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1 D.Y. PATIL DEEMED UNIVERSITY COLLEGE OF NURSING PIMPRI, PUNE-8 COURSE OUT LINE COURSE :-CLINICAL SPECIALTY I (MEDICAL SURGICAL NURSING) PLACEMENT :-IST year M.Sc. Nursing MARKS : (External + Internal) THEORY Hours : - 50 Hrs PRACTICAL Hours : Hrs TOTAL :-800 hrs CENTRAL OBJECTIVES: -. To assist students in developing expertise and in understanding in the field of nursing management. To help students to develop a broad understanding of Principles, concepts, trends and issues related to nursing management.. To 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. SPECIFIC OBJECTIVES:- At the end of the course, students will be able to:. Appreciate the trends & issues in the field of Medical Surgical Nursing as a specialty. Apply concepts & theories related to health promotion.. 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. 7. Recognize and manage emergencies with Medical- Surgical patients. 8. Describe various recent technologies & treatment modalities in the management of critically ill patients.

2 9. Appreciate the legal & ethical issues relevant to Medical Surgical Nursing. 0. 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 Students will be evaluated in terms of their achievement of goals / objectives of the course. TOTAL NUMBER OF UNITS-2 Unit CONTENT HOURS I Introduction O5 II Health assessment of patient 20 III Care in hospital setting 5 IV Management of patients with of Gastro intestinal tract 0 V Management of patients with of nervous system 0 VI Management of patients with of respiratory system 0 VII Management of patients with of cardio vascular system 0 VIII Management of patients with of blood 5 IX Management of patients with of genito urinary system 0 X Management of patients with of endocrine system 0 XI Management of patients with of musculo-skeletal System 0 XII Management of patients with of Integumetry system 8 XIII Management of patients with of Eye and ENT 5 XIV Management of patients with of reproductive system 8 XV Geriatric nursing 8 XVI Management of patients with communicable and sexually transmitted diseases: 8 XVII Emergency, trauma and multi-system organ failure 8

3 UNIT I UNIT-I : - INTRODUCTION Teacher I/C :-Mrs. S.U. Adhyapak Time allotted : - 5 hrs Teaching method : - lecture cum discussion - Assigned reading from given bibliography. Evaluation: - examination, individual and group discussion and assignment. CENTRAL OBJECTIVES: - To provide an overview of history and development of medical- surgical nursing.. Contributory objectives Course content Teaching- learning Review history & Historical development of medical- development of Discussion surgical nursing medical surgical in India Hours Identify current status of health & disease burden in India. Current status of health and disease burden in India Discussion appreciate trends and issues Latest trends and issues in medical surgical nursing Demonstartion /5 4. Identify rights of patients Rights of patients Demonstartion /5 5 6 Describe national health policies special low and ordinances relating to older people Appreciate national programme related to adult health National health policies special low an ordinances relating to older people National programme Demonstartion Demonstartion

4 UNIT II Unit- II : - Health assessment of patient Teacher I/C :-Mrs. S.U. Adhyapak Time allotted : - 20 hrs Teaching method :-. Lecture cum Discussion Evaluation : - examination, presentation, assignment clinical evaluation. CENTRAL OBJECTIVES: - Student will be able to assess the patient of various Contributory objectives Collect history of patients with various disease conditions. Course content History taking Teachinglearning Discussion Hours 5 Assess the patients Physical exemptions of various system Clinical posting in medical& surgical wards 0 Appreciate related investigation & diagnostic assessment Related investigation and diagnostic assessment Demonstration clinical posting visit to department like x-ray, sonography, MRI C.T scan, library 5

5 UNIT III Unit- III : - Care in hospital setting Teacher I/C :-Mrs. S.U. Adhyapak Time allotted : - 5 hrs Teaching method:-. Lecture cum Discussion Evaluation : - examination, group discussion, assignment nursing process.. Contributory objectives Appreciate ambulatory care Course content Ambulatory care Teachinglearning Discussion Hours Differentiate between acute and critical care Acute and critical care Discussion Provide long term care. Long term care Discussion 4. Perform home health care. Home health care Discussion 5 Appreciate various care models, practice settings & interdisciplinary team Care models, practice setting and interdisciplinary nsg team Clinical posting

6 UNIT IV UNIT- IV: - MANAGEMENT OF PATIENTS WITH DISORDERS OF GASTRO INTESTINAL TRACT Teacher I/C :-Mrs. S.U. Adhyapak Time allotted Evaluation : - 0 hrs assignment clinical, evaluation. : - Examination, group and individual discussion, CENTRAL OBJECTIVES: - Student will have in depth knowledge of of gastric tract and apply this knowledge in clinical practice.. Contributory objectives Review anatomy & physiology of GIT. Course content Anatomy & physiology of GIT. Teachinglearning Assigned Reading Hours Enlist etiology of various of GIT. Etiology of of GIT - lecture cum discussion Explain pathophysiology of GIT Patho- physiology of GIT Clinical posting in GIT unit 4. Enumerate the clinical manifestation of various GIT Clinical manifestation of GIT - written assignent 5 Identify complication of GIT Complication of GIT

7 6 Aware of prognosis of GIT. Prognosis of GIT 7 Aware of latest treatment modalities & trends of GIT Treatment modalities & trends 8 Apply nsg process to patient having GIT Nursing management Case présentation 9 Evidence based nursing practice Evidence based practice 0 Rehabilitee the patients with GIT Rehabilitation and follow up Discussion

8 UNIT V UNIT- V: - MANAGEMENT OF PATIENTS WITH DISORDERS OF NERVOUS SYSTEM Teacher I/C :-Mrs. S.U. Adhyapak Time allotted : - 0 hrs Evaluation : - Examination, group and individual discussion, Assignment clinical, evaluation. CENTRAL OBJECTIVES: - Student will have in depth knowledge of of nervous system and apply this knowledge in clinical practice.. Contributory objectives Review anatomy & physiology of nervous system Course content Anatomy & physiology of nervous system Teachinglearning Assigned Reading Hours Enlist etiology of various of nervous system. Etiology of of nervous system Lecture cum discussion describe pathopatho- physiology of nervous system patho- physiology of of nervous system Clinical posting in neuro ward ICU 4. Enumerate the clinical manifestation of of nervous system clinical manifestation of of nervous system 5 Identify complication of nervous system complication of of nervous system Written assignent

9 6 Aware of prognosis of nervous system prognosis of of nervous system 7 Aware of latest treatment modalities & trends in of nervous system treatment modalities & trends Lecture cum discussions 8 Apply nsg process to patient having nervous system disorder nursing management Case présentation 9 Apply Evidence based nursing practice Evidence based practice 0 Rehabilitee the patients with nervous Rehabilitation and follow up

10 UNIT-VI UNIT-VI Teacher I/C Time allotted Evaluation : - MANAGEMENT OF PATIENTS WITH DISORDERS OF RESPIRATORY SYSTEM :-Mrs. S.U. Adhyapak : - 0 hrs : - Examination, group and individual discussion, Assignment clinical evaluation ENTRAL OBJECTIVES: - Student will have in depth knowledge of of respitary system and apply this knowledge in clinical practice. Contributory objectives Review anatomy & physiology of respitary system. Course content Anatomy & physiology of Respiratory system. Teachinglearning Assigned Reading Hours Enlist etiology of various of respitary system. Etiology of of respitary system. Describe patho physiology of of respitary system Path physiology Lecture cum discussion 4. Enumerate the clinical manifestation of of respitary system Clinical manifestation Démonstration 5 Identify complication of of respitary system Complication Clinical posting in medical surgical ICU

11 6 Aware of prognosis of of respitary system Prognosis 7 Aware of latest treatment modalities & trends of of respitary system Treatment modalities & trends Case Study 8 Apply nsg process to patient having of respitary system Nursing management 9 Apply Evidence based nursing practice Evidence based practice 0 Rehabilitee the patients with respitary system Rehabilitation and follow up

12 UNIT-VII UNIT-VII: - MANAGEMENT OF PATIENTS WITH DISORDERS OF CARDIO VASCULAR SYSTEM Teacher I/C Time allotted Evaluation :-Mrs. S.U. Adhyapak : - 0 hrs : - Examination, group and individual discussion, Assignment clinical evaluation CENTRAL OBJECTIVES: - Student will have in depth knowledge of of cardio vascular system and apply this in clinical practice Contributory objectives Review anatomy & physiology of cardio vascular system Course content Anatomy & physiology of CVS Teachinglearning Assigned Reading Hours Enlist etiology of various of CVS Etiology. Lecture cum discussion Describe patho physiology of CVS Path physiology Démonstration Enumerate the clinical manifestation of CVS Identify complication of CVS Clinical manifestation Complication Clinical posting in cardiothoracic ward in ICU 6. Aware of prognosis of CVS prognosis

13 7. Appreciate latest treatment modalities in cvs treatment modalities & trends 8. Apply nsg process to patient having CVS nursing management Case study 9. Apply Evidence based nursing practice Evidence based practice 0. Rehabilitee the patients with CVS Rehabilitation and follow up

14 UNIT-VIII UNIT-VIII Teacher I/C Time allotted Evaluation : - MANAGEMENT OF PATIENTS WITH DISORDERS OF BLOOD :-Mrs. S.U. Adhyapak : - 5hrs : - Examination, group and individual discussion, Assignment clinical evaluation CENTRAL OBJECTIVES: - Student will have in depth knowledge of of blood and apply this in clinical practice.. Contributory objectives Review anatomy & physiology of blood Course content Anatomy & physiology Teachinglearning Assigned Reading Hours /2 Enlist etiology of blood Etiology. Lecture cum discussion /2 Describe patho physiology of blood Path physiology /2 4. Enumerate the clinical manifestation of blood Clinical manifestation Démonstration /2 5. Identify complication of blood complication Clinical experience in medical surgical ICU /2

15 6 Aware of prognosis of blood prognosis /2 7 Aware of latest treatment modalities in blood treatment modalities & trends /2 8 Apply nsg process to patient having blood nursing management Care plan 9 Apply Evidence based nursing practice Evidence based practice /2 0 Rehabilitee the patients with blood Rehabilitation and follow up /2

16 UNIT-IX UNIT-IX : - MANAGEMENT OF PATIENTS WITH DISORDERS OF GENITO URINARY SYSTEM Teacher I/C :-Mrs. S.U. Adhyapak Time allotted : - 0 hrs Evaluation : - Examination, group and individual discussion, Assignment clinical evaluation CENTRAL OBJECTIVES: - Student will have in depth knowledge of of genito urinary system and apply this in clinical practices.. Contributory objectives Review anatomy & physiology of genito urinary system Course content Anatomy & physiology endocrine system Teachinglearning Assigned Reading Hours Enlist etiology of genito urinary Etiology. Lecture cum discussion Describe patho physiology of genito urinary Path physiology Demonstration 4. Enumerate the clinical manifestation of genito urinary system Clinical manifestation 5 Identify complication of genito urinary Complication Clinical experience in the ward

17 6 Aware of prognosis of genito urinary Prognosis Clinical presentation 7 Appreciate of latest treatment & modalities & trends Treatment modalities & trends Drug presentation 8 Apply nsg process to patient having genito urinary Nursing management Care plan 9 Apply Evidence based nursing practice Evidence based practice 0 Rehabilitee the patients with in genito urinary Rehabilitation and follow up

18 UNIT-X UNIT-X : - MANAGEMENT OF PATIENTS WITH DISORDERS OF ENDOCRINE SYSTEM Teacher I/C :-Mrs. S.U. Adhyapak Time allotted : - 0 hrs Teaching method :- Discussion Evaluation : -Examination, group and individual discussion, Assignment clinical evaluation. CENTRAL OBJECTIVES: - Student will have in depth knowledge of about endocrine system and apply this in clinical practices.. Contributory objectives Review anatomy & physiology of endocrine system Course content Anatomy & physiology endocrine system Teachinglearning Assigned Reading Hours Enlist etiology of endocrine Etiology. Lecture cum discussion Describe patho physiology of endocrine Path physiology Demonstration 4. Enumerate the clinical manifestation of endocrine clinical manifestation Clinical posting in medical- surgical ICUs 5 Identify complication of endocrine Complication

19 6 Aware of prognosis of endocrine prognosis Care plan 7 Aware of latest treatment & trends in endocrine treatment modalities & trends Clinical presentation 8 Apply nsg process to patient having in endocrine nursing management Drug presentation 9 Apply Evidence based nursing practice Evidence based practice 0 Rehabilitee the patients with in endocrine Follow up Rehabilitation

20 UNIT-XI UNIT-X: - MANAGEMENT OF PATIENTS WITH DISORDERS OF MUSCULO- SKELETAL SYSTEM Teacher I/C :-Mrs. S.U. Adhyapak Time allotted Evaluation. : - 0 hrs : - Examination, group and individual discussion, Assignment clinical evaluation CENTRAL OBJECTIVES: - Student will have in depth knowledge of about musculoskeletal system and apply this in clinical practices. Contributory objectives Review anatomy & physiology of musculoskeletal system Course content Anatomy & physiology Teachinglearning Assigned Reading presentation Hours Enlist etiology of musculoskeletal system Etiology. Discussion Describe patho physiology of musculoskeletal system Path physiology Démonstration 4. Enumerate the clinical manifestation of musculoskeletal system clinical manifestation Clinical posting in ortho Ward 5 Identify complication of musculoskeletal complication seminar

21 system 6 Aware of prognosis of musculoskeletal system Prognosis Clinical présentation 7 8 Aware of latest treatment & trends in musculoskeletal Apply nsg process to patient having in musculoskeletal system Treatment modalities Nursing management Drug présentation Care plan 9 Apply Evidence based nursing practice Evidence based practice 0 Rehabilitation the patients with musculoskeletal system Rehabilitation and follow up

22 UNIT-XII UNIT-XII: - MANAGEMENT OF PATIENTS WITH DISORDERS OF INTEGUMETRY SYSTEM Teacher I/C Time allotted Evaluation :-Mrs. S.U. Adhyapak : - 8 hrs : - Examination, group and individual discussion, Assignment clinical evaluation CENTRAL OBJECTIVES: - Student will have in depth knowledge of about of Integumetry system and apply this in clinical practices. Contributory objectives Review anatomy & physiology of Integumetry system Course content Anatomy & physiology Teachinglearning Assigned Reading presentation Hours Enlist etiology of Integumetry system Etiology. Discussion 2 Describe patho physiology of Integumetry system path physiology démonstration.5 4. Enumerate the clinical manifestation of Integumetry system clinical manifestation Clinical expérience in dermatologie Ward

23 5 Identify complication of Integumetry system complication seminar.5 6 Aware of prognosis of Integumetry system prognosis Clinical présentation 7 Aware of latest treatment & trends treatment modalities & trends Drug présentation. 8 Apply nsg process to patient having in Integumetry system nursing management 9 Apply Evidence based nursing practice Evidence based practice 0 Rehabilitation the patients with Integumetry system Rehabilitation and follow up.

24 UNIT-XIII UNIT-VII : - MANAGEMENT OF PATIENTS WITH DISORDERS OF EYE AND ENT Teacher I/C Time allotted Evaluation :-Mrs. S.U. Adhyapak : - 5 hrs : - Examination, group and individual discussion, Assignment clinical evaluation CENTRAL OBJECTIVES: - Student will have in depth knowledge of about of Eye ENT and apply this in clinical practices. Contributory objectives Review anatomy & physiology of Eye ENT Course content Anatomy & physiology of Eye ENT Teachinglearning Assigned Reading Hours /2 Enlist etiology of Eye ENT Etiology. presentation /2 Describe patho physiology of Eye ENT disorder path physiology Discussion /2 4. Enumerate the clinical manifestation of Eye ENT clinical manifestation démonstration /2 5 Identify complication of Eye ENT complication Clinical expérience in Eye & ENT /2 6 Aware of prognosis of Eye ENT prognosis seminar

25 7 Aware of latest treatment & trends modalities treatment modalities & trends Clinical présentation /2 8 Apply nsg process to patient having in Eye ENT nursing management Drug présentation /2 9 Apply Evidence based nursing practice Evidence based practice /2 0 Rehabilitation the patients with Eye ENT system Rehabilitation and follow up /2

26 UNIT-XIV UNIT-XIV: - MANAGEMENT OF PATIENTS WITH DISORDERS OF REPRODUCTIVE SYSTEM Teacher I/C Time allotted Evaluation :-Mrs. S.U. Adhyapak : - 8 hrs : - Examination, group and individual discussion, Assignment clinical evaluation CENTRAL OBJECTIVES: - Student will have in depth knowledge of about of reproductive system and apply this in clinical practices. Contributory objectives Review anatomy & physiology of reproductive system Course content Anatomy & physiology of Teachinglearning Assigned Reading presentation Hours /2 Enlist etiology of reproductive system Etiology. Discussion /2 Describe patho physiology of reproductive system disorder path physiology demonstration 4. Enumerate the clinical manifestation of reproductive system clinical manifestation Clinical experience in medical- surgical ward /2 5 Identify complication of reproductive system complication /2

27 6 Aware of prognosis of reproductive system prognosis seminar 7 Aware of latest treatment & trends modalities treatment modalities & trends Clinical présentation 8 Apply nsg process to patient having reproductive system nursing management Drug présentation 9 Apply Evidence based nursing practice Evidence based practice 0 Rehabilitation the patients with reproductive system Rehabilitation & follow up

28 UNIT-XV UNIT-xv Teacher I/C Time allotted Evaluation : - GERIATRIC NURSING :-Mrs. S.U. Adhyapak : -8hrs : - Examination, group and individual discussion, Assignment clinical evaluation CENTRAL OBJECTIVES: - Student will be able to care for geriatric patient.. Contributory objectives Assess geriatric patient Course content History & physical assessment. Teachinglearning Assigned Reading Hours /2 Understand the concepts of ageing Ageing. Présentation /2 Recognize demography, myths & realities Demography, myths & realities Discussion /2 4. Apply theories of ageing Theories of ageing seminar /2 5 Appreciate cognitive aspect of ageing Cognitive aspect of ageing. Demonstartion ½ 6 Recognize normal biological ageing. Normal biological ageing. /2 7 Identify age related body system changes body system changes

29 8 Appreciate psychological aspect of nursing Psychological aspect of nursing Visit to old age home /2 9 Aware of medication used for elderly Medication used for elderly /2 0 Identify stress coping in older adults stress coping in older adults /2 Apply nursing process to elderly Nursing management, psycho-social & sexual, role of nurse for care of elderly, communicational & spiritual, ambulation nutritional 2 Recognize role of family and formal& non formal care given role of family & formal & non formal care givers /2 Explained of aids & prosthesis to elderly use of aids prosthesis /2 4 Aware of legal & ethical issues Legal & ethical issues. /2 5 Aware of provision & programme for elderly Provision & programme for elderly, privileges, community programmes & health services Lecture cm discussion /2 6 Perform home and intuitional care Home & institutional care. /2 7 Appreciate issues problem & trends Issues problem & trends

30 UNIT-XVI UNIT-XVI : - MANAGEMENT OF PATIENTS WITH COMMUNICABLE AND STDs Teacher I/C :-Mrs. S.U. Adhyapak Time allotted Evaluation : 8hrs : - Examination, group and individual discussion, Assignment clinical evaluation CENTRAL OBJECTIVES: - Student will have in depth knowledge of about communicable & sexually transmitted disease and apply this in clinical practices.. Contributory objectives Review immune system Course content Anatomy & physiology of immune system Teachinglearning Assigned Reading hours 2 Apply nursing process, to patients with HIV/ aids. Disorders of immune system HIV/Aids presentation 2 Review of infection disease process Infection disease process seminar 4. 5 Enlist etiology communicable disease Describe path physiology of communicable disease. Etiology. Path physiology Clinical presentation 6 Aware of latest treatment & trends & modalities Treatment & trends & modalities Research studies. Drug presentation 7 Apply Evidence based nursing practice Evidence based practice

31 8 Rehabilitate the patients with communicable disease Rehabilitation and follow up UNIT-XVII UNIT-XVII: - EMERGENCY, TRAUMA AND MULTI-SYSTEM ORGAN FAILURE Teacher I/C Time allotted Evaluation :-Mrs. S.U. Adhyapak : - 8 hrs : - Examination, group and individual discussion, Assignment clinical evaluation CENTRAL OBJECTIVES: - Student will have in depth knowledge of about emergency, trauma & multi system organ system and apply this in clinical practices.. Contributory objectives Enlist etiology of DIC, trauma, burns poisoning Course content Etiology of DIC, trauma,poisoinig,burn Teachinglearning Assigned Reading hours 2 Describe patho physiology path physiology Discussion 2 Apply nursing process. Health assessment nursing management seminar 4. 5 Aware of modalities treatment & trends Apply Evidence based nursing practice treatment modalities & trends Related research studies & Evidence based practices Clinical experience in burns & plastic surgery ward 6 Rehabilitation the patients Rehabilitation and follow up

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