trauma
- Head injury, abdominal
injury, poisoning, foreign
body
obstruction, burns
- & Bites
• Child with oncological
disorders: Solid tumors of
childhood, Nephroblastoma,
Neuro blastoma,
Hodgkin's/Non Hodgkin's
Lymphoma,
Hepatoblastoma,
Rhabdomyosarcoma
• Management of stomas,
catheters and tubes
• Management of wounds
and drainages
IV. Manage the child Intensive care for To cover 10
in intensive care pediatric clients Resuscitation, Unconventional
for pediatric
􀂉Resuscitation, stabilization & method
clients.
stabilization & monitoring monitoring of
Horizontal
of pediatric pediatric teaching
patients Patients,
Anatomical & Teaching
􀂉Anatomical &
seminar
physiological basis of physiological
critical illness in infancy basis of critical
and childhood illness in
􀂉Care of child requiring infancy
long-term ventilation and childhood,
􀂉Nutritional needs of Care of child
critically ill child requiring long-
􀂉Legal and ethical issues term
in pediatric intensive care ventilation,
􀂉Intensive care Nutritional
procedures, equipment and needs of
techniques critically ill
􀂉Documentation child, Legal
and ethical
163
issues in
pediatric
intensive care,
Intensive care
procedures,
equipment and
techniques,
Documentation
Manage the child Crisis and nursing 5

in crisis intervention
Conventional
􀂉The hospitalized child, method
􀂉Terminal illness & death
during childhood Student seminar
􀂉Nursing intervention-
Teaching
counseling seminar
Practical
TOPIC No.of Hours Credit
Weeks
Pediatric Medicine ICU 2 60 Hours 2
Pediatric Surgical ICU 2 60 Hours 2
NICU 2 60 Hours 2
Pediatric OT 1 30 Hours 1
Pediatric medicine ward 4 120 Hours 4
Pediatric Surgery ward 4 120 Hours 4

Emergency/Casulty 2 60 Hours 2
Field Visit 1 30 Hours 1

TOTAL 18 Weeks 540 Hours 18 Credits
Student Activities
164
• Project work
• Field visits
RESEARCH TRAINING
Research opportunities in health sector focusing on pediatric group are available which is a
requirement of M.Sc (N) II year curriculum.
Essential
I. Procedures Observed:
• Echo cardiogram
• Ultrasound head
• ROP screening (Retinopathy of prematurity)
• Any other
II. Procedures Assisted
• Advanced neonatal life support
• Lumbar Puncture
• Arterial Blood Gas
• ECG Recording
• Umbilical catheterization – arterial and venous
• Arterial B P monitoring
• Blood transfusion- exchange transfusion full and partial
• IV cannulation & therapy
• Arterial catheterization
• Chest tube insertion
• Endotracheal intubation
• Ventilation
• Insertion of long line
• Assist in surgery
III. Procedures Performed:

• Airway Management
- Application of Oro Pharyngeal Airway
- Oxygen therapy
- CPAP(Continuous Positive Airway Pressure)
- Care of Tracheostomy
- Endotracheal Intubation
• Neonatal Resuscitation
• Monitoring of Neonates – clinically & with monitors, CRT(Capillary Refill Time),
assessment of jaundice, ECG
• Gastric Lavage
165
• Setting of Ventilators
• Phototherapy
• Assessment of Neonates: Identification & assessment of risk
factors, APGAR Score, gestation age, Anthropometric assessment, Weighing the baby,
Newborn examination, detection of life threatening congenital abnormalities,
• Admission & discharge of neonates
• Feeding - management of breast feeding, artificial feeding, expression of breast milk,
OG(Orogastric) tube insertion, gavage feeding, TPN, Breast feeding counseling
• Thermoregulation- Axillary temperature, Kangaroo Mother Care (KMC), Use of Radiant
warmer, incubators, management of thermoregulation & control
• Administration of Drugs: I/M, IV injection, IV Cannulation &
fixation infusion pump, Calculation of dosages, Neonatal
formulation of drugs, use of tuberculin/ insulin syringes,
Monitoring fluid therapy, Blood administration.
• Procedures for prevention of infections: Hand washing, disinfections & sterilization,
surveillance, fumigation
• Collection of specimens
• Setting, Use & maintenance of basic equipment: Ventilator, O2 analyzer, monitoring
equipment, Photo therapy unit, Flux meter, Infusion pump, Radiant warmer, incubator,
Centrifuge machine, Bilimeter, Refractometer, laminar flow
Psychiatric Nursing
166
Placement: Third Semester Hours of Instruction
Theory 90 Hours=6 credit
Practical 540 Hours= 18 credit
Preamble
Psychiatric nursing or mental health nursing is the appointed position of a nursing that has specialized
inmental health and cares for people of all ages with mental illness or mental distress, such as
schizophrenia, bipolar disorder, psychosis, depression, dementia and many more. Nurses in this
area receive specific training in psychological therapies, building a therapeutic alliance,
dealing with challenging behavior, and the administration of psychiatric medication. A
psychiatric nurse will have to have attained a bachelor's degree in nursing to become a
registered nurse (RN) and specialise in mental health. Degrees vary in different countries, and
are governed by country-specific regulations. Psychiatric nurses work in hospitals, mental
institutes, correctional institutes, and many other facilities. The term mental health
encompasses a great deal about a single person, including how we feel, how we behave, and
how well we function. This single aspect of our person cannot be measured or easily reported
but it is possible to obtain a global picture by collecting subjective and objective information
to delve into a person’s true mental health and well being.
Many psychiatric mental health nurses are involved in the administration of medicines, both in oral
(e.g. tablet or liquid) form or by intramuscular injection. Nurse practitioners can prescribe medication.
Nurses will monitor for side effects and response to these medical treatments by using assessments.
Nurses will also offer information on medication so that, where possible, the person in care can make
an informed choice, using the best evidence, available.
Psychiatric mental health nurses are also involved in the administration of the treatment
of electroconvulsive therapy and assist with the preparation and recovery from the treatment, which
involves an anesthesia. This treatment is only used in a tiny proportion of cases and only after all
other possible treatments have been exhausted. The most important duty of a psychiatric nurse is
to maintain a positive therapeutic relationship with patients in a clinical setting. The
fundamental elements of mental health care revolve around the interpersonal relations and
interactions established between professionals and clients. Individualized care becomes
important when nurses need to get to know the patient. To lives this knowledge the
psychiatric nurse must see patients as individual people with lives beyond their mental
illness.
Goal
Mental health nurse assist people with mental illness in leading more productive and
167
autonomous lifestyles, and to promote mental health through service, advocacy, and
education. It helps in Promotion of optimal mental and physical health and well-being and
prevention of mental illness.
Objectives:

1. Apply the Nursing process in the care of patients with mental disorders in hospital
and community
2. Demonstrate advanced skills/competence in nursing management of patients with
mental disorders
3. Identify and care for special groups like children, adolescents, women, and elderly,
abused and neglected, people living with HIV/AIDS.
4. Identify and manage Psychiatric emergencies.
5. Provide Nursing care to critically ill patients with mental disorders
6. Utilize the recent technology and various treatment modalities in the management
of patients with mental disorders
7. Demonstrate skills in carrying out crisis intervention.
8. Appreciate the legal and ethical issues pertaining to Psychiatric Nursing.
9. Identify areas of research in the field of Psychiatric Nursing.
10. Prepare a design for layout and describe standards for management of Psychiatric
units/emergency units/hospitals
11. Teach Psychiatric nursing to undergraduate students & in-service Nurses.
Duration : 1 years
Medium of Instruction and Examination: English
Eligibility Criteria for Admission:

168
aggregate marks.
• The candidate should have undergone in B.Sc. Nursing / B.Sc. Hons. Nursing
/ Post Basic B.Sc. Nursing in an institution which is recognized by Indian
Nursing Council.
1. Eligibility to Appear in the Examinations:
The following regular students shall be eligible to appear in the examination:
(i) The student should bear a good moral character.
(ii) The student must have minimum of 80% attendance (irrespective of the kind of
absence) in theory and practical of the each subject for appearing in the examination.
(iii) The student must have 100% attendance in each of the practical areas before award of
degree.
(iv) A deficiency in the attendance, both in theory and practical may be condoned by the
Principal, Dashmesh College of Nursing up to 5%.
(v) The student must secure at least 50% marks of the total marks fixed for internal
assessment in each subject, separately.
(vi) The student, who fulfils the conditions laid down under (i) to (iii) above for one or
more subjects and not for the other(s), will be allowed to take examination only in
169
such subject(s) in which he fulfills the conditions.
INTAKE CAPACITY:
20 Seats per year
CAREER OPPORTUNITIES:
➢ Nurse educators
➢ Practitioner
➢ Counselor
➢ Nurse consultant
➢ Community mental health nurses
➢ psychotherapist
FEE STRUCTURE:
Rs 150000 per year, the examination fees will be decided by the university.
Essential psychiatric nursing skills
Procedure observed
• Psychometric tests
• Personality tests
• Family therapy
• Assisted
• CT
• MRI
• Behavioral therapy
Procedure performed
• Mental status examination
• Participating in various therapies- physical, ECT
• Administration of oral, IM,IV Psychotropic drugs
• Interviewing skills
• Counseling skills
• Communication skills
• Psycho education
• Interpersonal relationship skills
• Community survey for identifying mental health problems
• Rehabilitation therapy
• Health education and life skills training
• Supportive psychotherapic skills
• Group therapy
• Milieu therapy
170
• Social/recreational therapy

Total hours of instructions is Theory 150hrs and practical 950 hrs.
Method of Teaching
• Demonstration/return demonstration
• Seminar/presentation
• Project work
• Field visits
Method of Evaluation
• Tests
• Presentation
• Project work
• Written assignments
3rd Semester
171
PSYCHIATRIC NURSING
Paper Code-
Placement: MSC Nursing 2nd Year
Theory 90
Hours=6 credit
Practical 540
Hours= 18 credit
Total: 630 Hours
S.NO TOPIC HRS

DOMAIN
1 Review of Principles and practice of 2
Psychiatric Nursing Must to know
2 Crisis, Definition Must know 10

• Phases in the Development of a Crisis Desirable to know
• Types of Crisis; Dispositional, Desirable to know
Anticipated Life Transitions Traumatic
Stress, Must to know
• Maturational / Development , Nice to know
Reflecting Must to know
• Psychopathology Must know
• Psychiatric Emergencies and their Desirable to know
management Desirable to know
• Grief and grief reaction Nice to k
• Crisis Intervention; Phases
• Post traumatic stress disorder (PTSD)
• Role of the Nurse
3 Anger / Aggression Management 4

• Anger and Aggression, Types, Must know
Predisposing Factors Desirable to know
• Management Desirable to know
• Role of the Nurse
4 The Suicidal Client 5

• Epidemiological Factors Must know
• Risk Factors Desirable to know
Predisposing Factors Desirable to know
• Theories of Suicide-Psychological,
Must know
Sociological, Biological
Desirable to know
172
• Nursing Management
5 Disorders of Infancy, Childhood, and 5

Adolescence Must know
• Mentally Challenged Desirable to know
• Autistic Disorders Desirable to know
• Attention-Deficit/Hyperactivity Disorder Desirable to know
• Conduct Disorders, behavioural disorders Desirable to know
• Oppositional Defiant Disorder
Desirable to know
• Tourette’s Disorders
• Separation Anxiety Disorder
Desirable to know
• Psychopharmacological Intervention and
Nursing Management
6 Delirium, Dementia, and Amnestic 5

Disorders Must know
• Delirium Desirable to know
• Dementia Desirable to know
• Amnesia Must know
• Psychopharmacological Intervention Desirable to know
and Nursing Management
7 Substance-Related Disorders Must know 10

• Substance-Use Disorders Desirable to know
• Substance-Induced Disorders Desirable to know
• Classes Of Psychoactive Substances Must know
• Predisposing Factors Desirable to know
• The Dynamics of Substance-Related Desirable to know
Disorders
Must know
• The Impaired Nurse
• Codependency
Desirable to know
• Treatment Modalities For Substance-
Related Disorders and Nursing Management
8 Schizophrenia and Other Psychotic 10

Disorders (Check ICD10) Must know
• Nature of the Disorder Desirable to know
• Predisposing Factors Desirable to know
• Schizophrenia -Types Must know
• Disorganized Schizophrenia Desirable to know
• Catatonic Schizophrenia
Desirable to know
• Paranoid Schizophrenia
• Undifferentiated Schizophrenia
Must know
• Residual Schizophrenia Desirable to know
• Other Psychotic disorders Desirable to know
• Schizoaffective Disorder Desirable to know
• Brief Psychotic Disorder Desirable to know
• Schizophrenicform Disorder Desirable to know
• Psychotic Disorder Due to a General Desirable to know
Medical Condition Desirable to know
• Substance-Induced Psychotic Disorder Desirable to know
• Treatment and Nursing Management
9 Mood Disorders 8
173
• Historical Perspective Desirable to know
• Epidemiology Desirable to know
• The Grief Response Desirable to know
• Maladaptive Responses to Loss Desirable to know
• Types Of Mood Disorders Must to know
• Depressive disorders Desirable to know
• Bipolar disorders Desirable to know
• Treatment and Nursing Management Desirable to know
10 Anxiety Disorders Desirable to know 8

• Historical Aspects Desirable to know
• Epidemiological Statistics Desirable to know
• Types Desirable to know
• Panic Disorder Must to know
• Generalized Anxiety Disorder
Desirable to know
• Phobias
• Obsessive-Compulsive Disorder Desirable to know
• Posttraumatic Stress Disorder Desirable to know
• Anxiety Disorder Due to a General Medical Desirable to know
Condition Desirable to know
• Substance-Induced Anxiety Disorder Desirable to know
• Treatment Modalities Desirable to know
• Psychopharmacology & Nursing
Management
11. Somatoform and Sleep Disorders Must to know 5

• Somatoform Disorders Must to know
• Historical Aspects Must to know
• Pain Disorder Desirable to know
• Hypochondriasis Desirable to know
• Conversion Disorder
Desirable to know
• Body Dysmorphic Disorder
• Sleep Disorder
Desirable to know
• Treatment Modalities and Nursing Must to know
Management
12. Dissociative Disorders and Management 4 hrs

• Historical Aspects Must know
• Application of the Nursing Management Desirable to know
• Treatment Modalities and Nursing Must know
Management
13. Sexual and Gender Identity Disorders Must know

• Development of Human Sexuality Desirable to know 4 hrs
• Sexual Disorders Desirable to know
• Variation in Sexual Orientation Must know
174
14. Eating Disorders 5
• Epidemiological Factors Must know
• Predisposing Factors: Anorexia Nervosa Desirable to know
and Bulimia Nervosa obesity Desirable to know
• Psychopharmacology Must know
• Treatment & Nursing Management Desirable to know
15. Adjustment and Impulse Control Must know 5

Disorders Desirable to know
• Historical and Epidemiological Factors Desirable to know
• Adjustment Disorders Must know
• Impulse Control Disorders Desirable to know
• Treatment & Nursing Management
3rd Semester
PSYCHIATRIC NURSING
175
Theory 90
Hours=6 credit
Practical 540
Hours= 18 credit
Total : 630 Hours
CURRICULUM PLANNING
Course Description:
This course is designed to assist students in developing expertise and in depth
understanding in the field of Psychiatric Nursing. It will help students to develop
advanced skills for nursing intervention in various Psychiatric conditions. It will enable
the student to function as Psychiatric Nurse practitioner/specialist. It will further
enable the student to function as educator, manager, and researcher in the field of
Psychiatric Nursing
At the end of the course, the students will be able to describe the psychiatric
General Objective: -
Nursing , its concept, and principles and apply their knowledge in clinical and classroom.
Review of Apply the Nursing To cover the concept of Teacher seminar on 2HRS
1. process in the Principles and practice concept of Principles
Principles and
care of patients of Psychiatric Nursing and practice of
practice of Psychiatric Nursing
Psychiatric with mental
.
Nursing disorders in
hospital and
community

2. Crisis, 10
Definition To identify and To cover the Concepts of • Teacher HRS
manage psychiatric Crisis, Definition seminar on
• Phases in the emergencies.
Development of • Phases in the Crisis,
Development of a Crisis Definition,Pha
a Crisis
• Types of Crisis; ses in the
176
• Types of Dispositional, Development
Crisis; Anticipated Life of a
Dispositional, Transitions Traumatic Crisis,Types of
Anticipated Life Stress, Crisis;
• Maturational / Dispositional,
Transitions
Development , Anticipated
Traumatic Reflecting Life
Stress, • Psychopathology Transitions
• Maturational / • Psychiatric Traumatic
Development , Emergencies and their Stress,Maturat
Reflecting management ional /
• • Grief and grief Development ,
Psychopatholog reaction ReflectingPsyc
y • Crisis Intervention; hopathology
• Psychiatric Phases • Student
Emergencies • Post traumatic stress seminar on
disorder (PTSD) Psychiatric
and their
• Role of the Nurse Emergencies
management
and their
• Grief and grief management
reaction • student
• Crisis interactive
Intervention; session on
Phases Grief and grief
• Post traumatic reaction
stress disorder • Teacher
(PTSD) seminar on
• Role of the Crisis
Nurse Intervention;
Phases
• Student
seminar on
Post traumatic
stress
disorder
(PTSD),Role of
the Nurse
3 Anger / Describe the Anger To cover the concept of Student interactive 4

Aggression /Aggression Anger and session on Anger and HRS
Management Management Aggression, Types, Aggression, Teacher
• Anger and Predisposing Factors seminar on Types,
Aggression, • Management Predisposing
Types, • Role of the Nurse Factors,
Predisposing Management
Factors • Role of the Nurse
• Management
• Role of the
177
Nurse
4. To cover the Concept of 5

The Suicidal Describe the The Suicidal Client ,its Teacher seminar on HRS
Client epidemiological, risk Epidemiological Concept of The Suicidal
• Epidemiological factors, and Factors, Risk Factors, Client ,its
Factors techniques of Predisposing Factors Epidemiological
managing suicidal Factors, Risk Factors,
• Risk Factors ,Theories of Suicide
techniques.
Predisposing Psychological, Predisposing Factors
Factors Sociological, Biological ,Theories of Suicide
• Theories of and Nursing Psychological,
Suicide- Management Sociological,
Psychological, Biological and Nursing
Sociological, Management
Biological
• Nursing
Management
Disorders of Describe the various To cover the concept of Teacher seminar on 5 hrs
5. Infancy, Disorders of Disorders of Infancy, concept of Disorders of
Childhood, and Infancy, Childhood, Childhood, and Infancy, Childhood,
Adolescence and Adolescence Adolescence and Adolescence.
• Mentally • Mentally Challenged, Student interactive
Challenged Autistic Disorders, session on Mentally
• Autistic Attention- Challenged,Autistic
Disorders Deficit/Hyperactivity Disorders,Attention-
• Attention- Disorder, Conduct Deficit/Hyperactivity
Deficit/Hyperacti Disorders Disorder
vity Disorder behaviouraldisorders,O Student seminar on
• Conduct ppositional Defiant Conduct Disorders,
Disorders, Disorder,Tourette’s behavioural disorders
behavioural Disorders,Separation Teacher seminar on
disorders Anxiety Oppositional Defiant
• Oppositional Disorder,Psychopharm Disorder, Tourette’s
Defiant Disorder acological Intervention Disorders, Separation
• Tourette’s and Nursing Anxiety Disorder
Disorders Management •
• Separation Psychopharmacologic
Anxiety Disorder al Intervention and
Psychopharmaco
logical
Intervention and
Nursing
Management
178
S. Topic Learning objective Teaching Guidelines Methodology Time
No
6. Delirium, Explain the concept of To cover the concept of Teacher seminar on 5 hrs
Dementia, and Delirium, Dementia, Delirium, Dementia, Delirium, Dementia,
and Amnestic and Amnestic Disorders and Amnestic
Amnestic Disorders. and its
Disorders Disorders.
Psychopharmacological
• Delirium Intervention and
• Dementia Nursing Management
• Amnesia
•
Psychopharmac
ological
Intervention
and Nursing
Management
7. Substance- Describe the To cover the concept of 10hrs

Related substance related substance related Teacher seminar on
Disorders disorders disorders. i.e substance related
• Substance-Use Substance-Use disorders.
Disorders Disorders, Substance-
• Substance- Induced Disorders,
Induced Classes Of Psychoactive
Disorders Substances,
• Classes Of Predisposing Factors,
Psychoactive The Dynamics of
Substances Substance-Related
• Predisposing Disorders,The Impaired
Factors Nurse,Codependency,T
• The Dynamics reatment Modalities
of Substance- For Substance-Related
Related Disorders and Nursing
Disorders Management
• The Impaired
Nurse
• Codependency
• Treatment
Modalities For
Substance-
Related
Disorders and
Nursing
Management
179
8. Schizophrenia Critically analyze the To cover the concept of Student interactive 5hrs
and Other existing Nursing Nursing Educational session on Patterns of
Psychotic educational programs Nursing education and
Disorders programs, their • Perspectives of Nursing training programmes in
problems, issues and education: Global and India.
(Check ICD10)
future trends. national
• Nature of the • Patterns of Nursing
Disorder education and training
• Predisposing programmes in India.
Factors Non-university and
• Schizophrenia - University programs:
Types ANM, GNM, Basic B.Sc.
• Disorganized Nursing, Post Certificate
Schizophrenia B.Sc. Nursing, M.Sc.
• Catatonic (N) programs, M. Phil. and
Ph.D.) in Nursing, post
Schizophrenia
basic diploma programs,
• Paranoid Nurse practitioner
Schizophrenia programs.
•
Undifferentiated
Schizophrenia
• Residual
Schizophrenia
• Other Psychotic
disorders
• Schizoaffective
Disorder
• Brief Psychotic
Disorder
•
Schizophrenicfor
m Disorder
• Psychotic
Disorder Due to a
General Medical
Condition
• Substance-
Induced
Psychotic
Disorder
• Treatment and
Nursing
Management
180
objective
9. To cover the Concepts Teacher seminar on 8 hrs
of Mood Disorders Concepts of Mood
Mood Disorders To explain the Historical Perspective, Disorders-its Historical
• Historical concept of mood Perspective,
Epidemiology, The
disorder. Epidemiology,
Perspective Grief Response,
• Epidemiology Maladaptive Student seminar on
• The Grief Responses to Loss, The Grief Response,
Types Of Mood Maladaptive
Response
Disorders, Depressive Responses to Loss,
• Maladaptive
disorders, Bipolar Student interactive
Responses to Loss session on Types Of
disorders, Treatment
• Types Of Mood and Nursing Mood Disorders,
Disorders Management Depressive disorders,
• Depressive Bipolar disorders,
disorders . Student seminar on
• Bipolar disorders Treatment and
• Treatment and Nursing Management
Nursing
Management

objective
10. Anxiety Disorders Describe the To cover the concept Teacher seminar on the 8 hrs
• Historical Aspects Anxiety of Anxiety Disorders concept of Anxiety
• Epidemiological disorders. ,its Historical Aspects, Disorders.
Statistics Epidemiological Student seminar on
• Types Statistics, Types, Panic Panic Disorder,
• Panic Disorder Disorder, Generalized Generalized Anxiety
• Generalized Anxiety Disorder, Disorder, Phobias
Anxiety Disorder Phobias, Obsessive- Teacher seminar on
• Phobias Compulsive Disorder, Obsessive-Compulsive
• Obsessive- Posttraumatic Stress Disorder,
Compulsive Disorder Disorder Posttraumatic Stress
• Posttraumatic ,Anxiety Disorder Due Disorder,
Stress Disorder to a General Medical Student interaction on
• Anxiety Disorder Anxiety Disorder Due
Due to a General to a General Medical
Medical Condition Condition
• Substance-Induced • Substance-Induced
Anxiety Disorder Anxiety Disorder
• Treatment
Modalities
•
Psychopharmacology
& Nursing
Management
11. Somatoform and Analyze the To cover the concept of Teacher seminar on
Sleep Disorders existing teacher Somatoform and concept of Somatoform 5HRS
• Somatoform preparation Sleep Disorders, and Sleep Disorders.
Disorders programs in Historical Aspects,
Nursing. Epidemiological
• Historical Aspects
• Epidemiological Statistics
181
Statistics ,Pain Disorder,
• Pain Disorder Hypochondriasis
• Hypochondriasis ,Conversion Disorder,
• Conversion Body Dysmorphic
Disorder Disorder, Sleep
• Body Dysmorphic Disorder, Treatment
Disorder Modalities and
• Sleep Disorder Nursing Management
• Treatment
Modalities and
Nursing
Management
12. Dissociative Describe the To cover the Concept of Teacher seminar on 4 hrs
Disorders and dissociative dissociative disorders, Concept of dissociative
Management disorders and it’s Historical Aspects, disorders Historical
• Historical Aspects management. Epidemiological Aspects and
• Epidemiological Statistics, Application Epidemiological
Statistics of the Nursing Statistics
• Application of the Management, Student interactive
Nursing Treatment Modalities session on Application
Management and Nursing of the Nursing
• Treatment Management and their Management
Modalities and management. And Treatment
Nursing Modalities .
Management
S.No Topic Learning Teaching Methodology Time

objective Guidelines
13. Sexual and Gender Describe the To cover the Teacher seminar on 4 hrs
Identity Disorders Sexual and concept of Sexual Sexual and Gender
• Development of Gender Identity and Gender Identity Disorders
Human Sexuality Disorders Identity • student interactive
• Sexual Disorders Disorders session on
• Variation in Sexual ,Development of Development of
Orientation Human Sexuality, Human Sexuality,
• Nursing Management Sexual Disorders, Sexual Disorders
Variation in Sexual Student seminar on
Orientation, Variation in Sexual
Nursing Orientation
Management • Nursing
Management
182
14. To cover the Teacher seminar 5 hrs
Eating Disorders Describe the eating concept of Eating on Eating
disorders.
• Epidemiological Disorders, Disorders, its
Factors Epidemiological Epidemiological
• Predisposing Factors, Factors,
Factors: Anorexia Predisposing Predisposing
Nervosa and Bulimia Factors: Anorexia Factors: Anorexia
Nervosa obesity Nervosa and Nervosa and
• Bulimia Nervosa Bulimia Nervosa
Psychopharmacology obesity, obesity,
• Treatment & Psychopharmacol Psychopharmacol
Nursing ogy, Treatment & ogy, Treatment
Management Nursing Student Nursing
Management Management

objective
15. Adjustment and Adjustment and Student 5hrs
Impulse Control Describe the Impulse Control interactive
Adjustment and session on
Disorders Disorders, its
Impulse Control Adjustment and
• Historical and Disorders
Historical and Impulse
Epidemiological Epidemiological Control
Factors Factors, Adjustment Disorders.
• Adjustment Disorders, Impulse
Disorders Control Disorders, Teacher
• Impulse Control Treatment & Nursing seminar on
Disorders Management Adjustment and
• Treatment & Impulse
Nursing Control
Disorders, its
Management
Historical and
Epidemiological
Factors,
Adjustment
Disorders,
Impulse
Control
Disorders,
Treatment &
Nursing
Management
183
References
1. Brown R. T. Feldman G. R., Epilepsy -Diagnosis and Management, Little Brown

And Co., 1983, Toronto.
2. Beck M. C. Rawtins P. R. and et al, Mental Health – Psychiatric Nursing. The C.V.
MosbyCo., Ltd. 1984, Toronto.
3. Coleman C. J, Abnormal Psychology and Modern Life. P. B. Tara and Sons Co. Pvt
Ltd .1982.
4. Kaplan H. Saddock B, Synopsis of Psychiatry, William sand Wilkins, 1991,
Bathmov.
5. Stuart W. G. Sundeen J. S, Principles and Practice of Psychiatric Nursing, Mosby
Year book,1991, London.
6. Taylor C.M., Essentials of Psychiatric Nursing, 14th edition CV Mosby Co., 1982,
London.
7. Bimlakapoor CV, A Text book of Psychiatric Nursing, 4th edition Mosby Co.,
1982, Delhi.
8. Shivas, “Basic Cocept of Psychiatric Mental Health Nursing, 3rd edition, B.I
Publications, 1994.
184
3rd semester
Clinical Speciality – II
Sub Speciality – Cardio Vascular and Thoracic Nursing
Preamble:
This course is designed to assist students in developing expertise and in-depth understanding
in the field of cardiovascular and thoracic nursing. It will help students to develop advanced
skills for nursing intervention in various cardio medical and surgical conditions. It will enable
the student to function as Cardio vascular and Thoracic Nurse practitioner/specialist. It will
cardio vascular and thoracic nursing.
Objectives:
1. Appreciate trends and issues related to cardio vascular and thoracic Nursing.
cardio vascular and thoracic conditions
3. Participate in national health programs for health promotion, prevention and
rehabilitation of patients with cardio vascular and thoracic conditions
4. Perform physical, psychosocial & spiritual assessment
5. Assist in various diagnostic, therapeutic and surgical procedures
6. Apply nursing process in providing comprehensive care to patients with cardio
vascular and thoracic conditions
7. Demonstrate advance skills/competence in managing patients with cardio vascular
and thoracic conditions including Advance Cardiac Life Support.
8. Describe the various drugs used in cardio vascular and thoracic conditions and nurses
responsibility
9. Demonstrate skill in handling various equipments/gadgets used for critical care of
cardio vascular and thoracic patients
10. Appreciate team work & coordinate activities related to patient care.
11. Practice infection control measures.
12. Identify emergencies and complications & take appropriate measures
185
2nd Year
3rd semester
Clinical Speciality – II
Sub Speciality – Cardio Vascular and Thoracic Nursing
Theory 90 hours (6credits)
Practical: 540 hours (18 credits)
S. No Domains Cognitive psychomot Affective

or
1 Introduction Good to DiscussHist Develops
􀂉 Historical development, trends know orical understan
and issues in the field of developmen ding
cardiology. t, trends and Trends &
􀂉 Cardio vascular and thoracic issues in the issues in
conditions – major health problem. Essential field of Medical –
􀂉 Concepts, principles and nursing to perform cardiology. Surgical
perspectives Nursing
􀂉 Ethical and legal issues
􀂉 Evidence based nursing and its
application in cardio vascular and
thoracic nursing( to be incorporated
in all the units)
2 Epidemiology Good to Analyze Perform Develops
􀂉 Risk factors: hereditary, psycho know Alternate National understan
social factors, hypertension, system of health ding about
smoking, obesity, diabetes mellitus Essential medicine,Co programs Health
etc to perform mplementar related to promotion
􀂉 Health promotion, disease y therapies cardio , disease
prevention, Life style modification Desirable vascular and prevention
􀂉 National health programs related to perform thoracic , Lifestyle
to cardio vascular and thoracic conditions modificati
conditions on
􀂉 Alternate system of medicine
􀂉 Complementary therapies
3 Review of anatomy and Describe Participate
physiology of cardio vascular and Good to anatomy for Bio-
respiratory system know and chemistry of
􀂉 Review of anatomy and physiology blood in
physiology of heart, lung, thoracic Desirable of cardio relation to
cavity to perform vascular and cardio
and blood vessels. Embryology of respiratory pulmonary
heart and lung. system function.
􀂉 Coronary circulation
􀂉 Hemodynamics and electro
186
physiology of heart.
􀂉 Bio-chemistry of blood in
relation to cardio pulmonary
function.
4 Assessment and Diagnostic
Measures: Good to Develop
􀂉 History taking know Assessment
􀂉 Physical assessment and
• Heart rate variability: Diagnostic
Mechanisms , measurements, Measures
pattern,
factors, impact of interventions on
HRV
􀂉 Diagnostic tests
• Hemodynamic monitoring:
Technical aspects, monitoring,
functional hemodynamic indices,
ventricular function indices, output
measurements (Arterial and swan
Ganz monitoring).
Blood gases and its significance,
oxygen supply and demand
• Radiologic examination of the
chest: interpretation, chest film
findings
• Electro cardiography(ECG) :
electrical conduction through the
heart, basic electrocardiography, 12
lead electrocardiogram, axis
determination
- ECG changes in: intraventricular
conduction abnormalities-
Arrhythmias, ischemia, injury and
infarction, atrial and
ventricular enlargement, electrolyte
imbalance,
• Echocardiography: technical
aspects, special techniques,
echocardiography of cardiac
structures in health and disease,
newer techniques
• Nuclear and other imaging studies
of the heart: Magnetic
Resonance Imaging.
• Cardio electrophysiology
procedures: diagnostic studies,
interventional and catheter ablation,
nursing care
• Exercise testing: indications and
objectives, safety and
personnel, pretest considerations,
187
selection, interpretation, test
termination, recovery period
• Cardiac catheterization:
indications, contraindications,
patient
preparation, procedure,
interpretation of data
• Pulmonary function test:
Bronchoscopy and graphies
• Interpretation of diagnostic
measures
• Nurse’s role in diagnostic tests
􀂉 Laboratory tests using blood:
Blood specimen collection, Cardiac
markers, Blood lipids, Hematologic
studies, Blood cultures,
Coagulation studies, Arterial blood
gases, Blood Chemistries,
cardiac enzyme studies, Serum
Concentration of Selected drugs.
5 Cardiac disorders and nursing Analyse
management: Good to Cardiac Write the
􀂉 Etiology, clinical manifestations, know disorders manageme
diagnosis, prognosis, related and its nt of
pathophysiology, treatment nursing Cardiac
modalities and nursing management managemen disorders
of: t
• Hypertension
• Coronary Artery Disease. Essential
• Angina of various types. to
• Cardiomegaly perform
• Myocardial Infarction, Congestive
cardiac failure
• Heart Failure, Pulmonary Edema,
Shock.
• Rheumatic heart disease and other
Valvular Diseases
• Inflammatory Heart Diseases,
Infective Endocarditis,
Myocarditis, Pericarditis.
• Cardiomyopathy, dilated,
restrictive, hypertrophic.
• Arrhythmias, heart block
Associated illnesses
6 Altered pulmonary conditions

􀂉 Etiology, clinical manifestations, Good to Aware Compare
diagnosis, prognosis, related know about the Acute and
pathophysiology, treatment Altered Chronic
modalities and nursing management pulmonary obstructive
188
of: Desirable conditions pulmonary
• Bronchitis to perform disease
• Bronchial asthma
• Bronchiectasis
• Pneumonias
• Lung abscess, lung tumour
• Pulmonary tuberculosis, fibrosis,
pneumoconiosis etc
• Pleuritis, effusion
• Pneumo, haemo and pyothorax
• Interstitial Lung Disease
• Cystic fibrosis
• Acute and Chronic obstructive
pulmonary disease (conditions
leading to)
• Cor pulmonale
• Acute respiratory failure
• Adult respiratory distress
syndrome
• Pulmonary embolism
• Pulmonary Hypertension
7 Vascular disorders and nursing Review Evaluate the
management Good to theEtiology, Vascular
􀂉 Etiology, clinical manifestations, know clinical disorders
diagnosis, prognosis, related manifestatio and nursing
pathophysiology, treatment ns, managemen
modalities and nursing management diagnosis, t
of: prognosis,
• Disorders of arteries related
• Disorders of the aorta pathophysio
• Aortic Aneurysms, Desirable logy,
• Aortic dissection to treatment
• Raynaud’s phenomenon perform modalities
• Peripheral arterial disease of the and nursing
lower extremities managemen
• Venous thrombosis t of:
• Varicose veins • Disorders
• Chronic venous insufficiency and of arteries
venous leg ulcers • Disorders
• Pulmonary embolism of the aorta
• Aortic
Aneurysms,
• Aortic
dissection
• Raynaud’s
phenomeno
n
• Peripheral
arterial
disease of
the lower
189
extremities
• Venous
thrombosis
• Varicose
veins
• Chronic
venous
190nsufficie
ncy and
venous leg
ulcers
• Pulmonary
embolism
8. Cardio thoracic emergency Essential Discuss
interventions to perform Cardio
􀂉CPR- BLS and ALS thoracic
􀂉Use of ventilator, defibrillator , Desirable emergencie
pacemaker to perform s and its
􀂉Post resuscitation care. interventio
􀂉Care of the critically ill ns.
patients
􀂉Psychosocial and spiritual
aspects of care
􀂉Stress management; ICU
psychosis
􀂉Role of nurse
2nd Year
3rd semester
SUB SPECIALITY – CARDIO VASCULAR AND THORACIC NURSING
Theory 90 hours (6credits)
LEARNING
OBJECTIVES
S. (at the end of TEACHING METHODOLO
CONTENT OF TOPICS TIME
NO the session the OBJECTIVES GY
student should
be able to)
1 Introduction Discuss the To teach and Interactive 5 hrs
􀂉Historical Historical discuss about session with the
190
development, trends and development, Historical students
issues in the field of trends and issues development, regarding
cardiology. in the field of trends and Historical
􀂉Cardio vascular and cardiology. issues in the development,
thoracic conditions – field of trends and
major health problem. cardiology. issues in the
􀂉Concepts, principles field of
and nursing perspectives cardiology.
􀂉Ethical and legal
issues
􀂉Evidence based
nursing and its
application in cardio
vascular and
thoracic nursing(
to be incorporated
in all the units)
2 Epidemiology Explain the To teach and Student seminar 5 hrs
􀂉Risk factors: National health discuss about on National
hereditary, psycho social programs related National health health programs
factors, hypertension, to cardio vascular programs related to cardio
smoking, obesity, and thoracic related to vascular and
diabetes mellitus etc Conditions. cardio vascular thoracic
􀂉Health promotion, and thoracic Conditions.
disease prevention, Life Conditions.
style modification
􀂉National health
programs related to
cardio vascular and
thoracic
conditions
􀂉Alternate system of
medicine
􀂉 Complementary
therapies
3 Review of anatomy and Describe the To teach and Student seminar 5hrs
physiology of cardio anatomy and discuss about on anatomy and
vascular and physiology of anatomy and physiology of
respiratory system cardio vascular physiology of cardio vascular
􀂉Review of anatomy and cardio vascular and
and physiology of heart, respiratory and respiratory
lung, thoracic cavity system. respiratory system.
and blood vessels. system.
Embryology of heart and
lung.
􀂉Coronary circulation
􀂉Hemodynamics and
electro physiology of
heart.
􀂉Bio-chemistry of blood
191
in relation to cardio
pulmonary function.
4 Assessment and Explain the To teach and Seminar on 20 hrs

Diagnostic Measures: Assessment and discuss about Assessment and
􀂉History taking Diagnostic Assessment Diagnostic
􀂉Physical assessment Measures. and Diagnostic Measures.
• Heart rate variability: Measures.
Mechanisms ,
measurements, pattern,
factors, impact of
interventions on HRV
􀂉Diagnostic tests
• Hemodynamic
monitoring: Technical
aspects, monitoring,
functional hemodynamic
indices, ventricular
function indices, output
measurements (Arterial
and swan Ganz
monitoring).
Blood gases and its
significance, oxygen
supply and demand
• Radiologic examination
of the chest:
interpretation, chest film
findings
• Electro
cardiography(ECG) :
electrical conduction
through the
heart, basic
electrocardiography, 12
lead electrocardiogram,
axis
determination
- ECG changes in:
intraventricular
conduction
abnormalities-
Arrhythmias, ischemia,
injury and infarction,
atrial and
ventricular enlargement,
electrolyte imbalance,
• Echocardiography:
192
technical aspects, special
techniques,
echocardiography of
cardiac structures in
health and disease,
newer techniques
• Nuclear and other
imaging studies of the
heart: Magnetic
Resonance Imaging.
• Cardio
electrophysiology
procedures: diagnostic
studies,
interventional and
catheter ablation, nursing
care
• Exercise testing:
indications and
objectives, safety and
personnel, pretest
considerations, selection,
interpretation, test
termination, recovery
period
• Cardiac catheterization:
indications,
contraindications, patient
preparation, procedure,
interpretation of data
• Pulmonary function
test: Bronchoscopy and
graphies
• Interpretation of
diagnostic measures
• Nurse’s role in
diagnostic tests
􀂉Laboratory tests using
blood: Blood specimen
collection, Cardiac
markers, Blood lipids,
Hematologic studies,
Blood cultures,
Coagulation studies,
Arterial blood gases,
Blood Chemistries,
cardiac enzyme studies,
Serum Concentration of
Selected drugs.
Interpretation and role of
193
nurse
5 Cardiac disorders and Elaborate the To teach and Students seminar 25 hrs
nursing management: Cardiac disorders discuss about on Cardiac
􀂉Etiology, clinical and nursing Cardiac disorders and
manifestations, diagnosis, management. disorders and nursing
prognosis, related nursing management.
pathophysiology, management.
treatment modalities and
nursing management of:
• Hypertension
• Coronary Artery
Disease.
• Angina of various types.
• Cardiomegaly
• Myocardial Infarction,
Congestive cardiac failure
• Heart Failure,
Pulmonary Edema, Shock.
• Rheumatic heart
disease and other
Valvular Diseases
• Inflammatory Heart
Diseases, Infective
Endocarditis,
Myocarditis, Pericarditis.
• Cardiomyopathy,
dilated, restrictive,
hypertrophic.
• Arrhythmias, heart
block
• Associated
illnesses
6 Altered pulmonary Discuss the To teach and Pannel discussion 10 hrs
conditions Altered discuss about on Altered
􀂉Etiology, clinical pulmonary Altered pulmonary
manifestations, diagnosis, conditions. pulmonary conditions.
prognosis, related conditions.
pathophysiology,
treatment modalities and
• Bronchitis
• Bronchial asthma
• Bronchiectasis
• Pneumonias
• Lung abscess, lung
tumour
• Pulmonary
tuberculosis, fibrosis,
pneumoconiosis etc
• Pleuritis, effusion
194
• Pneumo, haemo and
pyothorax
• Interstitial Lung
Disease
• Cystic fibrosis
• Acute and Chronic
obstructive pulmonary
disease (conditions
leading to)
• Cor pulmonale
• Acute respiratory
failure
• Adult respiratory
distress syndrome
• Pulmonary embolism
• Pulmonary
Hypertension
7 Vascular disorders and Elaborate the To teach and Student 10 hrs
nursing management Vascular discuss about interactive
􀂉Etiology, clinical disorders and Vascular session on
manifestations, diagnosis, nursing disorders and Vascular
prognosis, related management nursing disorders and
pathophysiology, management nursing
treatment modalities and management
• Disorders of arteries
• Disorders of the aorta
• Aortic Aneurysms,
• Aortic dissection
• Raynaud’s phenomenon
• Peripheral arterial
disease of the lower
extremities
• Venous thrombosis
• Varicose veins
• Chronic venous
insufficiency and venous
leg ulcers
• Pulmonary
embolism
8 Cardio thoracic Explain the Cardio To teach and Interactive 10 hrs
emergency thoracic discuss about session on Cardio
interventions emergency Cardio thoracic thoracic
􀂉CPR- BLS and ALS interventions emergency emergency
􀂉Use of ventilator, interventions interventions
defibrillator , pacemaker
􀂉Post resuscitation
care.
􀂉Care of the critically ill
patients
195
􀂉Psychosocial and
spiritual aspects of care
􀂉Stress management;
ICU psychosis
􀂉Role of nurse.
Practical: 540 Hours (18 credits)

Practicals
S.No. Deptt/ Unit No. of Week Total Hours

1 Cardio thoracic -Medical 2 60 Hours
-Surgical 2 60 Hours
2. OTs (Cardiac and thoracic) 2 60 Hours
3. Casualty 2 60 Hours
4. Diagnostic labs including cath lab 2 60 Hours
5. ICCU 2 60 Hours
6. ICU 2 60 Hours
7. CCU 2 60 Hours
8. Paediatric Intensive 1 30 Hours
9. OPD 1 30 Hours
Essential Nursing Skills
Procedures Observed
1. Echo cardiogram
2. Ultrasound
3. Monitoring JVP , CVP
4. CT SCAN
5. MRI
6. Pet SCAN
7. Angiography
8. Cardiac cathetrisation
9. Angioplasty
10. Various Surgeries
11. Any other
I. Procedures Assisted
1. Arterial blood gas analysis
2. Thoracentesis
3. Lung biopsy
4. Computer assisted tomography (CAT Scan)
5. M.R.I.
6. Pulmonary angiography
196
7. Bronchoscopy
8. Pulmonary function test
9. ET tube insertion
10. Tracheostomy tube insertion
11. Cardiac catheterisation
12. Angiogram
13. Defibrillation
14. Treadmill test
15. Echo cardiography
16. Doppler ultrasound
17. Cardiac surgery
18. Insertion of chest tube
19. CVP Monitoring
20. Measuring pulmonary artery pressure by Swan-Ganz Catheter
21. Cardiac Pacing
II. Procedures Performed

1. Preparation of assessment tool for CT client (Cardiac, thoracic and vascular).
2. ECG – Recording, Reading, Identification of abnormalities
3. Oxygen therapy – Cylinder, central supply,
Catheter, nasal canula, mask, tent
Through ET and Tracheostomy tube
Manual resuscitation bag
4. Mechanical ventilation
5. Spirometer
6. Tuberculen skin test
7. Aerosal therapy
8. Nebulizer therapy
9. Water seal drainage
10. Chest physiotheray including – Breathing Exercises Coughing
Exercises
Percussion & Vibration
11. Suctioning – Oropharyngeal, nasotracheal, Endotrachieal Through
tracheostomy tube
12. Artificial airway cuff maintenance
13. CPR
14. Care of client on ventilator
15. Identification of different – Arrhythmias
Abnormal pulses, respirations
B.P. Variation
Heart sounds
Breath sounds
16. Pulse oxymetry
17. Introduction of intracath
18. Bolus I.V. Injection
19. Life line
20. Maintenance of “Heplock”
21. Subcutaneous of Heparin
22. Obtaining leg measurements to detect early swelling in
thrombophlebetes
23. Identification of Homans signs
197
24. Buergen – Allen exercises
2nd Year
3rd
semester
SUB SPECIALITY – CRITICAL CARE NURSING
Course Description:
This course is designed to assist students in developing expertise and in-depth knowledge in
the field of Critical care Nursing. It will help students to develop advanced skills for nursing
intervention in caring for critically ill patients. It will enable the student to function as critical
care nurse practitioner/ specialist. It will further enable the student to function as educator,
manager and researcher in the field of Critical Care Nursing.
Objectives:
At the end of the course the students will be able to
1. Appreciate trends and issues related to Critical Care Nursing.
critically ill patients
3. Describe the various drugs used in critical care and nurses responsibility
198
5. Demonstrate advance skills/competence in managing critically ill patients including
Advance Cardiac Life Support.
6. Demonstrate skill in handling various equipments/gadgets used for critical care
7. Provide comprehensive care to critically ill patients.
10. Assess and manage pain .
11. Identify complications & take appropriate measures.
12. Discuss the legal and ethical issues in critical care nursing
13. Assist patients and their family to cope with emotional distress, spiritual, grief and
anxiety
field of critical care nursing
2nd Year
3rd semester
Hours of instruction
Theory: 90 hours (6 credits)
S. UNIT Domain Cognitive psychomoto Affective

No s r
1 Introduction to Critical Care Good to Review the Demonste set Appreciate
Nursing know principles, up of various trends and
Historical review- Progressive Essential concept, monitors and issues related
patient care(PPC) to principles ventilators to Critical
Review of anatomy and physiology perform and scope of Care Nursing.
199
of vital organs, fluid andelectrolyte critical care
balance nursing
Concepts of critical care nursing
Principles of critical care nursing
Scope of critical care nursing
Critical care unit set up including
equipment’s supplies, use and care
of various type of monitors &
ventilators
Flow sheets
2 Concept of Holistic care applied to Good to Review the Demonstrate

critical care nursing practice know Impact of the dynamics
Impact of critical care environment critical care of healing in
on patients:- Desirabl environment critical care
• Risk factors, Assessment of e to on patients unit such as
patients, Critical care perform therapeutic
psychosis,prevention & nursing touch,
care for patients affected with Relaxation,
psychophysiological & Music
psychosocial problems of critical therapy,
care unit, caring for the patient’s Essential Guided
family, family teaching to Imagery,
The dynamics of healing in critical perform acupressure
care unit:-therapeutic touch, on 2 patients
Relaxation, Music therapy, Guided Manage
Imagery, acupressure burnout
Stress and burnout syndrome syndrome
among health team members among health
care
providers
3. Review Good to Analyses Perform safe
Pharmacokinetics know Pharmacokin drug
Analgesics/Anti-inflammatory etics relevant administratio
agents Essential to drugs used n based on
Antibiotics, antiseptics to in treatment principles of
Drug reaction & toxicity perform of critical drug
Drugs used in critical care unit care administratio
(inclusive of ionotropic, life saving conditions n
drugs) Describe the
Drugs used in various body systems various drugs
IV fluids and electrolytes used in
Blood and blood components critical care
Principles of drug administration, and nurses
role of nurses and care of drugs responsibility
4. Pain Management Good to Develops Performs Develops
Pain & Sedation in Critically ill know knowledge in pain understanding
patients theories and assessment in the
Theories of pain, Types of pain, Essential types of pain on 5 patients management
Pain assessment, Systemic to of pain
responses to pain perform
200
Pain management-pharmacological
and non-pharmacological measures
Placebo effect
5. Infection control in intensive care Essential Practice
unit to infection
Nosocomial infection in intensive perform control
care unit; methyl resistant measures in
staphylococcus aureus (MRSA), intensive
Disinfection, Sterilization, Standard care unit
safety measures, Prophylaxis for
staff
6. Gastrointestinal System Good to Develop Provides
Causes, Pathophysiology, Clinical know knowledge in nursing care
types, Clinical features,diagnosis, Clinical to 5 patients
Prognosis, Management: Medical, Essential features, with
Surgical and Nursing management to pathophysiol Gastrointesti
of:-Acute Gastrointestinal perform ogy, nal
Bleeding, Abdominal injury, diagnosis, conditions
Hepatic Disorders:-Fulminant and
hepatic failure, Hepatic management
encephalopathy, Acute Pancreatitis, of
Acute intestinal obstruction, gastrointestin
perforative peritonitis al conditions
7. Renal System Good to Develops Provides
Causes, pathophysiology, Clinical know knowledge in
nursing care
types, Clinical features, diagnosis, Clinical
to 5 patients
Prognosis, Management: Medical, Essential features,
with
Surgical and Nursing management to pathophysiol
nephrologica
of:-Acute Renal Failure, Chronic perform ogy, l conditions
Renal Failure, Acute tubular diagnosis,
Demonstrate
necrosis, Bladder trauma and skill in
Management Modalities: management
handling
Hemodialysis, Peritoneal Dialysis, of various
Continuous Ambulatory Peritoneal gastrointestin
equipments
Dialysis, Continuous arteriovenus al conditions
used for the
hemodialysis, Renal Transplant management
of
nephrologica
l conditions
8 Nervous System Good to Develops Provides Develops
Causes, pathophysiology, Clinical know knowledge in nursing care understanding
types, Clinical features diagnosis, Clinical to 5 patients problems
Prognosis, Management: Medical, Essential features, with associated with
Surgical and Nursing management to pathophysiol neurological neurological
of:-Common Neurological perform ogy, conditions disorders
Disorders:-Cerebrovascular disease, diagnosis, Demonstrate
Cerebrovascular accident, Seizure and skill in
disorders, GuilleinBarre-Syndrome, management handling
Myasthenia Gravis, Coma, of various
Persistent vegetative state, neurological equipments
Encephalopathy, Head injury, conditions used for the
201
Spinal Cord injury management
Management Modalities: of
Assessment of Intracranial neurological
pressure, Management of conditions
intracranial hypertension,
Craniotomy
Problems associated with
neurological disorders:
Thermoregulation,
Unconsciousness, Herniation
syndrome
9 Endocrine System Good to Develop Provides
Causes, Pathophysiology, Clinical know knowledge in nursing care
types, Clinical features, diagnosis, Clinical to 5 patients
Prognosis, Management: Medical, Essential features, with
Surgical and Nursing Management to pathophysiol Endocrine
of:-Hypoglycemia, Diabetic perform ogy, conditions
Ketoacidosis, Thyroid crisis, diagnosis,
Myxoedema, Adrenal crisis, and
Syndrome of Inappropriate/ management
hypersecretion of Antidiuretic of endocrine
Hormone (SIADH) conditions
10. Management of other Good to Develop
Emergency Conditions know knowledge in
Mechanism of injury, Thoracic Managemen
injuries, Abdominal injuries, Essential t of other
pelvic to Emergency
fractures, complications of perform Conditions
trauma, Head injuries
Shock: Shock syndrome,
Hypovolemic, Cardiogenic,
Anaphylactic,
Neurogenic and Septic shock
Systemic inflammatory
Response:The inflammatory
response,
Multiple organ dysfunction
syndrome
Disseminated Intravascular
Coagulation
Drug Overdose and Poisoning,
Acquired Immunodeficiency
Syndrome (AIDS)
202
2nd Year
3rd semester
Theory: 90 hours (6 credits)
LEARNING
S. OBJECTIVES TEACHING METHODOLO
NO (at the end of OBJECTIVES GY
the session the
203
student should
be able to)
1 Introduction to Critical Discuss the To teach and Interactive 5 hrs
Care Nursing Historical concept, discuss about session with the
review- Progressive patient principles and concept, students
care(PPC) scope of critical principles and regarding
Review of anatomy and care nursing scope of critical concept,
physiology of vital organs, care nursing principles and
fluid and electrolyte scope of critical
balance care nursing
Concepts of critical care
nursing
Principles of critical care
nursing
Scope of critical care
nursing
Critical care unit set up
including equipments
supplies, use and care of
various type of monitors &
ventilators
Flow sheets
2 Concept of Holistic care Explain the To teach and Student seminar 10 hrs
applied to critical care Concept of discuss about on Concept of
nursing practice Holistic care Concept of Holistic care
Impact of critical care applied to critical Holistic care applied to critical
environment on patients:- care nursing applied to care nursing
Risk factors, Assessment practice critical care practice
of patients, Critical care nursing practice
psychosis, prevention &
nursing care for patients
affected with
psychophysiological &
psychosocial problems of
critical care unit, Caring
for the patient’s family,
family teaching
The dynamics of healing in
critical care unit:-
therapeutic touch,
Relaxation, Music therapy,
Guided Imagery,
acupressure
Stress and burnout
syndrome among health
team members
3 Review Describe the drugs To teach and Student seminar 14 hrs
Pharmacokinetics used in critical discuss about on drugs used in
Analgesics/Anti care unit drugs used in critical care unit
inflammatory agents critical care unit
Antibiotics, antiseptics
204
Drug reaction & toxicity
Drugs used in critical care
unit (inclusive of
ionotropic, life saving
drugs)
Drugs used in various body
systems IV fluids and
electrolytes
Blood and blood
components
Principles of drug
administration, role of
nurses and care of drugs
4 Pain Management Explain the pain To teach and Seminar on pain 5 hrs
Pain & Sedation in management and discuss about management and
Critically ill patients theories of pain pain theories of pain
Theories of pain, Types of management
pain, Pain assessment, and theories of
Systemic responses to pain pain
pain management-
pharmacological and non-
pharmacological measures
Placebo effect
5 Infection control in Elaborate the To teach and Students seminar 5 hrs
intensive care unit Infection control in discuss about on Infection
Nosocomial infection in intensive care unit Infection control in
intensive care unit; methyl control in intensive care unit
resistant staphylococcus intensive care
aureus (MRSA), unit
Disinfection, Sterilization,
Standard safety measures,
Prophylaxis for staff
6 Gastrointestinal System Discuss the To teach and Pannel discussion 10 hrs
Causes, Pathophysiology, gastrointestinal discuss about on
Clinical types, Clinical disorders and its gastrointestinal gastrointestinal
features, diagnosis, management disorders and its disorders and its
Prognosis, Management: management management
Medical, Surgical and
Nursing management of:-
Acute Gastrointestinal
Bleeding, Abdominal
injury, Hepatic Disorders:-
Fulminent hepatic failure,
Hepatic encephalopathy,
Acute Pancreatitis, Acute
intestinal obstruction,
perforative peritonitis
7 Renal System Elaborate the renal To teach and Student 10 hrs
Causes, pathophysiology, disorders and its discuss about interactive
205
Clinical types,Clinical management renal disorders session on renal
features, diagnosis, and its disorders and its
Acute Renal Failure,
Chronic Renal Failure,
Acute tubular necrosis,
Bladder trauma ‰
Management Modalities:
Hemodialysis, Peritoneal
Dialysis, Continuous
Ambulatory Peritoneal
Dialysis, Continuous
arterio venus hemodialysis,
Renal Transplant,
8 Nervous System Explain the To teach and Interactive 10 hrs
Causes, pathophysiology, neurovascular discuss about session on
Clinical types,Clinical disorders and its neurovascular neurovascular
features, diagnosis, management disorders and disorders and its
Prognosis, Management: its management management
Common Neurological
Disorders:-Cerebrovascular
disease, Cerebrovascular
accident, Seizure disorders,
GuilleinBarre-Syndrome,
Myasthenia Gravis, Coma,
Persistent vegetative state,
Encephalopathy, Head
injury, Spinal Cord injury
Assessment of Intracranial
pressure, Management of
intracranial hypertension,
Craniotomy Problems
associated with
neurological disorders:
Thermo regulation,
Unconsciousness,
Herniation syndrome
9 Endocrine System Enumerate the To teach and Simulated 5 hrs
Causes, Pathophysiology, endocrine discuss about learning on
Clinical types, Clinical disorders and its endocrine endocrine
features, diagnosis, management disorders and its disorders and its
Nursing Management of :-
Hypoglycemia, Diabetic
Ketoacidosis, Thyroid
206
crisis, Myxoedema,
Adrenal crisis, Syndrome
of Inappropriate/
hypersecretion of
Antidiuretic Hormone
(SIADH)
10 Management of other Explain the To teach and Interactive 15hrs
Emergency Conditions management of discuss about session on the
􀂉Mechanism of injury, other Emergency the management of
Thoracic injuries, Conditions management other emergency
Abdominal injuries, of other Conditions
pelvic emergency
fractures, complications Conditions
of trauma, Head injuries
􀂉Shock: Shock
syndrome, Hypovolemic,
Cardiogenic,
Anaphylactic,
Neurogenic and Septic
shock
􀂉Systemic
inflammatory
Response:The
inflammatory response,
Multiple organ
dysfunction syndrome
􀂉Disseminated
Intravascular Coagulation
􀂉Drug Overdose and
Poisoning,
􀂉Acquired
Immunodeficiency
Syndrome (AIDS)
Practicals
Total = 540 Hours (18 credits)
S.No. Deptt./Unit No. of Weeks Total Hours
1 Burns ICU 1 30 Hours
2 Medical ICU 4 120 Hours
3 Surgical ICU 5 150 Hours
4 CCU 2 60 Hours
5 Emergency Department 2 60 Hours
207
6 Dialysis Unit 1 30 Hours
7 Transplant Room 1 30 Hours
8 Paediatric/ NICU 2 60 Hours
Total 18 Weeks 540 Hours
ESSENTIAL CRITICAL CARE NURSING SKILLS
I. Procedures Observed
1. CT Scan
2. MRI
3. EEG
4. Hemodialysis
5. Endoscopic Retrograde cholangioPancreaticogram(ERCP)
6. Heart/ Neuro/GI./ Renal Surgeries

1. Advanced life support system
2. Basic cardiac life support
3. Arterial line/arterial pressure monitoring/blood taking
4. Arterial blood gas
5. ECG recording
6. Blood transfusion
7. IV cannulation therapy
8. Arterial Catheterization
9. Chest tube insertion
10. Endotracheal intubations
11. Ventilation
12. Insertion of central line/cvp line
13. Connecting lines for dialysis
III. Procedure Performed
1. Airway management
a. Application of oropharyngeal airway
b. Oxygen therapy
c. CPAP (Continuous Positive Airway pressure)
208
d. Care of tracheostomy
e. Endotracheal extubation
2. Cardiopulmonary resuscitation, Basic cardiac life support, ECG
3. Monitoring of critically ill patients – clinically with monitors, capillary refill time
(CRT) assessment of jaundice, ECG.
4. Gastric lavage
5. Assessment of critically ill patients
Identification & assessment of risk factors, Glasgow coma scale, and dolls eye
movement, arterial pressure monitoring, cardiac output/pulmonary artery
pressure monitoring, and detection of life threatening abnormalities
6. Admission & discharge of critically ill patients
7. Nutritional needs – gastrostomy feeds, pharyngeal feeds, jejunostomy feeds, TPN,
formula preparation & patient education.
8. Assessment of patient for alteration in blood sugar levels monitoring blood sugar
levels periodically & administering insulin periodically.
9. Administration of drugs: IM, IV injection, IV cannulation & fixation of infusion
pump, calculation of dosages, use of insulin syringes/ tuberculin, monitoring fluid
therapy, blood administration.
10. Setting up dialysis machine and starting, monitoring and closing dialysis
11. Procedures for prevention of infections:
Hand washing, disinfection & sterilization surveillance, and fumigation
universal precautions.
12. Collection of specimen.
13. Setting, use & maintenance of basic equipment, ventilator,
analyzer, monitoring equipment, transducers, defibrillator, infusion
& syringe pumps, centrifuge machine.
2nd Year
3rd
semester
CLINICAL SPECIALITY-II
SUB SPECIALTY - ONCOLOGY NURSING
Preamble:
in the field of oncology Nursing. It will help students to develop advanced skills for nursing
intervention in various oncological conditions. It will enable the student to function as
oncology nurse practitioner/specialist and provide quality care. It will further enable the
student to function as educator, manager, and researcher in the field of oncology nursing
Objectives:
1. Explain the prevention, screening and early detection of cancer
209
oncological disorders of various body systems
3. Describe the psychosocial effects of cancer on patients and families.
4. Demonstrate skill in administering/assisting in various treatment modalities used for
patients with cancer
5. Apply nursing process in providing holistic care to patients with cancer.
6. Apply specific concepts of pain management
7. Appreciate the care of death and dying patients and value of bereavement support.
8. Describe the philosophy, concept and various dimensions of palliative care
9. Appreciate the role of alternative systems of medicine in care of cancer patients
10. Appreciate the legal & ethical issues relevant to oncology nursing
11. Recognize and manage Oncological emergencies
12. Counsel the patients with cancer and their families
field of oncology nursing
14. Recognize the role of oncology nurse practitioner as a member of oncology team
15. Collaborate with other agencies and utilize resources in caring for cancer patients.
Theory 90 hours (6 credits)
S. Domain Cognitive psychomotor Affective

No s
1 Introduction Good to Discuss Develops
􀂉 Epidemiology-Incidence, know Historical understanding
Prevalence – Global, National, perspectives, Roles and
State and trends and responsibilities
Local issues in the of oncology
􀂉 Disease burden, concept of Essentia field of nurse
cancer, risk factors l to cancer.
􀂉 Historical perspectives perform
􀂉 Trends and issues
􀂉 Principles of cancer
management
􀂉 Roles and responsibilities of
oncology nurse
2 The Nature of Cancer Good to Analyze the Perform Clone
210
􀂉 Normal cell biology know Nature of formation
􀂉 The Immune system Cancer Transformation
􀂉 Pathological and Normal cell
pathophysiological changes in Desirabl biology,The
tissues e to Immune
• Biology of the cancer cell perform system,Pathol
• Clone formation ogical and
Transformation pathophysiolo
• Tumor stem lines gical changes
• Structure of a solid tumor in tissues
• Products produced by the
tumor
• Systemic effects of tumor
growth
3 Etiology of Cancer
􀂉 Carcinogenesis, Good to Describe . Revise
􀂉 Theories of cancer causation know etiology of Theories of
􀂉 Risk factors Cancer cancer
􀂉 Carcinogens – genetic causation
factors, chemical carcinogens, Essentia
radiation, l to
viruses, Immune system failure, perform
rapid tissue proliferation
􀂉 Hormone changes, diet,
emotional factors.
4 Diagnostic Evaluation
􀂉 Health assessment: History Good to Develop
taking, physical examination, know Health
􀂉 Staging and grading of Assessment
tumors, and
􀂉 TNM Classification Diagnostic
􀂉 Common diagnostic tests Measures
• Blood investigation:
Haemetological, Bio-chemical,
Tumor
markers, Hormonal assay
• Cytology:Fine needle
aspiration cytology(FNAC)
• Histopathology: Biopsy
• Radiological assessment:
MRI, Ultrasound, Computed
tomography, Mammography,
Positron emission
tomography(PET), Radio
nuclide imaging, Functional
metabolism imaging
• Endoscopies
Nurses responsibilities in
211
diagnostic measures
5 Levels of prevention and care
􀂉 Primary prevention – Good to Analyse Write the
Guidelines for cancer detection, know Levels of Levels of
general prevention prevention and
measures, Warning signs of and care care
cancer,
􀂉 Self examination-Oral,
Breast, Testicular
􀂉 Secondary prevention – early Essentia
diagnosis. l to
􀂉 Screening perform
􀂉 Tertiary prevention –
disability limitation,
􀂉 Rehabilitation :Mobility ,
Speech, Bowel and bladder,
Ostomies etc
􀂉 Patient and family education,
􀂉 Discharge instruction,
follow-up care and use of
community
resources.
6 Cancer Treatment Modalities
and Nurse’s Role Good to Aware about Compare
􀂉 Surgery know the Cancer Chemotherapy
• Principles of surgical Treatment and Radiation
oncology Modalities Therapy.
• Current surgical strategy, Desirabl and Nurse’s
• Determining surgical risk e to Role
• Special surgical techniques perform
• Pre-intra-postoperative
nursing care
• Acute and chronic surgical
complications
• Future directions and advances
􀂉 Chemotherapy
• Principles and classification of
chemotherapeutics
• Pharmacology of
antineoplastic drugs-
Mechanism of action,
Absorption, protein binding,
Bio-transformation, excretion,
common side effects, drug
toxicity
• Calculating drug doses,
• Therapeutic response to
chemotherapy-Tumor variables,
drug
resistance,
• Safety precautions
212
Radiation Therapy
• Physics of radiotherapy
• Types of ionizing rays
• Radiation equipments:Linear
accelerator, cobalt,
Implants,Isotopes,
• Types of therapies: Oral,
Brachy therapy, tele therapy,
selectron
therapy
• Effects of radiation on the
body tissue,
• Radiation biology – cell
damage hypoxic cells, alteration
of
tumor kinetics.
• Approaches to radiation
therapy –
• External radiotherapy
• Internal radiotherapy –
unsealed,
• Sealed sources.
• Effectiveness of radiotherapy-
Radiosensitivity, treatment
effects
• Complications of radiotherapy
• Radiation safety: Standards of
Bhaba Atomic Research
Centre(BARC)
Bone Marrow Transplantation
/Stem Cell Transplantation
• Types, indications,
transplantation procedure,
complications
and nursing managment
• Types and donor sources
• Preparation and care of donor
and recipient
• Bone marrow bank
• Legal and ethical issues
􀂉 Immunotherapy
(Biotherapy)
• Concepts and principles
• Classification of agents
• Treatment and applications
􀂉 Gene Therapy
• Current Concepts and
practices
􀂉 Alternative and
Complementary Therapies
• Current practices
213
7 Pain management:- Theories, Review Evaluate the
types and Good to Pain Non-
• Nature of cancer pain know management:- Pharmacologic
• Pathophysiology of pain Theories, al pain relief
• Pain threshold types. technique
􀂉 Assessment of pain
• Principles of cancer pain
control Desirabl
• Pharmacological: Opioid and e to
non-opioid analgesic therapy perform
• Patient controlled
analgesia(PCA)
• Other invasive techniques of
pain control
• Recent developments in
Cancer pain
􀂉 Non- Pharmacological pain
relief technique-
• Complementary
therapies(Music, massage,
meditation,
relaxation techniques, biofeed
back etc)
• Psychological intervention in
pain control
• Alternative system of
medicines
Role of nurse
8 Palliative care Analyse the
􀂉 Definition and scope, Global and
philosophy Good to Indian
􀂉 Concept and elements of know perspective of
palliative care palliative care
􀂉 Global and Indian
perspective of palliative care
􀂉 Quality of life issues
􀂉 Communication skill
􀂉 Nursing perspective of
palliative care and its elements
􀂉 Home care
􀂉 Hospice care
Role of nurse in palliative care
9 Nursing Management of Good to Discuss the
Physiological Conditions know Nursing
and Symptoms Management
Of Cancer Patient of
􀂉Nutrition: - effects of Physiological
cancer on nutritional Status Conditions
and its Desirabl and
consequences:-Anemia, e to Symptoms
214
Cachexia, Xerostomia, perform Of Cancer
mucositis, Patient
Dysphagia , nausea and
vomiting, constipation,
diarrhoea,
electrolyte imbalances, taste
alterations
􀂉Impaired mobility:
Decubitus ulcer, pathologic
fractures,
thrombophlebitis, pulmonary
embolism, contractures,
footdrop
Other symptoms
􀂉Dyspepsia & hiccup,
dyspnoea
􀂉intestinal obstruction,
􀂉Fungating wounds
􀂉Anxiety & depression,
insomnia
􀂉Lymph edema
Impact of cancer on
sexuality:
􀂉Effects of radiotherapy/
chemotherapy/surgery on
sexuality of the
cancer patient
􀂉Nursing management of
cancer patients experiencing
sexual
dysfunction
􀂉Sexual counseling
2nd Year
3rd semester
Theory: 90 Hours (6credits)
Learning
Objectives
S. Teaching
Content Of Topics (At The End Methodology Time
No Objectives
Of The
Session The
215
Student
Should Be
Able To)
1 Introduction Discuss the To teach and Interactive 4 hrs
• Epidemiology-Incidence, concept, and discuss about session with the
Prevalence – Global, principles of concept, and students
National, State and Local cancer principles of regarding
• Disease burden, concept management cancer concept, and
of cancer, risk factors management principles of
• Historical perspectives cancer
• Trends and issues management
• Principles of cancer
management
• Roles and responsibilities
of oncology nurse
2 The Nature of Cancer Explain the To teach and Student seminar 5 hrs
• Normal cell biology Pathological discuss about on Pathological
• The Immune system and Pathological and
• Pathological and pathophysiologi and pathophysiologic
pathophysiological cal changes in pathophysiol al changes in
changes in tissues tissues ogical tissues
• Biology of the cancer cell changes in
• Clone formation tissues
Transformation
• Tumor stem lines
• Structure of a solid tumor
• Products produced by the
tumor
• Systemic effects of tumor
growth
3 Etiology of Cancer Describe the To teach and Teachers 4 hrs
• Carcinogenesis, etiology of discuss about seminar on
• Theories of cancer cancer and etiology of etiology of
causation theories of cancer and cancer and
• Risk factors cancer theories of theories of
• Carcinogens – genetic causation cancer cancer causation
factors, chemical causation
carcinogens, radiation,
viruses, Immune system
failure, rapid tissue
proliferation
• Hormone changes, diet,
emotional factors.
4 Diagnostic Evaluation Explain the To teach and Focused group 10 hrs
• Health assessment: health discuss about discussion on
History taking, physical assessment and health health
examination, diagnostic tests assessment assessment and
• Staging and grading of of patients with and diagnostic tests
tumors, cancer diagnostic of patients with
• TNM Classification tests of cancer
216
Common diagnostic tests patients with
• Blood investigation: cancer
Haemetological, Bio-
chemical, Tumor markers,
Hormonal assay
• Cytology:Fine needle
aspiration
cytology(FNAC)
• Histopathology: Biopsy
• Radiological assessment:
MRI, Ultrasound,
Computed tomography,
Mammography, Positron
emission
tomography(PET), Radio
nuclide imaging,
Functional metabolism
imaging
• Endoscopies
• Nurses responsibilities in
diagnostic measures
5 Levels of prevention and care Elaborate the To teach and Students seminar 10 hrs
• Primary prevention – Infection discuss about on Infection
Guidelines for cancer control in Infection control in
detection, general intensive care control in intensive care
measures, Warning signs unit intensive unit
of cancer, care unit
• Self examination-Oral,
Breast, Testicular
• Secondary prevention –
early diagnosis.
• Screening
• Tertiary prevention –
disability limitation,
• Rehabilitation :Mobility ,
Speech, Bowel and
bladder, Ostomies etc
• Patient and family
education,
• Discharge instruction,
follow-up care and use of
community resources.
6 Cancer Treatment Modalities and Discuss the To teach and Pannel 25 hrs
Nurse’s Role gastrointestinal discuss about discussion on
• Surgery disorders and its gastrointestin gastrointestinal
• Principles of surgical oncology • management al disorders disorders and
Current surgical strategy, • and its its
Determining surgical risk • management management
Special surgical techniques • Pre-
intra-postoperative nursing care •
217
Acute and chronic surgical
complications • Future directions
and advances
• Chemotherapy
• Principles and classification of
chemotherapeutics •
Pharmacology of antineoplastic
drugs- Mechanism of action,
Absorption, protein binding, Bio-
transformation, excretion,
common side effects, drug
toxicity • Calculating drug doses,
• Therapeutic response to
chemotherapy-Tumor variables,
drug resistance, • Safety
precaution
• Radiation Therapy
• Physics of radiotherapy • Types
of ionizing rays • Radiation
equipments:Linear accelerator,
cobalt, Implants,Isotopes, • Types
of therapies: Oral, Brachy
therapy, tele therapy, selectron
therapy • Effects of radiation on
the body tissue, • Radiation
biology – cell damage hypoxic
cells, alteration of tumor kinetics.
• Approaches to radiation therapy
– • External radiotherapy •
Internal radiotherapy – unsealed,
• Sealed sources. • Effectiveness
of radiotherapy-Radiosensitivity,
treatment effects • Complications
of radiotherapy • Radiation
safety: Standards of Bhaba
Atomic Research Centre(BARC)
83 Unit Hours. Content ‰
• Bone Marrow
Transplantation /Stem
Cell Transplantation
• Types, indications,
transplantation procedure,
complications and nursing
management • Types and donor
sources • Preparation and care of
donor and recipient • Bone
marrow bank • Legal and ethical
issues
• Immunotherapy
(Biotherapy)
• Concepts and principles •
218
Classification of agents •
Treatment and applications
• Gene Therapy
• Current Concepts and practices
• Alternative and
Complementary Therapies
• Current practices
7 Pain management:- Theories, Elaborate the To teach and Student 10 hrs
types and renal disorders discuss about interactive
• Nature of cancer pain and its renal session on renal
• Pathophysiology of pain management disorders and disorders and its
• Pain threshold its management
management
Assessment of pain
• Principles of cancer pain control
• Pharmacological: Opioid and
non-opioid analgesic therapy
• Patient controlled
analgesia(PCA)
• Other invasive techniques of
pain control
• Recent developments in Cancer
pain
Non- Pharmacological pain relief
technique-
• Complementary
therapies(Music, massage,
meditation, relaxation techniques,
biofeed back etc)
• Psychological intervention in
pain control
• Alternative system of medicines
Role of nurse
8 Palliative care Explain the To teach and Interactive 5 hrs
• Definition and scope, neurovascular discuss about session on
philosophy disorders and neurovascula neurovascular
• Concept and elements of its management r disorders disorders and its
palliative care and its management
• Global and Indian management
perspective of palliative
care
• Quality of life issues
• Communication skill
• Nursing perspective of
palliative care and its
elements
• Home care
• Hospice care
• Role of nurse in palliative
care
219
9. 􀂉Nutrition: - effects ofcancer Explain the To teach and Interactive 15 hrs
on nutritional Status and its Nursing discuss about session on
consequences:-Anemia, Management Nursing Physiological
Cachexia, Xerostomia, of Managemen Conditions and
mucositis, Physiological t of Cancer Symptoms
Dysphagia , nausea and Conditions and Patient Of Cancer
vomiting, constipation, Symptoms Patient
diarrhoea, Of Cancer
electrolyte imbalances, taste Patient
alterations
􀂉Impaired mobility:
Decubitus ulcer, pathologic
fractures,
thrombophlebitis, pulmonary
embolism, contractures,
footdrop
Other symptoms
􀂉Dyspepsia & hiccup,
dyspnoea
􀂉intestinal obstruction,
􀂉Fungating wounds
􀂉Anxiety & depression,
insomnia
􀂉Lymph edema
Impact of cancer on sexuality:
􀂉Effects of radiotherapy/
chemotherapy/surgery on
sexuality of the
cancer patient
􀂉Nursing management of
cancer patients experiencing
sexual
dysfunction
􀂉Sexual counseling
Clinical Experience
Total
S. No. Deptt./ Unit No. of Week Hours
1 Medical Oncology ward 3 90 Hours
2 Surgical Oncology ward 3 90 Hours
3 Bone marrow transplantation Unit 1 30 Hours
4 Operation Theatre 2 60 Hours
5 Radiotherapy Unit 2 60 Hours
220
6 Chemotherapy Unit 1 30 Hours
7 Out patient department and pain clinic 1 30 Hours
8 Pediatric Oncology ward 1 30 Hours
9 Palliative Care ward 1 30 Hours
10 Community oncology 1 30 Hours
11 Hospice 1 30 Hours
12 Other field visits 1 30 Hours
Procedures Observed
1. CT Scan
2. MRI
3. PET Scan(Positron Emission Tomography)
4. Ultra sound
5. Mammography
6. Radio Nuclide Imaging
7. Bone Scan
8. Thyroid Function Test
9. Functional and Metabolic Imaging
10. Transportation of radioactive materials
11. Others
Procedures Assisted
1. IV cannulation – Open method
2. Chemotherapy
3. Radiotherapy – Brachytherapy – Low Density Radiation, High Density Radiation.
4. Interstitial implantation
5. Bio-therapy and Gene therapy
6. Teletherapy – Treatment planning
7. Bone marrow aspiration and biopsy
8. Biopsy – tissue
9. FNAC – Fine Needle Aspiration Cytology and biopsy
10. Advance Cardiac life support
11. Endotracheal intubation
12. Defibrillation Ventilation
13. Tracheostomy
14. Thoracentesis
15. Paracentesis
16. Lumbar Puncture
17. Arterial Blood Gas
18. Nerve Block
20. Intercostal drainage
21. CVP monitoring
Procedure Performed
1. Screening for cancer
2. Assessment of pain
221
3. Assessment of Nutritionsl status
4. Care of Tracheostomy
6. Gastric gavage
7. Pap smear
8. IV cannulation
9. Care of surgical flaps
10. Care of ostomies
11. Blood transfusion and component therapy
12. Counseling
13. Practice standard safety measures
14. Care of dead body and mortuary formalities
15. Alternative therapies
2nd Year
3rd
semester
SUB SPECIALTIES- NEUROSCIENCES NURSING
Preamble:
the field of neurology and neurosurgical Nursing. It will help students to develop advanced
222
skills for nursing intervention in caring for patients with neurological and neurosurgical
disorders. It will enable the student to function as neuroscience nurse practitioner/ specialist.
It will further enable the student to function as educator, manager and researcher in the field
of neurology and neurosurgical Nursing.
Objectives:
1. Appreciate trends and issues related to neurology and neurosurgical Nursing.
2. Review the anatomy and physiology of nervous system
patients with neurological and neurosurgical disorders
4. Perform neurological assessment and assist in diagnostic procedures
5. Describe the concepts and principles of neuroscience nursing
6. Describe the various drugs used in neurosciences and nurses responsibility
7. Assist in various therapeutic and surgical procedures in neuroscience nursing
8. Demonstrate advance skills/competence in managing patients with neurological and
neurosurgical disorder following nursing process approach
9. Identify psychosocial problems of patients with disabilities and assist patients and
their family to cope with emotional distress, spiritual, grief and anxiety
10. Participate in preventive, promotive and rehabilitative services for neurological and
neurosurgical patients.
11. Explain the legal and ethical issues related to brain death, organ transplantation and
practice of neuroscience nursing
field of neuroscience nursing
13. Organise and conduct inservice education program for nursing

personnel.
14. Develop standards of care for quality assurance in neuroscience
nursing practice
15. Identify the sources of stress and manage burnout syndrome among
health care providers.
16. Teach and supervise nurses and allied health workers.
17. Plan and develop physical layout of neuro intensive care unit
MEDICAL SURGICAL NURSING -II

NEUROSCIENCES NURSING
Placement: M.Sc Nursing II Year
3rd semester
S. Domains Cognitive psychomotor Affective
223
No
1 Introduction Good to DiscussHistor Visualize
􀂉 Introduction to know y- Ethical and
neuroscience(neurological and Development legal issues
neurosurgical) in
nursing neurological
• History-Development in Desirable to and
neurological and neurosurgical perform neurosurgical
nursing, Service & education nursing,
• Emerging trends and issues in Service &
neurology and neuro surgery education .
and its implication to nursing.
• neurological and neurosurgical
problems –
• Concepts, principles and nursing
perspectives
• Ethical and legal issues
• Evidence based nursing and its
application in neurological and
neurosurgical nursing
2 Epidemiology Good to Analyze Develops
􀂉 Major health problems- know Major health understanding
􀂉 Risk factors associated with problems- about Health
neurological conditions- Essential to 􀂉 Risk factors promotion,
Hereditary, perform associated disease
Psychosocial factors, smoking, with prevention,
alcoholism, dietary habits, cultural neurological Lifestyle
and ethnic considerations, conditions modification
occupational and infections.
􀂉 Health promotion, disease
prevention, life style modification
and
its implications to nursing
Alternate system of
medicine/complementary therapies
3 Review of Anatomy and Describe Diagram
physiology Good to anatomy and Structure and
􀂉 Embryology know physiology of functions of
􀂉 Structure and functions of neurology. Nervous
Nervous system- CNS, ANS, Desirable to system
cereberal perform
circulation , cranial and spinal
nerves and reflexes, motor and
sensory functions
􀂉 Sensory organs
4 Assessment and diagnostic

measures Good to Develop Demonstrate
􀂉 Assessment know Assessment Neurological
• History taking and assessments,
224
• Physical assessment, psychosocial Diagnostic Glasgow coma
assessment Measures scale
• Neurological assessments, interpretation
Glasgow coma scale interpretation & its relevance
& its relevance to nursing. to nursing
• Common assessment
abnormalities Essential to
􀂉 Diagnostic measures Know
• Cerebro spinal fluid analysis
• Radiological studies-Skull and
spine X-ray Cerebral
Angiography, CT Scan, Single
Photon Emission Computer
Tomography(SPECT), MRI
(Magnetic Resonance Imaging),
MRA, MRS, Functional MRI,
Myelography, PET (Positron
Emission Test), Interventional
radiology.
• Electorgraphic studies- Electro
encephalo graphy, MEG, EMG,
video EEG,
• Nerve conduction studies-Evoked
potentials, visual evoked
potentials, brain stem auditory
evoked potentials,
somatosensory evoked potentials
• Ultrasound studies-Carotid
duplex, transcranial Doppler
sonography,
• Immunological studies
• Biopsies – muscle, nerve and
Brain.
Interpretation of diagnostic
measures
Nurse’s role in diagnostic tests
5 Meeting Nutritional needs of Analyse
neurological patients Good to Nutritional Write the
􀂉 Basic nutritional requirements know needs of Common
􀂉 Metabolic changes following neurological neurological
injury and starvation patients problems that
􀂉 Nutritional assessment interfere with
􀂉 Common neurological problems nutrition and
that interfere with nutrition and strategies for
strategies for meeting their Essential to meeting their
nutritional needs perform nutritional
􀂉 Special metabolic and electrolyte needs.
imbalances
􀂉 Chronic fatigue syndrome
225
6 Drugs used in neurological and
neurosurgical disorders Good to Aware about
􀂉 Classification know the Drugs
􀂉 Indications, contraindications, used in
actions and effects, toxic effects neurological
Role of nurse and
neurosurgical
disorders
7 Traumatic conditions. To tell the Evaluate the

􀂉 Causes, pathophysiology, Good to students about Nursing
Clinical types, Clinical features, know Traumatic management of
diagnosis, Prognosis, Management: conditions. • Cranio
medical, surgical and Nursing cerebral
management of injuries.
• Cranio cerebral injuries. • Spinal &
• Spinal & Spinal cord injuries. Spinal cord
• Peripheral nerve injuries. injuries.
• Unconsciousness Desirable to • Peripheral
perform nerve injuries.
•Unconsciousn
ess
8 Cerebro vascular disorders. Analyse the Participate in

􀂉 Causes, pathophysiology, patients with Nursing
Clinical types, Clinical features, Good to Cerebro management of
diagnosis, Prognosis , Management: know vascular • Stroke &
medical, surgical and Nursing disorders. arterio venous
management of thrombosis.
• Stroke & arterio venous Desirable to •Haemorrhagic
thrombosis. perform embolus.
• Haemorrhagic embolus. • Cerebro
• Cerebro vascular accidents. vascular
• Intracranial aneurysm. accidents.
• Subarchnoid Haemorrhage. • Intracranial
• Arterio venous fistula. aneurysm.
• Brain tumours • Subarchnoid
􀂉 Diseases of cranial Haemorrhage.
nerves;Trigiminal neuralgia, Facial • Arterio
palsy, venous fistula.
Bulbar palsy. • Brain
tumours
9 Degenerating and demyelinating Visualize the Develop
disorders Desirable to Movement understanding
􀂉 Causes, pathophysiology, perform disorders- Tics, Nursing
Clinical types, Clinical features, dystonia, management
diagnostic, Prognosis , Essential to chorea, of Motor
226
Management: medical, surgical and perform wilson’s neuron
Nursing management of disease, diseases
• Motor neuron diseases. essential
• Movement disorders- Tics, tremors
dystonia, chorea, wilson’s disease,
essential tremors
• Dementia.
• Parkinson’s disease.
• Multiple sclerosis.
• Alzemier’s
10 Neuro infections Explain about Examine the
􀂉 Causes, pathophysiology, Good to the Neuro patients with
Clinical types, Clinical features, Know infections Neuro
diagnostic, Prognosis , infections.
Management: medical, surgical and Desirable to
Nursing management of Neuro perform
infections
• Meningitis-types
• Encephalitis.
• Poliomyelitis.
• Parasitic infections.
• Bacterial infections
• Neurosyphilis.
• HIV & AIDS.
• Brain abscess.
11 Paroxysmal disorders. Good to Discuss about Develops
􀂉Causes, pathophysiology, Know the understanding
Clinical types, Clinical features, Paroxysmal about the
diagnosis, Prognosis , disorders. Paroxysmal
Management: medical, surgical disorders.
and Nursing
management of
• Epilepsy and seizures.
• Status epilepticus.
• Syncope.
• Menier’s syndrome.
• Cephalgia. Paroxysmal
disorders.
􀂉Causes, pathophysiology,
Clinical types, Clinical features,
diagnosis, Prognosis ,
Management: medical, surgical
and Nursing
management of
• Syncope.
• Cephalgia.
227
12 Neoplasms – surgical Good to Explain the
conditions. Know Neoplasms –
􀂉Causes, pathophysiology, surgical
Clinical types, Clinical features, conditions.
diagnostic, Prognosis ,
Management: medical, surgical
and
• Space occupying lesions -types
• Common tumors of CNS
MEDICAL SURGICAL NURSING -II

NEUROSCIENCES NURSING
Placement: M.Sc Nursing II Year
3rd semester
228
S.no CONTENT OF TOPIC LEARNING TEACHING METHODOL TIME

OBJECTIVES( OBJECTIVES OGY
at the end of
the session the
student should
be able to)
1 Introduction Enumerate the To teach and Simulated 5
􀂉Introduction to History- discuss about learning on
neuroscience(neurologic Development in History- History-
al and neurosurgical) neurological and Development in Development
nursing neurosurgical. neurological in
• History-Development and neurological
in neurological and neurosurgical. and
neurosurgical neurosurgical.
nursing, Service &
education
• Emerging trends and
issues in neurology and
neuro surgery
and its implication to
nursing.
• neurological and
neurosurgical problems
–
• Concepts, principles
and nursing perspectives
• Evidence based nursing
and its application in
neurological and
neurosurgical nursing•
2 Epidemiology Elaborate the To teach and Panel 5

􀂉Major health epidemiology. discuss about discussion on
problems- epidemiology. epidemiology.
􀂉Risk factors
associated with
neurological conditions-
Hereditary,
Psychosocial factors,
smoking, alcoholism,
dietary habits, cultural
and ethnic
considerations,
229
occupational and
infections.
􀂉Health promotion,
disease prevention, life
style modification and
its implications to
nursing
Alternate system of
medicine/complementar
y therapies
3 Review of Anatomy and Explain the To teach and Seminar on 10
physiology Anatomy and discuss about Anatomy and
􀂉Embryology physiology. Anatomy and physiology .
􀂉Structure and physiology .
functions of Nervous
system- CNS, ANS,
cereberal
circulation , cranial and
spinal nerves and
reflexes, motor and
sensory functions
􀂉Sensory organs
4 Assessment and Enumerate the To teach and Simulated 15
diagnostic measures Assessment and discuss about learning on
􀂉Assessment diagnostic Assessment and Assessment
• History taking measures. diagnostic and diagnostic
• Physical assessment, measures. measures.
psychosocial assessment
• Neurological
assessments, Glasgow
coma scale interpretation
& its relevance to
nursing.
• Common assessment
abnormalities
􀂉Diagnostic measures
• Cerebro spinal fluid
analysis
• Radiological studies-
Skull and spine X-ray
Cerebral
Angiography, CT Scan,
Single Photon Emission
Computer
Tomography(SPECT),
MRI (Magnetic
Resonance Imaging),
MRA, MRS, Functional
MRI, Myelography, PET
230
(Positron
Emission Test),
Interventional radiology.
• Electorgraphic studies-
Electro encephalo
graphy, MEG, EMG,
video EEG,
• Nerve conduction
studies-Evoked
potentials, visual evoked
potentials, brain stem
auditory evoked
potentials,
somatosensory evoked
potentials
• Ultrasound studies-
Carotid duplex,
transcranial Doppler
sonography,
• Immunological studies
• Biopsies – muscle,
nerve and Brain.
Interpretation of
diagnostic measures
Nurse’s role in diagnostic
tests
5 Meeting Nutritional Elaborate the To teach and Panel 5
needs of neurological Meeting discuss about discussion on
patients Nutritional needs Meeting Meeting
􀂉Basic nutritional of neurological Nutritional Nutritional
requirements patients. needs of needs of
􀂉Metabolic changes neurological neurological
following injury and patients. patients.
starvation
􀂉Nutritional
assessment
􀂉Common neurological
problems that interfere
with nutrition and
strategies for meeting
their nutritional needs
􀂉Special metabolic and
electrolyte imbalances
􀂉Chronic fatigue
syndrome
6 Drugs used in Explain the Drugs To teach and Seminar on 5
neurological and used in discuss about drugs used in
neurosurgical neurological and drugs used in neurological
disorders neurosurgical neurological and
231
􀂉Classification disorders. and neurosurgical
􀂉Indications, neurosurgical disorders.
contraindications, disorders.
actions and effects, toxic
effects
Role of nurse
7 Traumatic conditions. Explain the To teach and Seminar on 10
􀂉Causes, Traumatic discuss about Traumatic
pathophysiology, Clinical conditions Traumatic conditions
types, Clinical features, conditions
diagnosis, Prognosis,
Management: medical,
surgical and Nursing
management of
• Cranio cerebral
injuries.
• Spinal & Spinal cord
injuries.
• Peripheral nerve
injuries.
• Unconsciousness
8 Cerebro vascular Elaborate the To teach and Panel 10
disorders. Cerebro vascular discuss about discussion on
􀂉Causes, disorders. Cerebro Cerebro
pathophysiology, Clinical vascular vascular
types, Clinical features, disorders. disorders.
management of
• Stroke & arterio venous
thrombosis.
• Haemorrhagic embolus.
• Cerebro vascular
accidents.
• Intracranial aneurysm.
• Subarchnoid
Haemorrhage.
• Arterio venous fistula.
• Brain tumours
􀂉Diseases of cranial
nerves;Trigiminal
neuralgia, Facial palsy,
Bulbar palsy.
9 Degenerating and Elaborate the To teach and Panel 10
demyelinating degenerating and discuss about discussion on
disorders demyelinating degenerating degenerating
􀂉Causes, disorders. and and
pathophysiology, Clinical demyelinating demyelinating
232
types, Clinical features, disorders. disorders.
surgical and
• Motor neuron diseases.
• Movement disorders-
Tics, dystonia, chorea,
wilson’s disease,
essential tremors
• Dementia.
• Parkinson’s disease.
• Multiple sclerosis.
• Alzemier’s
10 Neuro infections Explain the neuro To teach and Seminar on 10
􀂉Causes, infections discuss about neuro
pathophysiology, Clinical neuro infections infections
types, Clinical features,
surgical and
Neuro infections
• Meningitis-types
• Encephalitis.
• Poliomyelitis.
• Parasitic infections.
• Bacterial infections
• Neurosyphilis.
• HIV & AIDS.
• Brain abscess.
11 Paroxysmal disorders. Explain the To teach and Seminar on 10
􀂉Causes, Traumatic discuss about Traumatic
pathophysiology, Clinical conditions Traumatic conditions
types, Clinical features, conditions
management of
• Syncope.
• Cephalgia.
12 Neoplasms – surgical Explain the To teach and Seminar on 5
conditions. Neoplasms – discuss about Neoplasms –
􀂉Causes, surgical Neoplasms – surgical
pathophysiology, Clinical conditions. surgical conditions.
types, Clinical features, conditions.
233
surgical and
• Space occupying
lesions -types
• Common tumors of
CNS,
Practicals
S.No. AREA OF POSTING No. of Week Total Hours
1 O.P.D. 1 30
2 Casualty 1 30
3 Diagnostics 1 30
4 Neuro psychiatry 1 30
5 Neuro Medical wards 2 60
6 Paediatric Neuro ward 1 30
7 Neuro surgical wards 2 60
8 Head Injury ward 1 30
9 ICU- neuro medicine 2 60
10 I.C.U.- neuro surgical 2 60
11 Rehabilitation 2 60
12 Operation Theatre 2 60
ESSENTIAL NEURO NURSING SKILLS

1. CT scan
2. MRI
234
3. PET
4. EEG
5. EMG
6. Sleep pattern studies/Therapy
7. Radiographical studies
8. Neuro surgeries
9. Nerve conduction studies
10. Ultrasound studies
11. Any other
1. Advanced Cardiac life support
2. Lumbar Puncture
3. Biopsies – muscle, nerve and Brain
5. ECG Recording
7. IV cannulation – open method
9. Ventilation
10. Tracheostomy
11. ICP monitoring
12. Gama Knife
13. Cereberal angiography
14. Myelography
15. Neuro surgeries

a. Application of Oro Pharyngeal Airway
b. Care of Tracheostomy
c. Conduct Endotracheal Intubation
d. use of AMBU bag, artificial respirators
e. Setting of Ventilators and Care of patients on ventilators
2. Cardio Pulmonary Resuscitation -Defibrillation
3. Neurological assessment -Glasgow coma scale
4. Gastric Lavage
5. IV Cannulation
6. Administration of emergency IV Drugs, fluid
7. Care of patients with incontinence, bladder training
Catheterization
8. Care of patients on traction related to the neurological conditions
9. Blood Administration.
10. Muscle strengthening exercises
11. Guidance and counseling
12. Monitoring – management and care of monitor
235
2nd Year
3rd
semester
SUB SPECIALTIES - NEPHRO-UROLOGY NURSING
Preamble:
in the field of Nephro and urological Nursing. It will help students to develop advanced skills
for nursing intervention in various nephro and urological conditions. It will enable the student
to function as nephro and urology nurse practitioner/specialist and provide quality care. It
will further enable the student to function as educator, manager, and researcher in the field of
nephro and urology nursing
Objectives:
1. Appreciate trends and issues related to nephro and urological nursing

nephro and urological conditions
4. Assist in various diagnostic, therapeutic and surgical interventions
5. Provide comprehensive nursing care to patients with nephro andurological
conditions
6. Describe the various drugs used in nephro and urological conditions and nurses
responsibility
7. Demonstrate skill in handling various equipments/gadgets used for patients with
236
11. Assist patients and their family to cope with emotional distress, grief, anxiety and
spiritual needs
12. Discuss the legal and ethical issues in nephro and urological nursing
13. Identify the sources of stress and manage burnout syndrome among health care
providers
14. Appreciate the role of alternative system of medicine in the care of patient
15. Incorporate evidence based nursing practice and identify the areas of
research in the field of nephro and urological nursing
17. Design a layout of kidney transplant unit and dialysis unit
18. Develop standards of nephro urological nursing practice
2nd Year
3rd
semester
Theory : 90 Hours (6 credits)

Practical : 540 Hours (18 credits)
S. UNIT Domains Cognitive psychomotor Affective

No
1 Introduction Good to Incorporates Appreciates

know evidence based the trends and
Historical development: trends and nursing issues in the
issues in the field of nephron and Essential to practice in the field of
urological nursing. perform field of nephro nephron and
nephro and urological problems and urological urological
nursing nursing.
Concepts, principles and nursing
perspectives
Ethical and legal issues
Evidence based nursing and its

application in nephroand urological
nursing(to be incorporated in all the
units)
2 Epidemiology Good to Describes the Appreciates

epidemiologic the role of
237
Major health problems- urinary know al of nephro alternative
dysfunction, urinary tract and urological system of
infections, Glomuerular disorders, conditions medicine in
obstructive disorders and other the care of
urinary disorders patient
Risk factors associated with nephro

and urological conditions
conditions- Hereditary,
Psychosocial factors, smoking,
alcoholism,dietary habits, cultural
and ethnic considerations
Health promotion, disease

prevention, life style modification
and its implications to nursing
Alternate system of
3 Review of anatomy and Good to Elaborates the

physiology of urinary system know anatomy and
physiology of
Embryology urinary
Structure and functions system
Renal circulation
Physiology of urine formation
Fluid and electrolyte balance
Acid base balance
Immunology specific to kidney
4 Assessment and diagnostic Essential to Develops skill

measures perform in assessment
of nephro
History taking urological
Physical assessment, psychosocial conditions
assessment Assists in
Common assessment abnormalities- various
dysurea, frequency, diagnostic tests
enuresis,urgency, hesistancy, related
hematuria, pain, retention, burning nephrourologic
on urination, pneumaturia,
238
incontinence, nocturia, polyurea, al conditions
anuria, oliguria,
Diagnostic tests-urine studies,

blood chemistry, radiological
procedures-KUB,
IVP,nephrotomogram, retrograde
pylogram, renal arteriogram,
renalultrasound, CT scan, MRI,
cystogram, renal scan, biopsy,
endoscopy-cystoscopy,
urodynamics
studiescystometrogram, urinary
flow study, sphincter
electromyography, voiding pressure
flow study, videourodynamics,
Whitaker study
measures
5 Renal Good to Develops Appreciates

immunopathy/Immunopathology know knowledge in the role of
General mediator
General Concept of Concept of systems in
immunopathology immunopathol glomerula
Immune mechanism of glomerual ogy vascular
vascular disease disease
Role of mediator systems in

glomerula vascular disease
6 Urological Disorders and Nursing Good to Develops Provides

Management know knowledge in nursing care to
etiology, 5 patients with
Etiology, clinical manifestations, Essential to Clinical urological
diagnosis, prognosis, related perform features, conditions
pathophysiolo
pathophysiology, medical , surgical gy, diagnosis,
and nursing management of and
management
Urinary tract infections- of urological
pyelonephritis, lower urinary tract conditions
infections,
Disorders for ureters, bladder and
239
urethra
Urinary tract infections-
Urinary dysfunctions- urinary

retention, urinary incontinence,
urinary reflux,
Bladder disorders- neoplasms,

calculi, neurogenic bladder, trauma,
congenital abnormalities
Benign prostrate hypertrophy(BPH)
Ureteral disorders: ureteritis,

ureteral trauma, congenital
anomalies of ureters
Uretheral disorders- tumours,

trauma, congenial anomalies of
ureters,
7. Glomueral disorders and nursing Good to Develops Provides

management know knowledge in nursing care to
etiology, 5 patients with
Etiology, clinical manifestations, Essential to Clinical glomerular
diagnosis, prognosis, related perform features, disorders
pathophysiology, medical , surgical pathophysiolo
gy, diagnosis,
and nursing management of
and
Glomueralo nephritis- chronic, management
of glomerular
acute , nephritic syndrome
disorders
Acute Renal failure and chronic
renal failure.
Renal calculi
Renal tumours-benign and

malignant
Renal trauma
Renal abscess
Diabetic nephropathy
Vascular disorders
Renal tuberculosis
240
Polycystic
Congenital disorders
Hereditary renal disorders
8 Management of Renal Essential to Identifies Demonstrates

emergencies perform renalemergen skill in
cies and management of
Anuria complications renal
emergencies
Acute Renal failure
Poisoning
Trauma
Urine retention
Acute graft rejection
Hematuria
Nurse’s role
2nd year
3rd semester
(NEPHRO UROLOGY NURSING)
Placement: 2nd Year

LEARNING
OBJECTIVES
S. (at the end of the TEACHING METHODO TIM
CONTENT OF TOPICS
NO session the OBJECTIVES LOGY E
student should
be able to)
1 Introduction Describe the To teach and Students 5 hrs
• Historical historical discuss about seminar on
development: trends development, historical historical
and issues in the field trenads and issues development, development,
of nephro and in the field of trenads and issues trenads and
urological nursing. nephro urology in the field of issues in the
• nephro and urological nursing nephro urology field of
problems nursing nephro
• Concepts, principles urology
241
and nursing nursing
perspectives
nephro and urological
nursing(to be
incorporated in all the
units)
2 Epidemiology Explain the major To teach and Group 5 hrs
• Major health problems- health problems discuss about major discussion on
urinary dysfunction, regarding health problems major health
urinary tract infections, nephrological regarding problems
Glomuerular disorders, conditions and nephrological regarding
obstructive disorders ad alternate system of conditions and nephrological
other urinary disorders medicine/ alternate system of conditions
• Risk factors associated complementary medicine/ and alternate
with nephro and therapies complementary system of
urological conditions therapies medicine/
conditions- Hereditary, complementar
Psychosocial factors, y therapies
smoking, alcoholism,
dietary habits, cultural
and ethnic
considerations
• Health promotion,
style modification and
its implications to
nursing
• Alternate system of
medicine/complementa
ry therapies
3 Review of anatomy and Review the anatomy To teach and Teachers 5 hrs
physiology of urinary system and physiology of discuss about seminar on
• Embryology urinary system anatomy and anatomy and
• Structure and functions physiology of physiology of
• Renal circulation urinary system urinary
• Physiology of urine system
formation
• Fluid and electrolyte
balance
• Acid base balance
• Immunology specific to
kidney
4 Assessment and diagnostic Explain the health To teach and Focused 20 hrs
measures assessment and discuss about health group
• History taking diagnostic tests of assessment and discussion on
• Physical assessment, patients with renal diagnostic tests of health
psychosocial disorders patients with renal assessment
disorders and diagnostic
242
assessment tests of
• Common assessment patients with
abnormalities-dysurea, renal
frequency, enuresis, disorders
urgency, hesistancy,
hematuria, pain,
retention, burning on
urination, pneumaturia,
incontinence, nocturia,
polyurea, anuria,
oliguria,
• Diagnostic tests-urine
studies, blood
chemistry, radiological
procedures-KUB,
IVP,nephrotomogram,
retrograde pylogram,
renal arteriogram,
renalultrasound, CT
scan, MRI, cystogram,
ren scan, biopsy,
endoscopy-cystoscopy,
urodynamics
studiescystometrogram,
urinary flow study,
sphincter
electromyography,
voiding pressure flow
study,
videourodynamics,
Whitaker study
diagnostic measures
diagnostic tests
5 Renal Elaborate the Renal To teach and Students 5 hrs
immunopathy/Immunopatholo immunopathy/Immu discuss about Renal interactive
gy nopathology immunopathy/Imm session on
• General Concept of unopathology Renal
immunopathology immunopathy/
• Immune mechanism of Immunopatho
glomerual vascular logy
disease
• Role of mediater
systems in glomerula
vascular disease
6 Urological Disorders and Summarize the To teach and Focused 15 hrs
Nursing Management Urological Disorders discuss about group
• Etiology, clinical and Nursing Urological discussion on
manifestations, Management Disorders and Cancer
diagnosis, prognosis, Nursing Urological
243
related Management Disorders and
pathophysiology, Nursing
medical , surgical and Management
nursing management of
• Urinary tract
infections-
pyelonephritis, lower
urinary tract infections,
• Disorders for ureters,
bladder and urether
• Urinary tract
infections-
• Urinary dysfunctions-
urinary retention,
urinary incontinence,
urinary reflux,
• Bladder disorders-
neoplasms, calculi,
neurogenic bladder,
trama, congenital
abnormalities
• Benign prostrate
hypertrophy(BPH)
• Ureteral disorders:
ureteritis, ureteral
trauma, congenital
anomalies of ureters
• Uretheral disorders-
tumours, trauma,
congenial anomalies of
ureters,
7 Glomueral disorders and Elaborate the To teach and Student 25 hrs
nursing management Glomueral disorders discuss about interactive
• Etiology, clinical and nursing Glomueral session on
manifestations, management disorders and Glomueral
diagnosis, prognosis, nursing disorders and
related management nursing
pathophysiology, management
medical , surgical and
• Glomueralo nephritis-
chronic, acute ,
nephritic syndrome
• Acute Renal failure and
chronic renal failure.
• Renal calculi
• Renal tumours-benign
and malignant
• Renal trauma
• Renal abscess
244
•Diabetic nephropathy
•Vascular disorders
•Renal tuberculosis
•Polycystic
•Congenital disorders
•Hereditary renal
disorders
8 Management of Renal Explain the To teach and Interactive 10 hrs
emergencies Management of discuss about session on
• Anuria Renal emergencies Management of Management
• Acute Renal failure Renal emergencies of Renal
• Poisoning emergencies
• Trauma
• Urine retention
• Acute graft rejection
• Hematuria
• Nurse’s role
Practicals
540 hours (18 credits)
S. No. Deptt./ Unit No. of Week Total Hours
1 Nephrology Ward 3 90 Hours
2 Pediatrics 1 30 Hours
3 Critical Care Unit 1 30 Hours
4 Urology Ward 3 90 Hours
6 Kidney Transplantation Unit 2 60 Hours
7 URO OT 2 60 Hours
8 Emergency Wards 1 30 Hours
9 UroNephro OPDs 2 60 Hours
10 Diagnostic Labs 1 30 Hours
245
Procedures observed
1. CT Scan
2. MRI
3. Radiographic studies
4. Urodynamics
5. Hemodialysis
6. Renal Surgeries

2. I V cannulation therapy
6. Peritoneal dialysis
7. Renal biopsy
8. Endoscopies- Bladder, urethra

1. Health assessment
2. Insertion of uretheral and suprapubic catheters
3. Urine analysis
4. Catheterisation
6. Bladder irrigation
7. Care of ostomies
8. Care of urinary drainage
9. Bladder training
10. Care of vascular access
11. Setting up dialysis machine and starting, monitoring and closing
dialysis
13. Hand washing, disinfection & sterilization surveillance, and fumigation
15. Administration of drugs: IM, IV injection, IV cannulation & fixation of
infusion pump, calculation of dosages, blood administration. monitoring -
fluid therapy, electrolyte imbalance,
16. Nutritional needs , diet therapy & patient education.
17. Counselling
246
2nd Year
3rd
semester
SUB SPECIALTIES - ORTHOPEDIC NURSING
Preamble:
in the field of orthopedic nursing. It will help students to develop advanced skills for nursing
intervention in various orthopedic conditions. It will enable the student to function as
orthopedic nurse practitioner/specialist providing quality care. It will further enable the
student to function as educator, manager, and researcher in the field of orthopedic nursing.
Objectives:
1. Appreciate the history and developments in the field of orthopedic nursing
2. Identify the psycho-social needs of the patient while providing holistic care.
3. Perform physical and psychological assessment of patients with orthopedic
conditions and disabilities.
4. Describe various disease conditions and their management
5. Discuss various diagnostic tests required in orthopedic conditions
6. Apply nursing process in providing care to patients with orthopedic conditions and
those requiring rehabilitation.
7. Recognize and manage orthopedic emergencies.
8. Describe recent technologies and treatment modalities in the management of
patients with orthopedic conditions and those requiring rehabilitation.
9. Integrate the concept of family centered, long term care and community based
rehabilitation to patients with orthopedic conditions.
10. Counsel the patients and their families with orthopedic conditions
11. Describe various orthotic and prosthetic appliances
247
12. Appreciate the legal and ethical issues pertaining to patients with orthopedic
conditions and those requiring rehabilitation.
13. Appreciate the role of alternative system of medicine in care of patients with
orthopedic conditio
14. Incorporate evidence based nursing practice and identify the areas of research in
the field of orthopedic nursing.
15 Recognize the role of orthopedic nurse practitioner and as a member of the
orthopedic and rehabilitation team.
16 Teach orthopedic nursing to undergraduate students and in-service nurses.
17 Prepare a design and layout of orthopedic and rehabilitative units.
2nd Year
3rd
semester
S. UNIT Domains Cognitive Psychomotor Affective

No
1. Introduction Good to Recognize the Appreciate the

know role of history and
Historical perspectives – History orthopaedic developments
and trends in orthopaedic nursing nurse in the field of
Definition and scope of practitioner orthopaedic
orthopaedic nursing and as a nursing
member of the
Anatomy and physiology of orthopaedic
Musculoskeletal system and
rehabilitation
Posture, Body landmarks Skeletal
team.
system Muscular system.
Nervous system - Main nerves
Healing of - Injury, bone injury,
248
Repair of ligaments
Systemic response to injury

Ergonomics, Body mechanics,
biomechanical measures
Orthopedic team
2 Assessment of Orthopedic Patient Essential to Perform

perform physical and
Health Assessment: History, psychological
physical examination- Inspection, assessment of
palpation, movement, patients with
Measurement, muscle strength orthopedic
Testing. conditions and
Diagnostic studies – Radiological disabilities.
studies, Muscle enzymes, serologic
studies
3 Care of patients with devices Essential to Demonstrate

perform care on 5
Splints, braces, various types of patients with
plaster cast devices
Various types of tractions,
Various types of orthopedic beds

and mattresses
Comfort devices
Implants in orthopedic
Prosthetics and Orthotics
4 Injuries Good to Develop Provide

know knowledge comprehensive
Trauma & Injuries inCauses, nursing to 2
Essential to pathophysiolo patients with
Causes, pathophysiology, clinical perform
types, clinical features, diagnosis, gy, clinical trauma and
prognosis, management, medical types, clinical injuries
surgical and nursing management features,
of : diagnosis,
prognosis and
• Early management of Trauma management
of injuries
• Fractures
249
• Injuries of the
Shoulder and arm Elbow, fore arm,

wrist, hand Hip, thigh, knee, leg,
ankle, foot Spine
Head injury, Chest injury
• Polytrauma
• Nerve injuries
• Vascular injuries
• Soft tissue injuries
• Sports injuries
• Amputation
5 Infections of Bones and Joints Good to Develop Provide

Causes, pathophysiology, clinical inCauses, nursing to 2
types, clinical features, diagnosis, Essential to pathophysiolo patients with
prognosis, management, medical perform gy, clinical Infections of
surgical and nursing management types, clinical Bones and
of : features, Joints
• Tuberculosis diagnosis,
prognosis and
• Osteomyelitis management
of Infections
• Arthritis
of Bones and
• Leprosy Joints
6 Bone Tumours Good to Develop Provide

Causes, pathophysiology, clinical inCauses, nursing to 2
types, clinical features,diagnosis, Essential to pathophysiolo patients with
prognosis, management, medical perform gy, clinical bone tumor
surgical and nursing management types, clinical
of: features,
• Bone tumors – Benign, Malignant diagnosis,
and metastatic prognosis and
management
• Different types of therapies for of bone
tumors tumors
7 Deformities Good to Develop Provide

knowledge comprehensive
250
Causes, pathophysiology, clinical know inCauses, nursing to 2
types, clinical features, pathophysiolo patients with
Essential to gy, clinical deformities
diagnosis, prognosis – medical perform types, clinical
surgical and nursing management features,
of: Scoliosis, Kyphosis,Lordosis diagnosis,
Congenital disorders: Congenital prognosis and
dislocation of hip(CDH), management
of deformities
Dislocation of patella, knee,
Varus and valgus deformities,
Deformities of digits,
Congenital torticollis.
Meningocele, meningomyelocele,
spina bifida,
Chromosomal disorders.
Computer related deformities
8 Disorders of the spine Essential to Provide

perform comprehensive
Intervertebral disc prolapse, nursing to 2
Fracture of the spine patients with
Low back disorder – Low back disorders of
pain, PND, spinal stenosis, spine
spondylosis
9 Nutritional/Metabolic and Good to Develop Provide

Endocrine Disorders know knowledge comprehensive
inCauses, nursing to 2
Causes, pathophysiology, clinical Essential to pathophysiolo patients with
types, clinical features, diagnosis, perform gy, clinical Nutritional/Met
prognosis, medical surgical and types, clinical abolic and
nursing management of: features, Endocrine
• Rickets, diagnosis, Disorders
prognosis and
• Scurvy, management
of
• Hyper vitaminosis A and D,
Nutritional/M
• Osteomalacia, etabolic and
Endocrine
Osteoporosis Disorders
251
• Paget’s disease,
• gout,
• Gigantism,
• Dwarfism,
• Acromegaly.
• Therapeutic diets for various

orthopaedic disorders
10 Neuro-Muscular Disorders: Good to Develop

􀂉Causes, pathophysiology, know knowledge in
clinical types, clinical features, Causes,
diagnosis, prognosis, medical Essential to pathophysiol
surgical and nursing perform ogy, clinical
management types, clinical
of: features,
• Poliomyelitis, Cerebral Palsy diagnosis,
• Myasthenia gravis prognosis,
• Spina bifida. medical
• Peripheral nerve lesion, surgical and
• Paraplegia, Hemiplegia, nursing
Quadriplegia. management
• Muscular dystrophy of:
•
Poliomyelitis,
Cerebral
Palsy
• Myasthenia
gravis
• Spina
bifida.
11 Chronic/Degenerative Diseases Good to Develop Provide

of Joints and Autoimmune know knowledge in comprehensive
Disorders: Causes, nursing to 2
􀂉Causes, pathophysiology, Essential to pathophysiol patients with
clinical types, clinical features, perform ogy, clinical Chronic/Dege
diagnosis, prognosis – medical types, clinical nerative
surgical and nursing features, Diseases of
management diagnosis, Joints and
of: prognosis – Autoimmune
• Osteo Arthritis medical Disorders.
• Rheumatoid Arthritis surgical and
• Ankylosing spondylitis. nursing
• Spinal disorders. management
• Systemic Lupus Erythematosus of:
252
• Osteo
Arthritis
•
Rheumatoid
Arthritis
2nd Year
3rd semester
LEARNING
OBJECTIVES
TEACHING
S. (at the end of the METHOD
CONTENT OF TOPICS OBJECTIVE TIME
NO session the OLOGY
S
student should be
able to)
• Historical perspectives – Historical discuss about seminar on
History and trends in perspective, history Historical Historical
orthopedic nursing and trends in perspective, perspective
• Definition and scope of orthopedic nursing history and , history
orthopedic nursing trends in and trends
• Anatomy and physiology orthopedic in
of Musculo-skeletal nursing orthopedic
system nursing
• Posture, Body landmarks
Skeletal system Muscular
system. Nervous system -
253
Main nerves
• Healing of - Injury, bone
injury,
• Repair of ligaments
• Systemic response to
injury
• Ergonomics, Body
mechanics, biomechanical
measures
• Orthopedic team
2 Assessment of Orthopedic Patient Review the To teach and Group 8 hrs
• Health Assessment: assessment and discuss about discussion
History, physical diagnostic tests used assessment on
examination- Inspection, for orthopedic and diagnostic assessment
palpation, movement, patients tests used for and
Measurement, muscle orthopedic diagnostic
strength Testing. patients tests used
• Diagnostic studies – for
Radiological studies, orthopedic
Muscle enzymes, patients
serologic studies
3 Care of patients with devices Explain the care of To teach and Teachers 10 hrs
• Splints, braces, various patients with devices discuss about seminar on
types of plaster cast used in orthopedic care of care of
• Various types of tractions, unit patients with patients
• Various types of devices used with
orthopedic beds and in orthopedic devices
mattresses unit used in
• Comfort devices orthopedic
• Implants in orthopedic unit
• Prosthetics and Orthotics
4 Injuries Explain the trauma To teach and Focused 15 hrs
• Trauma & Injuries and injuries and its discuss about group
• Causes, pathophysiology, early management trauma and discussion
clinical types, clinical injuries and on trauma
features, diagnosis, its early and injuries
prognosis, management, management and its
medical surgical and early
nursing management of : • manageme
Early management of nt
Trauma • Fractures •
Injuries of the
• Shoulder and arm
• Elbow, fore arm, wrist,
hand
• Hip, thigh, knee, leg,
ankle, foot
• Spine
• Head injury
• Chest injury
254
• Polytrauma • Nerve injuries
• Vascular injuries • Soft
tissue injuries
• Sports injuries •
Amputation
5 Infections of Bones and Joints Elaborate the To teach and Students 8 hrs
• Causes, pathophysiology, Infections of Bones discuss about interactive
clinical types, clinical and Joints Infections of session
features, diagnosis, Bones and Infections
prognosis, management, Joints of Bones
medical surgical and and Joints
nursing management of :
• Tuberculosis
• Osteomyelitis
• Arthritis
• Leprosy
6 Bone Tumours Summarize the bone To teach and Focused 5 hrs
• Causes, pathophysiology, tumours and its discuss about group
clinical types, clinical management bone tumours discussion
features, diagnosis, and its on bone
prognosis, management, management tumours
medical surgical and and its
nursing management of: manageme
• Bone tumors – Benign, nt
Malignant and metastatic
• Different types of
therapies for tumors
7 Deformities Elaborate the To teach and Focused 10 hrs

• Causes, pathophysiology, chromosomal discuss about group
clinical types, clinical disorders, deformities chromosomal discussion
features, diagnosis, and its management disorders, on
prognosis – medical deformities chromosom
surgical and nursing and its al
management of:Scoliosis, management disorders,
Kyphosis,Lordosis deformities
• Congenital disorders: and its
Congenital dislocation of manageme
hip(CDH), Dislocation of nt
patella, knee,
• Varus and valgus
deformities, Deformities
of digits,
• Congenital torticollis.
• Meningocele,
meningomyelocele, spina
bifida,
• Chromosomal disorders.
• Computer related
deformities
255
8 Disorders of the spine Explain the Disorders To teach and Interactive 5 hrs
• Intervertebral disc of the spine and its discuss about session on
prolapse, Fracture of the management Disorders of Disorders
spine Low back disorder the spine and of the spine
• Low back pain, PND, its and its
spinal stenosis, management manageme
spondylosis nt
9 Nutritional/Metabolic and Enumerate the To teach and Group 5 hrs

Endocrine Disorders Nutritional/Metabolic discuss about discussion
• Causes, pathophysiology, and Endocrine Nutritional/M on
clinical types, clinical Disorders and its etabolic and Nutritional/
features, diagnosis, management Endocrine Metabolic
prognosis, medical Disorders and and
surgical and nursing its Endocrine
management of: management Disorders
• Rickets, and its
• Scurvy, manageme
• Hyper vitaminosis A and nt
D,
• Osteomalacia, 106 Unit
Hours Content
• Osteoporosis
• Paget’s disease,
• gout,
• Gigantism,
• Dwarfism,
• Acromegaly.
• Therapeutic diets for
various orthopedic
disorders
10 Neuro-Muscular Disorders: Explain the Neuro- To teach and Interactive 8hrs
􀂉Causes, pathophysiology, Muscular Disorders. discuss about session on
clinical types, clinical features, Neuro- Neuro-
diagnosis, prognosis, medical Muscular Muscular
surgical and nursing Disorders. Disorders
management .
of:
• Poliomyelitis, Cerebral Palsy
• Myasthenia gravis
• Spina bifida.
• Peripheral nerve lesion,
• Paraplegia, Hemiplegia,
Quadriplegia.
• Muscular dystrophy
11 Chronic/Degenerative Enumerate the To teach and Group 8hrs
Diseases of Joints and Chronic/Degenerati discuss about discussion
Autoimmune ve Diseases of Joints Chronic/Deg on
256
Disorders: and Autoimmune enerative Chronic/D
􀂉Causes, pathophysiology, Disorders. Diseases of egenerativ
clinical types, clinical features, Joints and e Diseases
diagnosis, prognosis – medical Autoimmune of Joints
surgical and nursing Disorders. and
management Autoimmu
of: ne
• Osteo Arthritis Disorders.
• Rheumatoid Arthritis
• Ankylosing spondylitis.
• Spinal disorders.
• Systemic Lupus
Erythematosus
1. Clinical practice in Orthopedic, physiotherapy and Rehabilitation Units.

2. Application of tractions and plaster casts and removal of tractions and
plaster casts and other appliances.
3. Apply Theories and Nursing Process in the management of patients
with orthopedic conditions.
4. Provide various types of physical and rehabilitative therapies
5. Provide health education on related disease conditions.
6. Unit management and plan - designing
Clinical Experience:
Total = 540 Hours

1 Week = 30 Hours
S. No. Deptt./Unit No. of Week Total Hours
1 Orthopedic Ward 6 180 Hours
2 Orthopedic Operation theatre 2 60 Hours
3 Neurosurgical Ward 1 30 Hours
4 Orthopedic O.P.D. 2 60 Hours
5 Casualty/Emergency and Trauma 2 60 Hours
6 Rehabilitation Units 1 30 Hours
7 Physiotherapy Unit 2 60 Hours
8 Paediatric /paediatric surgery unit 1 30 Hours
257
9 Field Visit 1 30 Hours
Procedures Observed
1. X Ray
2. Ultrasound
3. MRI
4. C T Scan/bone scan
5. Arthroscopy
6. Electrothermally – assisted capsule shift or ETAC (Thermal
capsulorrhaphy)
7. Fluroscopy
8. Electromyography
9. Myelography
10. Discography
11. Others
Procedures Assisted
1. Blood Transfusion
2. IV cannulation and therapy
3. Ventilation
4. Various types of tractions
5. Orthopedic surgeries – Arthrocentesis, Arthroscopy, Bone lengthening, Arthrodesis,
grafting, Fractures fixation, reconstructive, reimplantation, replantation, spinal
decompression, transplantation of bone, muscle or articular cartilage, autografting,
allografting.
6. Injection – Intra articular, intra osseous.
7. Advance Life Support
Peocedures Performed
1. Interpretation of X ray films.
2. Application and removal of splints, casts, and braces.
3. Care of tractions – skin and skeletal traction, pin site care.
4. Cold therapy.
5. Heat therapy
6. Hydrotherapy
7. Therapeutic exercises
8. Use of TENS (Transcutaneous electrical nerve stimulation)
9. Techniques of transportation
10. Crutch walking, walkers, wheel chair.
11. Use of devices for activities of daily living and prevention of deformities.
12. Administration of drugs: IV injection, IV cannulation, and Blood transfusion.
13. Procedures for prevention of infections: disinfection and sterilization, surveillance,
fumigation.
14. Special skin/ part preparations for orthopedic surgeries.
15. Surgical dressings – Debridement.
16. Bladder and bowel training
258
2nd Year
3rd
semester
CLINICAL SPECIALITY - II
SUB SPECILTIES - GASTRO ENTEROLOGY NURSING
Preamble:
in the field of gastro enterology Nursing. It will help students to develop advanced skills for
nursing intervention in various gastro enterology conditions. It will enable the student to
function as gastro enterology nurse practitioner/specialist and provide quality care. It will
further enable the student to function as educator, manager, and researcher in the field of
gastro enterology nursing
Objectives:
1. Appreciate trends and issues related to gastro enterologynusing
gastrointestinal conditions
rehabilitation of patients with gastrointestinal conditions
259
6. Provide comprehensive care to patients with gastrointestinal conditions
7. Describe the various drugs used in gastrointestinal conditions and nurses
responsibility
spiritual needs
13. Discuss the legal and ethical issues in GE nursing
14. Identify the sources of stress and manage burnout syndrome among
health care providers
15. Appreciate the role of alternative system of medicine in care of patient
16. Incorporate evidence based nursing practice and identify the areas of
research in the field of gastrointestinal nursing
18. Design a layout of Gastro entrology intensive care unit (GEICU) ,
liver care/transplant unit
2nd Year
3rd
semester
S. Domains Cognitive Psychomotor Affective

No
1 Introduction Good to DiscussHistor Develops
􀂉 Historical development: trends know ical understanding
and issues in the field of gastro development, about
enterology. trends and Evidence
􀂉 Gastro enterological problems issues in the based nursing
􀂉 Concepts, principles and nursing Essential to field of gastro and its
perspectives perform enterology. application in
􀂉 Ethical and legal issues gastrointestinal
􀂉 Evidence based nursing and its Nursing.
application in gastrointestinal
nursing(to be incorporated in all the
units)
260
2 Epidemiology Good to Analyze Perform Develops
􀂉 Risk factors associated with GE know Alternate National health understanding
conditions- Hereditary, system of programs about Health
Psychosocial factors, smoking, Essential to medicine, related to promotion,
alcoholism, dietary habits, cultural perform Complementa gastro disease
and ethnic considerations ry therapies enterology prevention,
􀂉 Health promotion, disease Desirable to Lifestyle
prevention, life style modification perform modification
and
its implications to nursing
􀂉 National health programmes
related to gastro enterology
􀂉 Alternate system of
3 Review of anatomy and Describe Diagram
physiology of gastrointestinal Good to anatomy and Gastro-
system know physiology of intestinal
􀂉 Gastrointestinal system gastrointestina system
􀂉 Liver, biliary and pancreas Desirable to l system
􀂉 Gerontologic considerations perform
􀂉 Embryology of GI system
􀂉 Immunology specific to GI
system
4 Assessment and diagnostic Participate for

measures Good to Develop Radiological
􀂉 History taking know Assessment studies like
􀂉 Physical assessment, and Upper GIT-
psychosocial assessment Desirable to Diagnostic barium
􀂉 Diagnostic tests perform Measures swallow, lower
• Radiological studies:Upper GIT- GITBarrium
barium swallow, lower GITBarrium enema,
enema, • Ultra sound:
• Ultra sound: • Computed
• Computed tomography tomography
• MRI • MRI
• Cholangiography: Percutaneous .
transheptatic
Cholangiogram(PTC)
• Magnetic Resonance Cholangio
pancreotography (MRCP)
• Nuclear imaging
scans(scintigraphy)
• Endoscopy
Colonoscopy
• Proctosigmoidoscopy
• Endoscopic Retrogrde Cholongio
pancreotography (ERCP)
• Endoscopic ultrasound
• Peritonoscopy(Laproscopy)
• Gastric emptying studies
261
• Blood chemistries: Serum
amylase, serum lipase
• Liver biopsy
• Miscellaneous tests:Gastric
analysis, fecal analysis
• Liver function tests: Bile
formation and excretion, dye
excretion
test, Protein metabolism,
haemostatic functions- prothrombin
vitamin K production, serum
enzyme tests,Lipid
metabolismserum
cholesterol
measures
5 Gastro intestinal disorders and Analyse the
nursing management Good to Gastro Write the
􀂉 Etiology, clinical manifestations, know intestinal management
diagnosis, prognosis, related disorders. of Gastro
pathophysiology, medical , surgical intestinal
and nursing management of disorders.
• Disorders of the mouth:Dental
caries,Peridontal disease,Acute
tooth infection, Stomatitis, Thrush Essential to
(moniliasis),Gingivitis, perform
Leukoplakia, Inflammation of the
parotid gland, Obstruction to
the flow of saliva,Fracture of the
jaw
• Disorders of the oesophagus:
Reflux oesophagitis, Oesophageal
achalasia, Oesoophageal varices,
Hiatus hernia, Diverticulum
• Disorders of the stomach and
duodenum: Gastritis, Peptic
ulcer, Dumping of the stomach,
Food poisoning, idiopathic
gastroparesis, Aerophagia and
belching syndrome, Ideopathic
cyclic nausea and vomiting,
Rumination syndrome, Functional
dyspepsia, Chronic Non specific
(functional) abdominal pain
• Disorders of the small intestine
− Malabsorption syndrome –
tropical sprue
− Gluten – sensitive enteropathy
(Coeliac disease)
− Inflammatory diseases of
262
intestines and abdomen,:
appendicitis, Peritonities, Intestinal
obstruction,
Abdominal TB, Gastrointestinal
polyposis syndrome
− Chronic inflammatory bowel
disease, Ulcerative colites,
crohn’s disease
− Infestations and infections –
Worm infestations, Typhoid,
Leptospirosis
− Solitary rectal ulcer syndrome
− Alteration in bowel elimination
(diarrhoea, constipation,
fecal impaction, fecal incontinence,
Irritable bowel
syndrome, Chronic idiopathic
constipation, Functional
Anorectal Conditions:
Hemorrhoide, Anal fissure, Anal
fistula,
Abscess, Strictures, Rectal
prolapse, Pruritis ani, Pelonidal
disease,
Anal condylomas, Warts
6 Disorder of liver, pancreas gall
bladder and nursing management Good to Aware about Compare the
􀂉 Disorders of liver biliary tract : know the Disorder Cholecystitis
􀂉 Viral Hepatitis – A, B, C, D & E of liver, and
􀂉 Toxic hepatitis pancreas gall Cholelitheasis
• Cirrhosis of liver, liver failure, Desirable to bladder and
Liver transplantation perform its nursing
• Non cirrhotic portal fibrosis management
• Liver abscess,;
• Parasitic and other cysts of the
liver
• Disorders of the Gall Bladder and
Bile Duct:
􀂉 Cholecystitis
􀂉 Cholelitheasis
􀂉 Choledocholilethiasis
􀂉 Disorders of the pancreas:
Pancreatitis,
􀂉 Benign tumors of islet cells
􀂉 Disorders of the Peritoneum
• Infections of the peritoneum
􀂉 Surgical peritonitis
􀂉 Spontaneous bacterial peritonitis
􀂉 Tuberculosis peritonitis
􀂉 Disorders of the Diaphragm
• Diaphragmatic hernia
263
• Congenital hernias
• Paralysis of diaphragm
• Tumors of the diaphragm
􀂉 Hiccups
7 Gastro intestinal emergencies and Review the Write the
nursing interventions Good to Gastro Gastro
􀂉 Etiology, clinical manifestations, know intestinal intestinal
diagnosis, prognosis, related emergencies. emergencies
pathophysiology, medical , surgical and its nursing
and nursing management of: interventions
• Esophageal varices,
• Ulcer perforation,
• Acute cholecystitis
• Diverticulitis Desirable to
• Fulminant hepatic failure perform
• Biliary obstruction
• Bowel obstruction
• Gastroenteritis
• Intussusception
• Acute intestinal obstruction,
perforation
• Acute pancreatitis
• Cirrhosis of liver complications
• Liver , spleen, stomach
pancreatic, mesenteric, bowel and
greater vessel injuries
• Acute appendicitis /peritonitis
• Acute abdomen
• Food poisoning
8 Administration and
management of GE unit Good to Aware about
􀂉Design & layout know the
􀂉Staffing, Administrati
􀂉Equipment, supplies, on and
􀂉Infection control; Standard Desirable to management
safety measures perform of GE unit.
􀂉Quality Assurance:-Nursing
audit –records /reports, Norms,
policies and protocols
􀂉Practice standards
2nd Year
3rd
semester
264
Theory: 90 Hours ( credits)
Learning
Objectives
S. (At The End Of The Teaching Tim
Content Of Topics Methodology
No Session The Objectives e
Student Should
Be Able To)
• Historical development: Historical discuss about seminar on
trends and issues in the development: trends Historical Historical
field of gastro and issues in the development: development:
enterology. field of gastro trends and trends and
• Gastro enterological enterology issues in the issues in the
problems field of gastro field of gastro
• Concepts, principles and enterology enterology
nursing perspectives
gastrointestinal
nursing(to be
incorporated in all the
units)
2 Epidemiology Review the To teach and Group 5 hrs
• Risk factors associated epidemiology of discuss about discussion on
with GE conditions- gastro enterology epidemiology epidemiology
Hereditary, Psychosocial nursing of gastro of gastro
factors, smoking, enterology enterology
alcoholism, dietary nursing nursing
habits, cultural and
ethnic considerations
• Health promotion,
style modification and its
implications to nursing
• National health
programmes related to
gastro enterology
• Alternate system of
medicine/complementary
therapies
3 Review of anatomy and Review of anatomy To teach and Student 5 hrs
physiology of and physiology of discuss about interactive
• gastrointestinal system gastrointestinal system anatomy and session on
Gastrointestinal system physiology of anatomy and
• Liver, biliary and gastrointestin physiology of
pancreas al system gastrointestin
265
• Gerontologic al system
considerations
• Embryology of GI
system
• Immunology specific to
GI system
4 Assessment and diagnostic Explain the To teach and Focused 15
measures Assessment and discuss about group hrs
• History taking diagnostic measures Assessment discussion on
• Physical assessment, used in GI system and diagnostic Assessment
psychosocial assessment measures used and diagnostic
• Diagnostic tests in GI system measures used
• Radiological in GI system
studies:Upper GIT-
barium swallow, lower
GITBarrium enema,
• Ultra sound:
• Computed tomography
• MRI
• Cholangiography:
Percutaneous
transheptatic
Cholangiogram(PTC)
• Magnetic Resonance
Cholangio
pancreotography
(MRCP)
• Nuclear imaging
scans(scintigraphy)
• Endoscopy
• Colonoscopy
• Proctosigmoidoscopy
• Endoscopic Retrogrde
Cholongio
pancreotography (ERCP)
• Endoscopic ultrasound
• Peritonoscopy(Laprosco
py)
• Gastric emptying studies
• Blood chemistries:
Serum amylase, serum
lipase
• Liver biopsy
• Miscellaneous
tests:Gastric analysis,
fecal analysis
• Liver function tests: Bile
formation and excretion,
dye excretion test,
Protein metabolism,
266
haemostatic functions-
prothrombin vitamin K
production, serum
enzyme tests,Lipid
metabolismserum
cholesterol
diagnostic measures
diagnostic tests
5 Gastro intestinal disorders and Elaborate the Gastro To teach and Case studies 25
nursing management intestinal disorders discuss about on the Gastro hrs
• Etiology, clinical and nursing Gastro intestinal
manifestations, management intestinal disorders and
diagnosis, prognosis, disorders and nursing
related pathophysiology, nursing management
medical , surgical and management
• Disorders of the
mouth:Dental
caries,Peridontal
disease,Acute tooth
infection, Stomatitis,
Thrush
(moniliasis),Gingivitis,
Leukoplakia,
Inflammation of the
parotid gland,
Obstruction to the flow
of saliva,Fracture of the
jaw
oesophagus: Reflux
oesophagitis,
Oesophageal achalasia,
Oesoophageal varices,
Hiatus hernia,
Diverticulum
• Disorders of the stomach
and duodenum: Gastritis,
Peptic ulcer, Dumping of
the stomach, Food
poisoning, idiopathic
gastroparesis,
Aerophagia and belching
syndrome, Ideopathic
cyclic nausea and
vomiting, Rumination
syndrome, Functional
dyspepsia, Chronic Non
specific (functional)
267
abdominal pain
• Disorders of the small
intestine −
Malabsorption syndrome
– tropical sprue − Gluten
– sensitive enteropathy
(Coeliac disease) −
Inflammatory diseases of
intestines and abdomen,:
appendicitis, Peritonities,
Intestinal obstruction,
Abdominal TB,
Gastrointestinal
polyposis syndrome −
Chronic inflammatory
bowel disease, Ulcerative
colites, crohn’s disease −
Infestations and
infections – Worm
infestations, Typhoid,
Leptospirosis − Solitary
rectal ulcer syndrome −
Alteration in bowel
elimination (diarrhoea,
constipation, fecal
impaction, fecal
incontinence, Irritable
bowel syndrome,
Chronic idiopathic
constipation, Functional
diarrhoea
• Anorectal Conditions:
Hemorrhoide, Anal
fissure, Anal fistula,
Abscess, Strictures,
Rectal prolapse, Pruritis
ani, Pelonidal disease,
Anal condylomas, Warts
6 Disorder of liver, pancreas gall Summarize the To teach and Focused 15
bladder and nursing Disorder of liver, discuss about group hrs
management pancreas gall bladder Disorder of discussion on
• Disorders of liver biliary and nursing liver, Disorder of
tract : management pancreas gall liver,
• Viral Hepatitis – A, B, C, bladder and pancreas gall
D&E nursing bladder and
• Toxic hepatitis management nursing
• Cirrhosis of liver, liver management
failure, Liver
transplantation
• Non cirrhotic portal
fibrosis
268
• Liver abscess,;
• Parasitic and other cysts
of the liver
• Disorders of the Gall
Bladder and Bile Duct:
• Cholecystitis
• Cholelitheasis
• Choledocholilethiasis
pancreas: Pancreatitis,
• Benign tumors of islet
cells
Peritoneum
• Infections of the
peritoneum
• Surgical peritonitis
• Spontaneous bacterial
peritonitis
• Tuberculosis peritonitis
Disorders of the
Diaphragm
• Diaphragmatic hernia
• Congenital hernias
• Paralysis of diaphragm
• Tumors of the diaphragm
• Hiccups
269
7 Gastro intestinal emergencies Elaborate the Gastro To teach and Focused 15
and nursing interventions intestinal emergencies discuss about group hrs
• Etiology, clinical and nursing Gastro discussion on
manifestations, interventions intestinal Gastro
diagnosis, prognosis, emergencies intestinal
related pathophysiology, and nursing emergencies
medical , surgical and interventions and nursing
nursing management of: interventions
• Esophageal varices,
• Ulcer perforation,
• Acute cholecystitis
• Diverticulitis
• Fulminant hepatic failure
• Biliary obstruction
• Bowel obstruction
• Gastroenteritis
• Intussusception
• Acute intestinal
obstruction, perforation
• Acute pancreatitis
• Cirrhosis of liver
complications
• Liver , spleen, stomach
pancreatic, mesenteric,
bowel and greater vessel
injuries
• Acute appendicitis
/peritonitis
• Acute abdomen
• Food poisoning
270
8. Administration and Explain the To teach and Focused 5 hrs
management of GE unit Administration and discuss about group
􀂉Design & layout management of GE Administrati discussion on
􀂉Staffing, unit. on and Administrati
􀂉Equipment, supplies, management on and
􀂉Infection control; Standard of GE unit. management
safety measures of GE unit
􀂉Quality Assurance:-Nursing
audit –records /reports,
Norms,
policies and protocols
Practicals 1 Week = 30 Hours
1 Diagnostic labs 1 30 Hours
2 Emergency and casualty 2 60 Hours
3 Liver transplant unit 1 30 Hours
4 GE Medical Ward 4 120 Hours
5 GE Surgical Ward 4 120 Hours
271
6 OT 1 30 Hours
7 ICU 2 60 Hours
8 Pediatric gastroenterology 1 30 Hours
9 Oncology 1 30 Hours
10 GE OPD 1 30 Hours
Total 18Weeks 540 Hours
Procedures Assisted
1. Endoscopy room – Upper G.I. Endoscopy (Diagnotic and therapeutic).
2. Sigmoidoscopy
3. Colonoscopy
4. Polypectomy
5. Endoscopic retrograde cholangiopancreatiography (ERCP)
6. Liver biopsy
7. Percutaneous catheter drainage (PCD) of Pseudocyst pancreas
8. Abdominal paracentesis
9. Percutaneous aspiration of liver abscess
10. GE Lab : PT, HbsAg, Markers – A, B, C virus, CBP, ESR, Stool Test
Procedures Performed
1. History and Physical assessment
2. RT intubation / extubation / aspiration/suction
3. Gastric lavage and gavage
4. Bowel wash
5. Therapeutic Diets
6. Ostomy feeding
7. Stoma care
8. Monitoring vital parameters
9. Plan of inservice education programme for nursing staff and Class-IV employees
10. Counseling
272
2nd Year
PLACEMENT : SECOND YEAR
PREAMBLE
Community health is a major field of study within the medical and clinical sciences which
focuses on the maintenance, protection and improvement of the health status of
population groups and communities as opposed to the health of individual patients. The
word "community" derives from the Old French comuneté, which means, “ commonness,
community, shared in common".
Community health nursing is defined as the synthesis of nursing and public health practice
applied to promoting and protecting the health of population.
It is a practice that is continuous and comprehensive directed towards all groups of
community members.
A community comprises people of various ages, health conditions, social status and
cultures. The community health nurses are expected to focus their work on disease
prevention and health promotion, including promotion of self-care. It combines all the basic
elements of professional, clinical nursing with public health and community practice.The
community health nurse or public health nurse is one category of the health workforce in
the community. In all pre-service nursing or nursing and midwifery curricula, there are one
or two courses in community health nursing, which provide basic information on community
health and the role of nurses in the community. The primary goal of community health
nursing is to help a community protect and preserve the health of its members, while the
secondary goal is to promote self-care among individuals and families. In the health-care
reform environment, the community health nurse will probably continue to care for
individuals and families, particularly high-risk clients and those with communicable diseases
GOALS
• to prepare graduates to assume responsibilities as community health nurse
specialists, consultants, educators, administrators in a wide variety of professional
settings
• to assist students in developing expertise and in depth understanding in the field of
community health nursing
• to analyze components of community health practices
• to develop advanced skills for nursing intervention in various aspects of community
health care settings
• to function as community health Nurse practitioner/specialist
• to function as educator, manager and researcher in the field of community health
nursing.
OBJECTIVES
273
• Appreciate trends and issues related to community health Nursing- reproductive and
child health, school health, occupational health,international health, rehabilitation,
geriatric and mental health.
• Apply epidemiological concepts and principles in community health nursing practice
• Perform community health assessment and plan health programmes
• Describe the various components of Reproductive and child health programme.
• Demonstrate leadership abilities in organizing community health nursing services by
using inter-sectoral approach.
• Describe the role and responsibilities of community health nurse in various national
health and family welfare programmes
• Participate in the implementation of various national health and family welfare
programme
• Demonstrate competencies in providing family centered nursing care independently
• Participate/Conduct research for new insights and innovative solutions to health
problems
• Teach and supervise nurses and allied health workers.
• Design a layout of sub center/Primary health center/Community health centre and
develop standards for community health nursing practice.
MSc(N) 2ND YEAR

PLACEMENT : 3RD SEMESTER

COURSE DESCRIPTION
S. TOPIC HRS
NO DOMAIN
20
1 INTRODUCTION : EPIDEMIOLOGY
􀂉 Concept, scope, definition, trends, History Nice to know

and development of modern epidemiology ,
contribution of epidemiology and its
implications
􀂉 Epidemiological methods Must know
􀂉 Measurement of health and disease Must know
􀂉 Health policies Desirable to know
274
􀂉 Epidemiological approaches Must know
􀂉 Epidemiology of Communicable diseases Must know
and non-communicable diseases
􀂉 Emerging and re-emerging diseases Must know
Epidemics
􀂉 National Integrated disease Surveillance Nice to know
Programme
􀂉 Health information system Desirable to know
􀂉 Epidemiology study and reports Nice to know
􀂉 Role of Community health nurse Must know
2 NATIONAL HEALTH AND FAMILY 40

WELFARE PROGRAMMES
Objectives, Must know
Organisation/manpower/resources,
Activities, Goals, inter-sectoral approach,
implementation, item/purpose, role and
responsibilities of community health nurse: Nice to know
• National Vector Borne Disease Control
Programme (NVBDCP) Nice to know
• National Filaria Control Programme Must know
• National Leprosy Eradication Programme Desirable to know
• Revised national TB Control Programme Must know
• National Programme for Control of Must know
Blindness
• National Iodine Deficiency disorders Must know
Control Desirable to know
Programme Must know
• National Mental Health Programme Desirable to know
• National AIDS Control Programme Must know
• National Cancer Control Programme Desirable to know
• RCH I and II Nice to know
• Non- communicable disease programmes
• NRHM
3 • Health Schemes : ESI, CGHS, Health 15
Insurance Must know
Nice to know
SCHOOL HEALTH
􀂉 Introduction: definition, concepts, Must know
objectives Desirable to know
􀂉 Health assessment, Screening,
identification, referral and follow up, Must know
􀂉 Safe environment Must know
􀂉 Services, programmes and plans- first aid, Nice to know
treatment of minor ailments
􀂉 Inter-sectoral coordination Must know
􀂉 Adolescent health Must know
􀂉 Disaster, disaster preparedness, and
management Nice to know
􀂉 Guidance and counseling
􀂉 School health records - maintenance and its
4 importance 15
􀂉 Roles and responsibilities of community
health nurse Nice to know
Must know
275
INTERNATIONAL HEALTH Desirable to know
Desirable to know
􀂉 Global burden of disease Desirable to know
􀂉 Global health rules to halt disease spread Desirable to know
􀂉 Global health priorities and programmes Must know
􀂉 International quarantine Must know
􀂉 Health tourism
􀂉 International cooperation and assistance Nice to know
􀂉 International travel and trade Must know
􀂉 Health and food legislation, laws, Nice to know
adulteration of food
􀂉 Disaster management
􀂉 Migration
􀂉 International health agencies –World Must know
Health Must know
organizations, World health assembly, Nice to know
UNICEF, UNFPA,SIDA, US AID, DANIDA, Must know
DFID. USAID etc
􀂉 International health issues and problems
􀂉 International nursing practice standards
􀂉 International health vis-a vis national health
􀂉 International health days and their
significance
276
3RD SEMESTER
No ( At the end of the session, Guidelines
the students should be able
to : )
1 Epidemiology 20
hours
􀂉 Concept, scope, Apply epidemiological To cover concept, Project on
concepts and principles in collection of
definition, trends, History scope, definition,
community health nursing vital statistics
and development of modern practice trends, history and
epidemiology , contribution development of
Teaching
and its implications Describe the modern
seminar on
epidemiological methods
􀂉 Epidemiological methods epidemiology
Communicabl
􀂉 Measurement of health Discuss the measurement of ,contribution of
e diseases and
health and disease
and disease epidemiology,
Discuss the Health policies non-
􀂉 Health policies implications,
communicable
Enumerate the
􀂉 Epidemiological epidemiological
epidemiological approaches diseases
approaches methods,
Discuss the epidemiology of
􀂉 Epidemiology of measurement of
Communicable diseases and Interactive
Communicable diseases health and disease
session
non-communicable diseases
and non-communicable ,health policies,
and emerging and re- Didactic
diseases epidemiological
emerging diseases lecture on
􀂉 Emerging and re- approaches, study of
Epidemics National
emerging diseases disease causatives,
Explain National Integrated Integrated
Epidemics epidemiology of
disease Surveillance
disease
􀂉 National Integrated Programme communicable
Surveillance
disease Surveillance diseases and
Discuss the Health
Programme
Programme information system non-communicable
􀂉 Health information diseases, and
system Discuss the role of emerging and re-
Community health nurse
􀂉 Epidemiology study and emerging diseases
reports Epidemics, National
􀂉 Role of Community Integrated disease
health nurse Surveillance
Programme, health
information system,
and Role of
Community health
277
nurse
2 National Health and 40

Family Welfare hours
Programmes
• National Vector Borne Discuss the various national To cover the Teaching
seminar on
Disease Control Programm health programmes and objectives,
National
• NationalFilaria Control Family Welfare Programmes organisation Health and
Family
Programme /manpower/resource
Welfare
• National Leprosy Describe the various s, Programmes
Eradication Programme components of Reproductive activities, goals,
• Revised national TB and child health programme. inter-sectoral Interactive
session
Control Programme approach,implement
• National Programme for Describe the role and ation, item/purpose, Didactic
lecture on
Control of Blindness responsibilities of role and
NRHM,
• National Iodine community health nurse in responsibilities of Health
Schemes, ESI,
Deficiency disorders various national health and community health
CGHS, Health
Control family welfare programmes nurse in National Insurance
Progeramme Health and Family
Field visits
• National Mental Health Participate in the Welfare
Clinical
Programme implementation of various Programmes
Postings in
• National AIDS Control national health and family and NRHM and CHC, PHC
Health Schemes:
Programme welfare programme
• National Cancer Control
Programme
• RCH I and II
• Non- communicable
disease programmes
• NRHM
• Health Schemes:
􀂉 ESI, CGHS, Health
Insurance
3 SCHOOL HEALTH
􀂉 Introduction: definition, Define school health To cover the Teaching 15
definition, concepts, seminar hours
concepts, objectives objectives, health
Discuss the health
􀂉 Health assessment,
278
Screening, identification, assessment, Screening, assessment, Interactive
session
referral and follow up, identification, referral and screening,
􀂉 Safe environment follow up,Safe environment identification, Didactic
lecture
􀂉 Services, programmes referral and follow
Demonstration
and plans- first aid, Describe the services, up, safe environment on Health
assessment,
treatment of minor ailments programmes and plans- first , services,
Screening,
􀂉 Inter-sectoral aid, treatment of minor programmes and identification,
referral and
coordination ailments plans- first aid,
follow up,
􀂉 Adolescent health Explain inter-sectoral treatment of minor
􀂉 Disaster, disaster coordination ailments, inter-
preparedness, and Discuss adolescent health sectoral
management Elaborate disaster coordination,
preparedness and
􀂉 Guidance and counseling Adolescent health,
management
􀂉 School health records - Disaster, disaster
Discuss guidance and
maintenance and its preparedness, and
counseling
importance Describe the importance of management,
school health records.
􀂉 Roles and responsibilities guidance and
of community health nurse Discuss roles and counseling, school
responsibilities of
health records -
community health nurse.
maintenance and its
importance
, roles and
responsibilities of
community health
INTERNATIONAL nurse
4 15
HEALTH
hours
􀂉 Global burden of disease
Discuss global burden of
Teaching
􀂉 Global health rules to To cover the Global
disease seminar
halt disease spread burden of disease,
,global health rules to halt
􀂉 Global health priorities global health rules to
disease spread and global Interactive
and programmes halt disease spread, session
health priorities and
􀂉 International quarantine global health
programmes Didactic
􀂉 Health tourism priorities and lecture
􀂉 International cooperation programmes,
Explain International
and assistance ,International
quarantine, health tourism,
Field visits
􀂉 International travel and quarantine
International cooperation
trade ,Health International
and assistance and
day
279
􀂉 Health and food International travel and tourism,International celebration
legislation, laws, trade. cooperation and
adulteration of food assistance,
􀂉 Disaster management International travel
􀂉 Migration and trade, Health
􀂉 International health and food legislation,
agencies –World Health laws, adulteration of
organizations, World health food, Disaster
assembly, UNICEF, management,
UNFPA,SIDA, US AID, Migration,
DANIDA, DFID. USAID International health
etc agencies –World
􀂉 International health Health
issues and problems Organizations,
􀂉 International nursing international health
practice standards issues and problems,
􀂉 International health vis-a international nursing
vis national health practice standards,
􀂉 International health days International health
and their significance vis-a vis national
health and
International health
days.
280
FOURTH SEMESTER
281
NURSING MANAGEMENT
Placement: Fourth Semester Hours of Instruction

Theory 150 Hours (10 credits
Practical 150 Hours (5 credits)
Premamble:-
This course is designed to assist students to develop a broad understanding of Principles,

concepts, trends and issues related to nursing management. Further, it would provide
opportunity to students to understand, appreciate and acquire skills in planning, supervision
and management of nursing services at different levels to provide quality nursing services.
Objectives
At the end of the course, students will be able to:
1. Describe the philosophy and objectives of the health care institutions
at various levels.
2. Identify trends and issues in nursing
3. Discuss the public administration, health care administration vis a vis
nursing administration
4. Describe the principles of administration applied to nursing
5. Explain the organization of health and nursing services at the various
levels/institutions.
6. Collaborate and co-ordinate with various agencies by using multisectoral
approach
7. Discuss the planning, supervision and management of nursing
workforce for various health care settings.
8. Discuss various collaborative models between nursing education and
nursing service to improve the quality of nursing care
9. Identify and analyse legal and ethical issues in nursing administration
10. Describe the process of quality assurance in nursing services.
11. Demonstrate leadership in nursing at various levels
282
Theory 150 Hours (10 credits
Practical 150 Hours (5 credits)
S.NO TOPIC HRS

DOMAIN
1. Introduction 10 hrs
􀂉Philosophy, purpose, elements, Must to know
principles and scope of
administration Must to know
􀂉Indian Constitution, Indian
Administrative system vis a vis health
care delivery system: National, State and Desirable to know
Local
􀂉Organisation and functions of nursing
services and education at
National, State , District and institutions: Must to know
Hospital and Community
􀂉Planning process: Five year plans,
Various Committee Reports on Nice to know
health, State and National Health
policies, national population
policy, national policy on AYUSH and
plans,
2. Management 5hrs
􀂉Functions of administration
􀂉Planning and control Must know
􀂉Co-ordination and delegation .
􀂉Decision making – decentralization
basic goals of decentralization.
􀂉Concept of management
Nursing management
􀂉Concept, types, principles and Must to know
techniques
􀂉Vision and Mission Statements
􀂉Philosophy, aims and objective
􀂉Current trends and issues in Nursing
Administration
􀂉Theories and models
Application to nursing service and
education
3. Planning 12hrs
􀂉Planning process: Concept,
Principles, Institutional policies Must know
􀂉Mission, philosophy, objectives,
􀂉Strategic planning
􀂉Operational plans
􀂉Management plans
􀂉Programme evaluation and review
technique(PERT), Gantt chart,
283
Management by objectives(MBO)
􀂉Planning new venture Desirable to know
􀂉Planning for change
􀂉Innovations in nursing
education
4. Organisation 10hrs
􀂉Concept , principles, objectives,
Types and theories, Minimum Desirable to know
requirements for organisation,
Developing an organizational
Structure, levels, organizational Nice to know
Effectiveness and organizational
Climate,
􀂉Organising nursing services and Must to know
patient care: Methods of patient
assignment- Advantages and
disadvantages, primary nursing care, Must to know
􀂉Planning and Organising: hospital,
unit and ancillary
services(specifically central sterile
supply department, laundry,
kitchen, laboratory services, emergency
etc)
􀂉Disaster management: plan,
Nice to know
resources, drill, etc
education
5 Human Resource for health 5hrs
􀂉Staffing Desirable to know
• Philosophy
• Norms: Staff inspection unit(SIU), Bajaj
Committee, High power
committee, Indian nursing council (INC) Nice to know
• Estimation of nursing staff
requirement- activity analysis
• Various research studies
Nice to know
􀂉Recruitment: credentialing, selection,
placement, promotion
􀂉Retention
􀂉Personnel policies
􀂉Termination
􀂉Staff development programme Must know
􀂉Duties and responsibilities of various
category of nursing personnel
• Applications to nursing service
and education
6. Directing 6hrs
􀂉Roles and functions
􀂉Motivation: Intrinsic, extrinsic, Nice to know
284
Creating motivating climate,
Motivational theories
􀂉Communication : process, types, Must to know
strategies, Interpersonal
communication, channels, barriers,
problems, Confidentiality,
Public relations Nice to know
􀂉Delegation; common delegation
errors
􀂉Managing conflict: process,
management, negotiation, consensus
􀂉Collective bargaining: health care
labour laws, unions, professional Desirable to know
associations, role of nurse manager
􀂉Occupational health and safety
education
7. Material management 20hrs

􀂉Concepts, principles and procedures
􀂉Planning and procurement Desirable to know
procedures : Specifications
􀂉ABC analysis, Desirable to know
􀂉VED (very important and essential
daily use) analysis
􀂉Planning equipments and supplies Nice to know
for nursing care: unit and
hospital
􀂉Inventory control
􀂉Condemnation
education
8. Controlling 5hrs
􀂉Quality assurance – Continuous Desirable to know
Quality Improvement
• Standards
• Models
Must know
• Nursing audit
􀂉Performance appraisal: Tools,
confidential reports, formats,
Management, interviews Nice to know
􀂉Supervision and management:
concepts and principles
􀂉Discipline: service rules, self
discipline, constructive versus
destructive discipline, problem
employees, disciplinary
proceedingsenquiry
etc
􀂉Self evaluation or peer evaluation, Must to know
285
patient satisfaction, utilization
review
• Application to nursing service
and education
9. Fiscal planning Desirable to know 10hrs
􀂉Steps
􀂉Plan and non-plan, zero budgeting,
mid-term appraisal, capital and
revenue
􀂉Budget estimate, revised estimate, Nice to know
performance budget
􀂉Audit
􀂉Cost effectiveness
􀂉Cost accounting
􀂉Critical pathways
􀂉Health care reforms
􀂉Health economics
􀂉Health insurance
􀂉Budgeting for various units and
levels
Application to nursing service
and education
10. Nursing informatics 10hrs

• Trends Must to know
• General purpose
• Use of computers in hospital and
community
Patient record system
• Nursing records and reports
• Management information and
evaluation system (MIES)
• E- nursing, Telemedicine, telenursing Nice to know
• Electronic medical records
11. Leadership 3hrs

􀂉Concepts, Types, Theories
􀂉Styles
􀂉Manager behaviour
􀂉Leader behaviour
􀂉Effective leader: Characteristics,
skills
􀂉Group dynamics
􀂉Power and politics
􀂉lobbying
􀂉Critical thinking and decision making
􀂉Stress management
Applications to nursing service and
education Must to know
12. Legal and ethical issues Must to know 4hrs
286
Laws and ethics
􀂉Ethical committee
􀂉Code of ethics and professional
conduct
􀂉Legal system: Types of law, tort law,
and liabilities
􀂉Legal issues in nursing: negligence,
malpractice, invasion of privacy,
defamation of character
􀂉Patient care issues, management
issues, employment issues
􀂉Medico legal issues
􀂉Nursing regulatory mechanisms:
licensure, renewal, accreditation
􀂉Patients rights, Consumer protection
act(CPA)
􀂉Rights of special groups: children,
women, HIV, handicap, ageing
􀂉Professional responsibility and
accountability
􀂉Infection control
􀂉Standard safety measures
CURRICULUM
S.NO CONTENTS OF THE LEARNING TEACHING METHODOLO TIME

TOPICS OBJECTIVES OBJECTIVES GY
(at the end of the
session the student
should be able to )
1 􀂉Philosophy, -Explain the 􀂉 To cover 􀂉 student 10 hrs
purpose, elements, Philosophy, Philosophy, Interactive
principles and purpose, elements, purpose, session
scope of principles and elements,
administration scope of principles and
􀂉Indian administration scope of
Constitution, 􀂉Indian administration student
Indian Constitution, Indian 􀂉Indian Interactive
Administrative Administrative Constitution, session
system vis a vis system vis a vis Indian
health health Administrative
care delivery care delivery system vis a vis
system: National, system: National, health
State and Local State and Local care delivery student
􀂉Organisation 􀂉Organisation system: Interactive
and functions of and functions of National, State session
nursing services nursing services and Local
287
and education at and education at 􀂉Organisation
National, State , National, State , and functions of
District and District and nursing student
institutions: institutions: services and Interactive
Hospital and Hospital and education at session
Community Community National, State ,
􀂉Planning 􀂉Planning District and
process: Five year process: Five year institutions:
plans, Various plans, Various Hospital and
Committee Committee Reports Community
Reports on on 􀂉Planning
student
health, State and health, State and process: Five Interactive
National Health National Health year plans, session
policies, national policies, national Various
population population Committee
• policy, • policy, Reports on
national national health, State
policy on policy on and National
AYUSH and AYUSH and Health policies,
plans,
plans, national
population
policy, national
policy on
AYUSH and
plans,
2 Management -Discuss To cover Didactic 10hrs
􀂉Functions of Management Management lecture through
administration 􀂉Functions of 􀂉Functions of power point
􀂉Planning and administration administration projections
control 􀂉Planning and 􀂉Planning and
􀂉Co-ordination control control
and delegation 􀂉Co-ordination 􀂉Co- FGD
􀂉Decision and delegation ordination and
making – 􀂉Decision making delegation
decentralization – decentralization 􀂉Decision
basic goals of basic goals of making –
decentralization. decentralization. decentralizatio
􀂉Concept of 􀂉Concept of n basic goals of
management management decentralizatio SIS
Nursing Nursing n.
management management 􀂉Concept of Teacher
􀂉Concept, types, 􀂉Concept, types, management Seminer
principles and principles and Nursing
techniques techniques management
􀂉Vision and 􀂉Vision and 􀂉Concept,
Mission Mission Statements types,
Statements 􀂉Philosophy, principles and
􀂉Philosophy, aims and objective techniques
aims and objective 􀂉Current trends 􀂉Vision and
􀂉Current trends and issues in Mission
288
and issues in Nursing Statements
Nursing Administration 􀂉Philosophy,
Administration 􀂉Theories and aims and
􀂉Theories and models objective
models Application to 􀂉Current
Application to nursing service and trends and
nursing service education issues in
and education Nursing
Administration
􀂉Theories and
models
Application to
nursing service
and education
3 To cover Students 15hrs
Planning Planning seminar
􀂉Planning 􀂉Planning
process: Concept, -Elaborate Planning process:
Principles, 􀂉Planning Concept,
Institutional process: Concept, Principles,
policies Principles, Institutional
􀂉Mission, Institutional policies
philosophy, policies 􀂉Mission,
objectives, 􀂉Mission, philosophy,
􀂉Strategic philosophy, objectives,
planning objectives, 􀂉Strategic
􀂉Operational 􀂉Strategic planning
plans planning 􀂉Operational
􀂉Management 􀂉Operational plans
plans plans 􀂉Management
􀂉Programme 􀂉Management plans
evaluation and plans 􀂉Programme
review 􀂉Programme evaluation and
technique(PERT), evaluation and review
Gantt chart, review technique(PER FGD
Management by technique(PERT), T), Gantt chart,
objectives(MBO) Gantt chart, Management by
􀂉Planning new Management by objectives(MBO
Pannel
venture objectives(MBO) )
Dicsussion
􀂉Planning for 􀂉Planning new 􀂉Planning
change venture new venture
􀂉Innovations in 􀂉Planning for 􀂉Planning for
nursing change change
• Application 􀂉Innovations in 􀂉Innovations
to nursing nursing in nursing
service and Application to Application to
education nursing service nursing service
and education and education
289
4 To cover 15hrs
Concept ,
Organisation principles,
􀂉Concept , objectives,
principles, Types and 1.Problem
objectives, Types Explain Concept , theories, based learning
and theories, principles, Minimum
Minimum objectives, Types requirements
requirements for and theories, for
organisation, Minimum organisation,
Developing an requirements for Developing an
organizational organisation, organizational
Structure, levels, Developing an Structure,
organizational organizational levels,
Effectiveness and Structure, levels, organizational
organizational organizational Effectiveness 2.Student
Climate, Effectiveness and and interactive
􀂉Organising organizational organizational session
nursing services Climate, Climate,
and patient care: 􀂉Organising 􀂉Organising
Methods of patient nursing services nursing
assignment- and patient care: services and
Advantages and Methods of patient patient care:
disadvantages, assignment- Methods of
primary nursing Advantages and patient
care, disadvantages, assignment-
􀂉Planning and primary nursing Advantages and
Organising: care, disadvantages,
hospital, unit and 􀂉Planning and primary
ancillary Organising: nursing care,
services(specificall hospital, unit and 􀂉Planning and
y central sterile ancillary Organising:
supply services(specificall hospital, unit
department, y central sterile and ancillary
laundry, supply department, services(specifi
• kitchen, laundry, cally central
laboratory • kitchen, sterile supply
services, laboratory department,
emergency services, laundry,
etc)s emergency -kitchen,
􀂉Disaster etc)s laboratory
management: plan, 􀂉Disaster services,
resources, drill, etc management: plan, emergency
• Application resources, drill, etc etc)s
to nursing • Application 􀂉Disaster
service and to nursing management:
education service and plan, resources,
education drill, etc
-Application to
nursing service
290
and education
5 To cover 15hrs
Human
Describe Human Resource for
Resource for health Group
health 􀂉Staffing discussion
Human Resource 􀂉Staffing • Philosophy
for health • Philosophy • Norms: Staff
􀂉Staffing • Norms: Staff inspection
• Philosophy inspection unit(SIU), Bajaj Pannel
• Norms: Staff unit(SIU), Bajaj Committee, Descussion
inspection Committee, High High power
unit(SIU), Bajaj power committee,
Committee, High committee, Indian Indian nursing
power nursing council council (INC)
committee, Indian (INC) • Estimation of SIS
nursing council • Estimation of nursing staff
(INC) nursing staff requirement-
• Estimation of requirement- activity analysis
nursing staff activity analysis • Various
requirement- • Various research research SIS
activity analysis studies studies
• Various research 􀂉Recruitment: 􀂉
studies credentialing, Recruitment: SS
􀂉Recruitment: selection, credentialing,
credentialing, placement, selection,
selection, promotion placement,
placement, 􀂉Retention promotion SIS
promotion 􀂉Personnel 􀂉Retention
􀂉Retention policies 􀂉Personnel
􀂉Personnel 􀂉Termination policies
policies 􀂉Staff 􀂉Termination
􀂉Termination development 􀂉Staff SS
􀂉Staff programme development
development 􀂉Duties and programme
programme responsibilities of 􀂉Duties and SIS
􀂉Duties and various category of responsibilities
responsibilities of nursing personnel of various
various category of Applications to category of
nursing personnel nursing service and nursing
• Application education personnel
s to nursing Applications to
service and nursing service
education and education
6 Directing Decribe Directing To cover 15hrs
􀂉Roles and 􀂉Roles and Directing
291
functions functions 􀂉Roles and Didactic
􀂉Motivation: 􀂉Motivation: functions lecture through
Intrinsic, extrinsic, Intrinsic, extrinsic, 􀂉Motivation: PowerPoint
Creating Creating motivating Intrinsic, presentations
motivating climate, climate, extrinsic,
Motivational Motivational Creating
theories theories motivating Group
􀂉Communication 􀂉Communication climate, discussion
: process, types, : process, types, Motivational
strategies, strategies, theories
Interpersonal Interpersonal 􀂉
communication, communication, Communication
channels, barriers, channels, barriers, : process, types, SS
problems, problems, strategies,
Confidentiality, Confidentiality, Interpersonal
Public relations Public relations communication,
􀂉Delegation; 􀂉Delegation; channels,
common common delegation barriers,
delegation errors errors problems,
􀂉Managing 􀂉Managing Confidentiality,
conflict: process, conflict: process, Public relations
management, management, 􀂉Delegation; SIS
negotiation, negotiation, common
consensus consensus delegation
􀂉Collective 􀂉Collective errors
􀂉Managing SIS
bargaining: health bargaining: health
care labour laws, care labour laws, conflict:
unions, unions, process,
management, SIS
professional professional
associations, role associations, role of negotiation,
of nurse manager nurse manager consensus
􀂉Occupational 􀂉Occupational 􀂉Collective
health and safety health and safety bargaining:
Application to Application to health care
nursing service nursing service and labour laws,
and education education unions,
professional
SIS
associations,
role of nurse
manager
􀂉
Occupational
health and
safety
Application to
nursing service
and education
7 Material Describe Material To cover 10hrs
management management Material
􀂉Concepts, 􀂉Concepts, management Students
principles and principles and 􀂉Concepts, Seminar
292
procedures procedures principles and
􀂉Planning and 􀂉Planning and procedures
procurement procurement 􀂉Planning and
procedures : procedures : procurement
Specifications Specifications procedures :
􀂉ABC analysis, 􀂉ABC analysis, Specifications Problem based
􀂉VED (very 􀂉VED (very 􀂉ABC learning
important and important and analysis,
essential daily use) essential daily use) 􀂉VED (very
analysis analysis important and
􀂉Planning 􀂉Planning essential daily
equipments and equipments and use) analysis Essay writing
supplies for supplies for 􀂉Planning
nursing care: unit nursing care: unit equipments and
and and supplies for
hospital hospital nursing care:
􀂉Inventory 􀂉Inventory unit and
control control hospital
􀂉Condemnation 􀂉Condemnation 􀂉Inventory
control
􀂉
Condemnation
methods,
projective
technique, Q
sorts, vignettes,
validity and
reliability of
research tools,
pilot study.
8 Controlling Explain Quality To cover 􀂉 15hrs

􀂉Quality assurance – Quality
assurance – Continuous Quality assurance –
Continuous Quality Improvement Continuous
Improvement • Standards Quality
• Standards • Models Improvement
• Models 􀂉Performance • Standards
􀂉Performance appraisal: Tools, • Models
appraisal: Tools, confidential 􀂉Performance
confidential reports, formats, appraisal:
reports, formats, Management, Tools,
Management, interviews confidential
interviews 􀂉Supervision and reports,
􀂉Supervision management: formats,
and management: concepts and Management,
concepts and principles interviews Student
principles 􀂉Discipline: 􀂉Supervision interactive
􀂉Discipline: service rules, self and session
service rules, self discipline, management:
discipline, constructive versus concepts and
293
constructive destructive principles
versus discipline, problem 􀂉Discipline:
destructive employees, service rules,
discipline, problem disciplinary self discipline,
employees, proceedingsenquir constructive
disciplinary y versus
proceedingsenquir etc destructive
y 􀂉Self evaluation discipline,
etc or peer evaluation, problem
􀂉Self evaluation patient satisfaction, employees,
or peer evaluation, utilization disciplinary
patient review proceedingsenq
satisfaction, -Application to uiry
utilization nursing service and etc
review 􀂉Self
-Application to evaluation or
nursing service peer evaluation,
and education patient
satisfaction,
utilization
review
-Application to
nursing service
and
9 Fiscal planning 15hrs

􀂉Steps
􀂉Plan and non- Discuss Fiscal planning Integrated
plan, zero learning
budgeting, mid-
term appraisal,
capital and
revenue
􀂉Budget
estimate, revised
estimate,
performance
budget
􀂉Audit
􀂉Cost
effectiveness
􀂉Cost accounting
Group
􀂉Critical
discussion
pathways
􀂉Health care
reforms
􀂉Health
economics
􀂉Health To cover Fiscal
insurance planning
294
􀂉Budgeting for
various units and
levels
-Application to
nursing service
and education
10 Nursing To explain Nursing To cover 10hrs
informatics informatics Nursing
􀂉Trends 􀂉Trends informatics
􀂉General 􀂉General purpose 􀂉Trends
purpose 􀂉Use of 􀂉General
􀂉Use of computers in purpose
computers in hospital and 􀂉Use of
hospital and community computers in
community 􀂉Patient record hospital and
􀂉Patient record system community Didactic
system 􀂉Nursing records 􀂉Patient lecture through
􀂉Nursing records and reports record system PowerPoint
and reports 􀂉Management 􀂉Nursing presentation
􀂉Management information and records and
information and evaluation system reports
evaluation system (MIES) 􀂉Management
(MIES) 􀂉E- nursing, information
􀂉E- nursing, Telemedicine, and evaluation
Telemedicine, telenursing system (MIES)
telenursing • 􀂉 􀂉E- nursing,
􀂉 Electronic Telemedicine,
Electronic medical telenursing
medical records 􀂉 Electronic
records medical records
11 Leadership Elaborate To cover 10hrs

􀂉Concepts, Leadership Leadership
Types, Theories 􀂉Concepts, Types, 􀂉Concepts,
􀂉Styles Theories Types, Theories
􀂉Manager 􀂉Styles 􀂉Styles
behaviour 􀂉Manager 􀂉Manager
􀂉Leader behaviour behaviour
behaviour 􀂉Leader 􀂉Leader
􀂉Effective behaviour behaviour
leader: 􀂉Effective leader: 􀂉Effective Teachers
Characteristics, Characteristics, leader: seminar
skills skills Characteristics,
􀂉Group 􀂉Group dynamics skills
dynamics 􀂉Power and 􀂉Group
􀂉Power and politics dynamics
politics 􀂉lobbying 􀂉Power and
295
􀂉lobbying 􀂉Critical thinking
politics
􀂉Critical thinking and decision 􀂉lobbying
and decision making 􀂉Critical
making 􀂉Stress thinking and
􀂉Stress management decision
management Applications to making
Applications to nursing service and 􀂉Stress
nursing service education management
and education Applications to
nursing service
and education
12 Legal and ethical Discuss Legal and To cover Legal 10hrs

issues ethical issues and ethical
Laws and ethics Laws and ethics issues
􀂉Ethical 􀂉Ethical Laws and ethics
committee committee 􀂉Ethical
􀂉Code of ethics 􀂉Code of ethics committee
and professional and professional 􀂉Code of
conduct conduct ethics and
􀂉Legal system: 􀂉Legal system: professional
Types of law, tort Types of law, tort conduct
law, and liabilities law, and liabilities 􀂉Legal
􀂉Legal issues in 􀂉Legal issues in system: Types
nursing: nursing: of law, tort law,
negligence, negligence, and liabilities
malpractice, malpractice, 􀂉Legal issues
invasion of invasion of privacy, in nursing:
privacy, defamation of negligence, Student
defamation of character malpractice, interactive
character 􀂉Patient care invasion of session
􀂉Patient care issues, privacy,
issues, management defamation of
management issues, employment character
issues, issues 􀂉Patient care
employment 􀂉Medico legal issues,
issues issues management
􀂉Medico legal 􀂉Nursing issues,
issues regulatory employment
􀂉Nursing mechanisms: issues
regulatory licensure, renewal, 􀂉Medico legal
mechanisms: accreditation issues
licensure, renewal, 􀂉Patients rights, 􀂉Nursing
accreditation Consumer regulatory
􀂉Patients rights, protection act(CPA) mechanisms:
Consumer 􀂉Rights of special licensure,
protection groups: children, renewal,
296
act(CPA) women, HIV, accreditation
􀂉Rights of handicap, ageing 􀂉Patients
special groups: 􀂉Professional rights,
children, women, responsibility and Consumer
HIV, handicap, accountability protection
ageing 􀂉Infection control act(CPA)
􀂉Professional 􀂉Standard safety 􀂉Rights of
responsibility and measures special groups:
accountability children,
􀂉Infection women, HIV,
control handicap,
􀂉Standard safety ageing
measures 􀂉Professional
responsibility
and
accountability
􀂉Infection
control
􀂉Standard
safety measures
PRACTICALS
1. Prepare prototype personal files for staff nurses, faculty and cumulative records
2. Preparation of budget estimate, Revised estimate and performance budget
3. Plan and conduct staff development programme
4. Preparation of Organisation Chart
5. Developing nursing standards/protocols for various units
6. Design a layout plan for speciality units /hospital, community and educational
institutions
7. Preparation of job description of various categories of nursing personnel
8. Prepare a list of equipments and supplies for speciality units
9. Assess and prepare staffing requirement for hospitals, community and educational
institutions
10. Plan of action for recruitment process
11. Prepare a vision and mission statement for hospital, community and educational
institutions
12. Prepare a plan of action for performance appraisal
13. Identify the problems of the speciality units and develop plan of action by using
problem solving approach
14. Plan a duty roster for speciality units/hospital, community and educational
institutions
15. Prepare: anecdotes, incident reports, day and night reports, handing and taking over
reports, enquiry reports, nurses notes, Official letters, curriculum vitae, presentations
etc
16. Prepare a plan for disaster management
17. Group work
18. Field appraisal report
297
2nd Year
Preamble:
in the field of cardiovascular and thoracic nursing. It will help students to develop advanced
skills for nursing intervention in various cardio medical and surgical conditions. It will enable
the student to function as Cardio vascular and Thoracic Nurse practitioner/specialist. It will
cardio vascular and thoracic nursing.
Objectives:
13. Appreciate trends and issues related to cardio vascular and thoracic Nursing.
cardio vascular and thoracic conditions
rehabilitation of patients with cardio vascular and thoracic conditions
18. Apply nursing process in providing comprehensive care to patients with cardio
vascular and thoracic conditions
19. Demonstrate advance skills/competence in managing patients with cardio vascular
and thoracic conditions including Advance Cardiac Life Support.
20. Describe the various drugs used in cardio vascular and thoracic conditions and nurses
responsibility
21. Demonstrate skill in handling various equipments/gadgets used for critical care of
cardio vascular and thoracic patients
298
2nd Year
4th sem
Theory: 60 hours (4credits)
9 Nursing care of a patient with Maintain Demonstr

obstructive airway Desirable Nursing ate
􀂉 Assessment to perform care of a Oxygen
􀂉 Use of artificial airway patient with delivery
􀂉 Endotracheal intubation, Essential obstructive systems
tracheostomy and its care to airway and
􀂉 Complication, minimum cuff perform Mechanic
leak, securing tubes al
Oxygen delivery systems. Ventilatio
􀂉 Nasal Cannula Oxygen mask, n.
Venturi mask
􀂉 Partial rebreathing bag
􀂉 Bi-PAP and C-PAP masks
􀂉 Uses, advantages, disadvantages,
nursing implications of each.
Mechanical Ventilation
􀂉 Principles of mechanical
ventilation
􀂉 Types of mechanical ventilation
and ventilators.
􀂉 Modes of ventilation, advantage,
disadvantage, complications.
􀂉 PEEP therapy, indications,
physiology, and complications.
Weaning
off the ventilator.
􀂉 Nursing assessment and
interventions of ventilated patient.
10 Congenital Heart Diseases, Desirable Examine the
􀂉 Etiology, clinical manifestations, to patients
diagnois, prognosis, related perform with
pathophysiology, treatment disorders of
modalities and nursing management Congenital
299
of: Heart
• Embryological development of Diseases.
heart.
• Classification – cyanotic and
acyanotic heart disease.
• Tetralogy of Fallots.
• Atrial Septal Defect, Ventricular
Septal Defect., Eisenmenger’s
complex.
• Patent ductus arteriosus, AP
window
• Truncus Arteriosus.
• Transposition of great arteries.
• Total Anomaly of Pulmonary
Venous Connection.
• Pulmonary stenosis, atresia.
• Coarctation of aorta.
• Ebstein’s anomaly
• Double outlet right ventricle,
Single ventricle, Hypoplastic left
heart syndrome.
11 Pharmacology Aware the
􀂉Review students
􀂉 Pharmacokinetics Good to about the
􀂉 Analgesics/Anti inflammatory know Pharmacoki
agents netics
􀂉 Antibiotics, antiseptics 􀂉Analgesic
􀂉 Drug reaction & toxicity s/Anti
􀂉 Drugs used in cardiac inflammator
emergencies y agents
􀂉 Blood and blood components 􀂉
• Antithrombolytic agents Antibiotics,
• Inotropic agents antiseptics
• Beta-blocking agents 􀂉 Drug
• Calcium channel blockers. reaction &
• Vaso constrictors toxicity
• Vaso dilators 􀂉 Drugs
• ACE inhibitors. used in
• Anticoagulents cardiac
• Antiarrhythmic drugs. emergencies
• Anti hypertensives 􀂉 Blood
• Diuretics and blood
• Sedatives and tranquilizers. components
• Digitalis.
Antilipemics
􀂉 Principles of drug administration,
role and responsibilities of
nurses and care of drugs
12 Nursing Care of patient Plan Prepare the
undergoing cardio thoracic Good to Nursing students for
surgery know Care of Nursing
300
􀂉 Indications, selection of patient patient Care of
􀂉 Preoperative assessment and undergoing patient
preparation; counselling. cardio undergoing
􀂉 Intraoperative care: Principles of Desirable thoracic cardio
open heart surgery, equipment, to surgery thoracic
anaesthesia, cardiopulmonary by perform surgery
pass.
􀂉 Surgical procedures for Coronary
Artery Bypass Grafting, recent
advances and types of grafts, Valve
replacement or reconstruction,
cardiac transplant, Palliative
surgery and different Stents,
vascular
surgery, other recent advances.
􀂉 Thoracic surgery: lobectomy,
pneumonectomy, tumour excision
etc
􀂉 Immediate postoperative care :
assessment, post operative
problems
and interventions : Bleeding,
Cardiac tamponade, Low cardiac
output, Infarction, Pericardial
effusion, Pleural effusion,
Pneumothorax, Haemothorax,
Coagulopathy, Thermal imbalance,
Inadequate., ventilation/perfusion,
Neurological problems, renal
problems, Psychological problems.
􀂉 Chest physiotherapy
􀂉 Nursing interventions- life style
modification, complementary
therapy/alternative systems of
medicine.
􀂉 Intermediate and late post
operative care after CABG, valve
surgery,
others.
Follow up care
13 Cardiac rehabilitation
􀂉 Process Desirable
􀂉 Physical evaluation to Describes
􀂉 Life style modification perform the Cardiac
􀂉 Physical conditioning for rehabilitatio
cardiovascular efficiency through n
exercise
􀂉 Counseling
a) 􀂉 Follow up care
14 Intensive Coronary Care Organize Examine Plan for
Unit/intensive cardio thoracic Good to Intensive Standards, Infection
301
unit: know Coronary Protocols, control;
􀂉 Quality assurance Care Policies, Standard
• Standards, Protocols, Policies, Unit/intensi Procedures safety
Procedures ve cardio measures
• Infection control; Standard safety Desirable thoracic unit
measures to
• Nursing audit perform
• Design of ICCU/ICTU
• Staffing; cardiac team
• Burn out syndrome Essential
􀂉 Nurse’s role in the management to
of I.C.C.U and ICTU. perform
􀂉 Mobile coronary care unit.
􀂉 Planning inservice educational
programme and teaching
2nd Year
4th sem
9 Nursing care of a patient Enumerate the To teach Simulated 10 hrs

with obstructive airway Nursing care of a and discuss learning on
Assessment patient with about Nursing care
Use of artificial airway obstructive airway Nursing of a patient
Endotracheal intubation, care of a with
tracheostomy and its care patient obstructive
Complication, minimum with airway
cuff leak, securing tubes obstructive
Oxygen delivery airway
systems.
Nasal Cannula
Oxygen mask, Venturi
mask
Partial rebreathing bag
Bi-PAP and C-PAP
masks Uses, advantages,
disadvantages, nursing
implications of each.
Mechanical Ventilation
Principles of mechanical
ventilation Types of
302
mechanical ventilation
and ventilators. Modes of
ventilation, advantage,
disadvantage,
complications. PEEP
therapy, indications,
physiology, and
complications. Weaning
off the ventilator.
Nursing assessment and
interventions of
ventilated patient.
10 Congenital Heart Describe the To teach Simulated 10 hrs
Diseases, Etiology, Management of and discuss learning
clinical manifestations, patients with about regarding
diagnois, prognosis, Congenital Heart Manageme Management
related pathophysiology, Diseases nt of of patients
treatment modalities and patients with
nursing management of: with Congenital
Embryological Congenital Heart
development of heart. Heart Diseases
Classification – cyanotic Diseases
and acyanotic heart
disease.
Tetralogy of Fallots.
Atrial Septal Defect,
Ventricular Septal
Defect., Eisenmenger’s
complex.
Patent ductus arteriosus,
AP window
Truncus Arteriosus.
Transposition of great
arteries.
Total Anomaly of
Pulmonary Venous
Connection.
Pulmonary stenosis,
atresia.
Coarctation of aorta.
Ebstein’s anomaly
Double outlet right
ventricle, Single
ventricle, Hypoplastic
left heart syndrome.
10 Pharmacology Review Elaborate the To teach Panel 10 hrs
Pharmacokinetics pharmacological and discuss discussion
Analgesics/Anti treatment of patients aboutphar on
inflammatory agents with cardiovascular macologica pharmacolog
Antibiotics, antiseptics problems l treatment ical
Drug reaction & toxicity of patients treatment of
303
Drugs used in cardiac with patients with
emergencies Blood and cardiovasc cardiovascul
blood components ular ar problems
Antithrombolytic agents problems
Inotropic agents
Beta-blocking agents
Calcium channel
blockers.
Vaso constrictors
Vaso dilators
ACE inhibitors.
Anticoagulents •
Antiarrhythmic drugs.
Anti hypertensives
Diuretics
Sedatives and
tranquilizers.
Digitalis. Antilipemics
Principles of drug
administration, role and
responsibilities of nurses
and care of drugs
12 Nursing Care of patient Enumerate the‰ To teach Seminar on 20 hrs
undergoing cardio Nursing Care of and discuss Nursing Care
thoracic surgery patient undergoing about of patient
Indications, selection of cardio thoracic Nursing undergoing
patient surgery Care of cardio
Preoperative assessment patient thoracic
and preparation; undergoing surgery ‰
counselling. cardio
Intraoperative care: thoracic
Principles of open heart surgery
surgery, equipment,
anaesthesia,
cardiopulmonary by
passSurgical procedures
for Coronary Artery
Bypass Grafting, recent
advances and types of
grafts, Valve replacement
or reconstruction, cardiac
transplant, Palliative
surgery and different
Stents, vascular surgery,
other recent advances.
Thoracic surgery:
lobectomy,
pneumonectomy, tumour
excision et
Immediate postoperative
care : assessment, post
304
operative problems and
interventions : Bleeding,
Cardiac tamponade, Low
cardiac output,
Infarction, Pericardial
effusion, Pleural
effusion, Pneumothorax,
Haemothorax,
Coagulopathy, Thermal
imbalance, Inadequate.,
ventilation/perfusion,
Neurological problems,
renal problems,
Psychological problems
Chest physiotherapy
Nursing interventions-
life style modification,
complementary
therapy/alternative
systems of medicine.
Intermediate and late
post operative care after
CABG, valve surgery,
others.
13 Cardiac rehabilitation Describe the cardiac To teach Simulated 5 hrs
Process Physical rehabilitation and discuss learning
evaluation Life style about based
modification Physical cardiac oncardiac
conditioning for rehabilitati rehabilitation
cardiovascular efficiency on
through exercise
Counseling Follow up
care
14 Intensive Coronary Care Explain the Nurse’s To teach Seminar on 5 hrs
Unit/intensive cardio role in the and discuss Nurse’s role
thoracic unit: Quality management of about in the
assurance I.C.C.U and ICTU Nurse’s management
Standards, Protocols, role in the of I.C.C.U
Policies, Procedures manageme and ICTU
Infection control; nt of
Standard safety measures I.C.C.U
Nursing audit and ICTU
Design of ICCU/ICTU
Staffing; cardiac team
Burn out syndrome
Nurse’s role in the
management of I.C.C.U
and ICTU. Mobile
coronary care unit.
Planning inservice
educational programme
305
and teaching
2nd Year
4th sem

Practicals
S.No. Deptt/ Unit No. of Week Total Hours

1 Cardio thoracic -Medical 2 60 Hours
-Surgical 2 60 Hours
2. OTs (Cardiac and thoracic) 2 60 Hours
3. ICCU 2 60 Hours
4. ICU 2 60 Hours
5. CCU 2 60 Hours
6. Paediatric Intensive 1 30 Hours
7. OPD 1 30 Hours
Essential Nursing Skills

Procedures Observed
12. Echo cardiogram
13. Ultrasound
14. Monitoring JVP , CVP
15. CT SCAN
16. MRI
17. Pet SCAN
18. Angiography
19. Cardiac cathetrisation
20. Angioplasty
21. Various Surgeries
22. Any other
I. Procedures Assisted
15. Arterial blood gas analysis
16. Thoracentesis
17. Lung biopsy
18. Computer assisted tomography (CAT Scan)
306
19. M.R.I.
20. Pulmonary angiography
21. Bronchoscopy
22. Pulmonary function test
23. ET tube insertion
24. Tracheostomy tube insertion
25. Cardiac catheterisation
26. Angiogram
27. Defibrillation
28. Treadmill test
22. Echo cardiography
23. Doppler ultrasound
24. Cardiac surgery
25. Insertion of chest tube
26. CVP Monitoring
27. Measuring pulmonary artery pressure by Swan-Ganz Catheter
28. Cardiac Pacing
II. Procedures Performed

4. Preparation of assessment tool for CT client (Cardiac, thoracic and vascular).
5. ECG – Recording, Reading, Identification of abnormalities
6. Oxygen therapy – Cylinder, central supply,
Catheter, nasal canula, mask, tent
Through ET and Tracheostomy tube
Manual resuscitation bag
15. Mechanical ventilation
16. Spirometer
17. Tuberculen skin test
18. Aerosal therapy
19. Nebulizer therapy
20. Water seal drainage
21. Chest physiotheray including – Breathing Exercises Coughing
Exercises
Percussion & Vibration
22. Suctioning – Oropharyngeal, nasotracheal, Endotrachieal Through
tracheostomy tube
23. Artificial airway cuff maintenance
24. CPR
25. Care of client on ventilator
15. Identification of different – Arrhythmias
Abnormal pulses, respirations
B.P. Variation
Heart sounds
Breath sounds
25. Pulse oxymetry
26. Introduction of intracath
27. Bolus I.V. Injection
28. Life line
29. Maintenance of “Heplock”
30. Subcutaneous of Heparin
31. Obtaining leg measurements to detect early swelling in
307
thrombophlebetes
32. Identification of Homans signs
33. Buergen – Allen exercises
2nd Year
4th
semester
Course Description:
the field of Critical care Nursing. It will help students to develop advanced skills for nursing
intervention in caring for critically ill patients. It will enable the student to function as critical
care nurse practitioner/ specialist. It will further enable the student to function as educator,
manager and researcher in the field of Critical Care Nursing.
Objectives:
• Appreciate trends and issues related to Critical Care Nursing.
• Describe the epidemiology, etiology, pathophysiology and diagnostic assessment of
critically ill patients
• Describe the various drugs used in critical care and nurses responsibility
• Perform physical, psychosocial & spiritual assessment
• Demonstrate advance skills/competence in managing critically ill patients including
Advance Cardiac Life Support.
• Demonstrate skill in handling various equipments/gadgets used for critical care
• Provide comprehensive care to critically ill patients.
• Appreciate team work & coordinate activities related to patient care.
• Practice infection control measures.
• Assess and manage pain .
• Identify complications & take appropriate measures.
• Discuss the legal and ethical issues in critical care nursing
• Assist patients and their family to cope with emotional distress, spiritual, grief and
anxiety
• Assist in various diagnostic, therapeutic and surgical procedures
• Incorporate evidence based nursing practice and identify the areas of research in the
field of critical care nursing
308
2nd Year
4th
semester
Hours of instruction
11 Cardiovascular emergencies Good to Develops Provides

Principles of Nursing in caring for know knowledge nursing care
patient’s with Cardiovascular inassessment, to 5 patients
disorders Essential Clinical with
Assessment: Cardiovascular to features, neurological
system: Heart sounds, Diagnostic perform pathophysiol conditions
studies:- Cardiac enzymes studies, ogy, Demonstrate
Electrocardiographic monitoring, diagnosis, skill in
Holter monitoring, Stress test. and handling
Echocardiography, Coronary management various
angiography, Nuclear medicine of equipments
studies cardiovascul used for the
Causes, Pathophysiology, Clinical ar conditions management
types, Clinical features, Diagnostic of
Prognosis, Management : Medical, cardiovascul
Surgical &Nursing management arconditions
of:-Hypertensive crisis, Coronary Perform
artery disease, Acute Myocardial ACLS/BLS
infarction, Cardiomyopathy, Deep on 5 patients
vein thrombosis, Valvular diseases,
Heart block, Cardiac arrhythmias
&conduction disturbances,
Aneurysms, Endocarditis, Heart
failure Cardio pulmonary
resuscitation BCLS/ ACLS
Thrombolytic therapy, Pacemaker –
temporary & permanent,
Percutaneous transluminal coronary
angioplasty, Cardioversion, Intra-
Aortic Balloon pump monitoring,
Defibrillations, Cardiac surgeries,
309
Coronary Artery Bypass Grafts
(CABG/MICAS), Valvular
surgeries, Heart Transplantation,
Autologous blood transfusion,
Radiofrequency Catheter Ablation
12 Respiratory System Good to Develops Provides
Acid-base balance & imbalance know knowledge in nursing care
Assessment : History & Physical assessment, to 5 patients
Examination Essential Clinical with
Diagnostic Tests:Pulse Oximetry, to features, respiratory
End –Tidal Carbon Dioxide perform pathophysiol conditions
Monitoring, Arterial blood gas ogy, Demonstrate
studies, chest radiography, diagnosis, skill in
pulmonary Angiography, and handling
Bronchoscopy, Pulmonary function management various
Test, Ventilation perfusion scan, of respiratory equipments
Lung ventilation scan conditions used for the
Causes Pathophysiology, Clinical management
types, Clinical features, Prognosis, of respiratory
Management: Medical, Surgical conditions
and Nursing management of Assist and
Common pulmonary disorders: - perform
Pneumonia, Status asthmaticus, various
interstitial drug disease, Pleural diagnostic
effusion, Chronic obstructive tests related
pulmonary disease, Pulmonary to respiratory
tuberculosis,Pulmonary edema, system
Atelectasis, Pulmonary embolism, Perform
Acute respiratory failure, Acute bronchial
respiratory distress syndrome hygiene on 3
(ARDS),Chest Trauma patients
Hemothorax, Pneumothorax
Management Modalities: -Airway
Management
‰Ventilatory Management:-
Invasive, non- invasive, long term
mechanical ventilations
Bronchial Hygiene: -Nebulization,
deep breathing exercise, chest
physiotherapy, postural drainage,
Inter Costal Drainage, Thoracic
surgeries
13. Burns Good to Describes Assists in Understands
Clinical types, classification, know theclassificat reconstructiv the prevention
pathophysiology, clinical features, Essential ion, e surgery and and
assessment, diagnosis, prognosis, to pathophysiol rehabilitation management
Management: Medical, Surgical perform ogy, clinical of burn of burn
& Nursing management of burns features, patient complications
Fluid and electrolyte therapy – assessment,
calculation of fluids and its diagnosis,
administration prognosis
310
Pain management and
Wound care management
Infection control of burns
Prevention and management of
burn complications
Grafts and flaps
Reconstructive surgery
Rehabilitation
14 Obstetrical Emergencies Good to Describes
Causes, Pathophysiology, Clinical know theCauses,
types, clinical features, Pathophysiol
diagnostic Prognosis, Management: ogy, Clinical
Medical, Surgical and Nursing types,
management of :Antepartum clinical
hemorrhage, Preeclampsia, features,
eclampsia, Obstructed labor and diagnostic
ruptured uterus, Post partum Prognosis,
haemorrhage, Peurperal sepsis, Management
Obstetrical shock of obstetrical
emergencies
15 Neonatal Paediatric emergencies Good to Develops Demonstrate

Causes, pathophysiology, Clinical know knowledge in skill in
types, Clinical features, Desirabl Causes, managing
diagnostic, Prognosis, e to pathophysiol Neonatal
Management: medical, surgical and perform ogy, Clinical Paediatric
Nursing types, emergencies
management of Neonatal Clinical
emergencies features,diag
Asphyxia Neonatarum, nostic,
Pathological Jaundice in Neonates, Prognosis
Neonatal seizures, Metabolic and
disorders, Intra cranial Management
Hemorrhage, of Neonatal
Neonatal Sepsis, RDS/HMD emergencies
(Respiratory Distress
Syndrome/Hyaline Membrane
Disease), Congenital disorders:-
• Cyanotic heart disease,
tracheooesophageal fistula,
congenital
hypertropic pyloric stenosis,
imperforate anus
• Pediatric emergencies
Dehydration, Acute broncho
pneumonia, Acute respiratory
distress
syndrome, Poisoning, Foreign
bodies, seizures, traumas, Status
asthmaticus
16. Legal and ethical issues in critical Essential Practices
311
care-Nurse’s role to within the
Brain death perform legal
Organ donation & Counselling framework of
Do Not Resuscitate(DNR) the country
Euthanasia towards the
Living will interest of
patients,
families and
communities
17. Quality assurance Essential Teach and
Standards, Protocols, Policies, to supervise
Procedures perform nurses and
Infection control; Standard safety allied health
measures workers.
Nursing audit Design a
Staffing layout of
Design of ICU/CCU ICU and
develop
standards for
critical care
nursing
practice.
2nd Year
4th semester
LEARNING
OBJECTIVES
S. (at the end of TEACHING METHODOLO
NO the session the OBJECTIVES GY
student should
be able to)
11 Cardiovascular Elaborate the To teach and Panel discussion 20 hrs
emergencies cardiovascular discuss on cardiovascular
• Principles of emergencies and aboutcardiovasc emergencies and
Nursing in caring its management ular its management
for patient’s with emergencies
Cardiovascular and its
disorders management
312
Assessment:
Cardiovascular
system: Heart
sounds, Diagnostic
studies:- Cardiac
enzymes studies,
Electrocardiographi
c monitoring,
Holter monitoring,
Stress test. Echo
cardiography,
Coronary
angiography,
Nuclear medicine
studies
• Causes,
Pathophysiology,
Clinical types,
Clinical features,
Diagnostic
Prognosis,
Management :
Medical, Surgical
& Nurisng
management of:-
Hypertensive crisis,
Coronary artery
disease, Acute
Myocardial
infarction,
Cardiomyopathy,
Deep vein
thrombosis,
Valvular diseases,
Heart block,
Cardiac
arrhythmias &
conduction
disturbances,
Aneurysms,
Endocarditis, Heart
failure Cardio
pulmonary
resuscitation BCLS/
ACLS
• Management
Modalities:
Thrombolytic
therapy, Pacemaker
– temporary &
permanent,
313
Percutaneous
transluminal
coronary
angioplasty,
Cardioversion, Intra
Aortic Balloon
pump monitoring,
Defibrillations,
Cardiac surgeries,
Coronary Artery
Bypass Grafts
(CABG/MICAS),
Valvular surgeries,
Heart
Transplantation,
Autologous blood
transfusion,
Radiofrequency
Catheter Ablation
12 Respiratory System Enumerate To teach and Seminar on 15 hrs
• Acid-base balance therespiratory discuss about respiratory
& imbalance disorders and its respiratory disorders and its
• Assesment : management disorders and its management
History & Physical management
Examination
• Diagnostic
Tests:Pulse
Oximetry, End –
Tidal Carbon
Dioxide
Monitoring,
Arterial blood gas
studies, chest
radiography,
pulmonary
Angiography,
Bronchoscopy,
Pulmonary function
Test, Ventilation
perfusion scan,
Lung ventilation
scan
• Causes
Pathophysiology,
Clinical types,
Clinical features,
Prognosis,
Management:
Medical, Surgical
and Nursing
management of
314
Common
pulmonary
disorders:-
Pneumonia, Status
asthmaticus,
interstitial drug
disease, Pleural
effusion, Chronic
obstructive
pulmonary disease,
Pulmonary
tuberculosis,
Pulmonary edema,
Atelectasis,
Pulmonary
embolism, Acute
respiratory failure,
Acute respiratory
distress syndrome
(ARDS), Chest
Trauma
Haemothorax,
Pneumothorax
• Management
Modalities:-Airway
Management
• Ventilatory
Management:-
Invasive, non-
invasive, long term
mechanical
ventilations
• Bronchial
Hygiene:-
Nebulization, deep
breathing exercise,
chest
physiotherapy,
postural drainage,
Inter Costal
Drainage, Thoracic
surgeries
13 Burns Describe the To teach and Simulated 7 hrs
• Clinical types, nursing care of discuss about learning based
classification, patients with burns nursing care of onnursing care of
pathophysiology, and its patients with patients with
clinical features, management burns and its burns and its
assessment, management management
diagnosis,
prognosis,
Management:
315
Medical, Surgical
& Nursing
management of
burns
• Fluid and
electrolyte therapy
– calculation of
fluids and its
administration
• Pain management
• Wound care
• Infection control
• Prevention and
management of
burn complications
• Grafts and flaps
• Reconstructive
surgery
• Rehabilitation
14 Obstetrical Emergencies Explain the To teach and Seminar on 5 hrs
• Causes, Nurse’s role in the discuss about Nurse’s role in
Pathophysiology, management of Nurse’s role in the management
Clinical types, I.C.C.U and ICTU the management of I.C.C.U and
clinical features, of I.C.C.U and ICTU
diagnostic ICTU
Prognosis,
Management:
Medical, Surgical
and Nursing
management of
:Antepartum
haemorrhage,
Preeclampsia,
eclampsia,
Obstructed labour
and ruptured uterus,
Post partum
haemorrhage,
Peurperal sepsis,
Obstetrical shock
15 Neonatal Paediatric Elaborate the To teach and Students 10 hrs
emergencies neonatal paediatric discuss about interactive
• Causes, emergencies and neonatal session on
pathophysiology, its management paediatric neonatal
Clinical types, emergencies paediatric
Clinical features, and its emergencies and
diagnostic, management its management
Prognosis ,
Management:
medical, surgical
and Nursing
316
management of
• Neonatal
emergencies
• Asphyxia
Neonatarum,
Pathological
Jaundice in
Neonates, Neonatal
seizures, Metabolic
disorders, Intra
cranial
Hemorrhage,
Neonatal Sepsis,
RDS/HMD
(Respiratory
Distress
Syndrome/Hyaline
Membrane
Disease),
Congenital
disorders:
• Cyanotic heart
disease, tracheo
oesophageal fistula,
congenital
hypertropic pyloric
stenosis,
imperforate anus
• Pediatric
emergencies
• Dehydration, Acute
broncho
pneumonia, Acute
respiratory distress
syndrome,
Poisoning, Foreign
bodies, seizures,
traumas, Status
asthmaticus
16 Legal and ethical issues in Explain the Legal To teach and Seminar on Legal 2 hrs
critical care-Nurse’s role and ethical issues discuss about and ethical issues
• Brain death in critical care Legal and in critical care
• Organ donation & ethical issues in
Counselling critical care
• Do Not
Resuscitate(DNR)
• Euthanasia
• Living will
17 Quality assurance Describe the To teach and Student 2 hrs
• Standards, Quality assurance discuss about interactive
Protocols, Policies, ‰ and nursing Quality session on
317
Procedures audit assurance ‰ Quality assurance
• Infection control; And nursing ‰
Standard safety audit And nursing audit
measures
• Nursing audit
• Staffing
• Design of
ICU/CCU
Practicals
Total = 420 Hours (14 credits)
1 Burns ICU 1 30 Hours
2 Medical ICU 4 120 Hours
3 Surgical ICU 5 150 Hours
5 Emergency Department 2 60 Hours
7 Transplant Room 1 30 Hours
ESSENTIAL CRITICAL CARE NURSING SKILLS
7. CT Scan
8. MRI
9. EEG
10. Hemodialysis
11. Endoscopic Retrograde cholangioPancreaticogram(ERCP)
12. Heart/ Neuro/GI./ Renal Surgeries

12. Advanced life support system
13. Basic cardiac life support
14. Arterial line/arterial pressure monitoring/blood taking
318
15. Arterial blood gas
16. ECG recording
18. IV cannulation therapy
21. Endotracheal intubations
22. Ventilation

a. Application of oropharyngeal airway
b. Oxygen therapy
c. CPAP (Continuous Positive Airway pressure)
d. Care of tracheostomy
e. Endotracheal extubation
7. Cardiopulmonary resuscitation, Basic cardiac life support, ECG
8. Monitoring of critically ill patients – clinically with monitors, capillary refill time
(CRT) assessment of jaundice, ECG.
9. Gastric lavage
10. Assessment of critically ill patients
Identification & assessment of risk factors, Glasgow coma scale, and dolls eye
movement, arterial pressure monitoring, cardiac output/pulmonary artery
pressure monitoring, and detection of life threatening abnormalities
12. Admission & discharge of critically ill patients
13. Nutritional needs – gastrostomy feeds, pharyngeal feeds, jejunostomy feeds, TPN,
formula preparation & patient education.
14. Assessment of patient for alteration in blood sugar levels monitoring blood sugar
levels periodically & administering insulin periodically.
15. Administration of drugs: IM, IV injection, IV cannulation & fixation of infusion
pump, calculation of dosages, use of insulin syringes/ tuberculin, monitoring fluid
therapy, blood administration.
16. Setting up dialysis machine and starting, monitoring and closing dialysis
Hand washing, disinfection & sterilization surveillance, and fumigation
319
13. Setting, use & maintenance of basic equipment, ventilator,
analyzer, monitoring equipment, transducers, defibrillator, infusion
& syringe pumps, centrifuge machine.
2nd Year
4th semester
Preamble:
in the field of oncology Nursing. It will help students to develop advanced skills for nursing
intervention in various oncological conditions. It will enable the student to function as
ncology nurse practitioner/specialist and provide quality care. It will further enable the
student to function as educator, manager, and researcher in the field of oncology nursing
Objectives:
• Explain the prevention, screening and early detection of cancer
oncological disorders of various body systems.
• Describe the psychosocial effects of cancer on patients and families.
• Demonstrate skill in administering/assisting in various treatment modalities used for
patients with cancer
• Apply nursing process in providing holistic care to patients with cancer.
• Apply specific concepts of pain management
• Appreciate the care of death and dying patients and value of bereavement support.
• Describe the philosophy, concept and various dimensions of palliative care
• Appreciate the role of alternative systems of medicine in care of cancer patients
• Appreciate the legal & ethical issues relevant to oncology nursing
• Recognize and manage Oncological emergencies
• Counsel the patients with cancer and their families
field of oncology nursing
• Recognize the role of oncology nurse practitioner as a member of oncology team
• Collaborate with other agencies and utilize resources in caring for cancer patients.
320

No
9 Infection control: Maintain the Process Demonstrate
• Process of infection, risk of Desirable to of infection, risk of Standard safety
hospitalization, nosocomial perform hospitalization, measures
infections- prevention and nosocomial
control of infection in acute, Essential to infections- prevention
long perform and control of
term care facility and infection in acute, long
community based care term care facility and
• Standard safety measures community based care
10 Nursing Care of Patients With Desirable to Examine the patients

Specific Malignant Disorders perform with disorders of
􀂉Malignancies of G.I. system- Malignancies of G.I.
oral, oesophagus, stomach, system-oral,
rectal, oesophagus, stomach,
liver & pancreas, care of rectal,
ostomies/stoma liver & pancreas, care
􀂉Respiratory malignancies of ostomies/stoma
􀂉Genito urinary system 􀂉Respiratory
malignancies- prostate Bladder, malignancies
renal 􀂉Genito urinary
testicular malignancies, system malignancies-
􀂉Gynecological malignancies- prostate Bladder, renal
cervix, uterus, ovary testicular
􀂉Hematological malignancies- malignancies,
Lymphomas, Leukemias. 􀂉Gynecological
􀂉Malignancies of malignancies-cervix,
musculoskeletal system uterus, ovary
􀂉Endocrine malignancies 􀂉Hematological
􀂉Skin malignancies-
􀂉Head and Neck -brain tumors Lymphomas,
􀂉Other malignancies – Breast Leukemias.
cancer, AIDS related 􀂉Malignancies of
Malignancies musculoskeletal
(Kaposi's Sarcoma) system
􀂉Endocrine
321
malignancies
􀂉Skin
􀂉Head and Neck -
brain tumors
􀂉Other malignancies
– Breast cancer, AIDS
related Malignancies
11 Paediatric malignancies Aware the
􀂉Leukemia, Lymphoma, students
Neuro- blastoma Good to about the
􀂉Wilm’s tumor, Soft tissue know Paediatric
sarcoma, Retinoblastoma malignanc
􀂉Nursing Management of ies.
children with Paediatric
Malignancies
12 Cancer Emergencies
􀂉Disseminated intravascular Desirable to Describes the Cancer
coagulation(DIC), perform Emergencies
􀂉Malignant pleural effusion
􀂉Neoplastic cardiac tamponade
and septic shock spinal cord
compression
􀂉Superior venacava syndrome
􀂉Metabolic emergency: hyper
and hypo calcemia
􀂉Surgical emergency
􀂉Urological emergency
􀂉Hemorrhage
􀂉Organ obstruction
􀂉Brain metastasis
a) 􀂉Nurses role in
managing oncologic
emergencies
13 Psycho-Social Aspects of Examine Psycho- Plan for
Nursing Care Social Aspects of Counseling:
􀂉Psychological responses of Desirable to Nursing Care individual and
patients with cancer perform family
􀂉Psychosocial assessment –
􀂉Crisis intervention, coping
mechanisms Essential to
􀂉Stress management, perform
spiritual/cultural care and needs
􀂉Counseling: individual and
family
􀂉Maximizing quality of life of
patient and family
Ethical, moral and legal
issues-
􀂉End of life care
􀂉Grief and grieving process
􀂉Bereavement support
322
􀂉Care of Nurses who care for
the dying.
14 Layout and Design of an Good to Organize
oncology institution/ ward, Know Layout
OPD, and
chemotherapy unit, Bone Design of
marrow transplantation unit, an
Pain oncology
clinic etc institution/
􀂉Practice Standards of ward,
oncology nursing OPD,
• Policies and Procedures chemother
􀂉Establishing Standing orders apy unit,
and Protocols Bone
Quality Assurance marrow
Programme in oncology units transplant
􀂉Nursing audit ation unit,
Pain
clinic
2nd Year
4th
semester
LEARNING
OBJECTIV
ES
TEACHING
S. (at the end of METHODOLO
CONTENT OF TOPICS OBJECTIV TIME
NO the session GY
ES
the student
should be
able to)
9 Infection control: Enumerate the To teach and Simulated 2 hrs
• Process of infection, risk of endocrine discuss about learning on
hospitalization, nosocomial disorders and its endocrine endocrine
infections- prevention and control management disorders and disorders and its
of infection in acute, long term its management
care facility and community management
based care
• Standard safety measures
10 Nursing Care of Patients With Describe the To teach and Simulated 30 hrs
Specific Malignant Disorders Management of discuss about learning
• Malignancies of G.I. emergency Management regarding
system-oral, oesophagus, conditions of emergency Management of
323
stomach, rectal, liver & conditions emergency
pancreas, care of conditions
ostomies/stoma
• Respiratory malignancies
• Genito urinary system
malignancies- prostate
Bladder, renal testicular
malignancies,
• Gynecological
malignancies-cervix,
uterus, ovary
• Hematological
malignancies-
Lymphomas, Leukemias.
• Malignancies of
musculoskeletal system
• Endocrine malignancies
• Skin
• Head and Neck -brain
tumors
• Other malignancies –
Breast cancer, AIDS
related Malignancies
(Kaposi's Sarcoma)
11 Paediatric malignancies Elaborate the To teach and Panel discussion 10 hrs
• Leukemia, Lymphoma, cardiovascular discuss on
Neuro- blastoma emergencies aboutcardiov cardiovascular
• Wilm’s tumor, Soft tissue and its ascular emergencies and
sarcoma, Retinoblastoma management emergencies its management
• Nursing Management of and its
children with Paediatric management
Malignancies
12 Cancer Emergencies Describe the To teach and Simulated 10 hrs

Disseminated intravascular nursing care of discuss about learning based
coagulation(DIC), Malignant patients with nursing care onnursing care
pleural effusion Neoplastic burns and its of patients of patients with
cardiac tamponade and septic management with burns burns and its
shock spinal cord compression and its management
Superior venacava syndrome ‰ management
• Metabolic emergency:
hyper and hypo calcemia
Surgical emergency
Urological emergency
Hemorrhage
• Organ obstruction Brain
metastasis Nurses role in
managing oncologic
emergencies
13 Psycho-Social Aspects of Nursing Explain the To teach and Seminar on 8 hrs
Care Nurse’s role in discuss about Nurse’s role in
324
• Psychological responses the management Nurse’s role the management
of patients with cancer of I.C.C.U and in the of I.C.C.U and
• Psychosocial assessment ICTU management ICTU
• Crisis intervention, coping of I.C.C.U
mechanisms and ICTU
• Stress management,
spiritual/cultural care and
needs
• Counseling: individual
and family
• Maximizing quality of life
of patient and family
• Ethical, moral and legal
issues- End of life care
• Grief and grieving process
• Bereavement support
• Care of Nurses who care
for the dying.
14 Layout and Design of an Elaborate the To teach and Students 2 hrs
oncology institution/ ward, OPD, neonatal discuss about interactive
chemotherapy unit, Bone marrow paediatric neonatal session on
transplantation unit, Pain clinic emergencies paediatric neonatal
etc and its emergencies paediatric
• Practice Standards of management and its emergencies and
oncology nursing management its management
• Policies and Procedures
• Establishing Standing
orders and Protocol
• Quality Assurance
Programme in oncology
units
• Nursing audit
Clinical Experience
Total
S. No. Deptt./ Unit No. of Week Hours
1 Medical Oncology ward 3 90 Hours
2 Surgical Oncology ward 3 90 Hours
3 Bone marrow transplantation Unit 1 30 Hours
4 Chemotherapy Unit 1 30 Hours
5 Out patient department and pain clinic 1 30 Hours
6 Pediatric Oncology ward 1 30 Hours
7 Palliative Care ward 1 30 Hours
8 Community oncology 1 30 Hours
9 Hospice 1 30 Hours
10 Other field visits 1 30 Hours
325
Procedures Observed
12. CT Scan
13. MRI
14. PET Scan(Positron Emission Tomography)
15. Ultra sound
16. Mammography
17. Radio Nuclide Imaging
18. Bone Scan
19. Thyroid Function Test
20. Functional and Metabolic Imaging
21. Transportation of radioactive materials
22. Others
Procedures Assisted
10. IV cannulation – Open method
11. Chemotherapy
12. Radiotherapy – Brachytherapy – Low Density Radiation, High Density Radiation.
13. Interstitial implantation
14. Bio-therapy and Gene therapy
15. Teletherapy – Treatment planning
16. Bone marrow aspiration and biopsy
17. Biopsy – tissue
18. FNAC – Fine Needle Aspiration Cytology and biopsy
22. Advance Cardiac life support
24. Defibrillation Ventilation
25. Tracheostomy
26. Thoracentesis
27. Paracentesis
28. Lumbar Puncture
30. Nerve Block
32. Intercostal drainage
33. CVP monitoring
Procedure Performed
16. Screening for cancer
17. Assessment of pain
18. Assessment of Nutritionsl status
19. Care of Tracheostomy
21. Gastric gavage
22. Pap smear
23. IV cannulation
24. Care of surgical flaps
25. Care of ostomies
26. Blood transfusion and component therapy
326
27. Counseling
28. Practice standard safety measures
29. Care of dead body and mortuary formalities
30. Alternative therapies
2nd Year
4th
semester
Preamble:
the field of neurology and neurosurgical Nursing. It will help students to develop advanced
skills for nursing intervention in caring for patients with neurological and neurosurgical
disorders. It will enable the student to function as neuroscience nurse practitioner/ specialist.
It will further enable the student to function as educator, manager and researcher in the field
of neurology and neurosurgical Nursing.
Objectives:
• Appreciate trends and issues related to neurology and neurosurgical Nursing.
• Review the anatomy and physiology of nervous system
patients with neurological and neurosurgical disorders
• Perform neurological assessment and assist in diagnostic procedures
• Describe the concepts and principles of neuroscience nursing
• Describe the various drugs used in neurosciences and nurses responsibility
• Assist in various therapeutic and surgical procedures in neuroscience nursing
• Demonstrate advance skills/competence in managing patients with neurological and
neurosurgical disorder following nursing process approach
• Identify psychosocial problems of patients with disabilities and assist patients and
their family to cope with emotional distress, spiritual, grief and anxiety
• Participate in preventive, promotive and rehabilitative services for neurological and
neurosurgical patients.
• Explain the legal and ethical issues related to brain death, organ transplantation and
practice of neuroscience nursing
field of neuroscience nursing
• Organise and conduct inservice education program for nursing personnel.

• Develop standards of care for quality assurance in neuroscience nursing
practice
327
• Identify the sources of stress and manage burnout syndrome among health
care providers.
• Teach and supervise nurses and allied health workers.
• Plan and develop physical layout of neuro intensive care unit
2nd Year
4th sem

No
13 Developmental disorders.
􀂉Causes, pathophysiology, Clinical Good to To determine
types, Clinical features, know Developmen-
diagnostic, Prognosis , tal disorders
Management: medical, surgical and
• Hydrocephalus.
• Craniosynostosis.
• spina bifida- Meningocele,
Meningomyelocele encephalocele
• syringomyelia.
• Cerebro vascular system
anomalies.
• Cerebral palsies.
• Down’s syndrome
14 Neuro muscular disorders. Differentiate Describes
􀂉Causes, pathophysiology, Clinical Good to the Neuro about the
types, Clinical features, Know muscular Nursing
diagnostic, Prognosis , disorders. management of
Management: medical, surgical and Desirable to • Polyneuritis –
Nursing management of perform G BSyndrome.
• Polyneuritis – G B Syndrome. • Muscular
• Muscular dystrophy. dystrophy.
• Myasthenia gravis. • Myasthenia
• Trigeminal neuralgia. gravis.
• Bell’s palsy. • Trigeminal
• Menier’s disease neuralgia.
• Carpal tunnel syndrome • Bell’s palsy.
a) • Peripheral neuropathies • Menier’s
disease
328
• Carpal tunnel
syndrome
15. Other disorders Identify the Revise
􀂉Causes, pathophysiology, Clinical Good to other Nursing
types, Clinical features, know disorders. management
diagnostic, Prognosis , of Metabolic
Management: medical, surgical and Essential to disorders-
Nursing management of perform diabetes,
􀂉Metabolic disorders- diabetes, insipidus,
insipidus, metabolic metabolic
encephalopathy encephalopath
􀂉Sleep disorders y
􀂉Auto immune disorders- multiple 􀂉Sleep
sclerosis, inflammatory disorders
Myopathies 􀂉Auto
immune
disorders-
multiple
sclerosis,
inflammatory
myopathies
16. Neuro emergencies Identify the Demonstrate
􀂉Causes, pathophysiology, Clinical Good to neuro the students
types, Clinical features, know emergencies. about neuro
diagnostic, Prognosis , emergencies.
Management: medical, surgical and Desirable to
Nursing management of perform
• Increased intracranial pressure
• Unconscious
• Herniation syndrome
• Seizures
• Severe head injuries
• Spinal injuries
• Cerebro vascular accidents
17. Rehabilitation. Good to Formulate the
􀂉Concept and Principles of know Concept and
Rehabilitation. Principles of
􀂉Factors affecting quality of life Rehabilitation
and coping
􀂉Rehabilitation in acute care
setting, and following stroke, head
injury and degenerative disorders of
brain
􀂉Physiotherapy.
􀂉Counselling
􀂉Care giver’s role
Speech & Language.-Neurogenic
communication disorders, Speech
Therapy
18. Ethical and legal issues in Good to Explain about
neuroscience nursing know the Ethical
329
􀂉Brain death and organ and legal
transplantation issues in
􀂉Euthanasia neuroscience
􀂉Negligence and malpractice nursing.
􀂉Nosocomial infections
19. Quality assurance in neurolgical Good to Organize the Record the
nursing practice know role of Quality control
􀂉Role of advance practitioner in advance in neurologic
neurological nursing Desirable to practitioner in nursing
􀂉Professional practice standards perform neurological andNursing
􀂉Quality control in neurologic nursing audit
nursing
􀂉Nursing audit
􀂉Neuro ICU
• Philosophy, aims and objectives
• Policies, staffing pattern, design
and physical plan of neuro ICU
• Team approach, functions
• Psychosocial aspects in relation to
staff and clients of neuro
ICU,
• In-service education
2nd Year
4th sem
S.no CONTENT OF TOPIC LEARNING TEACHING METHODOL TIME

OBJECTIVES( OBJECTIVES OGY
at the end of
the session the
student should
be able to)
13 Developmental Enumerate the To teach and Simulated 10
disorders. developmental discuss about learning on
􀂉Causes, disorders developmental developmenta
pathophysiology, Clinical disorders l disorders
330
surgical and
• Hydrocephalus.
• Craniosynostosis.
• spina bifida-
Meningocele,
Meningomyelocele
encephalocele
• syringomyelia.
system anomalies.
• Cerebral palsies.
• Down’s syndrome
14 Neuro muscular Elaborate the To teach and Panel 10
disorders. Neuro muscular discuss about discussion on
􀂉Causes, disorders. Neuro muscular Neuro
pathophysiology, Clinical disorders. muscular
types, Clinical features, disorders.
surgical and
• Polyneuritis – G B
Syndrome.
• Muscular dystrophy.
• Myasthenia gravis.
• Trigeminal neuralgia.
• Bell’s palsy.
• Menier’s disease
• Carpal tunnel
syndrome
• Peripheral
neuropathies
15 Other disorders Explain the Other To teach and Seminar on 5
􀂉Causes, disorders discuss about Other
pathophysiology, Clinical Other disorders disorders
surgical and
􀂉Metabolic disorders-
diabetes, insipidus,
metabolic
encephalopathy
􀂉Sleep disorders
􀂉Auto immune
disorders- multiple
sclerosis, inflammatory
myopathies
331
16 Neuro emergencies Enumerate the To teach and Simulated 10
􀂉Causes, Neuro discuss about learning on
pathophysiology, Clinical emergencies Neuro Neuro
types, Clinical features, emergencies emergencies
surgical and
• Increased intracranial
pressure
• Unconscious
• Herniation syndrome
• Seizures
• Severe head injuries
• Spinal injuries
accidents
17 Rehabilitation. Elaborate the To teach and Panel 5
􀂉Concept and Rehabilitation. discuss about discussion on
Principles of Rehabilitation. Rehabilitation
Rehabilitation.
􀂉Factors affecting
quality of life and coping
􀂉Rehabilitation in
acute care setting, and
following stroke, head
injury and degenerative
disorders of brain
􀂉Physiotherapy.
􀂉Counselling
􀂉Care giver’s role
Speech & Language.-
Neurogenic
communication
disorders, Speech
therapy
18 Ethical and legal issues Explain the ethical To teach and Seminar on 5
in neuroscience and legal issues in discuss about ethical and
nursing neuroscience ethical and legal legal issues in
􀂉Brain death and organ nursing. issues in neuroscience
transplantation neuroscience nursing.
􀂉Euthanasia nursing.
􀂉Negligence and
malpractice
􀂉Nosocomial infections
19 Quality assurance in Explain the To teach and Seminar on 5
neurolgical nursing Quality assurance discuss about Quality
practice in neurolgical Quality assurance in
􀂉Role of advance nursing practice. assurance in neurolgical
practitioner in neurolgical nursing
332
neurological nursing nursing practice.
􀂉Professional practice practice.
standards
􀂉Quality control in
neurologic nursing
􀂉Nursing audit
􀂉Neuro ICU
• Philosophy, aims and
objectives
• Policies, staffing
pattern, design and
physical plan of neuro
ICU
• Team approach,
functions
• Psychosocial aspects in
relation to staff and
clients of neuro
ICU,
Practicals
S.No. AREA OF POSTING No. of Week Total Hours
1 O.P.D. 1 30
2 Casualty 1 30
3 Diagnostics 1 30
4 Neuro psychiatry 1 30
5 Neuro Medical wards 2 60
6 Paediatric Neuro ward 1 30
7 Neuro surgical wards 2 60
8 Head Injury ward 1 30
9 ICU- neuro medicine 2 60
333
10 I.C.U.- neuro surgical 2 60
ESSENTIAL NEURO NURSING SKILLS
1. CT scan
2. MRI
3. PET
4. EEG
5. EMG
6. Sleep pattern studies/Therapy
7. Radiographical studies
8. Neuro surgeries
9. Nerve conduction studies
10. Ultrasound studies
11. Any other
1. Advanced Cardiac life support
2. Lumbar Puncture
3. Biopsies – muscle, nerve and Brain
5. ECG Recording
7. IV cannulation – open method
334
9. Ventilation
10. Tracheostomy
11. ICP monitoring
12. Gama Knife
13. Cereberal angiography
14. Myelography
15. Neuro surgeries
a. Application of Oro Pharyngeal Airway
b. Care of Tracheostomy
c. Conduct Endotracheal Intubation
d. use of AMBU bag, artificial respirators
e. Setting of Ventilators and Care of patients on ventilators
2. Cardio Pulmonary Resuscitation -Defibrillation
3. Neurological assessment -Glasgow coma scale
4. Gastric Lavage
5. IV Cannulation
6. Administration of emergency IV Drugs, fluid
7. Care of patients with incontinence, bladder training Catheterization
8. Care of patients on traction related to the neurological conditions
9. Blood Administration.
10. Muscle strengthening exercises
11. Guidance and counseling
335
12. Monitoring – management and care of monitors.
2nd Year
4th
semester
Preamble:
in the field of Nephro and urological Nursing. It will help students to develop advanced skills
for nursing intervention in various nephro and urological conditions. It will enable the student
to function as nephro and urology nurse practitioner/specialist and provide quality care. It
will further enable the student to function as educator, manager, and researcher in the field of
nephro and urology nursing
Objectives:
1. Appreciate trends and issues related to nephro and urological nursing

336
4. Assist in various diagnostic, therapeutic and surgical interventions
5. Provide comprehensive nursing care to patients with nephro andurological conditions
6. Describe the various drugs used in nephro and urological conditions and nurses
responsibility

spiritual needs
12. Discuss the legal and ethical issues in nephro and urological nursing
13. Identify the sources of stress and manage burnout syndrome among health care
providers
14. Appreciate the role of alternative system of medicine in the care of patient
field of nephro and urological nursing
17. Design a layout of kidney transplant unit and dialysis unit
18. Develop standards of nephro urological nursing practice
S. UNIT Domains Cognitive psychomotor Affective

No
9 Drugs used in urinary disorders Good to Describe the

know various drugs
Classification used in
nephro and
Indications, contraindications, urological
337
actions and effects, toxic effects conditions
and nurses
Role of nurse responsibility
10 Dialysis Good to Develops Assist in Appreciate the

know knowledge in dialysis of 5 role of nurse in
Dialysis- Historical, types, haemodialysis patients dialysis
Principles, goals Essential to and peritoneal
procedure
perform dialysis
• Haemodialysis- vascular access
sites- temporary and permanent
• Peritoneal dialysis
Dialysis Procedures- steps,

equipments, maintenance,
Role of nurse- pre dialysis, intra

and post dialysis
Complications-
Counseling
patient education
Records and reports
11 Kidney transplantation Good to Develop Design a

know knowledge in layout of
Nursing management of a patient kidney kidney
with Kidney transplantation Essential to transplantatio transplant unit
perform n and its
Kidney transplantations- a nursing Assist in
historical review management kidney
transplantation
Immunology of graft rejections
The recipient of a renal transplant
Renal preservations
Human Leucocytic Antigen(HLA)

typing matching and cross
matching in renal transplantation
Surgical techniques of renal

transplantations
Chronic renal transplant rejection
Complication after KTP: Vascular
338
and lymphatic, Urological,
cardiovascular, liver and

neurological, infectious
complication
KTP in children and management

of pediatric patient with KTP
KTP in developing countries
Results of KTP
Work up of donor and recipient for

renal transplant
Psychological aspect of KTP and

organ donations
Ethics in transplants
Cadaveric transplantation
12 Rehabilitation of patient with Good to Demonstrate Appreciate

nephrological problems know family and therehabilitatio
patient n of patients
Risk factors and prevention Essential to teaching
on dialysis and
perform
Rehabilitation of patients on after kidney
dialysis and after kidney transplant transplant
Rehabilitation of patients after

urinary diversions
Family and patient teaching
13 Pediatric urinary disorders Good to Develops Provides

know knowledge in comprehensive
Aetiology, clinical manifestations, pediatric nursing care to
diagnosis, prognosis, related Essential to urinary 5 patients
pathophysiology, medical , surgical perform disorders withPediatric
and nursing management of urinary
disorders
children with Renal Diseases -UTI,
ureteral reflux, glomerulonephritis,
nephrotic syndrome infantile
nephrosis, cystic kidneys, familial
factors in renal diseases in
childhood, Haemolytic uraemic
syndrome. Benign recurrent
haemturia, nephropathy, wilms’
339
tumour
14 Critical care units- dialysis, KTP Good to Discuss the Supervises

unit know legal and nurses and
ethical issues allied health
Philosophy, aims and objectives Essential to in nephro and workers.
perform urological
Policies, staffing pattern, design nursing
and physical plan of Dialysis and
KTP units
Team approach, functions
Psychosocial aspects in relation to

staff and clients of ICU, dialysis
unit
In-service education
Ethical and legal issues
15 Quality assurance in Develop Appreciate the

nephrological nursing practice standards of Role of
nephro advance
Role of advance practitioner in urological
practitioner in
nephrological nursing nursing
practice nephrological
Professional practice standards Participate in nursing
nursing audit
Quality control in nephrological
nursing
Nursing audit
2nd Year
4th
semester
Theory : 60 Hours (4 credits)
Practical : 420 Hours (14 credits)
S. LEARNING TEACHING METHODO TIM
CONTENT OF TOPICS
NO OBJECTIVES OBJECTIVES LOGY E
340
(at the end of the
session the
student should
be able to)
9 Drugs used in urinary Enumerate the To teach and Group 10 hrs
disorders Drugs used in discuss about Drugs discussion on
• Classification urinary disorders used in urinary Drugs used in
• Indications, disorders urinary
contraindications, disorders
actions and effects,
toxic effects
• Role of nurse
10 Dialysis Review the dialysis, To teach and Simulated 10 hrs
• Dialysis- Historical, its types and role of discuss about learning
types, Principles, goals nurse dialysis, its types regarding
• Hemodialysis- and role of nurse dialysis, its
vascular access sites- types and role
temporary and of nurse
permanent • Peritoneal
dialysis
• Dialsyis Procedures-
steps, equipments,
maintenance,
• Role of nurse- pre
dialysis, intra and post
dialysis
• Complications-
• Counseling
• patient education
• Records and reports
11 • Kidney transplantation Elaborate the kidney To teach and Panel 10 hrs
• Nursing management transplantation and discuss about discussion on
of a patient with its nursing kidney kidney
Kidney transplantation management transplantation and transplantatio
• Kidney its nursing n and its
transplantations- a management nursing
historical review management
Immunology of graft
rejections
• The recipient of a renal
transplant
• Renal preservations
• Human Leucocytic
Antigen(HLA) typing
matching and cross
matching in renal
transplantation
• Surgical techniques of
renal transplantations
• Chronic renal
341
transplant rejection
• Complication after
KTP: Vascular and
lymphatic, Uroloical,
cardiovascular, liver
and neurological,
infectious complication
• KTP in children and
management of
pediatric patient with
KTP
• KTP in developing
countries
• Results of KTP
• Work up of donor and
recipient for renal
transplant
• Psychological aspect of
KTP and organ
donations
• Ethics in transplants
• Cadaveric
transplantation
12 • Rehabilitation of Enumerate the To teach and Seminar on 5 hrs
patient with rehabilitation of discuss about rehabilitation
nephrological problems patints with rehabilitation of of patints with
• Risk factors and nephrological patints with nephrological
prevention problems nephrological problems
• Rehabilitation of problems
patients on dialysis and
after kidney transplant
• Rehabilitation of
patients after urinary
diversions
• Family and patient
teaching
13 Pediatric urinary disorders Describe the To teach and Simulated 10 hrs
• Etiology, clinical Pediatric urinary discuss about learning based
manifestations, disorders and its Pediatric urinary on Pediatric
diagnosis, prognosis, managemenet disorders and its urinary
related managemenet disorders and
pathophysiology, its
medical , surgical and managemenet
children with Renal
Diseases -UTI, ureteral
reflux, glomerulo
nephritis, nephrotic
syndrome infantile
nephrosis, cystic
kidneys, familial
342
factors in renal diseases
in childhood,
Haemolytic uraemic
syndrome. Benign
recurrent haemturia,
nephropathy, wilms’
tumour
14 Critical care units- dialysis , Explain the Critical To teach and Seminar on 5 hrs
KTP unit care units- dialysis , discuss about Critical care
• Philosophy, aims and KTP unit Critical care units- units- dialysis
objectives dialysis , KTP unit , KTP unit
• Policies, staffing
pattern, design and
physical plan of
Dialysis and KTP units
• Team approach,
functions
• Psychosocial aspects in
relation to staff and
clients of ICU, dialysis
unit
15 • Quality assurance in Elaborate the To teach and Panel 5 hrs
nephrological nursing Quality assurance discuss about discussion on
practice and role of advance Quality assurance Quality
• Role of advance practioner in and role of advance assurance and
practioner in nephrological practioner in role of
nephrological nursing nursing nephrological advance
• Professional practice nursing practioner in
standards nephrological
• Quality control in nursing
nephrological nursing
• Nursing audit
Practicals
420 hours (14 credits)
S. No. Deptt./ Unit No. of Week Total Hours
1 Nephrology Ward 3 90 Hours
2 Pediatrics 1 30 Hours
3 Critical Care Unit 1 30 Hours
4 Urology Ward 3 90 Hours
343
6 Emergency Wards 1 30 Hours
7 UroNephro OPDs 2 60 Hours
8 Diagnostic Labs 1 30 Hours
Procedures Observed
1 CT Scan
2 MRI
3 Radiographic studies
4 Urodynamics
5 Hemodialysis
6 Renal Surgeries
Procedures Assisted
2. I V cannulation therapy
7. Renal biopsy
8. Endoscopies- Bladder, urethra

1Health assessment
2 Insertion of uretheral and suprapubic catheters
3 Urine analysis
4 Catheterisation
5 Peritoneal dialysis
6 Bladder irrigation
7 Care of ostomies
8 Care of urinary drainage
9 Bladder training
10 Care of vascular access
11 Setting up dialysis machine and starting, monitoring and closing dialysis
12 Procedures for prevention of infections:
13 Hand washing, disinfection & sterilization surveillance, and fumigation
14 Collection of specimen.
15 Administration of drugs: IM, IV injection, IV cannulation & fixation of infusion
pump, calculation of dosages, blood administration. monitoring -fluid therapy,
electrolyte imbalance,
16 Nutritional needs , diet therapy & patient education.
344
17 Counselling
2nd Year
4th semester
Preamble:
in the field of orthopedic nursing. It will help students to develop advanced skills for nursing
intervention in various orthopedic conditions. It will enable the student to function as
orthopedic nurse practitioner/specialist providing quality care. It will further enable the
student to function as educator, manager, and researcher in the field of orthopedic nursing.
Objectives:
( i) Appreciate the history and developments in the field of orthopedic nursing
18 Identify the psycho-social needs of the patient while providing holistic care.
19 Perform physical and psychological assessment of patients with orthopedic
conditions and disabilities.
20 Describe various disease conditions and their management
21 Discuss various diagnostic tests required in orthopedic conditions
22 Apply nursing process in providing care to patients with orthopedic conditions and
those requiring rehabilitation.
23 Recognize and manage orthopedic emergencies.
24 Describe recent technologies and treatment modalities in the management of
patients with orthopedic conditions and those requiring rehabilitation.
25 Integrate the concept of family centered, long term care and community based
rehabilitation to patients with orthopedic conditions.
26 Counsel the patients and their families with orthopedic conditions
27 Describe various orthotic and prosthetic appliances
28 Appreciate the legal and ethical issues pertaining to patients with orthopedic
345
conditions and those requiring rehabilitation.
29 Appreciate the role of alternative system of medicine in care of patients with
orthopedic conditio
( xiv)Incorporate evidence based nursing practice and identify the areas of research in
the field of orthopedic nursing.
( xv) Recognize the role of orthopedic nurse practitioner and as a member of the
orthopedic and rehabilitation team.
(xvi) Teach orthopedic nursing to undergraduate students and in-service nurses.
(xvii) Prepare a design and layout of orthopedic and rehabilitative units.
2nd Year
4th semester
S. UNIT Domains Cognitive Psychomotor Affective

No
12 Orthopaedic Disorders in Good to Develop Appreciate

Children: know knowledge in Nurses role in
Orthopaedic genetic
General and special consideration Disorders in counselling
on paediatricorthopaedics Children
Genetic disorders
Congenital anomalies
Growth disorders
Genetic counselling
Nurses role in genetic counselling
13 Geriatric Problems Essential to Provide

perform comprehensive
Geriatric population, types of nursing care to
disabilities, causes, treatment and 2 geriatric
patients with
346
Management – Hospitalization, orthopaedic
rest, physiotherapy, involvement of problems
family members, social
opportunities.
Care at home – involvement of

family and community, follow up
care and rehabilitation
14 Pharmacokinetics Good to Analyses

know Pharmacokine
Principles of drug administration tics relevant
Analgesics and anti-inflammatory to drugs used
agents in treatment
of orthopaedic
Antibiotics, Antiseptics, conditions
Drugs used in orthopedics and Describe the

neuromuscular disorders various drugs
used in
Blood and blood components
orthopedics
Care of drugs and nurses role and
neuromuscula
r disorders
andnurses
responsibility
15 Nurses Role in Orthopedic Good to Assist in Appreciate the

Conditions know Orthopaedic nurses role
Reconstructive inOrthopaedic
Gait analysis Surgeries Conditions
Urodynamic studies Essential to Perform
perform physiotherapy
Prevention of physical deformities
for orthopaedic
Alteration of body temperature patients
regulatory system and immune
systems
Immobilization – cast, splints,

braces and tractions
Prevention and care of problems

related to immobility
Altered sleep patterns
347
Impaired communication
Self care and activities of daily

living
Bladder and bowel rehabilitation
Sensory function rehabilitation
Psychological reaction related to

disabilities and disorders.
Coping of individual and family

with disabilities and disorders
Maintaining sexuality
Spirituality – A rehabilitative
prospective
Orthopaedic Reconstructive
Surgeries
Replacement surgeries – Hip, Knee,

Shoulder
Spine surgeries
Grafts and flaps surgery
Deformity correction.
Physiotherapy
Concepts, Principles, purpose,
• Mobilization – Exercises: types,

re-education in walking:
Crutch walking, wheel chair,

Transfer techniques,
• Types of gaits: Non-weight

bearing, partial weight bearing,
four point crutch, tripod, walking

with sticks, callipers
• Forms of therapies: Hydrotherapy,

electrotherapy, wax bath,
heat therapy, ice, helio therapy,
348
radiant heat,
• Chest physiotherapy
16 Rehabilitation Develop the Assist in

knowledge in rehabilitation of
Principles of rehabilitation, rehabilitation 5 patients
definition, philosophy, process, of orthopaedic withorthopaedi
Various types of therapies patients c conditions
Special therapies and alternative

therapies
Rehabilitation counselling
Preventive and restorative

measures.
Community based rehabilitation

(CBR)
Challenges in rehabilitation.
Role of the nurse in rehabilitation,
Legal and ethical issues in

rehabilitation nursing
Occupational therapy
17 National Policies and Good to Analyse

Programmes know theNational
programmes
National programmes for for
rehabilitation of persons with rehabilitation
disability - of persons
National Institutes, artificial limbs with disability
manufacturing Corporation,
District Rehabilitation Centers and

their schemes
Regional rehabilitation centers etc.
Public policy in rehabilitation

nursing
The persons with disabilities act

1995,
349
Mental rehabilitation and Multiple
disabilities act 1992,
The National Trust Rules 1999 and

2000
Rehabilitation Council of India
Legal and ethical aspects in

orthopedic nursing
Rehabilitation health team and

different categories of team
members.
18 Quality assurance Essential to Teaches

perform orthopaedic
Standards, Protocols, Policies, nursing to
Procedures undergraduate
Nursing audit students and in-
servicenurses.
Staffing
Prepares design
Design of orthopaedic, and layout of
physiotherapy and rehabilitation orthopaedic and
unit rehabilitative
units.
Participates in
nursing audit
2nd Year
4th
semester
S. LEARNING TEACHING METHOD TIM

CONTENT OF TOPICS
NO OBJECTIVES OBJECTIVE OLOGY E
350
(at the end of the S
session the
student should be
able to)
12 Orthopedic Disorders in Children: Enumerate the To teach and Seminar on 5 hrs
• General and special Orthopedic Disorders discuss about Orthopedic
consideration on pediatric in Children and its Orthopedic Disorders
orthopedics management Disorders in in Children
• Genetic disorders Children and and its
• Congenital anomalies its manageme
• Growth disorders management nt
• Genetic counseling
• Nurses role in genetic
counseling
13 Geriatric Problems Describe the Geriatric To teach and Simulated 5 hrs
• Geriatric population, types Problems, types of discuss about learning
of disabilities, causes, disabilities ‰and its Geriatric based on
treatment and management Problems, Geriatric
Management – types of Problems,
Hospitalization, rest, disabilities types of
physiotherapy, ‰and its disabilities
involvement of family management ‰and its
members, social manageme
opportunities. nt
• Care at home –
involvement of family and
community, follow up
care and rehabilitation
14 Pharmacokinetics Explain the drugs To teach and Seminar on 6 hrs
• Principles of drug used in orthopedics discuss about drugs used
administration and neuromuscular drugs used in in
• Analgesics and anti disorders orthopedics orthopedics
inflammatory agents and and
• Antibiotics, Antiseptics, neuromuscula neuromusc
• Drugs used in orthopedics r disorders ular
and neuromuscular disorders
disorders
• Blood and blood
components
• Care of drugs and nurses
role
15 Nurses Role in Orthopedic Elaborate the Nurses To teach and Panel 30 hrs
Conditions Role in Orthopedic discuss about discussion
• Gait analysis Conditions ‰ Nurses Role on Nurses
• Urodynamic studies in Orthopedic Role in
• Prevention of physical Conditions ‰ Orthopedic
deformities Conditions
• Alteration of body ‰
temperature regulatory
system and immune
351
systems
• Immobilization – cast,
splints, braces and
tractions
• Prevention and care of
problems related to
immobility
• Altered sleep patterns
• Impaired communication
• Self care and activities of
daily living
• Bladder and bowel
rehabilitation
• Sensory function
rehabilitation
• Psychological reaction
related to disabilities and
disorders.
• Coping of individual and
family with disabilities
and disorders
• Maintaining sexuality
• Spirituality – A
rehabilitative prospective
• Orthopedic
Reconstructive Surgeries
• Replacement surgeries –
Hip, Knee, Shoulder
• Spine surgeries
• Grafts and flaps surgery
• Deformity correction.
• Physiotherapy
• Concepts, Principles,
purpose, • Mobilization –
Exercises: types, re-
education in walking:
Crutch walking, wheel
chair, Transfer techniques,
• Types of gaits: Non-
weight bearing, partial
weight bearing, four point
crutch, tripoid, walking
with sticks, calipers •
Forms of therapies:
Hydrotherapy,
electrotherapy, wax bath,
heat therapy, ice, helio
therapy, radiant heat, •
Chest physiotherapy
16 Rehabilitation Review the To teach and Focused 8 hrs
352
• Principles of principles, legal and discuss about group
rehabilitation, definition, ethical issues in principles, discussion
philosophy, process, rehabilitation legal and on
• Various types of therapies ethical issues principles,
• Special therapies and in legal and
alternative therapies rehabilitation ethical
• Rehabilitation counseling issues in
• Preventive and restorative rehabilitati
measures. on
• Community based
rehabilitation (CBR)
• Challenges in
rehabilitation. Role of the
nurse in rehabilitation,
• Legal and ethical issues in
17 National Policies and Enumerate the To teach and Students 5 hrs
Programmes National Policies and discuss about interactive
• National programmes for Programmes ‰ National session on
rehabilitation of persons Policies and National
with disability - National Programmes Policies
Institutes, artificial limbs ‰ and
manufacturing Programme
Corporation, District s‰
Rehabilitation Centers
and their schemes
• Regional rehabilitation
centers etc.
• Public policy in
• The persons with
disabilities act 1995,
• Mental rehabilitation and
Multiple disabilities act
1992,
• The National Trust Rules
1999 and 2000
• Rehabilitation Council of
India
• Legal and ethical aspects
in orthopedic nursing
• Rehabilitation health team
and different categories of
team members.
18 Quality assurance Explain the Quality To teach and Seminar on 4 hrs
• Standards, Protocols, assurance, Design of discuss about Design of
Policies, Procedures orthopedic, Design of orthopedic,
• Nursing audit physiotherapy and orthopedic, physiothera
• Staffing rehabilitation unit physiotherapy py and
353
• Design of orthopedic, and rehabilitati
physiotherapy and rehabilitation on unit
rehabilitation unit unit
Clinical Experience:
Total = 420 Hours

1 Week = 30 Hours
S. No. Deptt./Unit No. of Week Total Hours
1 Orthopedic Ward 2 60 Hours
2 Orthopedic Operation theatre 2 60 Hours
3 Neurosurgical Ward 1 30 Hours
4 Orthopedic O.P.D. 2 60 Hours
5 Casualty/Emergency and Trauma 2 60 Hours
6 Rehabilitation Units 1 30 Hours
7 Physiotherapy Unit 2 60 Hours
8 Paediatric /paediatric surgery unit 1 30 Hours
9 Field Visit 1 30 Hours
Procedures Observed
1 X Ray
2 Ultrasound
3 MRI
4 C T Scan/bone scan
5 Arthroscopy
6 Electrothermally – assisted capsule shift or ETAC (Thermal
capsulorrhaphy)
7 Fluroscopy
8 Electromyography
9 Myelography
10 Discography
11 Others
Procedures Assisted
1 Blood Transfusion
354
2 IV cannulation and therapy
3 Ventilation
4 Various types of tractions
5 Orthopedic surgeries – Arthrocentesis, Arthroscopy, Bone lengthening, Arthrodesis,
grafting, Fractures fixation, reconstructive, reimplantation, replantation, spinal
decompression, transplantation of bone, muscle or articular cartilage, autografting,
allografting.
6 Injection – Intra articular, intra osseous.
7 Advance Life Support
Peocedures Performed
1 Interpretation of X ray films.
2 Application and removal of splints, casts, and braces.
3 Care of tractions – skin and skeletal traction, pin site care.
4 Cold therapy.
5 Heat therapy
6 Hydrotherapy
7 Therapeutic exercises
8 Use of TENS (Transcutaneous electrical nerve stimulation)
9 Techniques of transportation
10 Crutch walking, walkers, wheel chair.
11 Use of devices for activities of daily living and prevention of deformities.
12 Administration of drugs: IV injection, IV cannulation, and Blood transfusion.
13 Procedures for prevention of infections: disinfection and sterilization, surveillance,
fumigation.
14 Special skin/ part preparations for orthopedic surgeries.
15 Surgical dressings – Debridement.
16 Bladder and bowel training
355
2nd Year
4th semester
Preamble:
in the field of gastro enterology Nursing. It will help students to develop advanced skills for
nursing intervention in various gastro enterology conditions. It will enable the student to
function as gastro enterology nurse practitioner/specialist and provide quality care. It will
further enable the student to function as educator, manager, and researcher in the field of
gastro enterology nursing
Objectives:
1 Appreciate trends and issues related to gastro enterologynusing
2 Describe the epidemiology, etiology, pathophysiology and diagnostic assessment of
3 Participate in national health programs for health promotion, prevention and
rehabilitation of patients with gastrointestinal conditions
4 Perform physical, psychosocial & spiritual assessment
5 Assist in various diagnostic, therapeutic and surgical procedures
6 Provide comprehensive care to patients with gastrointestinal conditions
7 Describe the various drugs used in gastrointestinal conditions and nurses responsibility
8 Demonstrate skill in handling various equipments/gadgets used for patients with
356
9 Appreciate team work & coordinate activities related to patient care.
10 Practice infection control measures.
11 Identify emergencies and complications & take appropriate measures
12 Assist patients and their family to cope with emotional distress, grief, anxiety and
spiritual needs
13 Discuss the legal and ethical issues in GE nursing
14 Identify the sources of stress and manage burnout syndrome among health care
providers
15 Appreciate the role of alternative system of medicine in care of patient
16 Incorporate evidence based nursing practice and identify the areas of
research in the field of gastrointestinal nursing
17 Teach and supervise nurses and allied health workers.
2nd Year
4th
semester

No
8 􀂉 Congenital Anomalies of Analyse the

Esophagus patients with
• Esophageal atresia Good to Congenital
• Tracheo esophageal fistula know Anomalies of
Esophageal stenosis Esophagus,
• Esophageal duplications stomach,
• Dysphagia – Lusoria – aberrent duodenal and
right subclavian artery intestine.
compressing esophagus
• Esophageal rings – schalzkiring
• Esophageal webs
􀂉 Congenital Anomalies of
Stomach
• Gastric atresia
• Micro gastria
• Gastric diverticulum
• Gastric duplication
• Gastric teratoma
• Gastric volvulus
• Infantile hypertrophic pyloric
stenosis
• Adult hypertrophic pyloric
357
stenosis
􀂉 Congenital Anomalies of
Duodenal
• Duodenal Atresia or stenosis
• Annular pancreas
• Duodenal duplication cysts
• Malrotation and mid gut volvolus
􀂉 Developmental anomalies of
the intestine:
• Abdominal wall defects
(omphalocele and Gastroschisis)
• Meckel’s diverticulum
Intestinal atresia
􀂉 Hirschsprung’s disease
9 Pharmo Kinetics Good to Explain Drugs Compare the
􀂉 Drugs used in GIT know used in GIT Drugs used in
􀂉 Principles of administration GIT
􀂉 Roles responsibilities of nurses
􀂉 Drugs in Peptic ulcer disease
􀂉 Proton Pump inhibitors Desirable to
􀂉 H2 Receptor Antagonists perform
􀂉 Cytoprotective Agents:
􀂉 Drugs used in Diarrhea
􀂉 Drugs used in constipation
􀂉 Drugs used in Inflammatory
Bowel Disease
􀂉 Aminosalicylates
􀂉 Corticosteroids
􀂉 Immunomodulators
􀂉 chemotherapy
􀂉 Antibiotics
􀂉 Antiemetics:
􀂉 Anticholinergics
􀂉 Antihistaminics
􀂉 Antihelminthics
􀂉 Vitamin Supplements
10 Nutrition and nutritional Desirable to Examine the
problems related to GI system perform Nutrition and
􀂉 Nutritional assessment and nutritional
nursing interventions problems
􀂉 Therapeutic diets related to GI
􀂉 Adverse reactions between drugs system.
and various foods
􀂉 Malnutrition- etiology , clinical
manifestations and management
􀂉 Tube feeding, parenteral
nutrition, total parenteral nutrition
􀂉 Obesity- etiology, clinical
manifestations and management
􀂉 Eating disorders- anorexia
nervosa, bulimia nervosa
358
􀂉 Recent advances in nutrition
11 Malignant disorders of gastro Aware the
intestinal system students about
􀂉 Etiology, clinical manifestations, Good to the Malignant
diagnosis, prognosis, related know disorders of
pathophysiology, medical , gastro
surgical, other modalities and intestinal
nursing system.
management of:
• Malignancy of oral cavity
,Lip,Tongue,buccal mucosa,
oropharynx, Salivary gland
• Esophageal , Gastric , Carcinoma
of bowel - Small bowel,
Colorectal and Anal carcinoma,
• Liver, biliary tract and Pancreatic
carcinoma
12 Education and training in GE Tell the
care Good to students about
􀂉 Staff orientation, training and know Education and
development, training in GE
􀂉 In-service education program, care.
a) • Clinical teaching
programs
2nd Year
4th sem

LEARNING
OBJECTIVES
TEACHING
S. (at the end of the METHODO
CONTENT OF TOPICS OBJECTIVE TIME
NO session the LOGY
S
student should be
able to)
8 Congenital Anomalies of Enumerate the To teach and Presentation 15 hrs
Esophagus Congenital Anomalies discuss about cum panel
• Esophageal atresia of Esophagus Congenital discussion (by
• Tracheo esophageal and its management Anomalies of students) on
fistula Esophagus Congenital
• Esophageal stenosis and its Anomalies of
359
• Esophageal duplications management Esophagus
• Dysphagia – Lusoria – and its
aberrent right subclavian management
artery compressing
esophagus
• Esophageal rings –
schalzkiring
• Esophageal webs
Congenital Anomalies of
Stomach
• Gastric atresia
• Micro gastria
• Gastric diverticulum
• Gastric duplication
• Gastric teratoma
• Gastric volvulus
• Infantile hypertrophic
pyloric stenosis
• Adult hypertrophic
pyloric stenosis
Congenital Anomalies of
Duodenal
• Duodenal Atresia or
stenosis
• Annular pancreas
• Duodenal duplication
cysts
• Malrotation and mid gut
volvolus Developmental
anomalies of the
intestine:
• Abdominal wall defects
(omphalocele and
Gastroschisis)
• Meckel’s diverticulum
• Intestinal atresia
• Hirschsprung’s disease
9 Pharmo Kinetics Enumerate the drugs To teach and Group 15 hrs
• Drugs used in GIT used in GI system discuss about discussion on
• Principles of drugs used in drugs used in
administration GI system GI system
• Roles responsibilities of
nurses
• Drugs in Peptic ulcer
disease
• Proton Pump inhibitors
• H2 Receptor Antagonists
• Cytoprotective Agents:
• Drugs used in Diarrhea
• Drugs used in
360
constipation
• Drugs used in
Inflammatory Bowel
Disease
• Aminosalicylates
• Corticosteroids
• Immunomodulators
• chemotherapy
• Antibiotics
• Antiemetics
• Anticholinergics
• Antihistaminics
• Antihelminthics
• Vitamin Supplements
10 Nutrition and nutritional Review the Nutrition To teach and Problem 10 hrs
problems related to GI system and nutritional discuss about based learning
• Nutritional assessment problems related to GI Nutrition and Nutrition and
and nursing interventions system nutritional nutritional
• Therapeutic diets problems problems
• Adverse reactions related to GI related to GI
between drugs and system system
various foods
• Malnutrition- etiology ,
clinical manifestations
and management
• Tube feeding, parenteral
nutrition, total parenteral
nutrition
• Obesity- etiology,
clinical manifestations
and management
• Eating disorders-
anorexia nervosa,
bulimia nervosa
• Recent advances in
nutrition
11 Malignant disorders of gastro Elaborate the To teach and Panel 15 hrs
intestinal system Malignant disorders of discuss about discussion on
• Etiology, clinical gastro intestinal Malignant Malignant
manifestations, system disorders of disorders of
diagnosis, prognosis, gastro gastro
related pathophysiology, intestinal intestinal
medical , surgical, other system system
modalities and nursing
management of:
• Malignancy of oral
cavity
,Lip,Tongue,buccal
mucosa, oropharynx,
361
1 Week = 30 Hours
Salivary gland
• Esophageal , Gastric ,
Carcinoma of bowel -
Small bowel, Colorectal
and Anal carcinoma,
• Liver, biliary tract and
Pancreatic carcinoma
12 Education and training in GE Describe the To teach and Student 5 hrs
care Education and training discuss about seminar on
• Staff orientation, training in GE care Education and Education and
and development, training in GE training in GE
• In-service education care care
program,
• Clinical teaching
programs
362
1 Diagnostic labs 1 30 Hours
2 Emergency and casualty 1 30 Hours
4 GE Medical Ward 2 60 Hours
5 GE Surgical Ward 4 120 Hours

6 OT 1 30 Hours
7 ICU 2 60 Hours
8 Pediatric gastroenterology 1 30 Hours
9 Oncology 1 30 Hours
10 GE OPD 1 30 Hours
Procedures Assisted
1 Endoscopy room – Upper G.I. Endoscopy (Diagnotic and therapeutic).
2 Sigmoidoscopy
3 Colonoscopy
4 Polypectomy
5 Endoscopic retrograde cholangiopancreatiography (ERCP)
6 Liver biopsy
7 Percutaneous catheter drainage (PCD) of Pseudocyst pancreas
8 Abdominal paracentesis
9 Percutaneous aspiration of liver abscess
10 GE Lab : PT, HbsAg, Markers – A, B, C virus, CBP, ESR, Stool Test
Procedures Performed
1 History and Physical assessment
2 RT intubation / extubation / aspiration/suction
3 Gastric lavage and gavage
4 Bowel wash
5 Therapeutic Diets
6 Ostomy feeding
7 Stoma care
8 Monitoring vital parameters
9 Plan of inservice education programme for nursing staff and Class-IV employees
10 Counseling
4th Semester
PSYCHIATRIC NURSING
363
Theory 60 Hours=4 credit
Practical 420 Hours= 14 credit
S.NO. TOPIC DOMAIN HOUR

1. Medical Conditions due to 4
Psychological Factors Must know
• Asthma Desirable to know
• Cancer Desirable to know
• Coronary Heart Disease Must know
• Peptic Ulcer Desirable to know
• Essential Hypertension Must know
• Migraine Headache Desirable to know
• Rheumatoid Arthritis Desirable to know
• Ulcerative Colitis Must know
2. Personality Disorders 7
• Historical perspectives Must know
• Types Of Personality Disorders Desirable to know
• Paranoid Personality Disorder Nice to know
• Schizoid Personality Disorder Must know
• Antisocial Personality Disorder Desirable to know
• Borderline Personality Disorder
Nice to know
• Histrionic Personality Disorder
• Narcissitic Personality Disorder
Desirable to know
• Avoidance Personality Disorder Desirable to know
• Dependent Personality Disorder Must know
• Obsessive-Compulsive Personality Disorder Desirable to know
• Passive-Aggressive Personality Disorders Must know
• Identification, diagnostic, symptoms Desirable to know
• Psychopharmacology Desirable to know
• Treatment & Nursing Management Must know
3. The Aging Individual Desirable to know 8

• Epidemiological Statistics Nice to know
• Biological Theories Must know
• Biological Aspects of Aging Desirable to know
• Psychological Aspects of Aging Nice to know
• Memory Functioning Desirable to know
• Socio-cultural aspects of aging
Desirable to know
• Sexual aspects of aging
• Special Concerns of the Elderly Population
Must know
• Psychiatric problems among elderly Desirable to know
population Desirable to know
364
4. The person living with HIV Disease Desirable to know 5
• Psychological problems of individual Desirable to know
HIV/AIDS Must know
• Counseling
5. Problems Related to Abuse or 8

Neglect Desirable to know
• Vulnerable groups, Women, Children,
elderly, Psychiatric patients, under
Desirable to know
privileged,
challenged Must know
• Predisposing Factors
• Treatment & Nursing management-
Counseling
6. Community Mental Health Nursing 7

• National Mental Health Program- Desirable to know
Community mental health program
• The Changing Focus of care Desirable to know
• The Public Health Model Must know
• The Role of the Nurse Desirable to know
• Case Management
Desirable to know
• The community as Client
• Primary Prevention
Desirable to know
• Populations at Risk Desirable to know
• Secondary prevention Must know
• Tertiary Prevention Desirable to know
• Community based rehabilitation Desirable to know
Desirable to know
7. Ethical and Legal Issues in 5

Psychiatric/Mental Health Nursing Desirable to know
• Ethical Considerations Desirable to know
• Legal Consideration Must know
• Nurse Practice Acts Desirable to know
• Types of Law Desirable to know
• Classification within Statutory and Common
Desirable to know
Law
• Legal Issues in Psychiatric/Mental Health
Desirable to know
Nursing
• Nursing Liability
8. Psychosocial rehabilitation Desirable to know 5

• Principles of rehabilitation Desirable to know
• Disability assessment Must know
• Day care centers Desirable to know
• Half way homes Desirable to know
• Reintegration into the community Desirable to know
• Training and support to care givers Desirable to know
• Sheltered workshops Must know
• Correctional homes
365
9. Counseling 5
• Liaison Psychiatric Nursing Desirable to know
• Terminal illnesses-Counseling Desirable to know
• Post partum psychosis-treatment, care and Must know
counseling Desirable to know
• Death dying- Counseling Desirable to know
• Treatment, care and counseling –
• Unwed mothers
• HIV and AIDS
10. Administration and management of 5

Psychiatric units including emergency
units Desirable to know
• Design & layout Desirable to know
• Staffing, Must know
• Equipment, supplies, Desirable to know
• Norms, policies and protocols Desirable to know
• Quality assurance Desirable to know
• Practice standards for Psychiatric Desirable to know
Nursing Must know
• Documentation
11. Education and training in Psychiatric care Desirable to know 5

• Staff orientation, training and development, Desirable to know
• In-service education program, Must know
• Clinical teaching programs.
4th Semester
PSYCHIATRIC NURSING
366
Course Description:
This course is designed to assist students in developing expertise and in depth
understanding in the field of Psychiatric Nursing. It will help students to develop advanced
skills for nursing intervention in various Psychiatric conditions. It will enable the student to
function as Psychiatric Nurse practitioner/specialist. It will further enable the student to
function as educator, manager, and researcher in the field of Psychiatric Nursing
At the end of the course, the students will be able to describe the psychiatric
General Objective: -
Nursing , its concept, and principles and apply their knowledge in clinical and classroom.

objective
1. Medical Conditions Explain the To cover the concept Student 4 hrs
due to Psychological medical of Medical Conditions interaction on
Factors
conditions due to
due to Psychological Medical
psychological Conditions due
• Asthma factors Factors
• Cancer • Asthma to
• Coronary Heart • Cancer Psychological
Disease • Coronary Heart Factors.
• Peptic Ulcer Disease Teacher
• Essential • Peptic Ulcer Seminar on
Hypertension • Essential Asthma
• Migraine Headache Hypertension • Cancer
• Rheumatoid • Migraine Headache • Coronary Heart
Arthritis • Rheumatoid Arthritis Disease
• Ulcerative Colitis • Ulcerative Colitis • Peptic Ulcer
• Treatment & • Treatment & Nursing • Essential
Nursing Management Hypertension
Management
• Migraine
Headache
• Rheumatoid
Arthritis
• Ulcerative
Colitis
• Treatment &
Nursing
Management

objective
367
2. Personality Describe the To cover the concept Student interaction on 7 hrs
Disorders personality of Personality Personality
• Historical disorders.
Disorders its Disorders its
perspectives Historical perspectives, Historical
• Types Of Types Of Personality perspectives, Types
Personality Disorders Of Personality
Disorders • Paranoid Personality Disorders.
• Paranoid Disorder Teacher seminar on
Personality Disorder • Schizoid Personality various types of
• Schizoid Disorder personality disorders
Personality Disorder • Antisocial Personality and
• Antisocial Disorder Psychopharmacology
Personality Disorder • Borderline ,Treatment &
• Borderline Personality Disorder Nursing Management
Personality Disorder • Histrionic Personality
• Histrionic Disorder
Personality Disorder • Narcissitic
• Narcissitic Personality Disorder
Personality Disorder • Avoidance
• Avoidance Personality Disorder
Personality Disorder • Dependent
• Dependent Personality Disorder
Personality Disorder • Obsessive-
• Obsessive- Compulsive
Compulsive Personality Disorder
Personality Disorder • Passive-Aggressive
• Passive-Aggressive Personality Disorders
Personality • Identification,
Disorders diagnostic, symptoms
• Identification, • Psychopharmacology
diagnostic, • Treatment & Nursing
symptoms Management
•
Psychopharmacology
• Treatment &
Nursing
Management
3. The Aging To discuss about the To cover the concept Teacher seminar on 7hrs
Individual aging individual. of the Aging concept of the Aging
• Epidemiological Individual, its Individual. Its
Statistics Epidemiological Epidemiological
• Biological Theories Statistics, Biological Statistics
• Biological Aspects Theories, Biological ,Biological Theories,
of Aging Aspects of Aging, Biological Aspects of
• Psychological Psychological Aspects Aging
Aspects of Aging of Aging, Memory • Psychological
• Memory Functioning, Socio- Aspects of Aging
Functioning cultural aspects of Student interaction
• Socio-cultural aging, Sexual aspects of on Memory
aspects of aging aging Functioning, Socio-
• Sexual aspects of • Special Concerns of cultural aspects of
aging the Elderly Population aging, Sexual aspects
• Special Concerns of • Psychiatric problems of aging, Special
the Elderly among elderly Concerns of the
368
Population population Elderly Population
• Psychiatric • Treatment & Nursing Teacher seminar on
problems among Management Psychiatric problems
elderly population among elderly
• Treatment & population
Nursing • Treatment &
Management Nursing Management
4. The person living To describe the To cover the concept Teacher seminar on 5 hrs
with HIV Disease person living of the person living the concept of the
• Psychological with HIV Disease. with HIV Disease person living with
problems of , its Psychological HIV Disease
problems of individual , its Psychological
individual
HIV/AIDS, Counseling problems of
HIV/AIDS
• Treatment & Nursing individual HIV/AIDS,
• Counseling Counseling
Management
• Treatment & Student interactive
Nursing session on Treatment
Management & Nursing
Management
5. Problems To describe the To cover the concept Teacher seminar 8 hrs

Problems Related of Problems Related on the concept of
Related to to Abuse or Neglect
Abuse or Neglect to Abuse or Neglect Problems Related
• Vulnerable i.e. Vulnerable to Abuse or Neglect
groups, Women, groups, Women, i.e. Vulnerable
Children, elderly, groups, Women,
Children, elderly,
Psychiatric patients, Children, elderly,
Psychiatric under privileged, Psychiatric
patients, under challenged patients, under
privileged, • Predisposing privileged,
challenged Factors challenged
• Predisposing • Treatment & Student seminar on
Factors Nursing Predisposing
• Treatment & management- Factors
Nursing Counseling And Treatment &
management- Nursing
Counseling management-
Counseling
6. Community Mental To describe the Community Mental Student interactive 7 hrs

Health Nursing concept of Health Nursing session on
• National Mental community mental • National Mental Community Mental
health nursing
Health Program- Health Program- Health Nursing
Community mental Community mental Teacher seminar on
health program health program National Mental
• The Changing • The Changing Focus Health Program-
Focus of care of care Community mental
• The Public Health • The Public Health health program, The
Model Model Changing Focus of
• The Role of the • The Role of the Nurse care, The Public
Nurse • Case Management Health Model
• Case Management • The community as Student seminar on
• The community as Client the Role of the Nurse,
369
Client • Primary Prevention Case Management,
• Primary Prevention • Populations at Risk The community as
• Populations at Risk • Secondary Client
• Secondary prevention student interactive
prevention • Tertiary Prevention session on Primary
• Tertiary Prevention • Community based Prevention,
• Community based rehabilitation Populations at Risk,
rehabilitation Secondary
prevention, Tertiary
Prevention,
Community based
rehabilitation
7. Ethical and Legal To describe the To cover the concept Teacher seminar on 5 hrs
Issues in ethical and legal of Ethical and Legal Ethical and Legal
Psychiatric/Mental issues in mental Issues in Issues in
health nursing.
Health Nursing Psychiatric/Mental Psychiatric/Mental
• Ethical Health Nursing its Health Nursing
Considerations Ethical Considerations,
• Legal Legal Consideration,
Consideration Nurse Practice Acts,
• Nurse Practice Acts Types of Law,
• Types of Law Classification within
• Classification Statutory and Common
within Statutory and Law, Legal Issues in
Common Law Psychiatric/Mental
• Legal Issues in Health Nursing,
Psychiatric/Mental Nursing Liability
Health Nursing
• Nursing Liability
8. Psychosocial Describe the To cover the Psychosocial 5 hrs

rehabilitation concept, principles concept of rehabilitation
of psychosocial
• Principles of rehabilitation. Psychosocial • Principles of
rehabilitation rehabilitation its rehabilitation
• Disability Principles of • Disability
assessment rehabilitation, assessment
• Day care centers Disability • Day care centers
• Half way homes assessment, Day care • Half way homes
• Reintegration centers, Half way • Reintegration into
into the homes, Reintegration the community
community into the community, • Training and
• Training and Training and support support to care
support to care to care givers, givers
givers Sheltered • Sheltered
• Sheltered workshops, workshops
workshops Correctional homes • Correctional
• Correctional homes
homes
9. Counseling Describe the To cover the concept Teacher seminar on 5 hrs

• Liaison Psychiatric concept of of Counseling, Liaison Counseling, Liaison
Nursing counseling in Psychiatric Psychiatric Nursing,
various areas.
• Terminal illnesses- Nursing,Terminal Terminal illnesses-
370
Counseling illnesses-Counseling, Counseling
• Post partum Post partum psychosis- Student interactive
psychosis-treatment, treatment, care and session on Post
care and counseling counseling,Death partum psychosis-
• Death dying- dying- treatment, care and
Counseling Counseling,Treatment, counseling
• Treatment, care care and counseling – Student seminar on
and counseling – Unwed mothers Death dying-
• Unwed mothers And HIV and AIDS Counseling,
• HIV and AIDS Treatment, care and
counseling –
• Unwed mothers
• HIV and AIDS
10. Administration Describe the To cover the Teacher seminar 5 hrs

and management Administration concept of on Administration
of Psychiatric and management Administration and and management
units including of Psychiatric management of of Psychiatric
units including
emergency units Psychiatric units units including
emergency units
• Design & layout including emergency units
• Staffing, emergency units, its its Design & layout,
• Equipment, Design & layout, Staffing,
supplies, Staffing, Equipment, Student interactive
• Norms, policies supplies, session on
and protocols • Norms, policies and Equipment,
• Quality assurance protocols supplies, Norms,
• Practice • Quality assurance, policies and
standards for Practice standards protocols
Psychiatric Nursing for Psychiatric Teacher seminar
• Documentation Nursing, on Quality
Documentation assurance, Practice
standards for
Psychiatric Nursing
And
Documentation
11. Education and Describe the Education and Education and 5 hrs
training in concept of education training in training in
Psychiatric care and training in Psychiatric care Psychiatric care
psychiatric care
• Staff orientation, • Staff orientation, • Staff orientation,
training and training and training and
development, development, development,
• In-service • In-service education • In-service
education program, program, education program,
• Clinical teaching • Clinical teaching • Clinical teaching
programs. programs. programs.
References
371
1. Brown R. T. Feldman G. R., Epilepsy -Diagnosis and Management, Little Brown And
Co., 1983, Toronto.
2. Beck M. C. Rawtins P. R. and et al, Mental Health – Psychiatric Nursing. The C.V.
MosbyCo., Ltd. 1984, Toronto.
3. Coleman C. J, Abnormal Psychology and Modern Life. P. B. Tara and Sons Co. Pvt Ltd
.1982.
4. Kaplan H. Saddock B, Synopsis of Psychiatry, William sand Wilkins, 1991, Bathmov.
5. Stuart W. G. Sundeen J. S, Principles and Practice of Psychiatric Nursing, Mosby Year
book,1991, London.
6. Taylor C.M., Essentials of Psychiatric Nursing, 14th edition CV Mosby Co., 1982,
London.
7. Bimlakapoor CV, A Text book of Psychiatric Nursing, 4th edition Mosby Co., 1982,
Delhi.
8. Shivas, “Basic Cocept of Psychiatric Mental Health Nursing, 3rd edition, B.I
Publications, 1994.
Practicals
S.NO. Area of Posting No. Of Weeks Total

Hours
1. Acute Psychiatric Ward 1 40 Hours
2. Chronic psychiatric ward 2 60 Hours
3. De-addiction unit 1 40 Hours
4. Psychiatric Emergency 2 60 Hours
unit
5. O.P.D Neuro and 1 40 Hours
psychiatric
6. Child Psychiatric Unit and 2 30 Hours
Child guidance Clinic
10. Rehabilitation 1 30 Hours
11. Community Mental Health 4 120 Hours
Unit
TOTAL 14WEEKS 420HRS
M.Sc. Nursing :- 4th Semester

372
PREAMBLE
Pediatrics is the branch of medicine that deals with the medical care of infants, children,
as primary care physicians. Paediatric nursing is the medical care of neonates and children up to
adolescence, usually in an in-patient hospital or day-clinic. The main role of pediatric nurses is to
administer directly procedures and medicines to children according to prescribed nursing care
plans. Nurses also continually assess the patient by observing vital signs, and developing
communication skills with children and family members and with medical teams. Being a support
to children and their families is one component of direct nursing care. Awareness of the concerns
of children and parents, being present physically at times of stress and implementing strategies to
help children and family members cope are all part of the work.
GOALS :
• Normalise the life of the child during hospitalisation in preparation for the family home,
school and community.
• Minimise the impact of the child's unique condition.
• Foster maximal growth and development.
• Develop realistic, functional and coordinated home care plans for the children and families.
• Respect the roles of the families in the care of their children.
OBJECTIVES :
1.Appreciate the history and developments in the field of pediatrics and pediatric nursing as a
specialty
2. Apply the concepts of growth and development in providing care to the pediatric clients and
their families.
8. Describe various recent technologies and treatment modalities in the management of high risk
neonates
11. Incorporate evidence based nursing practice and identify the areas of research in the field of
pediatric/neonatal nursing
373
13. Teach pediatric nursing to undergraduate students & in-service nurse.

COMPETENCIES CONTENTS DOMAIN HOURS
The student is able to:
VI. Provide care to High Risk Newborn 20

normal &high 􀂉Concept, goals, Need to know
Need to know
risk neonates assessment, principles.
•Perform 􀂉Nursing
neonatal management of Must to know
resuscitation. • Post-mature infant,
•Recognize and and baby of diabetic
manage and substance Must to know
Common use mothers. Need to know
neonatal • Respiratory
problems conditions, Asphyxia Desirable to know
neonatorum, neonatal
apnoea meconium Must to know
aspiration syndrome,
pneumo thorax, Must to know
pneumo mediastinum
Must to know
• Icterus neonatorum.
• Birth injuries.
• Hypoxic ischaemic
encephelopathy
• Congenital
anomalies.
• Neonatal seizures.
• Neonatal
hypocalcaemia,
hypoglycemia,
hypomagnesaemia.
• Neonatal heart
diseases.
• Neonatal hemolytic
diseases
• Neonatal infections,
374
neonatal sepsis,
opthalmia
neonatorum, cogenital
syphilis, HIV/AIDS
• Advanced neonatal
procedures.
• Calculation of fluid
requirements.
Hematological
conditions –
erythroblastosis
fetalis,
hemorrhagic disorder
in the newborn
• Organization of
neonatal care,
services(Levels),
transport,
neonatal intensive care
unit, organization and
management of
nursing services in
NICU
VII. • Manage the child Developmental 10
with behavioral disturbances and Desirable to know
Must to know
and social implications for
problems. nursing
• Identify the 􀂉Adjustment Must to know
social and reaction to school,
welfare services 􀂉Learning Need to know
for challenged disabilities
children. 􀂉Habit disorders, Need to know
speech disorders,
􀂉Conduct disorders,
􀂉Early infantile
autism, Attention
deficit hyperactive
disorders (ADHD),
depression and
childhood
schizophrenia
VIII. Discuss implication for Challenged child and Desirable to know 10
nursing of challenged child implications for Must to know
nursing Must to know
􀂉Physically
Must to know
challenged, causes, Must to know
features, early
detection &
management
􀂉Cerebral palsied
375
child,
􀂉Mentally challenged
child.
􀂉Training &
rehabilitation of
challenged children
IX. Discuss the drugs used in Drugs used in Must to know 5
paediatrics Pediatrics
􀂉Criteria for dose Desirable to know
calculation
􀂉Administration of
drugs, oxygen and
blood
􀂉Drug interactions
􀂉Adverse effects and
their management
X. • Describe the Administration and 10
administration management of
and management pediatric care unit Desirable to know
of pediatric care 􀂉Design & layout
Desirable to know
unit. 􀂉Staffing,
􀂉Equipment, Must to know
• Discuss the supplies, Must to know
standards for 􀂉Norms, policies and
pediatric care unit protocols
for pediatric care unit
􀂉Documentation
XI. Provide education and Education and 5
training in pediatric care training in Pediatric Desirable to know
care Desirable to know
􀂉Staff orientation,
Must to know
training and
development,
􀂉In-service
education program,
􀂉Clinical teaching
programs
CURRICULUM

Guidelines
V Provide High Risk Newborn To cover High 20

Role play
care to 􀂉Concept, goals, Risk Newborn Videos Plotting of
normal assessment, principles. Concept, goals, growth chart
376
&high risk 􀂉Nursing management of assessment,
Conventional
neonates • Post-mature infant, and principles, method
•Perform baby of diabetic and Nursing
neonatal
substance management Teaching seminar
resuscitati Demonstration
on. use mothers. of, Post-mature
•Recogni • Respiratory conditions, infant, and
ze and Asphyxia neonatorum, baby of
manage neonatal diabetic and
Common apnoea meconium substance
neonatal
aspiration syndrome, use mothers.,
problems
pneumo thorax, Respiratory
pneumo mediastinum conditions,
• Icterus neonatorum. Asphyxia
• Birth injuries. neonatorum,
• Hypoxic ischaemic neonatal
encephelopathy apnoea
• Congenital anomalies. meconium
• Neonatal seizures. aspiration
• Neonatal hypocalcaemia, syndrome,
hypoglycemia, pneumo
hypomagnesaemia. thorax,
• Neonatal heart diseases. pneumo
mediastinum,
• Neonatal hemolytic
Icterus
diseases
neonatorum.,
• Neonatal infections,
Birth injuries.,
neonatal sepsis, opthalmia
Hypoxic
neonatorum, cogenital
ischaemic
syphilis, HIV/AIDS
encephalopath
• Advanced neonatal
y, Congenital
procedures.
anomalies,
• Calculation of fluid
Neonatal
requirements.
seizures.,
Hematological conditions –
Neonatal
erythroblastosis fetalis,
hypocalcaemia,
hemorrhagic disorder in the
hypoglycemia,
newborn
hypomagnesae
• Organization of neonatal
mia., Neonatal
care, services(Levels),
heart diseases.
transport,
neonatal intensive care unit,
organization and
management of nursing
services in NICU
377
VI • Manage Developmental To cover 10
the child disturbances and Adjustment
with Student seminar
implications for nursing reaction to Teaching
behavioral school,Learnin
􀂉Adjustment reaction to seminar
and social
problems. school, g disabilities
Interactive
• Identify 􀂉Learning disabilities Habit seminar
the social 􀂉Habit disorders, speech disorders, Unconventional
and disorders, speech method
welfare 􀂉Conduct disorders, disorders,
services Conduct
􀂉Early infantile autism,
for
Attention deficit hyperactive disorders,
challenged
children. disorders (ADHD), Early infantile
depression and childhood autism,
schizophrenia Attention
deficit
hyperactive
disorders
(ADHD),
depression and
childhood
schizophrenia
V Discuss implication Challenged child and To cover 10
II for nursing of implications for nursing Physically Demonstration
challenged child
􀂉Physically challenged, challenged, Simulation.
causes, features, early causes,
detection & features, early
management detection Visit to
􀂉Cerebral palsied child, &management anganwadi
􀂉Mentally challenged
schools,
Cerebral
remand homes
child. palsied child, & adoption
􀂉Training & rehabilitation Mentally centers
of challenged children challenged
child. Teaching
Training & seminar
rehabilitation
of challenged Student
children seminar
378
IX. Discuss the drugs Drugs used in Pediatrics Student seminar 5
used in paediatrics 􀂉Criteria for dose
Interactive
seminar
calculation
􀂉Administration of drugs,
oxygen and blood
􀂉Drug interactions
􀂉Adverse effects and their
management
X • Describe Administration and Demonstration 10

the management of pediatric Conventional
administrat method
care unit
ion and
􀂉Design & layout Student seminar
manageme
nt of 􀂉Staffing,
Teaching
pediatric 􀂉Equipment, supplies,
seminar
care unit. 􀂉Norms, policies and
protocols
• Discuss the
􀂉Practice standards for
standards
for pediatric care unit
pediatric 􀂉Documentation
care unit
X Provide education Education and training in 5
I and training in Pediatric care Student seminar
pediatric care
􀂉Staff orientation, training
and development,
􀂉In-service education
program,
􀂉Clinical teaching
programs

420 Hours/ 14 Credits
TOPIC No. of Hours Credits

week
379
Pediatric Medicine ICU 2 60 Hours 2
Pediatric Surgical ICU 2 60 Hours 2
NICU 2 60 Hours 2
Pediatric OT 1 30 Hours 1
Pediatric medicine ward 2 60 Hours 2
Pediatric Surgery ward 2 60 Hours 2

Emergency/Casulty 2 60 Hours 2
Field Visit 1 30 Hours 1

TOTAL 14 Weeks 420 Hours 14
Credits
Field visits:
*Child care center, Anganwadi, play school, Special schools for challenged
children, Juvenile court, UNICEF, Orphanage, Creche, SOS village
Student Activities
• Project work
• Field visits
Essential
I. Procedures Observed:
380
• Echo cardiogram
• Ultrasound head
• ROP screening (Retinopathy of prematurity)
• Any other
• Advanced neonatal life support
• Lumbar Puncture
• Arterial Blood Gas
• ECG Recording
• Umbilical catheterization – arterial and venous
• Arterial B P monitoring
• Blood transfusion- exchange transfusion full and partial
• IV cannulation & therapy
• Arterial catheterization
• Chest tube insertion
• Endotracheal intubation
• Ventilation
• Insertion of long line
• Assist in surgery

• Airway Management
- Application of Oro Pharyngeal Airway
- Oxygen therapy
- CPAP(Continuous Positive Airway Pressure)
- Care of Tracheostomy
- Endotracheal Intubation
• Neonatal Resuscitation
• Monitoring of Neonates – clinically & with monitors, CRT(Capillary Refill Time), assessment
of jaundice, ECG
• Gastric Lavage
• Setting of Ventilators
• Phototherapy
• Assessment of Neonates: Identification & assessment of risk
factors, APGAR Score, gestation age, Anthropometric assessment, Weighing the baby, Newborn
examination, detection of life threatening congenital abnormalities,
• Admission & discharge of neonates
• Feeding - management of breast feeding, artificial feeding, expression of breast milk,
OG(Orogastric) tube insertion, gavage feeding, TPN, Breast feeding counseling
• Thermoregulation- Axillary temperature, Kangaroo Mother Care (KMC), Use of Radiant
warmer, incubators, management of thermoregulation & control
• Administration of Drugs: I/M, IV injection, IV Cannulation &
381
fixation infusion pump, Calculation of dosages, Neonatal
formulation of drugs, use of tuberculin/ insulin syringes,
Monitoring fluid therapy, Blood administration.
• Procedures for prevention of infections: Hand washing, disinfections & sterilization,
surveillance, fumigation
• Collection of specimens
• Setting, Use & maintenance of basic equipment: Ventilator, O2 analyzer, monitoring equipment,
Photo therapy unit, Flux meter, Infusion pump, Radiant warmer, incubator, Centrifuge machine,
Bilimeter, Refractometer, laminar flow
MSc(N) 2ND YEAR

PLACEMENT : FOURTH SEMESTER

COURSE DESCRIPTION
health nurse practitioner /specialist . It will further enable the students to function as educator , manager
and researcher in the field of community health nursing
S. TOPIC DOMAIN HRS

NO
1 EDUCATION AND ADMINISTRATION 15
􀂉 Quality assurance Nice to know

􀂉 Standards, Protocols, Policies, Procedures Must know
􀂉 Infection control; Standard safety measures Must know
382
􀂉 Nursing audit Nice to know
􀂉 Design of Sub-Centre/Primary Health Must know
Centre/
Community health center
􀂉 Staffing; Supervision and monitoring- Must know
Performance appraisal Must know
􀂉 Budgeting Must know
􀂉 Material management Must know
􀂉 Role and responsibilities of different Must know
categories of Must know
personnel in community health Must know
􀂉 Referral chain- community outreach services Must know
􀂉 Transportation Must know
􀂉 Public relations
􀂉 Planning in-service educational programme Must know
and Desirable to know
Teaching
􀂉 Training of various categories of health
workers ,preparation of manuals Nice to know
GERIATRIC
2
􀂉 Concept, trends, problems and issues 10
􀂉 Aging process, and changes Must know
􀂉 Theories of ageing Must know
􀂉 Health problems and needs Must know
􀂉 Psycho-physiological stressors and disorders Must know
􀂉 Myths and facts of aging Must know
􀂉 Health assessment
􀂉 Home for aged-various agencies Desirable to know
􀂉 Rehabilitation of elderly Must know
􀂉 Care of elderly Must know
􀂉 Elderly abuse Nice to know
􀂉 Training and supervision of care givers Must know
􀂉 Government welfare measures Programmes Nice to know
for elderly-Role of NGOs Must know
􀂉 Roles and responsibilities of Geriatric nurse Must know
in the
Community Must know
REHABILITATION
3 􀂉 Introduction: Concepts, principles, trends, 10

issues,
􀂉 Rehabilitation team Must know
􀂉 Models, Methods
􀂉 Community based rehabilitation Nice to know
􀂉 Ethical issues Must know
􀂉 Rehabilitation Council of India Must know
􀂉 Disability and rehabilitation- Use of various Must know
prosthetic devices Nice to know
􀂉 Psychosocial rehabilitation Must know
􀂉 Rehabilitation of chronic diseases
􀂉 Restorative rehabilitation Must know
􀂉 Vocational rehabilitation Nice to know
􀂉 Role of voluntary organizations Must know
383
􀂉 Guidance and counseling Must know
􀂉 Welfare measures Must know
􀂉 Role and responsibilities of community Must know
health nurse Must know
Nice to know
COMMUNITY MENTAL HEALTH
􀂉 Magnitude, trends and issues
4 􀂉 National Mental Health Program- 10
Community mental Must know
health program Desirable to know
􀂉 The Changing Focus of care Must know
􀂉 The Public Health Model
􀂉 Case Management- Collaborative care Must know
􀂉 Crisis intervention Must know
􀂉 Welfare agencies Must know
􀂉 Population at Risk Nice to know
􀂉 The community as Client Must know
• Primary Prevention Must know
Secondary prevention Desirable to know
• Tertiary Prevention Must know
􀂉 Community based rehabilitation Must know
􀂉 Human rights of mentally ill Must know
􀂉 Substance use Must know
􀂉 Mentally challenged groups Must know
􀂉 Role of community health nurse Nice to know
Must know
OCCUPATIONAL HEALTH
5 􀂉 Introduction: Trends, issues, Definition, 15

Aims,
Objectives, Workplace safety Must know
􀂉 Ergonomics and Ergonomic solutions
􀂉 Occupational environment- Physical, social, Desirable to know
Decision making, Critical thinking Must know
􀂉 Occupational hazards for different categories
of people – physical ,chemical, biological, Must know
mechanical, , Accidents, Must know
􀂉 Occupational diseases and disorders
􀂉 Measures for Health promotion of workers; Must know
Prevention and control of occupational Must know
diseases, disability limitations and Nice to know
rehabilitation Must know
􀂉 Women and occupational health Must know
􀂉 Occupational education and counseling Must know
􀂉 Violence at workplace
􀂉 Child labour Must know
􀂉 Disaster preparedness and management
􀂉 Legal issues: Legislation, Labour unions,
ILO and WHO recommendations, Factories
act, ESI act
􀂉 Role of Community health nurse,
Occupational health team
384
4TH semester
CLINICAL SPECIALITY- 2

No ( At the end of the session, Guidelines
the students should be able
to : )
1 15
EDUCATION AND
ADMINISTRATION
Describe quality assurance,
􀂉 Quality assurance To cover quality Didactic
Standards, Protocols, lecture
􀂉 Standards, Protocols, assurance, standards,
through Power
Policies, Procedures
Policies, Procedures protocols, Policies, point
projections.
􀂉 Infection control; Procedures,
Discuss Infection control;
Standard safety measures infection control;
Standard safety measures, Teaching
􀂉 Nursing audit Standard safety
seminar
Nursing audit
􀂉 Design of Sub- measures, nursing
Centre/Primary Health audit, design of Sub-
Interactive
Discuss the design of Sub-
Centre, Centre/Primary session
Centre/Primary Health
Community health center Health Centre,
Didactic
Centre, CHC, Staffing;
lecture
385
􀂉 Staffing; Supervision and Supervision and monitoring- Community health
monitoring-Performance Performance appraisal center,staffing;
appraisal Supervision and
Report
􀂉 Budgeting Elaborate budgeting, monitoring-
writing.
􀂉 Material management material management , role Performance
􀂉 Role and responsibilities and responsibilities of appraisal, budgeting
of different categories of different categories of ,material
personnel in community personnel in community management,role
health health and responsibilities
􀂉 Referral chain- of different
community outreach discuss Referral chain- categories of
services community outreach personnel in
􀂉 Transportation services, Transportation, community health,
􀂉 Public relations Public relations, Planning in- referral chain-
􀂉 Planning in-service service educational community outreach
educational programme and programme and services
Teaching Teaching and training of And training of
􀂉 Training of various various categories of health various
categories of health workers ,preparation of categories of
workers ,preparation of manuals health workers
manuals ,preparation of
manuals
2 GERIATRIC 10
􀂉 Concept, trends, Describe the Concept,
To cover the Didactic
problems and issues trends, problems and issues lecture
concept, trends,
through Power
􀂉 Aging process, and
problems and issues, point
Explain Aging process, and
changes projections.
aging process, and
changes,Theories of ageing
􀂉 Theories of ageing
changes, theories of
, Health problems and
􀂉 Health problems and
ageing, health
needs, Psycho-physiological Teaching
needs
problems and needs, seminar
stressors and Myths and
􀂉 Psycho-physiological
psycho-
facts of aging.
stressors and disorders Interactive
physiological
Explain health assessment
􀂉 Myths and facts of aging session
stressors and
Discuss rehabilitation of
􀂉 Health assessment disorders, myths and Didactic
elderly, care of elderly,
􀂉 Home for aged-various facts of aging, health
lecture
elderly abuse
386
agencies assessment, home
Field visits
􀂉 Rehabilitation of elderly for aged-various
Discuss the Training and
􀂉 Care of elderly agencies, Report
supervision of care givers , writing.
􀂉 Elderly abuse rehabilitation of
Government welfare
􀂉 Training and supervision elderly, care of
measures Programmes for
of care givers elderly, elderly
elderly-Role of NGOs
􀂉 Government welfare abuse, training and
measures Programmes for supervision of care
Elaborate the Roles and
elderly-Role of NGOs givers, government
responsibilities of Geriatric
􀂉 Roles and responsibilities welfare measures
nurse in the community
of Geriatric nurse in the Programmes for
Community elderly-Role of
NGOs, roles and
responsibilities of
Geriatric nurse in
the Community
3 10
REHABILITATION Discuss : Concepts, To cover: 􀂉
Didactic
􀂉 Introduction: Concepts, principles, trends, issues, Introduction:
lecture
principles, trends, issues, Rehabilitation team Concepts, principles, through Power
point
􀂉 Rehabilitation team trends, issues,
projections.
Explain Models, Methods
􀂉 Models, Methods 􀂉 Rehabilitation
and Community based
􀂉 Community based team
rehabilitation
rehabilitation 􀂉 Models, Methods Teaching
seminar
􀂉 Ethical issues 􀂉 Community based
Discuss the Ethical issues
􀂉 Rehabilitation Council of rehabilitation
Interactive
India 􀂉 Ethical issues
session
Discuss the Rehabilitation
􀂉 Disability and 􀂉 Rehabilitation
Council of India Didactic
rehabilitation- Use of Council of India
lecture
Explain disability and
various prosthetic devices 􀂉 Disability and
rehabilitation and use of Disaster drill
􀂉 Psychosocial rehabilitation- Use
various prosthetic devices
rehabilitation of various prosthetic Field visits
Explain Psychosocial
􀂉 Rehabilitation of chronic devices
rehabilitation, ehabilitation
diseases 􀂉 Psychosocial
of chronic diseases,
􀂉 Restorative rehabilitation rehabilitation
restorative rehabilitation,
􀂉 Vocational rehabilitation 􀂉 Rehabilitation of
vocational rehabilitation and
387
􀂉 Role of voluntary role of voluntary chronic diseases
organizations organizations 􀂉 Restorative
􀂉 Guidance and counseling Describe guidance and rehabilitation
􀂉 Welfare measures counseling, welfare 􀂉 Vocational
􀂉 Role and responsibilities measures, role and rehabilitation
of community health nurse responsibilities of 􀂉 Role of voluntary
community health nurse organizations
􀂉 Guidance and
counseling
􀂉 Welfare measures
􀂉 Role and
responsibilities of
community health
nurse
4
10
COMMUNITY MENTAL Discuss Magnitude, trends
HEALTH and issues To cover magnitude,
Didactic
􀂉 Magnitude, trends and Discuss National Mental trends and issues,
lecture
issues Health Program- National Mental through Power
point
􀂉 National Mental Health Community mental Health Program-
projections.
Program- Community health program Community mental
mental explain the Changing Focus health program, the
Teaching
health program of care changing focus of seminar
􀂉 The Changing Focus of and the Public Health Model care, the Public
care Health Model, case Interactive
session
􀂉 The Public Health Model explain Case Management- management-
􀂉 Case Management- Collaborative care, Crisis Collaborative care, Disaster drill
Collaborative care intervention, Welfare crisis intervention,
Field visits
􀂉 Crisis intervention agencies, Population at Risk welfare agencies,
Report writing
􀂉 Welfare agencies population at risk,
􀂉 Population at Risk Elaborate community based community based
􀂉 The community as Client rehabilitation rehabilitation,
• Primary Prevention human rights of
Secondary prevention Discuss Human rights of mentally ill,
• Tertiary Prevention mentally ill, Substance use substance use,
􀂉 Community based and mentally challenged mentally challenged
rehabilitation groups and role of groups
388
􀂉 Human rights of community health nurse and role of
mentally ill community health
􀂉 Substance use nurse
􀂉 Mentally challenged
groups
􀂉 Role of community
5 health nurse 15
Describe the trends, issues,
definition, aims, objectives,
OCCUPATIONAL Didactic
workplace safety To cover trends,
lecture
HEALTH
issues, definition, through Power
􀂉 Introduction: Trends, point
Explain ergonomics and aims, objectives,
projections.
issues, Definition, Aims,
ergonomic solutions workplace safety,
Objectives, Workplace Teaching
Describe occupational ergonomics and
seminar
safety environment- Physical,
ergonomic solutions,
social, Decision making,
􀂉 Ergonomics and Interactive
Critical thinking occupational
session
Ergonomic solutions
environment,
Discuss Occupational
􀂉 Occupational Disaster drill
decision making,
hazards for different
environment- Physical,
Critical thinking, Field visits
categories of people
social, Decision making,
occupational
and occupational diseases
Critical thinking
hazards,
and various preventive and
􀂉 Occupational hazards for
occupational
control measures
different categories of
diseases and
people – physical
disorders, measures
,chemical, biological,
for Health
mechanical, , Accidents,
promotion of
discuss the measures for
􀂉 Occupational diseases
workers, prevention
health promotion of workers,
and disorders
and control of
prevention and control of
􀂉 Measures for Health
occupational
occupational diseases,
promotion of workers;
diseases, disability
disability limitations and
Prevention and control of
limitations and
rehabilitation
occupational diseases,
rehabilitation,
disability limitations and
women and
Discuss violence at
rehabilitation
occupational health,
workplace and child labour
􀂉 Women and occupational
occupational
Explain disaster
health
education and
preparedness and
􀂉 Occupational education
counseling, violence
management
and counseling
at workplace, child
Elaborate Legal issues
389
􀂉 Violence at workplace Explain the role of labour, disaster
Community health nurse and
􀂉 Child labour preparedness and
occupational health team
􀂉 Disaster preparedness management, legal
and management issue and role of
􀂉 Legal issues Community health
􀂉 Role of Community nurse, Occupational
health nurse, Occupational
health team
health team
Placement: Fourth Semester
Theory :60 Hours(4credits)
Practical : 420Hours(14credits)
PREAMBLE:
Obstetrical nursing, also called perinatal nursing, is a nursing specialty that works with
delivered. Obstetrical nurses help provide prenatal care and testing, care of patients experiencing
pregnancy complications, care during labor and delivery, and care of patients following delivery.
Obstetrical nurses work closely with obstetricians, midwives, and nurse practitioners. They also
provide supervision of patient care technicians and surgical technologists.
Obstetrical nurses perform postoperative care on a surgical unit, stress test evaluations, cardiac
monitoring, vascular monitoring, and health assessments. Obstetrical nurses are required to
possess specialized skills such as electronic fetal monitoring, nonstress tests, neonatal
resuscitation, and medication administration by continuous intravenous drip.
Obstetrical nurses work in many different environments such as medical offices, prenatal clinics,
labor& delivery units, antepartum units, postpartum units, operating theatres, and clinical
research.
Gynaecology nursing is the medical practice dealing with the health of the female reproductive
systems (vagina, uterus, and ovaries) and the breasts. Literally, outside medicine, the term means
390
"the science of women". Its counterpart is andrology, which deals with medical issues specific to
the male reproductive system.
Midwifery, as known as obstetrics, is a health science and health profession that deals
with pregnancy, childbirth, and the postpartum period (including care of the newborn), besides
sexual and reproductive health of women throughout their lives. In many countries, midwifery is a
medical profession (special for its independent and direct specialized education; should not be
confused with a medical specialty, which depends on a previous general training). A professional
in midwifery is known as a midwife.
GOALS
An obstetrics and gynaecological nursing student will learn from leading researchers in nursing
practice and the study of obstetrics and gynaecological. This course will solidify the theoretical
foundations of nursing practice and develop the confidence to use the latest research based
evidence to make practice cost effective
During this one year degree, the student will build on the knowledge they have gained through
clinical practice, with an emphasis on the provision of high quality care and patient safety. It will
cover core units in the foundations of clinical practice and assessment before taking a range of
elective units which allow the student to further advance their knowledge in clinical areas of
particular interest. A work-based project or research thesis will comprise the capstone experience
of this degree, providing the opportunity for the student to apply expertise as they develop a
nuanced understanding of nursing practice and clinical environments.
Upon completion of this course, students will have the knowledge, skills and attributes required
to develop initiatives in healthcare and make a substantial contribution to healthcare policy and
development. Completion of this degree can also be a pathway into the Master of Nursing (Nurse
Practitioner).
OBJECTIVES:

2. Design a layout of speciality units of obstetrics and gynecology
3. Develop standards for obstetrical and gynaecological nursing practice.
4. Counsel women and families.
of obstetrical and gynaecological nursing.
6. Function as independent midwifery nurse practitioner.
Subject distribution:
3 SEMESTER –PART 1
S. Units Hours Credit

no.
1. HIv/AIDS 15
2. Gynaecological Problems and Nursing 25
Management
3. Administration and management of 05
obstetrical and gynaecological Units. 04
4. Education and training in obstetrical and 05
gynaecological care.
391
15hr=1credit
Teaching Learning Activities
(iii) Methods of Teaching:
√ Lecture
√ Demonstration & Discussion
√ Supervised practice √ Seminar
√ Role play
√ Workshop
√ Conference
√ Skill training
√ Simulations
√ Field visits
(iv) A.V Aids:
√ Slide Projector
√ White board
√ Graphic Aids
√ Programmed – Video shows
√ Models & Specimens
√ LCD projector
√ Computer
METHODS OF ASSESSMENT:
√ Written examination
√ Objective type
√ Short notes
√ Assignments
√ Case studies/care notes
√ Clinical presentation
√ Seminars
√ Project
Examination Pattern:
The students will be assessed on the weekly, monthly and periodically based tests and exams. The final
assessments will be given on the basis of internal assessment and university exams.
Sr. Letter Grade Grade Point
No.
10. O (outstanding) 10
392
11. A+ (excellent) 09
12. A (very Good) 08
13. B+(good) 07
14. B (above average) 06
15. C (average) 05
16. P (pass) 04
17. F (fail) 00
18. Ab (absent) 00
Question paper setting: -
As a routine, Question paper shall consist of 3 parts:
4. Long Essay questions:

Applied questions may be asked. Student is required to anticipate the patient’s requirements and has
to answer the questions appropriately. No negative markings will be given.
5. Short notes:
Definitions and differentiations. Each question will consist of 5 marks each. The questions will be
theory based and direct. No applied questions will be asked and no negative markings will be given.
6. Short Answers:
They can be MCQ, true and false and single response type questions, multiple choice questions,
sequencing order questions, assertion and reasoning types, match the columns. Student shall be
required to answer every Question. No negative markings will be given.
Time Allotted:Theory -60hrs

Practical - 420 hrs
S. TOPIC DOMAIN HRS

NO
1 HIV/AIDS Must knowHIV positive mother 15
HIV positive mother and her baby and her baby
Epidemiology Epidemiology
Screening Screening
Parent to child transmission(PTCT) Desirable to knowParent to
Prophylaxis for mother and baby child transmission(PTCT)
Standard safety measures Prophylaxis for mother and baby
Counseling Standard safety measures
Breast feeding issues Counseling
National policies and guidelines Breast feeding issues
Issues: Legal, ethical, Psychosocial and National policies and guidelines
rehabilitation Issues: Legal, ethical, Psychosocial
Role of nurse and rehabilitation
Role of nurse
2 Gynecological problems and nursing Must know Gynecological 25
management assessment
393
Gynecological assessment Gynecological procedures
Gynecological procedures Etiology, pathophysiology, diagnosis
Etiology, pathophysiology, diagnosis and and nursing management of
nursing management of • Menstrual irregularities
• Menstrual irregularities • Diseases of genital tract
• Diseases of genital tract • Genital tract infections
• Genital tract infections • Uterine displacement
• Uterine displacement • Genital prolapse
• Genital prolapse • Genital injuries
• Genital injuries • Uterine malformation
• Uterine malformation • Uterine fibroid, ovarian tumors,
• Uterine fibroid, ovarian tumors, Breast Breast carcinoma, Pelvic
carcinoma, Pelvic inflammatory diseases, inflammatory diseases, reproductive
reproductive tract malignancies, tract malignancies, hysterectomy –
hysterectomy – vaginal and abdominal. vaginal and abdominal.
• Sexual abuse, rape, trauma , assault • Sexual abuse, rape, trauma ,
assault
3 Administration and management of Must knowDesign & layout 5
obstetrical and Staffing,
gynecological unit Equipment, supplies,
Design & layout Infection control; Standard safety
Staffing, measures
Equipment, supplies, Quality Assurance:-Obstetric auditing
Infection control; Standard safety measures –records /reports,
Quality Assurance:-Obstetric auditing – Norms, policies and protocols
records /reports, Desirable to knowPractice
Norms, policies and protocols
standards for obstetrical and
Practice standards for obstetrical and
gynecological unit.
gynecological unit.
4 Education and training in obstetrical and Must know Staff orientation, 5
gynaecological training and development,
care In-service education program,
Staff orientation, training and development, Clinical teaching programs.
In-service education program,
Clinical teaching programs.
S.N Topic Learning Objectives Teaching Methodology Time

o ( At the end of the Guidelines
I HIV/AIDS 1.Discuss about To cover 1. Didactic 15
HIV positive mother and her HIV/AIDS HIV positive mother lecture
baby 2.Describe the and her baby through
Epidemiology National policies and Epidemiology power point
Screening guidelines Screening
projections
Parent to child Issues: Legal, ethical, Parent to child
2.Students
transmission(PTCT) Psychosocial and transmission(PTCT)
Prophylaxis for mother and Prophylaxis for seminar on
rehabilitation
baby mother and baby Issues: Legal,
Role of nurse
Standard safety measures Standard safety ethical,
394
Counseling measures Psychosocial
Breast feeding issues Counseling and
National policies and guidelines Breast feeding rehabilitation
Issues: Legal, ethical, issues Role of nurse
Psychosocial and rehabilitation National policies
Role of nurse and guidelines
Issues: Legal,
ethical, Psychosocial
and rehabilitation
Role of nurse
II Gynecological problems and 1.Discuss the To cover 1. Didactic 25
nursing management Gynecological Gynecological lecture
Gynecological assessment assessment assessment through
Gynecological procedures Gynecological Gynecological power point
Etiology, pathophysiology, procedures procedures
projections
diagnosis and nursing Etiology,
management of 2.Explain the pathophysiology,
• Menstrual irregularities Etiology, diagnosis and
• Diseases of genital tract pathophysiology, nursing
• Genital tract infections management of 2.Teachers
diagnosis and nursing
• Uterine displacement management of • Menstrual seminar on
• Genital prolapse gynecological irregularities Gynecological
• Genital injuries problems • Diseases of genital assessment
• Uterine malformation tract Gynecological
• Uterine fibroid, ovarian • Genital tract procedures
tumors, Breast carcinoma, infections
Pelvic inflammatory diseases, • Uterine
reproductive tract malignancies, displacement 3.Students
hysterectomy – vaginal and • Genital prolapse seminar on
abdominal. • Genital injuries gynecological
• Sexual abuse, rape, trauma , • Uterine
disorders
assault malformation
• Uterine fibroid,
ovarian tumors,
Breast carcinoma,
Pelvic inflammatory
diseases,
reproductive tract
malignancies,
hysterectomy –
vaginal and
abdominal.
• Sexual abuse,
rape, trauma ,
assault
III Administration and 1.Explain about To cover 1.Students 5
management of obstetrical Administration and Administration and interactive
andgynecological unit management of management of session on
Design & layout obstetrical and obstetrical and Design &
Staffing, gynecological unit gynecological unit layout
Equipment, supplies, Design & layout Staffing,Equip
Infection control; Standard 2. Discuss about Staffing, ment, supplies,
safety measures Norms, policies and Equipment, Infection
395
Quality Assurance:-Obstetric protocols supplies, control;
auditing –records /reports, Practice standards for Infection control; Standard safety
Norms, policies and protocols obstetrical and Standard safety measures
Practice standards for gynecological unit measures 2.Group
obstetrical and gynecological Quality Assurance:- discussion on
unit Obstetric auditing – Quality
records /reports, Assurance:-
Norms, policies and Obstetric
protocols auditing –
Practice standards records
for obstetrical and /reports,
gynecological unit Norms, policies
and protocols
3.Integrated
teaching on
Practice
standards for
obstetrical and
gynecological
unit
IV Education and training in 1. Elaborate To cover Education Visit to 5

obstetrical and Education and and training in obstetrics and
gynaecologicalcare training in obstetrical and gynecological
Staff orientation, training and obstetrical and gynaecological unit
development, gynaecological care
In-service education program, care
Clinical teaching programs.
CLINICAL TRAINING

S.No. Deptt./Unit No. of Week Total Hours
1 Septic Labour room 4 120

2 Family Welfare services 4 120
3 Gynae ward 2 60
4 PHC/Rural maternity settings 2 60
5 Gynae OT 2 60

30hr=1credit
Textbook:
1. Fraser (DM), MMyles Textbook of Midwives, Churchill Livingstone, 14th Edtion, 2003
References:
1. Dutta (DC), Textbook of Obstetrics, New Central Book Agency.
396
2. Lowdermilk, Maternity Nursing, Mosby, 7th Edition.
3. Willams, Obstetrics, McGrawhill, 22’ Edition.
4. Bobak, Maternity Nursing Care, Elsevier.
5. Maternity & Child Health Nursing Care for the childbearing family, LWW, 5ch edition.
6. Wong, Maternity Child Nursing Care, Mosby, 3 Edition.
397

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Master of Science in Nursing

Syllabus & Curriculum

FOURTH SEMSTER 278

41. Clinical Speciality – II 385-391

Indian Nursing Council believes that:

(a) Utilize/apply the concepts, theories and principles of nursing science

Medium of Instruction and Examination : English

Eligibility Criteria for Admission:

The eligibility criteria for admission shall be as under:

Subject Paper Teaching Scheme Examination Scheme

Code Total Theory Practical Total Duration

Nursing 10 5 15 25 75 50 50 200 3/4

Total 24 17 41 125 225 50 50 400

Note: * Nursing Research = 50 marks; Statistics = 25 marks

Subject Paper Teaching Scheme Examination Scheme

Code Total Theory Practical Total Duration

Obstetric & 6 12 18 25 75 100 100 300 3/4

Medical 6 12 18 25 75 100 100 300 3/4

Total 16 21 37 50 150 100 100 400

Subject Paper Teaching Scheme Examination Scheme

Code Total Theory Practical Total Duration

S.No Topic DOMAIN Time

8. Nursing Educational programs 5hrs

12 Guidance and counseling 10hrs

13 Administration of Nursing Curriculum 15hrs

14 Management of Nursing Educational Institutions 10hrs

S.No Topic Learning Teaching Guidelines Methodology Time

3 Instructional Describe the To cover the concept of Student 10

8. Nursing Critically To cover the concept of Student 5hrs

• Patterns of future trends. education and training India.

S.No Topic Learning objective Teaching Guidelines Methodology Time

9. Continuing Plan and conduct To cover the Teacher seminar 12 hrs

S.No Topic Learning objective Teaching Methodology Time

education and service. (dual) position.

Part-A : Nursing Research

1. Define basic research terms and concepts.

Theory: (10 credits) 100 Hours

S.NO TOPIC DOMAIN HRS

• Scope of nursing research: areas, Desirable to know Scope of

2. Review of Literature Must knowReview of Literature: 5hrs

4. Research Problem Desirable to know Identification 10hrs

• Problems of sampling Nice to know about problems of

7. Desirable to know Concepts of 20hrs

Nice to know Validity and

8. Implementing research plan Desirable to knowPilot Study, 5hrs

• Writing scientific articles for Nice to know Writing scientific

12. Developing and presenting a research 4hrs

Part-A : Nursing Research

S. Contents Of The Learning Objectives Teaching Methodology Time

S. Contents Of The Learning Objectives Teaching Methodology Time

7 Tools and methods • Describe the To cover concept Students 20hrs

11 Teachers seminar 3hrs

Unit Hours Course Content

III 4 5 Measures of variability;

Use of Computers for data analysis

Placement: FIRST SEMESTER Hours of Instruction

To assist students in developing expertise and in depth understanding in the field of

3. Describe the concepts of biophysical, psychological and spiritual aspects of normal

4. Provide comprehensive nursing care to women during reproductive period and