Name of the supervisor : Ms.
osin chandraker
Name of the student : Ms. Chanchal sahu
Subject : medical surgical nursing
Topic : Unconsciousness
Class : MSc (N)1 st year
Date : 15/07/2020
Time : 1:00-1:30pm
NO> of student : 20
Medium of teaching : English
Methods of teaching : lecture, discussion
A.V. aids used : chalk bord, LCD
Previous knowledge : student were having some knowledge about unconsciousness
CENTRAL OBJECTIVES: at the end of teaching students will be able gain knowledge about unconsciousness
(introduction, definition, causes, pathophysiology, clinical manifestation, diagnostic evaluation, management)
SPECIFIC OBJECTIVE:
Introduce the unconsciousness
Define unconsciousness
List out types of unconsciousness
Discuss about causes of unconsciousness
Discuss about pathophysiology of unconsciousness
List out clinical manifestation of unconsciousness
Discrib nursing assessment
Explain diagnostic evaluation of unconsciousness
Explain the management of unconsciousness
S.NO TIME SPECIFIC CONTENT TEACHING LEARNING A.V. EVALUATION
. OBJECTIVE ACTIVITY ACTIVITY AIDS
1. 2minut Introduce about INRODUCTION- Lecture Lestoining LCD
topic the brain requires a constant And
supply of oxygen blood and glucose to function. Discussion
Interruption of this supply will cause loss of
consciousness within a few seconds and
permanent brain damage in minutes.
DEFINITIOnN- What is
2. 2minut Defined Lecture Lestioning and LCD
Unconsciousness is state in which :- unconsciousness
counciousness And learning
Unable to responds to people and
Discussion
activities.
Lacking awareness and the capacity for
sensory perception.
Temporarily lacking consciousness
3. 2minut List out the types TYPES_ What are the typ
of Lecture Lestioning and LCD of unconsciousne
unconciousness Stupor - state of semiconsciousness in And learning
which person responds to external stimuli Discussion
or loud noise or painful stimuli i.e.,
pricking or pinching
Excitatory – patient does not respond to
but disturb by sensory
S.NO. TIME SPECIFIC CONTENT TEACHING LEARNING A.V. EVALUATION
OBJECTIVE ACTIVITY ACTIVITY AIDS
Stimuli i.e., britht light , noise and sudden
movement.
Somnolent- state when person feel
drowsy or sleepy and will responds only if
spoken to directly.
Coma – coma is a clinical state of
unconsciousness in which the patient is
unaware of himself and his environment.
The patient may respond to deep painful
4. 3minut stimuli. In deep coma, there is no arousal.
Discuss about CAUSES OF UNCONCIOUSNESS - Lecture and Lestioning Black What is the caus
causes of o Cerebral hemorrage discussion And learning bord of unconsciousne
unconsciousness o Brain tumor
o Subtentorial lesions
compressing/destroying the reticular
formation
E.g. cerebellar abscess
5. 5minut infarction ,
cerebellar hemorrhage What are the
Discuss about tumor Lecture learning LCD pathophysiology
pathophysiology PATHOPHYSIOLOGY unconsciousness
of Structural lesions e.g.SDH, cerebellar
unconsciousness hemorrhage
S.NO. TIME SPECIFIC CONTENT TEACHING LEARNING A.V. EVALUATION
OBJECTIVE ACTIVITY ACTIVITY AIDS
Damage to the brain and skull
Edema, inflammation and hemorrhage
Increase ICP
Diffuse damage to the cerebrum, CAR possum
callousum, and brainsteam
Disruption of RAS
Unconsciousness
6. 3minut List out clinical Lecture and learning LCD What are the clinical
manifestation of CLINICAL MENIFESTATION discussion manifestation of
unconsciousness The person will be unresponsive (does unconsciousness?
not respond to activity, touch, sound, or
other stimulation.
Is unaware of his surroundings and does
not respond to sound
Make no purposeful movement
Does not respond to questions or touch
Drowsiness
S.NO TIME SPECIFIC CONTENT TEACHING LEARNING A.V. EVALUATION
OBJECTIVE ACTIVITY ACTIVITY AIDS
Inability to speak or more parth of his or
her body
Loss of bowel or bladder control
(incontinence)
Stupor
Respiratory changes (Cheyne stroke
Respiration, cluster breathing, ataxic
breathing, hyperventilation)
Abnormal pupil reactions
7. 4minut Describe nursing NURSING ASSESSMENT lecture Lestioning LCD
assessment of Glasgow coma scale(GCS) And
unconsciousness Assess neurological function by nursing learning
Glasgow coma scale (GCS)
Score rang – 3 to 15
Abnormal<10
Normal->10
GCS
Parameter finding score
Eye opening - spontaneous -4
To speech -3
To pain -2
Do not open -1
S.NO TIME SPECIFIC CONTENT TEACHING LEARNING A.V. EVALUATION
OBJECTIVE ACTIVITY ACTIVITY AIDS
Best verbal response
oriented 5
confused 4
inappropriate speech 3
incomprehensible sound 2
no verbalization 1
best motor response
obey command 6
localize pain 5
withdraws from pain 4
abnormal flexion 3
(decorticate posture) 2
No motot response 1
8. 2minut explain about lecture Learning and Black What are the
diagnostic DIAGNOSTIC EVALUATION lestioning bord diagnostic
evaluation of History collection evaluation of
unconsciou Physical examination unconsciousness?
-sness X-ray – skull
MRI
Lumbar puncture
Positron emission tomography
EEG
S.NO TIME SPECIFIC CONTENT TEACHING LEARNING A.V. EVALUATION
OBJECTIVE ACTIVITY ACTIVITY AIDS
9. 7minut Explain the MEDICAL MANAGEMANT lectur Learning and LCD What are the
Manageme The goal medical management are to preserve brain lestioning management of
-ment function and prevent further damage- Unconsciousness
Of Ventilator support ?
unconsciou Oxygen therapy
-ness Management of blood pressure
Management of fluid balance
Management of seizures :anti epileptic
Sedatives, paralytic agents
Treating increased ICP : mannitol<
corticosteroids
Management of temperature regulation
(fever) ice packs, tepid sponging , antipyretics,
NSAIDS
Management of elimination : laxatives and
high fibre diet
Management of nutrition : TPN and RT feeds
DVT prophylaxis
NURSING DIAGNOSIS
Ineffective airway clearance related to upper
airway obstruction by inability to clear
respiratory secretion
S.NO TIME SPECIFIC CONTENT TEACHING LEARNING A.V. EVALUATION
OBJECTIVE ACTIVITY ACTIVITY AIDS
Ineffective thermoregulation related to
damage of hypothalamic center as evidenced
by increase body temperature
Self care deficit related to impairment of
musculoskeletal impairment as evidenced by
inable to proper activity
Imbalance nutrition related to poor appetite
as evidenced by weight loss
Risk for fluid volume deficit related to inability
to ingest fluid as evidenced by intake and
output chart
CONCLUSION – now I had discuss about introduction, definition, types, causes , pathophysiology, clinical manifestation, diagnostic evaluation,
and management of unconsciousness
EASSY TYPE QUESTION
1. What is unconsciousness, and explain pathophysiology of unconsciousness?
2. What are the management of unconsciousness?
SHORT QUESTION
1. Describe causes of unconsciousness?
2. Explain clinical menifestation of unconsciousness
3. Write nursing assessment of unconsciousness?
4. Write types of unconsciousness?
GRACIOUS COLLEGE OF NURSING ABHANPUR RAIOUR(C.G.)
SUBJECT :- NURSING EDUCATION
MICROTEACHING ON UNCONSCIOUSNESS
SUBMITTED TO
MRS. D. LEELAWATI YADAW
LECTURER, CHILD HEALTH NURSING SUBMITTED BY
MS. CHANCHAL SAHU
MSC. NURSING 1 st YEAR
