B.SC Nursing Curriculum Updated On 30.07.2019

MGM INSTITUTE OF HEALTH SCIENCE, KAMOTHE,
NAVI MUMBAI
(Deemed University u/s of UGC Act,1956)
Grade ‘A’ Accredited by NAAC
B.Sc. NURSING
CURRICULUM
MGM New Bombay College of Nursing, 5th floor, MGM Educational Campus,
Plot No. 1&2, Sector 1, Kamothe, Navi Mumbai
NAVI MUMBAI
Nursing is an art; and if it is to be made an art, requires as

exclusive a devotion, as hard a preparation as any painter's or sculptor's
work; for what is the having to do with dead canvas or cold marble,
compared with having to do with the living body………..the temple of
God's spirit……… it is one of the fine arts. I have almost said the finest of
fine arts.
Florence Nightingale
NAVI MUMBAI
INDEX
Sr. No. Content Page No.
1 Philosophy 1
2 Objectives 2
3 Course of Instructions 3-5
4 Scheme of Examination 6-7
5. General Rules For Examination 8
6 Master Plan 9
6 Course Planning of I Basic B.Sc. Nursing
 Anatomy and Physiology 11-21
 Nutrition and Biochemistry 22-34
 Nursing Foundation 35-64
 Psychology 65-71
 Microbiology 72-78
 English 79-82
 Introduction to Computers 83-86
 Marathi 87
7 Course Planning of II Basic B.Sc. Nursing
 Sociology 89-95
 Pharmacology, Pathology and Genetics 96-110
 Medical Surgical Nursing I 111-138
 Community Health Nursing I 139-156
 Communication & Educational Technology 157-165
8 Course Planning of III Basic B.Sc. Nursing
 Medical Surgical Nursing II 167-191
 Child Health Nursing 192-220
 Mental Health Nursing 221-253
 Nursing Research & Statistics 254-262
9 Course Planning of IV Basic B.Sc. Nursing
 Community Health Nursing II 264 – 295
 Management of Nursing Service & Education 296 -311
 Midwifery and Obstetrical Nursing 312- 338
10 Evaluation format for Practical examination
MGM INSTITUTE OF HEALTH SCIENCES, KAMOTHE,
NAVI MUMBAI
B.Sc. NURSING CURRICULUM
PHILOSOPHY OF THE PROGRAMME:
MGM New Bombay College of Nursing, a constituent unit of MGM Institute of Health
Sciences (MGMIHS) Navi Mumbai and the philosophy is consistent with the philosophy
of MGMIHS.
We believe that ………………

o the value of human life, the inherent worth of the individual and the attainment of a
high standard of health as the right of every individual. The discipline of nursing is
concerned with individual, family, and community and their responses to health and
illness within the context of the changing health care environment.
o education provides students with opportunities to develop habits of critical,

constructive thought so that they can make discriminating judgments in their search
for truth. This type of intellectual development can best be attained in a teaching-
learning environment which fosters sharing of knowledge, skills and attitudes as
well as inquiry toward the development of new knowledge. The faculty and
students comprise a community of learners with the teacher as the facilitator and the
students responsible for their own learning.
o teaching and learning are essential continuing components of professional

commitment to personal and professional growth and continued development of
individual knowledge and abilities. This pursuit of knowledge and wisdom is the
responsibility of both faculty and students.
o the importance of faculty involvement in research and clinical practice encourages

to develop nursing theory as a basis for the improvement of nursing practice and for
the development of educational programs.
1
MGM INSTITUTE OF HEALTH SCIENCES
KAMOTHE, NAVI MUMBAI
OBJECTIVES OF THE PROGRAMME:
MGM New Bombay College of Nursing endeavours to develop a nurse….
1. who demonstrates competency in the knowledge and skills in providing

comprehensive nursing care based on problem solving approach in the hospital
and community.
2. who demonstrates competency in the skills and techniques of nursing based on

concepts and principles from selected areas of physical, biological and behavioral
sciences.
3. who is professionally competent to be a member of health team in meeting the

promotive, preventive and restorative health needs of the society.
4. who is capable to demonstrate skills in teaching , management, interpersonal

relations and communication.
5. who demonstrates leadership qualities and decision-making abilities to function

effectively in various situations.
6. who is aware of moral and ethical values and practices them in personal and
professional life.
7. who recognizes the need for continued learning for their personal and professional
development.
2
DURATION
Course Duration = 4 Years

Weeks available per year = 52 weeks
Vacation = 6 weeks
Examination (including preparatory leave) = 4 weeks
Holidays (Gazetted Holidays) = 2 weeks
Available weeks = 40 weeks
COURSE OF INSTRUCTION
First year
SL. SUBJECT THEORY (IN HRS) PRACTICAL (IN (IN

NO. CLASS & LAB HRS ) CLINICAL HRS )
1 * English 60
2 Anatomy 60
3 Physiology 60
4 Nutrition 60
5 Biochemistry 30
6 Nursing foundation 265+200 450
7 Psychology 60
8 Microbiology 60
9 *Introduction to computers 45
10 ** Hindi/ Regional language 30
11 Library work /self study 50
12 Co-curricular activities 50
Total hours 930 450 100
Total hours = 1480 hrs
** Optional
* Final exam will be conducted at college level and marks will be sent to the
University for inclusion in the mark list.
3
Second Year
SL. THEORY (IN HRS) PRACTICAL (IN (IN

NO. SUBJECT CLASS & LAB HRS ) CLINICAL HRS )
1 Sociology 60
2 Pharmacology 45
3 Pathology & 30
4 Genetics 15
5 Medical –surgical nursing )Adult 210 720
including geriatrics) –I
6 Community Health Nursing-I 90 135
7 Communication & Educational 60+30
Technology
8 Library wok /self study 50
Third Year

1 Medical –Surgical Nursing (Adult 120 270
including geriatrics )-II
2 Child health nursing 90 270
3 Mental Health Nursing 90 270
4 Nursing Research & Statistics 45 45
5 Library work/ self study 50
4
Fourth Year

1 Midwifery And Obstetrical 90 180
Nursing
2 Community Health Nursing –II 90 135
3 Management of Nursing service 60+30

and Education
Total hours 270 315
Total Hours = 585 Hrs
Intern-Ship (Integrated Practice)
SL. SUBJECT THEORY (IN HRS) PRACTICAL (IN (IN WKS )

NO. CLASS & LAB HRS ) CLINICAL
1 Midwifery And Obstetrical - 240 5
Nursing
2 Community Health Nursing –II - 195 4
Medical Surgical Nursing (Adult

3 - 430 9
and Geriatric)
4 Child Health - 145 3
5 Mental Health - 95 2
Total hours 1105 24
Total Hours ( Fourth yr + Internship)= 1690 Hrs
Note:
1. Internship means 8 hours of integrated clinical duties in which 2 weeks of
evening and night shift duties are included.
2. Internship should be carried out as 8 hours per day @ 48 hours per week.
3. Students during internship will be supervised by nursing teachers.
4. Fourth year final examination to be held only after completing internship.
5
SCHEME OF EXAMINATION
First Year
Sl. Subject Duration Internal External Total

No. Hours assessment examination marks
Theory
1 Anatomy & Physiology 3 25 75 100
2 Nutrition & Biochemistry 3 25 75 100
3 Nursing Foundations 3 25 75 100
4 Psychology 3 25 75 100
5 Microbiology 3 25 75 100
6 *English 2 50 50
7 *Introduction to computer 2 50 50
Practical and Viva Voce
1 Nursing Foundations 100 100 200
* Final exam will be conducted at college level and marks will be sent to the
Second Year

Theory
1 Sociology 3 25 75 100
2 Medical Surgical Nursing –I 3 25 75 100
3. Pharmacology, pathology, 3 25 75 100
genetics
4. Community Health Nursing - I 3 25 75 100
5. Communication and Education 3 25 75 100
Technology
1. Medical – Surgical Nursing - I 100 100 200
6
Third Year

Theory
1 Medical Surgical Nursing -II 3 25 75 100
2. Child Health Nursing 3 25 75 100
3 Mental Health Nursing 3 25 75 100
4 Nursing Research & Statistics 3 25 75 100
1 Medical Surgical Nursing -II 50 50 100
2 Child Health Nursing 50 50 100
3 Mental Health Nursing 50 50 100
Fourth Year

No Hours assessment examination marks
Theory
1 Midwifery and Obstetrical 3 25 75 100
Nursing
2 Community Health Nursing –II 3 25 75 100
3. Management of Nursing 3 25 75 100
Services and Education
Practical
1 Midwifery & Obstetrical 50 50 100
Nursing
2 Community Health Nursing 50 50 100
7
GENERAL RULES FOR EXAMINATION
1. Anatomy and Physiology : Question paper : will consist of Section A – Anatomy of

37 marks and Section B – Physiology of 38 marks
2. Nutrition and Biochemistry: Question paper will consist of Section A – Nutrition of
45 marks and Section B – Biochemistry of 30 marks.
3. Pharmacology, Genetics, Pathology: Section A – Pharmacology of 38 marks and
Section B – Pathology of 25 marks and Genetics of 12 marks.
4. Nursing Research & Statistics: Nursing Research should be 50 Marks and Statistics
of 25 Marks.
5. Minimum pass marks shall be 40% for English only and to be conducted as college
exam and marks to be sent to the University for inclusion in the mark list.
6. Theory and Practical exams for Introduction to computer to be conducted as college
exam and marks to be sent to University for Inclusion in the mark sheet.
7. Minimum pass marks shall be 50% in each of the Theory and Practical papers
separately.
8. A candidate has to pass in internal and external examinations in each of the papers
separately.
9. Candidate must pass in internal and external examinations in each of the paper
separately.
10. If a candidates fails in either theory or practical paper he/she to re-appear for both
the papers (Theory and Practical).
11. The candidates if fails can be permitted for admission to next year.
12. The candidate shall have to clear all the previous examinations before appearing in
final year examination.
13. The candidate shall have to clear all the previous examinations before appearing in
final year examination.
14. A candidate must have minimum of 80% attendance (irrespective of the kind of
absence) in theory and practical in each subject for appearing in the examination.
15. A candidate must have 100% attendance in each of the practical areas before award
of the degree.
16. Final year examination results shall be withheld till the candidates completes
required attendance for practical and internship.
8
MASTER PLAN
(As per Indian Nursing Council Norms)
B.Sc. Nursing Program – 4 years duration
Sr. No. Particulars Weeks/hours

1. Weeks available 52
2. Vacation (Winter = 2 weeks, Summer = 4 weeks) 06
3. Examination (including preparatory leave) 04
4. Gazetted holidays as per MGM University 02
5. Available weeks 40
6. Hours per week 40
9
COURSE PLANNING
I YEAR B.Sc. NURSING
10
ANATOMY
Placement: First Year Theory : 45
Practical : 15
Course Description -The course is designed to enable students to acquire the
knowledge of the normal structure of various human body systems and understand the
alternation in anatomical structure in disease and practice of Nursing.
Specific Objectives:
1. Describe the anatomical terms, organisation of human body, structure of cell,
tissues membranes and glands.
2. Describe the structure and functions of bones and joints.
3. Explain the structure and functions of muscles.
4. Describe the structure and functions of respiratory system.
5. Describe the structure and functions of digestive system.
6. Explain the structure and functions of circulatory and lymphatic system.
7. Describe the structure and functions of organs excretory (urinary) system.
8. Describe the structure and functions of male and female reproductive system.
9. Explain the structure and functions of endocrine system.
10. Describe the structure and functions of nervous system.
11. Explain the structure and functions of sensory organs.
12. List the abnormalities of anatomical structure in each body system.
Unit Hrs Theory Hrs Practical
I 4 Introduction to anatomical terms, organization 1 Demonstrate cell,
of human body types of tissue,
 Human cell structure & Cell division membranes and
 Tissues (including glands) – Definition, types, glands
characteristics, classification, location, functions
and formations.
 Membranes & glands – classification, structure.
 Alteration in Disease
 Application and implication in nursing.
II 5 Skeletal System 2 Demonstrate
 Bones – types structure, axial, appendicular using skeleton
skeleton. and loose bones.
 Bone formation and growth
 Description of bones.
 Joints –Classification and structure
III 4 Muscular System 2
 Types and structure of muscle Demonstrate
 Muscle groups & movements at a joint -Head, muscles and
face, neck, Back, Upper Limb, Thorax, muscular
Abdominal, Pelvis, Perineum, Lower Limb movements
 Application and implication in nursing
11
IV 3 Respiratory System 1 Demonstration of
 Structure of the organs of respiration -Trachea, wet specimens
lung, pleura.
 Musculoskeletal frame
 Mechanism of respiration
V 5 Digestive System 1 Demonstration of
 Structure of elementary tract and accessory wet specimen.
organs of digestion - Mouth, Tooth, Tongue,
Salivary glands, Oesophagus, Stomach,
Intestines, Liver, Biliary Apparatus, Pancreas,
Peritoneum
 Alteration in disease
VI 5 Circulatory System 1 Demonstration of
 Blood –microscopic structure wet specimen.
 Structure of Heart
 Structure of blood vessels - Arterial & venous
 Circulation - Systemic, Pulmonary, Hepatoportal
and Coronary
VII 3 Lymphatic System
 Lymphatic vessels and lymph
 Lymphoid tissue - Thymus,
 Lymph node, Spleen, Lymph nodules.
VIII 3 Excretory System (Urinary) 1 Demonstration of
 Structure of organs of urinary system- Kidney, wet specimen.
Ureter, Urinary bladder and urethra
 Structure of Skin
IX 2 Reproductive system 1 Demonstration of
 Structure of Male reproductive organs. wet specimen
 Structure of female reproductive organs.
 Structure of Breast
X 2 Endocrine System 1 Demonstration of
 Structure of Pituitary, Thyroid, Parathyroid & wet specimen
Pancreas, thymus and adrenal glands.
12
XI 7 Nervous System 2 Demonstration of
 Structure of neuroglia, neurons wet specimen
 Somatic Nervous System.-Brain, Spinal cord,
cranial nerves and spinal nerves.
 Autonomic Nervous System - ANS & PNS
XII 2 Sensory organs 2 Demonstration of
 Eye and Ear wet specimen
 Nose & tongue
 Skin
13
PHYSIOLOGY
Placement: First Year Theory - 50 hours
Practical - 10 hours
1. Describe the physiology of cell, tissues membranes and glands.
2. Describe the physiology of blood and demonstrate blood, cell count, coagulation,
blood grouping and Haemoglobin.
3. Describe the physiology of Lymphatic & Immunological system.
4. Describe the neuromuscular transmission, and demonstrate muscle contraction
and tone.
5. Describe the physiology and mechanism of respiration and demonstrate
spirometry.
6. Describe physiology of Digestive system and demonstrates BMR.
7. Describe the functions of heart, demonstrates B.P and pulse monitoring
8. Describe physiology of excretory system.
9. Describe physiology of male and female reproductive system.
10. Describe physiology of Endocrine Glands.
11. Describe physiology of reflexes, brain, cranial and spinal nerves.
12. Describe physiology of sensory organs.

I 2 Cell Physiology
 Tissue - formation and repair.
 Membranes and glands - functions
 Application in nursing
II 8 Circulatory System 4 Demonstration
 Blood formation, Composition, Blood groups, of blood cell
blood coagulation. counts,
 Haemoglobin: Structure, Synthesis and coagulation,
breakdown, variations of molecules and grouping, and
estimation. Haemoglobin
 Functions of heart, conduction, cardiac cycle, estimation.
circulation. Principles, control, factors Demonstration
influencing B.P and pulse. of
 Alterations in disease. measurement
 Application and implication in nursing of pulse and
B.P.
Lymphatic & Immunological System.
III 2 Circulation of lymph.
Immunity - Formation of T cells & B Cells.
Types of immune response.
Antigens
Cytokines
Antibodies.
Alterations in disease.
Application and implication in Nursing
14
IV 3 Muscular System 1 Demonstration
 Muscle movements, muscle tones, of muscle tone
 Physiology of muscle contraction. and contraction
 Levels and maintenance of posture
 Alterations in disease.
V 4 Respiratory System 1
 Functions of Respiratory organs. Demonstration
 Physiology of respiration in spirometry.
 Pulmonary ventilation, Volume
 Mechanics of respiration.
 Gaseous exchange in lungs
 Carriage of Oxygen and carbon dioxide.
 Exchange of gases in tissues.
 Regulation of respiration.
VI 5 Digestive System 1 Demonstration
 Functions of organs of digestive tract. of BMR.
 Movements of alimentary tract.
 Digestion in Mouth, stomach, small intestine,
large intestine.
 Absorption of food.
 Functions of liver, Gall bladder, spleen &
pancreas.
 Metabolism of CHO, proteins and fats.
VII 5 Excretory System.
 Functions of kidneys, ureters, urinary bladder
and urethra.
 Composition of urine.
 Mechanism of Urine formation.
 Functions of skin.
 Regulation of body temperature.
 Fluid and electrolyte balance.
 Application and implication in Nursing.
VIII 5 Reproductive System
 Reproduction of cell – DNA, mitosis, meiosis,
spermatogenesis, oogenesis.
 Introduction to embryology
 Function of Female reproductive Organs and
Breast, female sexual cycle
 Functions of male reproductive organs, Male.
15
function in reproduction, Male fertility system
 Alteration in disease.
IX 5 Endocrine System.
 Functions of pituitary, pineal, thymus, thyroid,
parathyroid, pancreas, suprarenal, placenta,
ovaries and testes.
X 7 Nervous System 1 Demonstrates
 Functions of neuroglia and neurons nerve stimulus,
 Stimulus & nerve impulse: definition, reflex action,
mechanism. and reflexes.
 Functions of brain, spinal cord, and cranial and
spinal nerves.
 Cerebrospinal fluid- composition, circulation
and function.
 Reflex arc, reflex action and reflexes
 Muscle tone and posture
 Autonomic functions - Pain: somatic, visceral
and referred
 Autonomic learning and biofeedback
XI 4 Sensory Organs. 2 Visual and
 Functions of skin, Hearing
 Eye, ear, nose & tongue. Aquity.
BIBLIOGRAPHY
1. Waugh, Anne, “ Ross & Wilson’s Anatomy & Physiology in health &
illness’,Churchill Livingstone.
2. Anthony & Thibodcon, “Anatomy & Physiology for nurses’’ C.V.Mosby
Co.,London.
3. Greig, Rhind, “ Riddle’s Anatomy & Physiology’’, Churchill Livingstone.
4. Singh, I. B. “Anatomy & Physiology for nurses”, Jaypee.
5. Tortora, “Principles of Anatomy & Physiology,” 10th ed., Wiley inter.
6. Chaurasia, B.D. “Human Anatomy”, 4th ed., CBS publishers.
7. Sembulingam, “Essentials of Medical Physiology,” J.P. Publications.
8. T Clenister and Jean Rosy . “Anatomy and Physiology for Nurses” William
Hernmarni Medical BK. Ltd.
9. Ganong. F. William, “Review of Medical Physiology”, Prentice Hall International
Inc., Appleton and Lange.
10. Guyton and Hall, “Textbook of Medical Physiology,”A Prism2. Indian Edn. Pvt.Ltd.
16
ANATOMY AND PHYSIOLOGY
INTERNAL ASSESSMENT (25 MARKS)
Sr Item Marks Weightage Marks

No allotted out of 25
1 First term Exam 50 20% 5.0
Anatomy=25 marks &Physiology= 25 marks)
2 Pre-final Exam 75 30% 7.5

(Anatomy=37marks &Physiology= 38 marks)
3. Record Book/ Assignments/ Lab work

Anatomy = 25 marks 50 50% 12.5
Physiology = 25 marks
Total 175 100% 25
UNIVERSITY EXAMINATIONS
Time: 3 Hrs
Anatomy = 37 marks
Physiology = 38 marks
75 marks
Internal assessment = 25 marks
Grand Total = 100 marks
17
GUIDELINES FOR RECORD BOOK
Anatomy
Topics
1. The Cell.
2. The Tissues – Epithelial, muscular, nervous and connective.
3. Bones of 18Appendicular skeleton – Scapula, humerus, radius, ulna.
4. Bones of the axial skeleton – Hip, Femur, ankle and foot.
5. The Joints
6. Principal Muscles – Deltoid, Biceps, triceps, respiratory, abdominal and gluteal
7. Respiratory System – Tracheo-broncheal tree, lungs
8. Digestive System – Stomach, Biliary tract, Pancreas, Liver (microscopic) Large
intestine, Small intestine.
9. Abdominal region.
10. Circulatory System – Structure of heart, aorta and its branches, venous
branches, lymph node
11. Urinary System – gross and microscopic structure of kidney, KUB
12. Reproductive Male – testes with spermatic cord
Female – uterus and its support
13. Endocrine system – Pituitary, Thyroid, Adrenal, Thymus, Pineal
14. Nervous system – Brain and Spinal Cord.
15. Sense organs – Skin, Eye, Ear, Nose, Oral cavity
Physiology
Topics
1. Properties of cardiac and skeletal Muscles
2. Reflex arc
3. Blood – Bleeding time, clotting time, haemoglobin estimation, Blood Group,
RBC, WBC
4. Heart Sound
5. Cardiac Cycle
6. Action Potentials, ECG
7. Spirometry
8. BMR
9. Menstrual Cycle
10. Cranial Nerves
18
Question Paper Format (University exam)
Grand Total = 75 Marks

Section A: Total: 10 marks
Q1). Multiple choice question (20 MCQ x ½ mark each)

Anatomy - 05 marks (10 MCQ)
Physiology - 05 marks (10 MCQ)
Section B: (Anatomy questions) Total: 32 marks
Q2.) Short Answer Question: 2 marks each (Any six) (6x 2=12marks)
a.
b.
c.
d.
e.
f.
g.
Q3) Short Notes: 4 marks each (Any three) (3 x4 =12 marks)
a.
b.
c.
d.
Q4.) Long Answer Question: 8 marks (Any one) (8 x1= 8 marks)
a.
b.
Section C: (Physiology Questions) Total: 33 marks
Q5) Short Answer Question: 2 marks each (Any six) (2x6 = 12 marks)
a.
b.
c.
d.
e.
f.
g
Q6) Short Notes: 4 marks each (Any three) (3 x 4 = 12 marks)
a.
b.
c.
d.
Q7.) Long Answer Question: 9 marks ( Any one) (9 x1= 9 marks)
a.
b.
19
Question Paper Format (first term exam)

Anatomy - 05 marks (10 MCQ)
Physiology - 05 marks (10 MCQ)
Section B: (Anatomy questions) Total: 20 marks
Q2.) Short Answer Question: 2 marks each ( Any 2) (2x 2=4 marks)
a.
b.
c.
Q3) Short Notes : 5 marks each ( Any 2) (2 x 5 = 10 marks)

a.
b.
c.
Q4.) Long Answer Question: 6 marks (Any one) (6 x1= 6 marks)

a.
b.
Section C: (Physiology Questions) Total: 20 marks
Q5) Short Answer Question: 2 marks each ( Any 2) (2 x 2 = 4 marks)

a.
b.
c.
Q6) Short Notes: 5 marks each ( Any 2) (2 x 5 = 10 marks)

a.
b.
c.
Q7.) Long Answer Question: 6 marks ( Any one) (6 x1= 6 marks)

a.
b.
20
FIRST YEAR B.Sc. NURSING
EVALUATION CRITERIA FOR RECORD BOOK / JOURNAL
Name of the Student: __________________________________________________
Topic: _______________________________________________________________
Academic Year: _____________________________________ Date: ____________
Total Marks: 25 marks
Sr. ITEM Maximum Marks Allotted

No Marks
1. DESCRIPTION
a) Organization 4
b) Adequacy of content 5
c) Relevance 4
2. ILLUSTRATION
1) Adequacy 3
2) Neatness 3
3) Presentation 4
3. BIBLIOGRAPHY 1
4. PUNCTUALITY 1
TOTAL MARKS 25
Remarks :
_______________________________________________________________________
_______________________________________________________________________
________________________________________________________________
Signature of Student Signature of Teacher

21
NUTRITION & BIOCHEMISTRY

Nutrition
Placement: First Year Theory - 40 hours
Practical - 20 hours
Course Description: The Course is designed to assist the students to acquire knowledge
of the nutrition for maintenance of optimum health at different stages of life and its
application for practice of nursing.
1. Describe the relationship between nutrition & health.
2. Describe the classification, functions, sources and recommended daily
allowances (RDA) of Carbohydrates
allowances (RDA) of Fats.
allowances (RDA) of Proteins.
allowances (RDA) of Energy.
allowances (RDA) of Vitamins.
allowances (RDA) of Minerals.
8. Describe the sources, functions and requirements of water & electrolytes.
9. Describe the Cookery rules and preservation of nutrients
10. Describe and plan balanced diet for different categories of people
11. Describe various national programmes related to nutrition
12. Describe the role of nurse in assessment of nutritional status & nutrition
education

I 5 Introduction
Nutrition: History, Concepts
 Role of nutrition in maintaining health
 Role of food & its medicinal value
 Factors affecting food &nutrition : socio-
économique, cultural, tradition,
production, system of distribution,
lifestyle & food habits etc.
 Food Resources: World food problems,
changes caused by agriculture and
overgrazing, effects of modern
agriculture, fertilizer, pesticide problem,
water logging, salinity, case studies.
 Nutritional problems in India
 National nutritional policy
 Classification of foods
22
 Food standards
 Elements of nutrition: macro and micro
II 2 CARBOHYDRATES
 Classification
 Caloric value
 Recommended daily allowances
 Dietary sources.
 Functions
 Digestion, absorption and Storage and
metabolism
 Malnutrition: Deficiencies and Over
consumption
III 2 FATS
 Classification
 Caloric value
 Functions
 Digestion, absorption and storage,
metabolism
consumption
IV 2 PROTEINS
 Classification
 Caloric value
 Functions
 Digestion, absorption and storage,
metabolism
consumption
V 3 ENERGY
 Unit of Energy-Kcal
 Energy requirements of different
categories of people.
 Measurements of energy
 Body Mass Index(BMI) and basic
metabolism
 Basal Metabolic Rate (BMR)
determination and factors affecting.
VI 4 VITAMINS
 Classification
23
 Functions
 Absorption, synthesis, Metabolism
storage & excretion
 Deficiencies
 Hypervitaminosis
VII 3 Minerals
 Classification
 Functions
 Absorption, synthesis, Metabolism
storage & excretion
 Deficiencies
 Over consumption and toxicity
VIII 3 Water & electrolytes
 Water: Daily requirements, regulation of
water metabolism, distribution of body
water,
 Electrolytes: Types, sources, composition
of body fluids.
 Maintenance of fluid & Electrolyte
balance
 Over hydration, dehydration and water
intoxication
 Electrolyte imbalances
IX 5 Cookery rules and preservation of 15 Meal Planning
nutrients demonstrations
 Principles, methods of cooking and Fluid diet
serving – Preservation of nutrients Milk diet
 Safe food handling – toxicity Egg diet
 Storage of food Soups
 Food preservation, food additives and its Low Cost
principles Food
 Prevention of food adulteration Act(PFA) Multipurpose
 Food standards. food
 Preparation of simple beverages and (Refer the
different types of food. procedure book
for detailed list)
X 7 Balance diet Plan balanced
 Elements 3 diet for different
 Food groups categories of
 Recommended Daily Allowance people
 Nutritive value of foods
 Calculation of balanced diet for different
categories of people
24
 Factors influencing food, selection,
marketing and budgeting for various
cultural and socioeconomic group
 Planning menu and budgeting of food.
 Introduction to therapeuticdiets: -
Naturopathy-Diet
XI 4 Role of nurse in Nutritional Programmes Demonstration
 National programmes related to nutrition 2 of
 Vitamin A deficiency programme Assessment of
 National iodine deficiency disorders nutritional status
(IDD) programme
 Mid-Day meal programme
 Integrated child Development scheme
(ICDS)
 National and International agencies
working towards food/nutrition
 NIPCCD, CARE,FAO, NIN, CFTRI
(Central food technology & research
institute) etc.
 Assessment of nutritional status.
 Nutrition education and role of nurse
NUTRITION
BIBLIOGRAPHY :
1. Shubhangi Joshi, Nutrition and Dietetics. Tata McGraw – Hill publishing company
Limited, New Delhi.
2. Dr. M. Swaminathan, Handbook of Food and Nutrition, The Banglore printing and
publishing Co. Ltd. (Banglore press) .
3. C. Gopalan, B. V. Ramasastri and S.C. Balasubramanian Nutritive value of Indian

Foods, National Institute of Nutrition, Indian Council of Medical Research,
Hyderabad.
4. Joshi V.D. Handbook of Nutrition and Dietetics Vora medical publications.
5. Kusum Gupta (L. C.Guple, Abhishek Gupta) Food and Nutrition Facts and Figures,
Jaypee brothers Medical publications (P) Ltd., New Delhi, India
6. T. K. Indrani, Nursing Manual of Nutrition and Therapeutic Diet, Jaypee Brothers

medical publishers (P) Ltd.,
7. Antia – Clinical Dietetics and Nutrition,
25
BIOCHEMISTRY
Placement: First Year Theory – 26 hours

Practical – 4 hours
Course Description: The Course is designed to assist the students to acquire knowledge
of the normal biochemical composition and functioning of human body and understand
the alterations in biochemistry in diseases for practice of nursing.
1. Describe the structure Composition and functions of cell
2. Differentiate between Prokaryote and Eukaryote cell
3. Identify techniques of Microscopy
4. Describe the Structure and functions of Cell membrane.
5. Explain the metabolism of carbohydrates
6. Explain the metabolism of Lipids
7. Explain the metabolism of Amino acids and proteins.
8. Describe types, composition and utilization of Vitamins & minerals
9. Describe Immunochemistry
I 3 Introduction
 Definition and significance in nursing.
 Review of structure,
Composition and functions of cell.
 Prokaryote and Eukaryote cell
organization
 Microscopy
II 5  Structure and functions of Cell
membrane
 Fluid mosaic model tight junction,
Cytoskeleton
 Transport mechanism: diffusion,
osmosis, filtration, active channel,
sodium pump.
 Acid base balance maintenance
diagnostic tests.
 PH buffers
III 5 Composition and metabolism of 1 Demonstration of
carbohydrates blood glucose
 Types, structures, composition and uses. monitoring
Monosaccharides, Disaccharides, GTT Test
Polysaccharides, Oligosaccharides HbA 1 C Test
 Metabolism
 Pathways of glucose :
- Glycolysis
- Gluconeogenesis : Cori’s cycle,
Tricarboxylic acid (TCA) cycle
- Glycogenolosys
26
- Pentose phosphate pathways (Hexose
monophosphate)
 Regulation of blood glucose level
Investigations and their interpretations
IV 3 Composition and metabolism of Lipids 1 Demonstration of
 Types, structure, composition and uses of laboratory
fatty acids Nomenclature, Roles and Tests Lipid
Prostaglandins profile
 Metabolism of fatty acid Breakdown
synthesis
 Metabolism of triacylglycerols
 Cholesterol metabolism
 Biosynthesis and its Regulation
- Bile salts and bilirubin
- Vitamin D
- Steroid hormones
 Lipoproteins and their functions :
VLDLs- IDLs, LDLs and HDLs
Transport of lipids, Atherosclerosis
Investigations and their interpretations.
V 5 Composition and metabolism of Amino 1 Diagnostic &
acids and Proteins Clinical
 Types, structure, composition and uses of importance of
Amino acids and Proteins Enzymes.
 Metabolism of Amino acids and Proteins
Protein synthesis, targeting and
glycosylation Chromatography
Electrophoresis Sequencing
 Metabolism of Nitrogen Fixation and
Assimilation Urea Cycle Hemes and
chlorophylls
 Enzymes & coenzymes Classification,
Properties Kinetics & inhibition, Control
 Investigations and their interpretations.
VI 2 Composition of Vitamins and minerals
 Vitamins and minerals: Structure,
Classification, Properties, Absorption,
Storage & transportation, Normal,
concentration
 Investigations and their interpretations
VII 3 Immunochemistry 1 Demonstration
 Immune response, laboratory
 Structure & classification of tests
immunoglobins Quantitative test
 Mechanism of antibody production. Slide plasma
 Antigens: HLA typing. protein.
27
 Free radical and Antoxidants.
 Specialised Protein: Collagen, Elastin,
Keratin, Myosin, Lens Protein.
 Electrophoretic & Quantitative
determination of immunoglobins, ELISA
etc.
Investigation and their interpretations.
BIOCHEMISTRY
BIBLIOGRAPHY :
1. U. Satyanarayan, Essentials of biochemistry, Books & allied (P) Ltd., Kolkata

publisher,
2. Deb A.C.: Concepts of biochemistry (Theory & Practical). books & allied (P) Ltd.
Publisher, Kolkata.
3. Deb. A.C. Fundamentals of biochemistry of biochemistry: New central book Ag

(P)Ltd.
4. Jacob Anthikad, Biochemistry for nurses, Jaypee;
5. Gupta. R.C., Multiple choice questions in Biochemistry, Jaypee.
28
Sr. Item Marks Weightage Marks

No. allotted out of
25
1. First term Exam 50 Marks 20% 5.0
Nutrition=35 marks
Biochemistry =15 marks)
2. Pre-final Exam
Nutrition=45 marks 75 Marks 30% 7.5
Biochemistry =30 marks)
3. Record Book (Biochemistry) 20 marks
95 Marks 50% 12.5

4. Record Book (Nutrition) 25 marks
5. Project work (Cookery – Nutrition)

50 marks
TOTAL 220 100% 25
Time: 3 Hrs
Nutrition = 45 marks
Biochemistry = 30 marks
75 marks
29
Nutrition 5 marks (10 MCQ)

Biochemistry 5 marks (10 MCQ)
Section B: ( Nutrition questions) Total: 40 marks
Q2.)Short Answer Question: 2 marks each (Any six) (6 x 2 =12 marks)

a.
b.
c.
d.
e.
f.
g.
Q3) Short Notes: 5 marks each (Any four) (4 x 5=20 marks)
a.
b.
c.
d.
e.
Q4.) Long Answer Question:8 marks ( Any one) (1 x8= 8 marks)
a.
b.
Section C: (Biochemistry Questions) Total: 25 marks
Q5) Short Answer Question: 2 marks each (Any four) (4 x 2 = 8 marks)

a.
b.
c.
d.
e.
Q6) Short Notes: 5 marks each (Any two) (2 x5 = 10 marks)

a.
b.
c.
a.
b.
30
Question Paper Format (first term)

Grand Total =50 Marks
Nutrition 5 marks (10 MCQ)

Biochemistry 5 marks (10 MCQ)
Section B: (Nutrition questions) Total: 30 marks
Q2.)Short Answer Question: 2 marks each (6 x 2 =12 marks)

a.
b.
c.
d.
e.
f.
Q3) Short Notes: 5 marks each (Any two) (2 x 5=10 marks)
a.
b.
c.

a.
b.
Section C: (Biochemistry Questions) Total: 10 marks
Q5) Short Answer Question: 2 marks each (2 x 2 = 4 marks)

a.
b.
c.
Q6) Short Notes: 6 marks (1 x6 = 6 marks)

a.
b.
31
EVALUATION CRITERIA FOR NUTRITION PRACTICUM
Topic: _______________________________________________________________
Sr. Items Maximum Marks Marks allotted

No.
1 Selection of menu 15
2. Method of Cooking 15
3. Calculation of nutritive values 10
4. Group Co-ordination 5
5. Aesthetic Presentation 5
Total 50
Remarks :
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________
Signature of Student with date Signature of Teacher with date
32

Topic: _______________________________________________________________

No Marks
1. DESCRIPTION
a) Organization 4
c) Relevance 3
2. ILLUSTRATION
4) Adequacy 3
5) Neatness 3
6) Presentation 4
3. BIBLIOGRAPHY 1
4. PUNCTUALITY 1
TOTAL MARKS 25
Remarks :______________________________________________________________
_______________________________________________________________________
____________________________________________________________________
33
EVALUATION CRITERIA FOR BIOCHEMISTRY RECORD BOOK /
JOURNAL
Name of the Student: _________________________________________________
Sr. No. Topics

1 Investigation and its interpretation related to altered CHO metabolism.
2 Investigation and its interpretation related to altered protein metabolism
3 Investigation and its interpretation related to altered lipid metabolism
4 Investigation and its interpretation related to altered vitamin and minerals
5 Investigation and its interpretation related to altered immunochemistry

Sr. No ITEM Maximum Marks
Marks Allotted
1. DESCRIPTION
a) Organization 4
c) Relevance 3
2. ILLUSTRATION
7) Adequacy 2
8) Neatness 2
9) Presentation 3
3. BIBLIOGRAPHY 2
TOTAL MARKS 20
Remarks :______________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
34
NURSING FOUNDATIONS
Placement: First year
Theory - 265 hrs

Practical - 650 hrs (200 lab and 450 Clinical)
Course Description: This course is designed to help the students to develop an

understanding of the philosophy, objectives, theories and process of nursing in various
supervised clinical settings. It is aimed at helping the students to acquire the knowledge,
understanding and skills in techniques of nursing and practice them in supervised
clinical setting.
Specific Objectives: This course will help the students to develop:

1. An understanding of health, illness and health care delivery system.
2. An understanding of the concept and scope of nursing.
3. An understanding of the theories and models of nursing practice.
4. Desirable attitude to ethics and professional conduct.
5. Skills in communicating effectively with patients, families and health team
member and maintain effective human relations.
6. Skills in health assessment and monitoring the patients.
7. Knowledge and skills in identifying and meeting basic needs of patients.
8. Skills in carrying out nursing procedures to manage alteration in body function.
9. Skills in applying steps of nursing process in patient care in the hospital and
community.
10. Skills in applying scientific principles while performing nursing care.
11. Knowledge and skills in documentation.
12. Skills in meeting basic psychosocial needs of the clients.
13. Knowledge of principles and techniques of infection control and biomedical waste
management.
14. Knowledge and skills in first aid management in various emergencies and skills in
bandaging.
15. Confidence and competence in caring of terminally ill patients.
35
I 08 INTRODUCTION: 5 Visit to Hospital
• Health illness
 Concept
 Factors influencing health
 Causes and risk factors for developing illness.
 Impact of illness on patient and family
• Health care services
 Levels of health care.
 Hospitals: Location, types, organization and
functions
• Health Care Team
 Concept
 Importance.
 Members of the health team and their role.
II 16 NURSING AS A PROFESSION:
• Historical Development in Nursing:
 Nursing before 19th Century
 Nursing during and after 19th Century
 Origin and development of nursing in India.
 Nursing in India today.
• Nursing :
 Concepts,
 Definition, philosophy, objectives.
 Characteristics, nature and scope of nursing
practice.
 Functions and qualities of a Professional nurse.
 Categories of nursing personnel
 Definition and characteristics of a profession.
 Professional responsibilities and roles of a
nurse
• Ethical and legal aspects of nursing:
 Ethics : Definition, Ethical Principles, Code of
ethics and professional conduct for nurses.
 Values : Definition, Types, Values,
clarification and values in professional
Nursing.
 Legal : Concept, Consumer’s Rights, Patient’s
bill of rights, legal implication in nursing.
III 04 06 Admission,
HOSPITAL ADMISSION AND DISCHARGE:
• Admission Transfer and
Discharge procedure
 Unit and its preparation
 Special considerations
 Medico-legal issues
 Roles and responsibilities of the nurse
36
Discharge
 Types – Planned discharge, LAMA and
abscond, Referrals and transfers
 Discharge Planning
 Special considerations , Medico-legal issues
 Roles and Responsibilities of the nurse
 Care of the unit after discharge
IV 10 1 Health Talk
COMMUNICATION AND NURSE PATIENT
(Planned)
RELATIONSHIP
 Communication : Levels, Elements, Types,
5 Visit to institute of
modes, and communication process.
Physically mentally
 Factors influencing communication challenged.
 Methods of effective communication
 Barriers to effective communication. 5 Visit to institute of
 Helping Relationships (NPR): dimensions, visual and hearing
phases. Impaired.
 Communicating effectively with patient,
families and team members.
 Communicating with vulnerable group
(children ,women, physically and mentally
challenged and elderly)
 Patient Teaching : Importance, Purposes,
 Process and role of nurse and integrating in
nursing process.
V 15 THE NURSING PROCESS 10 Writing Nursing
 Critical Thinking and Nursing Judgment: Care Plan and
 Thinking and Learning. Nurse’s Notes.
 Competencies, attitudes for critical thinking
and levels of critical thinking in nursing
 Nursing Process: Concept, Definition, steps of
nursing process.
 Difference between medical and nursing
diagnosis
 Protocols and Standing Orders.
 Writing Nursing Care Plan and nurse’s notes
VI 4 DOCUMENTATION AND REPORTING: 2 Write Patient report
 Purpose of Recording and reporting (change of shift,
 Types of records and reports. transfer, incidental
 Importance and principles of reporting and report)
recording.
 Common Record keeping forms
 Methods of recording.
 Guidelines for Reporting.
 Legal Guidelines of recording and reporting.
 Nurse’s Record
37
VII 15 VITAL SIGNS 10 Vital Signs
Guidelines for taking vital signs: Measuring
• Temperature, Pulse Respiration, Blood temperature, Pulse,
Pressure and Pain. Respiration and
Physiology Blood Pressure.
Regulation
Factors affecting TPR and BP 3 Cold Compress, Ice
• Assessment of TPR and BP : Cap, Ice Collar.
Sites,
Locations 3 Tepid sponge, Cold
Equipments and techniques, Special sponge and Cold pack
consideration 2 Filling and Giving Hot
 Alterations temperature (Hyperthermia, water bag.
Heatstroke, Hypothermia). 2 Simple fomentation,
 Rigor – causes, stages and care of patient with Poultices and Stupes
rigors.
 Alterations in pulse respiration and blood
pressure.
 Pain- Nature, types factors influencing pain,
coping, assessment and management.
• Hot and cold applications:

 General Principles, uses and effects on human
body.
 Different Types of cold applications (cold
compress, ice cap, ice collar, cold pack, tepid
sponge hypothermia blanket).
 Different Types of hot applications (hot water
bag, simple and medicated.
 Fomentations, poultices and stupes infra red
diathermy, heat cradle, electric pad, chemical
heating bottles )
 Recording of vital signs.
VIII 25 HEALTH ASSESSMENT 10 • Heath history

 Purposes • Perform Physical
 Process of health assessment: Health history assessment -
and physical examination General,
 Methods of physical examination and Body systems.
 Preparation for examination: Patient and unit.
 Different positions for physical examination.
 General assessment and assessment of each
body system
 Recording of health assessment
38
2 • Care of goods :
MACHINERY, EQUIPMENT AND LINEN:
IX 5 Linen, rubber
 Types: Disposables and reusable, Linen,
goods, glass ware,
rubber goods, glass ware, metal, plastics,
metal, plastics,
furniture and machinery
furniture and
 Inventory, Indent and Maintenance. Machinery.
X MEETING NEEDS OF PATIENT:
A.BASIC NEEDS (ACTIVITIES OF DAILY LIVING)
2 A-1. Identifying basic needs of the patients :
 Maslow’s hierarchy
 Faye Abdellah,
 Virginia Henderson
10 A-2 Providing safe and clean Environment : 11 Prepare beds :
 Physical environment: Temperature, • Open
Humidity, Noise, Ventilation, light, Odour, • Closed
pests control. • Occupied
 Patient environment : Room Equipment, • Operation.
making patient beds, Types of beds and bed • Amputation
making • Cardiac
 Prevention of Physical hazards: fire, • Fracture
accidents • Burn
 Safety devices: Restraints, side rails, airways, • Divided
trapeze etc • Fowler’s
 Role of nurse in providing safe and clean
environment.
6 A-3 Hygiene : 2 Mouth wash

 Importance of personal hygiene. assisting for a helpless
 Factors Influencing hygienic practice patient
 Hygienic care : Care of 3 Mouthwash for
o Skin Unconscious patient.
o Pressure points 6 Baths (sponge,
o Feet and nail partial, bathroom)
o Oral Cavity
o Hair and scalp 3 Care of nails (nail
o Eyes, Ears and Nose cutting, manicure,
 Bed Sores – causes and prevention pedicure, Hair
 Wound healing and wound care. 3 Hair combing
Hair wash.
3 Treatment for
Pediculosis.
2 Back care: care of
pressure points.
3 Bed sore dressing
2 Perineal Care
39
2 A- 4 Comfort 4 Use of comfort
 Factors influencing comfort devices.
 Comfort devices ( Air mattress, water mattress,
air cushions, trochanter rolls, hand rolls, foot
board, sand bags, back rest, cardiac table, bed
cradle elbow and ankle rings.
B. PHYSIOLOGICAL NEEDS
2 B-1. Sleep and Rest :
 Physiology of sleep
 Factors affecting sleep
 Promoting rest and sleep, sleep disorders.
6 B-2. Nutrition : 1 Serving Diet
 Importance 1 Serving and
 Factors affecting nutritional needs, feeding a
 Assessment of nutritional needs: Variables helpless patient
 Meeting Nutritional needs: Principles, 3 Insertion Nasogastric
equipment procedure and special tube, suction,
considerations irrigation and
Oral analysis
Enteral : Naso/Orogastric, 3 Feeding :
Gastrostomy  Oral
Parenteral  Enteral
 Treatments related to gastrointestinal system:  Naso /
nasogastric suction, gastric irrigation, gastric Orogastric
analysis  Gastrostomy
 Parenteral
9 B-3 Urinary and Bowel Elimination : 2 Collection of specimen

 Review of Physiology of Urine & bowel for urine, sputum,
Elimination. faeces, vomitus,
 Factors Influencing urinary and bowel blood and other body
elimination. fluids.
Perform lab. test for
 Alteration in urinary and bowel elimination and 1
urine sugar, albumin
nurse’s responsibilities.
and acetone
 Types and collection specimen of urine and
1 Perform lab. test for
faeces - observation, urine testing.
blood sugar (with
 Facilitating urine and bowel elimination, strip/
Assessment, types, equipments, procedures glucometer)
&special considerations 1 Providing urinal, bed
Providing urinal/ bed pan pan.
Condom drainage 3 Urinary
Perineal care Catheterization
Catheterization
Passing of Flatus tube
40
Suppository 1 Care of patient with
Enemas condom drainage/
Sitz bath continuous bladder
Bowel wash drainage.
3 • Enemas.
• Proctoclysis.
• Suppositories.
• Flatus tube
insertion.
2 Bowel wash Colonic

irrigations.
5 B-4. Mobility and Immobility : 2 Range of motion

 Principles of Body Mechanics Exercises.
 Maintenance of normal body alignment and
mobility 2 Positioning :
 Factors affecting body alignment and mobility Recumbent,
Lateral ( Rt. & Lt)
 Hazards associated with immobility
Fowler’s, Sims,
 Alteration in body alignment and mobility Lithotomy, Prone,
 Nursing interventions for impaired Body trendelenburg.
alignment and mobility: Assessment, types,
devices used. 2 Assist patient in
 Special considerations and rehabilitation. moving, lifting,
 Range of motion exercises transferring and
 Maintaining body alignment : Positions walking
 Moving
2 Restraints
 Lifting
 Transferring
 Walking
 Restraints
10 B-5. Oxygenation : Methods of oxygen
 Review of Cardiovascular and respiratory 3 administration:
physiology, 1 Suctioning :
 Factors Affecting oxygenation asopharyngeal
 Alteration in respiratory function. oropharyngeal
 Nursing Intervention in oxygenation: 2 Steam inhalation
Assessment, types, equipment used, procedure Different methods
and special considerations
 Maintenance of patent airway 2 Chest Physiotherapy
 Oxygen administration, Suction and postural
drainage .
 Inhalations : Dry and moist
1 Nebulization
 Chest Physiotherapy
 Postural drainage
 Pulse oximetry
41
6 B-6. Fluid, Electrolyte and Acid Base Balances 1 Measuring fluid
 Review of Physiological regulation of fluid, intake and output
electrolyte and acid base balance.
 Factors affecting fluid electrolyte, and acid
base balances.
 Nursing intervention in fluid, electrolyte
and acid base imbalances :
Assessment, procedure and special
considerations.
Measuring fluid intake and output
Correcting Fluid
 Electrolyte imbalance :
Replacement of fluids : Oral & parenteral
Restriction of fluids.
6 B-7. Psychosocial Needs :
Concepts of cultural diversity, stress and
adaptation, self- concept, sexuality, spiritual
health.
Assessment of psychosocial needs
Nursing intervention for psychosocial needs
Assist with coping and adaptation
creating therapeutic environment
Recreational and diversional therapies
XI 20 INFECTION CONTROL IN CLINICAL 2 Hand washing
technique : Simple,
SETTING
Hand antisepsis,
Infection control : surgical antisepsis
 Nature of infection, ( scrub)
 Chain of infection, transmission,
 Defenses against infection :natural & acquired
 Hospital acquired infection (Nosocomial 2 Isolation unit
infection) 2 Practice technique of
Concept of asepsis: wearing and
 Medical asepsis removing personal
 Surgical asepsis protective
equipments.
Isolation precautions : (Barrier nursing)
2 Practice Standard
 Hand washing: simple, hand antisepsis and safety precautions
surgical antisepsis (scrub) (Universal
 Isolation: source and protective Precautions)
 Personal protecting equipments: types, uses
and technique of wearing and removing 2 Visit to CSSD
 Decontamination of equipment and unit department.
 Transportation of infected patients
 Standard safety precautions(universal
precautions)
 Transmission based Precaution
42
Biomedical waste management:
 Importance,
 Types of hospital waste,
 Hazards associated with hospital waste,
 Decontamination of hospital waste,
 Segregation and transportation & disposal.
XII 40 ADMINISTRATION OF MEDICATIONS 1 Administration of
 General Principles/Consideration/ oral, sublingual and
terminologies /abbreviations buccal medications
 Purposes of Medication
 Special considerations, 6 Parenteral
 Drug forms - Intradermal
 Routes of administration - Subcutaneous -
 Storage and maintenance of drugs and nurses Intramuscular
responsibilities. 2 Assist with
 Broad classification of drugs intravenous
medications.
 Therapeutic Effect, Side Effects, Toxic effect,
2 Drug measurements
Idiosyncratic Reactions,
and dose calculations
 Drug Tolerance, Drug Interactions,
 Factors Influencing drug actions,
 Systems of Drug Measurements : Metric 1 Administer Topical
system, Apothecary system, Household applications.
measurements. 2 Irrigation Eye, Ear
 Converting Measurements Units: Conversion bladder, vagina &
within one system, rectum.
 conversion between systems, dose calculation 3 Instillations of drops
 Oral drugs administration : Oral, sublingual in Eye, Ear, nose,
and buccal..
 Parenteral : General principals, 2 Spraying in Nose &
decontamination and disposal of syringes, throat.
needles, cannula & infusion sets. 1 Inhalations: Dry and
 Protection from needle stick injuries : giving moist.
medications with a safety syringes
 Routes of parenteral therapies : purposes,
site, equipment, procedure, special
considerations
 Intradermal
 Subcutaneous
 Intramuscular
 Intravenous
 Advanced techniques, epidural, intrathecal,
intraosseous, intraperitonial, intraplural, intra-
arterial.
 Nursing responsibilities for administrating
drugs
43
 Topical Administration : Purposes, site,
equipment procedure special considerations.
 Application to Skin
 Application to mucous membrane
- Direct application of liquids – Gargle and
swabbing the throat
- Insertion of Drug into body cavity:
suppository / medicated packing in rectum
/ vagina.
- Instillations : Ear, Eye, Nasal, Bladder,
Vaginal & Rectal
- Irrigations: Eye, Ear, Bladder, Vaginal &
Rectal.
- Spraying : Nose & throat
 Inhalation : purposes, types, equipment,
procedure, special considerations Nasal, oral,
endotracheal / tracheal (steam & medications)
 Recording & reporting of medications
administered
XIII 08 MEETING SPECIAL NEEDS OF THE 4 Visit to institute of
PATIENT: visual & hearing
 Care of patients having alteration in : impaired.
 Sensorium (unconscious) 4 Visit to institute of
 Functioning of sensory organs:- (visual & mentally challenged
hearing impairment) assessment of self-
care ability
 Mobility (physically challenged, cast),
assessment of self-care ability: communication
methods & special considerations
 Mental state (mentally challenged), assessment
of self-care ability, Communication methods &
special considerations.
 Respiration (distress) types, assessment,
Management
XIV 2 Caring and packing
05 CARE OF TERMINALLY ILL PATIENT of dead body
 Concepts of loss, coping with loss, grief,
grieving process 2 Terminal care of the
 Signs of clinical death unit
 Care of dying patient : special considerations
 Advance directives: euthanasia, will, dying
declaration, organ donation etc.
 Medico-legal issues
 Care of dead body: Equipment, procedure &
care of unit
 Autopsy
 Embalming
44
PROFESSIONAL NURSING CONCEPTS&
XV 06 PRACTICES
 Conceptual &theoretical models of nursing
practice
 Introduction to models-holistic model, health
relief model, health promotion model etc
 Introduction to theories in nursing : Pep Lau’s,
Henderson’s, Orem’s, Neumann’s, Roger’s, &
Roy’s
 Linking theories with the nursing process
XVI 20 FIRST AID Bandaging
A. Emergency Nursing: 7  Circular,
Concepts & importance,  Spiral
Principles,  Reverse spiral
Qualities of emergency care personnel,  Figure of eight
Emergency care kit.  Caput
 Spica
B. First Aid Management In Emergencies:
 stump.
1) Wounds &hemorrhage:
 Wounds : types, signs& symptoms, treatment
Bandaging of
 Hemorrhage : types, signs & symptoms,
different areas: eye,
treatment, use of tourniquet & pressure points
ear, jaw.
 Bandaging : Purposes / Principles ,type and
selection • Triangular
bandage. Slings.
2) Shock: causes, recognition principles of care
and treatment. • Binders : T and
3) Fractures: causes, types, signs & symptoms, many tailed
principles of care and treatment. 2 CPR,
 Management of fractures of different regions
1 Heimlich manoeuvre
 Application of splints
 Methods of transportation
 Preparation and use of stretcher
4) Sprains ,strains & dislocations : causes,
recognition ,principles of care and management
5) Asphyxia: causes signs & symptoms and
treatment.
6) Drowning
7) Foreign bodies : in the eye, ear, nose and
trachea
8) Burns and scalds: causes and management.
Electric shock and its management
Heat stroke and sunstroke.
9) Convulsions : causes ,management
10) Poisoning : types ,signs & symptoms &
treatment
11) Bites: insect bites, animal bite and snake bite
12) Frost bite
45
NURSING FOUNDATIONS
BIBLIOGRAPHY….
1) Potter A.P., Perry A.G, Fundamentals of Nursing, C.V.Mosby company,
2) Kozier B et al, Fundamentals of Nursing concepts, process and practice,

Pearson education .
3) Dugas B.W. Introduction to patient care Saunders.
4) Brunner and Suddarth Test book of Medical surgical nursing
5) Brunner & Sudharth Lippincot manual of nursing practice JB Lippincot Company
6) Zwemer A. professional Adjustments and Ethics for nurse in India BI

Publications. Bangalore.
7) Rosdhal, Fundamentals of nursing, Lippincott company.
8) Bolander, fundamentals of nursing, Saunders.
9) Carol Taylor Fundamental of Nursing, Carol Lillis et al Lippincott.
10) Illustration of bandaging and first aid Livingstone Ltd.
11) Wilkinson,J. M.&Leuven, K.V . Fundamental of Nursing, Theory Concepts and

Applications. Davis Company: Philadelphia.
46
NURSING FOUNDATIONS
INTERNAL ASSESSMENT (Theory) (25 MARKS)
Sr. Item Marks Weightage Out of 25
No. allotted marks
1 First term Exam 50 Marks 20% 5.0
2 Pre-final Exam 75 Marks 30% 7.5
3. Assignments 25 Marks
4. Visit Reports
a) Hospital 10
b) Institute of physically and 10 50% 12.5
Mentally challenged. 50 Marks
c) Institute of visual & hearing 10
impaired
d) CSSD 10
e) Hospital kitchen 10
TOTAL 200 100% 25
INTERNAL ASSESSMENT (Practical) (100 MARKS)

Sr Item Area Marks Weightage Out of 100
No allotted marks
1 First Term Exam Medical ward / 50 20% 20
Surgical Ward
2 Pre-final Exam Medical ward 100 30% 30
Surgical Ward
3 Clinical Evaluation Medical ward 100
Surgical Ward 100
Nursing Care Plan Medical ward 50
Surgical Ward 50
50% 50
Procedure Evaluations Medical ward / 50
Surgical Ward
Procedure Book 100
TOTAL 600 100% 100
47
Theory
University Exam = 75marks
Internal Assessment = 25 marks
Total = 100 marks
Practical
University Exam = 100 marks
Total = 200 marks
Division of marks for Practical Exams (internal and external examiners)

Item Internal External Total Marks
Procedure assessment (Bed side) 20 20 40
Viva 20 20 40
OSPE 10 10 20
Total Marks 50 50 100
48
NURSING FOUNDATIONS
Grand Total -75Marks
Section B: Total: 35 marks
Q2.)Short Answer Question: 2 marks each (Any five) (5x 2=10 marks)
a.
b.
c.
d.
e.
f.
Q3) Short Notes: 5 marks each (Any five) (5x 5=25 marks)
a.
b.
c.
d.
e.
f.
Section C: Total: 30 marks
Q4) Long Answer Question:15 marks( Any two) (15x 2= 30 marks)
a. i . 2 marks
ii. 2 marks
iii. 3 marks
iv 8 marks
b. i. 2 marks
ii. 2 marks
iii. 3 marks
iv 8 marks
c i. 2 marks
ii. 5 marks
iii. 8 marks
49
NURSING FOUNDATIONS
Question Paper Format (First term)
Q2.)Short Answer Question: 2 marks each (Any five) ( 5 x 2=10 marks)

a.
b.
c.
d.
e.
f.
Q3) Short Notes: 5 marks each (Any four) (5 x 4 =20 marks)

a.
b.
c.
d.
e.
Q4) Long Answer Question: 15 marks (Any one) (15 x 1=15 marks)
a. i . 2 marks
ii. 5 marks
iii. 8 marks
b. i . 2 marks
ii. 5 marks
iii. 8 marks
50
NURSING FOUNDATION
EVALUATION FORMS AND FORMATS
(First B.Sc. Nursing)
51
HEALTH HISTORY FORMAT

Biographic history of patient:
Name of the Patient :
Age :
Sex : Male / Female
Hospital registration number :
Ward / Dept :
Bed No :
Address :
Telephone Number :
Admission date :
Discharge date :
Diagnosis :
Operation :
Date of Operation :
Name of the Consultant :
Nursing Alert : Sensitivity / precaution / allergy
Personal details of the patient:

Weight ( kg) :
Height ( Cm) :
Marital Status : Married / Single / Widow
Religion : Hindu / Muslim / Christian / Sikh / Any other
Education : Illiterate / Primary / Secondary / Graduate / post graduate
Occupation : unskilled / skilled /
professional/Service/Business/Agriculture/ not working
Monthly Income ( Rs) : < 2500 / 2501-5000/ 50001 – 10,000 / above 10, 001.
History of illness:
Chief complaints with duration:
History of present illness :
History of past illness :
52
Family History:
Type : Joint / Nuclear
No. of members :
Support person(s) :
Any illness in family : TB / DM/ HT/ Hereditary illness/ Any other
Health facility near home:

Type : Hospital / Private doctor / Any other
Transportation facility : Yes / No
Housing:
Type : Kuccha / Pucca
No of rooms :
Drinking Water source : Tap / well/ pond/ river / hand pump
Electricity : Yes / No
Toilet : Indian / Western / Open
Garbage disposal : Municipal vehicle / open dumping
Drainage system : Closed / open
Personal History:
Oral Hygiene : Frequency:____________ Agent:_______________________
Bath : Frequency: _________________ Agent: _________________
Diet : Veg / egg / non-veg__________________________________
: No of meals per day:_________________________________
: Food preferences: ___________________________________
: Fluid: no of glasses per day:___________________________
: Tea / coffee: per day: ________________________________
: Cola’s per day: _____________________________________
Sleep and rest : Hours per day ______________________________________

: Interrupted / uninterrupted ____________________________
: If interrupted why: __________________________________
: Naps if any ________________________________________
: Drugs used for sleeping if any_________________________
53
Elimination : Bowel movements per day (Regular / Constipation)______

: Urine frequency During day _____________ During night___
: Any problem with elimination: ________________________
Mobility and Exercise : Walking habits Yes / No if yes regular / Irregular
: Exercise / Activity : Sedentary / mild/ moderate/ heavy
: Joints pain/ discomfort/ restriction ____________________
Menstrual History :Regular / irregular
: ________ days cycle
: For ___________ days
: Flow: Scanty / normal / heavy
: LMP
:Any problem
Sexual & Marital history; Spouse’s general health: good / fair / has any illness_______
: Spouse occupation:
: Relationship: satisfactory / unsatisfactory;
: Staying together : Yes / No
: No of children- Male ______________ female____________
Deficiency / prosthesis / Aids : Hearing aids_________________________________
: Dentures__________________________________________
: Catheters & Tubing_________________________________
: Contact lens and specs_______________________________
: Pacemaker________________________________________
: Amy implant / prosthesis_____________________________
Substance use : Tobacco__________________________________________
: Drugs_____________________________________________
:Alcohol____________________________________________
: Any other__________________________________________
Immediate problem due to hospitalization
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
54
GENERAL PHYSICAL EXAMINATION
General Appearance
Apparent state of health : Healthy Ill
Body built Thin Obese Appropriate
Grooming Appropriate Inappropriate
Posture Normal Scoliosis Lordosis

Kyphosis
Gait Normal Abnormal
Height : ______________________ cms
Weight : _______________________ kgs
Emotional Status : __________________________________________________
Sensorium Unconscious Conscious Alert

Oriented Confused
Foul body odors : Yes No
Bleeding : Internal External Specify___________
Dependency level of : Independent Partially Fully

patient dependent dependent
Vital Signs
 Temperature: ________________
 Pulse : _______________ /min
 Respiration: _______________/min
 Blood pressure: _______________ mm of Hg
Skin
Colour: 1. Normal 2. Pale 3. Flushed 4.Cyanosed
Moisture: ________________________
Texture: ________________________
Hair distribution: ________________________
Lesions/scar: ________________________
Sensation: ________________________
55
Pigmentation: ________________________
Nails
Colour: _______________________
Capillary refill _______________________
Clubbing: _______________________
Head
1. Clear 2. Unclear
If unclean specify
Face
 Symmetry:
 Sensation:
Eyes
 Glasses/contact lenses:_____________ Extraoccular movement:__________
 Visual acuity: _____________ Discharge: ________________
 Pupils: _____________ Pain_________________
Nose and sinus

 Nasal septum: ______________ External nares: ______________
 Discharge: ______________ Sense of smell: ______________
 Sinuses: ______________
Ears
 Hearing acuity: _______________ Hearing aid: _____________
 Pain: ______________ Discharge: _______________
 Tinnitus: _______________ Tympanic membrane:
___________
Teeth and gums

Number of teeth________
1.Healthy 2. Swollen 3. Bleeding 4. Lesion
Any other specify______________________
Oral mucosa
1. Healthy 2. Sore 3. Foul breath 4.Lesion
Any other specify________________________

Throat
Tonsils ______________
Neck
1.Trachea:_____________ 2. Thyroid: _____________
3. Web neck:_____________
56
Glands
1. Enlarged 2. Not enlarged
If enlarged …1. Submandibular 2. Cervical 3. Clavicular
4. Axillary 5. Inguinal
Any other specify________________________
Chest
Inspection: Palpation:
Symmetry of chest movements:________ Crepitus:__________________
Respiratory effort:__________________ Tenderness:________________
Masses:___________________ Trachea:__________________
Auscultation: Percussion:
Breath sounds:______________ (Compare right to left side)
Heart sounds:_______________
Abdomen:
Inspection:
Symmetry:___________________________ Lesion/ Scars:__________________
Contour:____________________________ superficial veins:_______________
Distension:__________________________ girth:________________________
Hernia:_____________________________
Auscultation: Palpation:
Bowel sounds______________________ Liver______________________
Spleen_____________________________
Percussion:
Upper right quadrant__________ Upper left quadrant__________________
Lower right quadrant__________ Lower left quadrant_________________
Back
Pain/discomfort_______________ Tenderness_________________
Lesions______________________
Upper Extremities
Symmetry_____________ Pulse___________________ (Brachial, Radial)
Joints_______________ Scar/Lesions_____________
Lower Extremities
Symmetry_____________ Pulse___________________
(Femoral, Dorsalis pedis, Posterior tibial)
Joints_______________ _ Scar/Lesions________________
Genitals
Appearance_______________ Discharge __________________
Foul smell________________ Foleys catheter______________
Reflexes
Biceps ____________ Triceps_____________________
Achilles___________ Planter_____________________
Patellar___________ Abdominal__________________
57

EVALUATION OF NURSING CARE PLAN
Name of the patient: ___________________________________________________
Ward / Dept: ____________________________ Diagnosis: __________________
SR. MARKS MARKS

CRITERIA
NO ALLOTTED OBTAINED
I Content
1 Elicit relevant history 5
2 Make quick and valid assessment 6
3 Identifies problems/ needs 4
4 Formulates nursing diagnosis 8
5 Prioritizes the nursing diagnosis 4
6 Plan care for any two priority needs 4
7 List the outcome criteria 2
8 Implements care for any two priority needs 10
9 Evaluated the care ( based on nurses notes) 2
II Presentation
1 Written neatly 2
2 Punctuality in submission 2
3 Bibliography 1
TOTAL MARKS 50
Remarks :______________________________________________________________
_______________________________________________________________________
_________________________________________________________________
58
CLINICAL ASSESSMENT FORM
Hospital : _________________________________________________
Ward/ Dept : __________________________________________________
Experience : From ___________________ to _________________

Max. Marks 100
Sr. Criteria of Evaluation Performance Level

No Excellent Very Good Good Satisfactory Poor
(4) (3) (2) (1) (0)
I NURSING PROCESS (64)
1 Assessment and Nursing Diagnosis (16)
1.1 Collects data about patient’s needs
1.2 Identifies basic needs of patients
1.3 Categorizes Needs/Problems
1.4 Formulates Nursing Diagnosis
2 Planning (20)
2.1 Prioritizes patient’s needs
2.2 Plans nursing action for each need
2.3 Completes nursing care plan
2.4 States rationale for nursing action
2.5 Plans appropriate health teaching
3 Implementation (16)
3.1 Applies scientific principles
3.2 Maintains safe and comfortable environment
3.3 Implements nursing care accurately and safely
and within given time.
3.4 Gives health teaching to the patients/family
4 Evaluation (12)
4.1 Evaluate patient’s response to nursing care
4.2 Re-examines care plan
4.3 Modifies care plan
59
Sr. Criteria of Evaluation Performance Level
No Excellent Very Good Good Satisfactory Poor
(4) (3) (2) (1) (0)
II DOCUMENTATION (12)
1.1 Report patient information accurately
1.2 Record patient information accurately
1.3 Maintains self file up to date
III PROFESSIONAL CONDUCT (24)
1 Uniform
1.1 Always well groomed and neat conscious about
professional appearance
1.2 Punctuality is always punctual for clinicals in
completing assignments
2 Sense of Responsibility
2.1 Readily accepts responsibility for own behavior
has initiative
2.2 Respects rules and regulations
3 Communication Skills
3.1 Establishes & maintains effective working /
communication relationship with patient and
family.
3.2 Establishes good interpersonal relationship with
members of health team / supervisors/ teachers.
Sub Total Marks
Total marks obtained:
Remarks by Faculty: Remarks by Student:
60
CRITERIA FOR EVALUATION OF PROCEDURE
Name of the Student : ____________________________________________

Name of the Procedure : ____________________________________________
Area of clinical experience: : ____________________________________________
Name of the patient : ____________________________________________
Age / Sex : __________________________Regd No __________
Diagnosis : ____________________________________________
Supervised by : ____________________________________________
Sr.
PARTICULAR YES NO
No
I PLANNING AND ORGANIZATION
(A) Self Preparation
1 Checks and confirms written order
2 Maintains cleanliness and neatness
3 Maintains personal safety
(B) Tray set up
4 Selects articles correctly
5 Are the articles clean
6 Are the equipments adequate
7 Arranges the articles properly
(C) Environmental Setup
8 Keeps the unit clean
9 Is the unit well ventilated
10 Is the unit arranged properly
(D) Approach to the patient
(1) Physical preparation of the patient
11 Gives correct position to the patient
12 Maintains safety of the patient
13 Maintains comfort of the patient
14 Maintains privacy of the patient
(2) Psychological Preparation of the patient
15 Gives clear initial explanation to the patient
16 Maintains relevant conversation with patient during procedure.
II TECHNICAL SKILLS DURING THE PROCEDURE
(A) Skill
17 Handles the patient gently
18 Observes the patient before procedure
19 Follows aseptic techniques
20 Takes scientific precautions throughout the procedure
(B) Handling of the articles/ Equipment
21 Places articles in right place
61
Sr.
PARTICULAR YES NO
No
22 Uses articles correctly
23 Uses material economically
(C) Termination of procedure and after care of patient
24 Makes the patient comfortable
25 Cleans the articles properly
26 Dries the articles properly
27 Disinfect / sterilized the articles before replacement
(D) Reporting and Recording
(1) Reporting
28 Reports significant points
29 Reports accurately
30 (2) Recording
31 Records precisely/ neatly
32 Records accurately
33 Records promptly
III TECHNICAL SKILLS DURING THE PROCEDURE
34 Has knowledge of the procedure
35 Knows the purpose of the procedure
36 Knows the various methods of the procedure
37 Knows the scientific principles applicable to the procedure
IV STUDENT ABILITIES
38 Maintained correct posture throughout the procedure
39 Takes initiative
40 Exhibits resourcefulness
41 Dependable
42 Shows positive response to the suggestions
43 Maintains right attitude towards the patient
44 Knows use of article & adaptation of methods to home situation
45 Completes the procedures in time
46 Takes opportunity for incidental teaching
47 Implements principles of health teaching
V OVERALL PERFORMANCE (out of 3 marks)
TOTAL MARKS OBTAINED
Remarks :
_______________________________________________________________________
_______________________________________________________________________
_________________________________________________________________
Signature of student with date Signature of teacher with date
62
FIRST YEART B.Sc. NURSING
NURSING FOUNDATION
EVALUATION CRITERIA FOR ASSIGNEMENT
Topic : __________________________________________________
Sr. Criteria for Evaluation Marks allotted Marks Obtained

No
Neatness in presentation
1 5
Innovative Ideas
2 5
Adequacy of content
3 2
Relevancy of content
4 3
Punctuality in submission
5 5
Presentation of content
6 5
TOTAL MARKS
25
Remarks :
_______________________________________________________________________
_______________________________________________________________________
_________________________________________________________________
Signature of student with date Signature of teacher with date

63
NURSING FOUNDATION
EVALUATION CRITERIA FOR VISIT REPORT
Topic : __________________________________________________
Sr. Criteria for Evaluation Marks allotted Marks Obtained

No
Neatness in presentation
1 5
Innovative Ideas
2 5
Adequacy of content
3 2
Relevancy of content
4 3
Punctuality in submission
5 5
Presentation of content
6 5
TOTAL MARKS
25
Remarks :
_______________________________________________________________________
_______________________________________________________________________
_________________________________________________________________
Signature of Evaluator & date Signature of student & date
64
PSYCHOLOGY
Placement – First Year
Theory – 50 hours
Practical – 10 hours
Course Description: This course is designed to assist the students to acquire knowledge
of fundamentals of psychology and develop an Insight into behaviour of self and others.
Further it is aimed at helping them to practice the principles of mental hygiene for
promoting mental health in nursing practice.
Specific Objectives: At the end of the course the students will be able to:
1. Describe the history, scope and methods of psychology

2. Explain the biology of Human behaviour.
3. Describe various cognitive processes and their applications
4. Describe motivation, emotions, stress, attitudes and their influence on behaviour.
5. Explain the concept of personality and its influence on behaviour.
6. Describe psychology of people during the life cycle.
7. Describe the characteristics of mentally healthy person.
8. Explain ego defense mechanism.
9. Explain the psychological assessments and role of nurse.

I 2 Introduction:
 History, development and origin of science
of psychology.
 Definitions, scope of psychology
 Relevance to nursing.
 Methods of Psychology
II 4 Biology of behaviour
 Dynamics of human behaviour.
 Body mind relationships modulation process
in health and illness.
 Genetics and behaviour: Heredity and
Environment
 Brain and behaviour: Nervous System.,
Neurons and synapse,
 Association Cortex, Right and left
Hemispheres
 Psychology of Sensations
 Muscular and glandular controls of behaviour
 Nature of behaviour of and organism/
Integrated responses.
65
III 18 Cognitive process
 Meaning of cognition
 Attention: Types, determinants, Duration &
degree, alterations
 Perception: Meaning, Principles, factors
affecting, Perception of objects, depth,
distance and motion. Errors in perception.
 Learning: Nature, types, learner and learning
factors influencing, laws and theories of
learning, process, transfer and study habits.
 Memory: meaning, types, nature,
factors influencing, development, theories and
- methods of memorizing and forgetting.
 Thinking: types and levels, Stages of
development, relationship with language and
communication.
 Intelligence: meaning, classification, uses,
theories.
 Aptitude : concept, types, individual
differences and
Variability.
 Psychometric assessments of cognitive
processes.
 Alterations in cognitive processes.
 Applications
IV 6 Motivation and Emotional Processes:

 Motivation: Meaning, Concepts, Types,
theories,
 Motives and behaviour,
 Formation of self concept,
 Conflicts and frustration, conflict resolution
 Emotion: Definition, components, Changes in
emotions, theories, emotional adjustments,
emotions in health and illness
 Stress: stressors, cycle, effect, adaptation &
coping
 Attitude: Meaning, nature, development,
factors affecting,
- Behaviour and attitudes
- Attitudinal change
- Attitude and Nurse.
 Psychometric assessment of emotions and
attitudes
 Alterations in emotions
 Applications
66
V 5 Personality
 Definitions, topography, types, Theories
 Psychometric assessments of personality
 Development & Alterations in personality
o Adjustment and maladjustment
o Personality disorders
o Self actualization
VI 5 Developmental Psychology
 Psychology of people at different ages from
infancy to old age.
 Psychology of vulnerable individuals-
challenged, women, sick, etc.
 Psychology of groups
VII 7 Mental hygiene and mental Health
 Concepts of mental hygiene and mental health
 Characteristics of mentally healthy person.
 Warning signs of poor mental health.
 Promotive and preventive mental health
strategies and services.
 Ego defense mechanisms and implications
 Personal and social adjustments
 Guidance and counseling
 Role of nurse
VIII 3 Psychological assessment & tests 10 Practical
 Types, development, Characteristics, Identifying
Principles, Uses, Interpretations and Role of intelligence
nurse in psychological assessment. and coping
skills:
-
Wechsler’s
Adult
Intelligence
Bibliography:
1. Bhatia. & Craig M : Element of psychology and mental hygiene for Nurses,
Chennai. Orient Longmal.
2. Dodge Fernald and Peter S. Fernald, Introduction to Psychology, AITBS.
3. Jacob Anthikad, Psychology for Graduate Nurses, Jaypee.
4. Morgan C.T. & King, Introduction to Psychology, Megrow bill international.
5. Second course in psychology, Higher secondary std. XII K.T. Basantani, Sheth
publishers Pvt. Ltd.
6. Second course in Psychology, Higher secondary std. XI K.T. Basantani, Sheth
publishers Pvt. Ltd.
7. Hurlock E : Development psychology : Tata MC grow Hill Book Co.
67
PSYCHOLOGY
TOPICS FOR GROUP WORK
1. Psychology and its branches

2. Application of psychology in nursing practice
3. Brain and dynamics of behaviour.
4. Cognitive process and their applications.
5. Developmental Psychology.
6. Guidance and counselling and role of nursing.
Sr. Item Marks Weightage Out of 25

No allotted marks

3. Assignments 25 Marks 50% 12.5

Lab work ( Group Work )
TOTAL 150 100% 25
Time: 3 Hrs
68
PSYCHOLOGY


a.
b.
c.
d.
e.
f.
Q3) Short Notes: 5 marks each (Any five) (5 x 5 =25 marks)

a.
b.
c.
d.
e.
f.
[
Q4) Long Answer Question: 15 marks ( Any two) (15 x 2=30 marks)
a. i . 2 marks
ii. 3 marks
iii. 5 marks
iv. 5 marks
b. i . 2 marks
ii. 3 marks
iii. 5 marks
iv. 5 marks
c. i . 2 marks
ii. 3 marks
iii. 5 marks
iv. 5 marks
69
PSYCHOLOGY
Question Paper Format (First term exam)

a.
b.
c.
d.
e.
f.

a.
b.
c.
d.
e.
Q4) Long Answer Question: 15 marks ( Any one) (15 x 1=15 marks)
a. i . 2 marks
ii. 5 marks
iii. 8 marks
b. i . 2 marks
ii. 5 marks
iii. 8 marks
70
PSYCHOLOGY
EVALUATION CRITERIA FOR GROUP WORK
Topic : __________________________________________________

No Marks
1. DESCRIPTION
4
 Organization 5
 Adequacy of content 4
 Relevance
2 PRESENTATION
 Punctuality 2
 Neatness 2
 Innovative ideas 2
3. ILLUSTRATION
 Relevance 2
 Neatness 2
4. BIBLIOGRAPHY 2
TOTAL 25
Remarks :
_______________________________________________________________________
_______________________________________________________________________
________________________________________________________________
Signature of student & date Signature of Evaluator & date
71
MICROBIOLOGY
Placement: First Year Theory - 45 Hrs
Practical - 15 Hrs
Course Description: This course is designed to enable students to acquire
understanding of fundamentals of Microbiology and identification of various micro-
organisms. It also provides opportunities for practicing infection control measures in
hospital and community setting.
Specific objectives:
1) Explain concepts and principles of microbiology and their importance in nursing
2) Describe structure, classification, morphology and growth of bacteria,
3) Identify various micro-organisms.
4) Describe the methods of infection control
5) Identify the role of nurse in hospital infection program
6) Describe the different disease producing organisms
7) Explain the concepts of immunity ,hypersensitivity and immunizations
I 2 Introduction :
 Importance and relevance to nursing
 Historical perspective
 Concepts and terminology
 Principles of microbiology
II 7 General characteristics of Microbes 5 Staining
 Structure and classification of techniques,
 Microbes. Gram
 Morphological types staining,
 Size and form of bacteria Acid fast
 Motility staining,
 Colonization Hanging
Growth and nutrition of microbe: drop
Temperature, Moisture, Blood and body fluids Preparation
Culture;
 Laboratory methods for identification of
various
Micro- organisms
medias
 Staining techniques, Gram staining, Acid
fast staining, Hanging drop Preparation
 Culture; various medias
III 12 Infection control
 Infection : Sources, portals of entry and 3 Visit to
exit, transmission. CSSD
 Asepsis
 Disinfection; Types and methods
 Sterilization ; Types and methods
 Chemotherapy and antibiotics
 Standard safety measures
72
 Biomedical waste management
 Role of Nurse
 Hospital acquired infection
 Hospital infection control programme
 Protocols,
 Collection of samples,
 Preparation of report and status of rate
of infection in unit / hospital, nurse's
accountability, continuing education etc.
IV 17 Pathogenic organisms
 Micro-organisms 6 Identification
 Cocci – gram positive and gram negative of disease
 Bacilli-gram positive gram negative producing
 Spirochete micro-
 Mycoplasms organisms
 Rickettsiae
 Chlamydia Collection,
 Viruses handling
 Fungi-Superficial and and
 Deep mycoses transportati
 Parasites on of
 Rodents & vectors various
specimens.
Characteristics, Source, portal of entry,
transmission of infection, Identification of
disease producing micro-organisms Collection,
handling and transportation of various
specimens.
V 7 Immunity 1 Storage of
 Immunity – Types, classification Vaccines
 Antigen and antibody reaction and
 Hypersensitivity – skin test handling
 Serological tests and cold
 Immunoprophylaxis chain
 Vaccines & sera – Types &Classification,
storage and handling, cold chain
 Immunization for various diseases
 Immunization Schedule
BIBLIOGRAPHY:
1. Alice Corraine Smith, “ Microbilogy and pathology” Mosby Co.
2. Bernard D. Davis, Rentap Dalbecco Herman N. Eisen & Harold S. Ginsberg,
“ Microbiology”, A Harper International edition.
3. Hug L. L Moffet, “Clinical microbiology”, J. B. Lippincott Co.
4. Macbie and Mecartney, “Medical microbiology” Printed.
5. P. Ananthanarayan and C. K. Jayarm Panikar, “Textbook of microbiology”, Orient
Longman Company Ltd.
6. Chakravarti Text book of Microbiology.
73
MICROBIOLOGY
Topics
Sr. Topics
No.
1 Microscope
2 Morphology , Microscopic Examination
3 Grams Staining
4 ‘Z’N’ Staining
5 Culture Media
6 Biochemical reaction for identification
7 Sterilization Part-I
8 Sterilization Part-II
9 Collection of sample
10 Demonstration of Gram Positive, Gram Negative Cocci
11 Demonstration of Gram Positive, Gram Negative bacilli
12 Laboratory diagnosis of Tuberculosis
13 Serological Test
14 Laboratory diagnosis of Fungi
15 Laboratory diagnosis of Viruses and Parasites
Sr Item Marks Weightage Out of 25

No allotted marks
3. Project/ Group Work 10 marks
25 Marks 50% 12.5
4. Record Book 15 marks
TOTAL 150 100 25
Time: 3 Hrs

74
MICROBIOLOGY

Q2.)Short Answer Question: 2 marks each (Any five) (5 x 2=10 marks)

a.
b.
c.
d.
e.
f.

a.
b.
c.
d.
e.
f.
a. i . 2 marks
ii. 3 marks
iii. 5 marks
iv. 5 marks
b. i . 2 marks
ii. 3 marks
iii. 5 marks
iv. 5 marks
c. i . 2 marks
ii. 3 marks
iii. 5 marks
iv. 5 marks
75
MICROBIOLOGY

a.
b.
c.
d.
e.
f.

a.
b.
c.
d.
e.
a. i . 2 marks
ii. 5 marks
iii. 8 marks
b. i . 2 marks
ii. 5 marks
iii. 8 marks
76
Topic: _______________________________________________________________

No Marks
1. DESCRIPTION
 Organization 2
 Adequacy of content 4
 Relevance 2
2. ILLUSTRATION
 Adequacy 2
 Neatness 2
 Presentation 2
3. BIBLIOGRAPHY 1
TOTAL MARKS 15
Remarks :
_______________________________________________________________________
_______________________________________________________________________
_________________________________________________________________
77
EVALUATION CRITERIA FOR PROJECT (Group Work)
Name of the Student: ________________________________________________
Topic: ____________________________________________________________
Academic Year: _____________________________________ Date: __________
Sr. ITEM Maximum Marks

No Marks Allotted
1. DESCRIPTION
 Organization 1
 Relevance 1
2. PRESENTATION
 Punctuality 1
 Neatness 1
 Innovative ideas 1
3. ILLUSTRATIONS
 Relevance 1
 Neatness 1
4. BIBLIOGRAPHY 1
TOTAL MARKS 10
Remarks :
_______________________________________________________________________
_______________________________________________________________________
_________________________________________________________________

78
ENGLISH
Placement: First Year Theory = 40 Hrs

Exercises = 20 Hrs.
Course description: The course is designed to enable students to enhance ability to

comprehend spoken and written English (and use English) required for effective
communication in their professional work. Students will practice their skills in verbal
and written English during clinical and classroom experience.
Specific objectives: At the end of the course the students are able to:
1) Develop good vocabulary skills for effective communication.

2) Effectively communicates with patients while rendering care.
3) Understands methods of writing and drafting letters in English.
4) Develop ability to read understand and express meaningfully, the prescribed text.
5) Plans and writes nursing process and records effectively.
6) Develops skills in listening.
Unit Hrs Theory Hrs Exercises

I 7  Review of Grammar. 3 • Use of Dictionary and
 Remedial study of grammar Grammar.
 Building Vocabulary • Practice appropriate words
 Lexical sets and expression
• Revising parts of speech
Pairs of confused words,
synonyms & Antonyms
• Lexical sets & collocations
• Using appropriate words
and expressions.
II 20  Read and comprehend 7 • Reading
prescribed course books • Summarizing
 Skimming & Scanning • Comprehension
 Reading in sense group
 Reading between the lines.
III 5  Various forms of 5 • Letter writing
composition • Note making & Note
 Letter writing takings
 Note making & Note • Précis writings
takings • Anecdotal records
 Précis writings • Diary writing
 Anecdotal records • Reports on health problem
 Diary writing • Resume /CV
• Notices, Agenda, minutes,
79
Unit Hrs Theory Hrs Exercises
 Reports on health problem
telegram, essay
 Resume /CV
• Discussion on written
 Notices, Agenda, minutes
reports / documents
 Telegram
 Essay
IV 3 Spoken English Phonetics, 3 • Debate
Public speaking • Participating in Seminar,
Oral report Panel discussion, Symposium
Group Discussion Debate • Telephonic Conversion
Telephonic Conversation Conversation in different
Conversational skills situations,
(Formal, Neutral & informal • Practice in public speaking.
situation)
V 5 Listening Comprehension 2 • Listening to audio, video
Media, audio, video, speeches tapes and identify the key
etc. points, accent & information
. pattern.
Out of 25
Sr. No Item Marks allotted Weightage
marks
3 Assignments 25 Marks 50% 12.5
Total 150 100% 25
FINAL EXAM 75 marks
Final exam will be conducted at college level and marks will be sent to the
University for Inclusion in the mark list.
Bibliography:
1. Living English Grammar & Composition Tickoo M.L. & Subramaniam A.E Oriental
Longman, New Delhi.
2. English for practical purposes Valke, Thorat Patil & Merchant, Macmillan. Publication,
New Delhi.
3. Enriching your competence in English, by Thorat, Valke, Orient Publication, Pune
4. English Grammar & Composition Wren & Martin, S. Chand Publications- 2005, Delhi.
5. Selva Rose, Carrier English for Nurses, 1st edition -1999, published by Orient Longman
Pvt. Ltd. – 1997, Chennai.
80
ENGLISH
Question Paper Format (Final exam- Collegiate level)
Q1.) Short Answer Question: (Any two) 5 marks each (5x 2=10 marks)
a.
b.
c.
Q2) Solve the following: (any two) 10 marks each (10x 2=20 marks)
a.
b.
c.
d.
Q3) Long Answer Question: ( 20x 1 =20 marks)
a. Read the passage and solve the following

i . Give it a suitable title 2 marks
ii. List the main points 5 marks
iii. Write the subsidiary points 5 marks
iv Make a precise of the passage 8marks
81
ENGLISH
Question Paper Format (First Term)

Grand Total -50 marks
Q1.)Short Answer Question: (any two) 5 marks each (5x 2=10 marks)
a.
b.
c.
Q2) Solve the following : (any two) 10 marks each (10x 2=20 marks)
a.
b.
c.
d.
Q3) Long Answer Question: ( 20 x 1 =20 marks)
a. Read the passage and solve the following

i . Give it a suitable title 2 marks
ii. List the main points 5 marks
iii. Write the subsidiary points 5 marks
iv Make a precise of the passage 8marks
82
INTRODUCTION TO COMPUTERS
Placement: First Year Theory =15 Hrs

Practical =30 Hrs.
Course Description: This course is designed for students to develop basic understanding
of uses of computer and its application in nursing.
Course Objective: At the end of the course the students will:

1. Identify and define various concepts used in computer.
2. Identify application of computer in Nursing.
3. Describe and use the disk operating system.
4. Demonstrate skills in the use of MS-Office.
5. Demonstrate skills in using multimedia.
6. Identify features of computer aided teaching and testing.
7. Demonstrate use of internet and Email.
8. Describe and use Statistical packages.
9. Describe the use of Hospital Management System.
Unit Hours Theory Hours Practical

I 3 Introduction
 Concepts of Computers
 Hardware and software ;
 Trends and technology
 Application of computers in
nursing
11 6 Introduction to disk- operating 20 Practicing
system MS Word
* DOS MS Excel
*Windows (all version) MS Access
Introduction MS Power points
 MS-Word
 MS-Excel with pictorial
presentation
 MS –Access
 MS-Power point
111 2 *Multimedia ; types & uses 3 Preparation of slides &
*Computer aided teaching & testing PowerPoint
presentation
1V 1 Use of Internet and: e-mail 3 Create a new email ID
& retrieve data from e-
mail & send mail
V 2 Statistical Packages: Types & Features 2 Preparing Statistical
packages.
VI 1 Hospital Management Systems; 2 Setting up and
Types & Uses managing HMS.
83
BIBLIOGRAPHY:
1. Jain and Saakshi, COMPUTERS FOR NURSES
2. Kalicharan, INTRODUCTION TO COMPUTER SCIENCE
3. Nicoll, NURSES GUIDE TO INTERNET. Third edition.
4. Phatak M et al, MULTIMEDIA TECHNIQUES. First edition, Nirali Prakashan.
5. Rajaraman, F UNDAMENTALS OF COMPUTER. Tata Macrohill Publication, New

Delhi.
6. Sanjeev kumar , A TEXTBOOK OF COMPUTER APPLICATIONS. Educational and

Technical Publishers, New Delhi.

Sr
Item Marks allotted Out of 25
Weightage
No marks
3 Assignment 25 Marks 50% 12.5

Total 150 100% 25
FINAL EXAM 75 marks
Final exam will be conducted at college level and marks will be sent to the
84
Question Paper Format

Q2.)Short Answer Question: 2 marks each (Any five) (5x 2=10 marks)
a.
b.
c.
d.
e.
f.
Q3) Short Notes: 5 marks each (Any five) (5x 4=20 marks)
a.
b.
c.
d.
e.
f.
g.
Q4) Long Answer Question:15 marks( Any one) (15x 1= 15 marks)
a. i . 2 marks
ii. 3 marks
iii. 5 marks
iv 5 marks
b. i. 2 marks
ii. 3 marks
iii. 5 marks
iv 5 marks
85

a.
b.
c.
d.
e.
f.

a.
b.
c.
d.
e.
a. i. 2 marks
ii. 3 marks
iii. 5 marks
iv 5 marks
b. i . 2 marks
ii. 5 marks
iii. 8 marks
86
MARATHI
Total Hrs: 30
OBJECTIVES
 To prepare the students to understand the speech of the patients/ relatives.

 To develop skills needed for conversing with patients.
 To develop skills in providing instructions to the patients/ relatives.
 To develop skills in giving health talks to the people in the hospital and
community.
CONTENT 12 hours
The students are taught to use the functional mode of language to help them
communicate with the patients comfortably.
 Introducing self to patients and relatives -1 hr
 Collecting history of patients -2 hrs
 Explaining daily routine -1 hr
 Healthy food habits -2 hrs
 Nutritious food stuffs -2 hrs
 Different parts of the body -2 hrs
 Different departments of the hospital -1 hr
 Names of different investigations done -1 hr
HEALTH TALK TOPICS 10 hours
 Personal Hygiene
 Balanced Diet
 Causes and Prevention of minor ailments
 Dental Care
 Environmental Hygiene
PRACTICE SESSION 8 hours
87
COURSE PLANNING
II YEAR BASIC B.Sc. NURSING
88
SOCIOLOGY
[[
Placement: Second Year Total Hours: 60
Course Description: This course is designed to introduce the concepts of sociology

related to Community and social institutions in India and its relationship with health,
illness and nursing.
Specific Objectives: At the end of the course the students are able to:
1. State the importance of sociology in Nursing.
2. Describe the inter-relationship of individual in the society and community.
3. Describe the influence of culture on health and disease.
4. Identify various social groups and their interactions.
5. Explain the growth of population in India and its impact on health.
6. Describe the institutions of family and marriage in India
7. Describe the class and caste system and their influence on health and health practice.
8. Describes the types of communities in India, their practices and the impact on health.
9. Explain the process of Social Change.
10. Describe the Social system and inter-relationship of social organizations.
11. Explain the nature and process of social control.
12. Describe the role of the nurse in dealing with social problems in India.

I 1 Introduction
 Definition of Sociology
 Nature and Scope of the discipline
 Importance and application of Sociology in
Nursing
II 3 Individual & Society
 Society and Community
 Nature of Society
 Difference between society and
community.
 Process of socialization and
individualization
 Personal disorganization
III 3 Culture
 Nature of culture
 Evolution of culture
 Diversity and uniformity of culture
 Culture and socialization
 Transcultural society
 Influence on health and disease
IV 4 Social groups and Processes
 The meaning and classification of groups
 Primary & Secondary Group.
89
 In-group V/s. Out-group, Class, Tribe,
caste
 Economic, Political, Religious groups, Mob,
Crowd, Public and Audience Interaction &
social processes
 Co - operation, competition, Conflict,
Accommodation, Assimilation & Isolation
V 6 Population Community
 Society and population Identification –
 Population growth, variation among during community
nations. posting
 Population distribution in India
Demographic characteristics
 Malthusian theory of populations
 Population explosion in India and its
impact on health status
 Family welfare programmes, Women and
Child welfare
VI 5 Family and Marriage:
 Family - functions Family case study –
 Types - Joint, Nuclear, Blended and during community
extended family: Characteristics posting
 The modern family -changes, problems -
Dowry etc. Welfare services
 Changes & legislations on family and
marriage in India - marriage acts
 Marriage: Forms and functions of marriage
 Marriage and family problems in India
Family, marriage and their influence on
health and health practices
VII 7 Social Stratification Community Survey

 Meaning & types of social stratification – during community
 The Indian Caste system-origin & features posting
 Features of Caste in India Today
Government policies for schedule caste, Visit to rural and
schedule tribe, and OBC urban community –
 Social Class system and status during community
 Social mobility-meaning & types posting
 Race as a biological concept, criteria of
racial classification
 Salient features of Primary races Racism
Influence of Class, caste and Race on
health and health practices
90
VIII 6 Types of communities in India Community survey
(Rural, Urban and Regional) during community
 Features of village community & posting
Characteristics of Indian villages
Panchayat system, social dynamics
 Community development project and
planning
 Changes in Indian Rural life
 Availability of health facilities in rural and
its impact on health and health practices
 The growth of cities: Urbanisation and its
impact on health and health practices
 Major Urban problems – Urban Slums
Region; problems and impact on Health
IX 4 Social Change Observation Visits

 Nature and process of Social change to –
 Factors influencing Social change: cultural Voluntary
change, Cultural lag, culture and health Associations
(With special reference to women's health).
 Introduction to Theories of social change:
Linear, Cyclical, Marxian, Functional,
Sanskritisation and Modernisation.
 Role of nurse -Change agents
X 4 Social organization and social system

 Social organization: elements, types
 Democratic and authoritarian modes of
participation,
 Voluntary associations
 Social system: Definition and Type system
 Role and Status as structural elements of
social system with reference to women's
role and status and its impact on family.
 Inter-relationship of institutions.
XI 2 Social Control Community Survey

 Nature and process of social control
 Political, Legal, Religious, Educational
Economic.
 Industrial and Technological system,
Norms & Values- Folkways& Mores
Customs, Laws and fashion, Role of nurse.
 Human rights, Value education
91
XII 15 Social Problems Institutional Visits
 Social disorganization –
 Control & planning: poverty, housing, and  Destitute Home
illiteracy. Food supplies, prostitution,  Home for aged
rights of women & children, government  Rehabilitation
health programs, vulnerable groups, Centre
elderly, handicapped minority groups and  Home for children
other marginalized groups, child labour, ( abused,
child abuse, delinquency and crime,
substance abuse, HIV/AIDS.
 Social Welfare programmes in India  delinquency and
 Natural Resources and related problems crime)
 Forest Resources: Use and over- HIV/AIDS Centre
exploitation, deforestation, case studies,
timber extraction, mining, dams and their
effect on forest and tribal people.
 Water resources: use and over
utilization of surface and ground water,
floods, drought, conflict over water, dams
– benefits and problems.
 Mineral Resources: use and
exploitation, environmental effects of
extracting and using mineral resources.
 Land Resources: land as a resources,
land degradation, man induced landslides,
soil erosion and desertification
 Role of an individual in conservation of
natural resources.
 Equitable use of resources for
sustainable lifestyle.
BIBLIOGRAPHY:
1. Sachadeva Y.V., An introduction to sociology, kithab mahal : Allahabad..
2. R.K.Manelkar, Sociology for Nurses, Sivosankar T.P., Vora Medical Publications.
3. K.P.Pothen, S.Pothen, Sociology for Nurses, N.R.Brothers, Indore.
4. C.N. Shankar Rao Principals of sociology with introduction to social thoughts, S
Chand E Company Publishers
5. Ashok N.Patel, S.S.Hooda, Sociology
6. Dr.N.H.Groenman, Dr.O D'aslevin, M A Bockenham, Social and Behvioural
sciences for Nurses, Campanion Press Ltd.
7. Dr.Ajithkumar Sinha, Principles of Sociology, Lakshmi Narain Agarwal educational
publishers
8. T.B.Bottomore, Sociology A guide to problem and literature, Blockie & Sons
Publishers Pvt. Ltd.
9. Odum E.P. Fundamentals of ecology. W.B. Sounders Co. USA. 574p.
10. Townsend C, Harper J. and Michael Begon. Essentials of ecology, Blackwell
Science (TB)
92

No allotted out of
25
2 Pre-final Exam 75 30% 7.5
3. Assignments – Community Survey,
( group work = 25 marks) 25
(during community posting)
25 50% 12.5
- Family Case study = 25 marks
Visit Reports – Rural and Urban community = 2

- Social Organizations. = 4 80
- Institutional Visits = 2
TOTAL 255 100% 25
Time: 3 Hrs
93
SOCIOLOGY

a.
b.
c.
d.
e.
f.

a.
b.
c.
d.
e.
f.
g.
a. i . 2 marks
ii. 5 marks
iii. 8 marks
b. i . 2 marks
ii. 5 marks
iii. 8 marks
c. i . 2 marks
ii. 5 marks
iii. 8 marks
94
SOCIOLOGY

a.
b.
c.
d.
e.
f.
Q3) Short Notes: 5 marks each (Any four) (5 x 4=20 marks)

a.
b.
c.
d.
e.
a. i . 2 marks
ii. 5 marks
iii. 8 marks
b. i . 2 marks
ii. 5 marks
iii. 8 marks
95
PHARMACOLOGY
Placement: Second Year Theory – 45 Hours

(Class 35 Hours + Lab 10 Hours)

understanding of pharmaco-dynamics, Pharmacokinetics, principles of therapeutics and
nursing implications.
Specific Objectives: At the end of the course the students are able to,
1. Describe pharmacodynamics, pharmacokinetics, classification and the principles

of drug administration.
2. Explain chemotherapy of specific infections and infestations and nurse’s
responsibilities.
3. Describe antiseptics, disinfectants, insecticides and nurse’s responsibilities.
4. Describe drugs acting gastrointestinal system and nurse’s responsibilities.
5. Describe drugs used on Respiratory systems and nurse’s responsibilities.
6. Describe drugs used on Urinary systems and nurse’s responsibilities.
7. Describe drugs used in deaddiction, emergency, deficiency of vitamins
&minerals, poisoning, for immunization and immunosuppression and nurse’s
responsibilities.
8. Describe drugs used on skin and mucous membrane and nurse’s responsibilities.
9. Describe drugs used on Nervous system and nurse’s responsibilities.
10. Describe drugs used on Cardiovascular System and nurse’s responsibilities.
11. Describe drugs used for hormonal disorders and supplementation, contraception
and medical termination of pregnancy and nurse’s responsibilities.
12. Demonstrate awareness of the common drugs used in alternative system of
medicine.
13.
Unit Hrs Theory Hs Practical
I 2 Introduction to Pharmacology 10 Field
 Definitions visits/educati
 Sources onal trips top
 Terminology used pharmaceutic
 Types: Classification al
 Pharmaco-dynamics: Actions, therapeutic farms /
 Adverse, toxic companies
 Pharmacokinetics: Absorption, distribution,
metabolism, interaction, excretion
 Review: Routes and principles of administration
of drugs
96
 Indian pharmacopoeia: Legal issues
 Storage of various drugs
 Calculation of drug dosage
 Rational use of drugs
 Principles of therapeutics
II 5 Chemotherapy
Pharmacology of commonly used: Drug Study
 Penicillin Presentation
 Cephalosporins
 Aminoglycosides
 Macrolide & Broad Spectrum Antibiotics
 Sulfonamides
 Quinolones
 Antiamoebic
 Antimalarials
 Antihelmintics
 Antiscabies agents
 Antiviral & Antifungal agents
 Antitubercular drugs
 Antileprosy drugs
 Anticancer drugs
 Immuno-suppressants
Composition, action, dosage, route, indications,
contraindications, drug interactions, side effects,
adverse effects, toxicity & role of nurse.
III 2 Pharmacology of commonly used antiseptics, Drug Study /
disinfectants and insecticides Presentation
 Antiseptics: Composition, action, dosage,
route, indications, contraindications, drug
interactions, side-effects, adverse effects,
toxicity, and role of nurse.
 Disinfectants
 Insecticides
IV 2 Drugs acting on G I System Drug Study /
Pharmacology of commonly used Presentation
 Antiemetics
 Emetics
 Purgatives
 Antacids
 Cholinergic
 Anticholinergics
 Fluid and Electrolyte therapy
 Antidiarrhoeals
 Histamines
97
V 2 Drugs used on Respiratory System Drug Study /
Pharmacology of commonly used Presentation
 Antiasthmatics
 Mucolytics
 Decongestants
 Expectorants
 Antitussives
 Bronchodilators
 Bronchoconstrictors
 Antihistamines
contraindications, drug interactions, side effects
toxicity & role of nurse, adverse effects
VI 2 Drugs used on Urinary System Drug Study /
Pharmacology of commonly used drugs Presentation
 Diuretics and Antidiuretics
 Urinary antiseptics
 Cholinergics and anticholinergics
 Acidifiers and alkalanizers
VII 3 Miscellaneous Drug Study /
 Drugs used in de-addiction Presentation
 Drugs used in CPR & emergency
 Vitamins and minerals
 Immunosuppressants
 Antidotes
 Antivenom
 Vaccines and Sera
VIII 1 Drugs used on skin and mucus membranes Drug Study /
 Topical applications for skin, eye, ear nose, and Presentation
buccal cavity
 Antipruritics
adverse effects, toxicity & role of nurse
IX 5 Drugs acting on Nervous System Drug Study /
 Basic & applied pharmacology of commonly used: Presentation
 Analgesics & Anaesthetics
o Analgesics, Nonsteroidal anti-inflammatory
(NSAID) drugs
o Antipyretics
o Hypnotics and sedatives
- Opioids, Non – Opioids, Tranquilizers
- General & local anaesthetics
- Gases – Oxygen, nitrous oxide,
Carbon dioxide
98
 Cholinergic & anticholinergics:
o Muscle relaxants
o Major tranquilizers
o Anti psychotics
o Antidepressants
o Anticonvulsants
o Adrenergics
o Noradrenergics
o Mood stabilizers
o Acetylcholine
o Stimulants
X 4 Cardiovascular Drugs Drug Study /

 Haematinics Presentation
 Cardiotonics
 Anti anginals
 Antihypertensive & vasodilators
 Anti-arrhythmic
 Plasma expanders
 Coagulants & anticoagulants
 Antiplatelets & thrombolytics
 Hypolipidemics
XI 3 Drugs used for hormonal disorders and Drug Study /

supplementation, contraception and medical Presentation
termination of pregnancy
 Insulin & Oral hypoglycemics
 Thyroid supplements & suppressants
 Steroids , Anabolics
 Uterine stimulants & relaxants
 Oral contraceptives
 Other oestrogen – progesterone preparations
 Corticotrophine & Gonadotropines
 Adrenaline
 Prostaglandins
 Calcitonins
 Calcium salts
 Calcium regulators
99
XII 4 Introduction to drugs used in alternative system of Observation
medicine Visits
Ayurveda, Homeopathy, Unani and Siddha etc Pharmaceutica
l farm /
company of
 Allopathy
 Ayurveda
 Homeopathy
METHOD OF TEACHING
 Lecture
 Group Discussion
ASSIGNMENT
 Drug Study/ Presentation
BIBLIOGRAPHY:
1. Satoskar, Bhandarkar, Ainapure: Pharmacology and pharmacotherapeutics, Popular
Prakashan Mumbai.
2. M M Das: Pharmacology, Books & Allied (p) Ltd.
3. Linda, Skidmore Roth: Mosby’s Nursing Drug Reference, Mosby Inc, Harcourt
Health Sciences Company, Missouri.
4. Ramesh Karmegan: First aid to Pharmacology for undergraduates, Paras Medical
publishers, Hyderabad, India.
5. K D Tripathi: Essentials of medical pharmacology, Jaypee Brothers, Bangalore.
6. Govoni & Hayes: Drugs and nursing implications, Appleton & Lange Newyork.
7. Rodman & Smith: Clinical pharmacology in nursing, J B Lippincott company,
Philadelphia.
8. Richard A Lehne : Pharmacology for nursing care , W B Saunders company ,
Philadelphia.
9. Lalit Mishra: Drug Today, Vol 12, No 12, Lorina publications Inc. Delhi .
10. Lippincott William and Wilkins, Nurses Drug Guide.
11. Chaudhari K.D. Pharmacology for nurse and allied profession.
100
PATHOLOGY AND GENETICS

Placement: Second Year Theory - 45 Hours - Pathology - 30 Hrs
(Class 26 + Lab 04 Hrs)
Genetics - 15 Hrs
Section A: PATHOLOGY
Theory = 25 hours & Practical = 5 hours
Course Description: This course is designed to enable students to acquire knowledge of
pathology of various disease conditions and apply this knowledge in practice of nursing.
Specific objectives: At the end of the course students are able to:
1. Define the common terms used in pathology.

2. Appreciate the deviations from normal to abnormal structure and functions of the
body.
3. Explain pathological changes in disease conditions of various systems.
4. Describe various laboratory tests in assessment and monitoring of disease
conditions.
5. Describe laboratory tests for examination of body cavity fluids, transudates and
exudates.
6. Describe the laboratory tests for examination of urine and faeces.

I 4 Introduction
 Importance of the study of pathology.
 Definition of terms
 Methods & techniques
 Cellular & tissue changes
 Infiltration and regeneration
 Inflammations and infections
 Wound healing and repair
 Vascular changes
 Cellular growth and Neoplasms
 Normal and cancer cell
 Benign and malignant growths
 In situ carcinoma
 Disturbances of fluid and electrolyte
balance, role of nurse
II 14 Systemic Pathology  Visit to …
 Pathological changes in disease conditions Pathology
of various systems: Lab
Respiratory tract Biochemistry
 Tuberculosis, Bronchitis, Pleural effusion Lab
& Pneumonia Blood Bank
101
 Lung abscess, emphysema, bronchiectasis 4 Museum
 Bronchial asthma, chronic obstructive specimens of
pulmonary disease and tumours. Respiratory
Cardiovascular system disorders
 Pericardial effusion Tuberculosis
 Rheumatic heart disease Museum
 Infective endocarditis, atherosclerosis specimens of
 Ischemia, infarction & aneurysm
Gastrointestinal tract
Cardiovascu
 Peptic ulcer, Typhoid
lar disorders
 Carcinoma of GI tract – buccal,
IE, RHD,
oesophageal, gastric and intestinal
Hypertension
Liver, Gall bladder & pancreas
, MI
 Hepatitis, chronic liver abscess, Cirrhosis
 Tumours of liver, gall bladder and pancreas
 Cholecystitis
 Diabetes Mellitus Gastrointesti
Kidneys & Urinary tract nal tract
 Glomerulonephritis, pyelonephritis Ulcers of
 Calculi, Renal failure, Renal, carcinoma & GIT
Cystitis
Hepatobiliary
Male genital system
disorders
 Cryptorchidism, testicular atrophy
 Prostatic hyperplasia, Carcinoma of penis
& prostate
Female genital system
 Fibroids
 Carcinoma cervix & endometrium Kidneys &
 Vesicular mole, choriocarcinoma Urinary
 Ectopic gestation tract
 Ovarian cyst & tumours
Cancer breast
Central Nervous System
 Vascular disorders – thrombosis, embolism
 Stroke, paraplegia, quadriplegia
 Tumours, meningiomas- gliomas
Metastatic tumour Male &
Skeletal system Female
 Bone healing, osteoporosis, osteomyelitis genital
 Arthritis and tumours system
III 4 Clinical Pathology

Various blood and bone marrow tests in 
assessment and monitoring of disease Demonstra
conditions tions
 Haemoglobin
102
 RBC, white cells & platelet counts  Visit to …
 Bleeding time, clotting time and
prothrombin time Pathology
 Blood grouping and cross matching Lab
 Blood chemistry
Biochemistry
 Blood culture
Lab
 Serological and immunological tests
Blood
 Other blood tests Bank
 Examination of bone marrow
 Methods of collection of blood specimen
for various clinical pathology,
biochemistry, microbiological tests,
inference and normal values.
 Nurse’s role in collection and dispatch of
various samples for laboratory tests.
 Universal safety precautions.
IV 2 Examination of body cavity fluids,
transudates and exudates Demonstrations
 The laboratory tests used in CSF analysis,
Examination of other body cavity fluids,
transudates and exudates - sputum, wound
discharge etc.
 Analysis of gastric and duodenal contents
 Analysis of semen- sperm count, motility
and morphology and their importance in
infertility.
 Methods of collection of CSF and other
cavity fluids specimen for various clinical
pathology, biochemistry, microbiology
tests, inference and normal values.
 Nurse’s role in assisting and preparing the
patient for these diagnostic tests
V 2 Urine & Faeces Demonstration
Urine
 Physical characteristics
 Analysis
 Culture and sensitivity
Faeces
 Characteristics
 Stool examination: occult blood, ova,
parasite and cyst, reducing substance etc.
 Methods of collection for various tests,
inference and normal values
METHOD OF TEACHING : Lecture, Discussion
 Demonstration.
 Use of slides, Specimens, X rays and Scans
103
Bibliography – Pathology
1. Harsh Mohan : Text book of Pathology,Jaypee Brothers, New Delhi.

2. Heller : Pathology: Comprehensive Review .
3. Emanuel Rubin M D, John L Farber : Pathology , Lippincott, Philadelphia
4. Carol Mattson Porth : Pathophisiology ,Lippincott Philadelphia.
5. Ramzi S Cotran etal : Robins Pathologic basics of disease, W B Saunders coy USA.
6. JCE Underwood : General and systemic pathology, Churchill liuvingstone ,
Philadelphia.
7. Canjanov and Linder : Anderson’s pathology, Lippincott , Philadelphia .
8. Vinay Kumar M D etal : Basic Pathology , W B Saunders coy USA .
9. Walter F Coulson : Surgical Pathology, J B Lippincott coy Philadelphia.
10. Parakrama Chandrasoma : Concise pathology, Hall International, USA .
11. Lynne’s Gracia, M S & David A Brucker : Diagnostic medical parasitology , n ASM
press, Washington.
12. Haber et al : Differential diagnosis in pathology , W B Saunders coy, Philadelphia..
104
B – GENETICS
Theory – 15 Hours

understanding of Genetics, its role in causation and management of defects and diseases.
Specific objectives: At the end of the course students are able to:
1. Explain nature, principles and perspectives of heredity.
2. Explain maternal, prenatal and genetic influences on development of defects and
diseases.
3. Explain the screening methods for genetic defects and diseases in neonates and
children.
4. Identify genetic disorders in various age groups.
5. Describe the role of nurse in genetic services and counselling.

I 2 Introduction
 Practical application of genetics in Nursing.
 Impact of genetic condition on families.
 Review of cellular division mitosis and
 Meiosis.
 Characteristics and structure of genes
Chromosomes – sex determination
 Chromosomal aberrations pattern of
inheritance
 Mendalian theory of inheritance
 Multiple allots and blood groups
 Sex linked inheritance
 Mechanism of inheritance
 Errors in transmission (Mutation)
II 3 Maternal, prenatal and genetic influences on
development of defects and diseases
 Conditions affecting the mother: genetic and
infections
 Consanguinity
 Prenatal nutrition and food allergies
 Maternal age
 Maternal drug therapy
 Prenatal testing and diagnosis
 Effect of radiation, drugs and chemicals
 Infertility
 Spontaneous abortion
 Neural tube defects and the role of folic acid in
lowering the risks
 Down syndrome (Trisomy 21)
105
III 2 Genetic tests in neonates and children 2
Screening for Visit to
 Karyotype analysis Genetic
 Congenital abnormalities laboratory
 Developmental delay
 Dysmorphism
IV 2 Genetic conditions of adolescents and adults
 Cancer genetics – Familial cancer
 Inborn errors of metabolism
 Blood group alleles and haematological
disorders
 Genetic haemochromatosis
 Huntington’s disease
 Mental illness
V 3 Services related to Genetics
 Genetic testing
 Human genome project
 Gene therapy
 The Eugenics movement
 Genetic counselling
 Legal and ethical issues
 Role of nurse
VI 1 Energy Resources:
 Growing energy needs
 Renewable and non renewable energy sources
 Use of alternative energy sources
 Case Studies
METHOD OF TEACHING
 Lecture, Discussion, Demonstrations.
 Use of slides, Specimens, X rays and Scans
BIBLIOGRAPHY –(GENETICS)
1. S Mandal: Fundamentals of Human Genetics,New Central Book Agency, Kolkota
2. S D Gangane : Human Genetics, Saurabh Printers, Noida.
3. Jorde Carey BamshadWhite : Medical Genetics, Mosby .
4. P C Winter, G I Hickey : Instant notes in genetics , Viva books Pvt Ltd, New Delhi .
5. Mary B Mahowald , et al : Genetics in the clinic, Mosby Philadelphia..
6. Robert F Muller, Ian D Young : Emery’s elements of medical genetics, Churchill
Livingstone,Philadelphia.
7. Moore, Keith L: Developing Human Clinically oriented Embryology, W B Saunders
company, Philadelphia.
8. Pansky Ban, Review of Medical Embryology. Macmillian Publishing Company, New York .
106
PHARMACOLOGY, PATHOLOGY AND GENETICS

No out of
25
1. First term Exam:
Pharmacology 29 50 20% 5.0
Pathology & Genetics (19+2) 21
2. Pre-final Exam:
Pharmacology 40 7.5
75 30%
Pathology 25
Genetics 10
3. Assignments
Drug Study / Presentation 25 25
Visit Reports 10 50% 12.5

Pharmaceutical companies /
Other alternative system of medicine 5
Biochemistry/Pathology lab & blood bank/

Genetic department 5
Total 160 100 25
Time: 3 Hrs
University Exam
Section A - Pharmacology 40 marks
Section B - Pathology 25 marks
Genetics 10 marks
75 marks
Internal assessment 25 marks

107
FORMAT FOR ASSIGNMENTS
Guidelines for Drug study
SL NO. Sl. No. Particulars
1 Index of drug
2 Introduction
3 Classification of drugs
4 Factors affecting action of drugs
5 Name of the drug (Trade & Pharmaceutical name)
6 Preparation, Strength and Dose
7 Indications and contraindications
8 Actions
9 Adverse effects and drug interactions
10 Nursing responsibility
11 Conclusion
12 References
108

Pharmacology MCQ 01 to 10 = 5 marks
Pathology MCQ 11 to 20 = 5 marks
Section B: (PHARMACOLOGY) Total: 35 marks

a.
b.
c.
d.
e.
f.
Q3) Short Notes: 5marks each (Any five) (5 x 5 =25 marks)

a.
b.
c.
d.
e.
f.
Section C: (PATHOLOGY) Total: 30 marks
Q4. Short Answer Question: 2 marks each (Any five) ( 5 x 2=10 marks)
a.
b.
c.
d.
e.
f.
Q5) Short Notes: 5marks each (Any two) (2 x 5 =10 marks)

a.
b.
c.
Section C: (GENETICS) Total: 10 marks
Q6. Short Answer Question: 2 marks each (Any five) ( 5 x 2=10 marks)
a.
b.
c.
d.
e.
f.
109

Pharmacology MCQ 01 to 8 = 4 marks
Pathology MCQ 9 to 16 = 4 marks
Genetics MCQ 17 to 20 = 2 marks
Section B: (PHARMACOLOGY) Total: 25 marks

a.
b.
c.
d.
e.
f.
Q3) Short Notes: 5 marks each (Any three) (3x 5 =15 marks)
a.
b.
c.
d.
e.
Section C: (PATHOLOGY) Total: 15 marks
Q4) Long Answer Question: (8+7 =15 marks)
a. i . 2 marks
ii. 6 marks
b. i . 2 marks
ii. 5 marks
110
EVALUATION CRITERIA FOR DRUG STUDY / PRESENTATION
Marks=25
SR NO CONTENT MARKS MARKS

ALLOTTED OBTAINED
1 Planning & organization 03
2 Content 10
3 Nursing responsibility 10
4 Conclusion References 02
TOTAL 25
111
MEDICAL SURGICAL NURSING
(ADULT INCLUDING GERIATRICS) – I
Placement: Second Year Theory : 210 Hrs

Practical : 720 Hrs
Course Description:
The purpose of this course is to acquire knowledge and develop proficiency in caring for
patients with medical surgical disorders in varieties of health care settings and at home.
Specific Objectives: At completion of the course the student is able to:
1. Appreciate the trends in Medical Surgical Nursing.

2. Describe the role of a nurse in caring for adult patients in the hospital and
community.
3. Describe the concepts of Medical Surgical asepsis
4. Describe the common signs and symptoms of certain problems and their specific
nursing interventions.
5. Describe the etiology, pathophysiology, clinical manifestations, diagnostic
measures and management of adult including elderly patients with medical
surgical conditions.
6. Describe the organization set up of operation theatre.
7. Identify various instruments and equipments used for common surgical
procedures.
8. Describe the infection control measures in the operation theatre.
9. Demonstrate skill in carrying out nursing techniques and procedures in keeping
with scientific principles.
10. Discuss nursing process and provide nursing care to patients with various
medical surgical conditions.

I INTRODUCTION Surgical
10  Introduction to Medical Surgical Nursing 10 asepsis
Evaluation & trends of medical & surgical Dressings
nursing. Care of
 Review of concepts of health & illness, wound
 Diseases concepts, its causes, classification drainage
of diseases, International classification of Medications-
diseases ( ICD - 10 or later version), oral, I/v, I/M,
 Acute, chronic, & terminal stages of S/C, I/V
Illness. canulation,
 Review of concept of compressive nursing Topical
care in medical surgical condition based on medications
nursing process.
112
 Role of nurse & family in care of patients Counsel and
 Role & responsibility of nurse in medical teach related
surgical settings: to specific
o Outpatient department disease
o In patient department conditions.
o Intensive care units
Home & community settings Care of
Introduction to medical surgical asepsis wound
o Inflammation and Infection  Dressings
o Stress adaptation  Suture
o Haemorrhage care, care
o Immunity of drainage
o Wound healing, wound healing process.
Surgical asepsis
o Dressings, Suture care, care of drainage
Common signs and symptoms and
II 10 management
 Fluid & electrolyte imbalance
 Vomiting
 Dyspnoea and cough, respiratory difficulty
and obstructions
 Fever
 Shock
 Unconsciousness, Syncope
 Pain
 Incontinence (bladder & bowel)
 Oedema
 Age related problems- Geriatric Problems.
III 15 Nursing management of patients (adults 5 Respiratory
including elderly) with respiratory problems assessment
 Review of Anatomy & Physiology of and assisting
respiratory system. for the
 Assessment procedures
 Etiology, Pathophysiology, clinical of
manifestations, diagnosis, treatment X ray chest,
modalities & Medical, surgical, dietetics and MRI, lung
nursing including elderly with: Biopsy,
o Upper Respiratory tract infections bronchoscopy
o Bronchitis , Bronchiolitis Thoracocentes
o Asthma is
o Emphysema Care of
o Empyemas patients with
o Atelectasis chest drainage
o Chronic obstructive Pulmonary diseases & change of
(COPD) chest drainage.
o Bronchiectasis
113
o Pneumonia Care of
o Pulmonary tuberculosis patients on
o Lung abscess ventilators &
o Pleural abscess, effusion weaning
o Cysts & Tumors Throat
o Chest injuries suctioning,
o Respiratory arrest, ARDS & Collection of
insufficiency specimens for
o Pulmonary embolism common
Special therapies, alternative therapies, nursing investigations
procedures, drugs used in treatment of
respiratory disorders. Health
Education
Drug Book
Presentation
Oxygen
therapy by
different
methods,
Nebulization,
Chest
Physiotherapy
IV 23 Nursing management of patient (Adults 7 Preparing,
including elderly) with disorders of Digestive assessing &
system. witnessing
 Review of Anatomy & Physiology of for
digestive system
Barium meal,
 Nursing Assessment –history & physical enema,
Assessment.
 Etiology, Pathophysiology, clinical Abdominal
manifestations, diagnosis, treatment paracentesis,
modalities & Medical, surgical, dietetics Liver biopsy
and nursing including elderly with:
 Disorders of Endoscopies,
o Oral cavity- Lips, gums, tongue, ERCP, OGD,
salivary and teeth Colonoscopy,
o Oesophagus- inflammation, stricture, Proctoscopy,
obstruction, bleeding & oesophageal Sigmoidosco
tumour py
o Stomach & Duodenum - hiatus hernia,
gastritis, peptic & duodenal ulcer, Liver
bleeding, tumour pyloric stenosis function test
o Food allergy & poisoning
o Small intestinal inflammation and
Infection.
o Enteritis, malabsorbtion syndrome,
Obstruction, tumours perforation,
114
o Large Intestinal disorders –Colitis, Gastric
inflammations& infection, obstruction, analysis,
tumours, lump Stomach wash
o Hernias Gastrostomy
o Appendix- Inflammation, mass, abscess, feeding
rupture.
Jejunestomy
o Anal & Rectum - Fistulas, fissures,
feeding
o Haemorrhoids and tumour
o Peritonitis/ acute abdominal Bowel wash
o Pancreas-Inflammation, cyst, abscess, Ostomy Care
tumours. Gastrostomy,
colostomy and
o Abdominal trauma enterostomy.
o Liver- Jaundice, hepatitis, cyst, abscess,
cirrhosis, portal hypertension, hepatic Naso gastric
failure and tumours. aspiration and
o Biliary tract & gall bladder - Cholecytitis, feeding,
cholelithiasis, tumors. Assist in
common
Special Therapies, alternative therapies nursing diagnostic
procedures, drug used in the treatment of procedures,
disorders & diseases of digestive system. Perform /
Assist in
therapeutic
procedures
Health
Education
Drug Book
Presentation
V 21 Nursing management of patient (adults Cardiovascu
4
including elderly) with blood and lar
cardiovascular problems assessment
 Review of Anatomy & Physiology of blood and assisting
and cardiovascular system for
 Nursing Assessment –history & physical Holter
assessment. monitoring
 Etiology, Pathophysiology, clinical  2DEcho,
manifestations, diagnosis, treatment  Doppler
modalities & Medical, surgical, dietetics and  Blood and
nursing including elderly with: its
Vascular System component
 Hypertension, Hypotension, therapy.
 Atherosclerosis  Recording
 Raynaud’s disease, and
 Aneurism and Peripheral vascular disorder interpreting
ECG
115
Heart 5  ECG,
 Coronary artery disease  Monitoring
- Ischemic heart disease patients,
- Coronary atherosclerosis Preparing
- Angina pectoris and assisting
- Myocardial infarction in non-
 Valvular heart disease invasive and
- Congenital & acquired invasive
- Rheumatic heart disease procedures.
- Mitral stenosis  CPR
 Endocarditis , Pericarditis, Myocarditis  Health
 Cardiomyopathies Education
 Cardiac Dysrhythmias, Heart Block  Drug Book
 Congestive cardiac failure Presentation
- Corpulmonale
- Pulmonary Oedema
- Cardiogenic shock
- Cardiac tamponade
 Cardiac Emergencies and arrest Visit to
 Cardiopulmonary resuscitation Blood Bank
 ACLS, BLS
Blood
 Anaemia, Polycythemia Counselling
 Bleeding Disorders –clotting factor and of blood
platelet defects donors
 Haemophilia
 Thalassemia
 Leukaemia Participate in
 Leukopenia blood
 Agranulocytosis donation
Lymphomas & Myeloma camps
Special Therapies
 Blood transfusion, Safety Checks,
procedure and requirements, management
of adverse transfusion reaction, records for
blood transfusion.
 Management and counselling of blood
donors, phlebotomy procedure and post
donation management.
 Blood bank functioning and hospital
transfusion committee.
 Bio-safety and waste management in
relation to blood transfusion.
 Role of nurse in organ donation, transplant,
retrieval & banking: Alternative therapies,
Nursing procedures,
 Drug used in treatment
116
VI 8 Nursing management of patient (Adults Demonstrati
2
including elderly)with genito -urinary ons
problems Care of
 Review of Anatomy & Physiology of patients with
genito-urinary systems.  Indwelling
 Nursing Assessment –history & physical catheter
assessment. male /
 Etiology, Pathophysiology, clinical female
manifestations, diagnosis, treatment  Condom
modalities & Medical, surgical, dietetics catheters
and nursing including elderly with: (external
 Nephritis  Bladder
 Nephrotic syndrome Wash
 Nephrosis  Bladder
 Renal calculus irrigation
 Tumours  Catheteriza
 Acute renal failure tion,
 Chronic renal failure Bowel
 End stage renal disease Wash,
 Dialysis, renal transplant
 Congenital disorders, urinary infections  Enema,
 Benign prostate hypertrophy Urinary
 Disorders of ureter, urinary bladder drainage,
urethra and prostate - inflammation  Haemo
infections, calculus stricture, dialysis &
obstructions, tumours. peritoneal
 Special therapies, alternative therapies. dialysis
 Nursing procedures  Maintain
 Drug used in treatment of Genito urinary Intake,
disorders. output and
documenta
tion
 Health
Education
Drug Book
Presentation
Nursing management of disorders of male Health
VII 5 Education
(adults including elderly) reproductive
system
 Review of anatomy and Physiology of Drug Book
Presentation
male reproductive system
 Nursing assessment- History and physical a Counsel and
assessment teach related
 Etiology, Pathophysiology, clinical to specific
manifestations, diagnosis, treatment diseases
117
modalities & medical, surgical, dietetics x and
nursing management of disorders of male
reproductive system
 Congenital malformations;
cryptorchidism
 Hypospadiasis, Epispadiasis
 Infection - Testis and adjacent structure,
Penis
 Prostate: inflammation, infection
hypertrophy, tumors.
 Sexual Dysfunction.
 Infertility.
 Contraception
 Breast, gynecomastia, tumors.
 Climacteric changes special therapies,
 Alternative therapies.
 Nursing procedures
 Drugs used in treatment of disorders of
male reproductive system
Nursing management of patient ( adults
VIII 8 including elderly) with disorders of Health
endocrine system Education
 Review of anatomy and physiology of
endocrine system. Drug Book
 Nursing assessment-history and physical Presentation
assessment.
 Etiology, Pathophysiology, clinical
manifestations, diagnosis, treatment
modalities & Medical, surgical, dietetics
and nursing management of patients with:
 Disorders of pituitary
 Disorders of thyroid and parathyroid
 Adrenal tumour
 Diabetes mellitus
 Diabetes insipidus
 Special therapies, alternative therapies
endocrine system.
IX 6 Nursing management of patients (adults
including elderly) with disorders of 1 Application
Integumentary system of Topical
 Review of anatomy and physiology of skin medications,
and its appendages. medicated
 Nursing assessment-history and physical bath
assessment
118
 Etiology, Pathophysiology, clinical Health
manifestations, diagnosis, treatment Education
modalities & Medical, surgical, dietetics
and nursing management of patients with of Drug Book
disorders of skin and its appendages - Presentation
 Lesions and abrasions
 Infection and infestations:-Dermatitis
 Dermatoses; infectious and non
infectious.“inflammatory determatoses”
 Acne vulgaris
 Allergies and Eczema
 Psoriasis
 Malignant melanoma
 Alopecia
 Leucoderma
 Care of patient with Skin surgery
 Nursing procedures,
Drugs used in treatment of skin disorders
Nursing management of patients (adults Assist in
X 8 1 application
including elderly) with musculoskeletal
problems and removal
 Review of anatomy and physiology of of plaster
musculoskeletal system, cast,
 Nursing assessment-history and physical 1 Apply skin
assessment traction –
 Etiology, Pathophysiology, clinical buck’s
manifestations, diagnosis, treatment extension
modalities & Medical, surgical, dietetics traction.
and nursing management of
 Disorders of: 1 Assist in
 Muscles, ligaments and joint application
inflammation, infection trauma and removal
 Bones-inflammation, infection, trauma of prosthesis.,
dislocation, sprain, fracture & tumour
Physiotherap
 Osteomalacia and osteoporosis 1 y – range of
 Arthritis
motion
 Congenital deformities
exercises,
 Spinal column – defects and
muscle
deformities, tumor, prolapsed
strengthening
intervertebral disc. Pott’s spine
exercises,
 Paget’s disease
 Amputation 1 Crutch
 Prosthesis maneuvering
 Transplant and replacement surgeries technique,
 Rehabilitation Ambulation.
 Special therapies, alternative therapies Health
119
 Nursing procedures, Education
 Drug used in treatment of disorders of Drug Book
musculoskeletal system Presentation
XI 8 Nursing management of Patient (adults
Including elderly) with Immunological Health
problems Education
 Review of Immune system.
 Nursing Assessment-History and physical Drug Book
assessment Presentation
 Etiology, Pathophysiology, clinical
manifestations, diagnosis, treatment Orientation
modalities & medical, surgical, dietetics 2 visit to
and nursing management of hospital
 Immunodeficiency disorder control
 Primary immuno deficiency system.
 Phagocytic dysfunction
 B-cell and T-cell deficiencies
 Secondary immuno-deficiencies
 Acquired Immuno Deficiency syndrome
 (AIDS)
- Incidence of HIV & AIDS Counselling
- Epidemiology HIV positive
- Transmission-prevention of patients and
transmission family
- Standard safety precautions
- Role of nurse, counselling,
- Health education and home care
consideration,
- National AIDS control program NACO
various National and international
agencies.
- Infection control program
- Rehabilitation,
immunological systems
XII 15 Nursing management of patient (adults

including elderly) with Communicable Health
Diseases Education
 Overview of infectious disease, the
infectious process Drug Book
 Nursing Assessment-History and physical Presentation
assessment
 Epidemiology, infectious process, clinical
manifestations, diagnosis, treatment,
120
prevention and dietetics. Control and
eradication of common communicable
diseases
 Tuberculosis
 Diarrhoeal diseases
 Hepatitis A-E
 Herpes
 Chickenpox
 Smallpox
 Typhoid
 Meningitis
 Gas gangrene
 Leprosy
 Dengue
 Plague
 Malaria
 Diphtheria
 Pertussis
 Poliomyelitis
 Measles
 Mumps
 Influenza
 Tetanus
 Yellow fever
 Filariasis
 HIV, AIDS communicable diseases
 Reproductive Tract Infections
 Special infection control measures;
Notification, Isolation, Quarantine,
Immunization, Infectious Disease Hospitals.
 Special therapies, Alternative therapies
 Nursing procedures.
 Drugs used in treatment of communicable
diseases.
XIII 20 Peri Operative nursing: Pre & post
 Meeting needs of Perioperative patients 12 operative care
o Definition and concept of Perioperative Receiving
nursing, patient &
 Preoperative phase assessment
o Preparation of patient for surgery
Skin
 Organization and physical set up of the preparation for
operation theatre (OT): surgery
o Classification
preparation of
o O.T. design
Pre & post
o Staffing
operative unit
o Members of the OT team.
Teaching and
o Duties and responsibility of nurse
counselling
121
o in OT
Pre & post
o Principles of health and operating
operative
room attire.
monitoring
o Instruments
o Sutures and suture materials Care of wounds
o Equipments & drainage.
o O.T. tables and sets for common Suture
surgical procedure removal,
o Scrubbing procedures. Ambulation
o Gowning and gloving and exercises
o Preparation of O.T. sets
o Monitoring the patients during Scrubbing,
surgical procedures Gowning,
 Maintenance of therapeutics environment in gloving
O.T. Identify
 Standard safely measures instruments,
o Infection control: fumigation, suture
disinfection and sterilization materials for
 Biomedical waste management common
 Prevention of accidents and hazards in O.T. operations.
 Anaesthesia Disinfection
o Types Carbolization
o Methods of administration fumigation,
o Effects and stages
o Equipment Preparation of
o Drugs instrument sets
 Post operative phase for common
o Recovery unit operations.
o post operative unit Preparation of
o post operative care OT table based
 Cardio pulmonary Resuscitation( CPR) on operation.
 Pain management techniques
 Legal Aspects Position and
monitoring of
patients,
Endotracheal
intubation.
Assisting in
minor and
major
operations.
Handling
specimens.
Disposal of
waste as per
guidelines.
122
METHOD OF TEACHING : USE OF AV Aids
- Lectures/ Discussion - Charts,
- Demonstrations - Graphs,
- Seminar / Case Discussion - Films
- Health Education - Models
BIBLIOGRAPHY:
1. Black J.M. Hawk, J.H. .Medical Surgical Nursing Clinical Management for Positive
outcomes. Elsevier.
2. Brunner S. B., Suddarth D.S. The Lippincott Manual of Nursing practice
J.B.Lippincott. Philadelphia.
3. Medical Surgical Nursing: an integrated approach. White, L, Delmar Thomson

learning. United States
4. Lewis, Heitkemper & Dirksen. Medical Surgical Nursing Assessment and

Management of Clinical Problem. Mosby.
5. Colmer R.M. Moroney’s Surgery for Nurses. ELBS. Shah N.S. A P I textbook of
Medicine, The Association of Physicians of Mumbai India.
6. Satoskar R.S., Bhandarkar S.D. & Rege N.N. Pharmacology and
Pharmacotherapeutics. Popular Prakashan, Mumbai.
7. Phipps W.J., Long C.B. & Wood N.F. Shaffer’s Medical Surgical Nursing
B.T.Publication Pvt. Ltd. New Delhi.
8. Datta T.K. Fundamentals of Operation Theatre Services, Jaypee, New Delhi.
9. Maheswari J Essentials of Orthopedics. Mehta Publication, NewDelhi.
10. Pasricha J.S., Gupta R. llustrated Text book of Dermatology. Jaypee brothers New
Delhi.
11. Haslett C., Chilvers E.R., Hunder J.A.A. &Boon, N.A. Davidson’s Principles and
Practice of Medicine. Churchill living stone. Edinburgh.
12. Walsh M. Watson’s Clinical Nursing and Related Sciences. Bailliere Tindall
Edinburgh.
13. Medical Surgical Nursing: an integrated approach, White, L, Delmar Thomson

learning United States.
14. Medical Surgical Nursing: A Nursing process approach Vol. I & II, Ignatacicius,
Donna & Workman, Linda, W. B. Saunders Company, Philadelphia.
15. The Lippincott Manual of Nursing practice, 7th ed, Nettina, Sandra, Lippincott
Williams & Wilkins, Philadelphia.
123

Practical
Placement: Second year Time: 720 Hours
1. Provide nursing care to adult patients with medical and surgical disorders
2. Counsel and educate patients and families
3. Provide pre and post operative nursing care to adult patients with surgical
disorders.
4. Identify instruments used in common operations
5. Participate in Infection control practices in the Operation Theatre
6. Set up the table / trolleys for common operative procedures
7. Assist in giving anaesthesia
8. Assist in the operative procedures
9. Provide pre operative nursing care
10. Provide nursing care patients with Skin disorders and Communicable diseases
AREAS FOR CLINICAL EXPERIENCE

Sr. Department Period
No. (wks)
1. General Medical Ward (Respiratory, GI, Endocrine, Renal, Hemotology) 6
2. General Surgical Ward ( GI, urinary CVTS) 6
3. Cardiology Ward 2
4. Skin and Communicable Diseases Ward 2
5. Orthopaedic Ward 2
6. Operation Theatre 6
124
ASSIGNMENTS
Plan and give care to 3-4 assigned patients in the assigned clinical areas
General Medical and Cardiology Skin and Orthopaedic Operation

Surgical Wards Ward communicable Ward Theatre
Disease ward
Nursing care plan - 04 Nursing care Health talk Nursing care Assist as
( Medical- 2 & Surgical -2) plan - 01 /counselling plan - 01 Circulatory
HIV patients & nurse
Nursing case Study / Nursing case families - 01 Nursing case Major – 10 cases
presentation - 02 Study/present Study / Minor – 05
ation / Health presentation /
Drug Presentation - 01 Talk - 01 Maintain Health Talk Assist as
Record Book - 01 Scrub Nurse
Maintain Record Book Maintain Major – 10 cases
Record Book Maintain Drug Maintain Minor – 05
Maintain Drug book book Record Book
Maintain Maintain Record
Drug book Maintain Drug Book
book
125
Sr. Item Marks Weightage Marks out of

No. 25

25% 7.5
2 Pre-final Exam 75
Assignments
3. Drug Book - 25 35 50% 12.5
Visit Reports - 10
160 100% 25
Total

No. 25
1 First term Exam 50 20% 20
100 30% 30
2 Pre-final Exam
3. Assignments 900 50% 50
3.1. Clinical Evaluation
i. Medical ward 100
ii. Surgical Ward 100
iii. Ortho ward 100
3.2. Nursing Care Plan
i. Medical Wd -2 100
ii. Surgical Wd -2 100
iii. Cardiology -1 50
iv. Ortho-1 50
3.3 Case study/ presentation
i. Medical Ward -1 50
ii. Surgical Ward-1 50
iii. Ortho ward -1 50
iv. Cardio wd- 1 50
3.4. Health Talk/counselling 25
HIV patients& families -2 25
3.5. OT experience – Record 50
Book
Total 1050 100% 100
126
Theory
Total = 100 marks
Practical
Total = 200 marks

Procedure assessment (Bed side) 15 15 30
Nursing Process 05 05 10
Viva 20 20 40
OSPE 10 10 20
Marks 50 50 100
Internal assessment = 100 Marks

Total = 200 marks
127
Question Paper Format (University Exam)

a.
b.
c.
d.
e.
f.
Q3) Short Notes: 5 marks each (Any five) (5x 5 =25 marks)
a.
b.
c.
d.
e.
f.
g.
Q4) Long Answer Question: 15 marks ( Any two) ( 2 x 15=30 marks)
a. i . 2 marks
ii. 5 marks
iii. 8 marks
b. i . 2 marks
ii. 5 marks
iii. 8 marks
c. i . 2 marks
ii. 5 marks
iii. 8 marks
128


a.
b.
c.
d.
e.
f.
Q3) Short Notes: 5 marks each (Any four) (4x 5 =20 marks)
a.
b.
c.
d.
e.
Q4) Long Answer Question: 15 marks ( Any one) (1 x 15 =15 marks)
a. i . 2 marks
ii. 5 marks
iii. 8 marks
b. i . 2 marks
ii. 5 marks
iii. 8 marks
``````````````````````````````````````````````````````````````````````````````
129
Medical surgical nursing I

(Second B.Sc. Nursing)
130
SECOND YEAR B.Sc. NURSING
MEDICAL SURGICAL NURSING –I
NURSING CARE PLAN EVALUATION
Name of the Patient: _________________________________________________
Diagnosis: _____________________________Ward /Dept: ___________________
Sr. Criteria Marks Marks

No assigned obtained
1. History 02
2. Physical examination 03
3. Disease condition
 Definition 01
 Anatomy and physiology 01
 Incidence, etiology and risk factors 02
 Pathophysiology 02
 Clinical manifestation 02
 Investigation 02
4. Medical surgical management 04
5. Complications and prognosis 02
6. Drug study 04
7. Nursing management
 Nursing care plan
- Assessment – subjective & objective data 4
- Nursing diagnosis 3
- Goals and objectives 2
- Outcome criteria 2
- Plan intervention / implementation 5
- Rationale 2
- Evaluation 2
 Nurses notes 05
TOTAL 50
Remarks:
_________________________________________________________________
Signature of the student Signature of the Supervisor

Date: Date:
131
GUIDELINES FOR WRITING NURSING CARE PLAN
Assessment Nursing Goals/ Outcome Plan Rationale Evaluation

Data diagnosis Objectives Criteria intervention/
(Subjective Implementation
and
objective)
GUIDELINES FOR WRITING NURSES NOTES.
Date Diet Medication Time Nursing Observation, Intervention Sign.

and evaluation
GUIDELINE FOR DRUG STUDY.

Sr. Trade Pharmacological Route Frequency Action Side Nurse’s
No. Name Name of the dose Effects Responsibilities
132
CASE STUDY EVALUATION
Name of the Patient: __________________________________________________
Diagnosis: ___________________________________ Ward /Dept: _____________

{{{ Marks=50
No. assigned obtained
1. History 02
2. Physical examination 03
 Definition 01
 Anatomy and physiology 01
 Incidence, etiology and risk factors 02
 Pathophysiology 02
 Clinical manifestation and differential diagnosis. 02
4. Investigation 02
5. Medical surgical management 06
6. Complications and prognosis 02
7. Drug study 04
8. Nursing care plan 15
9. Nurses notes 04
10. Self evaluation / conclusion 02
11. Bibliography 02
TOTAL 50
Remarks:
Signature of the student Signature of the supervisor

Date: Date:
133
CASE PRESENTATION EVALUATION
Name of the Patient: _________________________________________________
Diagnosis: ________________________________ Ward /Dept: _______________

No. assigned obtained
1. Introduction 01
2. Patients data
History 02
Physical examination 02
Definition 01
Etiology 01
Pathophysiology 02
Clinical manifestation 02
Investigation 02
Management (medical/surgical) 02
4. Nursing care plan 14
5. Presentation skills
 Preparation of environment 01
 Sequence/organization of content 02
 Poise, clarity of idea 02
 Modulation, audibility 02
 Group participation 02
 Gestures and mannerism 02
6. A.V.Aids 04
7. Time management 02
8. Summary and conclusion 02
9. Bibliography 02
TOTAL 50
Remarks:
Signature of the Student with date: Signature of the Supervisor with date:
134

HEALTH TALK EVALUATION
Topic: ______________________________________________________________
Group: _____________________________________________________________
Date and time: ________________________Venue: ________________________
Marks=25
Sr. Criteria Allotted Marks
No. Marks Obtained
1. Health Talk Plan 06
2. Presentation
Preparation of environment 2
Sequence/Organisation of content. 2
Poise, clarity of idea. 2
Modulation, audibility. 2
Gestures and mannerism 2
3. Communication skill 02
4. Preparation and effective use of A V. Aids 04
5. Group participation 03
Total 25
Remarks:
__________________________________________________________________
_______________________________________________________________________
___________________________________________________________________
135

HEALTH TALK FORMAT
1. Name of the student teacher :
2. Name of the supervisor :
3. Venue :
4. Date :
5. Time :
6. Group :
7. Previous knowledge of the group
8. AV aids used
9. General objectives
10. Specific objectives
Lesson plan for health talk
Sr. No. Time Specific Content Teaching A V Aids Evaluation

Objectives Learning
Activities
136
CLINICAL EVALUATION
Name of the Student: ___________________________________________________
Hosp: ______________________________ Unit / Ward: _____________________
Duration of Clinical Experience: __________________________________________

Max 100 marks
Note: 5= Excellent, 4= Very Good, 3=Good, 2=Satisfactory, 1= Poor
S.N. PERFORMANCE CRITERIA 5 4 3 2 1
1 Nursing Process (75)
I Assessment and Nursing Diagnosis (15)
1.1 Collects data accurately
1.2 Identifies & Categorizes basic Needs of Patients
1.3 Formulates Nursing Diagnosis
II Planning (15)
2.1 Prioritizes patients needs
2.2 Plans nursing action for each of need
2.3 States rationale for nursing action
III Implementation (20)
3.1 Implements nursing care accurately and safely within given time
3.2 Applies scientific Principles
3.3 Maintains safe and comfortable environment
3.4 Gives health teaching as per plan to patients / family
IV Evaluation (10)
4.1 Evaluate patient’s response to nursing care
4.2 Re-examines & Modifies care Plan
V Documentation (15)
5.1 Records patient information accurately
5.2 Report patient information accurately
5.3 Maintains self up to date
2 Professional Conduct –(25)
VI Uniform and Punctuality
6.1 Well groomed, neat & conscious about professional appearance
6.2 Is always punctual in Clinical & completing Assignments
6.3 Readily accepts responsibility for own behavior & has initiative
VII Communication skills
7.1 Establishes & Maintains effective working / communication
relationship with patients &family
7.2 Establishes good interpersonal relationship with members of
health team / supervisors / Teachers
Total Marks
Total marks obtained
Remarks
_______________________________________________________________________
_______________________________________________________________________
_________________________________________________________________
Signature of Student with date Signature of Supervisor with date
137
GUIDELINES FOR OT RECORD BOOK

1) Introduction
2) Objectives
3) Physical layout of OT
4) Role and functions of Nurse in OT
a) Scrub Nurse
b) Circulating Nurse
5) Preparations for Surgery
a) Sterilization of articles
b) Preparation and packing
c) Instruments, Sutures and needless
d) Anaesthesia trolley
e) Anaesthesia drugs
f) Operating tables and necessary equipment
6) Assisting in surgery
a) Scrubbing, Gowning and gloving
b) Cases assisted as scrub nurse – Major and Minor
c) Cases assisted as circulatory nurse - Major and Minor
d) Position and draping of patients
e) Trolley setting for various operations/ conditions
7) Care of Patient in OT
a) Pre operative cases assisted
b) Intra operative cases assisted
c) Post operative cases assisted
d) Transportation of patient in and out of OT
8) Hazards of OT: Accidents
9) Cleaning of OT
a) Carbolization
b) Fumigation
c) Disposal of waste
10) Problems faced and suggestions
Format for record of major and minor cases assisted (as circulatory & scrub nurse)
Sr. Name of the Diagnosis Surgery Type of Type of case Remarks

No patient performed Anaesthesia (major/minor)
With date
138
EVALUATION CRITERIA FOR OT RECORD BOOK
Name of the Student: ___________________________________________________
Hosp: ______________________________ Unit / Ward: _____________________
Duration of Clinical Experience: __________________________________________

No Marks
1. DESCRIPTION
 Organization 5
 Adequacy of content 10
2. ILLUSTRATION
 Adequacy 5
3
 Neatness
3. PUNCTUAL IN SUBMISSION 2
TOTAL 50
Remarks:
__________________________________________________________________
_______________________________________________________________________
___________________________________________________________________
139
COMMUNITY HEALTH NURSING- I
Placement: Second year Theory - 90 Hrs
Practical - 135 Hrs
Course Description: This Course is designed for students to appreciate the principles of
promotion and maintenance of health.
Specific Objectives: At the end of the course students are able to;
1. Describe concept and dimensions of health.
2. Describe determinants of health & Environment.
3. Describe concept, aims, scope, uses, methods and approach of epidemiology.
4. Describe Epidemiology and nursing management of common Communicable
diseases.
5. Describe Epidemiology and nursing management of common Non-Communicable
diseases.
6. Describe the concepts and scope of demography.
7. Describe methods of data collection, analysis and interpretation of demographic data
8. Identify the impact of population explosion in India and methods of population
control.
9. Describe concept of home visits and demonstrate bag technique.
I 2 Introduction
 Community health nursing
 Definition , concept , dimensions of health
 Determinants of health
 Promotion of health
 Indicators of health
 Maintenance of health
II 15 Multidisciplinary nature of Environmental Visits to
studies: 5  Water
 Definition, scope, importance supply,
 Need for public awareness  Sewage
Ecosystem: disposal,
 Concept of an ecosystem  Milk Dairy
 Structure and function of an ecosystem.  Food
 Producers, consumers and decomposers Market
 Energy flow in ecosystem  Slaughter
 Ecological succession house
 Food chain, food web and ecological
pyramids
 Introduction, types, characteristic features,
and function of the following ecosystem;
- Forest ecosystem
- Grassland ecosystem
- Desert ecosystem
- Aquatic ecosystem (pond, streams,
- lakes, rivers, oceans, estuaries)
140
Determinants of health
 Eugenics
 Environmental factors contributing
Health
 Physical : Air, light, Ventilation,
water, Housing, Sanitation, disposal of
waste, disposal of dead bodies,
Forestation, Noise, Climate.
 Acts regulating the environment
National pollution control board
 Bacterial & Viral: Agents, host
carriers and Immunity.
 Arthropods and Rodents
 Communication; Infrastructure
facilities and Linkage
 Food hygiene : production, preservation,
Purchase, Preparation, Consumption
 Acts regulating food hygiene :
Prevention of food adulteration act, Drugs
& cosmetic act
 Socio-cultural
 Customs, taboos
 Marriage System
 Family Structure
Status of special Group; Females Children,
Elders, Challenged Groups and Sick persons
 Life Style
 Hygiene
 Physical Activity
 Recreation and Sleep
 Sexual life
 Spiritual life philosophy
 Self Reliance
 Dietary pattern
 Education
 Occupation
 Financial Management
 Income
 Budge
 Purchasing power
 Security
 Environmental Pollution
 Definition
 Causes , effects & control measures of
- Air pollution
- Water pollution
- Soil pollution
141
- Marine pollution
- Noise pollution
- Thermal pollution
- Nuclear pollution
 Solid waste management : causes,
effects and control measures of urban
and industrial wastes.
Role of individual in prevention of pollution.
III 10 Epidemiology
 Definition, concept, aims, scope, uses and
terminology used in epidemiology.
 Dynamics of disease transmission:
epidemiological triad
 Morbidity and mortality: Measurements
 Levels of prevention
 Methods of epidemiology of
 Descriptive
 Analytical: Epidemic, investigation
 Experimental
IV 25 Epidemiology and nursing management of 5 Bag
common Communicable Diseases Techniques
 Respiratory infections
 Small Pox
 Chicken Pox
 Measles
 Influenza
 Rubella
 ARI’s & Pneumonia
 Mumps
 Diphtheria
 Whooping cough
 Meningococcal meningitis
 Tuberculosis
 SARS
 Intestinal Infections
 Poliomyelitis
 Viral Hepatitis
 Cholera, Diarrhoeal diseases
 Typhoid Fever
 Food poisoning
 Amoebiasis
 Hook worm infestation
 Ascariasis, Dracunculiasis
 Arthropod infections
 Dengue
 Malaria
 Filariasis
142
 Zoonoses
 Viral
 Rabies
 Seminar
 Yellow fever
 Japanese encephalitis
 Supervised
 Kyasnur Forest Diseases
Field
 Bacterial
Practice-
 Brucellosis Health
 Plague Centres,
 Human Salmonellosis clinics and
 Anthrax Homes
 Leptospirosis
 Rickettsial diseases  Group
 Rickettsial Zoonoses Projects /
 Scrub typhus  Health
 Murine typhus Education
 Tick typhus
 Q fever  Seminar
 Parasitic Zoonoses
 Taeniasis  Supervised
 Hydatid disease Field
 Leishmaniasis Practice-health
 Surface infection Centres, clinics
 Trachoma and Homes
 Tetanus Group Projects /
Health
 Leprosy
Education
 STD & RTI
 Yaws
 HIV/AIDS
V 10 Epidemiology and nursing management of o Seminar
Non-communicable diseases. o Supervised
 Malnutrition: Under nutrition, over Field
nutrition, nutritional deficiencies Practice-
 Anaemia Health
 Hypertension centres,
 Stroke clinics and
 Rheumatic Heart Diseases Homes
 Coronary Heart Diseases
 Cancer
 Diabetes mellitus
 Blindness
 Accidents
 Mental illness
 Obesity
 Iodine Deficiency
143
Fluorosis, Epilepsy
VI 6 Demography Community
 Definition ,concept and scope identification
 Demography cycle survey
 Methods of collection, analysis and
interpretation of demographic data
 Demographic rates and ratios
VII 12 Population and its control Population
 Population explosion, its impact on social, Survey
economic development of individual,
society and country Counselling
 Population control:
 Overall development: Demonstrations
o Women empowerment, social,
economic and educational Practice session
development
 Limiting family size: Supervised field
o Promotion of small family norms. Practice.
o Methods: spacing (natural, biological,
chemical, mechanical, etc)
o Terminal: surgical methods
o Emergency contraception
METHOD OF TEACHING
 Lecture
 Group Discussion
 Visits
ASSIGNMENTS
 Group Projects
 Health Teaching
BIBILOGRAPHY
1. K.Park, textbookof Preventive & Social Mediciner- current edition 2006
2. K.Park Essentials of community Health Nursing 2007
3. Rao Kasturi An introduction to Community health Nursing .1publications 2005
4. Freeman Ruth ,Community Health nursing Practice.
5. Stanthope Lancaster ,Community Health Nursing Process & practise ,Popular publication.
2004.
6. Basavanthappa B.T, Community Health Nursing 2006
7. Sathe, Epidemiology & management of Health Care, Popular publications2003
8. Mahajan Gupta ,Textbook of Preventive & Social Medicine, Jaypee Publications
9. Lancaster, Community Health Nursing Process and Practice for promoting Health, Mosby
Publications.
10. McKinney M. L. and School R. M. Environmental Science System and Solutions, Web
enhanced edn.
144
COMMUNITY HEALTH NURSING - I
PRACTICAL
Placement: Second year Total Practical Hours - 135
Objectives: At the end of the practical experience the students will .
1. Develop skills in maintaining rapport with family and community at large.

2. Identify the demographic characteristics, health determinants.
3. Identify the health needs of the individual & families.
4. Provide care in the health centres, clinics and at home.
5. Counsel and educate individual family and community.
Distribution of practical HRS:
To work with two assigned families each in urban and rural areas.
I) Urban Public Health Experience: 70 Hrs.
a) Community Health Nursing Demonstrations : 10 Hrs

a) Demonstration of Home Nursing procedures.
b) Preparation of family folder
b) Family oriented care : 40 Hrs
a) Assessment of individuals and family.
b) Home visiting conducting family care study.
c) Simple family / community health survey
d) Reporting & Recording
c) Visits to community Health agency / NGOS : 10 Hrs
d) Health Education : 10 Hrs
II) Rural Public Health Experience: 65 Hrs (2 weeks)
a) Visit to primary health centre & Rural Hospital : 07 Hrs

b) Attending immunization and other clinics : 08 Hrs
c) Home visits for assessment & planning and home care : 24 Hrs
d) Experience in Primary Health centre : 08 Hrs
e) Health Education in clinics / school / Anganwadi etc : 08 Hrs

f) Maintenance of records : 10 Hrs
145
PRACTICAL
Placement: Second year Total Practical Hours - 135
Activities / Skills during Community Experience
 Use techniques of interpersonal relationship

 Identification of health determinants of community
 History taking
 Physical examination
 Collect specimens: sputum malaria smear
 Perform simple lab tests at centre-blood for Haemoglobin and sugar, urine for
albumin and Sugar
 Administer vaccines and medications to adults.
 Counsel and teach individual, family and community on….
o Nutrition
o Hygiene
o Self health monitoring
o Seeking health Services
o Healthy life style
o Family welfare methods
o Health Promotions
ASSIGNMENTS
1. Family Care Study - 1

2. Observation Report of Community - 1
3. Health Teaching -1
146
COMMUNITY HEALTH NURSING- I

I INTERNAL ASSESSMENT (25 MARKS)

No allotted out of 25
1. First term Exam 50 20% 5.0
2. Pre-final Exam 75 30% 7.5
3. Assignments 300 50% 12.5
3.1 Health Teaching - 2
i. Rural 25
25
ii. Urban
3.2.Visit Reports –5
i. Water supply 10
ii. Sewage disposal 10
iii. Milk Dairy 10
iv. Food Market 10
v. Slaughter house 10
3.3 Field Evaluation
i. Rural 100
ii. Urban 100
Total 425 100 25
Time: 3 Hrs
147
COMMUNITY HEALTH NURSING – I


a.
b.
c.
d.
e.
f.

a.
b.
c.
d.
e.
f.
Q4) Long Answer Question: 15 marks ( Any two) (2 x 15 =30 marks)
a. i . 2 marks
ii. 5 marks
iii. 8 marks
b. i . 2 marks
ii. 5 marks
iii. 8 marks
c. i . 2 marks
ii. 5 marks
iii. 8 marks
148

a.
b.
c.
d.
e.
f.
a.
b.
c.
e.
d.
a. i . 2 marks
ii. 5 marks
iii. 8 marks
b. i . 2 marks
ii. 5 marks
iii. 8 marks
149
COMMUNITY health nursing - i

(Second B.Sc. Nursing)
150
COMMUNITY HEALTH NURSING
CRITERIA FOR EVALUATION OF FIELD EXPERIENCE
Area : ______________________________ Duration of Experience: ___________
Rating:
5 – Outstanding in all respects.
4 – Clearly exceeds basic requirements.
3 – Average, clearly meets basic requirements satisfactorily.
2 – Meets many requirements but deficient in important aspect
1 – In many respects fails to meet requirements satisfactorily.
(Maximum Marks – 100)

Sl. Areas Rating
No. 1 2 3 4 5
I Knowledge and understanding about family
1 Studies family health record and collects significant data
2 Interprets significant data based on knowledge of
community Health / Community Health Nursing.
II Home Visit
3 Preplans are written planned organizes the home visit
based on the health needs of the family.
4 Use every opportunity for incidental/planned teaching
for individuals and group
5 Establishers rapport with the family.
III Health Assessment and Observation
6 Conducts physical health assessment
7 Identifies deviation from normal and set priorities in
home care activities.
8 Plans and implements home care based on the health
needs of the family.
9 Carries out simple home procedures
IV Nursing Activities carried out:
10 Application of scientific principles.
11 Applies technical skills with necessary modification and
Completeness of procedure.
12 Ensures Involvement and participation of the family
members.
13. Interprets reports and records
14 Takes, corrective action, follow standing orders &
selects appropriate referral agencies
151
Rating
Sl. No. Areas 1 2 3 4 5
V Health information health teaching
15 Uses every opportunity for incidental / planned
teaching for individual and group
16 Uses appropriate teaching learning principles
VI Post Visit
17 Reports significant information
18 Completes records, promptly, precisely and accurately.
VII Professional qualities
19 Professional appearance
20 Leadership and attitude
Marks
Total Marks
Remarks / comments by the Supervisor (In terms of strengths and weaknesses):

_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_________________________________________________________
Signature of Supervisor
Date when discussed
Student’s comments
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_____________________________________________________________
Signature of the student

Date
152
SECOND YEAR BASIC B.Sc. NURSING
GUIDELINES FOR FAMILY CARE STUDY
1) Introduction & objectives
2) Family Identification
a) Name of the head of the family
b) Address
3) Family Characteristics
a) Type of family: Nuclear/ joint.
b) Size of the family:
c) Religion
d) Diet: Veg./ Non Veg
4) Assessment of data – subjective & objective

i) Data related to
a) Type of house ( Kuchcha/ Pacca, Own / Rented)
b) No of rooms, ventilation, cleanliness
c) Water supply for drinking and washing purposes.
d) Electricity,
e) Drainage system – Open/ Closed
f) System of waste disposal
g) Mosquito breeding areas
ii) Assessment of family members and writing health summary specifically
vulnerable groups and high risk individuals
Sr. Name Age Sex Relationship EducationOccupation Income Health Immunization Death
No with head of Status status in the
the family last 5
years
153
5) Health Habits Occasional Addiction

a) Smoking
b) Alcohol
c) Drug
d) Any Other
6) Health problems felt by the family

7) Health needs identification by the investigators on priority basis considering family
as a unit of Service
8) Planning for Family Oriented Care (FOC)

Assessment Nursing Goals / Outcome Nursing Rationale Evaluation
Data Diagnosis Objectives criteria Interventions/
implementations
9) Technique & skill in home nursing procedures with rationale

10) Health teaching
i) Individual or group
ii) Use of simple AV aids
11) Specific dietary plan & nutrition rehabilitation
12) Drug study and home care if necessary
13) Summary /Conclusion
14) Bibliography
154

EVALUATION CRITERIA FOR FAMILY CARE SUTDY
Name of the student:__________________________________________________
Field placement: ____________________________________________________
Period: From…………………….. To …………………………..
(Maximum Marks: 50)

Sl. Criteria Maximum Marks
No. Marks Obtained
1 Introduction & Objective 2
2 Assessment of Family members (Subjective and 10
Objective Data)
3 Health needs identified 5
4 Planning for family health nursing care(including 6
short term & long term )
5 Implementation of home nursing care plan with 8
scientific rationale
6 Health education planning & Implementation. 5
7 Planning for diet 3
8 Evaluation: Outcome of family health care 4
9 Conclusion & suggestion 3
10 Use of table / graphs etc. 4
Total 50
Remarks
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_____________________________________________________________
Signature of Student Signature of Supervisor

Date Date
155

PROFORMA & GUIDELINE FOR HEALTH TEACHING
Topic :-
1. Name of the student teacher :

2. Name of the supervisor :
3. Venue :
4. Date :
5. Time :
6. Group :
7. Previous knowledge of the group:
8. AV aids used :
9. General objectives :
10. Specific objectives :
HEALTH TEACHING PLAN
Sl. Time Specific Content Teaching A.V. Evaluation

No. objectives learning Aids
Activities
156
EVALUATION FOR HEALTH TEACHING
Name of the student: _________________________________________________

Topic: _______________________________________________________________
Venue: ______________________________________________________________
Date and Time: _______________________________________________________
(Maximum Marks: 25)

Sl. Allotted Marks
No. Criteria Marks Obtained
1 Health Talk Plan 6
2 Presentation.
 Preparation of environment 2
 Sequence /organization of content 2
 Poise ,clarity of idea 2
 Modulation ,audibility 2
 Gestures and mannerism 2
3 Communication skill 02
4 Preparation & effective use of A V. Aids 04
5 Group participation. 03
Total 25
Remarks:
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_____________________________________________________________
Signature of the Student with date Signature of supervisor with date
157
COMMUNICATION & EDUCATIONAL TECHNOLOGY
Placement: Second Year Theory: 90 Hrs
Course Description:
This course is designed to help the students acquire an understanding of the principles
and methods of communication and teaching. It helps to develop skill in communicating
effectively, maintaining effective interpersonal relations, teaching individuals and
groups in clinical, community and educational settings.
1. Describe the communication process and identify techniques of effective
communication.
2. Establish effective interpersonal relations with patients, families and co-workers.
3. Develop effective Human relations in context of nursing.
4. Develop basic skills of counselling and guidance.
5. Describe the philosophy and principles of education and explain teaching
learning process.
6. Demonstrate teaching skills using various teaching methods in clinical,
classroom & community settings.
7. Prepare and use different types of educational media effectively.
8. Prepare different types of questions for assessment of knowledge, skills, and
attitude.
9. Teaching individuals groups and communities about Health with their active
participation.
I 5 Review of communication process
 Process, elements and channels  Exercises with
 Facilitators audio video
 Barriers and methods of overcoming tapes
 Techniques
II 5 Interpersonal relations
 Purpose and types  Exercises with
 Phases audio video tapes
 Barriers to interpersonal relations  Role Plays
 Methods of overcoming barriers  Process
 Johari Window recording
III 5 Human Relations
 Understanding self  Group Games
 Social behaviour, motivation, social  Psychometric
attitudes. exercises,
 Individual and Groups. followed by
 Groups and individual Human discussion
relations in context of nursing
 Group Dynamics
 Team Work
158
IV 10 Guidance and counselling 5 ▪ Role play on
 Definition, meaning, counselling in
 Purpose, scope & need. different
 Basic Principles situations
 Areas of counselling followed by
 Organization of counselling services discussions
 Types of counselling approaches
 Role and preparation of counsellor
 Issues for counselling in nursing
students and practitioners
 Counselling process steps &
techniques.
 Tools for collecting
 information
 Managing disciplinary problems
 Management of crisis and referral
V 5 Principles of Education and teaching
learning process  Prepare Lesson
 Education: meaning philosophy aims, Plan.
functions, & principles  Exercise on
 Nature & characteristics of learning writing the
 Principles and maxims of learning objectives
 Domains of objectives & formulation
of general and specific objective
 Lesson planning
 Classroom management
VI 10 Methods of teaching: 10 Conduct two
 Lecture, demonstration, group teaching sessions
discussions, seminar, symposium, using different
panel discussion, role-play project methods and media
method field trip, workshop,
exhibition, computer assisted learning
 Programmed instructions: micro-
teaching, evidence based learning,
self instructional module, simulation
 Clinical Teaching Methods: Bedside
Clinics, Case Method, Nursing
rounds, morning & afternoon reports,
conferences: (individual & group)
Field visits, process recording.
VII 10 Educational Media 8 Prepare different
 Purpose and types of Audio- Visual teaching aids
Aids, Principles and sources etc.  Projected
 Graphic Aids: Chalk board, charts  Non –
graph, poster, flash cards, flannel projected
graph, bulletin, cartoon
159
 Three Dimensional Aids: objects,
specimens, models, & puppets.
 Printed Aids: Pamphlets & leaflets.
 Projected Aids: slides overhead
 Projector, transparency preparation,
Films, T.V. VCR / VCD , camera,
microscope, LCD, DVD
 Audio Aids: Tape recorder, public
address system
 Computer.
VIII 5 Assessment 7 Exercise on
 Purpose & scope of evaluation & Preparing different
assessment types of
 Criteria for selection of assessment assessment tools
technique and methods.
 Assessment of knowledge: Essay a) LAQ, SAQ,
Type Questions, Short answer MCQ
questions (SAQ), Multiple choice b) Observation
questions (MCQ) Checklists
 Assessment of Skills :Observation c) Attitude scales
checklist, practical exam, Viva voce,
Objective Structured, Clinical
examination (OSCE)
 Assessment of Attitudes : Attitude
Scales
IX 3 Information, Education & 2
Communication for Health (ICE) Plan and Conduct
 Health behaviour and health education Health Education
 Principles of health education sessions for
 Health education with individuals, a) Individuals
groups and communities b) Group
 Methods and media for c) Communities
communicating health messages.
 Using mass media
 Planning health education
METHOD OF TEACHING
1. Lectures
2. Discussions
3. Role Plays
4. Process Recording
5. Sociometry
6. Group Games
7. Psychometric Exercises, followed by discussion
8. Role play on counselling in different situations followed by discussion
160
ASSIGNMENTS
1. Lesson Plans for two teaching sessions.
2. Two teaching sessions using different methods and media.
3. Use of different techniques and tools for assessment in teaching sessions.
4. Preparation of Teaching Aids
5. Health Education for individual/ group/ community
6. Role play on counselling in different situations
BIBLIOGRAPHY:
1. Bhatia, Kamala & Bhatia B.D.: The Principles and Methods of Teaching: Delhi,
Doaba House.
2. Neeraja, Nursing Education, New Delhi, Jaypee Brother.
3. Safaya, Raghunath & Shaida, B.D. Educational Theory & Practice, Delhi, Dhanpat
Row & Sons.
4. Bhatia, Hans Raj Elements of Educational Psychology, Bombay, Qnent Conpman
Sthed.

Sr. Item Marks Weightage Marks out

No obtained of 25
1. First term Exam 50 20% 5.0
2. Pre-final Exam 75 30% 7.5
3. Practice Teaching Sessions 100 50% 12.5

(2sessions x 50 marks)
TOTAL 225 100% 25
Time: 3 Hrs

161


a.
b.
c.
d.
e.
f.
Q3) Short Notes: 5 marks each (Any Five) (5 x 5 =25 marks)

a.
b.
c.
d.
e.
f.
Q4) Long Answer Question: 15 marks (Any two) (2 x15 =30 marks)
a. i . 2 marks
ii. 5 marks
iii. 8 marks
b. i . 2 marks
ii. 5 marks
iii. 8 marks
c. i . 2 marks
ii. 5 marks
iii. 8 marks
162

a.
b.
c.
d.
e.
f.
a.
b.
c.
d.
e.
Q4) Long Answer Question: 15 marks ( Any one) (1 x 15 =15 marks)
a. i . 2 marks
ii. 5 marks
iii. 8 marks
b. i . 2 marks
ii. 5 marks
iii. 8 marks
``````````````````````````````````````````````````````````````````````````````
163
COMMUNICATION & EDUCATION TECHNOLOGY
EVALUATION –PRACTICE TEACHING SESSION
Name of the Student Teacher: _________________________________________________

Group: ____________________________________________________________________
Topic: _____________________________________________________________________
Name of the supervisor: ______________________________________________________
Method of Teaching: ________________________________________________________
Date: ________________________________________ Time: _____________________
TOTAL MARKS -50
Evaluation of Lesson Plan: 15 marks

Sr. Particulars Marks Marks
No. Allotted Obtained
1 Formulation of objectives
General 2
Specific 3
2 Planning
Content 5
Method of teaching 1
Teaching Learning Activities 1
Time 1
Assignments 1
3 Bibliography 1
Total 15
164
Evaluation of Practice Teaching (Theory) Session: 25 marks

No Allotted Obtained
1 Class arrangements 1
2 Appearance 3
3 Speech
Clarity 2
Voice modulation 2
Tone of the voice 2
Mannerism 2
Facial expression 2
4 Presentation of Content 8
5 Group Participation 1
7 Time management 1
8 Summary conclusion 1
Total 25
Evaluation of A.V. Aids and Techniques/ Tools of Assessment:10 marks

1 A V Aids
Selection of A V Aids as per the Objectives 2
Uses A V Aids as per the Objectives 2
Follows principles in making and use of A V Aids 1
Uses variety of AV Aids 1
2 Techniques & Tools
Prepares different types of questions 2
Ability to ask questions 1
Ability to handle the group 1
Total 10
Total marks obtained out of 50

Remarks
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________
Signature of the Student Signature of the Supervisor

Date : Date :
165
Evaluation of Practice Teaching (Demonstration) Session:25 marks

1 Presentation of Content (Appearance, Speech-clear 5
voice modulation, mannerism, facial expression)
2 Demonstration room arrangement 2
3 Preparation of patient (Explains effectively,
Reassures/Positioning) 1
4 Preparation of articles (Selection of articles, 2
Aesthetic sense, Economy of time, energy,
Improvisation)
5 Preparation of environment 1
6 Skill in procedure (Follows proper sequence,
follow scientific principles, Evidence of manual
dexterity, Carries out after care, Recording & 10
Reporting)
7 Group Participation 2
8 Time management 1
9 Summary conclusion 1
Total 25
Evaluation of A.V. Aids and Techniques/ Tools of Assessment:10 marks

1 A V Aids
Selection of A V Aids as per the Objectives 2
Uses A V Aids as per the Objectives 2
Follows principles in making and use of A V Aids 1
Uses variety of AV Aids 1
2 Techniques & Tools
Prepares different types of questions 2
Ability to ask questions 1
Ability to handle the group 1
Total 10
Total marks obtained out of 50
Remarks
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Signature of the Student Signature of the Supervisor:

Date Date :
166
COURSE PLANNING
THIRD YEAR BASIC B. Sc. NURSING
167
MEDICAL - SURGICAL NURSING-II
Placement: Third year Theory - 120 Hours

Clinical - 270 Hours
Course Description: The purpose of this course is to acquire knowledge and develop
proficiency in caring for patients with medical and surgical disorders in varieties of
health care setting and at home.
measures and management of patients with disorders of Ear Nose and Throat.
2. Describe the etiology, pathophysiology, clinical manifestations diagnostic

measures and management of patients with disorders of eye.
3. Describe the etiology, pathophysiology clinical manifestations, diagnostic

measures and nursing management of patients with neurological disorders.
4. Describe the etiology, pathophysiology clinical manifestation, diagnostic

measures and nursing management of patients with disorders of female
reproductive system and concepts of reproductive health and family welfare
programmes.

measures and nursing management of patients with burns, reconstructive and
cosmetic surgery.

manifestations, diagnostic measures and nursing management of patients with
oncology.
7. Describe Organization of emergency and disaster care services.
8. Describe the role of nurse in disaster management and role of nurse in

management of Emergencies.
9. Explain the concept and problems of aging and describe nursing care of the
elderly.
10. Describe organization of critical care units and management role of nurse in
management of patients critical care units.
11. Describe the etiology, pathophysiology, clinical manifestations, assessment,

diagnostic measures and management of patients with occupational and
industrial health disorder.
168
MEDICAL - SURGICAL NURSING-II
(Adult and Geriatrics) II
I 13 Nursing management of patient with 2  Perform examination
disorders of Ear Nose and Throat of ear, nose and throat
 Review of anatomy and physiology of the  Assist with diagnostic
Ear Nose and Throat procedures
 Nursing Assessment- History and  Assist with therapeutic
Physical assessment Procedures
 Etiology, pathophysiology, clinical  Instillation of drops
manifestations, diagnosis, Treatment
modalities and medical & Surgical  Perform/assist with
nursing management of Ear Nose and irrigations.
Throat disorders:  Apply ear bandage
 External ear: Deformities, otalgia,  Perform tracheotomy
foreign bodies, and tumours care
 Middle Ear-Impacted wax, Tympanic  Teach patients and
membrane perforation, otitis Families
media,otosclerosis, mastoiditis,  Health Education
tumours  Drug book
 Inner ear- Meniere`s Disease, /Presentations
Labyrinthitis, ototoxicity, tumours
 Upper airway infections – Common
cold, Sinusitis, Ethinitis, Rhinitis,
Pharyngitis, Tonsillitis and
Adenoiditis, Peritonsilar abscess,
Laryngitis
 Upper respiratory airway-
Epistaxis, Nasal obstruction, laryngeal
obstruction, Cancer of the larynx
 Cancer of the oral cavity
 Speech defects and speech therapy
 Deafness- Prevention, control and
rehabilitation
 Hearing aids, implanted hearing devices
 Special therapies
 Nursing Procedures
ear nose and throat
 Role of nurse Communicating with
hearing impaired and mute.
II 14 Nursing management of patient 1  Perform examination
With disorders of eye of eye
 Review of anatomy and physiology of the  Assist with diagnostic
eye procedures
 Nursing assessment – history and Physical  Assist with therapeutic
assessment procedures
169
 Etiology, pathophysiology, clinical  Perform/assist with
manifestations, diagnosis, treatment Irrigations.
modalities, medical surgical and nursing  Apply eye bandage
management of eye disorders:  Apply eye drops/
 Refractive errors ointment
 Eyelids- Infection tumours and Assist with foreign
deformities. body removal.
 Conjunctiva: inflammation and  Teach patients and
Infection and bleeding Families
 Cornea- inflammation and infection  Health Education
 Lens-Cataracts, Glaucoma  Drug book
 Disorder of the uveal tract, /Presentation
 Ocular tumours
 Disorders of posterior chamber and
retina : retinal and vitreous problems
 Retinal detachment
 Ocular emergencies and their
Prevention
 Blindness
 National blindness control program
o Eye Banking
o Eye prostheses and rehabilitation
 Role of a nurse-Communication with
visually impaired patient, Eye camps
 Drugs used in treatment of eye disorders
III 14 Nursing management of patient with 2  Perform Neurological
neurological disorders Examination
 Review of anatomy and physiology of the  Use Glasgow coma
neurological system. scale
 Nursing Assessment-History and physical  Assist with diagnostic
and neurological assessment and Glasgow procedures
coma scale  Assist with therapeutic
 Etiology, Path physiology, Clinical procedures
manifestations, diagnosis, treatment  Teach patient &
modalities and medical & surgical nursing families
management of neurological disorders.  Participate in
 Congenital malformations Rehabilitation
 Headache program
 Head Injuries  Health Education
 Spinal injuries: Paraplegia,  Drug book/
Hemiplegia, Quadriplegia Presentation
 Spinal cord compression - Herniation
of intervertebral disc
 Tumours of the brain & spinal cord
 Intra cranial and cerebral aneurysms
 Infections: Meningitis,Encephalitis,
170
 brain abscess, neurocysticercosis
 Movement disorders : Chorea Seizures
Epilepsy
 Cerebro vascular accidents (CVA),
TIA
 Cranial / spinal neuropathies: Bell’s
palsy, trigeminal neuralgia,
 Peripheral Neuropathies; Guillan-
Barr’e syndrome
 Myasthenia gravis, Multiple sclerosis,
 Degenerative diseases, Peripheral
Neuritis,
 Delirium , Dementia
 Alzheimer’s disease
Parkinson’s disease
 Management of unconscious
 patients and patients with stroke
 Role of the nurse in communicating with
patient having neurological deficit
 Rehabilitation of patients with
neurological deficit
 Role of nurse in long stay facility
(institutions) and at home.
 Drugs used in neurological disorders
IV 14 Nursing management of patients with 2  Assist with
disorders of female reproductive system gynaecological
 Review of anatomy and physiology of the Examination
female reproductive system  Assist with diagnostic
 Nursing assessment-history and physical procedures
assessment  Assist with therapeutic
 Breast self examination Procedures.
 Etiology, pathophysiology, clinical  Vaginal douche
manifestations, diagnosis, treatment  Teach patients
modalities and medical & surgical nursing families
management of disorder of female  Teaching self Breast
reproductive system Examination
 Congenital abnormalities of female  Assist with PAP smear
reproductive system collection.
 Sexuality and Reproductive Health  Health Education
 Sexual Health Assessment  Drug book
 Menstrual Disorders- Dysmenorrhoea, /Presentation
Amenorrhea, Premenstrual Syndrome
 Abnormal Uterine Bleeding;
Menorrhagia, Metrorrhagia
 Pelvic inflammatory disease
 Ovarian and fallopian tube disorders
171
 infections Cysts, Tumours
 Uterine and cervical disorders:
Endometriosis, Polyps, Fibroids,
Cervical and uterine tumours, Uterine
displacement , Cystocele/ Urethrocele/
Rectocele
 Vaginal disorders; Infections and
Discharges, fistulas
 Vulvur disorders; Infection, cysts,
Tumours
 Diseases of breast; Deformities,
Infections Cysts and Tumours
 Menopause and hormonal replacement
therapy
 Emergency contraception methods
Abortion-natural, medical and surgical
abortion-MTP Act
 Toxic shock Syndrome, Injuries and
trauma; sexual violence
 Drugs used in treatment of
gynaecological disorders, Drugs used in
treatment gynaecological disorders
 National family welfare programme.
V 9 Nursing management of patients with 1  Assessment of the
Burns, reconstructive and cosmetic surgery burns patient:
 Review of anatomy and physiology of the  Percentage of burns
skin and connective tissues.  Degree of burns.
 Nursing assessment-History and physical  Fluid & electrolyte
examination & assessment of burns and replacement therapy:
fluid and electrolyte loss. assess, calculate,
 Etiology, Classification, pathophysiology, replace, record
clinical manifestations, diagnosis, intake/output
treatment modalities and medical &  Care of Burn wounds
surgical and nursing management of burns Bathing
and reconstructive and cosmetic surgery ·Dressing
with special emphasis of fluid  Perform active &
replacement therapy. passive exercises
 Types of surgeries for burns, congenital  Practice asepsis
deformities and injuries for cosmetic surgical asepsis
purposes.  Counsel & Teach
 Role of Nurse patients and families
 Legal Issues,  Participate in
 Rehabilitation rehabilitation program
 Special therapies  Health Education
 Psycho social aspects Drug book
172
Drugs used in treatment of Burns,  /Presentations
reconstructive and cosmetic surgery.
VI 09 Nursing management of patients with  Screen for common
oncological conditions cancers-TNM
 Structure & characteristics of normal &  classification
cancer cells  Assist with diagnostic
 Nursing Assessment-history &physical procedures
assessment · Biopsies
 Prevention, Screening for early detection, · Pap smear
warning signs of cancer · Bone-marrow
 Common malignancies of various body aspiration
system; Brain Oral cavity, larynx lung liver  Breast examination
stomach and colon, breast, cervix, ovary,  Assist with
uterus, renal, bladder, prostate leukaemia Therapeutic
and lymphomas. Procedures.
 Oncological emergencies.  Participates in various
 Epidemiology, etiology, classifications, modalities of
pathophysiology, staging, clinical treatment:
manifestations diagnosis, treatment o Chemotherapy
modalities, medical, surgical & nursing o Radiotherapy
management of malignant diseases. o Pain management
 Treatment Modalities – Immunotherapy, o Stomal therapy
Chemotherapy, Radiotherapy, genetherapy o Hormonal therapy
stem cell, bone marrow transplants, o Immuno therapy
 Surgical interventions and other forms of o Gene therapy
treatments. o Alternative therapy
 Psychosocial aspects of cancer
 Rehabilitation
 Palliative care: Symptom and Pain
management,
 Nutritional support
 Home care
 Hospice care
 Stomal therapy
 Special Therapies, Psycho social aspects
 Assisting with diagnostic and therapeutic
procedures.
 Nursing Procedures.
VII 08 Nursing management of patient in
Emergency & Disaster situations:
Disaster Nursing:
 Concepts and principles of Disaster
Nursing
 Causes and types of disaster: Natural and
man-made
 Earthquakes, landslides, floods
173
 epidemics, Cyclones 2  Practice ‘triage”.
 Fire Explosion, Accidents, Violence,  Assist with
 Terrorism; Bio chemical war. assessment,
 Policies related to emergency/disaster examination,
management; International , national, investigations & their
state, interpretations, in
 Institutional. emergency and
 Disaster preparedness disaster situations
 Team, guidelines, protocols, equipments,  Assist in
resources Documentations.
 Coordination and involvement of  Assist in legal
community, various government procedures in
departments, non government emergency unit
organizations and International agencies  Participate in
 Role of nurse in disaster management managing crowd.
 Legal aspects of disaster nursing  Counsel patient and
 Impact on Health and after effects; Post Families in grief an
Traumatic  Bereavement
 Stress Disorder  Health Education
 Réhabilitation; Physical, Psychosocial,  Drug
social, Financial, Relocation book/Presentations
 Health Education
Emergency Nursing  Drug book
 Concept, priorities principle and scope of
emergency nursing
 Organization of emergency services:
physical setup, staffing, equipment &
supplies, protocols, concepts of triage and
role of triage nurse
 Coordination and involvement of different
departments and facilities.
 Nursing Assessment-History and physical
assessment
 Etiology, pathophysiology, clinical
manifestations, diagnosis, treatment
modalities and medical & surgical
nursing management of patient with
medical and surgical Emergency
 Principles of emergency management
 Common Emergencies;
 Respiratory Emergencies
 Cardiac Emergencies
 Poly-Trauma, road accidents, crush
injuries, wound
 Bites
 Poisoning; Food, Gas, Drugs & Chemical
174
 Seizures
 Thermal Emergencies; Heat stroke &
Cold injuries
 Paediatric Emergencies.
 Psychiatric Emergencies.
 Obstetrical Emergences.
 Violence, Abuse, Sexual assault
 Crisis Intervention.
 Role of the nurse; Communication and
inter personal Relation
 Medico-legal Aspects
Nursing care of the elderly
VII 10
 Nursing Assessment-History and physical
assessment
 Ageing;
 Demography; Myths and realities
 Concepts and theories of ageing
 Cognitive aspects of ageing
 Normal biological ageing
 Age related body systems changes
 Psychosocial aspects of aging
 Medications and elderly
 Stress & coping in older adults
 Common Health problems & Nursing
Management; Cardiovascular,
Respiratory, Musculoskeletal, Endocrine,
genito-urinary, gastrointestinal,
neurological, skin and sensory
 Psychosocial and Sexual abuse of elderly
 Role of nurse for care of elderly:
ambulation, nutritional, communicational,
psychosocial and spiritual.
 Role of nurse for caregivers of elderly
 Role of family and formal and non formal
caregivers
 Use of aids and prosthesis (hearing aids,
dentures)
 Legal & Ethical issues.
 Provisions and Programmes for elderly;
Privileges, community programs and
health services
 Home and institutional care
IX 08 Nursing management of patient in critical  Monitoring of patients
care units in ICU
 Nursing Assessment-History & Physical  Maintain flow sheet
175
 assessment 3  Maintain CVP line
 Classification  Care of patient on
 Principles of critical care nursing ventilators
 Organization; physical setup, policies,  Perform Endotracheal
staffing norms, suction
 Protocols, equipment and supplies  Demonstrates use of
 Special equipments; ventilators, cardiac ventilators, cardiac
monitors, defibrillators, monitors etc.
 Resuscitation equipments  Collect specimens and
 Review of Infection Control protocols interprets ABG analysis
 Nursing management of critically ill  Assist with arterial
patient; Puncture.
 Monitoring of critically ill patient  Pulse oximetry
 CPR-Advance Cardiac life support  CPR-ALS
 Treatments and procedures.  Defibrillators
 Transitional care.  Pace makers
 Ethical and Legal Aspects  Bag-mask ventilation
 Communication with patient and family  Crash Cart
 Intensive care records  Administration of
 Crisis Intervention drugs infusion pump
 Drugs used in critical care unit Epidural, Intra thecal,
Intracardiac
 TPN
 Chest physiotherapy
 Perform active &
passive exercise
 Counsel the patient
and family in dealing
with grieving and
bereavement
 Health Education
 Drug book
X 8 Nursing management of patients adults  Health Education
including elderly with occupational and  Drug book/
industrial disorders Presentations
 Nursing Assessment-History and physical
assessment
 Etiology, pathophysiology, clinical
manifestations diagnosis, treatment
modalities and medical &
surgical nursing management of
occupational and industrial health disorders
 Role of nurse
 Special therapies, alternative therapies
 Drugs used in treatment of occupational
and industrial Disorders.
176
METHOD OF TEACHING A V AID
1. Lecture 1. Charts
2. Discussion 2. Graphs
3. Demonstration 3. Models
4. Case Study/ Seminar 4. Films
5. Health Education 5. Slides and
6. Any other
EDUCATIONAL VISITS:
1. Visit To Eye Bank
2. Visit to Rehabilitation Centre
3. Visit to Old Age Home
BIBLIOGRAPHY:
1. Black J.M. Hawk, J.H. Medical Surgical Nursing Clinical Management for Positive
Outcomes. Elsevier.
2. Brunner S. B., Suddarth D.S. The Lippincott Manual of Nursing practice.
3. Lewis, Heitkemper & Dirksen. Medical Surgical Nursing Assessment and
Management of Clinical Problem. Mosby.
4. Black J.M. Hawk, J.H. Medical Surgical Nursing Clinical Management for Positive
Outcomes. Elsevier.
5. Brunner S. B., Suddarth D.S. The Lippincott Manual of Nursing practice
6. Colmer R.M. Moroney’s Surgery for Nurses. ELBS.
7. Shah N.S. A P I textbook of Medicine, The Association of Physicians of India
Mumbai.
8. Satoskar R.S., Bhandarkar S.D. & Rege N.N. Pharmacology and
Pharmacotherapeutics. Popular Prakashan, Mumbai.
9. Phipps W.J., Long C.B. & Wood N.F. Shaffer’s Medical Surgical Nursing
B.T.Publication Pvt. Ltd. New Delhi.
10. Haslett C., Chilvers E.R., Hunder J.A.A. &Boon, N.A. Davidson’s Principles and
Practice of Medicine. Churchill living stone. Edinburgh.
11. Walsh M. Watson’s Clinical Nursing and Related Sciences. Bailliere Tindall
Edinburgh.
12. Chintamani. Moroney’s Surgery for Nurses. Mosby, Missourie
13. SRB’s Surgery for Nurses SriramBhat,Jaypee Brothers, NewDelhi
14. Phipps Medical Surgical Nursing Health and illness perspectives. Mosby , Missouri
177
(Adult and Geriatrics) II
PRACTICAL
Placement: Second Year Time: 270 Hours

1. Provide nursing care to adult patients with ENT, Eye, Neurological disorders,
Gynaecological disorders, Burns, Cancer, Critically ill patients.
2. Provide nursing care to geriatric patients with ENT, Eye, Neurological disorders,
Gynaecological disorders, Burns, Cancer, Critically ill patients.
3. Provide care to the patients in emergency and disaster situation.
4. Counsel and educate patients and families.
Areas of Clinical Experience:
1. Ear ,Nose, Throat Ward - 1week

2. Ophthalmology Unit - 1week
3. Neurology Ward - 2weeks
4. Gynaecology Ward - 1week
5. Burns unit - 1week
6. Oncology unit - 1week
7. Critical Care Unit - 2weeks
8. Casualty/ Emergency Unit - 1week
178
ASSIGNMENTS:
Plan and give care to 3-4 assigned patients in the assigned clinical area
Ear, Nose, Throat Ophthalmology Neurology Unit Gynaecology

unit unit Ward
Nursing Care Plan Nursing Care Case Study/ Case Nursing Care Plan
–1 Plan – 1 Presentation- 1 –1
Observation report Observation Health Teaching

of OPD report of OPD -1 Maintain activity
and Eye Bank Record Book
Maintain activity Maintain activity
Record Book Maintain activity Record Book
Record Book
Maintain Drug Maintain Drug Maintain Drug
Book Maintain Drug Book Book
Book
Burns Unit Oncology Unit Critical Care Casualty/

Unit Emergency Unit
Nursing Care Plan Nursing Care Observation Observation
–1 Plan – 1 report of Critical report of
care Unit Emergency Unit
Maintain activity Maintain activity Maintain activity
Record Book Record Book Record Book Maintain activity
Record Book
Observation report Observation Maintain Drug
of Burns Unit report of Cancer Book
Unit
179

Sr. Item Out of Weightage Marks
No Marks
1 First Term 50 20% 5.0
2. Pre-Final 75 30% 7.5
3. Assignment (Field Visit, 100 50% 12.5
Presentation, Group assignment)
3.1 Field Visit 3 x 10 =30
3.2 Topic Presentation 1 x 50 =50
3.3 Group Assignment 1 x20 =20
Total 225 100 % 25

No. 100
100 20% 20
1 First term Exam
100 30% 30
2 Pre-final Exam
600
3. Assignments
3.1. Clinical Evaluation
i. Neurology ward 100
100
ii. Critical Unit
i. ENT 25
ii. Ophthalmology Wd 25
iii. Gyanecology 25
25
iv. Burns 50% 50
25
v. Oncology
3.3 Case study/ presentation
i. Neurology 50
3.4. Health Teaching 25
3.5. Observation Report
ii. Burns 50
iii. Oncology 50
3.6. Procedure Book 100
Total 1050 100% 50
180
UNIVERSITY EXAMINATION
Theory Exam
Internal Assessment = 25 Marks
University Exam (Theory) = 75 Marks
Practical Exam
University Exam (Practical) = 50 Marks

Procedure evaluation 15 15 30
Viva 20 20 40
Marks 50 50 100
Final marks of University practical examination to be assessed out of

100 and converted to 50.
181
MEDICAL SURGICAL NURSING-II
(ADULT INCLUDING GERIATRICS)
Question Paper Format (University Paper)
Grand Total= 75 Marks
Section A: Total = 10 Marks
Q1) Multiple choice question (20 MCQ x ½ mark each)
Section B: Total = 35 Marks
Q2) Short Answer Question: 2 Marks Each (Any Five) (5 x 2 = 10 marks)

a.
b.
c.
d.
e.
f.
Q3 ) Short Notes : 5 Marks each ( Any five ) ( 5 x 5 = 25 marks)

a.
b.
c.
d.
e.
f.
Section C: Total = 30 Marks
Q4 ) Long Answer Question: 15marks (Any Two) (2 x 15 = 30 marks)
a. i. 2 marks
ii. 5 marks
iii. 8 marks
b. i. 2 marks
ii. 5 marks
iii. 8 marks
c. i. 2 marks
ii. 5 marks
iii 8 marks
182
MEDICAL SURGICAL NURSING-II
(ADULT INCLUDING GERIATRICS)-II
Grand Total = 50
Marks

a.
b.
c.
d.
e.
f.
Q3 ) Short Notes : 5 Marks each ( Any four) ( 4 x 55 = 20 marks)

a.
b.
c.
d.
e.
Q4 ) Long Answer Question: 15marks(Any One) (1 x 15 = 15 marks)
a. i. 2 marks
ii. 5 marks
iii. 8 marks
b. i. 2 marks
ii. 5 marks
iii. 8 marks
183
MEDICAL SURGICAL NURSING II

(Third B.Sc. Nursing)
184
THIRD YEAR B.Sc. NURSING

MEDICAL-SURGICAL NURSING-II
NURSING CARE PLAN FORMAT
1. Patients data: Name, address, age, sex, religion, marital status, occupation, source
of health care, date of admission, provisional diagnosis, date of surgery (if any).
2. Presenting complaints: Describe the complaints with which the patient has come to
hospital
3. History of illness
History of present illness : onset, symptoms, duration, precipitating / alleviating
factors
History of past illness : illnesses, surgeries, allergies, immunizations,
medications
Family history : family tree, history of illness in family members, risk
factors,
congenital problems, psychological problems.
4. Socio-economic status : Monthly income & expenditure on health, marital assets

(own pacca house, car, two wheeler, phone, TV etc…) Ethnic background,
geographical information, cultural information) support system available.
5. Personal habits: Consumption of alcohol, smoking, tobacco chewing, sleep,

exercise and work elimination, nutrition.
6. Physical examination with date and time

7. Investigations
Date Investigations done Normal value Patient value Inference
8. Treatment
Sr. Drug Dose Frequency/ Action Side effects & Nursing
No. (pharmacological Time/Route drug responsibility
name) interaction
9. Ongoing Medical Assessment:
10. Nursing process : As per the format

It should include health education and discharge planning given to patient
11. Evaluation of care: Overall evaluation, problem faced while providing care
prognosis of the patient and conclusion.
185
Name of the patient:__________________________________________________
Diagnosis: ___________________________________Ward/ Dept:______________
Sr. No. Item Maximum Marks Marks

Allotted
1. History taking 03
2. Assessment and nursing diagnosis 07
3. Planning of care 05
4. Implementation and evaluation (including 10
follow-up and documentation)
Total 25
Remarks:
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________
Signature of Student Signature of Supervisor :

Date Date
186
CASE STUDY / CASE PRESENTATION FORMAT
1. Patient’s Data :Name, address, age, sex, religion, marital status, occupation, source of
health care, date of admission, provisional diagnosis, date of surgery if any.
hospital.
3. History of illness:
a) History of present illness : onset, symptoms, duration, precipitating / alleviating
factors.
b) History of past illness : illnesses, surgeries, allergies, immunizations, medications.
c) Family history: family tree, history of illness in family members, risk factors,
4. Socio-economic status: Monthly income & expenditure on health, marital assets
(own pacca house car, two wheeler, phone, TV etc…), Ethnic background,
(geographical information, cultural information) support system available.
5. Personal habits: Consumption of alcohol, smoking, tobacco chewing, sleep, exercise
work elimination, nutrition.
6. Physical examination with date and time…
7. Investigations
8. Ongoing Medical Assessment:

9. Management (Medical /Surgical)
10.Pharmacological Management:
Sr. Drug (pharmaco- Dose Frequency/ Action Side effects & Nursing
No. logical name) Time/Route drug interaction responsibility
11. Description of disease: Definition, related Anatomy and Physiology, Etiology, Risk
factors, Medical and Nursing Management
12. Clinical features of the disease condition
Clinical features present in Description of clinical Pathophysiology
the book features of patient
13. Nursing process:

Date Assessment Nursing Objective Plan of Implementation Rationale Evaluation
Diagnosis care
Should include health education and discharge planning given to the patient.
14. Evaluation of care
Overall evaluation, problem faced while providing care prognosis of the patient and
conclusion.
187

EVALUATION FORMAT (Case Presentation)
Name of the patient: __________________________________________________
Diagnosis: __________________________________Ward/ Dept:______________
Sr. Item Maximum Marks

No Marks Allotted
1 Introduction/ Assessment 05
2 Knowledge and understanding of disease 10
3 Nursing Process 15
4 Presentation skill 10
5 A.V. aids 05
6 Overall Summary& conclusion 03
7 Bibliography 02
Total 50
Remarks:
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________

Date Date
188

EVALUATION FORMAT (Case Study)
Diagnosis: __________________________________Ward/ Dept:______________

No Marks Allotted
1 Introduction and Assessment 05
4 Drug Study 05
5 Summary & evaluation 02
6 Bibliography 03
Total 50
Remarks:
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________

Date Date
189
OBSERVATION REPORT EVALUATION FORMAT
Name of the student: __________________________________________________
Department: _______________________________________________________

No Marks Allotted
Introduction 5
1
2 Formulation of attainable objectives 5
Adequacy of content 10
3
Organization of subject matter 15
4
Recording and reporting of current 10
5
modalities
Overall summary and conclusion 03
6
7 Comparison with prescribed norms 02

Total 50
Remarks:
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________
Signature of Student Signature of Supervisor:

Date Date
190
OBSERVATION REPORT FORMAT
1. Introduction
2. Aims and objective
3. Physical setup
4. Staffing pattern
5. Admission process
6. Description of each area: Work pattern, special facilities, use of advance
technologies in patient care
7. Handling of legal issues, if any
8. Other : Projects for welfare of patients, funds
9. Conclusion
191
CLINICAL EVALUATION PROFORMA
Name of the hospital: _________________________________________________
Ward / Dept: ____________________________Duration of Experience: ________
TOTAL:- 100 Marks

Scores:- 5 = Excellent, 4 = Very good, 3 = Good, 2 = Satisfactory / fair, 1 = Poor
Sr. Grades
EVALUATION CRITERIA
No. 5 4 3 2 1
I Application of knowledge
1 Possess sound knowledge of medical surgical conditions.
2 Has sound knowledge of scientific principles
3 Able to correlate theory with practice
4 Has knowledge of current treatment modalities inclusive of medicine,
surgery, pharmacology and dietetics.
5 Takes interest in new learning from current literature & seeks help
from resourceful people.
II Quality of clinical skill
6 Identifies problems & sets priorities and grasps essentials while
performing duties.
7 Applies principles in carrying out procedures & carries out duties
promptly.
8 Has technical competence in performing nursing procedures.
9 Resourceful and practices economy of time material and energy.
10 Observes carefully, reports & records signs / symptoms & other
relevant information.
11 Uses opportunities to give health education to patients & relatives
III Attitude to Co-workers and Patients
12 Works well as member of health team
13 Understands the patients as individual.
14 Maintains confidentiality and privacy.
15 Shows skill in gaining confidence & cooperation of patients and
relatives tactfully and is considerate.
IV Personal & Professional Behaviour
16 Wears clean and neat uniform and well groomed
17 Arrives and leaves punctually.
18 Demonstrates understanding of need for quietness in speech & manner
19 Is notably poised and effective even in situations of stress
20 Influential & Displays persuasive, assertive leadership behaviour.
Remarks:

Date Date
192
CHILD HEALTH NURSING
Placement: Third Year Time: Theory – 90 Hours

Practical- 270 Hours
Internship- 145 Hours
Course Description: This course is designed for developing an understanding of the

modern approach to child-care, identification, prevention and nursing management of
common health problems of neonates and children.
Specific Objectives: At the end of the course, the students will be able to:
1. Explain the modern concept of child care & principles of child health nursing.
2. Describe national policy programmes & legislations in relation to child health &
welfare.
3. List major causes of death during infancy, early & late childhood.
4. Describe the major functions & role of the paediatric nurse in caring for a
hospitalized child and demonstrate various paediatric nursing procedures.
5. Describe the normal growth & development of children at different ages, identify
the needs of children at different ages & provide parental guidance
6. Identify the nutritional needs of children at different ages & ways of meeting the
needs.
7. Appreciate the role of play for normal & sick children.
8. Appreciate the preventive measures & strategies for children.
9. Provide care to normal & high risk neonates and perform neonatal resuscitation.
10. Recognize & manage common neonatal problems.
11. Explain the concept of IMNCI & other health strategies initiated by National
population policy 2000.
12. Provide nursing care in common childhood diseases and identify measures to
13. Prevent them including immunization.
14. Manage the child with behavioural & social problems.
193
Introduction: Modern concept of child care.  Taking
I 13 2 paediatric
 Introduction to modern concept of child
care & history, principles & scope of child History.
health nursing.  Physical
 Internationally accepted rights of the Child examination
National policy & legislations in relation to and assessment
child health & welfare. of children.
 National programmes related to child  Assist with
health & welfare. common
 Agencies related to welfare services to the  diagnostic
children. procedures
 Changing trends in hospital care,  Teach mothers/
preventive, promotive & curative aspects parents
of child health.  Malnutrition
 Child morbidity & mortality rates.  Oral
rehydration
 Differences between an adult & child.
Therapy
 Hospital environment for a sick child.
 Feeding and
 Impact of hospitalization on the child &
weaning
family.
 Immunization
 Grief & bereavement.
 Schedule
 The role of a child health nurse in caring
for a hospitalized child.  Play therapy
 Principles of pre & post-operative care of
infants & children.
 Child health Nursing Procedures.
The healthy child
 Assessment of
II 18  Principles of growth & development. 2
children
 Factors affecting growth & development. - Health
 Growth & development from birth to assessment
adolescence -
 The needs of normal children through the Developmental
stages of developmental & parental assessment
guidance - Anthropometric
 Nutritional needs of children & infants: assessment
Breast feeding, supplementary & artificial  Immunization
feeding & weaning.  Health /
 Baby friendly hospital concept. Nutritional
 Accidents: causes & prevention. Education.
 Value of play & selection of play material.
 Preventive immunization,
 Immunization programme & cold chain.
 Preventive paediatrics
 Care of under five & under five clinics/
well baby clinic.
194
Nursing care of a neonate.  Care of a baby
10
III  Nursing care of a normal newborn in incubator /
essential newborn care. 5 warmer
 Neonatal resuscitation.  Care of child
 Nursing management of a low birth on ventilator.
weight baby & high risk babies.  Endotracheal
 Kangaroo mother care. suction
 Organization of neonatal unit.  Chest
 Identification & nursing management of physiotherapy
common neonatal problems.  Administer
 Nursing management of babies with fluids with
common congenital malformations. infusion pump.
 Control & prevention of infection in  Total parenteral
N.I.C.U. nutrition
 Phototherapy
 Monitoring of
babies
 Cardio
pulmonary
resuscitation
Integrated management of neonatal &
IV 10 childhood illnesses (IMNCI).
 Health strategies: National population
policy-
RCH camps & RCH outreach schemes.
 Operationalization of district
 newborn care, home based neonatal care.
 Border district cluster strategy.
 Integrated management of infants &
children with illnesses like diarrhoea,
A.R.I., malaria, measles & Malnutrition.
 Nurses’ role: IMNCI.
3 Administer of
Nursing management in common
V 17 oral,
childhood diseases-
IM/IV medicine
 Nutritional deficiency disorders. and fluids.
 Respiratory disorders & infections.
Calculation fluid
 Gastro-intestinal infections, infestations,
Requirements
& congenital disorders.
 Cardio-vascular problems: congenital Prepare different
defects & rheumatic fever, rheumatic heart strengths of IV
disease. fluids
 Genito-urinary disorders: Acute glomerulo
nephritis, nephrotic syndrome, Wilm’s Apply restrain
tumour, infections, calculi, & congenital
disorders.
195
 Neurological infections disorders: Administer O2
convulsions, meningitis, hydrocephalus, inhalation by
head injury. different methods
Give baby bath
 Hematological disorders : anemias,
thalassemia Feed children by
katori spoon etc
Collect specimens
for common
investigations.
Calculate, prepare
and administer IV
fluid.
Do bowel wash
Care for
ostomies:
- Colostomy
irrigation
- Ureterostomy
- Gastrostomy
- Enterostomy
Urinary
catheterisation
and drainage
Feeding -
Nasogastric
- Gastrostomy
- Jejunostomy
Care of surgical
wounds
- Dressing
- Suture removal
VI 10 Management of behavioural & social
Problems in children.
 Management of common behavioural
disorders.
 Management of common psychiatric
problems.
 Management of challenged children:
Mentally, physically, & socially
challenged.
 Welfare services for challenged children
in India.
 Child guidance clinics.
196
Method of Teaching AV Aid
Lecture Field Visit
Discussion Film Show
Demonstration Charts
Developmental study Models
Observational study
EDUCATIONAL VISIT:
1. Field Visit to Anganwadi, Child Guidance Clinic.
2. Field visit to mentally, physically & socially challenged.
BIBLIOGRAPHY:
1. Ghai O.p. et al. Ghai’s Essentials of Paediatrics. Mehta offset works. New Delhi
2. Marlow Dorothy & Redding. Textbook of Paed. Nsg.Harbarcourt India ltd. New
Delhi
3. Parthsarathy et al. IAP Textbook of Paediatric Nsg. Jaypee bros., New Delhi.
4. Vishwanathan & Desai. Achar’s Textbook of Paediatrics. Orient Longman.Chennai.
5. Wong Dona et al. Whaley & Wong’s Nursing care of infants & children. Mosby
co.,Philadelphia.
6. Dr. C.S. Waghale, Principles and Practice of Clinical Pediatrics, Vora publication.
7. Ghaiop Etal. Ghai’s essentials of Pediatrics. Dr Ghai, New Delhi
8. Marlow R Dorothy. Text books of Pediatric Nursing, Elsevier, Pennsylvania
9. A Parthasarathy Etal, IAP Textbook of Paediatric Nursing,. Jaypee Brothers, New
Delhi
10. Swarna Rekha Bhat. Achar’s Text book of Pediatrics, Universities press, New Delhi
11. Wong Dona Etal, Wong’s Nursing Care of Infants and children, Mosby
Elsevier,Missouri
12. Dr.C.S Waghale. Principle’s and Practice of clinical pediatrics, reprint, Vora
Medical Publications, Mumbai.
197

PRACTICALS
At the end of the course, the students will be able to:
1. Provide nursing care to children with various medical disorders.
2. Recognize different paediatric conditions / malformations and provide pre and
post operative care to children with common paediatric surgical conditions/
malformation.
3. Perform assessment of children: Health, developmental and anthropometric.
4. Perform immunization and give health education/ nutritional education.
5. Provide Nursing care to critically ill children.
AREAS OF CLINICAL EXPERIENCE:

1. Paediatric Medicine Ward – 3 Weeks
2. Paediatric Medical ICU. – 1 Week
3. Paediatric Surgical Ward. – 3 Weeks
4. Paediatric Surgery ICU. – 1 Week
5. Paediatric OPD/ Immunization room – 1 Week
ASSIGNMENT:
Plan and give care to 3-4 assigned patients in the assigned clinical area.
Medical Ward Surgical Ward OPD/ Immunization ICU
Room
Nursing Care Nursing Care plan- Developmental Study-1 Nursing Care plan-
plan- 1 1 1( Medical or
Case Study/ Case Study/ Surgical)
Presentation- 1 Presentation- 1 Observation
Health Talk-1 report-1
198
INTERNAL ASSESSMENT
Theory (25 Marks)
No Marks
1 First Term 50 20% 5.0
2. Pre-Final 75 30% 7.5
3. Assignment (Field Visit, 100 50% 12.5
Presentation, Group assignment)
3.3 Group Assignment 1 x20 =20
Total 225 100 % 25
Practical (50 Marks)

No Marks
1. First Term 100 20% 10
2. Pre-Final 100 30% 15
i. Paediatric Medical Ward 25
ii. Paediatric Surgical Ward 25
iii. ICU 25
3.2. Case Study (Med/Surg Wd) 50
3.3 Case Presentation (med/Surg wd) 50
3.4 Health Talk 25
3.5 Clinical Evaluation
i. Paed Medical Ward 100
ii. Paed Surgical Ward 100
iii. ICU 100
3.6. Assessment of growth &
development report
i. Neonate 20
ii. Infant 20
iii. Toddler 20
iv. Preschooler 20
v. School age 20
3.7 Observation report 50
3.8 Procedure Report 100
Total 950 50
199
Theory Exam
Total = 100 Marks
Practical Exam
Total = 100 Marks
Division of marks for internal and external examiners

Viva 20 20 40
Marks 50 50 100
Final marks of University Practical examination to be assessed out of 100 and

converted to 50 marks.
200

Q2) Short Answer Question: 2 Marks Each ( Any Five) (5 x 2 = 10 marks)

a.
b.
c.
d.
e.
f.

a.
b.
c.
d.
e.
f.
Q4 ) Long Answer Question: 15marks (Any Two) (2 x15 = 30 marks)
a. i. 2 marks
ii. 5 marks
iii. 8 marks
b. i. 2 marks
ii. 5 marks
iii. 8 marks
c. i. 2 marks
ii. 5 marks
iii. 8 marks
201


a.
b.
c.
d.
e.
f.
Q3 ) Short Notes : 5 Marks each ( Any four) ( 4 x 5 = 20 marks)

a.
b.
c.
d.
e
a. i. 2 marks
ii. 5 marks
iii. 8 marks
b. i. 2 marks
ii. 5 marks
iii. 8 marks
202

203

CASE PRESENTATION FORMAT
1. Patients Data : Name, address, age, sex, religion, occupation of parent, source of
health care, date of admission, provisional diagnosis,surgery and date of surgery if
any.
hospital.
a. History of present illness : onset, symptoms, duration, precipitating / alleviating
factors
b. past medical history: illnesses, allergies, medictions
c. past surgical history: name and date of the surgery, complications if any
4. Family history: family tree, history of illness in family members, risk factors,
5. Socio-economic status of the family: Monthly income, housing condition, water

source, toilet facility.
6. Birth history: Antenatal, natal and neonatal history
7. Personal data of the Child: play habits, sleep pattern, schooling and attendance
8. Immunization status:
9. Dietary history: breast feeding, exclusively for how many months, top feeds
(method of feeding, dilution details, cleansing of utensils), weaning,24 hour dietary
recall, calorie and protein gap, any food allergies
11. Growth and development including anthropometry
12. Description of disease : Definition, Related anatomy physiology, Etiology, Risk

factors, pathophysiology, Clinical features ( book picture and patient picture)
204
13. Investigations: Book picture and patient picture

Date Investigations done Normal values Patient’s value Inference
14. Medical management: book picture and patient picture
Pharmacological Management:
Sr. Drug Dose/ Frequency/ Action Side effects Nursing
No. (pharmacological Route Time/route & drug responsibility
name) interaction
15. Surgical management: Book picture and patient picture
16. Nursing process: List down the priority nursing diagnosis and prepare nursing care
plan

Diagnosis Care
17. Discharge instructions : diet, medications, exercise, follow up, special instructions if
any
18. Nurses notes
19. Evaluation of care: Overall evaluation, problem faced while providing care prognosis
of the patient and conclusion
20. Relevant research studies
21. Conclusion
22. Bibliography
205
CASE PRESENTATION EVALUATION FORMAT
Diagnosis:______________________________ Ward/ Dept: __________________

No Marks Allotted
1 Introduction /Assessment 05
3 Nursing process 15
5 A.V. aids 05
6 Overall Summary& conclusion 03
7 Bibliography 02
Total 50
Remarks:
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________
Signature of Student : Signature of Supervisor:

Date Date
206
CASE STUDY FORMAT
1. Patients Data: Name, address, age, sex, religion, occupation of parent, source of
health care, date of admission, provisional diagnosis, surgery and date of surgery if
any
hospital
a. History of present illness: onset, symptoms, duration, precipitating / alleviating
factors.
b. Past medical history: illnesses, allergies, medications
c. Past surgical history: name and date of the surgery, complications if any
5. Socio-economic status of the family : Monthly income, housing condition, water

7. Personal data of the Child : play habits, sleep pattern, schooling and attendance.
(method of feeding, dilution details, cleansing of utensils), weaning,24 hour dietary
recall, calorie and protein gap, any food allergies.
12. Description of disease : Definition, Related anatomy physiology, Etiology, Risk

factors, pathophysiology, Clinical features ( book picture and patient picture)
207
Date Investigations Normal Patient’s Inference

done values value
Sr. Drug Dose/ Frequency/ Action Side effects Nursing
No. (pharmacological Route Time/route & drug responsibility
name) interaction
15. Surgical management: Book picture and patient picture.
16. Nursing process: List down the priority nursing diagnosis and prepare nursing care
plan

Diagnosis Care
17. Discharge instructions : diet, medications, exercise, follow up, special instructions if
any
18. Nurses notes
of the patient and conclusion.
20. Relevant research studies
21. Conclusion
22. Bibliography
208
CASE STUDY EVALUATION FORMAT
Diagnosis:____________________________________ Ward/ Dept: ___________

No Marks Allotted
1 Assessment / Introduction 05
3 Nursing process 20
4 Drug study 05
6 Bibliography 03
Total 50
Remarks:
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
______________________________________________________________

Date Date
209
NURSING CARE PLAN FORMAT
1. Patients Data: Name, address, age, sex, religion, occupation of parent, source of
health care, date of admission, provisional diagnosis, surgery and date of surgery if
any.
hospital
a. History of present illness : onset, symptoms, duration, precipitating / alleviating
factors.
b. Past medical history : illnesses, allergies, medictions
c. Past surgical history : name and date of the surgery, complications if any
5. Socio-economic status of the family: Monthly income, housing condition, water
7. Personal data of the Child: play habits, sleep pattern, schooling and attendance
( method of feeding, dilution details, cleansing of utensils), weaning,24 hour dietary
recall, calorie and protein gap, any food allergies
Date Investigations done Normal values Patient’s value Inference

Sr. Drug Dose/ Frequency/ Action Side effects & Nursing
No. (pharmacological Route Time/route drug responsibility
name) interaction
14. Nursing process: List down priority nursing diagnosis, prepare nursing care plan
Diagnosis Care
15. Nurses notes

of the patient and conclusion
17. Conclusion
18. Bibliography
210

Name of the patient: ___________________________________________________
Diagnosis:____________________________________ Ward/ Dept: ____________

No Marks Allotted
1. Assessment (History &Physical examination) 05
2. Nursing diagnosis ( priority, outcome criteria) 05
3. Nursing Intervention 10
4. Evaluation 3
5. Documentation , Nursing care plan 2
Total 25
Remarks:
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________

Date Date
211

EVALUATION FORMAT FOR HEALTH TALK
Topic of Health talk :_________________________________________________
Ward/ Dept: ____________________________ Date: ________________________
Total 100 Marks

Scores: 5 = Excellent, 4 = Very good, 3 = Good, 2 = Satisfactory / fair, 1 = Poor
SN Particulars 1 2 3 4 5 Score
I I) Planning and organization
a) Formulation of attainable objectives
b) Adequacy of content
c) Organization of subject matter
d) Current knowledge related to subject matter
e) Preparation of Environment.
II Presentation:
a) Interesting
b) Clear Audible
c) Adequate explanation
d) Effective use of A.V. Aids
e) Group Involvement
f) Time Limit
III Personal qualities:
a) Self confidence
b) Personal appearance
c) Language
d) Mannerism
e) Self awareness of strong & weak points
IV Feed back:
a) Recapitulation
b) Effectiveness
c) Group response
V Submits assignment on time
Total Marks obtained
Remarks:

212


Ward/ Dept: _________________________________________________________
Duration of experience: _______________________________________________
Total 100 Marks

Scores: 4 = Very good, 3 = Good, 2 = Satisfactory / fair, 1 = Poor
SN EVALUATION CRITERIA GRADES
4 3 2 1
I Application of knowledge
1 Possess sound knowledge of paediatric conditions.
2 Has sound knowledge of scientific principles.
3 Has knowledge of normal growth and development of children.
Has knowledge of current treatment modalities inclusive of medicine,
4 surgery, pharmacology and dietetics.
Takes interest in new learning from current literature & seeks help from
5 resourceful people.
III Quality of clinical skill
1 Able to elicit health history of child and family accurately.
2 Skilful in carrying out physical examination, developmental screening
and detecting deviations from normal.
performing duties
4 Able to plan and implement care both preoperatively & post operatively.
promptly.
7 Able to calculate and administer medicines accurately
9 Recognizes the role of play in children and facilitates play therapy in
hospitalized children
10 Observes carefully, reports & records signs & symptoms & other
relevant information
11 Uses opportunities to give health education to patients & relatives.
III Attitude to Co-workers and Patients
1 Works well as member of health team
2 Understands the child as individual.
3 Maintains confidentiality and privacy.
4 Shows skill in gaining confidence & cooperation of patients and
relatives tactfully and is considerate.
213
Sr. EVALUATION CRITERIA GRADES
No. 4 3 2 1
3 Demonstrates understanding of the need for quietness in speech and
manner
4 Is notably poised and effective even in situations of stress
5. Influential & Displays persuasive, assertive leadership behaviour.
Marks
TOTAL MARKS
Grade
Very good = 70 % and above
Good = 60 – 69 %
Satisfactory = 50- 59 %
Poor = Below 50 %
Remarks by Supervisor: Comments by Student:
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
Signature of the student with Date

Signature of supervisor with date
214
NAVI MUMBAI

PROFORMA FOR ASSESSMENT OF GROWTH & DEVELOPMENT

(Age group: birth to 5 yrs.)
I] Identification Data :
 Name of the child :
 Age :
 Sex :
 Date of admission :
 Diagnosis :
 Type of delivery : Normal/ Instrumental/ LSCS
 Place of delivery : Hospital/ Home
 Any problem during birth : Yes/ No , ( If yes, give details )
 Order of birth:
II] Growth & development of child & comparison with normal:

Anthropometry in the child Normal
 Weight
 Height/length
 Chest circumference
 Head circumference
 Mid arm circumference
III] Milestones of development: (As appropriate for the Age of the Child)
Development milestones In Child Comparison with the
(Book picture) normal
I. Gross motor development
II. Fine motor development
III. Language
IV. Sensory development
V. Psychosexual theory
VI. Psychosocial theory
VII. Cognitive development theory
VIII. Moral development theory
IX. Spiritual development theory
IV] Play habits
Child favourite toy and play:
Does he play alone or with other children?
1
V] Toilet training
 Is the child trained for bowel movement & if yes, at what age:
 Has the child attained bladder control & if yes, at what age:
 Does the child use the toilet?
VI] Nutrition
 Breast feeding (as relevant to age)
 Weaning has weaning started for the child: Yes/No If yes, at what age & specify the
weaning diet. Any problems observed during weaning:
 Meal pattern at home
 Sample of a day’s meal: Daily requirements of chief nutrients:
 Breakfast, Lunch, Dinner Snacks
VII] Immunization status & schedule of completion of immunization.
VIII] Sleep pattern

 How many hours does the child sleep during day and night?
 Any sleep problems observed & how it is handled.
IX] Schooling
 Does the child attend school?
 If yes, which grade and report of school performance:
X] Parent child relationship

 How much time do the parents spend with the child?
 Observation of parent-child interaction
XI] Explain parental reaction to illness and hospitalization
XII] Child’s reaction to the illness & hospital team
XIII] Identification of needs on priority
XIV] Conclusion
XV] Bibliography
216
EVALUATION CRITERIA: ASSESSMENT OF GROWTH AND DEVELOPMENT
Name of the student: ________________________________________________________
Name of the Child : ____________________________Age : ________________________
Diagnosis: _______________________________Ward / Dept:_______________________
(Maximum Marks: 20)

Sr. ITEM Maximum Marks
No. Marks Allotted
1 Adherence to format 02
2 Skill in Physical examination & assessment 05
3 Relevance and accuracy of data recorded 05
4 Interpretation of data & Identification of Needs 06
5 Bibliography 02
20
Remarks:
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________
Signature of Student: Signature of Supervisor:

Date Date
217
PROFORMA FOR EXAMINATION AND ASSESSMENT OF NEW BORN

[
I] Data of baby and mother :

 Name of the baby (if any) : Age
 Birth weight : Present weight:
 Mother’s name : Period of gestation:
 Date of delivery :
 Identification band applied
 Type of delivery : Normal/ Instruments/ Operation
 Place of delivery : Hospital/ Home
 Any problems during birth : Yes/ No (If yes explain )
 Antenatal history : history of any illness, ingestion of any drugs, immunization,
antenatal scan
 Natal history: onset of labour, mode of delivery, whether baby cried immediately after
birth, any resuscitation required, APGAR score
 Neonatal history: Birth weight, breast feeding started (how many hours after birth),
prelacteal feeds if any, feeding difficulties
 Mother’s age : Height: Weight:
 Nutritional status of mother :
 Socio-economic background :
II] Examination of the baby

A. General assessment
 Color of the baby
 Posture
 Movement
 Nature of cry
B. Vital signs
 Temperature
 Respiration
 Heart rate
C. Anthropometry
Characteristics In the Baby Comparison with the normal

1. Weight
2. Length
3. Head circumference
4. Chest circumference
5. Mid-arm circumference
218
D. Physical examination
Book Picture Child Picture Inference

 Skin: Color, Jaundice, Acrocyanosis, Pallor,
Plethora, Cyanosis, Mottling, Capillary Refill Time,
Skin Condition, Milia, Miliaria, Café Au Lait Spots
 Head And Neck: Microcephaly, Macrocephaly, Shape
Of The Head, Anterior Fontanelle (Size And
Condition), Posterior Fontanelle (Size And
Condition),Cephal Hematoma, Caput Succedaneum,
Birth Injuries,
 Ears: Size, Recoiling, Preauricular Tags, Accessory
Auricles
 Nose: Flaring, Discharge
 Mouth: Microngathia, Epstein Pearls, Tongue Tie,
Cleft Lip/ Palate, Bifid Uvula, Natal Teeth.
 Eyes: Distance Between Eyes, Strabismus,
Nystagmus, Sunsetting Sign, Discharge
 Neck: Swelling, Torticollis, Movement
 Chest: Breast Size, Nipples, Accessory Nipples,

Respiratory Pattern, Retractions, Grunting,
Tachypnea ,Apnea, Periodic Breathing, Heart Sounds
 Abdomen Umbilical Cord ( Infection, Length,
Number Of Arteries And Veins), Abdominal Girth,
Distention, Liver Palpation, Masses, Bowel Sound.
 Genitalia Male: Penis Size And Length,
Hypospadias, Epispadias, Urinary Stream, Scrotal
Rugae, Palpable Testis, FEMALE: Vaginal
Discharge, Vaginal Bleeding, Hymenal Tags
 Anus: Placement, Patency
 Spine: Dimple, Tuft Of Hair, Protrusion

 Extremitis: Arms: Clinodactyly,Syndactyly,
Polydactyly, Palm Creases, Foot: Clubfoot,Toes,
Sole Creases
 Any Other significant findings
219
E. Gestational Age Assessment Using New Ballard Score
 Neuromuscular maturity: posture, square window, arm recoil, popliteal angle, scarf sign,
heel to ear test
 Physical maturity: skin, lanugo, plantar surface, breast, eye/ear, genitals
F. Neonatal Primitive Reflexes
Reflexes How To Elicit Response of the Inference

Baby
1. Moro reflex
2. Startle reflex
3. Palmar grasp reflex
4. Plantar grasp reflex
5. Tonic neck reflex
6. Rooting reflex
7. Sucking reflex
8. Landau reflex
9. Babinski reflex
10. Gallant reflex
11. Stepping reflex
12. Parachute reflex
13. Doll’s eye reflex
III] Health education to mother about Breast feeding
IV] Significant findings of newborn assessment
V] Bibliography
220

EVALUATION CRITERIA: EXAMINATION & ASSESSMENT OF NEWBORN
Name of the Baby : ______________________________________Age: _______________
Diagnosis: _______________________________Ward / Dept:_______________________
(Maximum Marks: 20)

Sr. No ITEM Maximum Marks Marks Allotted
2 Skill in Physical examination & 05
assessment
3 Relevance and accuracy of data 05
recorded
4 Interpretation of data & Identification 06
of priority needs of baby and mother
5 Bibliography 02
20
Remarks:
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________
Signature of Student: Signature of Supervisor:

Date Date
221
MENTAL HEALTH NURSING
Placement: Third Year Time: Theory – 90 Hours

Practical- 270 Hours
Internship- 95 Hours
Course Description:
This course is designed for developing an understanding of the modern approach to mental
health, identification, prevention, rehabilitation and nursing management of common mental
health problems with special emphasis on therapeutic interventions for individuals, family and
community.
Specific Objectives: At the end of the course student will be able to:
1. Describes the historical development & current trends in mental health nursing.
2. Describe the epidemiology of mental health problems.
3. Describe the National Mental Health Act, programmes and mental health policy.
4. Discusses the scope of mental health nursing.
5. Describe the concept of normal & abnormal behaviour and various terms used in mental
health Nursing.
6. Explains the classification of mental disorders.
7. Explain psychodynamics of maladaptive behaviour.
8. Define various terms used in mental health nursing.
9. Explain classification of mental disorders.
10. Explain psychodynamic of maladaptive behaviour.
11. Discuss the etiological factors, psychopathology of mental disorders.
12. Explain the Principles and standards of Mental Health Nursing.
13. Describe the conceptual models of mental health nursing.
14. Describe nature, purpose and process of assessment of mental health status.
15. Identify therapeutic communication techniques.
16. Describe therapeutic relationship, therapeutic impasse and its intervention.
17. Explain treatment modalities and therapies used in mental disorders and role of the nurse.
18. Describe the etiology, psychopathology clinical manifestations, diagnostic criteria and
management of patients with Schizophrenia, other psychotic disorders, mood disorders
neurotic, stress related and somatization disorders, substance abuse disorders, personality,
sexual and eating disorders, organic brain disorders, childhood and adolescent including
mental deficiency.
19. Geriatric considerations .Follow-up and home care and rehabilitation.
20. Identify psychiatric emergencies and carry out crisis intervention.
21. Explain legal aspects applied in mental health settings and role of the nurse.
22. Describe the model of preventive psychiatry, community mental health services and role of
the nurse.
222
5 Introduction
I  Perspectives of Mental Health and Mental Health
Nursing: evolution of mental health services,
treatments and nursing practices.
 Prevalence and incidence of mental health
problems and disorders.
 National Mental health policy vis a vis National
Health Policy.
 Mental health team.
 Nature and scope of mental health nursing.
 Role and functions of mental health nurse in
various settings and factors affecting the level of
nursing practice
 Concepts of normal and abnormal behaviour.
Principles and Concepts of Mental Health Nursing
II 5  Definition: mental health nursing & terminology
used.
 Classification of mental disorders: ICD-10, DSM -5
 Review of personality development, defense
mechanisms.
 Maladaptive behaviour of individuals and groups:
stress, crises and disaster(s).
 Etiology: bio-psycho-social factors.
 Psychopathology of mental disorders: review of
structure and function of brain, limbic system and
abnormal neurotransmission.
 Principles of Mental health Nursing.
 Standards of Mental health nursing practice.
 Conceptual models and the role of nurse :
o Existential Model.
o Psycho-analytical models.
o Behavioural; models.
o Interpersonal model
III 8 Assessment of mental health status. History taking
 History taking. Perform
 Mental status examination. mental status
 Mini mental status examination. examination (MSE)
Assist in
 Neurological examination: Review.
Psychometric
 Investigations: Related Blood chemistry, EEG, CT Assessment
& MRI. Perform
 Psychological tests Role and responsibilities of Neurological
nurse. examination
 Process recording.
223
IV 6 Therapeutic communication and nurse-patient
relationship
 Therapeutic communication: types, techniques,
characteristics
 Types of relationship,
 Ethics and responsibilities
 Elements of nurse patient contract
 Review of technique of IPR- Johari Window
 Goals, phases, tasks, therapeutic techniques.
 Therapeutic impasse and its intervention
Observe and
V 14 Treatment modalities and therapies used in mental assist
disorders. in therapies
 Psycho Pharmacology Record
 Psychological therapies : therapeutic
Therapeutic communication, psychotherapy – communication
Individual : psychoanalytical, cognitive &
Administer
supportive, family, Group, Behavioural, Play,
medications
Psychodrama, Music, Dance, Recreational and
Light therapy, Relaxation therapies : Yoga, Assist in
Meditation, bio feedback. Electroconvulsive
 Alternative systems of medicine. Therapy (ECT)
 Psychosocial rehabilitation process Participate in all
 Occupational therapy. Therapies
 Physical Therapy: electro convulsive therapy. Prepare patient
 Geriatric considerations for Activities of
 Role of nurse in above therapies. Daily living
(ADL)
Conduct
admission and
discharge
counselling.
Counsel and
teach
patients and
families.
Nursing management of patient with Schizophrenia,

VI 5 and other psychotic disorders
 Classification : ICD-10, DSM -5
 Etiology, psychopathology, types, clinical
manifestations, diagnosis
 Nursing Assessment- History, Physical and mental
assessment.
 Treatment modalities & nursing management of
224
patients with Schizophrenia and other psychotic
Disorders.
 Geriatric considerations
 Follow up, home care& rehabilitation
 Role of Nurse
VII 5 Nursing management of patient with mood
disorders
 Mood disorders: Bipolar affective disorder, Mania
depression and dysthamia etc.
 Etiology, psychopathology, clinical
manifestations, diagnosis.
 Nursing Assessment-History, Physical and mental
assessment.
 Treatment modalities and nursing management of
patients with mood disorders
 Follow-up and home care and rehabilitation
VIII 8 Nursing management of patient with neurotic,
stress related and somatization disorders
 Anxiety disorder, Phobias,
 Dissociation and conversion disorder, Obsessive
compulsive disorder, somatoform disorders, Post
traumatic stress disorder.
 Etiology, psychopathology, clinical
manifestations, diagnosis.
 Nursing Assessment-History physical and mental
assessment
patients with neurotic, stress related and
somatization disorders.
 Follow-up, home care and rehabilitation
IX 5 Nursing management of patient with substance use
disorders
 Commonly used psychotropic substance :
Classification, forms, routes, action, intoxication
and withdrawal
 Etiology of dependence: tolerance, psychological
and physical dependence, withdrawal syndrome,
diagnosis,
 Nursing Assessment- History, Physical, mental
assessment and drug assay
 Treatment (detoxification, antabuse and narcotic
antagonist therapy and harm reduction) and
nursing management of patients with substance
use disorders.
225
 Follow-up, home care and rehabilitation.
X 4 Nursing management of patient with Personality,
Sexual and Eating disorders
 Classification of disorders
 Etiology, psycho-pathology, characteristics,
diagnosis
 Nursing Assessment –History, Physical and mental
assessment.
patients with Personality, Sexual and Eating
disorders
XI 6 Nursing management of childhood and adolescent  History taking
disorders including mental deficiency  Assist in
 Classification psychometric
 Etiology, psychopathology, characteristics, assessment
diagnosis Nursing Assessment-History, Physical,  Observe and
mental and IQ assessment assist in various
 Treatment modalities and nursing management of therapies
childhood disorders including mental deficiency  Teach family &
 Follow-up, home care and rehabilitation significant others
XII 5 Nursing management of organic brain disorders
 Classification ICD-10 , DSM -5
 Etiology, psycho-pathology, clinical features,
diagnosis and Differential diagnosis (Parkinson and
Alzheimer’s)
 Nursing Assessment- History, Physical, mental and
neurological assessment
organic brain disorders
XIII 6 Psychiatric emergencies and crisis intervention
 Types of psychiatric emergencies and their
management
 Stress adaptation Model: stress & stressor, coping,
resources & mechanism
 Grief : Theories of grieving, process, principles,
techniques of counselling
 Types of crisis
 Crisis Intervention: Principles, techniques &
Process
 Role and responsibilities of nurse
226
XIV 4 Legal issues in Mental Health Nursing
 The Mental Health Act 1987: Act, Sections,
Articles and their implications
 Indian lunacy Act. 1912
 Rights of mentally, ill clients
 Forensic psychiatry
 Acts related to narcotic and psychotropic
substances and illegal drug trafficking
 Admission and discharge procedures
 Role and responsibilities of nurse
XV 4 Community Mental Health Nursing  Conduct case

 Development of Community Mental Health work
Services:  Identify
 National Mental Health Programme individuals
 Institutionalization Versus Deinstitutionalization with mental
 Model of Preventive psychiatry :Levels of health
Prevention problems
 Mental Health Services available at the primary,  Assists in
secondary, tertiary levels including rehabilitation mental
and Role of nurse health camps
 Mental Health Agencies: Government and and
voluntary, National and International clinics
 Mental health nursing issues for special  Counsel and
populations: Children, Adolescence, Women, Teach family
Elderly, Victims of violence and abuse, members,
Handicapped, HIV/AIDS etc. patients and
community
METHOD OF TEACHING AV AID

Lecture Field Visit
Discussion Film Show
Demonstration Charts
Developmental study Models
Observational study
Role play
Process recording
Educational Visit: Field visit to mental health service agency.
227
BIBLIOGRAPHY
1. Gail Wiscars Stuart.Michele T. Laraia. “Principles and practice of psychiatric nursing”,

Elseveir, India Pvt.Ltd. New Delhi
2. Michael Gelder, Richard Mayou, Philip Cowen, Shorter oxford text book of psychiatry,
Oxford medical publication.
3. M.S. Bhatia. A concised text Book of Psychiatric Nursing, CBS publishers and distributors,
Delhi.
4. M.S. Bhatia, Essentials of Psychiatry, CBS publishers and distributors, Delhi
5. Mary C Townsend. “Psychiatric Mental Health Nursing”. Concept of care, F.A.Davis Co.
Philadelphia
6. Bimla Kapoor. Psychiatric nursing, Vol. I & II Kumar publishing house Delhi,
7. Niraj Ahuja. A short textbook of pstchiatry, Jaypee brothers,New Delhi.
8. The ICD10. Classification of mental and behavioural disorders, WHO, A.I.T.B.S. publishers,
Delhi.
9. R. Sreevani, A guide to mental health & psychiatric nursing, Jaypee brothers, Medical
Publishers (ltd)_ New Delhi 1st edition.
10. Varghese Mary, Essential of psychiatric & mental health nursing,
11. Mary Ann Boyd. “Psychiatric Nursing”. Contemporary practice. Lippincott. Williams and
Wilkins. Tokyo.
12. Maya George. Mental Health and Psychiatric Nursing. A.I.T.B.S Publishers, India
13. Elizabeth N Vascarolis. Manual of Psychiatric Nursing Care Plans : Diagnosis clinical tools
and psychopharmacology. Elsevire, Missoura
14. Louise Rebraca Shives . Basic concepts of Psychiatric –Mental Health Nursing. Lippin cott,
Philadelphia
15. Norman L Keltner.. Psychiatric Nursing. Elsevier, St.Louis
INTERNET RESOURCES
1. Internet Gateway : Psychology - http://www.lib.uiowa.edu/gw/psych/index.html

2. Psychoanalytic studies - http://www.shef.ac.uk~psysc/psastud/index.html
3. Psychaitric Times - http://www.mhsource.com.psychiatrictimes.html
4. Self-help Group sourcebook online - http://www.cmhe.com/selfhelp
5. National Rehabilitation Information center - http://www.nariic.com/naric
6. Centre for Mental Health Services http://www.samhsaa.gov/cmhs.htm
7. Knowledge Exchange Network http://www.mentalheaalth.org/
8. Communication skills http://www.personal.u-net.com/osl/m263.htm
9. Life skills Resource center http://www.rpeurifooy.com
10. Mental Health Net http://www.cmhe.com
228
PRACTICAL
Specific Objectives: At the end of the course, the student will be able to:
1. Assess patients with mental health problems.
2. Observe and assist in various therapies
3. Assessment of children with various mental health problems.
4. Assess patients with mental health problems and provide comprehensive nursing care.
5. Identify patients with various mental disorders & motivate them for early treatment and
follow up.
6. Assist in follow up clinic
7. Counsel and Educate patient and families.
AREAS OF CLINICAL EXPERIENCE:

Psychiatric OPD - 1 week
Child Guidance Clinic - 1 week
Inpatient Ward - 6 week
Community Psychiatry - 1 week
ASSIGNMENTS:
Plan and give care to 3-4 assigned patients in the assigned clinical area.
Psychiatric OPD Child Guidance Clinic Inpatient Ward Community
Psychiatry
History taking and Case work - 1 Nursing Case Study - 1 Case work - 1
mental status
examination- 2 Observation report of Nursing Care plan- 2 Observation
different therapies. - report on field
Health education- 1 Clinical Presentation – 1 visit.
1
Process recording – 2
Observation report Maintain activity Maintain
of OPD. Record book. Maintain Drug Book. activity Record
Maintain activity Record book.
Maintain activity book.
Record book.
229
INTERNAL ASSESSMENT
Theory (25 Marks)

No. Marks
1 First Term 50 20% 5.0
2. Pre-Final 75 30% 7.5
3. Assignment 100 50% 12.5
3.3 Group Assignment 1 x 20 =25
Total 225 100 % 25

No Marks
1. First Term 100 20% 10
2. Pre-Final 100 30% 15
3.1. Nursing Care Plan 2x25 =50 50
3.2. Case Study 50
3.3 Case Presentation 50
3.4 Health Teaching 25
3.5 History Taking 2x20=40 40
3.6 Mental Status examination 2x10=20 20
3.7 Process Recording 10
3.8 Clinical Evaluation 2x100=200 200
3.9 Observation report 25
3.10 Procedure Report 100
Total 770 100% 50
Theory Exam
230
Total = 100 Marks
Practical Exam
Total = 100 Marks

MSE & Process Recording 20 20 30
Viva 15 15 40
Marks 50 50 100
Final marks of University Practical Examination to be assessed out of 100 and converted
to 50 marks
231
Q2) Short Answer Question: 2 Marks each (Any Five) (5 x 2 = 10 marks)

a.
b.
c.
d.
e.
f.

a.
b.
c.
d.
e.
f.
Q4 ) Long Answer Question: 15marks (Any Two) (2 x15 = 30 marks)
a. i. 2 marks
ii. 5 marks
iii. 8 marks
b. i. 2 marks
ii. 5 marks
iii. 8 marks
c. i. 2 marks
ii. 5 marks
iii. 8 marks
232


a.
b.
c.
d.
e.
f. .
Q3 ) Short Notes : 5 Marks each ( Any four ) (4 x 5 = 20 marks)

a.
b.
c.
d.
a. i. 2 marks
ii. 5 marks
iii. 8 marks
b. i. 2 marks
ii. 5 marks
iii. 8 marks
233
Mental health NURSING

234
NURSING CARE PLAN
1. Patient’s data: Name, sex, bed No., hosp Reg. No, marital status, religion, literacy,
language, nationality, identification mark, address, date of admission, method of admission,
date of discharge, duration of hospitalization, final diagnosis, informant.
hospital
3. History of illness : This includes the following data such as presenting complaints with
duration, history of presenting complaints, past history of illness, personal history, legal
history, family history, personality (Personality prior to illness)
4. History of present illness: onset, symptoms, duration, precipitating / alleviating factors
nature of problem, associated problems (disturbance in sleep, appetite, weight, effect of
present illness on ADL, patients understanding regarding present problem.
5. History of past illness: illnesses, surgeries, allergies, immunizations, medications, history
of past hospitalization for psychiatric illness, any complication e.g. suicidal attempt,
completeness of recovery.
6. Personal history: Birth, early development, educational, occupational, menstrual, sexual,
marital, religious, social activity, interests and hobbies.
7. Legal history: any arrest imprisonment, divorce etc…
8. Family history : family tree, type of family, parental history, occupation, history of illness
in family members, risk factors, congenital problems, psychological problems, family
dynamics, family events (initiating and exacerbating illness)
9. Personality history: personality traits, habits, hobbies, interest, belief, attitudes, social
relationship, coping resources, alcohol or drug use, any criminal record.
10. Mental status examination with conclusion
11. Investigations
Date Investigations Normal value Patient value Inference
12. Treatment
Sl. Pharmacologi Dose Frequency/ Action Side effects & Nursing
No cal Name Time Drug interaction Responsibilities
13. Other modalities of treatment in brief

14. Nursing Process including discharge planning
Date Assessment Nursing Objective Plan of Implementat Rationale Evaluation
Diagnosis care ion
15. It should include health education and discharge planning given to patient
16. Evaluation of care: Overall evaluation, problem faced while providing care prognosis of
the patient and conclusion
235
EVALUATION FORMAT FOR NURSING CARE PLAN
Name of the patient: _________________________________________________________
Diagnosis: ___________________________________Ward/ Dept:___________________
Sr.
Topic Max. Marks Marks Obtained
No
History
1. 05
2. Mental Status Examination & Diagnosis 05
3. Management & nursing process 10
4. Discharge planning & evaluation 03
5. Bibliography 02
TOTAL 25
REMARKS:
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________
Signature of Student Supervisor’s signature

Date Date
236
FORMAT FOR CASE PRESENTATION / CASE STUDY
1. Patient’s Data: Name, sex, bed No., hosp Reg. No, marital status, religion, literacy,
language, nationality, identification mark, address, date of admission, method of admission,
date of discharge, duration of hospitalization, final diagnosis, informant.
2. Presenting complaints: Describe complaints with which the patient has come to hospital
3. History of illness : This includes the following data such as presenting complaints with
duration, history of presenting complaints, past history of illness, personal history, legal
history, family history, personality (Personality prior to illness)
4. History of present illness: Onset, symptoms, duration, precipitating / alleviating factors
nature of problem, associated problems ( disturbance in sleep, appetite, wt ), effect of
present illness on ADL, patients understanding regarding present problem
5. History of past illness: Illnesses, surgeries, allergies, immunizations, medications, history
of past hospitalization for psychiatric illness, any complication e.g. suicidal attempt,
completeness of recovery.
6. Personal history: Birth, early development, educational, occupational, menstrual, sexual,
marital, religious, social activity, interests and hobbies.
7. Legal history: Any arrest imprisonment, divorce etc…
8. Family history : Family tree, type of family, parental history, occupation, history of illness
in family members, risk factors, congenital problems, psychological problems, family
dynamics, family events (initiating and exacerbating illness)
9. Personality history: Personality traits, habits, hobbies, interest, belief, attitudes, social
relationship, coping resources, alcohol or drug use, any criminal record.
10. Mental status examination with conclusion
11. Description of disease: Definition, etiology, risk factors, clinical features, management and
nursing care,
12. Clinical features of the disease condition
Clinical features present in Description of clinical features of Pathophysiology
the book patient
10. Investigations
11. Management ( Pharmacological)

Sr. Drug Dose Frequency Action Side effects & Nursing
No. (Pharmacological name) /Time drug interaction responsibility
12. Other modalities of treatment in detail

13. Nursing Management
14. Nursing Care Plan
Nursing Planning
Date Assessment Objectives Implementation Rationale Evaluation
Diagnosis interventions
It should include health education and discharge planning given to patient

15. Evaluation of care: Overall evaluation, problem faced while providing care prognosis of
the patient and conclusion
237
EVALUATION FORMAT FOR CASE PRESENTATION
Max. Marks
S. No Topic
Marks obtained
1 Orientation of History 08
2 Mental Status Examination 10
3 Summarization & Formulation of 10

diagnosis
4 Management & evaluation of care 10
5 Presentation Skills 10
6 Bibliography 02
TOTAL 50
REMARKS:
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________

Date Date
238
EVALUATION FORMAT FOR CASE STUDY
Sl. Max. Marks

Topic Marks
No obtained
1 History & Mental Status Examination 10
2 Knowledge & understanding of disease 15
4 Discharge plan & evaluation 02
5 Bibliography 03
TOTAL 50
REMARKS:
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

Date Date
239
Topic for health talk : _______________________________________________________
Ward/ Dept:____________________________________________Date: _______________
Scores: 5 = Excellent, 4 = Very good, 3 = Good,2 = Satisfactory / fair 1= Poor

Total 100 Marks
Sl. No Particular 1 2 3 4 5
I Planning and organization
d) Current knowledge related to subject Matter
e) Suitable A.V.Aids
II Presentation:
a) Interesting
b) Clear Audible
f) Time Limit
Personal qualities:
III a) Self confidence
c) Language
d) Mannerism
Feed back:
IV a) Recapitulation
b) Effectiveness
c) Group response
Marks
Total Marks
REMARKS:

Date Date
240
PSYCHIATRIC CASE HISTORY FORMAT
1. Demographic data of the Patient:(Name, age, sex)

2. Informant: (relationship, duration of relationship and reliability of information)
3. Reason for referral
4. Chief complaints with duration (as per patient and informant)
5. History of present illness
6. History of past illness (Medical and Psychiatric)
7. Family history of illness.
a) Family history: (Draw family tree, write about each family members & relations with
patient mention any history of mental illness, epilepsy renouncing the world.)
b) Socio-economic data
8. Personal History
9. Prenatal and perinatal
10. Early Childhood
11. Middle Childhood
12. Late childhood
13. Adulthood
14. Education History
15. Occupational History
16. Marital History
17. Sexual History
18. Religion
19. Social activity, interests and hobbies
20. Pre-morbid personality
21. Physical examination
22. Diagnosis & identification of psychosocial stressors
241
EVALUATION CRITERIA FOR PSYCHIATRIC CASE HISTORY
Name of the Patient : _______________________________________________________
Diagnosis: _________________________________________________________________
Ward/ Dept:____________________________________________Date: _______________
Sl. No TOPIC Max. Marks Marks

obtained
2 Organization of history of present illness 05
3 Past History of illness 03
4 Family history of illness 03
5 Pre morbid personality 03
6 Examination 02
7 Diagnosis 02
TOTAL 20
REMARKS:
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________

Date Date
242
MENTAL STATUS EXAMINATION – FORMAT
I. GENERAL APPEARANCE & BEHAVIOUR

1.1. Level of Consciousness: Conscious/ semiconscious/ unconscious
1.2. Body Built
a) Thin
b) Moderate
c) Obese
1.3. Hygiene
a) Good
b) Fair
c) Poor
1.4. Dress
a) Proper/clean
b) According to the season
c) Poor-Untidy, Eccentric, Inappropriate.
1.5. Hair
a) Good, Combined in position
b) Fair
c) Poor
d) Dishevelled
1.6. Facial expression
a) Anxious
b) Depressed
c) Not interested
d) Sad looking
e) Calm
f) Quiet
g) Happy
h) Healthy/Sickly
i) Maintains eye contact
j) Young / Old
k) Any other
1.7. Posture
a) Good –Straight/proper
b) Relaxed
c) Rigid/Tense/Unsteady
d) Bizarre Position
e) Improper – Explain
243
1.8. Gait
a) Walks straight / coordinated movements
b) Uncoordinated movements
c) Mannerism / Stereotypes / Echolatics
d) Purposeless/hyperactivity/aimless/purposeless activity
e) Hypo activity/Tremors/Dystonia
f) Any other
1.9. Attitude
Cooperative/Seductive/Friendly/Attentionseeking/Trustful/Dramatic/Attentive
Emotional/Interested/Evasive/Negativistic/Defensive/Resistive/ (Guarded)/
Paranoia/Non-caring/Any other
II. PSYCHOMOTOR ACTIVITIES

(Increased/Decreased/Compulsive/Echopraxia/Stereotypy/Negativism/Automatic
Obedience)
III. VOICE & SPEECH / STREAM OF TALK:

a) Language:- Written
Spoken
b) Intensity:- Above normal
Normal
Below normal
c) Quantity:- Above normal
Normal
Below normal
d) Quality:- Appropriate
Inappropriate
e) Rate of production:- Appropriate / Inappropriate
f) Relevance- Relevant / Irrelevant
g) Reaction time-Immediate / Delayed
h) Vocabulary- Good / Fair /Poor.
i) Rate, quality, amount and form: - under pressure, retarded, blocked,
relevant, logical, coherent, concise, illogical, disorganized, flight of ideas,
neologisms, word salad, Circumstantialities, Rhyming, punning, loud.
Whispered. Screaming etc.
j) Tone of Speech (high pitch, low pitch, or normal/ monotonous)
IV. MOOD AND AFFECT

Mood- Pervasive & sustained emotions that columns persons perception of the world
Range of mood:
a) Adequate
b) Inadequate
244
c) Constricted
d) Blunt (sp)
e) Labile
f) (Frequent changes)
a. Stability & range of mood: Extreme/Normal/Any other
b Affect: Emotional state of mind, person’s present
a) Congruent / In congruent
b) Relevance/Irrelevant
c) Appropriateness-according to situations
d) Inappropriate
 Excited
 Not responding
 Sad
 Withdrawn
 Depressed
 Any other
V. THOUGHT PROCESS / THINKING
a) Form of thought/ formal thought disorder – not understandable /normal/
circumstantialities / tangentiality/ neologism/ word salad/preservation/ ambivalence).
b) Stream of thought/ flow of thought- pressure of speech/ flight of ideas/thought
retardation/ mutism/ aphonia/ thought block/ Clang association.)
c) Content of thought
i) Delusions- specify type and give example- Persecutory/delusion of reference/
delusions of influence or passivity/ hypochondracal delusions/ delusions of
grandeur/ nihilistic-Derealization/depersonalization / delusions
ii) Obsession
iii) Phobia
iv) Preoccupation
v) Fantasy – Creative / day dreaming
VI. PERCEPTION
The way we perceive our environment with senses
a) Normal/Abnormal
b) Illusion:- Misinterpretation of perception
c) Hallucination: - False perception in absence of stimuli.
1) Visual-not in psychiatric – Organic Brain Disorder.
2) Auditory - a. Single b. Conversation c. Command
3) Kinesthetic hallucinations: Feeling movement.
d) Depersonalization and De-realization
e) Other abnormal perceptions
Déjà vu/Deja pense/Deja entendu/Deja raconte/Deja eprouve/
Deja fait/Jamais
245
VII. COGNITIVE FUNCTIONS:

1) Orientation:-Oriented to –
Time, Place and Person
2) Attention:-
a) Normal
b) Moderate
c) Poor attention
d) Any other
3) Concentration:-
a) Good
b) Fair
c) Poor
d) Any other
4) Memory:-
Immediate memory: (Teach an address & after 5 minutes. Asking for recall)
Recent memory: (24 hrs. Recall)
Remote memory: (Asking for dates of birth or events which are occurred long back)
5) Intelligence & General Information: Test by carry over sums /similarities and
differences/ and general information/ digit score test.
6) Abstract Thinking: Give a proverb and ask the inner meaning (E.g. feathers of a bird
flock together/ rolling stones gather no mass)
VIII. Insight
1. Complete denial of illness
2. Slight awareness of being sick
3. Awareness of being sick attributes it to external / physical factor.
4. Awareness of being sick, but due to something unknown in himself
5. Intellectual insight
6. True emotional insight
IX. Judgment
Personal Judgment: (Future plans)
Social Judgment: (Perception of the society)
Test Judgment: (Present a situation and ask their response to the situation)
X. SUMMARY & CLINICAL DIAGNOSIS
246
EVALUATION CRITERIA FOR MENTAL STATUS EXAMINATION
Diagnosis: _________________________________________________________________
Ward/ Dept:____________________________________________Date: _______________
Sl. No TOPIC Max. Marks Marks obtained
2 Collection of Data and interpretation 06
3 Examination Skill 02
4 Bibliography 01
TOTAL 10
REMARKS:
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________
247
FORMAT FOR PROCESS RECORDING
1. Identification data of the patient.

2. Presenting Complaints
a. According to patient
b. According to relative
3. History of presenting complaints
4. Aims and objectives of interview
a. Patients point of view
b. Students point of view
5. 1st Interview
Date
Time
Duration
Specific objective
SN Participants Conversation Inference Technique used
6. Summary
Summary of inferences
Introspection
Interview techniques used: Therapeutic/Non therapeutic
7. Over all presentation & understanding.
8. Termination
248

EVALUATION CRITERIA FOR PROCESS RECORDING
Diagnosis: _________________________________________________________________
Ward/ Dept:____________________________________________Date: _______________

obtained
1 History taking 02
2 Interview Technique 03
3 Inference drawn from interview 03
4 Overall understanding 02
TOTAL 10
REMARKS:
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________
249

ECT CARE STUDY
1. Select a patient who has to get electro convulsive therapy

2. Preparation of articles for ECT
3. Preparation of physical set up
Waiting room
ECT room
Recovery room
4. Preparation of patient prior to ECT
5. Helping the patient to undergo ECT
6. Care of patient after ECT
7. Recording of care of patient after ECT
ECT Chart –
a. Name –
b. Diagnosis –
c. Age –
d. Sex –
e. Bed No. –
f. TPR/BP –
g. Time of ECT –
h. Patient received back at –
Blood Level of
Time Pulse Respiration Remarks
Pressure Consciousness
250

OBSERVATION REPORT – GROUP THERAPY
(can be written in the form of report)

1. Name of the Hospital –
2. Ward No. –
3. No. of patients in the ward –
4. No. of male patients in the ward –
5. No. of female patients in the ward –
6. No. of patients for group therapy
7. Objectives of group therapy –
8. Size of the group –
9. Diagnosis of patients in the group –
10. Heterogenous group –
11. Homogenous group –
12. Procedure followed –
a. Introduction
b. Physical set up
c. Maintenance of confidentiality & privacy
13. Content of group therapy –
14. Summary of group therapy –
15. Remarks –
251

EVALUATION CRITERIA FOR GROUP THERAPY
Diagnosis: _________________________________________________________________
Ward/ Dept:____________________________________________Date: _______________
1 Introduction to therapy 02
2 Purposes of therapy 03
3 Preparation for therapy 05
4 Care during therapy 05
5 Care after therapy 05
6 Recording 05
TOTAL 25
REMARKS:
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________
Signature of the student with date Signature of the supervisor with date
252
CLINICAL EVALUATION
Area of Clinical Experience: _________________________________________________
Duration of experience:______________________________________________________
Scores:- 5 = excellent , 4 = Very good, 3 = Good, 2 = Satisfactory / fair, 1 = Poor Total Marks: - 100
Sl. Grades
No Evaluation Criteria 1 2 3 4 5
I Understanding of patient as a person
A] Approach
1. Rapport with patient (family)relatives
2. Collects all information regarding the patient/ family.
B] Understanding patients health problems
3. Knowledge about the disease of patient
4. Knowledge about investigations done for disease
5. Knowledge about treatment given to patient
6. Knowledge about progress of patients
II Planning care.
7. Correct observation of patient
8. Assessment of the condition of patient
9. Identification of the patients needs
10. Individualization of planning to meet specific health needs of patient.
11. Identification of priorities
III Technical skill.
12. Economical and safe adaptation to the situation available facilities
13. Implements the procedure with skill/speed, completeness.
14. Scientific knowledge about the procedure.
IV Health teaching
15. Incidental/planned teaching (Implements teaching principles)
16. Uses visual aids appropriately
V Personality
17. Professional appearance (Uniform, dignity, helpfulness, interpersonal
relationship, etc.)
18. Sincerity, honesty, sense of responsibility
19. Submits assignment on time.
VI 20. Drug Book
Marks
TOTAL MARKS
REMARKS:
Signature of the student with date Signature of the supervisor with date
253
DRUG BOOK/STUDY
Generi Dosage/ Form/Strength/ Acti Indication Contraindicat Side Nursing

c name Route Injection/Tablet on of ion effects responsibilities
/ syrup drug
254
NURSING RESEARCH AND STATISTICS

Placement: Third Year Total Hours: Theory – 45 Hour
Practical –45 Hour (internship)
Course Description: The course is designed to enable students to develop an understanding of
basic concepts of research, research process and statistics and to enable them to
conduct/participate in need based research studies in various settings. Further the students will
be able to utilize the research findings to provide quality-nursing care.
Specific Objective: At the end of the course, the students will be able to:
1. Describe the concept of research, terms, need and areas of research in nursing and explain
the steps of research process.
2. Identify and state the research problem and objectives.
3. Review the related literature.
4. Describe the research approaches and designs.
5. Explain the sampling process, the methods of data collection and developing and
standardizing an instrument.
6. Explain the use of statistics, scales of measurement and graphical presentation of data
7. Describe the measures of central tendency and variability and methods of correlation.
8. Analyze, interpret and summarize the research date.
9. Communicate and utilize the research findings
Unit Hours Theory Hrs Practical
I 4 Research and research process
 Introduction and need for nursing
 Research.
 Definition of Research & nursing research.
 Steps of scientific method.
 Characteristics of research.
 Steps of research process –overview
 Variables,
 hypothesis,
 Research proposal
II 3 Research Problem/Question
 Identification of problem area.
 Problem statement.
 Criteria of a good research problem
 Stating objectives of the research problem
III 3 Review of Literature
 Steps in review of literature
 Keeping a record
 Location, Sources
 Online search: CINHAL,COCHRANE
 Purpose
 Method Of Review
 Writing of Bibliography
 Writing the review of literature
255
Unit Hours Theory Hrs Practical
IV 4 Research approaches and designs
 Historical, survey and experimental
 Qualitative and Quantitative designs
V 8 Sampling and data collection
 Definition of Population, Sample,
 Sampling criteria, factors influencing sampling
process, types of sampling techniques.
 Data-why, what, from, whom, when and where to
collect
 Data collection Methods and
 Instruments:
 Methods of data collection
 Questionnaire, interview, observation, records
& reports and other techniques
 Types of instrument
 Validity & Reliability of the instrument
 Pilot Study
 Data collection procedure
VI 15 Introduction to statistics
 Definition, use of statistics, scales of measurement
 Frequency distribution and graphical presentation
of data
 Mean, Median, Mode, standard deviation
 Normal probability and tests of significance
 Coefficient of correlation
 Inferential statistics and types
 Statistical packages and its application
VII 4 Analysis of Data
 Compilation, Tabulation, Classification,
summarization, presentation, interpretation of data
VIII 4 Communication and utilization of Research
 Communication of research findings
 Verbal report
 Writing research report
 Writing scientific article/ paper
 Critical review of published research
 Utilization of research findings
Method of Teaching
1. Lecture Discussion
2. Simulated Exercise
3. Reading Assignments
256

Bibliography
1. Polit, D.F. & Beck CT, Nursing Research, Principles and Methods, Lippincott Williams &
Wilkins,Philadelphia.
2. Polit Dennis and Hunglar B P, Nursing research principles and methods, Lippincott,
Philadephia.
3. Laura A.Talbot, Principles and practice of nursing research, Mosby St. Louis.
4. DorothyYB & Marie TH, Fundamentals of research in Nursing, Jones & Bartlett
Publishers,Boston.
5. Rao TB, Methods in Medical Research, Radha Rani Publishers, Guntur AP.
6. Smith, P ResearchMindedness for Practice. An interactive approach for nursing and health
care, Churchill livingstone, New York.
7. American Psychological Association publication manual.
8. Mahajan Methods in Bio statistics.
9. Trece E.W. & Treece JW: Elements of Research in Nursing, The CV Mosby Company St,
Louis
ASSIGNMENTS:
GROUP PROJECT: 1 = 100 marks
Internal Assessment: (Theory) (25 marks)
Sr. No Item Marks Weightage Marks out of 25

1 First Term Exam 50 20% 5.0
2 Pre-Final Exam 75 30% 7.5
3 Project 100 50% 12.5
Total 225 100% 25
University Examinations: Time: 30 hours
Final Exam (Collegiate level) = 75marks

Total = 100 marks
Note: The final examination for Introduction to Nursing Research and Statistics will be at
Collegiate level and marks will be sent to University for inclusion in the mark sheet.
257

(Nursing Research 50 marks + Statistics 25 marks)
Section A: (Nursing Research) Total - 10 marks
Q 1) Multiple choice question (20 MCQ x ½ mark each)
Section B: (Nursing Research) Total - 40 marks
Q 2) Short Answer Question: 2 marks each (Any Five) (5 x 2 = 10 marks)

a)
b)
c)
d)
e)
f)
Q 3) Short Notes: 5 marks each (Any six) (6 x 5 = 30 marks)
a)
b)
c)
d)
e)
f)
g)
Section C: (Statistics) Total 25 marks

Q 4) Short Answer Question: 2 mark each (Any five) (5 x 2 = 10marks)
a)
b)
c)
d)
e)
f)
Q 5.Answer the following.
A. . ( 3x 3= 9marks)
a)
b)
c)
B. (any two) ( 2 x 3 = 6 marks)
a)
b)
c)
258

(Nursing Research 35 marks + Statistics 15 marks)
Section A: (Nursing Research)
Q 1) Multiple choice question (10 MCQ x ½ mark each) Total - 05 marks
Section B: (Nursing Research) Total 30 marks

a)
b)
c)
d)
e)
f)
Q 3) Short Notes: 5 marks each (Any Four) (4 x 5 = 20 marks)

a)
b)
c)
d)
e)
Section C: (Statistics) (Total 15 marks)
Q 4) Short Answer Question: 2 marks each (Any three) (3 x 2 = 06 marks)

a)
b)
c)
d)
Q 5) Solve any two of the following

a) (4 marks)
b) (5 marks)
or
c) (9 marks)
259
NURSING RESEARCH: "PROJECT"
Time Allotted Practical- 45 hrs.
Guidelines for Research Project
Aim:
Students will identify the role of nurse in conducting research, writing research proposal based
on scientific steps and will analyze the data using simple statistical methods.
Objectives: Preparing nursing research proposal
1) To get an opportunity to select topic or problem to formulate research proposal.
2) To follow the steps in research while writing research proposal and conducting project.
3) To differentiate and plan specific design in nursing research i.e. experimental and non-
experimental including methodology.
4) To get an opportunity to frame/construct simple tool or questionnaire to collect data.
5) To follow the basic principles of data analysis including simple tables and statistical
methods for proceedings and interpretation of data.
6) To be familiar to write research report to communicate the findings including

bibliography, foot notes and future recommendations.
7) To present nursing research proposal as group activity.
8) Learn to use computers.
260
GUIDELINE / CHECK LIST TO PREPARE / NURSING RESEARCH
PROPOSAL & PROJECT
1) Selection of research problem:

Select your interest area of research, based on felt need, issues, social concern in nursing field.
a) State the problem, in brief, concise, clear.
b) State the purpose of selected study & topic
c) State objectives of study/proposal/project.
d) State the hypotheses if necessary (optional).
e) Prepare conceptual framework based on operational definition (optional).
f) Write scope and delimitation of Research Proposal.
2) Organizing Review of Literature

a) Study related and relevant literature which helps to decide conceptual framework
and research design, to be selected for your study.
b) Add specific books, bulletins, periodicals, reports, published and unpublished
dissertations, encyclopedia, text books.
c) Organize literature as per operational definition.
d) Prepare summary table for review of literature. (Optional)
3) Research Methodology: To determine logical structure & methodology for research

project
a) Decide and state approach of study i.e. experimental or non-experimental.

b) Define/find out variables to observe effects on decided items & procedure (optional)
c) Prepare simple tool or questionnaire or observational check list to collect data.
d) Determined sample and sampling method.
i) Mode of selection ii) Criteria iii) Size of sample iv) Plan when, where and how
data will be collected
e) Test validity of constructed tool (To check content in tool in relation to stated
objectives) with experts / teachers opinion.
f) Check reliability by implementing tool before pilot study (10% of sample size)
g) Conduct pilot study by using constructed tool for 10% selected sample size.
261
4) Data Collection: To implement prepared tool
b) Decide location
c) Time
d) Write additional information in separate exercise book to support inferences and
interpretation.
5) Data analysis and processing presentation

a) Use appropriate method of statistical analysis i.e. frequency and percentage.
b) Use clear frequency tables, appropriate tables, graphs and figures.
c) Interpretation of data:
i) In relation to objectives
ii) Hypotheses (Optional)
iii) Variable of study or project (Optional)
iv) Writing concise report
6) Writing Research report
a) Aims:
1. To organize materials to write project report
2. To make comprehensive full factual information
3. To use appropriate language and style of writing
4. To make authoritative documentation by checking footnotes, references &
bibliography
5. To use computers.
b) Points to remember
1) Develop thinking to write research report.
2) Divide narration of nursing research report.
3) Use present tense and active voice
4) Minimize use of technical language
5) Use simple, straightforward, clear, concise language
6) Use visual aids in form of table, graphs, figures
7) Treat data confidentially
8) Review, rewrite if necessary
262
INTRODUCTION TO NURSING RESEARCH AND STATISTICS
EVALUATION CRITERIA FOR PROJECT REPORT
Maximum Marks: 100
Sr. Criteria Rating
No 1 2 3 4 5
I Statement of the problem
1. Significance of the problem selected
2. Framing of title and objectives
II Literature Review
3. Inclusion of related studies on the topic, and its relevance
4. Operational definition
III Research Design
5. Use of appropriate research design
6. Usefulness of the research design to draw the inferences among
study variables / conclusion
IV Sampling design
7. Identification and description of the target population
8. Specification of the inclusion and exclusion criteria
9. Adequate sample size, justifying the study design to draw
conclusions.
V Data Collection Procedure
10. Preparation of appropriate tool
11. Pilot study including validity and reliability of tool
12. Use of appropriate procedure / method for data collection
VI Analysis of Data & Interpretation
13. Clear and logical organization of the findings
14. Clear presentation of tables (Title, table & column heading)
15. Selection of appropriate statistical tests
Vll Ethical Aspects
16. Use of appropriate consent process
17. Use appropriate steps to maintain ethical aspects & principles
VIII Interpretation of the finding
18. Consistent and appropriate discussion of the results
IX Conclusion
19. Summary and recommendations for Nursing Practice /
Education /administration
X Presentation I Report writing
20. Organization of the project work including language and
style of presentation
Marks obtained
Remarks

263
COURSE PLANNING
IV YEAR B. Sc. NURSING
264
COMMUNITY HEALTH NURSING- II
Placement: Fourth Year Time: Theory – 90 Hours
Practical – 135 Hours
Course Description: This course is designed for students to practice community health nursing
for the individual, family and groups at both urban and rural setting by using concept and
principles of health and community health nursing.
At the end of the course the students are able to:
1. Define Concepts, Scope, principles and historical development of Community Health and
Community health Nursing.
2. Describe health plans, polices, various health committees and health problems in
India.
3. Describe the system of delivery of community health services in rural and urban areas with
the functions of various levels and their staffing pattern.
4. Explain the components of health services.
5. Describe alternative systems of health promotion and health maintenance.
6. Describe the chain of referral system.
7. Describe Community Health Nursing approaches, concepts, roles and responsibilities of

Community health nursing personnel.
8. Describe and appreciate the activities of Community health nurse in assisting individuals
and groups to promote and maintain their health.
9. Describe national health and family welfare programmes with role of a nurse and
describe the various health schemes in India.
10. Explain the roles and functions of various national and international health agencies.
265
Placement: Fourth Year Theory – 90 Hours
Practical – 135 Hours
I 4 Introduction
 Definition, concept & scope of community
health nursing
 Historical development of
 Community Health
 Community Health Nursing
- Pre-Independence
- Post-Independence
 Client’s rights-CPA
 Professional responsibility in community
health care
 Ethical principles
 Application of ethics in Community health
practice
 Govt. & legal influence on community health
nursing practice
 Law in community health nursing.
II 5 Health Planning and Polices and Problems
 National health planning in India Five year
Plan’s
 Various committees and commissions on
health and family welfare
 Central council for health and family
welfare (CCH and FW)
 National Health polices (1983, 2002)
 National population policy
 Rural health mission
 Health problems in India.
III 15 Delivery of community health services
 Planning, budgeting and material
management of SCs, PHC and CHC
 Rural: Organization, staffing and functions
of rural health services provided by
government at:
 Village
 Sub centre
 Primary health center
 Community health center/ sub divisional
 Hospitals
 District
 State
 Center
266
 Urban: Organization, staffing, functions of Collect and
urban health services provided by government calculate vital
at: health statistics
 Slums
 Dispensaries Document and
 Material and child health centers maintain
 Special Clinics - Individual,
 Hospitals family and
 Corporation/Municipality/ Board administrative
 Components of health services records
 Environmental sanitation - Write reports
 Health education center,
 Vital statistics disease, and
 M.C.H. antenatal, natal, postnatal, national health
 MTP Act, female feticide act, child programme/
adoption act projects
 Family welfare
 National health programmes
 School health services
 Occupational health
 Defense service
 Institutional services
 Systems of medicine and health care
 Allopathy
 Indian system of medicine and
Homeopathy
 Alternative health care systems like
 yoga, meditation, social and Spiritual
healing etc.
 Referral system.
IV 25 Community health nursing approaches, Community
concepts and roles and responsibilities of health survey
nursing personnel
 Approaches Community
 Nursing theories and nursing process diagnosis
 Epidemiological approach
 Problem solving approach Family care:
 Evidence based approach empowering Home
people to care for themselves adaptation of
common
 Concepts of primary Health Care:
procedures
 Equitable distribution
 Community participation
Screen manage
 Focus on prevention
and referrals
 Use of appropriate technology
for:
 Multi sectoral approach
High risk
 Roles and responsibilities of Community
mothers and
health nursing personnel in
neonate
267
 Family health services Accidents and
 Information Education emergencies
 Communication (IEC)
Illness: Physical
 Management information System
and mental
 (MIS): maintenance of Records & Reports
Disabilities
 Training and supervision of various
 categories of health workers Provide family
 National Health Programmes welfare services
 Environmental sanitation insertion of IUD
 Maternal and child health and Family
Conduct
Welfare.
delivery at
 Treatment of minor ailments
center / home:
 School health services
Episiotomy
 Occupational health
and suturing,
 Organization of clinics, camps: types,
resuscitate
preparation, planning, conduct and evaluation
newborn
 Waste management in the center, clinics etc.
 Home visit: Concept, Principles, Process, School Health
techniques: Bag Technique home visit programme
 Qualities of Community Health Nurse Screen, Manage
 Job description of Community health nursing refer children
personnel
Organize and
conduct
clinics
antenatal,
postnatal, well
baby clinic,
camps etc.
Home visit: Bag
technique
Collaborate
with health and
allied agencies
Train and
supervise
health workers
V 15 Assisting individuals and groups to promote Monitoring
and maintain their health growth and
Empowerment for self care of individuals, development of
families and groups in family.
 Assessment of Self and family
 Monitoring growth and development
- Mile stones
- Weight measurement
- Social development
 Temperature and BP monitoring
268
 Menstrual cycle  Counsel and
 Breast self examination and testicles teach
 Warning signs of various diseases individual,
 Test - Urine sugar& albumin, family and
- blood sugar test community
 Seek health services for about: HIV, TB,
 Routine checkup Diabetes,
 Immunization Hypertension,
 Counselling diagnosis Mental Health,
 Treatment Adolescents,
 Follow up elderly’s health,
 Maintenance of health records for self and physically and
family mentally
 Continue medical care and follow up in challenged
community for various diseases and individuals etc.
disabilities
 Carryout therapeutic procedures as
prescribed/ required for self and family
 Waste Management: Collection and
disposable of waste at home and community
 Sensitize and handle social issues
affecting health and development for
self and family
 Women Empowerment
 Women and child abuse
 Abuse of elders
 Female feticide
 Commercial sex workers
 Food adulteration
 Substance abuse
 Utilize community resources for self&
family
 Trauma services
 Old age homes
 Orphanage
 Homes for physically and mentally
challenged individuals
 Homes for destitute
VI 15 National health and family welfare
programmes and the role of a nurse
 National API programme
 Revised National tuberculosis control
programme (RNTCP)
 National Anti- Malaria programme
 National Filaria control programme
 National Guinea worm eradication
programme
269
 National Leprosy eradication programme
 National AIDS control programme
 STD control programme
 National Programme for Control of blindness
 Iodine deficiency disorder programme
 Expanded programme on immunization
 National Family welfare programme –
RCH programme - historical development,
organization, administration, research,
constraints.
 National water supply and sanitation
programme
 Minimum Need programme
 National diabetics control programme
 Polio eradication: pulse polio programme
 National cancer control programme
 Yaws eradication programme
 National Nutritional Anemia Prophylaxis
programme
 Twenty point programme
 ICDS programme
 Mid day meal applied nutritional
programme
 National mental health programme
 Health Schemes: ESI, CGHS, Health
insurance
VII 4 Health Agencies
 International:
 WHO,
 UNFPA,
 UNDP,
 World Bank,
 FAO,
 UNICERF,
 DANIDA,
 European Commission (EC)
 Red Cross
 USAID,
 UNESCO,
 Colombo plan,
 ILO,
 CARE etc.
 National
 Indian Red Cross,
 Indian Council for child welfare
 Family planning Association of India etc.
270
VIII 3 Biodiversity and its conservation
 Biogeographical classification of Indian.
 Value of Biodiversity: consumptive use,
productive use, social, ethical, aesthetic and
option values.
 Biodiversity at global, national and local
levels.
 India as a mega –diversity nation.
 Hot- sports of biodiversity
 Threats to biodiversity: habitat loss, poaching
of wildlife, man –wildlife conflicts
 Endangered and endemic species of India.
 Conservation of biodiversity: In-situ and Ex-
situ conservation of biodiversity.
IX 4 Social Issues and the Environment
 From unsustainable to sustainable development
 Urban problems related to energy
 Water conservation, rain water harvesting,
watershed management
 Resettlement and rehabilitation of people, its
problems and concerns. Case studies
 Environmental ethics: issues and possible
solutions.
 Climate change, global warming, acid rain,
ozone layer depletion, nuclear accidents and
holocaust. Case studies.
 Water, land reclamation
 Consumerism and waste products.
 Environment protection act.
 Air ( prevention and control of pollution) Act
 Water (prevention and control of pollution)
Act.
 Wildlife protection Act.
 Forest conservation Act.
 Issues involved in enforcement of
environmental legislation.
 Public awareness
METHOD OF TEACHING: Assignments
Lecture/ discussion Group Project
Panel discussion Individual/ group/family/community health
Demonstration education
Participation in camps
Visits to various health delivery systems
Supervised field practice
271
Bibliography
1. B.T Basavanthappa, Community Health Nursing; Jaypee Brothers, New Delhi

2. Elizabeth T Anderson: Community as partner: Theory and practice in nursing;
Lippincott, Philadelphia
3. Keshav Swarnkar: Community Health Nursing; N.R Brothers, Indore
4. K.Park: Esentials of Community Health Nursing; Bhanot publishers, Jabalpur
5. Dr.A.P Kulkarni: Textbook of Community Medicine; Vora Medical publishers, Mumbai
6. Bhalerao: Synopsis in preventive and Social medicine; The National Book Depot,
Mumbai
7. P.V.Sathe: Epidemology and Management for health care for all; Vora Medical
publishers, Mumbai
8. Judith Ann Allender: Community Health Nursing; Lippincott Williams, Philadelphia
9. TNAI: A Community Health Nursing Manual; TNAI, India
10. Rao Kasturi: Community Health Nursing; B.I.Publications, Mumbai
11. R.K.Manelkar: A Textbook of Community Health for Nurses; Vora Medical publishers,
Mumbai
12. B.Sridhar Rao: Community Health Nursing; A.I.T.B.S, India
13. Stanhope & Lancaster: Public Health Nursing; Mosby, Missouri
14. Donald J Breckon: Community Health Education; Aspen publications, Maryland
15. Elizabeth Diem: Community Health Nursing projects; Lippincott Williams, Philadelphia
16. Neelam Kumari: A Textbook of Community Health Nursing; S.Vikas & Co, Jalander
17. Brunner R.C., Hazardous waste incineration, McGraw Hill Inc, 480p.
18. Trivedi R. R., Handbook of environmental laws, Rules guidelines, compliances and
standards, vol. 1 & 2.
19. Trivedi R. K. and P.K. Goel, Introduction to Air Pollution, Techno-Science Publication
(TB).
20. Wanger K. D, Environmental management, W. B. Saunders Co. Philadelphia, USA.
21. Rao M. N and Datta A. K. Waste Water Treatment, Oxford and IBH Publ. Co. Pvt. Ltd.
345p.
272

Placement: Fourth Year Time: Practical – 135 Hours
Specific Objectives: At completion of the course the students are able to:
1. Identify community profile
2. Identify prevalent communicable and non communicable diseases
3. Diagnose health needs of individual, families and community and plan, provide
and evaluate care
4. Participate in school health programme and national health programmes.
5. Organize group for self help and involve clients in their own health activities.
6. Provide family welfare services.
7. Counsel and educate individual, family and community.
8. Collect vital health statistics.
9. Maintain records & reports.
Areas for field experience:

Urban Community - 1 week
Rural Community - 4 weeks
Assignments:
Each student should have 5 families and should prepare their folders.
Community survey report 1

Family care study 1
Health talk 1
Case book recording 1
Educational Visits
1. Trauma center
2. Orphanage
3. Mahila Mandal
4. Food & Adulteration Lab
5. NARI
6. Family Welfare Bureau
7. Industrial Visit
8. IEC Bureau
9. B.D.O.
10. Gram Panchayat
11. Zilla Parishad
12. Panchayat Samiti
13. Sub Center
14. Rural Hospital
15. Community Health Center
273
INTERNAL ASSESSMENT
Theory (25 Marks)
No. Marks
1 First Term 50 20% 5.0
2. Pre-Final 75 30% 7.5
3. Assignment 85 50% 12.5
3.1 Field Visit 10
3.2 Seminar 50
3.3 Group Project 25
Total 210 100 % 25

No Marks
1. First Term 100 20% 10
2. Pre-Final 100 30% 15
3.1. Family Care Study 50
3.2. Health Talk 50
3.3 Procedure Evaluation 50
3.4 Family Folder ( 5x10) 50
3.5 Field Evaluation – Urban 100
3.6 Field Evaluation – Rural 100
3.7 Procedure Book 100
3.8 Community Survey project 100
Total 800 50
UNIVERSITY EXAMINATIONS:
274
Theory
Total = 100 marks
Practical
Total = 100 marks

Viva 20 20 40
Total Marks 50 50 100
Final marks of University Practical examination to be assessed out of 100 marks and
converted to 50 marks.
COMMUNITY HEALTH NURSING - II

275

Section A: Total = 10 marks
Section B: Total = 35 marks

a)
b)
c)
d)
e)
f)
Q 3) Short Notes: 5 marks each (Any Five) (5 x 5 = 25 marks)

a)
b)
c)
d)
e)
f)
Section C: Total = 30 marks
Q 4) Long Answer Question: 15 marks (Any Two) (2x 15 = 30 marks)
a) i. 2 marks
ii. 5 marks
iii. 8 marks
b) i. 2 marks
ii. 5 marks
iii. 8 marks
c) i. 2 marks
ii. 5 marks
iii. 8 marks
COMMUNITY HEALTH NURSING - II

276

a)
b)
c)
d)
e)
f)

a)
b)
c)
d)
e)
Q 4) Long Answer Question: 15 marks (Any One) (1x 15 = 15 marks)
a. i. 2 marks
ii. 5 marks
iii. 8 marks
b. i. 2 marks
ii. 5 marks
iii. 8 marks
277
COMMUNITY HEALTH NURSING II

(Fourth B.Sc. Nursing)
278
FOURTH YEAR B.Sc. NURSING
ASSIGNMENT FORMAT FOR SEMINAR
1. Introduction to the topic
2. Concept, Definition
3. History
4. Subject matter
5. Application in nursing field
6. Summary
7. Conclusion
279
EVALUATION CRITERIA FOR SEMINAR PRESENTATION

Topic: _____________________________________________________________________
Date: ______________ Time: __________________ Group: ______________________
Total Marks: 100

Sr. No Criteria 1 2 3 4 5
I Subject Matter
 Introduction
 Organization of Content
 Presentation of topic
 Relevant examples
 Relevant statistical data
 Group participation
 Control of group
 Conclusion
II A V Aids
 Appropriate to Topic
 Self Explanatory
 Useful
 Attractive
 Planning and preparation
 Use of appropriate technology
III Physical Arrangement
 Environment
 Classroom preparation
IV Personal Qualities
 Voice and clarity
 Mannerism
V References
 Adequate
 Relevant and recent information
Marks
Total Marks Out of 100 = Out of 25=
Remarks
_____________________________________________________________________________
_________________________________________________________________________

280
FORMAT FOR WRITING VISIT REPORT
1. Objectives of the visit
2. Introduction of the area
3. Route map of the area, Address, contact number and person.
4. Physical set up of the area.
5. Organizational pattern of the area.
6. Functions or services provided by the area,
7. Application in nursing field.
8. Conclusion
9. References
281
EVALUATION CRITERIA FOR VISIT REPORT
Area of Visit: _______________________________________________________________

Date: ________________________________________ Time: _____________________
Total Marks: 10
Sr .No Criteria Marks Allotted Marks Given
1 Introduction 1
2 Content
 Route Map 1
 Organizational set up 1
 Content relevant to the objectives 4
 Adequacy of Content 1
3 Neat and organized writing 1
4 Punctuality 1
TOTAL 10
Remarks
_____________________________________________________________________________
_________________________________________________________________________
_____________________________________________________________________________
_________________________________________________________________________
282
COMMUNITY HEALTH NURSING II
Evaluation Criteria for Group Work
Topic:_____________________________________________________________________
Group:______________________________________________________________________
_________________________________________________________________________
Total marks: 25 Date:________________
Sr. Criteria Marks allotted Marks obtained

No.
1 Adequacy of the content 5
2 Organization 5
3 Relevance 5
4 Neatness in presentation 5
5 Innovative Ideas 5
TOTAL 25
Remarks:
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________
283
FAMILY CARE STUDY (FORMAT)
I Initial Data
1. Name of head of family:
2. Address :
3. Date of visit commenced:
4. Date of visit conducted:
II Demographic data
Name of Relation
Family With Head Socio Economic Health
Member of Family
Marital Health Nutritional Family
Age Sex Edu. Occupation Income
Status Status Status Planning
Immunization
DPT POLIO Any Remark
BCG Measles Booster
1 2 3 1 2 3 other
III Resources
A. Community Resource used by family members

a. Regular
b. In emergencies
B. Financial
a. Monthly family income
b. Possessions
c. Cattle & pets
d. Numbers of dependents
e. Monthly pattern of family expenditure
i. Food
ii. Education
iii. Medical
iv. Electricity bill
v. Clothing & entertainment
284
IV Environment
A. Community
a. Socio economic Status
b. Cleanliness
c. Water Facility
d. Toilet
e. Location of Slum area
B. Family
a. Environmental hygiene
b. Toilets
c. Sewage Disposal
d. Water disposal
C. Physical Environment
1. Housing location
2. Type of floor
3. Lighting
4. Ventilation
5. Water supply
6. Attitude towards drinking
7. Waste disposal
a. Garbage
b. Latrines
c. Liquid Waste
d. Mosquitoes & fly breeds
V Social Environment
1. Type of community
2. Socio economic background
3. Relationship among family members
4. Relationship with neighbors
5. Relationship with others
6. Common Health Habits
a. In community
b. In family
7. Family concept about health
8. Family concept about disease
a. In community
b. In Family
9. Festivals celebration
a. In community
b. In family
285
10. Number of working mothers
a. In community
b. In family
11. Care during pregnancy
a. In community
b. In family
12. Care of infant
a. In community
b. In family
13. Concept about education
a. In community
b. In family
14. Concept about girl’s education
a. In community
b. In family
15. Knowledge & attitudes of people towards health
a. In community
b. In family
VI Family Health
1. Health of family – past & present
2. Gynaec & Obst. history of female adults
VII. Nutrition
VIII. Family life style

a. Basic life style of family
b. Family decision-making pattern
c. Family relationship & communication
d. Family response in crisis situation
e. Family attitude towards health
Nursing Care Plan
Summary:
Conclusion:
286
EVALUATION CRITERIA FOR FAMILY CARE STUDY
Name of the family: ________________________________________________________
Address of the family: ______________________________________________________
Total Marks: 50
Sr. No Particular Maximum Marks Marks Obtained
I Identification of family 10 Marks
1. Type of family 1
2. Initial data 1
3. Basic information 1
4. Resources used 1
5. Environment 6
II Family Health 16 Marks
1. Health of each member 2
2. Gynaec & Obstetric health 2
3. Nutritional data 2
4. Rest & sleep 2
5. Use of health resources 2
6. Family planning status 2
7. Health practices for each member 2
8. Family life style 2
III Nursing Care 19 Marks
1. Identification of needs & problems 2
2. Aims& Objectives 2
3. Nursing interventions 8
4. Evaluation of care given 4
5. Self Assessment 3
IV Personal and professional qualities 5 Marks
1. Grooming 1
2. Mannerism 1
3. Language 1
4. Voice 1
5. Confidence 1
TOTAL MARKS OBTAINED
Remarks
Signature of Student with date Signature of Evaluator with date
287
HEALTH TALK FORMAT
Name of the student:

Topic:
Group to be taught:
A.V. aids:
Area:
Date & Time:
Method of teaching:
Language:
Aim:
Specific objectives:
Introduction:
Teaching
Sr. Specific A.V Evaluation
Time Subject matter Learning
No objectives aids
activity
Summary
Bibliography
288
Topic : ____________________________________________________________________
Area of Experience: _______________________________________________________
Date: ______________________________________Time: __________________________

Total 100 Marks
Scores: 5 = Excellent, 4 = Very good, 3 = Good, 2 = Satisfactory / fair
IPlanning and organization
e) Suitable A.V. Aids
II Presentation:
a) Interesting
b) Clear Audible
f) Time Limit
Personal qualities:
c) Language
d) Mannerism
Feed back:
b) Effectiveness
c) Group response
Marks
Total Marks Out of 100 = Out of 50
REMARKS:
Student’s signature with date Supervisor’s Signature with date

289
EVALUATION CRITERIA - PROCEDURE EVALUATION USING BAG TECHNIQUE
Title of Procedure: _________________________________________________________
Date: ______________________________________Time: __________________________
Total – 50 Marks
Scores: 5 = Excellent, 4 = Very good, 3 = Good, 2 = Satisfactory / fair, 1 = Poor
Sr. No Particular 1 2 3 4 5
1 Approach to the family
2 Selection of procedures based on family needs
3 Preparation of the bag for the procedure
4 Caring out all the steps of procedure correctly
5 Scientific principles followed while doing procedure
6 Involvement of family while doing procedure
7 Post care of bag and equipment
8 Health education while during and the procedure
9 Disposal of waste
10 Recording and reporting
Marks
Marks obtained
Remarks:
_____________________________________________________________________________
_________________________________________________________________________
___________________________________________________________________________
[
Signature of Student: Signature of Evaluator:

Date: Date:
290
FAMILY FOLDER FORMAT
Students Name:
Family Name:
Address:
Date of Family visit:
1. BASIC INFORMATION
Sr. Name Age Sex Position Occupation Income Education Nutritional Health Health
No In Family Status Status Problems
2. RESOURCES (COMMUNITY RESOURCES IN EMERGENCY)
Resources Location Member Using Reason Frequency

Provided
3. PHYSICAL & SOCIAL ENVIRONMENT

a) Community
b) Family
4. FAMILY HEALTH
Name Age Height Weight Immuniza Habits/ Developmental Summary Current

-tions Addictions Stage of Health Status
History including
Medications
5. Family Health Practice

a. Nutritional status – diet, meal pattern, shopping habits, knowledge of good nutrition.
b. Recreation & exercise
c. Sleeping pattern.
291
d. Family use of health resource, person responsible for health care decision-making
e. Any other attitudes, which significantly relate to health status.
f. Family strengths & limitations related to their health practice
6. Family life style

a. Basic life style
b. Inter family relationship & communication pattern
c. Family decision-making
d. Family response in crisis
e. Dominant values of family
f. Family attitude towards health care & health care providers
7. Nursing Care Plan
8. Student remarks
a. How did family perceive overall experience of your visit (give supportive data)
b. Discuss achievement of goals & nursing interventions
c. In what aspect of nursing practice did your experience most growth & in what area
would you like to improve?
292
EVALUATION CRITERIA OF FAMILY FOLDER
Name of the Student:_____________________________________________________
Village:_________________________________________________________________
Duration of posting: ______________________________________________________
Sr. Topic Marks Marks

No. Allotted Obtained
1. Selection of family 1
2. Family Health Care
a) History collection of each family member 2
b) Assessment of each individual 2
c) Planning of care as per family need 3
d) Implementation and nursing action taken
i) Number of home visits 2
ii) Planned / incidental health education 3
iii) Nursing care given to the family 4
3 Setting future goals 2
4 Interest, Promptness in planning care 2
5 Outcome after giving health care 2
6 Neatness in writing and maintaining family folder 2
Total 25
Out of 10
Remarks:
_____________________________________________________________________________
_________________________________________________________________________
___________________________________________________________________________
Signature of the Evaluator Signature of the Student

Date Date
293
FIELD EVALUATION
Name of the Student:_____________________________________________________
Area of experience: _____________________________________________________
Period of posting: ______________________________________________________

Total 100 Marks
Scores: 4 = Very good, 3 = Good, 2 = Satisfactory / fair, 1 = Poor
Sr. No Particular 1 2 3 4
I Assessment In Home and Clinic:
a) History taking
b) Physical assessment
c) Assisting & guiding for investigation
d) Home / clinic observation of signs & symptoms
e) Identification of needs & problems
II Planning
a) Selection of priority needs / problems
b) Setting objectives
c) Planning appropriate interventions
d) Resource allocation
III Implementation:
a) Approach to family & manner of greeting
b) Explaining the purpose of visit to family
c) Providing home care
d) Doing simple procedure at home/Clinic
e) Assisting in clinical services
f) Giving health education in home/clinic
g) Recording and reporting
IV Evaluation :
a) Health teaching
b) Family care
c) Self assessment
d) Submitting assignment on time
V Personal and Professional Qualities
a) Leadership
b) Punctuality
c) Grooming
d) Relationship with others
e) Attitude Towards suggestions
TOTAL
Remarks:

294
COMMUNITY SURVEY
Objectives:
1. To assess the area & identify health problems of people

2. To understand the socioeconomic status of the community
3. To identify the sources of health services available in community
4. To identify various health practices prevailing in the community
COMMUNITY SURVEY REPORT FORMAT
I. Introduction
II. Community as a place – boundaries, environment, housing
III. Community as a social system –

Recreational facilities, transportation, stores & shops, official health agencies,
communication media, education, socioeconomic status, occupational status, social
activities related to health.
IV. Health problems and needs in the area
V. Conclusion
295
SURVEY REPORT
Total Marks: 100
Sr. Particular Maximum Marks

No Marks Obtained
1 Introduction 05
2 Community as a place 10
 Boundary
 Environment
 Housing
3 Social system 15
 Recreational facilities
 Transportation
 Stores & Shops
 Official health Agencies
 Communication media
 Education
 Socioeconomic status
 Occupational Status
 Social activities related to health
4 Planning and organization 10
 Formulation of objectives 10
 Selection of method of presentation 15
 Organization of Subject matter 10
 Presentation
5 Individual participation 05
6 Submission on time 05
Remarks:
_____________________________________________________________________________
_________________________________________________________________________
___________________________________________________________________________
Signature of Student: Signature of the Evaluator

Date Date
296
MANAGEMENT OF NURSING SERVICE & EDUCATION
Placement: Fourth Year Total hours: Theory: 90 Hrs

(Class 60 + Lab 30 hrs)
Course Description: This course is designed to enable students to acquire in-depth
understanding of management of clinical and community health nursing services and nursing
educational programmes. This is also designed to enable students to acquire understanding of
the professional responsibilities, prospects and contribution to the growth of the profession.
1. Explain the principles and functions of management.
2. Describe the elements and process of management.
3. Describe the management of nursing services in the hospital and Community.
4. Describe the concepts, the theories and techniques of organizational behavior and human
relations.
5. Participate in planning and organizing in service education program.
6. Describe management of nursing educational institutions.
7. Describe ethical and legal responsibilities of a professional nurse and explain the nursing
practice standards.
8. Explain the various opportunities for professional advancement.
I 4 Introduction to Management in Nursing
 History, Definition, concepts and theories
 Functions of management
 Principles of management
 Role of nurse as a manager and her qualities
II 5 Management Process
 Planning, mission, philosophy, objectives,
operational plan
 Staffing: Philosophy, staffing study, norms,
activities, patient classification system, scheduling
 Human resource management, recruiting, selecting,
deployment, retaining, promoting,
superannuation .
 Budgeting: Concept, principles, types, cost benefit
analysis audit
 Material management equipment and supplies
 Directing process (Leading)
 Controlling: Quality management
 Program Evaluation
 Review Technique (PERT),
 Bench marking, Activity Plan (Gantt Chart)
III 8 Hospital Organization 2 Preparation of
 Definition, types and functions of hospital organization
 Governing body- Hospital administration Control chart of
& line of authority hospital
297
 Hospital statistics including hospital utilization
indices
 Role of hospital in comprehensive health care
 Development of new management practices:
Marketing of Hospitals, Specialty Hospitals
IV 8 Management of nursing services in the hospital and 23 Supervised

community Planning practice in
 Hospital & patient care units including ward ward:
management -Writing
 Emergency and disaster management indent
report
Human resource management
- Preparing
 Recruiting, selecting, deployment, retaining,
duty roaster,
promoting, superannuation
ward
 Categories of nursing personnel including job supervision
description of all levels
 Patients/ population classification system Assignment
 Patients/ population assignment and nursing care on
responsibilities o Duties and
 Staff development and welfare. responsibilitie
Budgeting: s of ward
 Proposal, projecting requirements for staff, sister
equipments and supplies for Hospital and patient o
care units, Emergency & disaster management o Writing
reports
Material management: o Preparing
 Procurement, inventory control, auditing and diet sheets
maintenance in
o Hospital and patient care units
o Emergency and disaster management.
Directing & Leading:
 Delegation, participatory management
 Assignments, rotations, delegations
 Supervision & guidance
 Implement standards, policies, procedures and
practices
 Staff development & welfare
 Maintenance of discipline
Controlling/ Evaluation
 Nursing rounds/ visits,
 Nursing protocols, Manuals
 Quality assurance model,
 documentation
 Records and reports
 Performance appraisal
298
V 5 Organizational behaviour and human relations Self
 Concepts and theories of organizational behaviours Assessment
 Review of channels of communication
 Leadership styles, Power, types
 Review of motivation: concepts
 and theories
 Group dynamics
 Techniques of:
 Communication and
 Interpersonal relationships
 Human relations
 Public relations in context of Nursing
 Relations with professional associations, employee
union and Collective bargaining
VI 5 In-service education 5 Plan and
 Nature & scope of in-service education program conduct an
 Organization of in-service education educational
 Principles of adult learning session for
 Planning for in-service education, program, in service
techniques, methods, and evaluation of staff nursing
education program personnel.
 Preparation of report
VII 10 Management of Nursing educational institutions
 Establishment of nursing educational institution
– INC norms and guidelines.
 Co-ordination with Regulatory bodies
 Accreditation
 Affiliation – Philosophy/ Objectives,
Organization
 Structure
 Committees
Physical facilities - College / School Hostel
 Students
 Selection
 Admission procedures
 Guidance and counseling
 Maintaining discipline-
 Faculty and staff
 Selection
 Recruitment
 Job description
 Placement
 Performance appraisal
 Development and welfare
 Budgeting
 Equipments and supplies: audio visual
299
equipments, laboratory equipments, books,
journals etc.
 Curriculum: Planning, Implementation and
Evaluation
 Clinical facilities
 Transport facilities
 Institutional Records, and reports –
Administrative, Faculty, Staff and Students.
VIII 10 Visit to INC/
Nursing as a Profession
SNRCs
 Nursing as a Profession
 Philosophy; nursing practice
 Aims and Objectives
 Characteristics of a professional nurse
 Regulatory bodies; INC, SNC
 Acts:- Constitution, functions
 Current trends and issues in Nursing
 Professional ethics
 Code of ethics; INC, ICN
 Code of professional conduct;
 Practice standards for nursing; INC
 Consumer Protection Act
 Legal aspects in Nursing
 Legal terms related to practice;
 Registration and licensing
 Legal terms related to Nursing practice;
Breach and penalties
 Malpractice and Negligence
IX 5 Professional Advancement Review/
 Continuing education Presentation
 Career opportunities of published
articles.
 Collective bargaining
Group work
 Membership with Professional
on
 Organizations; National and International maintenance
 Participation in research activities of bulletin
 Publications; Journals, newspapers etc. board.
Methods of Teaching
1. Lecture Discussion
2. Simulated Exercises
3. Case studies
4. Demonstration
5. Group games/ exercises
6. Practice sessions
7. Panel discussions
8. Role plays
300
BIBLIOGRAPHY
1. TNAI. Nursing Administration and Management, Academic Press: New Delhi,

2. Shakharkar, B M. Principles of Hospital Administration and Planning, Jaypee Brothers.
3. Pai, Pragna. Effective Hospital Management, The National Book Depot: Mumbai,
4. Srinivasan, A V.Managing a Modern Hospital, Sage Publications: New Delhi,
5. Basavanthappa, B T. Nursing Administration, J P Brothers Medical Publishers.
6. Goel & Kumar, R. Hospital Administration and Management, Deep and Deep Publications:
New Delhi,
7. Park K. Park’s Textbook of Preventive and Social Medicine, M/S Banarsidas Bhanot
Publishers: Jabalpur,
8. Russels, C S. Management & Leadership for Nurse Managers, Jones Bartlett Publishers.
9. Francis, E M & Desouza, Mario. Hospital Administration, Jaypee Brothers Medical
Publishers: New Delhi,
10. Goddard, H A. Principles of Administration applied to Nursing Practice, WHO: Geneva,
11. Hersey, P., Blanchard, H K & Johnson, E D. Management of Organizational Behavior,
Pearson Education Indian Branch: New Delhi.
12. Barret, Jean. Ward Management and Teaching, English Book Society: New Delhi,
301
Internal Assessment: (Theory) (25 marks)
Sr. Marks out of

Item Marks Weightage
No 25
2 Pre-Final Exam 75 30 % 7.5
3 Assignments 350 50 % 12.5
3.1 Ward Management
25
1. Preparation of Duty Roaster
25
2. Preparation of diet sheet 25
100
3. Ward reports
4. Ward supervision and evaluation
3.2 Group Work
25
1. Maintenance of bulletin board.
3.3 Conduct three educational session
50
1. MOT ( Clinical Demonstration)
50
50
2. Health Education
3. Panel Discussion
Total 475 100% 25
University Examinations:
Theory Exam
Total = 100 Marks
302

Section A:
Q 1) Multiple choice question (20 MCQ x ½ mark each) Total = 10 marks

a)
b)
c)
d)
e)
f)
Q 3) Short Notes: 5 marks each (Any Five) (5 x 5 = 25 marks)

a)
b)
c)
d)
e)
f)
Q 4) Long Answer Question: 15 marks (Any Two) (2x15 = 30 marks)
A) i. 2 marks
ii. 5 marks
iii. 8 marks
B) i. 2 marks
ii. 5 marks
iii. 8 marks
C) i. 2 marks
ii. 5 marks
iii. 8 marks
303
Question Paper Format (First Term)

a)
b)
c)
d)
e)
f)

a)
b)
c)
d)
e)
Q 4) Long Answer Question: 15 marks (Any One) (15x 1 = 15 marks)
c. i. 2 marks
ii. 5 marks
iii. 8 marks
d. i. 2 marks
ii. 5 marks
iii. 8 marks
304
Evaluation Criteria for Duty Roster
Name of the Ward: __________________________________________________________
Date:_______________

No. allotted obtained
1 Adequacy-Requirements 10
2 Organization 3
3 Accuracy (Following guidelines) 5
4 Neatness 2
5 Self-Explanatory 5
TOTAL 25
Remarks:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Signature of the student & Date Signature of the Supervisor & Date
305
GUIDELINES FOR ASSIGNMENTS: DIET SHEET
Diet sheet
a) Daily basis
 Study the different types of hospital diets & their dietary allowances and write a brief
report
 Note the prescribed diet for each patient
 Records in diet sheet
b) Give references and illustrations (Figure, graph and picture)
c) Conclusion (Highlight learning achieved.
GUIDELINES FOR PRACTICAL EXPERIENCE
1. Admission and discharge and transfer of patients

2. Assignment of duties in ward
3. Preparation of duty roaster
4. Supervision of nursing care
5. Indenting of drugs, stores and supplies
6. Maintenance of dangerous drugs – Indenting, Storing, Accounting, Recording
7. Diet – Maintenance of diet sheet
8. Inventories - Expendable and non-expendable
9. Repair and replacements
10. Ward report – Written and Oral reports
11. Supervision and guidance of paramedical staff and domestic staff
306
Evaluation Criteria for Diet Sheet
Area/Dept: _________________________________________________________________
Duration of posting:_________________________________________________________
Date: _____________________
Sl. Criteria Marks allotted Marks obtained

No
1 Clear and Comprehensive 5
2 Accuracy of Diet Sheet 5
3 Preparation of Diet Sheet 5
4 Neatness 5
5 Reference and Illustration 5
TOTAL 25
Remarks:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
307
GUIDELINES FOR WARD MANAGEMENT REPORT
1. Introduction
 Name of the ward
 Duration of experience with dates
 Objective of ward administration experience
2. Organization chart of the ward

 Draw the organization chart of the ward and hospital depicting staff position along with
communication channels and hierarchical lines
3. Ward lay out and physical facilities of the ward

 Describe the ward lay out and physical facilities available and compare it with the
standards of an ideal ward
4. Reports and Records

 Describe the various reports and records maintained in the ward
 Study these documents critically for completeness, accuracy and relevance and give
your suggestions and recommendations.
5. Procedures & Policies

 Study the policies and procedures and critically evaluate them
 Indenting drugs, stores, supplies & describe them briefly
 Admission & discharge and transfer
 Visitors
 Out pass, absconding
 Critically ill patient, Death
 Treatments
 Emergency care
 SOP for Anaphylaxis, HIV infections, Needle stick injuries, Hospital waste management
 Security of the ward
 Fire drills
 Preparation of diet sheet
6. Classify the various types of drugs, stores, supplies and equipments in the ward.
Study the procedure for maintenance, store and supplies
7. Enlist the suggestions and recommendations
8. Conclusion
308
Evaluation Format for Ward Management Report
Name of the Student:______________________________________________________
Area/Dept: ______________________________________________________________
Duration of Posting:_______________________________________________________
Sr. Criteria Maximum Marks Marks Allotted

No.
1 Comprehensive 5
2 Clear And Relevant content 5
3 Critical Analysis 5
4 Suggestions And Recommendations 5
5 Conclusion 5
Total 25
Remarks:
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________
309
GUIDELINES FOR EVALUATING PRACTICAL EXPERIENCE
Name of the Student:______________________________________________________
Area/Dept: _____________________________Duration of Posting:__________________
Sr. Criteria 5 4 3 2 1
No
I Knowledge
1 Has knowledge regarding nursing responsibilities in
a. Organization & planning in days work
b. Meeting emergency needs
c. Providing comprehensive patient care
2 Has knowledge of
a. Indenting, maintaining & dispensing of drugs.
b. Holding of inventories and care of equipments
3 Has knowledge of various records related to patient care.
4 Has knowledge of communication process
II Practice
5 Is able to communicate effectively with health team members
6 Is able to coordinate with health team member
7 Is able to plan & conduct clinical teaching programmes
8 Is able to conduct incidental teaching at the bed side
9 Is able to render nursing according to identified nursing needs
& problems
III Leadership
10 Is able to inspire confidence & has patience in dealing at all times
11 Is enthusiastic and approachable
12 Is willing to accept consequences of decision and action
13 Is able to accept leadership roles voluntarily
14 Co-operative and maintains good IPR
15 Avails opportunities for personal & professional growth
16 Practices democratic approach in all dealings
IV Recording Reporting and Evaluating
17 Able to record & report all relevant facts accurately
18 Evaluate objectively
V Professional Appearance
19 Is well groomed & neat uniform
20 Is able to maintain good poise
Marks
Total Marks
Signature of the Student with date Signature of the Teacher with date
310
Evaluation Criteria for Group Work
Topic:_____________________________________________________________________
Group:______________________________________________________________________
_________________________________________________________________________
Total marks: 25 Date:________________
Sr. Criteria Marks allotted Marks obtained

No.
1 Adequacy of the content 5
2 Organization 5
3 Relevance 5
4 Neatness in presentation 5
5 Innovative Ideas 5
TOTAL 25
Remarks:
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
311
Evaluation Criteria for Panel Discussion
Topic:_____________________________________________________________________
Group: ____________________________________________________________________
Date:_____________
Sr. Criteria 1 2 3 4 5
No.
I Subject Matter
 Introduction
 Organization of content
 Sequence of topic
 Control of group
 Relevant references
II Presentation of topics
 Group participation
 Relevant examples and recent data
 Voice and clarity
III Physical arrangement
 Environment and classroom preparation
IV Speaker’s qualities
 Grooming, mannerism and gestures
Remarks:
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
312
MIDWIFERY AND OBSTETRICAL NURSING

Placement: Fourth year Time: Theory - 90 hours
Clinical - 180 Hours
Internship - 240 Hours
Course Description:
This course is designed for students to appreciate the concepts and principles of Midwifery and
obstetrical nursing. It helps them to acquire knowledge and skills in rendering nursing care to
normal and high risk pregnant woman during antenatal, natal and post natal periods in hospitals
and community settings. It also helps to develop skills in managing normal and high-risk
neonates and participate in family welfare programme.
Specific objectives: At the end of the course student will be able to:
1. Recognize the trends and issues in midwifery and obstetrical Nursing.
2. Describe the anatomy and physiology of female reproductive system.
3. Describe the diagnosis and management of women during antenatal period.
4. Describe the physiology and stages of labour and management during intranatal period.
5. Describe the physiology of puerperium and the management during postnatal period.
6. Describe the assessment and management of normal neonate.
7. Describe the identification and management of women with high risk pregnancy.
8. Describe management of abnormal labour and Obstetrical emergencies.
9. Describe management of postnatal complications.
10. Identify the high risk neonates and their nursing management.
11. Describe indication, dosage, action, side effects & nurse’s responsibilities in the
administration of drugs used for mothers.
12. Appreciate the importance of family welfare programme and describe the methods of
contraception & role of nurse in family welfare programme.
313

I 5 Introduction to midwifery and obstetrical Nursing
 Introduction to concepts of midwifery and
obstetrical nursing.
 Trends in Midwifery and obstetrical nursing.
 Historical perspectives and currents trends.
 Legal and ethical aspects
 Pre-conception care and preparing for parenthood
 Role of nurse in midwifery and obstetrical care.
 National policy and legislation in relation to
maternal health & welfare
 Maternal, morbidity, mortality rates, Perinatal,
morbidity & mortality rates
II 8 Review of anatomy and physiology of female
reproductive system and foetal development
 Female pelvis-general description of the bones
joints, ligaments, planes of the pelvis diameters of
the true pelvis important landmarks, variations in
pelvis shape.
 Female organs of reproduction-external genetalia,
internal genital organs and their anatomical
relations, musculature blood supply, nerves,
lymphatic, pelvic cellular tissue, pelvic
peritoneum.
 Physiology of menstrual cycle
 Human sexuality
 Foetal development
 Conception
 Review of fertilization, implantation
(embedding of the ovum), development of the
embryo and placenta at term-function,
abnormalities, the fetal sac, amniotic fluid, the
umbilical chord,
 Foetal circulation, foetal skull, bones, sutures
and measurements.
 Review of Genetics.
Assessment and management of pregnancy (ante-  Antenatal
III 6 2 history
natal)
 Normal pregnancy taking
 Physiological changes during pregnancy.  Physical
 Reproductive system Examinati
 Cardio vascular system on
 Respiratory system  Recording
 Urinary system of weight
 Gastro intestinal system & B.P
314
 Metabolic changes Hb & Urine
 Skeletal changes testing for
 Skin changes sugar and
 Endocrine system albumin
 Psychological changes Antenatal
 Discomforts of pregnancy Examination ,
 Diagnosis of pregnancy abdomen &
 Signs breast
 Differential diagnosis
 Confirmatory tests Immunization
 Ante-natal care Assessment of
 Objectives risk status
 Assessment- History and physical examination,
Teaching
Antenatal Examination
antenatal
 Signs of previous child-birth
mothers
 Relationship of foetus to uterus and pelvis: Lie,
Attitude, Presentation, Position Maintenance
 Per vaginal examination of Antenatal
 Screening and assessment for high risk: records
 Risk approach
 History and Physical Examination
 Modalities of diagnosis; Invasive & Non- Invasive
& ultrasonic, cardio tomography, NST, CST.
 Antenatal preparation
 Antenatal counseling
 Antenatal exercises
 Diet
 Substance use
 Education for child-birth
 Husband and families
 Preparation for safe confinement
 Prevention from radiation
 Psycho-social and cultural aspects of pregnancy
 Adjustment to pregnancy
 Unwed mother
 Single parent
 Teenage pregnancy
 Sexual violence
 Adoption
IV 11 Assessment and management of intranatal period. 1 Assessment of
 Physiology of labour, mechanism of labour. women in
 Management of labour labour.
First stage Per vaginal
 Signs & symptoms of onset of Labour. examination
 Duration and
 Preparation of Labour room interpretation.
 Preparation of Women
315
 Assessment and observation of women in Monitoring
labour; partogram (maternal & foetal and caring of
monitoring) women in
 Active management of labour, induction of labour.
labour
 Pain relief & comfort in Labor Maintenance
Second stage of partogram.
 Signs and symptoms; normal & abnormal Conduct
 Duration normal
 Conduct of delivery; Principles & techniques Deliveries.
 Episiotomy (only if required)
 Receiving the new born Newborn
- Neonatal resuscitation initial steps & assessment
subsequent resuscitation and
- Care of umbilical cord immediate
- Immediate assessment care.
- Screening for congenital anomalies
- Identification Resuscitation
- Bonding of newborn.
- Initiate feeding Assessment of
- Screening and transportation of the neonate risk status of
Third Stage newborn.
 Signs and symptoms; normal and abnormal
Episiotomy
 Duration
and suturing.
 Method of placenta expulsion
 Management; Principles and Maintenance
 techniques of labour and
 Examination of the placenta birth record.
 Examination of perineum
Arrange for
 Maintaining records & reports and assist
with
 Fourth Stage
Caesarean
section and
care of
women and
baby during
caesarean
section.
Arrange for
and assist with
MTP and other
surgical
procedures.
316
V 4 Assessment and management of women during post 1 Examination
natal period &
 Normal puerperium; Physiology, Duration assessment of
mother &
 Postnatal assessment and management
baby
 Promoting physical &emotional well being Identification
 Lactation management of deviations
 Immunization
Care of
 Family dynamics after child-birth.
postnatal
 Family welfare services; methods, counseling
mother &
 Follow – up baby
 Records and reports
Perineal care
Lactation
management
Breast feeding
Baby bath
Immunization
Teaching
postnatal
mother:
Mother craft,
postnatal care
Exercises,
Immunization
VI 6 Assessment and management of normal neonates. 1
 Normal neonates;
 Physiological adaptation,
 Initial & Daily assessment
 Essential newborn care ;Thermal control,
 Breast feeding, prevention of infections
 Immunization
 Minor disorders of newborn and its management
 Levels of neonatal care (level I,II& III)
 At primary, secondary and tertiary levels
 Maintenance of Reports &Records
VII 12 High risk pregnancy assessment & management
 Screening & assessment
 Ultrasonics, cardio tomography, NST,CST,
non-invasive & invasive,
 Newer modalities of diagnosis
 High – risk approach
 Levels of care ; primary, secondary & tertiary
levels
 Disorders of pregnancy
 Hyper- emesis gravidarum, bleeding in early
317
 pregnancy, abortion, ectopic.
 pregnancy, vesicular mole,
 Ante-partum haemorrage
 Uterine abnormality and displacement.
 Diseases complicating pregnancy
 Medical & surgical conditions
 Infections, RTI (STD),UTI, HIV, TORCH
 Gynecological diseases complicating
pregnancy
 Pregnancy induced hypertension & diabetes
 Toxemia of pregnancy, Hydramnios,
 Rh incompatibility
 Mental disorders
 Adolescent pregnancy, Elderly primi and grand
multipara.
 Multiple Pregnancy
 Abnormalities of placenta & cord
 Intra – uterine growth –retardation
 Nursing management of mothers with high- risk
pregnancy
Maintenance of Records & Report
VIII 10 Abnormal Labour- Assessment and management

 Disorders in labour
 CPD & contracted pelvis
 Malpositions and malpresentations
 Premature labour, disorders of uterine contractions
–precipitate labour prolonged labour
 Complications of third stage: injuries to birth
canal
 Obstetrical emergencies and their management;
 Presentation & prolapse of cord,
 Vasa praevia,
 amniotic fluid embolism,
 rupture of uterus,
 shoulder dystocia,
 obstetrical shock
 Obstetrical procedures & operations;
 Induction of labour,
 forceps,
 vacuum version,
 manual removal of placenta,
 caesarean section,
 destructive operations
 Nursing management of women undergoing
obstetrical operation and procedure.
318
IX 4 Abnormalities during postnatal periods
 Assessment and management of woman with
postnatal complications
 Puerperial infections,
 breast engorgement & infections,
 UTI,
 thrombi-Embolic disorders,
 Postpartum haemorrage,
 Eclampsia and sub involution,
 Psychological complications:
 Post partum Blues
 Post partum Depression
 Post partum Psychosis
Newborn
X 8 Assessment and Management High risk newborn. 1 assessment
 Admission of neonates in the neonatal intensive Admission of
care units protocols neonates
 Nursing management of :
Feeding of at
 Low birth weight babies
risk neonates
 Infections
Katori, spoon,
 Respiratory problems
paladi, tube
 Haemolytic disorders
feeding, total
 Birth injuries
parenteral
 Malformations
nutrition
 Monitoring of high risk neonates
 Feeding of high risk neonates Thermal
 Organization & Management of neonatal intensive management of
care units neonates
 Maintenance of reports and records kangaroo
mother care,
care of baby in
incubator
Monitoring and
care of
neonates
Administering
medications
Intravenous
therapy
Assisting with
Diagnostic
procedure
Assisting with
Exchange
Transfusion
319
Care of baby
on ventilator
Phototherapy
Infection
control
protocols in the
nursery
Teaching &
counseling of
parents
Maintenance
of neonatal
records
XI 4 Pharmaco- therapeutics in obstetrics
 Indication, dosage, action, contra indication & side
effects of drugs
 Effect of drugs on pregnancy, labour & puerperium,
 Nursing responsibilities in the administration of
drug in Obstetrics –Oxytocins, antihypertensive,
diuretics, tocolytic agents, anti-convulsants;
 Analgesics and anesthetics in obstetrics.
 Effects of maternal medication on foetus & neonate
XII 7 Family welfare programme Counseling
 Population trends and problems in India technique
 Concepts, aims, importance and history of family
Insertion of
welfare programme
IUD
 National Population: dynamics, policy & education
 National family welfare programme; RCH,ICDS, Teaching on use
MCH. Safe motherhood of family
 Organization and administration; at national state, planning
district, block and village levels. methods
 Methods of contraception; spacing, temporary& Arrange for &
permanent, Emergency contraception Assist with
 Infertility & its management family
 Counseling for family welfare programme Planning
 Latest research in contraception operations
 Maintenance of vital statistics
Maintenance of
 Role of national, international and voluntary records and
organizations reports
 Role of a nurse in family welfare programme
 Training / Supervision/ Collaboration with other
functionaries in community like ANMs. LHVs,
Anganwadi workers, TBAs (Traditional birth
attendant-Dai)
320
METHOD OF TEACHING A.V.AID
- Lecture discussion - Charts

- Demonstration - Graphs
- Case discussion/ Presentation - Models
- Health talk -Video film
- Projects
BIBLIOGRAPHY:
1. Dutta -Text book of Obstetrics. Text book of Gynecology.
2. C.S.Dawn- Textbook of Gynecology Contraception and Demography.
3. Campbell-Gynecology by ten teachers
4. Myles - Text book of Midwifes .
5. D.C Dutta .Textbook of Gynaecology. New Central book agency, Kolkata
6. D.C Dutta . Texrbook of obstetrics. New Central Book Agency, Calcutta
7. C S Dawn. “Textbook of Gynecology, contraception and Demography. Dawn Books,

Kolkata
8. Ash Monga. Gynaecology by ten Teachers. Book power, London
9. Diane.M.Fraser. Myles Textbook for Midwives, Chruchill Livingstone, US
321

PRACTICAL
Fourth year : 180 Hrs
Internship : 240 hrs
Specific objective: At completion of the course the student is able to:

1. Able to assessment of antenatal women.
2. Provide nursing care to post natal mother & baby
3. Counsel & teach mother & family for parenthood.
4. Provide nursing care to Newborn at risk.
5. Counsel for responsible Planned Parenthood & provide Family welfare services.
AREAS FOR CLINICAL EXPERIENCE:

1. Antenatal Clinic / OPD - 2 weeks
2. Labour room / Operation theatre - 4 weeks
3. Post Natal Ward - 4 weeks
4. Newborn Nursery (NICU) - 2 weeks
5. Family Planning Clinic - 1 week
(On rotation from Post Natal Ward)
ASSIGNMENTS
Plan and give care to 3-4 assigned patients in the assigned clinical areas.
Antenatal Clinic Labour room / Post Natal Newborn Family
/ OPD Operation theatre Ward Nursery Planning Clinic
Conduct Conduct normal Give care to Case study-1 IUD
Antenatal deliveries- 20 post natal insertion-5
Examinations - 30 mothers-20
Pervaginal
Health talk-1 Examination-5
Health talks-1 Observation Observation
Perform and suture
study-1 Study-1
the Episiotomies-5
Case book
recordings Resuscitate Case study- Counselling-2
newborn-5 Case
presentation-
Assist with 1
cesarean section -2 Simulation
Case book exercise on
Witness abnormal recordings recording
deliveries- 5 and
reporting-1
Assist with MTP
and other Surgical
procedures-1
Case book
recordings
322

PRACTICAL
THEORY (25 marks)
Sr. No Item Marks Weightage Marks
2 Pre-Final Exam 75 30 % 7.5
3 Seminar 100 50% 12.5
Total 225 100% 25
PRACTICAL (50 Marks)

Sr. No Item Marks Weightage Marks
1 First Term Exam 50 20% 10
2 Pre-Final Exam 100 30 % 15
3 Assignments 850 50% 25
Health Talk – ANC 25
Health Talk – PNC 25
Case Presentation-ANC 50
Case study – ANC 50
Case study –PNC 50
Observation Study- New Born 50
Observation Study-FPC 50
Clinical Evaluation- ANC 100
Clinical Evaluation- PNC 100
Clinical Evaluation – Labour ward 100
Clinical Evaluation – Nursery 100
Drug Study 50
Case Book 100
Total 1000 100% 50
323

a.
b.
c.
d.
e.
f.

a.
b.
c.
d.
e.
f
Q4 ) Long Answer Question: 15marks(Any Two) (2 x15 = 30 marks)
a. i. 2 marks
ii. 5 marks
iii. 8 marks
b. i. 2 marks
ii. 5 marks
iii. 8 marks
c. i. 2 marks
ii. 5 marks
iii. 8 marks
324

a.
b.
c.
d.
e.
f.
Q3 ) Short Notes : 5 Marks each ( Any four ) ( 4 x 5 = 20 marks)

a.
b.
c.
d.
e.
a. i. 2 marks
ii. 5 marks
iii. 8 marks
b. i. 2 marks
ii. 5 marks
iii. 8 marks
325

(Fourth B.Sc. Nursing)
326
SEMINAR EVALUATION CRITERIA

Topic : ___________________________________________________________________
Audience: _________________________________________________________________
Date: ______________________________________Time: __________________________
Sr. Factors/ Elements Rating

No. 1 2 3 4 5
I Subject Matter
1) Introduction
2) Organization of Content
3) Presentation of Topic
4) Relevant Examples
5) Relevant Statistical data
6) Group participation
7) Control of group
8) Conclusion
Physical Arrangement
II 1) Environment
2) Classroom Preparation
A.V. AIDS
III 1) Appropriate to subject
2) Planning & Preparation
3) Proper use of A.V.Aids
4) Self – Explanatory
5) Attractive
6) Use of Modern Technology
IV Presentation Skills
1) Voice and Clarity
2) Mannerism
V Personal Appearance
VI References( Books, Journals & Resource Person)
Marks
Total Marks
Overall Observation
_____________________________________________________________________________
_________________________________________________________________________
Signature of the Student & Date Signature of Supervisor & Date
327

Topic : ____________________________________________________________________
Date: ______________________________________Time: __________________________

Total 100 Marks
Scores: 5 = Excellent, 4 = Very good, 3 = Good, 2 = Satisfactory / fair
I Planning and organization
e) Suitable A.V. Aids
II Presentation:
a) Interesting
b) Clear Audible
f) Time Limit
Personal qualities:
c) Language
d) Mannerism
Feed back:
b) Effectiveness
c) Group response
Marks
Total Marks (out of 100) = Out of 25 =
REMARKS:

328
ANC CASE STUDY / PRESENTATION FORMAT
1. Demographic data:
a) Patient’s Name, Age in years, Dr’s unit, reg.no, education, occupation, income, religion,
marital status, duration of marriage Gravida, para Abortion living, blood group
b) Husband: Name, Age, education, occupation, income
2. Menstrual history: age of menarche, duration of menstrual cycle, duration of cycle in days,
regularity, amount of flow, LMP, EDD, associated complaints
3. Contraceptive history:
4. Family history:
5. Diet history:
6. Socioeconomic status
7. Personal habit
8. Psychosocial status
9. Present Complains:
10. History of Illness:
11. Present pregnancy: Date of booking, number of ANC visits, H/O minor ailments
12. Antenatal attendance: Date, weight, pallor, edema, BP, Wt. Ht, presentation/position, FHS,
Hb, Urine albumin/sugar, treatment
13. Obstetric history: H/O Previous pregnancy / deliveries, Period of pregnancy, type of
labour/delivery, birth weight, PNC condition, remarks.
14. Past medical, surgical history:
15. Physical assessment: General examination: head to foot Obstetric palpation, Auscultation
16. Investigation
17. Treatment
18. Description of disease
19. Therapeutic diet plan
20. Nursing care plan including antenatal advice and discharge planning
21. Nurse’s notes
23. Conclusion
24. References
329
PNC CASE STUDY / PRESENTATION FORMAT
1. Identification data
a) Patient: Name, Age in years, Dr’s unit, reg.no, education, occupation, income, religion,
marital status, duration of marriage, gravida, para, abortion, living, blood group
b) Husband: Name, Age, education, occupation, income
2. Present complaints
4. Menstrual history: age of menarche, duration of menstrual cycle, duration of cycle in days,
regularity, amount of flow, LMP, EDD, associated complaints
5. Contraceptive history:
6. Antenatal attendance: Date, weight, pallor, edema, BP, Ut. Ht, presentation/position, FHS,
Hb,Urine albumin/sugar, treatment
7. Obstetric history: H/O Previous pregnancy / deliveries, Period of pregnancy, type of
labour/delivery, birth weight, PNC condition, Condition of new born, remarks
8. Present pregnancy: Date of booking, number of ANC visits, H/O minor ailments
9. Past medical, surgical history:
10. Family history:
11. Diet history:
12. Socioeconomic status
13. Personal habits
14. Psychosocial status
15. Physical assessment: Mother: General examination: head to foot
Baby: new born assessment
16. Investigation and Ultrasonograhy reports
17. Treatment
18. Description of disease
19. Therapeutic diet plan
20. Nursing care plan
21. Nurse’s notes
22. Discharge planning and postnatal advice
24. References
330
NEW BORN CASE STUDY FORMAT
1. Name
2. Date of birth / discharge
3. Reg.no
4. Dr’s unit
5. Mother’s previous obstetric history
6. Present pregnancy
7. Labour history
8. Baby’s birth history
9. General examination: head to foot
10. Daily observation chart
11. Nursing care plan
331
EVALUATION CRITERIA CASE STUDY
Patient Name : _____________________________________________________________
Diagnosis: _________________________________________________________________
Date: ______________________________________Area: __________________________
2 Knowledge & understanding of 10

disease / condition
3 Nursing Process including 10
discharge plan
TOTAL 50
REMARKS:
_____________________________________________________________________________
_________________________________________________________________________
_____________________________________________________________________________
_________________________________________________________________________
_____________________________________________________________________________
_________________________________________________________________________
332
EVALUATION CRITERIA CASE PRESENTATION
Patient Name : _____________________________________________________________
Diagnosis: _________________________________________________________________
Date: ______________________________________Area: __________________________
2 Knowledge & understanding of 10

disease / condition
4. Nursing Process 15
5. A.V aids 05
6. Summary & evaluation 03
7. Bibliography 02
TOTAL 50
REMARKS:
_____________________________________________________________________________
_________________________________________________________________________
_____________________________________________________________________________
_________________________________________________________________________
333
Evaluation Criteria for Observation Report
Name of The Student:________________________________________________________

Area: _____________________________________________________________________
Total marks: 50 Date:__________________

No. allotted obtained
1 Introduction 5
2 Formulation of attainable objectives 5
3 Adequacy of content 10
4 Organization of subject matter 15
5 Recording and reporting of current modalities 10
6 Overall summary and conclusion 3
7 Comparison with prescribed norms 2
TOTAL 50
REMARKS:
_____________________________________________________________________________
_________________________________________________________________________
_____________________________________________________________________________
_________________________________________________________________________
334
Name of the student: ______________________________________________________
Duration of Experience: ___________________________________________________
Total Marks: - 100

Scores: - 4 = Very good, 3 = Good, 2 = Satisfactory / fair, 1 = Poor
Sr. Grades
EVALUATION CRITERIA
No 4 3 2 1
1 Quality of clinical skill
1 Able to elicit health history of mother accurately.
2 Skillful in carrying out physical examination, developmental
screening and detecting deviations from normal
performing duties
4 Able to plan and implement care both preoperatively and post
operatively.
promptly.
7 Able to calculate and administer medicines accurately
9 Recognizes the role of play in children and facilitates play therapy
in hospitalized children
10 Observes carefully, reports & records signs & symptoms & other
relevant information
11 Uses opportunities to give health education to patients & relatives
II Application of knowledge
12 Possess sound knowledge of obstetric conditions.
13 Has sound knowledge of scientific principles
14 Has knowledge of normal and abnormal labour.
15 Has knowledge of current treatment modalities inclusive of
medicine, surgery, pharmacology and dietetics.
16 Takes interest in new learning from current literature & seeks help
from resourceful people.
III Attitude to Co-workers and patients
17 Works well as member of nursing team
18 Gives assistance to other in clinical situations
19 Understands the patient as an individual
335
Grades
Sr.
EVALUATION CRITERIA
No 4 3 2 1
20 Shows skills in gaining the confidence & cooperation of mother
and relatives, tactful and considerate
23 Demonstrates understanding of the need for quietness in speech
24 and manner
25 Is notably poised and effective even in situations of stress.
Marks
Total Marks
Grade
Very good = 70 % and above
Good = 60 – 69 %
Satisfactory = 50- 59 %
Poor = Below 50 %
REMARKS:
_____________________________________________________________________________
_________________________________________________________________________
_____________________________________________________________________________
_________________________________________________________________________
336
FORMAT FOR DRUG STUDY
1. Index of drug
2. Introduction
3. Classification of drugs
4. Factors affecting action of drugs
5. Name of the drug (Trade & Pharmaceutical name)
6. Preparation, strength, dose and route
7. Indications and contraindications
8. Actions
9. Adverse effects and drug interactions
10. Nursing responsibility
11. Conclusion
12. References
337

EVALUATION CRITERIA – DRUG STUDY
Patient Name : _____________________________________________________________
Diagnosis: _________________________________________________________________
Date: ______________________________________Area: __________________________

obtained
1 Planning and organization 05
2 Content 15
4 Conclusion & References 05
TOTAL 25
REMARKS:
_____________________________________________________________________________
_________________________________________________________________________
_____________________________________________________________________________
_________________________________________________________________________
_____________________________________________________________________________
_________________________________________________________________________
338
CASE BOOK
Sr. No No. Of
Case Book Contents cases
1 Antenatal examinations 30
2 Conducted normal deliveries 20
3 PV examinations 05
4 Episiotomy & suturing 05
5 Neonatal resuscitations 05
6 Assist with caesarean section 02
7 Witness / assist abnormal deliveries 05
8 Post natal cases nursed in hospital / health centre / home 20
9 Insertion of IUCD 05
All cases should be certified by teacher on completion of essential requirements.
INTERNSHIP
MDWIFERY AND OBSTETRICAL NURSING- PRACTICAL
Placement: Internship Total hours: Practical-240 hrs
Objective: At the end of the course the students are able to provide comprehensive care to
mothers and neonates.
Area Duration in wks Assignment
Labour Ward 2 wks Completion of case book
NICU 1 wk Completion of assignment
Antenatal OPD 1 wk Completion of case book
Antenatal ward 1 wk Completion of case book
339
B.Sc. NURSING PROGRAMME

GUIDELINES FOR PRACTICAL EXAMINATION
340
NAVI MUMBAI

EVALUATION CRITERIA FOR PRACTICAL EXAMINATION
(For both Internal and External Examiner)
SUBJECT: NURSING FOUNDATION
GRAND
NURSING PROCEDURE (20) VIVA (20) OSPE(10) TOTAL
(A+B)
Planning and Execution of Termination of
organizing (5) Procedure (12) Procedure (3)
Preparation of Environment
Applies scientific principles
Makes patient comfortable

Ensures sequential order
Knowledge of principles
Seat No. of
Equipment and articles

Preparation of patient
Students
After care of articles

Reports & Records
OSPE station -1
OSPE station -2
Preparation
Proficiency
Total (B)
Bandaging
Total (A)
Total (C )
First Aid
of Tray
in skill
1 2 2 4 4 4 1 1 1 20 6 6 4 4 20 5 5 10 50
Signature of Examiner with date

NAVI MUMBAI
PRACTICAL EXAMINATION MARKSHEET

FISRT B.Sc. NURSING
Exam Centre: ________________________________________________________________
Subject: ______________________________________________Date: _________________
Internal Examiner External Examiner Total

Seat No. Procedure Procedure Marks
Assessment Viva OSPE Total Assessment Viva OSPE Total
20 20 10 50 20 20 10 50 100
Signature of Internal Examiner: Signature of External Examiner:

Date: Date:
NAVI MUMBAI

SUBJECT: MEDICAL SURGICAL NURSING - I
PROCEDURE ASSESSMENT (15) NURSING VIVA (20)
PROCESS OSPE (10)
Preparation Preparation ofPreparation (5)
Skills in procedure After care KNOWLEDGE OF
of tray environment of patient
Equipments/ Instruments
OSPE Station (7 marks)
OSPE Station (3 marks)

Explanation of procedure
Recording and Reporting

Applies related scientific
Comfortable Positioning
patient during procedure

GRAND
Maintenance of privacy
Disease Condition
General nursing
Proficiency in skills
SEAT NO.
TOTAL

Communicates with
TOTAL (C)
Selection of articles
management
Economy of Time,
Total
Energy & Material

(B)
Drugs
Follows steps of
(A) (A+B+C)
Improvisation
Patients unit
procedure
principles
1 1 1 1 1 1 1 1 2 1 1 1 1 1 15 5 5 5 5 5 20 10 50
[Signature of Examiner with date

NAVI MUMBAI

SECOND B.Sc. NURSING
Exam Centre: ________________________________________________________________
Subject: ______________________________________________Date: _________________
Internal Examiner External Examiner

Seat Procedure Viva Nursing OSPE Procedure Viva Nursing OSPE Total Total
No. Assessment Process Assessment Process
15 20 5 10 15 20 15 10 100 100

Date: Date:
NAVI MUMBAI

SUBJECT: MEDICAL SURGICAL NURSING - II
PROCEDURE ASSESSMENT VIVA
Preparation
Preparation Preparation
of Skills in procedure After care KNOWLEDGE OF
of tray of patient
environment

Equipments/ Instruments

GRAND

Communicates with
Economy of Time,
NURSING
Disease Condition
Energy & Material
Total
SEAT NO.
TOTAL
Follows steps of
General nursing
Improvisation
PROCESS
TOTAL (B)
management
Patients unit
Total out of
procedure
principles
(C)
Drugs
15 (A) (A+B+C)
2 1 2 1 2 1 4 5 5 2 1 1 1 2 30 15 5 5 5 5 20 15 50

NAVI MUMBAI

THIRD B.Sc. NURSING
Exam Centre: ________________________________________________________________
Subject: ______________________________________________Date: _________________
Seat Internal Examiner External Examiner Total Total

No. Procedure Viva Nursing Procedure Viva Nursing
Assessment Process Assessment Process
15 20 15 15 20 15 100 50

Date: Date:
NAVI MUMBAI

SUBJECT: CHILD HEALTH NURSING
Preparation
of tray of patient
environment
Nursing care of Neonate&


Growth & Development

GRAND
Drugs, Instruments &

Immunization Schedule
Communicates with
Economy of Time,
NURSING
Energy & Material
Pediatric Disease
Total
SEAT NO.
TOTAL
Follows steps of
Improvisation
PROCESS
TOTAL (B)
Patients unit
Total out of
Condition
procedure
principles
(C)
articles
15 (A) (A+B+C)
2 1 2 1 2 1 4 5 5 2 1 1 1 2 30 15 5 5 5 5 20 15 50

NAVI MUMBAI

THIRD B.Sc. NURSING
Exam Centre: ________________________________________________________________
Subject: ______________________________________________Date: _________________

15 20 15 15 20 15 100 50

Date: Date:
NAVI MUMBAI

SUBJECT: MENTAL HEALTH NURSING
MENTAL STATUS EXAMINATION VIVA

KNOWLEDGE OF
General Appearance
Cognitive Function
Mood And Affect
Thought Process
And Behavior
Community Based
GRAND
Therapies used in
Mental Disorders
Mental Disorders
Mental Disorders
And Speech
Insight And
SEAT NO.
Perception
Judgment
Drugs used in
Total
TOTAL (B)
NURSING TOTAL
out of PROCESS (C)
Care
15 (A) (A+B+C)
2 2 4 2 3 2 15 5 5 5 5 20 15 50

NAVI MUMBAI

THIRD B.Sc. NURSING
Exam Centre: ________________________________________________________________
Subject: ______________________________________________Date: _________________

No. Mental Status Viva Nursing Mental Status Viva Nursing
Examination Process Examination Process
15 20 15 15 20 15 100 50

Date: Date:
NAVI MUMBAI

SUBJECT: MIDWIFERY AND OBSTETRICAL NURSING
Preparation
of tray of patient
environment
High Risk pregnancy and



Normal Pregnancy and

GRAND

Communicates with
Economy of Time,
NURSING
SEAT NO.
Energy & Material
Antenatal care and
their management
Total
Instrument and Drugs

TOTAL
Follows steps of
Improvisation
Postnatal care
PROCESS
Management
TOTAL (B)
Patients unit
Total out of
procedure
principles 15 (A)
(C)
(A+B+C)
2 1 2 1 2 1 4 5 5 2 1 1 1 2 30 15 5 5 5 5 20 15 50

NAVI MUMBAI

FOURTH B.Sc. NURSING
Exam Centre: ________________________________________________________________
Subject: ______________________________________________Date: _________________

15 20 15 15 20 15 100 50

Date: Date:
SEAT NO.
3
Approach to family
Selection of need based
3
procedure
Bag Technique (skill in
4
performing procedure)
Follow the scientific
3
(Home Visit)
principles
Nursing Procedure
Post care of bag and
2
equipments
3
Need based health teaching
Signature of Examiner with date:

Content, organization and
4
presentation
3
Use of A.V. Aids
3
Professional qualities
(OR) Health Education
2
Effectiveness
15
Total (A)
SUBJECT: COMMUNITY HEALTH NURSING
2
Assessment
2
Nursing Diagnosis
2
Goals / Objectives
4
Plan Intervention
4
Implementation
Nursing Process
NAVI MUMBAI
Evaluation
15
Total (B)
Health Planning and

3
national health policies

3
Family health care

FOURTH YEAR BASIC B.Sc. NURSING
Role and responsibilities of

CHN in PHC
3
National and International

agencies
National health and family

3
welfare programmes
Public Health and CHN
3
Administration
Health care delivery system
2
Viva
(Rural and Urban)

20
TOTAL (C)
50
GRAND
TOTAL
(A+B+C)
NAVI MUMBAI

FOURTH B.Sc. NURSING
Exam Centre: ________________________________________________________________
Subject: ______________________________________________Date: _________________

No. Procedure / Nursing Viva Procedure / Nursing Viva
health Process health Process
Education Education
15 15 20 15 15 20 100 50

Date: Date:

B.SC Nursing Curriculum Updated On 30.07.2019

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MGM INSTITUTE OF HEALTH SCIENCE, KAMOTHE,

Nursing is an art; and if it is to be made an art, requires as

PHILOSOPHY OF THE PROGRAMME:

We believe that ………………

o education provides students with opportunities to develop habits of critical,

o teaching and learning are essential continuing components of professional

o the importance of faculty involvement in research and clinical practice encourages

OBJECTIVES OF THE PROGRAMME:

MGM New Bombay College of Nursing endeavours to develop a nurse….

1. who demonstrates competency in the knowledge and skills in providing

2. who demonstrates competency in the skills and techniques of nursing based on

3. who is professionally competent to be a member of health team in meeting the

4. who is capable to demonstrate skills in teaching , management, interpersonal

5. who demonstrates leadership qualities and decision-making abilities to function

Course Duration = 4 Years

SL. SUBJECT THEORY (IN HRS) PRACTICAL (IN (IN

SL. THEORY (IN HRS) PRACTICAL (IN (IN

SL. SUBJECT THEORY (IN HRS) PRACTICAL (IN (IN

Total hours = 1300 hrs

SL. SUBJECT THEORY (IN HRS) PRACTICAL (IN (IN

3 Management of Nursing service 60+30

Intern-Ship (Integrated Practice)

SL. SUBJECT THEORY (IN HRS) PRACTICAL (IN (IN WKS )

Medical Surgical Nursing (Adult

Total Hours ( Fourth yr + Internship)= 1690 Hrs

Sl. Subject Duration Internal External Total

Sl. Subject Duration Internal External Total

Sl. Subject Duration Internal External Total

Sl. Subject Duration Internal External Total

1. Anatomy and Physiology : Question paper : will consist of Section A – Anatomy of

B.Sc. Nursing Program – 4 years duration

Sr. No. Particulars Weeks/hours

2. Vacation (Winter = 2 weeks, Summer = 4 weeks) 06

3. Examination (including preparatory leave) 04

4. Gazetted holidays as per MGM University 02

6. Hours per week 40

I YEAR B.Sc. NURSING

Unit Hrs Theory Hrs Practical

INTERNAL ASSESSMENT (25 MARKS)

Sr Item Marks Weightage Marks

2 Pre-final Exam 75 30% 7.5

3. Record Book/ Assignments/ Lab work

Question Paper Format (University exam)

Grand Total = 75 Marks

Q1). Multiple choice question (20 MCQ x ½ mark each)

Section C: (Physiology Questions) Total: 33 marks

Question Paper Format (first term exam)

Grand Total = 50 Marks

Section A: Total: 10 marks

Q1). Multiple choice question (20 MCQ x ½ mark each)

Section B: (Anatomy questions) Total: 20 marks

Q3) Short Notes : 5 marks each ( Any 2) (2 x 5 = 10 marks)

Q4.) Long Answer Question: 6 marks (Any one) (6 x1= 6 marks)

Section C: (Physiology Questions) Total: 20 marks

Q5) Short Answer Question: 2 marks each ( Any 2) (2 x 2 = 4 marks)

Q6) Short Notes: 5 marks each ( Any 2) (2 x 5 = 10 marks)

Q7.) Long Answer Question: 6 marks ( Any one) (6 x1= 6 marks)

Name of the Student: __________________________________________________

Academic Year: _____________________________________ Date: ____________

Total Marks: 25 marks

Sr. ITEM Maximum Marks Allotted

Signature of Student Signature of Teacher

NUTRITION & BIOCHEMISTRY

Academic Year: _________________________ Date:

Academic Year: _________________________ Date:

Academic Year: _________________________ Date:

Academic Year: _________________________ Date: