GNM Ist Year

Subject NAME:   ANATOMY AND PHYSIOLOGY

Theoretical HOURS: 90

Course OBJECTIVES

Upon completion of the course, the students will be able to:
•	Describe in general the structure and the function of human body 
•	Describe in detail the structure and function of different organs and systems in the human body 
•	Apply the anatomical and physiological principles in the practice of Nursing

Specific Objective	Content	
1. Introduction to anatomical terms
	•	Anatomical Terms	
2. Organization of body cells tissues, organs. systems membranes and glands	•	Organization of body cells tissues .organs. systems membranes and glands	
3. Skeletal system	•	Bones: types . structures ,functions 
•	Axial skeleton 
•	Appendicle skeleton 
•	Joints :classification, structure and function 	
4. Muscular system 
	•	Types ,structure and functions 
•	Position and action of chief muscles of body 	
5. Cardio-vascular system
	•	Blood :composition, clotting and blood group , cross matching, blood products and their use
•	Heart: position , structure , conduction system , function and cardiac cycle .
•	Blood vessels : structural differences and position of chief vessels
•	Circulation of blood : systemic , pulmonary and portal circulation
•	Blood pressure and pulse
•	Lymphatic system : lymph vessels , glands , ducts and lymph Circulation , lymph tissues in the body , spleen	
6. Respiratory system
	•	Structure and functions of respiratory organs
•	Physiology of respiration 
•	Characteristics of normal respiration and its deviations 	
7. Digestive system 
	•	Structure and functions of organs of digestion and accessory organs
•	Process of digestion and absorption .
•	Metabolism :meaning and metabolism of food constituents	
8. Excretory system 
	•	Structure and functions of organs of urinary system 
•	Structure and functions of skin 
•	Regulation of body temperature 
•	Fluid and electrolyte balance 	
9. Nervous system
	•	Type, structure and functions of neuron.
•	Central nervous system: structure and functions 
•	Autonomic nervous system: structure and functions. 	
10. Endocrine system	•	Structure and functions of pituitary , pancreas , thyroid, parathyroid, thymus and supra renal glands.	
11. Sense organs
	•	Structure and functions of eye, ear , nose and tongue. 
•	Physiology of vision , hearing and equilibrium	
12. Reproductive system 
	•	Structure and functions of reproductive and accessory organs. 
•	Process of reproduction, menstrual cycle and menopause 
•	Reproductive health 
•	Structure and functions of male reproductive system. 	

Subject NAME: MICROBIOLOGY
 Theoretical HOURS: 30

Course Objectives
Upon completion of this course, the students will be able to:

1.	Describe the classifications and characteristics of microorganism. 

2.	List the common disease producing micro-organisms and their characteristics. 
3.	Explain the activities of micro-organism in relation to the environment and the human body. 
4.	Enumerate the basic principle of control and destruction of micro-organisms. 
5.	Apply the principle of microbiology in nursing practice. 
Specific Objective	Content	
1. Introduction
	•	Brief historical review of bacteriology and microbiology.
•	Scope and usefulness of knowledge of microbiology in nursing	
2. Micro-Organisms
	•	Classification, structure, size method and rate of reproduction
•	Factors influencing growth
•	Pathogenic and non-pathogenic organisms
•	Normal flora of the body.
•	Common diseases caused by different types of microorganisms	
3. Infection and its transmission
	•	Sources of infection
•	Growth of microbes
•	Portals of entry and exit of microbes
•	Transmission of infection
•	Collection of specimens.	
4. Immunity
	•	Types of immunity
•	Hypersensitivity and autoimmunity.
•	Collection of specimen 	
5. The control and destruction of micro-organisms
	•	Principle and methods of microbial control
•	Sterilization: dry heat, moist heat, chemicals and radiation.
•	Disinfection physical, natural gases, chemicals used and preparation of lotions 
•	Chemotherapy and antibiotics
•	Medical and  surgical asepsis, cross- infection 
•	Control of spread of infection 
•	Pasteurization
•	Bio-safety and waste management.	
6. Introduction to Laboratory techniques	•	Microscope: Parts and uses. Handling and care of microscope
•	Introduction of culture media
•	Staining and examination of slides
•	Preparation and examination of smears.	

Subject NAME:   Psychology 

Theoretical HOURS: 40

Course objectives
Upon completion of this course, the students will be able to:
•	Describe the concept of mental health and psychology. 
•	Explain the dynamics of human behavior personality and learning. 
•	Discuss the role of adjustment mechanisms and emotions in health and illness. 

•	Demonstrate skills in the application of principle of psychology in nursing practice in all kinds of health care settings. 

Specific Objective	Content	
1. Introduction
	•	Definitions, scope of psychology and its importance in nursing profession	
2. Psychology of Human Behaviour
	•	Dynamics of behaviour, motivation and behavioral process of adjustment, adjustments and mal – adjustments unconscious behaviour.
•	Frustration: sources and nature of frustration, measures to overcome frustration.
•	Conflicts: types, unconscious conflict, resolution, conflict and nursing.
•	Adjustment Mechanism: meaning, types and importance
•	Emotions : in health and disease, emotional situations, control of emotions, effect of emotional reactions on health. 
•	Attitudes: meaning, development, changes in attitude, attitude and nursing. 
•	Habits: formation, types, effective habit formation, advantages and disadvantage of habit formation. 	
3. Learning
	•	Nature of learning, laws and types of learning, factors promoting Effective learning, memory and forgetfulness.
•	Thinking and type of thinking.
•	Nature and type of thinking. 
•	Problem solving and reasoning. 	
4. Observation	•	Attention and perception, factors affection attention and Observation and errors in perception. 	
5. Intelligence
	•	Definition, individual differences in intelligence.
•	Mental ability and nature of intelligence
•	Measurement of intelligence.
•	Development of intelligent behaviour. 	
6. Personality	•	Meaning, Types, factors affecting development of personality 
•	Characteristics of various age groups: Child, adolescent, adult and aged.
•	Will and character. 	

Subject NAME: SOCIOLOGY
Theoretical HOURS: 20
			
course objectives

Upon completion of this course, the students will be able to:

•	Describe the concept of the family as a social unit and the status of the individual in the family. 
•	Explain the dynamics of society and identify common social problems. 
•	Demonstrate ability to understand the socio-cultural and economic aspects of the community in the light of their effects on health and illness. 
•	Utilise the knowledge and understanding of sociology in nursing practice. 
Specific Objective	Content	
1. Introduction	•	Concept scope nature and importance of sociology in nursing. 
•	The socio-cultural and economic aspects of the community and their effects in health and illness.	
2. The Individual
	•	Brief review of human growth and development. 
•	Effect of environment on childhood, adolescence, adulthood and old age. 
•	The right and responsibilities of the individual in a democratic society. 	
3. The Family
	•	Family as a social institution and basic unit for health services. 
•	Basic needs of family, its structure and relationships. 
•	Family life education: 
-	Pre-marriage, 
-	marriage and 
-	parenthood. 	
4. The Society	•	Concept 
•	Group: 
- Types, 
- Structure, 
- Inter-group relationship. 
- Group cycle, 
- group behaviour and 
- group morale. 
•	Social changes, social control, social stratification. 
•	Rural and urban society. 
•	Social problems: unmarried mothers, dowry system, prostitution, drug addiction, alcoholism, delinquency, handicapped, child abuse, women abuse. 
•	Social agencies and remedial measures. 	
5. The Community	•	Definition, characteristics and culture	
6. Economy
	•	Resources of the country: 
-	Natural, 
-	Occupational 
-	Agricultural, 
-	Industrial 
•	Social Security 
•	Population explosion : Its effect on economy and the need for population control. 
•	 Budgeting for a family, per capital income and its impact on health and illness. 	

Subject NAME: Fundamentals of Nursing
Theoretical HOURS: 175
Clinical HOURS: 612

course Objectives

Upon completion of this course, the student will be able to :

•	Describe the physical mental and social adjustment required of a sick individual and his family. 
•	Carry out basic nursing techniques and care with the application of sound scientific principles. 
•	Explain the concept of comprehensive nursing care. 
•	Develop skills in assessment, planning, implementation and evaluation of the nursing care rendered to the patients. 
•	Communicate effectively and establish good interpersonal relationship with the patients, their relatives and other health team members.
•	Demonstrate skills in observation, recording and reporting. 
•	Recognize and utilize opportunities for planning and implementing need based health teaching programme(s) for individuals, groups, families and communities. 

Specific Objective	Content	
1. Introduction to Nursing	•	Nursing: 
- Definition, 
- Meaning, 
- Nature, 
- Scope, 
- Principle and 
- History of nursing. 
•	Nurse: 
- Definition and meaning, 
- Preparation of a nurse qualities-personal, professional. 
•	Ethics in nursing, Role and responsibilities of a nurse. 
•	Health care agencies: Hospital and Community, Types of Hospitals and their functions. 
•	Holistic approach to nursing. 
•	Comprehensive nursing care.	
2. Nursing care of the patient / Client

	•	Introduction to the sick and well. 
•	Determinants of health status. 
•	 Patient/Client : As an individual, member of the family, society, effects of illness and hospitalization on patient and his family. 
•	Admission of a patient : Patient’s unit, set up and care 
Bed and Bed Making 
•	Admission procedure, reception of patient, care of patient’s belongings. 
•	Principle of bed-making, factor to be considered in selecting and making bed, different types of beds and their uses.
Maintenance of therapeutic environment

•	Temperature, Light, noise and humidity.
Psycho Social Environment
•	Meaning and its importance,
•	 Aesthetic consideration in the environment,colour scheme beauty and flower arrangements. 
Nursing Process and Nursing Care Plan
•	Meaning
•	Importance 
•	Steps in development. 
Recording and Reporting
•	Importance, types and nurses responsibilities
Discharging a patient
•	Preparation of the patient physically and mentally, discharges procedure, hospital policies, preparation of the patient’s relatives for discharge. 
•	Follow up and Rehabilitation revisit, treatment compliance and referral, 	
3. Basic Nursing Care and Needs of the patient

	Hygienic Needs and Physical needs
•	Importance of maintaining good personal and environmental hygiene in health and disease. 
•	Nurse’s role in maintaining good personal and environmental hygiene. 
Care of Skin and Mucous Membrane.
•	Bed bath, care of hair, eyes, nose, ears, teeth, genitalia, hands and feet. 
Nutritional needs
•	Importance of diet in health and disease, 
•	factors affecting the normal nutrition in sickness, 
•	nurse’s role in maintaining good nutrition, 
•	feeding helpless patients, 
•	maintenance of intake and output record. 
Elimination needs
•	Problem in sickness: Constipation and diarrhea, retention and incontinence of urine.
•	Nurse’s role in meeting elimination needs. 
Safety needs 
•	Environmental hazards, role of nurses in prevention of health hazards. 
Communication needs
•	Interpersonal relationship, 
•	cultural/spiritual/religious needs. 
Activity and Exercises
•	Importance of activity and exercise in health and sickness, active and passive exercise.
Physical Comforts
•	Comfort : 
-	Meaning
-	Importance in health and disease, 
-	Factors promoting and inhibiting physical comfort, 
-	Comfort devices and their uses, 
-	Body mechanics, positions. 
Moving, shifting and Lifting of patient
•	Care of pressure points, bed sores: 
-	causes, 
-	signs, symptoms, 
-	prevention 
-	nursing care 
•	Shifting of patient from one side to another, from bed to wheel chair and bed to stretcher. 	
4. Assessment of patient / Client

	•	Principles  and  importance  of  assessment,  methods  of  assessment  : 
-	observation, 
-	palpation, 
-	auscultation,
-	 percussion, 
-	developing skill in observation.
Physical Assessment
•	Height, weight, posture, speech 
•	Physiological Assessment 
•	Temperature, pulse, respiration and blood pressure 
•	Characteristics of normal and abnormal (T.P.R. and B.P.) and factors influencing the variations. 
•	Urine stool, vomit, sputum, normal and abnormal behaviour and its deviation. 	
5. Therapeutic Nursing Care and Procedures 

	Asepsis
•	Hand washing, hand scrubbing, use of mask, gown, gloves 
•	Disinfection techniques, sterilization techniques. 
•	Autoclaving, boiling, flaming, ultra violet rays. 
Care and Sterilization of:
•	Linen, bed, mattress, floor, walls, cupboard and other articles. 
•	Rubber goods, dressings, instruments, needles, syringes enamel articles. 
•	Barrier Nursing and isolation. 
Care of Respiratory System
•	Inhalation: dry inhalation, moist inhalation, jug, Nelson’s  inhaler, steam tent, electric inhalers, suction oro-nasal.
•	Collection of specimen of sputum for examination. 
Care of Gastro Intestinal Tract
•	Preparation and giving of enema : 
-	Retention enema,
-	Evacuation enema, 
-	Suppository, 
-	Passing of flatus tube. 
Care of Genito Urinary System
•	Perineal care of terminally ill patient and patient with urinary catheter. 
•	Collection of specimens of urine and stool for routine and cultural examination. 
Care of Skin and Mucous Membranes
•	Cold application : 
- Ice cap, 
- Cold packs, 
- Use of evaporating lotion.
•	Hot application : 
-	use of hot water bottle, 
-	dry fomentation, 
-	moist, 
-	fomentation, 
-	medicated fomentation. 	
6.  Basic Needs and Care in Special conditions

	•	Care of patient 
- with fever, 
- unconscious patient, 
- patient with fluid imbalance, 
- patient with dyspnoea. 
•	Care of terminally ill patient. 
•	Care of physically handicapped. 
Dying patient
•	Signs and symptoms of approaching death, 
•	needs of the dying patient and his relatives, 
•	care of the dying, 
•	last offices, 
•	packing of dead bodies in non-communicable and communicable diseases	
7.  Introduction to Pharmacology	•	Concept of Pharmacology.
•	Classification of drugs.
•	Administration of drugs. 
•	General action of drugs. 
•	Nursing implications in administration of drugs. 	

Subject Name : first aid
Theoretical HOURS: 20

  course Objectives

Upon completion of this course, the students will be able to :
•	Describe the rules of first aid. 
•	Demonstrate skill in rendering first aid in case of emergencies. 

Specific Objective	Content	
1.  Introduction
	•	Importance of first aid and rules of first aid. 
•	Concept of emergency	
2.  First Aid in Emergency situations	•	Fire, 
•	burns, 
•	fractures, 
•	accidents, 
•	poisoning,
•	 drowning, 
•	haemorrhages, 
•	insect bites, 
•	foreign bodies. 
- Transportation of the injured. 
- Bandaging and splinting	
3.  Community Emergencies and Resource 

	Community Emergencies
- Fire, 
- Explosions, 
- Floods, 
- Earthquakes, 
- Famines. 
•	Immediate and late role of nurses. 
•	Need for rehabilitation. 
Community Resources
•	Police Assistance. 
•	Voluntary agencies : 
- Local, 
- National agencies
 - International agencies. 
•	Ambulance services: Their functions in relation to emergencies	

Subject Name : Personal Hygiene 
Theoretical HOURS: 20

Course Objectives

Upon completion of this course, the students will be able to:
•	Explain the concept of health and hygiene. 
•	Enumerate the principles of personal health. 
•	Demonstrate skills to apply these principles in effective nursing care of the patients / clients as well as in her own healthy living. 

Specific Objective	Content	
1. Introduction
	•	Concept of health and its relation to successful living	
2.  Maintenance of Health
	•	Determinants of health, building of good health habits, immunization, correction of defects, maintenance of health records	
3.  Physical Health	•	Care of 
-	skin, 
-	hair, 
-	teeth,
-	eyes, 
-	ears, 
-	hand 
-	feet, 
-	Rest 
-	sleep, 
-	exercise, 
-	activity, 
-	recreation, 
-	posture, 
-	nutrition, 
-	elimination, 
-	menstrual hygiene	
4.  Mental Health	•	Characteristics of mentally healthy person., 
•	Mental hygiene in intrauterine, infancy, childhood, adolescence, adulthood and old age	

Subject NAME: Community Health Nursing –I
Theoretical HOURS: 80
clinical HOURS: 288

course objective:-

Upon completion of this course, the students will be able to:
•	Describe the concept of health, community health and community health nursing. State the principles of epidemiology and epidemiological method of community health nursing practice.
•	Explain the various services provided to the community and the role of the nurse Demonstrate skills to practice effective nursing care of the individuals and families in the clinics as well as in their homes, using scientific principle. 
Specific Objective	Content	
1.  Introduction to community Health and commu7nity health Nursing
	•	Health and disease 
•	Community, community health, community health nursing. 
•	Dimensions of health 
•	Health determinants 
•	Indicators of health 
•	levels of health care 
•	Primary health care: Elements and principles Nurse’s role in primary health care. 
•	Health for all by 2000 A.D 
•	Evolution and development of community health nursing in India and its present concept. 
•	Differences between institutional and community health nursing. 
•	Community health team functioning 
•	Philosophy, goals, objectives and principles of community health nursing practice.
•	Qualities and functions of a community health nurse	
2. Community health nursing process
	•	Concepts and definition 
•	Importance of the community health nursing process 
•	Steps of the process: Community identification, population composition, health and allied resources, community assessment, planning and conducting community health nursing care services	
3. Health Assessment
	•	Characteristics of healthy individual 
•	Identification of deviation from normal health	
4.  Principles of Epidemiology and Epidemiological methods
	•	Definition and aims of epidemiology 
•	Basic tools of measurement in epidemiology 
•	Uses of epidemiology
•	Disease Cycle 
•	Spectrum of disease. 
•	Levels of prevention of disease. 
•	Disease transmission-direct and indirect Immunity 
•	Immunizing agents and immunization schedule 
•	Control of infectious diseases 
•	Disinfection	
5. Family Health Nursing care
	•	Concept, goals, objectives, family as a unit of health family health care services. 
•	Family health and nursing care process- family health assessment, family care plan. 
•	Family health services- Material, Child care and family welfare services. 
•	Roles and function of a community health nurse in family health services. 
•	Family health records	
6. Family health care settings

	Home visiting
- Purposes 
- Principles 
- Planning and evaluation 
- Bag technique 
Clinic 
- Purposes 
- Types of clinics and their functions 
- Setting up of various clinics 
- Functions of Health personnel in these clinics 	
7. Referral systems
	 Referral systems	
8. Records and Reports
	- Types of records 
- Uses of records 
- Essential requirements of records. 
- Cumulative records 
- Design of cards/ Records Classification 	
9. Minor Ailments
	- Classification
- Early detection and management 
- Standing instructions/orders 	

 

Subject NAME: Environmental Hygiene
Theoretical HOURS: 20

course Objectives

•	Upon completion of this course, the students will be to: 
•	Describe the concept of environmental health 
•	Describe the principles of environmental health 
•	Demonstrate skills to apply these principles in the pursing care of the patients/clients as well as in their own healthy living. 
•	Describe the environmental health hazards and health problems of the country and services available to meet these. 
Specific Objective	Content	
1. Introduction
	- Components of environment 
- Importance of environmental health	
2. Environmental factors contributing to health :-

                                                  

                                            

                                                

          	Water
- Safe and wholesome water 
- Uses of Water 
- water pollution 
- water borne diseases. 
- Water purification 
Air
- Air pollution 
- Prevention and control of air pollution
 Waste
- Refuse 
- Excreta 
- Sewage 
- Health hazards of these wastes 
- Collection removal and disposal of these wastes 
Housing
- Site 
- Basic amenities 
- Types and standard of ventilation 
- Requirements of good lighting. 
- Natural and artificial lighting. 
Noise
- Source of noise 
- Community noise levels 
- Effects of noise 
- Noise control 
Arthropods of Public Health    Importance
- Mosquitoes, housefly, sandfly, human louse, ratfleas etc. 
- Rodents. 
- Control measures for these arthropods	
3. Community organization to promote Environmental Health	- Levels and types of agencies: National, state, local, Government, Voluntary and Social agencies	

Subject NAME: HEALTH EDUCATION AND COMMUNICATION SKILLS
Theoretical HOURS: 20

course Objective 
Upon completion of this course, the students will be able to:
•	Describe the concept of health education, communication skills, audio-visual education agencies. 

•	Identify and utilize opportunities for health education planned and incidental. 

•	Communicate effectively with others. 

Specific Objective	Content	
1. Introduction
	•	Concept, definition, aims and objectives of health education. 
•	Process of change/modification of health behaviour. 
•	Opportunities of health education in hospital and community. 
•	Scope of health education 
•	Levels and approaches of health education. 
•	Principles of health education. 
•	Nurse’s role as health educator	
2. Communication skills
	•	Definition of communication 
•	Purposes of communication 
•	Process of communication 
•	Barriers of communication and establishment of successful communication. 
•	Types of communication. 
•	Importance and art of observing and listening in communication	
3. Methods and Media of Health Education
	•	Methods of health education 
•	Types of media (A.V.Aids). 
•	Advantages and limitations of each. 
•	Preparation and uses of simple aids 	
4. Health Education Agencies
	•	National 
•	State
•	District
•	Local 	

Subject NAME: NUTRITION
Theoretical HOURS: 30

Course objectives

Upon completion of this course, the students will be able to:
•	Describe the principles of nutrition and dietetics and its relationship to the human body in health and disease. 

•	Describe the common foods in health and disease. 

•	Apply knowledge in the promotion of health and in the care of sick. 

•	Demonstrate skills in selection, preparation and preservation of foods. 

Specific Objective	Content	
1. Introduction
	•	Changing  concepts- food habits and customs. 
•	Relationship of nutrition to health	
2. Classification of food

	(a) Classification by origin 
- Food of animal origin 
- Food of vegetable origin
(b) Classification by chemical composition & sources
- Carbohydrates
- Proteins 
- fats
- minerals 
- vitamins
- water
(c)Classification by predominant functions
- body building food
- energy giving food
- protective food
(d) Classification by nutritive value
 - cereals and millets
- pulses 
- vegetables
- nuts and oil seeds 
- fruits
- animal food
- fats and oils 
- sugar and jiggery
- condiments and spices 
- miscellaneous food	
3. Normal dietary requirements and deficiencies diseases  of each of the constituents of food	-  The calorie 
-  Nutritive value of food items and their measures used
- Balanced diet
- Method of calculating normal food requirement, influence   
  of age, sex and activity
- Factors affecting selection and planning of meals 
- Budgeting for food
- Low cost menu
•	diseases caused by deficiency of
-	protein,
-	fat, 
-	carbohydrates, 
-	minerals and 
-	vitamins  	
4. Preparation, preservation and storage of food	•	Principles of cooking
•	Method of food preparation and their effects on food constituents, 
•	Advantages and limitations of each
•	House hold method of preserving and storing food
•	Commercially prepared food and its adulteration
•	Precaution in selection, preparation and storage of food 	
5. Introduction to diet therapy 	•	Method of modifying diet it relation to calorie value by increasing or decreasing of constituent
•	Diet and the patient 
•	Environmental, psychological  and cultural factors in acceptance of diet by the patient 
•	Serving of food
•	Feeding of helpless patient
•	Opportunities for teaching	
6. Community Nutrition 	•	Concept of community nutrition 
•	Nutritional needs for special groups, infant children, pregnant women, lactating mothers, old people
•	Nutrition education : needs and methods
•	Substitute for non-vegetarian food
•	Methods of improving an ill balanced diet
•	Community nutrition programme
•	Food hygiene and laws related to food 	
7. Common prepration/practicals	•	Beverages : Tea, coffee, barley water, froot juice, shakes, lassi
•	Egg preparation : scrambled eggs, egg flip, Omlette, poached egg
•	Soups, tomato, bone, vegetable, liver etc.
•	Light diets : 
-	Gruel, 
-	Khichri, 
-	Daliya, 
-	Kanji, 
-	Boiled vegetables, 
-	Salads, 
-	Crusted etc.    	

GNM IInd Year

Subject NAME: Medical Surgical Nursing – Ι
Theoretical HOURS: 140
clinical HOURS: 828 (Including Medical Surgical Nursing-II)

Course objectives

Upon completion of this course, the students will able to :
Describe the causes, symptoms, treatment and prevention of medical surgical diseases. 

•	Demonstrate skills in carrying out nursing technique and procedures with the application of scientific principles. 

•	Discuss nursing process and provide nursing care to patients with medical surgical/ diseases. 

Specific Objective	Content	
1. Introduction
	•	Brief history of evolution of modern medicine and surgery and theories of illness and its causation. 
•	Illness as human experience. 
•	Nursing process and nursing care plan	
2. Nursing Assessment	•	Health Assessment 
•	Physical examination 
•	General clinical investigation 	
3. Patho Physiological Mechanism of Disease
	•	Inflammation. 
•	Stress adaptation. 
•	Defense against injury.
•	Nutritional consideration	
4. Altered Immune Response
	•	Review of normal immunity,( Review Unit ΙV of microbiology) 
•	Altered immune response, hypersensitivity and allergy. 
•	Nursing management of immuno therapy.
•	Auto immune disease. 
•	Graft verses host disease	
5. Clinical Pharmacology	•	Terminology
•	Drugs and laws.
•	Basic clinical pharmacology.
•	Source of drugs, action, side effects, doses of drugs. 
•	Different pharmacological preparations. 
•	Administration of medicine to patient.
•	Nursing implications of administration of drugs	
6. Nurse’s role in Management of Fluids, Electrolyte and Acid Based Balance
	•	Water content of body. 
•	Homeostasis 
•	Review mechanism of controlling fluid and electrolyte movement. 
•	Review regulation of fluid and electrolyte. 
•	Fluid and electrolyte imbalance and their therapeutic management	
7. Management of patients in pain
	•	Concept
•	Assessment 
•	Types, location 
•	Nursing management 
•	Analgesic drugs 
•	Therapeutic approaches to pain	
8. Operation Theater Technique:

	Physical Environment
•	Operation theatre : 
-	cleaning of rooms, 
-	tables,
-	 trolleys,
-	lights and other equipments. 
•	Pre- operative holding areas. 
Theatre Technique
•	Scrubbing- hand washing 
•	Gowning 
•	Gloving 
•	Positioning of patient for various surgical procedures. 
Preparation of Theatre equipment & Supplies
•	Cleaning 
•	Packing 
•	Sterilization 
•	Needles, Sutures- types and their uses. 
•	Role of nurses in care of patient in the theatre	
9. Management of patient undergoing surgery

	Assessment of pre- operative patient : physical, psychosocial and physiological aspects.
•	Nursing management of pre- operative patient. 
Intra operative Management
•	Surgical team 
•	Nurse’s functions in operation theatre. 
•	Anesthesia: classification, anesthetic agents and role of a nurse in anesthesia. 
Post- operative management – Immediate and Routine
•	Transferring patient from operation theatre. 
•	Patient in recovery room. 
•	Recovery from anesthesia. 
•	Post operative nursing management. 
•	Administration of post operative orders. 
•	Post- operative complications: observation, prevention and management	
10. Nursing management of patient with impaired respiratory function and gaseous exchange
	•	Assessment of respiratory functions. 
•	Management of patient with impaired respiratory functions. 
•	Respiratory intensive care. 
•	Management of patients with disorders of upper respiratory tract. 
•	Management of patients with disorders of the chest and lower respiratory tract. 	
11. Nursing Management of Patients with Digestive and Gastro-Intestinal Disorders
	•	Assessment of Gastro-intestinal disorders.
•	Management of upper gastro-intestinal disorders. 
•	Gastro-Intestinal intubations and special Nutritional Management. 
•	Management of patient with lower gastro-intestinal disorders 	
12. Nursing Management of Patients with Metabolic and Endocrine Disorders
	•	Assessment of hepatic and biliary function 
•	Management in hepatic and biliary disorders 
•	Assessment of endocrinal function 
•	Management of endocrinal disorders. 	
13. Nursing Management of patients with renal and urinary disorders
	•	Assessment of renal and urinary functions 
•	Management of patients with urinary and renal disorders. 
•	Renal failure and dialysis 
•	Renal transplant. 	
14. Nursing Management of patient with Neurological disorders	•	Assessment of neurological function 
•	Management of patient with neurological dysfunction 
•	Management of patient with neurological disorders. 	
15. Nursing Management of patients with disorders of connective tissue collagen disorders.	•	Assessment 
•	Management of patient with disorders of connective tissue and collagen 	
16. Nursing Management of the Elderly(Geriatric Nursing)	•	Assessment of elderly 
•	Ageing process 
•	Helping in promoting wellness and self care 
•	Health problems in elderly 	
17. Emergency Management	•	Medical surgical emergencies. 
•	Nurses role in emergency conditions	

Subject Name : MEDICAL SURGICAL NURSING -II
Theoretical HOURS: 120
clinical HOURS: 828 (Including Medical Surgical Nursing-I)

course OBJECTIVES 
Upon completion of this course, the students will be able to;

·	Describe the causes, symptoms, signs, treatment and prevention of diseases classified under medical surgical specialities. 
·	Demonstrate skill in carrying out nursing techniques and procedures with the application of scientific principles. 
·	Prepare nursing care plan using nursing process and provide care to patients with these diseases. 

Specific Objective	Content	
1. Oncology nursing

	•	Nursing management of patients with abnormal cell growth. 
•	Assessment
•	Problems and management.
•	Classification of cancer. 
•	Detection, prevention. 
•	Treatment modalities
Nursing management of patients receiving:
•	Chemotherapy 
•	Radiation 
•	Late effect of chemotherapy and radiation 
•	nursing management of patients undergoing radical surgery 
•	bone marrow transplant and its management 
•	nursing management of terminally ill patients 
•	rehabilitation of cancer patients 	
2. Nursing Management of patients with diseases of male genitor-urinary tract	•	Assessment of genito-urinary function. 
•	Disorders of male genito-urinary tract and its management	
3.Nursing management of patients with disorders of breast	•	Assessment. 
•	Disorders of breast and breast cancer. 
•	Management of patients undergoing surgery for cancer breast. 	
4. Nursing management of patients with diseases and disorders of integumentary system	•	Assessment of skin and its functions. 
•	Inflammatory and non inflammatory disorders and its management. 
•	Infestations, infectious and non infectious diseases and their management. 
•	Skin cancer 
•	Special dermatological therapy. 
•	Burn and its management	
5. Nursing management of patients with ophthalmic disorders and diseases	•	Assessment of function of eyes. 
•	Diseases and disorders of eyes and its management. 
•	Review national programmes on blindness and trachoma. 
Hospital cornea retrieval:
•	Grief counseling , eye collection in hospitals 
•	Motivations for eye donation. 
•	Obtaining consent for eye donation. 
•	Transplantation of human organs bill and eye collection. 
•	Eye banking in India	
6. Nursing management of patients with disorders and diseases of ear, nose, and throat	•	Assessment of the functions of ear, nose, and throat. 
•	Disorders and diseases of the ear, nose, and throat. 
•	Management of disorders and diseases of ear, nose, and throat	
7. Nursing management of patients with cardio vascular ,circulatory and hematological disorders	•	Assessment of cardio vascular functions. 
•	Management of patients with cardio vascular diseases. 
•	Management of patients in I.C.U and C.C.U. 
•	Assessment and management of circulatory , haematological disorders and problems of peripheral ciculation. 
•	Phlebotomy procedure in blood donars. 
•	Sample and request for blood transfusion. 
•	Safety checks and records for blood transfusion. 
•	Adverse transfusion reaction and their management. 
•	Blood bank functioning – hospital transfusion committee. 
•	Blood donar care , post donation management, counseling of blood donors. 
•	Inventory of necessary requirement for the transfusion	
8. Nursing management of patient with communicable diseases

                                     

                                   

                                    

                                     	•	Assessment 
•	Review of infection, how it spreads and its control. 
•	Preparation, care and administration of antisera and vaccines. 
•	Isolation- review of epidemiology and control measures. 
•	Management of various infectious diseases
Diseases caused by:
Virus
•	Measles, chicken pox, influenza, small pox, mumps, encephalitis, infective hepatitis, poliomyelitis, rabies, AIDS.
Bacteria
•	Diptheria, whooping cough, tetanus, typhoid, dysentery, gastro-entritis, cholera, meningococcal meningitis, tuberculosis.
Zoonosis
•	Kala-azar, plague, relapsing fever. 
Mosquito
•	malaria, filarial, yellow fever, dengue fever	
9. Nursing Management of patients with sexually transmitted diseases	•	Assessment 
•	Sex health and hygiene. 
•	Gonorrhoea, syphilis, Granuloma venerium,. Chancroid, Granuloma inguinale and AIDS	
10. Nursing Management of patients with Musculo-skeletal Disorders and diseases	•	Assessment of musculo-skeletal functions. 
•	Disorders and diseases of bone, muscles, cartilage, ligaments and their management. 
•	Rehabilitation, physiotherapy and occupational therapy	
11. Emergency and disaster Nursing	•	Natural calamities. 
•	Manmade disaster. 
•	Community resource available to meet such calamities. 
•	Nurse’s role in disaster management	

Subject NAME: MENTAL HEALTH / PSYCHIATRIC NURSING
Theoretical HOURS: 70
clinical HOURS: 216

course Objectives

Upon completion of this course, the students will be able to:
•	Describe the concept of mental health and mental illness and the emerging trends in psychiatric nursing. 

•	Explain the causes and factors of mental illness, its prevention and control. 

•	Identity the symptoms and dynamics of abnormal human behaviour in comparison with normal human behaviour. 

•	Demonstrate a desirable attitude and skills in rendering comprehensive nursing care to the mentally ill. 

Specific Objective	Content	
1. Introduction	•	Meaning of mental health and mental illness. 
•	Definition of terms used in psychiatry. 
•	Review of mental mechanisms (ego mechanisms). 
•	Review of personality and types of personality	
2. History of Psychiatry
	•	Contributors to psychiatry. 
•	History of psychiatric nursing. 
•	Trends in psychiatric nursing	
3. Mental Health Assessment
	•	Psychiatric history taking 
•	Interview technique and mental status examination	
4. Community Mental Health
	•	Concept, importance and scope. 
•	Attitude and misconception towards mentally ill. 
•	Prevention of mental illness (preventive psychiatry) during childhood, adolescence, adulthood and old age. 
•	Community mental health services. 
•	Role of nurses in community mental health services	
5. Psychiatric Nursing Management	•	Definition of psychiatric nursing. 
•	Principles of psychiatric nursing.
•	Nursing process. 
•	Role of nurses in providing psychiatric nursing care. 
•	Therapeutic nurse-patient relationship. 
•	Communication skills	
6. Mental disorders and Nursing Interventions.	•	Etioloy- various etiological theories (genetics, biochemical, psychological, etc.) 
•	Classification of mental disorders. 
•	Organic mental disorders- Acuter brain syndrome. 
•	Chronic brain syndrome. 
Functional Mental Disorders
•	Prevalence, etiology, signs and symptoms, prognosis, medical and nursing management. 
•	Schizophrenic disorders. 
•	Mood (affective) disorders. 
•	Manic depressive psychosis. 
•	Anxiety states. 
Definition, etiology, signs, symptoms, medical and nursing management of: 
•	Phobic disorders, 
•	obsessive compulsive disorder, 
•	depressive neurosis, 
•	conversion disorders, dissociative reaction, 
•	hypochondriasis, 
•	psychosomative disorders, 
•	alcohol, drugs and other psychoactive substances abuse	
7. Bio-Psychosocial Therapies

	Psychopharmacology
•	Definition, classification of drugs, antipsychotic, antidepressant, antimanic, antianxiety agents.
•	Role of nurses in psychopharmacology
Psychosocial therapies
•	Definition of psychosocial therapies. 
•	Types of therapies: individual and group therapy, behaviour therapy, occupational therapy. 
•	Role of nurse in these therapies. 
Somatic therapy
•	History, technique of electro-convulsion therapy (ECT), indications, contraindications. 
•	Role of nurses before, during and after electroconvulsive therapy	
8. Forensic Psychiatry / Legal Aspects	•	Legal responsibilities in care of mentally sick patients 
•	Procedure for admission and discharge from mental hospital, leave of absence. 
•	Indian Lunatic Act 1912 
•	Mental Health Act 1987 
•	Narcotic Drugs and Psychotropic Act 1985 	
9. Psychiatric Emergencies and Crisis Intervention
	•	Over active patient 
•	Destructive patient 
•	Suicidal patient	

GNM IIIrd Year

Subject NAME: MIDWIFERY AND GYNEACOLOGICAL NURSING
Theoretical HOURS: 100 (Midwifery)
clinical HOURS: 756 (Including Gynecological Nursing)

COURSE OBJECTIVES:-

Upon completion of this course, the students will be able to:
•	Describe the health needs of women in pregnancy, labour and puerperium. 

•	Identify deviation(s) from normal pregnancy and take appropriate action. 
•	Demonstrate skills in providing ante partum, intrapartum and postpartum care to the newborn. 
•	List different gynaecological problems and demonstrate skills in providing nursing care to women suffering from these disorders and diseases. 

Specific Objective	Content	
1. Introduction
	•	Definition : Midwifery, obstetrical nursing. 
•	Scope. 
•	Historical review. 
•	Development of maternity services in India 	
2. Reproductive system
	•	Review of genitor-urinary system of male and female organs structure, physiology. 
•	Menstrual cycle. 
•	Internal and external organs of reproduction. 
•	Female pelvis: structure, diameters and type	
3. Embryology and fetal development
	•	Ovum, sperm, maturation, fertilization and implantation. 
•	Development of fertilized ovum, morula, blastocyst, embryo. 
•	Development of pacenta: structure of full term placenta, functions and abnormalities, anatomical variations. 
•	Formation of foetal sac, membranes, amnion and chorionand their functions. 
•	Formation of liquor amni, its functions and abnormalities. 
•	 Development of umbilical cord: structure, functions and abnormalities. 
•	Foetal skull: diameters, frontanelles, sutures and their importance. 
•	Foetal circulation	
4. Nursing Management of Pregnant Women
	•	Reproductive health. 
•	Genetic counseling. 
•	Physiological changes in pregnancy. 
•	Diagnosis of pregnancy: history, signs and symptoms and investigations. 
•	Influence of homones. 
•	Prenatal care: objectives, history taking, calculation of expected date of delivery, routine examinations. 
•	Health education: breast care, diet in pregnancy antenatal exercises. 
•	Preparation for hospital/ home delivery. 
•	Immunisation. 
•	Minor disorders of pregnancy and its management	
5. Nursing Management of women in Labour

	•	Definition, stage and duration.
•	 Causes of onset of labour. 
•	True and false labour. 
A. First Stage of Labour
•	Signs of onset of labour. 
•	Physiological changes in first stage of labour. 
•	Management – preparation of labour room. 
•	Preparation of women in labour : Physical and psychological. 
•	Equipments for normal delivery. 
•	Care: physical, psychological, monitoring of maternal and foetal condition. 
•	Vaginal examination; indication, articles, technique. 
B. Second  Stage of Labour
•	Signs of second stage. 
•	Mechanism of labour. 
•	Monitoring of maternal and foetal condition. 
•	Physical and psychological care. 
•	Procedure for conduct of normal delivery. 
•	Prevention of perineal tear. 
•	Episiotomy, suturing and care. 
C. Third Stage of Labour
•	Signs, physiological changes. 
•	Management : immediate baby care, technique of placental expulsion, monitoring maternal condition examination of placements and its membranes, blood loss.
•	Immediate postnatal care / fourth stage of labour. 
D. Conduct of Home Delivery	
6. Nursing Management of Baby at birth
	•	Assessment 
•	Review of physiology of new born 
•	Apgar scoring, examination for defects (head to foot examination) 
•	Infant feeding: breast feeding, artificial feeding. 
•	Care of skin, eyes, cord, buttocks. 
•	Psychology and perception of new born. 
Minor disorders of new born: birth marks, rashes, skin infections, sore buttocks, infections of eyes. 
•	Jaundice of new born. 
•	Major disorders: birth asphyxia, resuscitation measures, haemolytic disease (RH factor). 
•	Infections and birth injuries	
7. Nursing management of Mother during puerperium	•	Definition, objectives of care 
•	Immediate postnatal care (care during 4th stage of labour) 
•	Physiological changes during puerperium. 
•	Psychosocial aspects of care. 
•	Diet during puerperium. 
•	Establishment of lactation and breast care. 
•	Perineal care. 
•	Postnatal exercises. 
•	Postnatal examination, follow-up, family welfare.
•	Minor ailments and its management	
8. Complications of pregnancy and its management
	•	Bleeding in early pregnancy. 
•	Bleeding in late pregnancy. 
•	Pregnancy induced hypertension, pre-eclampsia, lampsia. 
•	Hydramnios, oligohydramnios. 
•	Hydatidiform mole. 
•	Pelvic inflammatory disease. 
•	Intrauterine growth retardation, intrauterine death. 
•	Post maturity	
9. High Risk pregnancy and its management
	•	Concept, factors. 
•	Anaemia, Jaundice, Viral infections. 
•	Urinary tract infection, Heart Diseases, Diabetes - Mellitus, Ostemalacia, Sexually Transmitted Diseases, AIDS. 
•	Teenage pregnancy, Elderly primigravida, Multipara, 
•	Multiple pregnancy	
10. High Risk Labour and its management
	•	Malpositions, Malpresentations: occipitoposterior position face, brow, shulder and breech presentation. 
•	Contracted pelvis: definition, causes, diagnosis, management and trial of labour. 
•	Abnormal uterine action: hypotonic and hypertonic action, bandl’s ring, contraction ring, precipitate labour. 
•	Cervical dystocia. 
•	Early rupture of membranes, prolonged labour, Induction of labour. 
•	Obstructed labour rupture of uterus. 
•	Obstetrical emergencies: cord presentation, cord prolapse, amniotic fluid embolism, obstetric shock. 
•	Complications of third stage: post partum haemorrhage, atonic uterus, retained placenta and membranes, inversion of uterus	
11. Complications of Puerperium and its management
	•	Puerperal pyrexia, Puerperal sepsis, Thrombophlebitis, Embolis, Puerperal psychosis. 
•	Mastitis, Breast abscess	
12. Obstetric operations	•	Manual removal of placenta. 
•	Version : internal, external. 
•	Forceps delivery. 
•	Vacuum extraction. 
•	Caesarean section. 
•	Medical termination of pregnancy. 
•	Laproscopic sterilization. 
•	Embryotomy	
13. Drugs used in obstetrics	•	Drugs used in obstetrics	
14. Ethical and legal aspects related to Midwifery and Gynecological Nursing	•	Ethical and legal aspects related to Midwifery and Gynecological Nursing	
	Clinical Experience 
•	During this period of training, each student shall. 
•	Conduct thirty antenatal examinations. 
•	Witness fifteen deliveries before conducting one herself. 
•	Make five vaginal examinations. 
•	Conduct twenty deliveries. 
•	Perform and suture five episiotomies, five first-degree tears. 
•	Give postnatal care to thirty lying-in-mothers and to their newborn babies. 
•	Carry out ten health teachings for antenatal and lactating mothers. 
•	Insert five intrauterine devices	

SUBJECT NAME: GYNEACOLOGICAL NURSING
THEORETICAL HOURSE: 20
CLINICAL HOURSE: 756 (Including Midwifery)

Specific Objective	Content	
1. Introduction
	•	Definition related to gynecological nursing. 
•	Sexuality. 
•	Gynecological history taking, examination and investigations	
2. Puberty
	•	Definition development of sex organs in females. 
•	Menstrual cycle. 
•	Disorders of menstruation: amenorrhoea, 
•	dysmenorrhoea, cryptomenorrhoea	
3. Fertility and Infertility	•	Definition, causes both in male and female investigation and management	
4. Pelvic Infections	Vulva: 
•	vulvitis, bartholinitis. 
Vagina: 
•	vaginitis, trichomonas vaginalis, moniliasis. 
- Metritis, salpingitis, oopthoritis, pelvic abscess. 
- Chronic infections, cervical erosion	
5. Uterine Displacement and Descent	•	Retroversion, retroflexion. 
•	Decent of the uterus : first degree, second degree, completed procedentia	
6. Sexually transmitted diseases and their prevention	•	Syphilis, gonorrhoea, warts. 
•	Acquired Immuno Deficiency syndrome (AIDS) / HIV	
7. Breast Disorders	•	Mastitis.
•	- Breast abscess. 
•	Tumours. 
•	Malignancy	
8. Benign and Malignant Neoplasm of Reproductive organs	•	Uterine polyps, uterine fibroids. 
•	Cancer : cervix, uterus. 
•	Ovarian cyst: benign, malignant. 
•	Cancer : chemotherapy, radiotherapy. 
•	Palliative care	

SUBJECT NAME: COMMUNITY HEALTH NURSING-II
THEORETICAL HOURSE: 100
CLINICAL HOURSE: 216

COURSE OBJECTIVE:-
Upon completion of this course, the students will be able to :
•	Describe health system and health care services in India. 
•	Identify major health problems, national health programmes and specialized community health services. 
•	Explain the concept of health team and describe the nurse’s role at various levels of health care settings. 
•	Describe the demographic concept and family welfare programme. 
•	Explain and motivate use of birth control methods to the community. 

•	State the importance of health statistics. 
•	Maintain records and reports required in community health nursing services. 
•	Demonstrate skills in rendering effective nursing care in all community health settings. 
Specific Objective	Content	
1. Health system in India (Organizational set-up)	•	Central level. 
•	State level. 
•	District level. 
•	Block and local level	
2. Health care services in India	•	Health care concept and trends. 
•	Health care delivery system. 
•	Public sector: Rural areas, urban areas, health insurance, scheme, other agencies (defence, Railways etc.) 
•	Voluntary health agencies. 
•	Indigenous system of medicine. 
•	Nurse’s role in health care services	
3. Health Planning in India	•	National Health policy. 
•	National Health planning. 
•	Five years plans. 
•	Health committees and reports	
4. Specialized community Health Services and nurse’s role	•	M. C. H. (Reproductive health and child care). 
•	School health services. 
•	Industrial nursing. 
•	Geriatric nursing. 
•	Care of the handicapped: physically and mentally challenged. 
•	Rehabilitation nursing	
5. Nurse’s Role in National Health Programmes	•	Major health problems in India. 
•	National control and development programmes. 
•	National eradication programmes. 
•	Nurse’s role in national health programmes	
6. Demography and family welfare 

	Demography
•	Concept 
•	Trends in India and its implications. 
•	Concept of fertility and infertility. 
•	Small family norms
Family Welfare
•	Concept 
•	Importance 
•	Aims and planning methods 
•	Family welfare policy 
•	National programme. 
•	Nurse’s role in family welfare programme	
7. Health Team
	•	Concept. 
•	Composition. 
•	Functions. 
Role of nursing personnel at various levels
•	Multipurpose health worker: male and female 
•	Lady health visitor / Health supervisor 
•	Public health nurse 
•	Public health nurse supervisor 
•	District public health nursing officer	
8. Vital Health Statistics
	Vital Health Statistics
•	concept 
•	Uses 
•	Sources 
•	Important rates and indices 
•	Vital health records and their utility	

	

SUBJECT NAME: PEADIATRIC NURSING
THEORETICAL HOURSE: 70
CLINICAL HOURSE: 288

COURSE OBJECTIVES:-

Upon completion of this course, the students will be able to:
•	Explain the concept of child health, the principles underlying child care and trends in paediatric nursing. 
•	Describe normal growth and development of children, so as to recognize deviation(s) form normal health. 
•	Demonstrate skill in meeting the needs of the sick as well as health children. 
Specific Objective	Content	
1. Introduction
	•	Concept in child health care. 
•	Trends in paediatric nursing. 
•	Role of paediatric nurse in child care. 
•	Child care in India. 
•	Emerging challenges, nursing process related to paediatric nursing 
•	Concept of preventive paediatics. 
•	Vital statistics	
	
2. The Newborn

	A. Characteristics of New Born and Physiological status of the new born
•	Assessment of the new born: head to toe assessment (physical assessment), neurological assessment.
•	Nursing care of the normal/healthy new born including home care. – 
•	Breast feeding-concept of Baby friendly hospital initiative.
B. Common health problems –medical and nursing management of:
•	Hyperbilirubinaemia, haemolytic disorder neonatal hypoglycaemia, sepsis, oral thrush, impetigo, erythema toxicum, hypothermia, neonatal convulsions.
•	Birth injuries; injuries of muscles and peripheral nerves, injuries of bones, sort tissue injury and injury of nervous system.
C. High Risk New born
•	Definition : small for dates, Low birth weight
•	Common health problems of pre-term, post term and low birth weight infants and their nursing management.
•	High risk to new born of HIV +ve mother, diabetic mother, its medical and nursing care	
3. The Healthy Child

	•	Growth and development: Definition, principles, factors affecting growth and development, techniques of assessment of growth and development, importance of learning about growth and development. 
The Infant
•	Growth and development during Infancy. 
Health Promotion during infancy
•	Nutrition counseling and weaning, immunization.
•	Safety and security including prevention of accidents, play and toys. 
The Toddler
•	Growth and development of Toddler. 
•	Health promotion during toddler hood, nutrition counseling, toilet training, immunization, safety and prevention of accidents, guidance to parent on toddler’s care, play and toys. 
The Pre-Schooler
•	Growth and development during pre-school years.
•	Health promotion during pre-school years, nutritional guidance, safety and security, day care centers/nursery school, play, role of parents in sex education of child. 
The School ager
•	Physical, psychological and moral development during school age years.
•	Health promotion during school years, nutritional guidance, sleep and rest, physical exercise and activity, dental health, sex education, play, role of parents in reproductive child health. 
The Adolescent
•	Physical changes, physiological and reproductive changes, reaction of adolescents to puberty.
•	Health promotion during adolescence. 
•	Nutritional guidance, personal care, reproductive health / sex education, - role of parents in health promotion of adolescents	
4. The Sick Child

	•	Child’s reaction to hospitalization. 
•	Effects of hospitalization on the family of the child.
•	Role of nurse in helping child and family in coping with stress of hospitalization and illness. 
Nursing interventions adaptations in nursing care of sick child
•	Examination, principles of safety observed in paediatric techniques. 
•	Preparation of child for diagnostic tests, collection of specimens. 
•	Calculation and administration of oral and parenteral medications. 
•	Procedures related to feeding: formula preparation, gavage, gastrostomy feeding. 
•	Procedures related to elimination: enema, colostomy irrigation. 
•	Use of play as nursing intervention.
•	Care of child in incubator.
•	Administration and analysis of oxygen concentration.
•	Surgical dressing
•	Steam tent inhalation.
•	Immobilized child 
•	Phototherapy. 	
5. Behavioral Disorders and common Health Problems during Childhood, their prevention, Medical and Nursing Management

               

            

               
	Infancy
•	Nutritional disturbances, 
•	allergies, 
•	dermatitis, 
•	vomiting, 
•	diarrhea, 
•	failure to thrive, 
•	resistance to feeding, 
•	colic anxiety. 
Early Childhood
•	Communicable diseases, 
•	poisoning, 
•	tonsillitis, 
•	otitis media, 
•	urinary tract infections, 
•	diarrhea, 
•	child abuse, 
•	breath holding spells, 
•	bed wetting, 
•	thump sucking, 
•	nail biting, 
•	temper tantrums, masturbation. 
Middle Childhood
•	Helminthic infestations, 
•	common skin infections,
•	 animal and insect bites, 
•	stuttering,
•	 pica,
•	 tics, 
•	antisocial behaviour, 
•	enuresis. 
Later Childhood
Problems of puberatal development: 
•	precocious puberty, tall stature, gynaecomastia, acne, amenorrhoea, dysmenorrhoea, sexually transmitted diseases, accidents, sports injuries, juvenile delinquency, anorexia nervosa, obesity	
6. Children with congenital Defects / Mal formations

	Etiology, signs, symptoms, complications, medical, surgical and nursing management of: 
•	Malformations, of the central nervous system-cranial deformities, defects of spinabifida, meningocele, hydrocephalus, cerebral palsy, neural tube closure. 
•	Skeletal defects-cleft lip and palate. 
•	Defects of Gastro-intestinal tract- Oesophageal atresia and distula, anorectal malformations, hernia, congenital hypertrophied pyloric stenosis. 
•	Defects of Genitourinay tract – Hpospadiasis, epispadiasis, extrophy of bladder, phimosis, cryptrochidism, polycystic kidney. 
•	Sexual abnormalities – ambiguous genitalia, hermaphroditism. 
•	Defects of cardio-vascular system – Congenital heart diseases, major acyanotic and cyanotic defects. 
•	Orthopeadic Abnormalities – Club foot, developmetal abnormalities of extremities	
7. Children with various disorders and diseases
	Etiology, signs, symptoms, complications, prevention, medical, surgical and nursing management of :-
•	Disturbances of fluid and electrolyte balance: imbalance, burns, disturbances pf renal function, acute and chronic glomerulonephritis, acute and chronic renal failure. 
•	Disturbed respiratory functions: Acute infections of upper and lower respiratory tract, acute inflammation of lungs. 
•	Gastro-intestinal disorders: Malabsorption syndromes (celiac diseases) and obstructive disorders (intestinal obstruction, Hirschsprugn’s disease) inflammatory conditions (appendicitis, Meckel’s diverticulum’s, ulcerative colitis), worm infestations. 
•	Problems related to production and circulation of blood: Acquired heart diseases, congestive cardiac failure, infective endicarditis, rheumatic fever. 
•	Problems related to the elements of blood: Anaemias, sickle cell anaemia, thalassemia, defects of haemostasis, haemophilia, Immune deficiency diseases, HIV infection (AIDS) leukemias, thrombocytopaenia, purpura. 
•	Disturbances of regulatory mechanism: disturbances of cerebral functions – altered state of consciousness, craniocerebral trauma. 
•	Intracranial infections: Meningitis, encephalitis, convulsive disorders. 
•	Endocrine dysfunctions: Disorder of pituitary functions, disorders of thyroid and parathyroid function, disorders of adrenal cortex, disorders of pancreatic hormone secretion. 
•	Problems that interfere with locomotion: Polimyelitis, osteomyelitis, kyphosis, lordosis and scoliosil, rheumatoid arthritis. 
•	Children with development problems: Handicapped children, multiple handicapped children, mental retardation. 
•	Communication disorders – hearing, vision impairment, deaf and blind children. 	
8. Welfare of Children	•	Child welfare services, agencies, balwadi, anganwadi, day care centers, midday meal programme. 
•	Welfare of delinquent and destitute children. 
•	Programme and policies for welfare of working children. 
•	National child labour policy. 
•	Child Act, Juvenile Justice Act. 
•	Internationally accepted rights of the child.	

Internship Period

SUBJECT NAME: EDUCATIONAL METHODS & MEDIA FOR TEACHING IN PRACTICE OF
		      NURSING
THEORETICAL HOURSE: 45

COURSE OBJECTIVES:-
•	Upon completion of this course the students will be able to : 
•	Explain the concept of teaching in changing the behaviour of the client. 
•	Describe techniques used for teaching clients. 
•	Describe the use of different media in teaching and effective communication. 

Specific Objective	Content	
1. Introduction
	•	Meaning aims and purposes of education.
•	Meaning of teaching and learning
•	Principles of teaching and learning
•	Teaching responsibilities of a nurse.
•	Methods of teaching, methods of clinical teaching.
•	Preparation of teaching plan	
2. Media
	•	Definition , purposes and types of media.
•	Preparation and use of audio – visual aids: graphic aids, printed aids, three dimensional aids, projected aids.
•	Limitations, advantages and uses of different types of media	
	•	Practical work
•	Students organized teaching in the wards/clinics using nursing process approach and prepare variety of audio-visual aids to implement their teaching either individually or in groups. Students also submit written teaching plan to the concerned teacher of selected clinical area.	

SUBJECT NAME: INTRODUCTION TO RESEARCH
THEORETICAL HOURSE: 40

General Objectives
Upon completion of the course the students will be able to :
•	Describe the need of research in the practice of nursing. Describe scientific methods of investigation used in nursing.
•	Participate in small and large research activities of the hospital / unit/ward/community.

Specific Objective	Content	
1.Introduction
	•	Definition / meaning of research
•	Steps in scientific methods.
•	Need for nursing research.
•	Characteristics of good research	
2.Introduction to research process
	•	Statement of research problem
•	Statement of purposes and objectives.
•	Definition of research terms.
•	Review of literature	
3.Introduction to research approaches
	•	Types, methods, advantage and disadvantages of each method.
	
4.Introduction to data collection proves
	•	Data collection
•	Instruments of data collection
•	Characteristics of data collection
•	Techniques of data Collection	
5.Introduction to analysis of data
	•	Tabulation
•	Classification and summarization
•	Presentation and interpretation of data using descriptive statistics.
	
6.Writing of report
	•	Writing of report	
7. Introduction to Statistics
	•	Introduction to Statistics
	
8. Application and Utilization of Research in Nursing Practice
	•	Application and Utilization of Research in Nursing Practice	
	•	Practical work
•	Students are to read research literature in the library of the school and participate in or assist in conduction scientific investigation in any health care setting with the help of the teacher and submitted a written report of the investigation in group of five of six , to respective teacher of selected clinical area.	

SUBJECT NAME: PROFESSIONAL TRENDS AND ADJUSTMENT
THEORETICAL HOURSE: 40

COURSE OBJECTIVES:-
Upon completion of this course the students will able to:
•	Describe nursing as a profession and the criteria of a profession Identify various professional responsibilities of a nurse.
•	Describe various professional organizations related to nursing and health Identify the need for in service and continuing education in nursing.
•	Demonstrate skills in application of knowledge of professional etiquettes in the practice of nursing in any health care setting.

Specific Objective	Content	
1.Introduction to nursing as a profession
	•	Definition and criteria of nursing profession
•	Evolution of nursing profession in India
•	Educational preparation of a professional nurse
•	Qualities/characteristics and role of a professional nurse.	
2.Professional ethics
	•	Meaning and relationship of professional ethics and etiquettes.
•	Code of ethics for nurses, I.C.N code of ethics and Nightangle pledge.
•	Procedure for employment: locating a position, applying and accepting a position, resignation from a position.	
3.Personal and professional growth / development

	(a) Continuing Education
•	Meaning and importance of continuing education 
•	Scope of continuing education 
•	Planning and financing for continuing education 
•	In service education: definition, need participation 
(b) Career in Nursing
•	Opportunities available in hospital, community, teaching and other related special organizations
•	International influence and aid
•	Nursing in the future	
4.Legislation in nursing
	•	Purpose and importance of laws in nursing, legal terms.
•	Common legal hazards in nursing
•	Health laws and regulations affecting nurses in India at different levels; center and state. Consumer protection bill and its impact in nursing practice
•	Fundamental conduct and service rule and instructional rules.
•	Regulation and reciprocities	
5.Professional and related organizations
	•	Professional organization:Trained nurses association of India(TNAI), Student Nurse Association, Internation council of Nurses(ICU) Indian Nursing Council (INC) State Nursing councils, Commonwealth Nurses Federation (CNF) Nurses league of Christian Medical Association
•	Related organizations and their contribution to nursing: World health organization, Red cross, St. john’s Ambulance, UNICEF, World bank.	

SUBJECT NAME: ADMINISTRATION AND WARD MANAGMENT
THEORETICAL HOURSE: 45

COURSE OBJECTIVES:-
Upon completion of the course, the students will be able to:
•	Describe the meaning and principle of administration. 
•	Apply the principle of administration in practice of nursing in various health care settings.
•	Plan the nursing service in the ward and community health settings. 
•	Describe the importance of good administration in the day to day nursing service in varied health care settings. 

Specific Objective	Content	
1. Introduction	•	Meaning and philosophy of administration and management and their significance.
•	Elements and principles of administration. 	
2. Planning: Aims, Principle, methods and types	•	Planning: Aims, Principle, methods and types	
3. Organization: Command, Co-ordination and Control, Delegation, Staffing and Budgeting
	•	Definition, aims principles and techniques.
•	Preparation of organizational chart of a hospital ward primary health center, sub center.
•	Policies of the hospital and of the various departments of the hospital. 	
4. Administration of a hospital unit and ward

	•	Administration of ward/unit/health center, physical layout, safety measures, prevention of accident and infections, legal responsibilities of a nurse. 
Personal Management
•	Job description, job specification, Job analysis, and job satisfaction.
•	Staff development and staff welfare.
•	Leadership styles, Democratic leadership. 
Management of Equipment and supplies
•	Maintenance of supplies and equipment.
•	Handling over and taking over of inventory.
•	Indent and ordering of supplies and equipment.
•	Problem solving: Process and approach, steps and methods of - dealing with complaints of patients and other health team members.
Record and reports:
•	Meaning, type of records and reports maintained in the ward, importance and use of records and reports. Records and reports maintained in Primary Health Center and Sub-Center	
	•	Practical Work
•	Student worked in ward / health center with Ward Sister / Public Health Nurse assisted her in carrying out her duties, to get experience in maintain ward inventory supplies, preparation of duty roster and solving problems. Student also get experience of working in the hostel kitchen, clinics and in camps organized by the hospital.	
	•	Group Project
•	Project are to be undertaken by individual or group of student in related fields on a selected topic or problem and solving the problem by using problem solving technique and submitting a written report of the same to the concerned teacher in the selected clinical area. This experience may be planned as part of the experience in various clinical areas and proper experience record should be maintained.	

SUBJECT NAME: HEALTH ECONOMICS
THEORETICAL HOURSE: 20

COURSE OBJECTIVES:-

Upon completion of this course, the students will be able to:
•	Explain the meaning of economics and health economics.
•	Analyse the relationship between health and economic development. 
•	Explain the concept of demand and supply. 
•	Describe the structure of health care industry and characteristics of market for health care services. 
•	Analyse the concept of cost in health care. 
•	Discuss financing system of health care services in India. 

Specific Objective	Content	
1.Introduction to Economics	•	Definition and meaning, dimensions of economics, positive and normative economics	
2.Introduction to Health Economics
	•	Concept of Health Economics. 
•	Focus of health economics. 
•	Areas of health economics. 
•	The economics of health and health care service Health and economic development. 
•	Causes of health problems in India	
3.Costs of Health Care
	•	Concept of cost, types of costs.
•	Opportunity cost, total fixed and variable cost, average marginal and sunk costs, cost benefit, cost effectiveness. 	
4.Demand and Supply in Health Care	•	Concept of demand, need, supply input, output, production function, industry and market. 
•	Structure of health care industry. 
•	Characteristics of health care services market.
•	Demand side and supply side	
5.Financing of Health Care in India	•	Financing system and allocation.
•	Sources of financing of health care services.
•	Health plans and outlays, the relative role of state and central government on financing of health care services.
•	Factors influencing the state’s ability to finance health care services