Health Care Syllabus 1 Syllabus Mumbai University

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Syllabus for B. Voc.
O. 6512 ( Health Care )
under the UGC Scheme for providing skill
Based Education under National Skill
Qualification Framework (NSQF)


Shri. S. H. Kelkar College of Arts,
Commerce and Science, Devgad

Affiliated to University of Mumbai

Phone: 02364 – 262237, 261117
Email : dcdevgad@gmail.com


2018 -19

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The curriculum in each of the years of the programme would be a suitable mix of general
education and skill development components. The General Education Component shall have
40 % of the total credits and balance 60% credits will be of Skill Component.
The general education component should adhere to the normal university standards. It should
emphasis and offer courses which provide holist ic development .

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Health Care
Semester –1
General education: Credits
1Language study: English
Unit I
Vocabulary -word power; grammar -common errors and sentence building,
phonetics; reading comprehension and vocabulary building psychometrics;
aptitude and personality assessment and testing
Unit II
Basic languages, Tenses, one word substitution, Synonym & antonym, special
terms related to vocational studies
Unit III
Composition -Sentence construction and usage. Reading comprehension. Writen
composition :paragraphs &essays,precise writing,story writing& comprehension,
letterwriting, nursesnotes andreports , anecdotal records,diary writing,
SpokenEnglish-Conversation –faceto faceand telephonic ,Oralreport,
Discussion,debate, Public speaking skills
Unit IV
Extempore speaking Elocutions, etiquettes & manners, phonetics ,Report writing ,
Basic format of reports, investigate reports on accidents, evaluation & appraisal
reports, miscellaneous reports connected with hotel industry Writing bio -data
interviews .6
2Primary health care and hygiene
Unit I
Healthand its changing concept, Health care services -Public sector, Rural and
urban. D imensions of health, determinants of health primary health care,
definition, components, significance, community application .Health concepts of
people and health care providers, Health behaviours, beliefs and cultural practices
of community. Ethics and behavior related to community practices, method of6
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home visiting. Nurse role in health care services
Unit II-
HealthAssessment -Characteristics ofahealthyindividual ,Healthassessment of
infant,preschool, schoolgoing,adolescent, adult,antenatal woman,postnatal
woman,andelderly.Principles ofEpidemiology andEpidemiological methods.
Definition andaimsofepidemiology, communicable andnon-communicable
diseases. Basictoolsofmeasurement inepidemiology Usesofepidemiology,
Diseasecycle, Spectrum ofdisease,Levelsofprevention ofdisease.Disease
transmission directandindirect.Immunizing agents,immunization andnational
immunization schedule. Controlofinfectious diseases.Disinfection.
Unit III
amilyHealthNursingCare-Familyasaunitofhealth, Concept, goals,objectives,
Familyhealthcareservices, Family healthcareplanandnursingprocess.Family
HealthCareSettingsHomeVisit:Purposes, Principles, Planning andevaluation,
Bagtechnique, Clinic: Purposes, typeofclinicsandtheirfunctions, Function of
Healthpersonnel inclinics.ReferralSystem-Levelsofhealthcareandhealth
caresettings.Referralservicesavailable, Stepsinreferral.Roleofanursein
referral.
Unit IV
Personal and environmental hygiene. Nurses note in maintaining personal and
environmental hygiene. Individual hygiene, care of mouth, skin, hair nails and
Nurses note in maintaining personal and environmental hygiene .Care of eyes,
nose, ears, hands and feet. Sexual and Menstrual hygiene. Hygiene and comforts
needs of the sick care of skin. Bath sponging and back care. Care of pressure
areas, bed sores. Concept of mental health and mental illness. Misconceptions
related to mental illness. Principles of Mental Health nursing. Definition of terms
used in psychiatry. Review of defense mechanisms. Mental Health Team .
Skill Component:
Nursung foundation Practical -I
a)Admission: Prepare Unitfornewpatient, Prepare admission bed, Perform
admission procedure, New patient, Transfer inPreparepatientrecords.14

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b)Discharge/Transfer outGivesdischarge counseling ,Perform discharge
procedure (Planned discharge, LAMAandabscond, Referrals andtransfers),
Prepare recordsofdischarge/ transfer, Dismantle, anddisinfect unitand
equipment afterdischarge/transfer .
Perform assessment:
History taking,Nursing diagnosis, problem list,Prioritization, Goals&
Expected Outcomes, selection ofinterventions ,WriteNursing CarePlan,
Givescareaspertheplan
Communication -Useverbalandnonverbalcommunication techniques
Prepareaplanforpatientteaching session
Write patient report -Change-ofshiftreports,Transfer reports, Incident
reportsetc.Presentpatientreport
Vitalsigns-Measure, recordsandinterpretalterations inbodytemperature,
pulse,respiration andbloodpressure
Healthassessment -Healthhistorytaking,Performassessment: General Body
systems,Usevariousmethods ofphysicalexamination ,Inspection, Palpation,
Percussion, Auscultation, Olfaction Identification ofsystem,wisedeviations .
PreparePatient’sunit:
Prepare beds:Open,closed, occupied, operation, amputation, Cardiac,
fracture, burn,Divided,&Fowler’sbed,Painassessment andprovision for
comfort.
UsecomfortdevicesHygienic care:Oralhygiene:Bathsandcareof
pressure points,Hairwash,Pediculosis treatment
Feeding: Oral/Enteral, Naso/Orogastric, gastrostomy andParenteral
feeding,Naso-gastrictubeinsertion, suction,andirrigation
Assisting patientinurinary elimination -Provide urinal/bed pan,Condom
drainage,Perineal care,Catheterization ,Careofurinary,drainage
Bladder irrigation Assisting bowelElimination: Insertion ofFlatus
tube,Enemas,Insertion ofSuppository ,
Bowel wash BodyandAlignment Mobility: Rangeofmotion,
exercises,Positioning: Recumbent, Lateral, Fowlers, Sims, Lithotomy,

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Prone,Trendelenburg positon-AssistpatientinMoving,lifting,transferring,
walking,Restraints
Oxygenadministration :Mask,Prongs,Tent,Catheters
Suctioning: oropharyngeal, nasopharyngeal .Chestphysiotherapy andpostural
drainage,CareofChestdrainage.CPR-BasiclifesupportObservation of
Intravenous therapy.Bloodandbloodcomponent therapy,Collect/assist for
collection ofspecimens forinvestigations Urine,sputum,faeces, vomitus,
bloodandotherbodyfluids
Decontamination ofequipment andunit:Surgical asepsis:Sterilization ,
Handling sterilized equipment ,Calculate strengths of,solutions, Prepare
solutions,Careofarticles.
Preandpost-operative care:Skinpreparations forsurgery:Local,Preparation
ofPost-operative unit,Pre&post-operative teachingandcounselling. Pre
andpost-operative monitoring ,Careofthewound: Dressings ofminor
wounds, careofDrainage /Application ofBinders, Splints& Slings,
Bandaging ofvariousbodyparts.
First Aid training
Bandage, material used in bandaging, techniques of application of a roller
bandage, techniques of application of a triangular bandage. Different types of
knots and slings. First aid kit, articles and purposes .Application of splints,
plaster of paris, traction and strapping ,Definition, types of application ,
procedure ,Emergency Nursing care in -Wound,Haemorrhage ,Shock,Burns and
scald,Unconsciousness ,Epilepsy,Drowning, strangulation, choking, inhalation
of fumes,Poisoning & insect bites ,Respiratory and cardiac arrest ,Injuries to
bones, muscles, joints ,Miscellaneous conditions; dog bite, snake bite, heat
stroke, frost bites .4
References:
1. Salva Rose (2016), Career English for nurses
2. Liza Sharma (2018), English for Nurses
3. S S Randhawan (2017), First Aid and personal Hygiene Vol II
4. S S Randhawan (2017) ,First Aid

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5.Prema (2012), First for Nurses
6. Lakhwinder Kaur and Maninder Kaur, A text book of nursing foundation
7. Basavanthappa (2013) Nursing Foundation
Semester –2
General education: Credits
1Behavioral Sciences -Psychology and sociology
Unit I
Introduction -Definition, natureandscopeofpsychology. Importance of
psychology forNurses.Structure ofthemind-Conscious, pre-conscious, Id,ego
andsuperego.Psychology ofHumanBehavior-Basichumanneeds,dynamics of
behavior, motivation drives.Bodymindrelationship, mental health,
characteristics ofmentally healthy person,emotional control,psychological
problems ofpatientsandrelatives. Stress andconflicts, naturalsources and
typesofstressandconflicts, dealingwithstressandconflict, frustration –
sources andovercoming frustration .Mentalmechanism theirusesand
importance .Attitudes -meaning, development changesinattitude,effects
ofattitudes onbehavior, importance ofpositiveattitude forthenurse.Habits -
meaning andformation.Breaking ofbadhabits,importance ofgoodhabit
formation forthenurse.
Unit II
Learning-Nature,typesandlawsoflearning, Factorsaffecting learning, memory
andforgetting. Thinking andReasoning -Natureandtypesofthinking, reasoning,
problem solving, importance ofcreative thinking fornurse.Observation and
Perception -Attention, perception, lawsofperception, factorsaffecting attention
andperception, anderrorsinperception .Personality -Meaning, natureand
development, typesofpersonality .Assessment ofpersonality importance of
knowledge ofpersonality forthenurse.Characteristics ofvariousagegroups –
childadolescent, adultandaged.Willandcharacter .
Unit III
Introduction -Definition andscopeofsociology. Its relationship withother
socialsciences Usesofsociology fornurses.Individual -Reviewofhuman6

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growthanddevelopment .Thesocialization process. Effect ofenvironment on
humangrowthanddevelopment ,Rightsandresponsibilities oftheindividual
inademocratic society.TheFamilyDefinition, characteristics andtypesof
family.FamilycycleandbasicneedsoffamilyImportance ofinterdependence of
familymembers. Important functions offamilyandtheirproblems. Types of
Marriage, medicalandsociology aspectsofmarriage.
Unit IV
Society-Definition andmeaning.Social groups-Types,Structure, intergroup
relationship groupcycle,groupbehavior andgroupmorale.Social change-
Meaning, factorsaffecting andeffectonsocietyandinstitution leadingto
socialproblems. Social control, Social stratification Socialproblems-Prostitution,
crimedivorce,dowrysystem,juveniledelinquency, drugaddiction alcoholism,
handicapped, overpopulation andslum Social agencies andremedial measures.
TheCommunity -Community –Definition andtypes Rural andurban.Culture and
characteristics .
2Anatomy of Human Body –Life processes -I
Unit I
Thesenseorgans-Skin,eye,ear,noseandtongue.Physiology ofvision,
hearing,smell,touch,tasteandequilibrium. TheMuscular System-Type,
structure andfunctions ofmuscle, Origin, Insertion, andactionofmuscles
Unit II-
TheReproductive system-Structure andfunctions ofthefemalereproductive
system,Processofmenstrual cycle,reproduction andmenopause , Structureand
functions ofbreasts,Structure andfunctions ofthemalereproductive system,
Reproductive health
Unit III
The nervous system-Typesofnerves-structureandfunctions.Brainandcranial
nerves.Spinal cordandmotorandsensorypathways ofthespinal cord,
autonomic nervous
Unit IV
The Skeleton -Formation andgrowthofbones.Tendons, ligaments and6

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cartilages .Classification ofbones,joints.Jointmovement .Axialand
appendicular skeleton.
Skill Component:
Nursung foundation Practical -I
Administration ofmedications -Administer Medications indifferentformsand
routes, Oral,Sublingual andBuccal,Parenteral, Intradermal, s ubcutaneous,
Intramuscular etc.AssistwithIntravenous . Drug measurements anddose
calculations, Preparation oflotionsandsolutions. Administer topical
applications, Insertion ofdrugintobodycavity:Suppository & medicated
packing etc.Instillation ofmedicines intoEar,Eye,Noseandthroat,
Irrigations: Eye,Ear, bladder, VaginaandRectum,Inhalations: dryandmoist
Medicated/Nebulization, Identification of spurious drugs. Record date,time,
medication, dose,route andsignimmediately afteradministration.
Perform labtests:Urine:sugar,albumin, acetone, Blood:sugar(withstrip/
gluco-meter)Application ofhotandcoldtherapies: Local andgeneral, Dry and
moist.Communicating andassisting withself-careofvisually &hearing
impaired patients. Communicating andassisting withself-careofmentally
challenged / disturbed patients. Recreational anddiversional therapies. Caringof
patientwithalteration insensorium.
Careofdyingpatient-Providecarefortheterminally ill,Caringandpackingof
deadBody,Counseling andsupporting grievingrelatives, Handing overthe
body&valuables, Transferring to mortuary withproperidentification,
erminalcareoftheunit.
Infection control:Perform following procedures:Hand washing techniques,
Simple,handantisepsis andsurgicalantisepsis (scrub),Prepareisolationunitin
lab/ward, Practice technique ofwearingandremoving Personalprotective
equipment (PPE), Practice Standard safety precautions (Universal
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Nutrition
Methods of cooking and cookery rules. Simple preparation of beverages, soups,
cereals, pulses, eggs, vegetables & meat, Menu plans, Preparation of
supplementary foods for infants, Foods for toddlers, Low cost nutritious dishes
for vulnerable groups, Dietary case study of patient on special diet and planning
of low cost dietary instructions for home adaptations ,Planning of therapeutic
diets.Nutrition in-pediatric age group -from year 0 to 15 years, teenage,
adulthood, pregnancy, natal period and post natal period, Diseases wise nutrition
management –Diabetes Mellitus, hypertension (Blood pressure), Hypo and hyper
thyriodism, obesity, PCOD, starving, malnutrition.4
Computer education
Organization of business office. Basic awareness of manual and computerized
office systems and procedures. Introductory word processing, spreadsheet
preparation and data sorting and analysis, internet browsing4
References:
1.Babu (2018), Psychology for nurses
2. Basavanthappa (2010), Psychology for nurses
3. Nalini (2017), Principles of sociology for graduate nurses
4. Pandit (2016), Sociology for health professionals.
5. Krishna Garg (2018), Essentials of Anatomy and Physiology for GNM with
Clinical Importance.
6. Raju (2015), Anatomy and Physiology for General Nursing and Midwifery
7. Lakhwinder Kaur and Maninder Kaur, A text book of nursing foundation
8. Basavanthappa (2013) Nursing Foundation
9.Alpers ( 2016), Manual of Nutritional Therapeutics
10. John (2016), Essentials of Nitration and Dietetics for nursing
Semester –3
General education: Credits

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1.Anatomy of Human Body –Life processes -II
Unit I
Anatomical terms,Systemsandcavitiesofthehumanbody, The cell:Structure,
reproduction andfunction.Tissuesincluding membranes andglands:types,
structure andfunctions.Bodycavitiesandtheircontents. Composition and
formation ofbloodFunctions ofblood.Bloodclotting,bloodgrouping andcross
matching.Bloodproductsandtheiruse.
Unit II
TheCirculatory System-Heart:Structure, functions including conduction
systemandcardiaccycle.Bloodvessels:Types,Structure andposition.
Circulation ofblood,Bloodpressureandpulse
Unit III
TheLymphatic system-Structure andfunctionoflymphvessels,Lymphnodes
andlymphcirculation, lymphatic tissue-spleenandthymus. The
Respiratory system-Thestructure andfunctions ofrespiratory organs. The
physiology ofrespiration. Characteristics ofnormalrespiration anddeviation.
Unit IV
TheDigestive system-Structure andfunctions ofthealimentary tractandis
accessory organs.Theprocessofdigestion, absorption andmetabolism offood
constituents. TheExcretory system-Structure andfunctions ofthekidney,
ureters,urinarybladder, andurethra. Formation andcomposition ofurine.Fluid
andelectrolyte balance.Structure andfunctions oftheskin. Regulation ofthe
bodytemperature.6
2.Nursing foundation
Unit I
Introduction toNursing-Nursing –concept, meaning,definitions,scope and
functions. History ofnursing inIndia.Nursing asaprofession.Nursing
professional –qualities and reparation. Ethics inNursing-rolesand
responsibilities ofanurse.Healthcareagencies –hospitalandcommunity service
–typesandfunctionofhospitals healthteam.Modern approaches toursingcare
including holisticnursingcare.6

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Unit II
Nursingcareofthepatient-PatientEnvironment inthehospital: Patientsunit,
Therapeutic environment,Physical factors –lighting temperature, ventilation,
humidity, noise,pestilence.Safety needs,prevention ofenvironmental
hazard.Psychosocial andaesthetic factors. Patient ’sAdjustment tothe
Hospital.Understanding thepatientasaperson,socio-economic, andcultural
background, healthstatusetc.Effect ofhospitalization onpatientand
family.Admission, transfer, discharge procedures, BasicNursing Skills,
Communication, Nursing interview,Recording andreporting, NursingProcess,
Meaning andimportance, Assessment, Nursing diagnosis Planning,
Implementation andEvaluation
Unit III
MeetingtheBasicNeedsofapatient-Physical needs,Comfort, rest,sleepand
exercise,Importance anditspromotion -Bodymechanics –moving, lifting,
transferringPosition andposturemaintenance ,Comfort devices,Bedsandbed
making –Principles ofbedmaking,typesandcareofbedlinenSafetydevices,
restraints andsplints.Exercises –ActiveandPassive
Elimination needs, Health andsickness, Problems –constipation anddiarrhea,
retention andincontinence ofurine.Nurse ’sroleinmeetingelimination needs.
Offering bed-panandurinal, Observing andrecording abnormalities. -
Preparation andgivingoflaxative, suppositories, enemas,bowelwash,flatus
tube.Perinealcare,careofpatientwithurinarycatheter, diapers.-Maintenance
ofintakeandoutputrecordsNutritional needs, Diet inhealthanddisease,
Factorsaffecting nutritioninillness,Nurse ’sroleinmeetingpatientsnutritional
needs.Modification ofdietinillness.Diet planning andserving. Feeding helpless
patients including artificial methods offeeding, Importance .Nurse ’srole-
Diversional andRecreational therapyCareofterminally illanddyingpatient,
Dyingpatient ’ssignsandsymptoms needsofdyingpatientandfamily,Nursing
careofdying-:special considerations; advancedirectives, euthanasia, will,
dyingdeclaration, organdonation etc. Medico legalissues,Careofthedead
body, Care ofunitAutopsy

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Unit IV
Assessment ofpatient/client -Physical Assessment Importance, principles,
methods ofassessment ,Height,Weight,posture,Headtotoeexamination.
Physiological Assessment, Vital signs,normal,abnormal, Characteristics, factors
influencing thevariations, Observation andcollection ofspecimens -urine,stool,
vomitusandsputum.Psychological Assessment, Mood, Intelligence, Emotions
NormalandAbnormal behavior
Infection control-Infection control:Natureofinfection, Chain ofinfection
transmission, Defence againstinfection: naturalandacquired, Hospital
acquired infection (nosocomial infection) Concept ofasepsis: Medical and
surgicalasepsis, Isolation precautions ,barriernursingHandwashing :simple,
handasepsis,surgicalasepsis(scrub),Isolation –sourceandprotection ,Personal
protective equipments types, usesandtechniques ofwearing
andDecontamination ofunitandequipment .Transportation ofinfectedpatient-
Standard safetyprecaution, Transmission basedprecautions, Bio-medicalwaste
management, Importance -Typesofhospitalwastes,hazardsassociated with
hospital waste, Decontamination ofhospital waste, Segregation and
transportation, Disposal .
3.Child health and nursing
Unit I
Introduction -Modernconceptinchildhealthcare.Trendsinpediatric nursing.
Roleofpediatric nursesinchildcareEmerging challenges, nursing process
relatedtopediatric nursing Concept ofpreventive pediatric. Vitalstatisticsrelated
to pediatrics aspertheNRHSandGoI.Growth&Development -Definition,
principles, factorsaffecting growth&development, techniques ofassessment,
plottingofgrowthchart,b)Infant:Growth&Development, healthpromotion,
breastfeeding&weaning, immunization, infantandyoungchildfeedingc)
Toddler:Growth&Development, nutritioncounselling, toilettraining,
safety,prevention ofaccidents, play.d)Preschoolers Growth&development
Daycare centersRoleofParentsinsexeducation e)SchoolagerGrowth&
development, rest,sleep,physical exercises &activity,dentalhealth,sex6

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education f)Adolescent -Growth&development, adaptation topuberty,menstrual
hygiene, nutritional guidance, sexeducation, RoleofParentsinhealth
promotion ofadolescents -Control ofirondeficiency anemia(WIFS
guidelines) .
Unit II
Thesickchild-Child’sreactiontohospital, Effectofhospitalization onthe
familyofthechildRoleofnurseinhelpingchild&familyincoping,withstress
ofhospitalization &illnessPediatric procedures: Preparation ofchildfor
diagnostic tests,collection ofspecimens. Calculation &Administration oforal&
parenteral medication, Procedures relatedtofeeding, Katori& Spoon,Ryle ’s
tube&gastrostomy, Procedures relatingtoelimination –Enema-Colostomy
irrigation Administration &analysisofoxygenconcentration, steaminhalation,
nebulization, Otherprocedures: Pediatric Resuscitation, Surgical dressing.
Disorders andhealthproblems ofachild,Infancy:Failuretothrive, Diarrhea
&Vomiting, Childhood, Communicable diseases, Tonsillitis, Otitis media, Child
abuse, Breath holding spasms, Enuresis, nailbiting,thumb sucking,
somnambulism, Protein EnergyMalnutrition, Helminthic infections, Bites and
stings, Pica, Tics, Adolescent, Precocious puberty, Gynecomastia, Accident, sport
injuries, Obesity &anorexianervosa, Juvenile delinquency
Unit III
Childwithcongenital disorders: Etiology, signsandsymptoms, diagnosis,
complications andmedical, surgical&nursing management ofchildren
with:Malformations ofCNS,cranial deformities, spinabifida,
hydrocephalus, cerebralpalsy,meningocoele. Skeletaldefects,cleftlip&cleft
palate. Gastro intestinal tract defects, fistula,anorectal malformations,
hernia, Congenital hypertrophied pyloricstenosis. Defects ofGenito-urinary
Tract–hypospadiasis &epispadiasis, extrophy ofbladder,phimosis &
paraphimosis, cryptorchidism, polycystic kidney, Sexual abnormalities,
ambiguous genitalia, Defects ofcardiovascular system,cyanotic and
acyanotic-TOF(Tetralogy ofFallouts), TGV(Transposition ofGreatVessels),
TAPVC,ASD, VSD,Coactation ofaorta,PDA, Orthopedic abnormalities -

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congenital talipusequinovarus, congenital dislocation ofhipsChromosomal
abnormalities, Down’ssyndrome, Turner’ssyndrome
Unit IV
Children withvarious disorders anddiseases-Etiology, signsand
symptoms, complications, prevention, medical, surgical&nursing management of
:RenalSystem,Nephrotic Syndrome, Acute Glomerulonephritis, ARF &CRF,
Resp.System, URI andLRI, Asthma, Pneumonia. GISystem, Intestinal
obstruction (Mechanical), Hirschspr ung’sdisease, Malabsorption Syndrome,
Inflammatory conditions, appendicitis, Meckel’sdivertculum, ulcerative colitis.
CVSSystem,Rheumatic fever,CCF,Infective endocarditis Hematological
System, Anemia, Leukemia, Thalassemia, Hemophilia, Sickle cellanemia,
Thrombocytopenic purpura, Neurological System, Meningitis, Encephalitis,
Convulsive disorders,Cranio-cerebral trauma, Endocrine, Pituitary disorders,
Hypo&Hyperthyroidism, Juvenile Diabetes, Adrenal disorders, Developmental
problem, Handicapped children, Mental Retardation Dyslexia, Hearing &Vision
impairment, Others:Fluid andelectrolyte imbalance, Burns, Problems with
locomotion: Poliomyelitis, Osteomyelitis, Kyphosis, lordosis,scoliosis, Fractures,
Preandpostoperative careofchildrenundergoing surgery. Childwelfare
services-Lawpertaining toPediatrics: National childlabourpolicy, Child act,
Juvenilejusticeact,Internationally accepted rightsofthechild,Rehabilitation of
delinquent &destitutechildren,Adoption lawsandservices,Adolescent health
programs ,menstrual hygiene,WIFSprogram, adolescent safetyprogram
Skill component:
Child Health Nursing -Practical
Takingpediatric History, Perform physical examination andassessment of
children, Administration oforal,I/M,&I/V,medicine/ fluid, Calculation of
fluidrequirements, Prepare different strengthsofI.V.,fluids, Apply restraints
-Administer O2inhalation bydifferent methods, Feed children by
katori(bowl)andspoon,pallada etc. Collect specimens forcommon,
investigations, Assistwithcommon diagnostic procedure, Teach mothers/16

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parentsonbalance dietforchildofdifferent agegroup, Oral rehydration
therapy, Feeding &weaning, Play therapy, Check vitalsigns, Give enema, insert
suppositories, Dobowelwash, Care forostomies: Colostomy irrigation
Ureterostomy, Gastrostomy, Enterostomy, Urinarycatheterization anddrainage,
Feeding, Nasogastric, Gastrostomy, Jejunostomy, Careofsurgical, wound
dressing, Suture removal, Assessment ofchildren, Healthassessment,
Developmental assessment, Anthropometric assessment, Immunization, Health/
nutritional education.
Mental Health Nursing -Practical
Historytaking-Perform mentalstatusexamination, Assistin pyschometric
assessment, Observe andassistintherapies, Teach patients andfamily
members, History taking, Perform mentalstatusexamination, Observeandassist
intherapies, Health education offamilymembers andsignificant others,
Counselfamily members and significant others, History taking, Perform
mentalstatusexamination, Observe andassistintherapies, Provide nursing
caretothementally illpatient, Health educate familymembers and
significant others.
References:
1. Krishna Garg (2018), Essentials of Anatomy and Physiology for GNM with
Clinical Importance.
2. Raju (2015), Anatomy and Physiology for General Nursing and Midwifery
3. Pooja Jain and Neelam Kumari, A textbook of computers in nursing.
4.Lakhwinder Kaur and Maninder Kaur, A text book of nursing foundation
5. Basavanthappa (2013) Nursing Foundation
6. Manoj Yadav, Child Health Nursing with Procedures
7. Padmaja (2016), Textbook of Child Health Nursing
8. Padmaja (2014), Pediatric Nursing Procedure Mnaual
9. R K Gupta , New Approach to Mental Health Nursing
10. Theodore (2015), Textboo k of Mental Health Nuring Vol I & II.

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Semester –4
General education: Credits
ClinicalPharmacology and Microbiology
Unit I
Administrationof medication: GeneralPrinciples/Considerations, Purposes of
medication Principles: Rights,special,considerations, prescriptions, safetyin
administering ,edications andmedication errors, Drugs forms,Routesof
administration Storage andmaintenance ofdrugsandnursesresponsibility,
Broadclassification ofdrugs Therapeutic effect,sideeffect,toxic effect,
allergicreaction, drugtolerance, druginteractions, Factors influencing drug
actions, Systems ofdrugmeasurement: metricsystem,household measurements.
Converting measurements units:conversion withinonesystem,between systems,
dosagecalculations.Terminologies andabbreviations usedinprescription of
medications. Oral drugadministration: oral,sublingual, buccal:equipment and
procedure. Parentral: Generalprinciples ,Typesofparentral therapies.Types of
syringes, needles, canulasandinfusion sets,Protection fromneedlestick
injuries, givingmedications withasafetysyringe.
Unit II
Routesofparentral therapies: Purposes, siteequipment, procedure andspecial
considerations ingivingintradermal, subcutaneous, intramuscular and
intravenous medications. Advanced techniques :epidural,intrathecal,
intraosseous, intraperitoneal, intrapleural, intraarterial. RoleofnurseTopical
administration: purposes, site,equipment, procedure, special considerations
forapplications toskinandmucousmembrane. Directapplication: Gargle,
throatswab,Insertion ofdrugintobodycavities:nasalpack,suppositories /
medicated packingintorectum/vagina,Instillations: ear,eye,nasal,bladder
andrectal.Irrigations: eye,ear,bladder,vaginalandrectal.Spray:noseand
throat.Inhalations: nasal,oral,endotracheal, tracheal(steam,oxygenand
medications) –purposes, types,equipment, procedure and special considerations.
Recording andreporting ofmedications6

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Unit III
Historyofbacteriology andmicro-biology. Scopeofmicrobiology inNursing.
MicroOrganisms -Classification, characteristics, (Structure, size,method
andrateofreproduction) .Normalfloraofthebody.Pathogenesis &common
diseases. Methods forstudyofmicrobes, culture&isolationofmicrobes.
Unit IV
Infection anditstransmission -Sourcesandtypesofinfection, nosocomial
infection. Factorsaffecting growthofmicrobes.Cycle oftransmission of
infection portalsofentry,exit,modesoftransfer.Reaction ofbodytoinfection,
mechanism ofresistance. Collection ofspecimens.
Controlanddestruction ofMicrobes -Principles andmethods ofmicrobial
control –Sterilization, Disinfection, Chemotherapy andantibiotics Pasteurization.
Medicalandsurgicalasepsis. Bio -safetyandwastemanagement
Skill Component: Credits
Community health nursing –Practical -I
Conducting Homevisits.Nutritional assessment ofindividuals. Provide
care athomeasperStanding Orders/protocol. Conduct health
Education. Setupofdifferent Clinics.Maintain Records &Reports. Practice
familyhealthnursing. Demonstrate differentmethods ofpreparation ofMeals.
Heamoglobin detection camp.
Awareness program son-Hygiene, Hea lth, Disease, HIV.
Blood group detection camp
The student will work in the mobile clinic, be allotted families for gaining
experience in identifying family health needs, health counseling and
guidance and family budgeting, for optimum health.
The students will be given opportunity to participate in the activities of
primary health centre, sub -centre, MCH centre. Visits will be made to
selected health welfare agencies.
Microbiology Practical
1.Visit to Microbiology department demonstration of equipment used in20

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bacteriology
2.Use of microscope and demonstration of characteristics of bacteria, cocci,
bacilli, spirochetes.
3.Staining techniques and preparation of culture media
4.Autoclave, hot air oven and chemical methods of sterilization
5.Demonstration of Fungi, protozoa, helminths, virus and Rickettsia
References:
1.Joginder Singh ( 2017), Textbook of Pharmacology for B Sc nursing
2.P P Singh Uppal, A Textbook of Pharmacology
3.Anthikad (2013), Medical Microbiology for Nurses
4.Arora, Essentials of Microbiology for B Sc nursing students
5.Dash (2017). A Comprehensive Textbook of community health nursing as
per INC syllabus
6.6.Kamalam (2017), Essentials in Community health Practice
7.
Semester –5
General education: Credits
1Medical surgical nursing -I
Unit I
Briefhistoryofevolution ofmodernmedicine andsurgery. Theories ofillness
anditscausation -Illnessashumanexperience ReviewofNursingprocessand
Nursing careplan.Nursingassessment -HealthAssessment, Health history,
Physical examination, Nutritional assessment, General clinicalinvestigations.
Pathophysiological mechanism ofdisease-Stressadaptation stressors,
management, Nursing interventions Inflammation, Defense againstinjury,
Nutritional consideration, Alteredimmune response-Overview ofnormal
immune system, Altered immune, response, hypersensitivity andallergy,
Assessment ofimmune system, Diagnostic evaluation, Allergy
disorders:Anaphylaxis, Allergic rhinitis, Contact dermatitis, Atopic
dermatitis. Drug reactions Foodallergy, Serum sickness, Latex allergy,6

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Approaches totreatallergic diseases, nursingmanagement clientwithaltered
immuneresponse, Auto immunedisease,Rheumatoid arthritis, SLE, Ankylosing
spondylitis, Graft versushostdisease.
Unit II
Fluidandelectrolyte balanceandImbalance -Watercontentsofbody,electrolyte
andAcid–Basebalance, Homeostasis, Review mechanism ofregulating fluid
andelectrolyte movement, Fluid andelectrolyte Acid-Baseimbalance andits
management Operation theatretechnique: Physical Environment, Operation
theatreroomcleaning oftables,trolleys,lightsandotherequipments, Pre -
operative holding areas.Theatre Technique -Scrubbing ,Hand
washing,Gowning,Gloving, Positioning ofpatient forvarious surgical
procedures,Draping ofpatient. Preparation oftheatre, equipment and
supplies,Cleaning,Needles, suturestypesandtheiruses. Carbolization, ETO
sterilization, fumigation, OTswab,Bacillocid sterilization. Packing and
sterilization ofdressings, linenrubberwaresuturematerial, instruments.
Management ofpatientundergoing surgery-Preoperative preparation and
care,Physical,Psychological,Pre -medications,Legal andethical,Intra operative
management,Surgical Team, Nursing activities andresponsibilities, Anesthetic
agents,Role ofnurseinanesthesia, Postoperative Management,Immediate care
Transferring patientfromoperation theatre, Patient inrecoveryroom,
Recovery fromAnesthesia, Post operative observation andnursing
management,Carryout thepostoperative orders.Postoperative complication
observation and prevention
Unit III
Nursing management ofpatientwithimpaired respiratory function and
gaseousexchange
Assessment ofrespiratory function, History,Physical examination,Diagnostic
evaluation, Care ofpatientinrespiratory intensive careandventilator careand
respiratory function, Management ofPatientwithdisorders ofupperrespiratory
airway. Obstruction ofupperairway, Epistaxis, Sinusitis, Pharyngitis, Tonsillitis,

Page 23

Laryngitis, Deviated nasalseptum, Management ofpatientwithdisorders ofthe
chestandlowerrespiratory tract.Management ofpatientwithimpaired.Lung
abscess,Empyema, Bronchial asthma, COPD, Pneumothorax, Pneumonia,
Bronchitis, Bronchiectasis, Trauma, Pulmonary Tuberculosis/DOTS, Pulmonary
embolism, Pulmonary edema, Lung tumors, Disorders ofpleuraandpleural
space, Lung surgery, Respiratory failure,Acuterespiratory distresssyndrome,
SARS, Alternate therapies, Drugs usedintreatment ofdisorderofrespiratory
system
Nursingmanagement ofpatientwithgastrointestinal disorders
Assessment ofgastrointestinal function-History, Physical examination,
Diagnostic evaluation,Management ofUppergastrointestinal disorders,
Parotitis,Stomatitis,Glossitis,Gingivitis, Pyorrhea, Dental caries, Halitosis,
Dysphagia,Achalasiacardia, Gastro Esophageal RefluxDisease(GERD)
Cancerofesophagus, Hiatus hernia, Gastritis, Gastric andduodenal ulcers,
Gastriccancer, Gastroenteritis, Esophageal fistula, Peritonitis, Care ofpatient
with gastro intestinal intubation andspecial nutritional
management.Management ofpatientwithlowergastrointestinal disorders:
Helminthiasis, Constipation, Diarrhea, Fecal incontinence, Irritable Bowel,
Syndrome (IBS),Appendicitis,Diverticular disease, Crohn’sdisease,
Ulcerative colitis, Intestinal obstruction, Colitis, TB abdomen, Colorectal
cancer,Polyps ofcolonandrectum, Ano rectalabscess, Anal fistulaandfissure
Hemorrhoids, Alternate therapies, Drugs usedintreatment ofGIdisorders
Unit IV
Nursing management ofpatients withmetabolic andendocrinal
disorders: Assessment ofHepatic andbiliaryfunctions,History, Physical
examination, Diagnostic measures, Management ofpatients withhepatic
disorders, Jaundice, Hepatic cirrhosis, Portal hypertension, Ascites, Hepatic
Encephalopathy andcoma, Viral hepatitis, Tumors andcystoftheliver,Liver
abscess. Management ofpatients withbiliary disorders, holecystitis,
Cholelithiasis, Choledocolithiasis, Acute andchronic, pancreatitis, Cancer of

Page 24

pancreas. Assessment ofEndocrinal function. History, Physical examination,
Diagnostic evaluation, Management ofendocrinal disorders, Pituitary disorders,
Thyroiddisorders, Hyperthyroidism ,Hypothyroidism, Thyroid tumors, Goiter,
Parathyroid disorders, Pancreas, disorder, Diabetes mellitus, Adrenal disorders,
Pheochromocytoma,Addison ’sdisease,Cushing’ssyndrome, Tumors ofthe
endocrine glands,Alternate therapies,Drugsusedintreatment ofmetabolic and
Endocrine disorder
Nursingmanagement ofrenalandurinary disorders
Assessment ofrenalandurinaryfunctions,History,Physicalexamination
Diagnostic evaluation ,Management ofpatientswithrenalandurinarydisorders,
Urinaryretention andincontinence, Urinary tractinfection, Acuteandchronic
glomerulonephritis, Pyelonephritis, Urolithiasis, Renal calculi, Trauma ofkidney,
bladder,urethra, ureters, Urinary strictures, TB ofurinarytract, Neurogenic
bladderdysfunction, Renal cystandrenalabscess, Nephrotic syndrome, Acute
andchronicRenalfailure, Uremia, Acute andchronicnephrosis, Tumor –benign
andmalignant, Care ofpatientonhemodialysis andperitoneal dialysis, Care of
patientwithrenaltransplant ,Assessment ofmaleGenitourinary function, History
Physical examination ,Diagnostic evaluation, Disorders ofmalegenitourinary
tractanditsmanagement, Hydrocele,Phimosis, Benign andmalignant prostatic
hypertrophy ,Orchitis, Epididymoorchitis, Cancer penis, Alternate therapies,
Drugsusedintreatment ofrenalandUrinarydisorders
Nursing management ofpatients withneurological disorders: Assessment
Neurological functions, History, Physical examination Diagnostic evaluation,
Management ofpatients withneurologic dysfunctions, Altered levelof
consciousness, Increased Intracranial pressure, Intracranial surgery, Management
ofpatientswithneurological disorders, Headache, Migraine, Seizures, Epilepsy,
Statusepileptics ,Cerebrovascular disorder –CVA, Neurological trauma –Head,
brain,spinalcord,subdural andextradural hematoma, Neurologic infection,
Meningitis, Brainabscess, Encephalitis, Degenerative disorders.Multiple
sclerosis, Myasthenia gravis, Guillain –Barresyndrome. Parkinsonism,

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Alzheimer disease, Neuralgia, Bell ’sPalsy, Peripheral neuropathies, Brain and
spinalcordtumors, Huntingto n’sdisease. Muscular Dystrophies, Herniation of
theintervertebral disc, Alternate therapies, Drugs usedintreatment of
neurological disorders.
2Medical surgical nursing -II
Unit I
Oncology Nursing: Nursing management ofpatients withoncological
conditions,Structure &characteristics ofnormal&cancercells,Nursing
Assessment, History andPhysical assessment, Prevention, Screening, Early
detection, Warning signsofcancer,Epidemiology, Etiology, Classification,
Pathopysiology, staging, clinical manifestations, diagnosis, treatment
modalities andmedical &surgical nursing management ofoncological
conditions, Common malignanacies ofvariousbodysystems:Oral,larynx,lung,
stomach andColon,Liver,Leukemias andlymphomas, Breast,Cervix,Ovary,
uterus,Sarcoma, Brain,Renal,Bladder,Prostateetc. Oncological emergiences,
Modalities oftreatment, Immunotherapy, Radiotherapy ,Surgical Interventions,
StemcellandBonemarrow transplants, Gene therapy, Otherformsoftreatment,
Psychosocial aspectsofcancer, Rehabilitation, Palliative care:symptom andpain
management, Nutritional support, Home care,Hospice care,Stomal
Therapy,Special therapies,Psycho socialaspects,Nursingprocedures, Alternate
therapies, Drugs usedintreatment ofoncological disorders. Nursing
Management ofpatients withdisorders ofBreast.Assessment ofbreast,
History, Physical examination, Diagnostic tests Breast selfexamination,
Disorders ofbreast, Mastitis, Breast abscess, Gynaecomastia, Tumors and
Malignancy ofbreast, Nursing management ofapatientaftermastectomy
Unit II
Nursing Management ofpatient withdiseases anddisorders of
integumentary system-
NursingAssessment ,History, Physical assessment, Etiology, Pathophysiology
Clinical manifestions, Nursing management ofdisorders ofskinandits
appendages, Lesions andabrasion, Infection andinfestations Dermititis,6

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Dermatoses; infectious andNoninfectious, Inflammatory dermatoses, Acne
Vulgaris, Allergies andEczema, Psoriasis, Malignant Melanoma, Alopecia-
Infestations,Bacterial infections, Pyoderma, Impetigo, Folliculitis, Furuncles,
Carbuncles, Viral infections, Herpes zoster, Herpes simplex, Fungal infection,
Athlete’sfoot(TantaPedi’s), Parasitic infestation, Pediculosis, Scabies,
Pemphigus, Stevens-Johnsonsyndrome, Skin cancer, Special dermatological
therapies,Burnanditsmanagement ,BurnsPlasticSurgery,Incidence, causesof
burns,Types&classification ofburns, Pathophysiology, Calculation ofthe
percentage, Local &systematic effectsofburns, Immediate care, First aidcare,
MedicalManagement, barriernursingcareoftheburns, Complications, Health
education, PlasticSurgery, Defineplastic&reconstructive surgery
Types-Defineskingraftflaps, Possible complication, Preparation ofpatientfor
constructive surgery,Postoperative care, Health Education, Alternate therapies
Drugsusedintreatment ofintegumentary disorders
Unit III
Ophthalmology AndOphthalmic Nursing-Reviewofanatomyandphysiology
ofeye,Assessment offunctionofeyes.History,Physical exam,Diagnostic tests-
tonometry, Snellen’schart, Infections and Inflammations
conditions,Blepharitis,Stye, Chalazion, Entropion, Ectopion, Dacrocystitis,
Conjunctivitis, Trachoma, Pterydium, Keratitis, Corneal ulcer, Degenerative
Conditions, Cataract, Retinopathy,Retinal detachment,Miscellaneous, Strabismus,
Refractive errors,Tumors,Color blindness, Nigh Blindness, Total blindness,
Preventive andRehabilitative aspects, National programs onBlindness and
trachoma, Current trendsinManagement ofOphthalmic conditions, Hospital
cornealretrieval, Grief counseling, Eye Collection, Counselling, Obtaining
consent foreyedonation, Eye banking inIndia, Ocular Emergencies,
Glaucoma,Foreign body, Acid /Alkaliburns, Trauma totheeye.Eye
Immigration,Instillation ofeyedropsandointment,Cold andhotcompress, Eye
dressingandbandage,Assisting forsacsyringing,Assisting forremovalofforeign
body,Alternate therapies,Drugs usedintreatment ofeyedisorders,Nursing

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Management ofPatientwithDisorders andDiseases ofEar,Noseand
Throat.Ear-ReviewofAnatomy andphysiology ofEar, Assessment offunction
ofear, History, Ear examination, Diagnostic tests, Diseases anddisorders ofthe
ear,External earOtitis, Foreign body, Impacted cerement,Furunculosis, Middle
ear,Otitismedia, Mastoiditis, Perforation ofeardrum,Internal ear,Presycusis,
Labryinthitis, Meniere ’sdisease, Otosclerosis, Deafness, Conductive deafness,
Neuraldeafness, Tumors oftheearandauditory nerveInsufflations of
Eustachian tube.Nose-Review ofAnatomy andphysiology ofnose
Assessment offunctions ofnose, History, Examination ofnose Diagnostic tests,
Diseases anddisorders ofnose,Infections -Rhinitis, Sinusitis, Obstruction,
Polyps.Foreign bodyDeviated nasalseptum Trauma –fracture of
nasalboneandepitaxies.
Throat-ReviewofAnatomy andphysiology ofThroat,Assessment ofthe
functionofthroat, History, Examination ofthroat, Diagnostic tests, Diseases and
disorders ofthroatinfections andinflammation, Tonsillitis, Pharyngitis,
Adenoiditis, Laryngitis, Tumors, Injury andforeignbody. Alternate therapies,
Drugsusedintreatment ofENTdisorders
Nursing Management ofPatientwithcardiovascular, circulatory and
Hematological disorders -CardioVascular -Reviewofanatomy andphysiology
ofheartandcirculatory system, Assessment offunctions ofheartandvascular
system, History, Physical exam, Diagnostic tests, Diseases anddisorders ofcardio
vascular system,Coronary Arterydisease, Arrhythmia Coronary Arterydisease,
Angina pectoris, Coronary atherosclerosis ,Myocardial infarction, Valvular
heartdisease, Mitral stenosis, Aortic stenosis, Incompetence, regurgitation,
Tricuspid stenosis, Pulmonary stenosis, Inflammation andinfections,
Pericarditis, Myocarditis, Endocarditis, Rheumatic fever, Heart block,
Complication ofheartdisease, AcuteHeartfailure(Pulmonary Edema),
Chronic (Congestive Cardiac failure)Cardiogenic shock,Pericardial effusion,
cardiac tamponade, Cardiac emergencies, Cardiac arrest, Shock, Vascular
disorders, Arterial disorders,Berger’sdisease (TAO), Arterial ulcers,

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Arteriosclerosis, Aneurysm, Thrombosis andemboli, Raynaud’sdisease,
Hypertension, Venous disorder,DeepVeinThrombosis (DVT), Venous
insufficiency, Venous ulcer, Varicose vein, Cellulitis, Lymphatic disorders,
Lymphangitis &Lymphadenitis ,Lymphedema &elephantiasis. Hematological
disorders -Review offunction andstructure ofbloodcomponents ,
Assessment, History, Physical examination, Diagnostic tests, Diseases and
disorders ofbloodanditscomponents ,Anemia, Thalassemia, Polycythemia,
Leukopenia andneutropenia, Leukocytosis &leukemia, Lymphomas Hodgkin
&NonHodgkin diseases, Multiple myeloma, Bleeding disorders,
Thrombocytopenia, Purpura, hemophilia, Acquired coagulation, Disorders –
Liverdisease,Vitamin Kdeficiency, DICAlternate therapiesDrugs usedin
treatment ofcardiovascular circulatory andhematology disorders
Unit IV
Nursing Management ofPatients withcommunicable diseases
Assessment, History, Physical examination, Diagnostic tests, Review of
infection, modeoftransmission, itsprevention andcontrol Preparation, care
andadministration ofantiseraandvaccinesIsolation, Management ofvarious
infection diseases C ausedbyVirus;Measles,Chicken pox, Swine flu, Ebola,
Dengue,Chicken guinea,Influenza,Mumps,Encephalitis,Infective hepatitis,
Poliomyelitis, Rabies ,AIDS, Caused byBacteria; Diphtheria’ Whooping
cough’,Tetanus, Typhoid, Dysentery, Gastroenteritis, Cholera ,Meningococcal
Meningitis, Tuberculosis, Plague, Leptospirosis Vectorbornediseases;
Malaria, Filariasis, Yellow fever, Dengue, Any otherprevailing diseases,
Alternate therapies, Drugs usedintreatment ofcommunicable disorder.
Nursing Management ofPatients withSexually Transmitted deiseases -
Assessment,History,Physical examination,Diagnostic tests,Sexhealthand
hygiene, Syndromic Management ofsexually transmitted disease, Gonorrhea,
Syphilis, Granuloma Venerium, Chanchroid granuloma, AIDS,Genital herpes.
Nursing Management ofPatients withmusculo skeletaldisorders and
diseases-ReviewofAnatomy andPhysiology ofmusculo skeletalsystem,

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Assessment, History, Physical examination, Diagnostic tests, Infections and
inflammations, Septic arthritis,Gonococcal arthritis, Osteomyelitis, Tuberculosis
ofthespineandbones, Sprains, Dislocations, Fracture ofspineand
extremities, Degenerative conditions ofjoints,spine, Tumors, Amputation and
prosthesis, Deformities -Congenital andacquired, Range ofmotionexercises,
Careofpatient:Skin andskeletaltraction, Orthopedic splints, POP application
andremoval, Neurogenic, bladder, Preparation forbonesurgery, Use of
orthopedic assistdevices, Crutches, Canes, Walker, Alternate therapies , Drugs
usedintreatment ofmusculo-skeletaldisorders disorders.
3Midwifery
Unit I –20
Introduction: Definition ofmidwifery andobstetrical nursing, Scope of
midwifery, Basic competencies ofamidwife, History ofmidwifery, Trends of
maternity servicesinIndia, Vital statisticsrelatedtomaternal healthinIndia.
Reproductive system-Reviewofstructure andfunctionoffemale,reproductive
system, Female pelvis–structure, typesanddiameters
Embryology andfoetaldevelopment -Oogenesis, spermatogenesis, fertilization
andimplantation. Embryology andFetaldevelopment
Placenta andmembranes:Structure,Functions,Abnormalities,Liquor amni,
Umbilical cord. Fetal skull: Structure, Diameters, Fontanels andsutures, Fetal
circulation.
Normal pregnancy anditsmanagement -Pre-conception care, Genetic
counseling, Physiological changesinpregnancy, Diagnosis ofpregnancy
History, Signs &symptoms, Antenatal care: History taking, Calculation of
expected dateofdelivery,Examination andinvestigations, Health Education and
counselling, Drugs andimmunizations, Minor disorders andtheirmanagement
Unit II
Normallabouranditsmanagement -Definition andstages,Causesandsigns
ofonsetoflabour, True andfalselabour,.First stageoflabour: Physiology,
Monitoring usingpartograph anditsinterpretation. Careofmother:physicaland6

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psychological, Painmanagement, Setting upofthelabourroomincluding
newborn corner.Second stage:Physiology andmechanism, Monitoring,
Conduction ofnormaldelivery, Episiotomy, Essential newborn care, Third stage:
Physiology andsigns, Active management ofthirdstage, Examination ofthe
placenta, Episiotomy suturing, Fourth stage: Physiology ,Careofthemotherand
baby, Postpartum family planing. Management ofnewborn -
Assessment,Physiological adaptation, Apgar scoring, Examination for
defects,Breast feeding-BFHI Care ofnewborn -Skin,eyes,buttock setc,
Bondingandroomingin, Minor disorders ofnewborn: Birth marks,rashes,skin,
Infections, sorebuttocks, Infection ofeyes.
Management ofnormalpuerperium -Definition andobjectives ofcare
Physiological changes, Postnatal counselling, Lactation andfeeding, Care during
puerperium –breastandperinealcare,postnatal exercise,postnatal examination,
followup,familywelfare, Minor ailmentsandmanagement. Family planning
Unit III
Management ofcomplications duringpregnancy -Bleeding inpregnancy,
Earlyandlate, Ectopic pregnancy,Abortion,Antepartum hemorrhage,Vesicular
mole,Hyperemesis gravidarum, Gestational diabetes mellitus, Pregnancy
induced hypertension,Pre eclampsia, Eclampsia, Hydromnios –polyand
oligo,Pelvic inflammatory diseases,Intra uterinegrowthretardation, Post
maturity, Intra uterinedeath.
Highriskpregnancy: Monitoring -NST,USG, Anemia, Jaundice, Viral,
Urinarytractinfections, Hearts diseases, Diabetes, AIDS andSTD’s,
Osteomalacia, Teenage pregnancy, Elderly Primigravida, Multipara, Multiple
pregnancy. Management ofhighrisklabour-Malposition, malpresentations,
Contracted pelvis, Abnormal uterineactions,Cervical Dystocia,Premature rupture
ofmembranes,precipitate andprolonged labour,induction oflabourobstructed
labour, Obstetrics Emergencies -Cordprolapse, cordpresentation, amniotic
fluidembolism, obstetric shock,rupture ofuterus,shoulder dystocia, vasa
previa.Complications ofthirdstage,Postpartum Hemorrhage, Atonic uterus,

Page 31

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vaginitis, Moniliasis, Metritis,Salpingitis, Oophritis, Cervical erosions, Pelvic
Abscess, Chronic infection, Pelvic inflammatory disease,Pelvictuberculosis,
SexuallyTransmitted Diseases, Syphilis, Gonorrhea ,Warts, HIV
Unit III
Gynaecological disorders -Retroversion, retroflexion, Fistulas, Uterine
displacement &prolapse (Procidentia), Uterinemalformations, Cysts and
fibroids, Uterine polyps, Tumors ofthereproductive tract –benignand
malignant, Palliative careandrehabilitation, Breastdisorders -Reviewmastitis,
breastengorgement, breastabscess, Tumors ofthebreastbenignandmalignant
Unit IV
Menopause -Definition andphysiological changes, Signs andsymptoms
Healtheducation andcounselling, Hormone replacement therapy,Surgical
menopause, Sarogacy, PCPNDT Act, Pre -natal diagnostic tests, Councelling,
Legal aspects of abortion.
Skill Component:
Medical surgical nursing Practical
Assessment ofpatient-Takehistory,Perform general&specific physical,
examination, Identify alterations anddeviations, Practice medical-surgical,
asepsis-standardsafety measures.Administer medications -Oral,Sub-lingual,
Intra-dermal,Subcutaneous, Intramuscular, Intravenous, Intravenous therapy,IV
canulation, Maintenance &monitoring, Oxygen therapy-mask,prongs&ten,
Nebulization, Chest physiotherapy, Naso -gastricfeeding, sist incommon
diagnostic procedures -Perform/assist intherapeutic procedures, Transfusion of
Blood&itscomponents, Throatsuctioning, ET suctioning, Collect specimens
forcommon, investigations, Maintain elimination, Catheterization, Educate &
counselpatient &familyregarding specific diseaseconditions, Practice
medical-surgical asepsis-standardsafety. Pre -operative preparation ofpatient,
Post-operative care,Receiving, Assessment, Monitoring, Care ofwoundsand
drainage, Suture removal, Ambulation &exercises, Naso -gastricaspiration, Care
ofchestdrainage, Ostomy care,Gastrostomy, Enterostomy, Colostomy,
Transfusion ofBlood&itscomponents, practiceuniversal, precautions, Perform12

Page 33

scrubbing, gowning, gloving,Identifyinstruments, suturing materials for
commonoperations. Disinfection, carbolization, sterilization, PreparetheOTtable
depending upontheoperation, Positioning andmonitoring ofpatient, Assisting
withminor&majoroperations, Handling specimens, Segregation anddisposal
ofbiomedical wasteasperguidelines, Connect andmonitorECG&pulse
oxymetry, Assist inendo-tracheal, intubation, Suctioning -providecarefora
patientonventilator, Handling ,emergency drugtrolly/crashcart. Assisting in
insertion ofcentrallineandmonitoring Centralvenouspressure. Assessment
ofthegeriatric, Identify thehealth,problems amongtheelderly(psychological,
socialandspiritualneedsoftheelderly) andprovidespecificcare, Health
promotion oftheelderly, Screen forcommon cancers–TumorNodeMetastasis
(TNM)classification. Assist withdiagnostic procedures, Biopsies. Bone -morrow
aspiration, Assist withtherapeutic procedures, Observe variousmodalities of
treatment, Chemotherapy, Radiotherapy, Pain management, Stoma care,
Hormonal therapy, Immunotherapy, Gene therapy, Alternative therapy,
Participate inpalliative care, Counsel andteachpatientsfamilies,Assessment of
theburnpatient, Percentage ofburns, Degree ofburns, Dressing, Fluid &
electrolyte replacement therapy, Assess, Calculate, Replace, Record,
Intake/output, Assessment andcareofpatients withdermatological disorders,
Administer topicalmedications, Give medicated Baths, Perform active&
passiveexercises, Practicemedical&surgical asepsis,Counsel&Teachpatients
andfamilies, Performexamination ofeye, Assist withdiagnostic procedures,
Assistwiththerapeutic procedures, Perform/assist withirrigations, Apply eye
bandage, Apply eyedrops/ointments, Teachpatients andfamilies. Perform
examination ofear,noseandthroat, Assist withtherapeutic ,procedures,
Instillation ofdrops, Perform/assist with,irrigations, Applyearbandage, Perform
tracheostomy care, Health education topatients andfamilies. Perform cardio
vascular assessment, Recording ECGandidentify basicchangesinECG,
Monitoring ofpatients inoncardiacmonitor, Preparing andassisting of
frequently performed diagnostic andtherapeutic, non–invasiveandinvasive

Page 34

procedures, Administer cardiacdrugs, Advanced /BasicCardiac LifeSupport
(ACLS/BLS), Monitoring andcaringforpatientswithchestdrainage, Assist
indefibrillation, Monitoring ofpatientsinICU,Maintain flowsheet, Perform
Endotracheal suction, Demonstrates useofventilators, cardiacmonitors
etc.Physical examination, Collect specimens and Assist witharterial
puncture.Maintain CVPline, Pulse oximetry, CPR –ALS, Defibrillators, Bag -
maskventilation, Emergency tray/trolly –CrashCart, Administration ofdrugs,
Infusion pump, Epidural, Intra thecal, Intracardiac, Total parenteral therapy,
Chestphysiotherapy, Perform active&passive exercises Assessment of
orthopedic patients, Assist intheapplication ofplastercastandremovalofcast
Assistinapplying skintraction,bucksextension traction,Assistinapplication
andremoval ofprosthesis, Physiotherapy, Crutchmaneuvering technique ,
Ambulation, Assessment ofpatients withcommunicable diseases, Use of
personal protective equipment (PPE)and barriernursing, Health teaching for
prevention ofinfectious diseases, Counseling ofHIV/AIDSpatients,
Counseling offamilymembers Practice ‘triage”.Assistwithassessment,
examination, investigation &theirinterpretation, inemergency anddisaster
situations. Providefirstaid-ACLS/BLS, Assist inlegal documentations and
procedures inemergency unit.Counsel patientandfamilies griefand
bereavement .
References:
1.Javed Ansari, Comprehensive medical surgical nursing Vol I (Part A +B)
2.Basavanthappa (2015), Medical Surgical Nursing
3.Black (2009), Medical Surgical Nursing: Clinical Management for Positive
Outcome
4.Chitamani (2018), Lewis’s Medical Surgical Nursing: Assessment and
management of clinical problems
5.Basavanthappa (2011), Essentials of Midwifery and obstetrical nursing
Jacob Annamma (2017), Manual of Midwifery and gynecological nursing.

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Semester –6
Internship and Report Credits
Midwifery &gynaecological nursing-Practical
Diagnose pregnancy usingpregnancy detection kit(preg-card),Antenatal history
taking,Physical examination ,Antenatal examination –abdomen andbreast,
Recording weightandBP,Hemoglobin estimation ,Urinetestingforsugarand
albumin,Immunization ,Assessment ofriskstatus,Antenatal counselling ,
Maintenance ofantenatal records,SBAmodule,Assessment ofwomanin
labour,Vaginalexaminations (PV)andtheirinterpretation ,Monitoring women
inlabourusingthepartograph ,Caringforwomeninlabour,Settingupof
thelabour unitincluding thenewborn corner,Conduct normaldelivery
including activemanagement ofthirdstageoflabour(AMTSL) ,Provide
essential newborn care,Immediate newborn assessment ,Resuscitation ofthe
newborn, Assessment oftheriskstatusofthenewborn,Episiotomy andsuturing,
Administration ofuterotonic drugs–oxytocin,misoprostol ,Administration of
magnesium sulphate. Maintenance oflabourandbirthrecords,SBAmodule,
Preparation forcaesarean sectionandothersurgical procedures , Assist in
caesarean section,-PrepareandassistinMTPprocedure, Prepareandassistfor
tubectomy ,Examination and assessment ofmotherandthebaby,
Identification ofdeviations ,Careofpostnatal mothers andbaby,Perinealcare,
Breastcare,Lactation management ,Breastfeeding,Kangaroo mothercare
(KMC),Immunization ,Teaching postnatal motheronmothercraft,postnatal
care,exercise, immunization
Newborn assessment ,Admission ofneonates,Feeding ofhigh-risk
newborn:-katorispoon,paladai, tubefeeding,totalparentralnutrition,Thermal
management ofnewborns –kangaroo mothercare,careofbabyinradiant
warmerandincubator. Monitoring andcareofneonates,Administration of
medications ,Intravenous therapy,Assisting indiagnostic procedures ,Assistin24

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exchange transfusion ,Careofbabyinventilator, phototherapy, Practice
infection controlprotocols,Healtheducation andcounselling ofparents,
Maintenance ofrecordsandreports,Familyplanning counselling
techniques ,Insertion ofIUCD,Teaching bydemonstration ontheuseof
differentfamilyplanning methods,Arrangeforandassistwithfamilyplanning
operations ,Maintenance ofrecordsandreports,Assistwithgynecological
examination. Assistandperformdiagnostic andtherapeutic procedures. Teach
womenonbreastselfexamination (BSE),Healtheducation onperineal
hygiene andprevention ofsexually transmitted infections ,Preandpost
operative careofwomenundergoing gynecological surgeries
Menopause counseling .
Community health nursing –Practical -II
Assisting inset-upandconductoftheclinics:-Providing domiciliary careto
theantenatal andpostnatal casesusingbagand/orDomiciliary Obstetric Kit.
Performing nursingcareathome.-Preparing andconducting HealthTeachings
onReproductive andChildHealth(RCH)CareIssues.Assisting in
organizing Camps.Maintaining recordsandreportsatPrimaryHealthCentre.
Assisting inactivities ofFamilyWelfare. Participating inSchool Health
Services.
Internship
Comprehensive nursingcaretotheindividual ,familyandcommunity
References:
1.Basavanthappa (2011), Essentials of Midwifery and obstetrical nursing
2.Jacob Annamma (2017), Manual of Midwifery and gynecological nursing.
3.Podder (2018), Obstetrics and Gynecology nursing -Prep. Manual for
Undergraduate