A LESSON PLAN ON

APPENDICITIS

Ms. SANIYA BEGUM WALIKAR

 Base line data
Name: Ms. Saniya Begum Walikar
Subject: Adult Health Nursing
Topic: Appendicitis
Group: BSc IInd year
Method of teaching: lecture cum discussion
A.V aids: blackboard
Venue: Shri bhoomika nursing college
GENERAL OBJECTIVES
At the end of the teaching session, students will acquire the knowledge in depth about Appendicitis and its management.

SPECIFIC OBJECTIVES
Students are able to;
 Introduce and define Appendicitis.
 Enumerate the types of Appendicitis.
 Explain the Etiological factors of Appendicitis.
 Explain the pathophysiology of Appendicitis.
 Describe the signs and symptoms of Appendicitis.
 Describe diagnostic features of Appendicitis.
 Explain the about medical, surgical and nursing management of Appendicitis.
 State nursing diagnosis.
 Enlist the complications of appendicitis.
 Time
Sl. Specific Teacher’s and
duratio Content A v aids Evaluation
no objectives learners activity
n
1 1 min Self-introduction
I am Ms. Saniya Begum Walikar.

2 1 min Assessment of previous knowledge of the listeners

 What do you mean by Appendicitis?
 What all are the causes for Appendicitis?

3 1 min Introduction
Appendicitis is an inflammation of the appendix.
A finger shaped pouch that projects from the lower right side of
Teacher is
introduce and the abdomen.
introducing the Black What is
define
topic and learners Board Appendicitis?
Appendicitis Definition
are listening
 Appendicitis is an acute inflammation of the vermiform
Appendix that develops most commonly in adolescents and
young adults.
4 2 min Types of Appendicitis
I. ACUTE APPENDICITIS
Enumerate the Which develops very fast, usually in a span of several days,
Lecture cum Black What are the types
types of usually in a span of several days or hours.
discussion Board of Appendicitis?
Appendicitis II. CHRONIC APPENDICITIS
It is the inflammation that can last for a long time.

5 Explain the 2 min Aetiology Lecture cum Black What are the
Etiological Obstructive causes: discussion Board etiological factors
factors of -Fecalith that occlude lumen of the appendix. of Appendicitis?
Appendicitis -Swelling of the bowel wall.
-Kinking of the appendix.
 Non Obstructive causes:
-Haematogenous spread of the infection
-Vascular occlusion.
-Trauma
-Diet lacking in fibres

6 2 min Pathophysiology
Due to etiological factors that is fecalith, tumor leads to
obstruction of appendix. There is an increased intraluminal
Explain about pressure which leads to ischemic injury and bacterial What is
Lecture cum Black
the proliferation and the tissues get infected by bacteria in the pathophysiology
discussion Board
pathophysiology. digestive tract due to which pus accumulates and leads to of Appendicitis?
rupture of appendix.

7 2 min Signs:
1. Rovsing’s sign
2. Psoas sign
Describe the 3.Obturator sign
signs and 4.Blumberg’s sign What are the signs
Lecture cum Black
symptoms of 5.Mc Burney’s sign and symptoms of
discussion Board
Appendicitis. Others signs includes guarding sign and rigidity. Appendicitis?
Symptoms:
Murphy’s traid
Pain, vomiting and constipation are 3 majors symptoms od
appendicitis.
8 Explain about 2 min Diagnostic measures: Lecture cum Black What are the
the diagnostic • History collection discussion Board diagnostic measure
measures of • Physical examination. of appendicitis?
appendicitis • Increased White cell count.
• Urinalysis.
• Complete blood count.
 • X ray
• Ultrasound
• CT scan
• MRI
9 2 min Medical management: includes
- To treat infection
- To prevent further complications.
Medication therapy includes
- Antibiotics
- Anti-inflammatory drugs
Explain about - Analgesics
Lecture cum Black How to manage
the management
discussion Board appendicitis?
of appendicitis Surgical management;
The surgical procedure for removal of appendix is called an
appendectomy.

APPENDECTOMY: It can be performed through open or

laparoscopic surgery.

10 Explain about 2 min Nursing management: Lecture cum Black What is nursing
nursing discussion Board management for
management of -History collection includes: appendicitis?
appendicitis. -Medical history: Complaints of pain in post-operative wound
appendectomy, nausea, increased body temperature, increased
leukocytes.
-Past medical history
-Physical examination includes
Cardiovascular system: to determine vital signs, presence or
absence of jugular vein distension, pallor, edema, abnormal
heart sounds.
Hematologic system: There will be increase in leukocytes.
Musculoskeletal system: whether there is difficulty in
movement, pain in bones, joints.
 Immune system: whether there is lymph node enlargement.
11 2 min Nursing diagnosis:
- Acute pain in abdomen related inflammation of the
appendix secondary to appendicitis as manifested by the What are the
State Nursing Lecture cum Black
pain score. nursing diagnosis
diagnosis discussion Board
- Fluid volume deficit related to loss of fluid secondary to of appendicitis?
appendicitis as manifested by nausea and vomiting.

12 1 min Complications:
- Peritonitis
Enlist the
- Perforation Lecture cum What are the
complications of
- Ruptured appendix discussion complications?
appendicitis
- Intra-abdominal and pelvic abscess

References
1. Brunner and suddarth’s textbook of medical surgical nursing. Philadelphia: 13th Edition. 2016. The health sciences publishers, New
Delhi. P: 316-321.