ADULT HEALTH NURSING I WITH

INTEGRATED
PATHOPHYSIOLOGY (including BCLS
module)
PLACEMENT : III SEMESTER

THEORY- 6 Credits (120 hrs)

PRACTICAL- Lab/Skill lab- 1 Credit (40 hrs)

Clinical-6 Credits (480 hrs)

DESCRIPTION: This course is designed to equip the students to review and apply their knowledge of Anatomy, Physiology, Biochemistry and
Behavioral sciences in caring for adult patients with Medical / Surgical disorders using nursing process approach and critical thinking. It also
intends to develop competencies required for assessment, diagnosis, treatment, nursing management, and supportive /palliative care to patients
with various Medical Surgical disorders.

COMPETENCIES
On completion of Medical Surgical Nursing I course, students will be able to
1. Explain the etiology, pathophysiology, manifestations, diagnostic studies, treatments and
complications of common medical and surgical disorders
2. Perform complete health assessment to establish a data base for providing quality patient
care and integrate the knowledge of anatomy, physiology and diagnostic tests in the
process of data collection
3. Identify diagnoses, list them according to priority and formulate nursing care plan
4. Perform nursing procedures skillfully and apply scientific principles while giving
comprehensive nursing care to patients
5. Integrate knowledge of pathology, nutrition and pharmacology in caring for patients
experiencing various medical and surgical disorders
6. Identify common diagnostic measures related to the health problems with emphasis on
nursing assessment and responsibilities
 7. Demonstrate skill in assisting / performing diagnostic and therapeutic procedures
8. Demonstrate competencies/skills to patients undergoing treatment for medical surgical
disorders
9. Identify the drugs used in treating patients with medical surgical conditions
10. Plan and give relevant individual and group education on significant medical surgical
topics
11. Maintain safe environment for patients and the health care personnel in the hospital
12. Integrate evidence-based information while giving nursing care to patients

UNIT HRS. LEARNING OUTCOMES CONTENT TEACHING ASSESSMENT

LEARNING METHODS
ACTIVITIES
I 6 (T) 4 Narrate the evolution of Introduction
(L/S L) medical surgical nursing  Evolution and trends of  Lecture cum OSCE
Apply nursing process in medical and surgical nursing discussion
caring for patients with  International classification of  Demonstration &
medical surgical problems diseases Practice session
 Roles and responsibility of a  Role play
nurse in medical and surgical Visit to outpatient
Execute the role of a nurse in settings department, in patient
various medical surgical o Outpatient department and intensive care unit
setting o In-patient unit
o Intensive care unit
 Introduction to medical and
surgical asepsis
o Inflammation, infection
o Wound healing – stages,
Develop skills in assessment influencing factors
and care of wound o Wound care and dressing
technique
 Develop competency in  Care of surgical patient
providing pre and postoperative o pre-operative
care o post-operative
 Alternative therapies used in
caring for patients with
Medical Surgical Disorders
II 11 (T) 4 Explain organizational set Intraoperative Care
(L/S L) up of the operating theatre  Organization and physical
set up of the operation  Lecture cum  Caring for
theatre Discussion patient intra
o Classification  Demonstration, operatively
o O.T Design Practice session, Submit a list of
Differentiate the role of o Staffing and Case disinfectant s used
scrub nurse and circulating o Members of the OT team Discussion for instruments
nurse o Duties and with the action
responsibilities of the and precaution
nurse in OT
Describe the different  Position and draping for
positioning for various common surgical procedures
surgeries  Instruments, sutures and
Visit to receiving bay
suture materials, equipment
Apply principles of asepsis in for common surgical
handling the sterile equipment procedures
 Disinfection and sterilization of
Demonstrate skill in equipment
scrubbing procedures Preparation of sets for
common surgical procedures
Demonstrate skill in assessing  Scrubbing procedures –
the patient and document Gowning, masking and
accurately the surgical safety gloving
checklist  Monitoring the patient
during the procedures
Develop skill in assisting with  Maintenance of the
 selected surgeries therapeutic environment in
OT
Explain the types, functions, and  Assisting in major and
nursing considerations for minor operation, handling
different types of anaesthesia specimen
 Prevention of accidents and
hazards in OT
 Anaesthesia- types, methods of
administration, effects and
stages, equipment & drugs
 Legal aspects.
III 6 (T) Identify the signs and symptoms Nursing care of patients with  Lecture,  Short
4 (L/S L) of shock and electrolyte common signs and symptoms discussion, answer
imbalances Develop skills in and management demonstration  MCQ
managing fluid and electrolyte  Case discussion  Case report
imbalances Perform pain  Fluid and electrolyte
assessment and plans for the imbalance
nursing management  Shock
 Pain
IV 16 Nursing Management of
(T) Demonstrate skill in patients with respiratory  Essay
4 (L) respiratory assessment problems  Short
 Review of anatomy and Answer
Differentiates different physiology of respiratory  Lecture, OSCE
breath sounds and lists the system discussion,
indications  Nursing Assessment –  Demonstration
history taking, physical  Practice session
Explain the etiology, assessment and diagnostic  Case presentation
pathophysiology, clinical tests Visit to PFT Lab
manifestations, diagnostic  Common respiratory
tests, and medical, surgical, problems:
nutritional, and nursing o Upper respiratory tract
management of common infections
 respiratory problems o Chronic obstructive
pulmonary diseases
Describe the health behaviour to o Pleural effusion,
be adopted in preventing o Empyema
respiratory illnesses o Bronchiectasis
o Pneumonia
o Lung abscess
 Cyst and tumors
 Chest Injuries
 Acute respiratory
distress syndrome
 Pulmonary embolism
o Health behaviours to prevent
respiratory illness
V 15 Explain the etiology, Nursing Management of  Quiz
(T) pathophysiology, clinical patients with disorders of
5 (L) manifestations, diagnostic digestive system  Lecture,  OSCE
tests, and medical, surgical,  Review of anatomy and Discussion
nutritional, and nursing physiology of GI system  Demonstration,
management of  Nursing assessment –  Role play
gastrointestinal disorders History and physical  Problem Based
assessment Learning
Demonstrate skill in  GI investigations Visit to stoma clinic
gastrointestinal  Common GI disorders:
assessment o Oral cavity-lips, gums
and teeth
Prepare patient for upper and o GI - Bleeding, Infections,
lower gastrointestinal Inflammation, tumors,
investigations Obstruction, Perforation &
Peritonitis
o Peptic & duodenal ulcer,
o Mal-absorption,
Appendicitis, Hernias
 o Hemorrhoids, fissures,
Fistulas
o Pancreas- inflammation,
Demonstrate skill in gastric cysts, and tumors
decompression, gavage, and o Liver-inflammation, cysts,
stoma care Demonstrate skill in abscess, cirrhosis, portal
different feeding techniques hypertension, hepatic
failure, tumors
o Gall bladder-
inflammation,
Cholelithiasis, tumors
 Gastric decompression,
gavage and stoma care,
different feeding techniques
 Alternative therapies, drugs
used in treatment of
disorders of digestive system
VI 15 Explain the etiology, Nursing Management of
(T) pathophysiology, clinical patients with cardiovascular
5 (L) manifestations, diagnostic problems  Care plan
tests, and medical, surgical, Review of anatomy and  Lecture, discussion Drug record
nutritional, and nursing physiology of cardio- vascular Demonstration
management of system
cardiovascular disorders  Nursing Assessment-History
and Physical assessment
Demonstrate skill in  Disorders of vascular system-
cardiovascular assessment Hypertension,
arteriosclerosis, Raynaud’s
Prepare patient for disease, aneurysm and
invasive and non- peripheral vascular disorders
invasive cardiac  Coronary artery diseases--
procedures coronary atherosclerosis,
Angina pectoris, myocardial
 Demonstrate skill in infarction
monitoring and interpreting  Valvular disorders -
clinical signs related to congenital and acquired
cardiac disorders  Rheumatic heart disease -
pericarditis, myocarditis,
endocarditis,
cardiomyopathies
 Cardiac dysrrhythmias, heart
block
 Congestive heart failure, cor-
pulmonale, pulmonary edema,
cardiogenic shock, cardiac
tamponade
 Cardiopulmonary arrest

VII 7(T) Nursing Management of  Field visit to blood

3(L) Explain the etiology, patients with disorders of bank  Interpretatio
pathophysiology, clinical blood  Counseling n of blood
manifestations, diagnostic reports
tests, and medical, surgical,  Review of Anatomy and  Visit report
nutritional, and nursing Physiology of blood, nursing
management of hematological assessment- history, physical
disorders assessment & Diagnostic tests
 Anemia, Polycythemia
Interpret blood reports
 Bleeding Disorders – clotting
factor defects and platelets
Prepare and provides health
defects, thalassemia,
education on blood donation
leukemias, leukopenias,
agranulocytosis
 Lymphomas, myelomas
Explain the etiology, Nursing management of
VIII 8 (T) pathophysiology, clinical patients with disorders of
2 manifestations, diagnostic tests, endocrine system  Lecture, Prepare
 (L) and medical, surgical,  Review of anatomy and health
nutritional, and nursing physiology of endocrine discussion, education on
management of endocrine system demonstration self-
disorders Nursing Assessment –  Practice session adminisation
History and Physical  Case Discussion of insulin
Demonstrate skill in assessment  Health education Submits a diabetic
assessment of endocrine  Disorders of thyroid and diet plan
organ dysfunction Parathyroid, Adrenal and
Pituitary (Hyper, Hypo,
Prepare and provides health tumors)
education on diabetic diet  Diabetes mellitus
Demonstrate skill in insulin
administration
IX 8 (T) Explain the etiology, Nursing management of
2 (L) pathophysiology, clinical patients with disorders of
manifestations, diagnostic Integumentary system
tests, and medical, surgical,  Review of anatomy and  Lecture,  Drug report
nutritional, and nursing physiology of skin discussion Preparation of
management of disorders of  Nursing Assessment –  Demonstration Home care plan
integumentary system History and Physical  Practice session
assessment Case Discussion
Demonstrate skill in  Infection and infestations;
integumentary assessment Dermatitis
 Dermatoses; infectious and
Demonstrate skill in Non infectious
medicated bath  Acne, Allergies, Eczema &
Pemphigus
Prepare and provide health  Psoriasis, Malignant
education on skin care melanoma, Alopecia
 Special therapies,
alternative therapies
 Drugs used in treatment of
disorders of integumentary
 System

X 11 (T) 4 Explain the etiology, Nursing management of

(L) pathophysiology, clinical patients with musculoskeletal
manifestations, diagnostic problems  Nursing
tests, and medical, surgical,  Review of Anatomy and  Lecture / care plan
nutritional, and nursing physiology of the  Discussion
management of musculoskeletal system  Demonstration
musculoskeletal disorders  Nursing Assessment- History  Case Discussion
and physical assessment, Health education
Demonstrate skill in diagnostic tests Prepare health
musculoskeletal  Musculoskeletal trauma: teaching on care of
assessment Dislocation, fracture, sprain, patient with cast
strain, contusion, amputation
Prepare patient for radiological  Musculoskeletal infections
and non- radiological and tumors: Osteomyelitis,
benign and malignant tumour
Orthopedic modalities: Cast,
X 11 (T) 4 Explain the etiology, Nursing management of
(L) pathophysiology, clinical patients with musculoskeletal
manifestations, diagnostic problems  Nursing
tests, and medical, surgical,  Review of Anatomy and  Lecture / care plan
nutritional, and nursing physiology of the  Discussion
management of musculoskeletal system  Demonstration
musculoskeletal disorders  Nursing Assessment- History  Case Discussion
and physical assessment, Health education
Demonstrate skill in diagnostic tests Prepare health
musculoskeletal  Musculoskeletal trauma: teaching on care of
assessment Dislocation, fracture, sprain, patient with cast
strain, contusion, amputation
Prepare patient for  Musculoskeletal infections
radiological and non- and tumors: Osteomyelitis,
radiological investigations of benign and malignant tumour
 musculoskeletal system Orthopedic modalities:
Cast, splint, traction,
Demonstrate skill in crutch walking
crutch walking and  Musculoskeletal
splinting inflammation: Bursitis,
synovitis, arthritis
 Special therapies, alternative
therapies
 Metabolic bone disorder:
Demonstrate skill in care of Osteoporosis, osteomalacia
patient with replacement and Paget’s disease
surgeries  Spinal column defects and
deformities – tumor, prolapsed
Prepare and provide health intervertebral disc, Pott’s spine
education on bone healing  Rehabilitation, prosthesis
 Replacement surgeries
XI 17 Explain the etiology, Nursing management of
(T) pathophysiology, clinical patients with Communicable
3 (L) manifestations, diagnostic diseases
tests, and medical, surgical,  Overview of infectious  Lecture,  Prepares and
nutritional, and nursing diseases, the infectious discussion, submits
management of patients with process demonstration protocol on
communicable diseases  Nursing Assessment – History  Practice session various
and Physical assessment,  Case Discussion / isolation
Diagnostic tests seminar techniques
 Tuberculosis  Health education 
 Diarrhoeal diseases,  Drug Book/
hepatitis A-E, Typhoid presentation
 Herpes, Chickenpox,
Smallpox, Measles, Mumps, Refer TB control &
Influenza Management module
 Meningitis
 Gas gangrene
 Demonstrate skill in  Leprosy
barrier and reverse barrier  Dengue, Plague, Malaria,
techniques Chikungunya, swine flu,
Filariasis
 Diphtheria, Pertussis,
Demonstrate skill in execution Tetanus, Poliomyelitis
of different isolation protocols Special infection control
measures: Notification, Isolation,
Quarantine, Immunization,

REFERENCE

Aroni, Jessie, H. and Scheffler, Neil, M. 101 Tips on Foot Care for People with Diabetes (Second Edition). Alexandria: American Diabetes
Association, 2006.

Bartelmo, Joanne (Ed). Nursing Pharmacology made Incredibly Easy (Third Edition). Lippincott, Williams & Wilkins, 2013.

Bilotta, Kimberly, A. J. (Ed). Nurse’s Quick Check – Diseases (Second Edition). Ambler: Lippincott Williams and Wilkins, 2009.

Chatman, Ilese J. (Editor). Pressure Ulcer Prevention Toolkit. Joint Commission Resources. Oakbrook Terrace, IL. 2012

Childs, Belinda P., Cypress, Marjorie and Spollett, Geralyn (Eds). Complete Nurse’s Guide to Diabetes Care (Second Edition). Alexandria: American
Diabetes Association, 2009.

Comerford, Karen. Anatomy and Physiology Made Incredibly Easy (Third Edition). Ambler: Lippincott Williams and Wilkins, 2009.
 UNIT PLAN

ADULT HEALTH NURSING I WITH

INTEGRATED
PATHOPHYSIOLOGY (including BCLS
module)
 PLACEMENT : III SEMESTER

THEORY- 6 Credits (120 hrs)

PRACTICAL- Lab/Skill lab- 1 Credit (40 hrs)

Clinical-6 Credits (480 hrs)

DESCRIPTION: This course is designed to equip the students to review and apply their knowledge of Anatomy, Physiology,
Biochemistry and Behavioral sciences in caring for adult patients with Medical / Surgical disorders using nursing process
approach and critical thinking. It also intends to develop competencies required for assessment, diagnosis, treatment,
nursing management, and supportive /palliative care to patients with various Medical Surgical disorders.

COMPETENCIES
On completion of Medical Surgical Nursing I course, students will be able to
1. Explain the etiology, pathophysiology, manifestations, diagnostic studies, treatments and
complications of common medical and surgical disorders
2. Perform complete health assessment to establish a data base for providing quality patient
care and integrate the knowledge of anatomy, physiology and diagnostic tests in the
process of data collection
3. Identify diagnoses, list them according to priority and formulate nursing care plan
4. Perform nursing procedures skillfully and apply scientific principles while giving
comprehensive nursing care to patients
5. Integrate knowledge of pathology, nutrition and pharmacology in caring for patients
experiencing various medical and surgical disorders
6. Identify common diagnostic measures related to the health problems with emphasis on
nursing assessment and responsibilities
7. Demonstrate skill in assisting / performing diagnostic and therapeutic procedures
8. Demonstrate competencies/skills to patients undergoing treatment for medical surgical
disorders
9. Identify the drugs used in treating patients with medical surgical conditions
10. Plan and give relevant individual and group education on significant medical surgical
topics
11. Maintain safe environment for patients and the health care personnel in the hospital
12. Integrate evidence-based information while giving nursing care to patients
UNIT HRS. LEARNING CONTENT TEACHING ASSESSMENT FACULTY
OUTCOMES LEARNING METHODS INCHARGE
ACTIVITIES
I 6 (T) Narrate the Introduction
4 (L/S evolution of  Evolution and trends of  Lecture OSCE Asso.prof.Jumpu
L) medical surgical medical and surgical cum
nursing Apply nursing discussion
nursing process  International  Demonstration
in caring for classification of diseases & Practice
patients with  Roles and responsibility of session
medical surgical a nurse in medical and  Role play
problems surgical settings Visit to outpatient
o Outpatient department department, in patient
o In-patient unit and intensive care unit
Execute the role o Intensive care unit
of a nurse in  Introduction to medical
various medical and surgical asepsis
surgical setting o Inflammation, infection
o Wound healing –
stages, influencing
factors
o Wound care and
dressing technique
Develop skills  Care of surgical patient
in assessment o pre-operative
and care of o post-operative
wound  Alternative therapies used
in caring for patients with
Develop Medical Surgical Disorders
competency in
providing pre and
postoperative care
Reference :

Aroni, Jessie, H. and Scheffler, Neil, M. 101 Tips on Foot Care for People with Diabetes (Second Edition). Alexandria: American Diabetes
Association, 2006.

Bartelmo, Joanne (Ed). Nursing Pharmacology made Incredibly Easy (Third Edition). Lippincott, Williams & Wilkins, 2013.

Bilotta, Kimberly, A. J. (Ed). Nurse’s Quick Check – Diseases (Second Edition). Ambler: Lippincott Williams and Wilkins, 2009.

Chatman, Ilese J. (Editor). Pressure Ulcer Prevention Toolkit. Joint Commission Resources. Oakbrook Terrace, IL. 2012

Childs, Belinda P., Cypress, Marjorie and Spollett, Geralyn (Eds). Complete Nurse’s Guide to Diabetes Care (Second Edition). Alexandria: American
Diabetes Association, 2009.

Comerford, Karen. Anatomy and Physiology Made Incredibly Easy (Third Edition). Ambler: Lippincott Williams and Wilkins, 2009.