LESSON PLAN
ON
DEVIATED NASAL SEPTUM
Prepared By:
Mrs. Aryalekshmi B
Tutor
Karuna College Of Nursing
NAME OF THE TEACHER : MRS. ARYALEKSHMI. B
SUBJECT : SURGICAL NURSING
UNIT : IIIV
TOPIC : MANAGEMENT OF PATIENT WITH D.N.S
DATE : 03.04.2019
TIME :
DURATION : 1HOUR
PLACE : 2ND YEAR B.Sc NURSING CLASS ROOM
METHOD OF TEACHING : LECTURE CUM DISCUSSION
GROUP :2ND YEAR B.SC NURSING STUDENTS
TEACHING AIDS : POWERPOINT PRESENTION AND CHALKBOARD
PREVIOUS KNOWLEDGE OF THE : KNOWLEDGE REGARDING SIGNS AND SYMPTOMS OF DNS STUDYED IN 1 ST YEAR BSC (N)
GENERAL OBJECTIVES: On completion of the class students acquire knowledge regarding the management of Patient with DNS which help them
to identify and give care accordingly in the clinical setup
SPECIFIC OBJECTIVES:
Students will be able to,
enumerate the anatomy of nasalseptum
tell the causes of DNS
explain the common sites of DNS
describe effects of DNS
listdown clinical features of DNS
describe treatment of DNS
Specific Objective Time Content Teacher Activity Learner A.V Aids Evaluation
Activity
5 mints Introduction:
A deviated septum occurs when the thin wall
(nasal septum) between your nasal passages is
displaced to one side. In many people, the nasal
septum is displaced — or deviated — making one
nasal passage smaller.
Students will be 5 mints Aetiology Enumerates the Listening and Power point What are the
able to explain the cause of DNS taking notes Causes of
anatomy of nasal 1. Trauma DNS
septum 2. Developmental errors
3. Racial factors
4. Hereditary factors
Time Contents A.V Aids Evaluation
Specific Teacher Activity Student
Objectives Activity
Students will be 15mints Trauma Explains the cause. Listening and Power point What is the
able to tell the taking notes cause for DNS
cause. • A lateral blow on the nose may
cause displacement of septal
cartilage from the vomerine groove
and maxillary crest
• A crushing blow from the front may
cause buckling , twisting ,fractures
and crushing of nasal septum
• Trauma during delivery
Developmental Errors
• Nasal septum is formed by the
tectoseptal process which descends
to meet the two halves of developing
palate in the midline
• During primary and secondary
dentition further developments
takes place in palate
• Unequal growth between palate and
base of skull may cause buckling of
nasal septum
• In mouth breathers-high arched
palate and DNS
• In cleft palate,cleft lip,dental
abnormalities
3. RACIAL FACTORS
Caucasians are more affected than negroes
4. HEREDITARY FACTORS
Members of same family may have
deviated
Septum
Contents Teacher Activity Student Activity A.V Aids Evaluation
Specific Objectives Time
Explain the sites if 5 min Sites of DNS List down the sites Listening and Power point What are the
DNS of DNS taking notes sites of DNS
• Cartilagenous/bony/both presentations
• Anterior/posterior
• High/low
Effects of DNS
• Compensatory hypertrophy of
turbinates of opposite side
• External deformity
• Impairment of drainage to sinus
• Secondary atrophic rhinits
Power point
Explain clinical Clinical Features List down the Listening and What are the
features 5 min clinical features of taking notes presentations clinical
1 . NASAL OBSTRUCTION DNS features
• Sites
• Vestibular
• At the nasal valve
• Attic
• Turbinal
• Choanal
• Bilateral/unilateral obstruction
• HEADACHE
• SINUSITIS
• EPISTAXIS
• ANOSMIA
• EXTERNAL DEFORMITY
• MIDDLE EAR INFECTION
Cottles test
• Used in nasal obstruction due to
abnormality of nasal valve
• In this test ,cheek is drawn laterally
while patient breathes quietly.If the
nasal airway improves on test
side,the test is positive and indicates
abnormality of vestibular
component of nasal valve
Treatment
Explain about the 25 min Explaining the Listening and Power point What are the
treatment of DNS • Minor degrees of septal deviation treatment for
require no treatment treatment measures taking notes presentations DNS
• If produces mechanical nasal
obstruction or other symptoms, an
operation is indicated
1.SUBMUCOUS RESECTION
OPERATION
• Generally done in adults under
local anaesthesia
• Elevating the mucoperichondrial
and mucoperiosteal flaps on either
side of the septal framework by a
single incision made on one side of
the septum
• Removing the deflected parts of
bony and cartilaginous septum
• Repositioning the flaps
2.SEPTOPLASTY
• Conservative surgery
• Only most deviated parts are
removed
• Rest of the septal framework is
corrected and repositioned by
plastic means.
• Mucoperichondrial or
mucoperiosteal flap is generally
raised only in one side of the septum
retaining the attachment and blood
supply of the other
