NARAYANA HRUDAYALAYA COLLEGE OF NURSING

ADULT HEALTH NURSING - I

UNIT PLAN

COURSE NAME : ADULT HEALTH NURSING - I

COURSE PLACEMENT : III SEMESTER

COURSE DURATION : 6 MONTHS

COURSE COORDINATOR : Mrs. DAISY

SUBJECT COORDINATOR: Ms. DAISY

COURSE TEACHER : Ms.Daisy, Ms. Namrata, Ms. Jincy, Ms. Shoba, Mrs. Anitha,
New Faculty 1 & 2

BLOCK REQUIRED HOURS CREDITIS PLANNED HOURS

THEORY 140 7 140

SKILL LAB 40 1 40

PRACTICAL 480 6 480

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

COMPETENCIES: On completion of Medical Surgical Nursing I course, students will be

able to:

1. Explain the etiology, pathophysiology, manifestations, diagnostic studies, treatments

and complications of common medical and surgical disorders.
2. Perform complete health assessment to establish a database for providing quality
patient care and integrate the knowledge of anatomy, physiology and diagnostic tests
in the process of data collection.
3. Identify nursing diagnoses, list them according to priority and formulate nursing care
plan.
4. Perform nursing procedures skill fully and apply scientific principles while giving
comprehensive nursing care to patients.
5. Integrate knowledge of pathology, nutrition and pharmacology in caring for patients
experiencing various medical and surgical disorders.
6. Identify common diagnostic measures related to the health problems with emphasis
on nursing assessment and responsibilities.
7. Demonstrate skill in assisting/ performing diagnostic and therapeutic procedures.
8. Demonstrate competencies/skills to patients undergoing treatment for medical
surgical disorders. 9. Identify the drugs used in treating patients with medical surgical
conditions.
9. Plan and give relevant individual and group education on significant medical surgical
topics.
10. Maintain safe environment for patients and the health care personnel in the hospital.
11. Integrate evidence-based information while giving nursing care to patients.
UNIT SPECIFIC CONTENT HOURS TEACHER METHOD OF AV REFERENCE METHODS OF
OBJECTIVES ALLOTED RESPONSIBLE EVALUATION
TEACHING AIDS
I INTRODUCTION • Lecture cum PPT, K. Barbara, E • Short Answer
- Narrate the  Evolution and trends of discussion White • OSCE
1 Nancy.
evolution of medical and surgical • Demonstration & Board
medical Introductory
nursing. Practice session
surgical
 International classification 1 Ms. Roleplay Medical-
nursing.
of diseases. Namrata • Visit to outpatient Surgical
- Apply
nursing  Roles and responsibility of 1 department, in
Nursing. 9th ed.
process in a nurse in medical and patient and
caring for surgical settings. intensive care unit. USA.
patients with o Outpatient Lippincott
medical
department
surgical Williams and
problems. o In-patient unit
Wilkins. 2007.
- Execute the o Intensive care
role of a unit - Lewis S,
1
nurse in  Introduction to medical Collier L.
various and surgical asepsis.
medical Medical
surgical o Inflammation,
infection Surgical
setting.
- Develop o Wound healing – Nursing
skills in stages, Assessment
assessment influencing
and care of and
factors
wound.
o Wound care and Management of
- Develop
competency dressing Clinical
1
in providing technique
Problems. 3rd
pre and post  Care of surgical patient
 operative o Pre-operative ed. USA.
care. o Post-operative
1 Mosby. 1992.
 Alternative therapies used
in caring for patients with
Medical Surgical
Disorders

II - Explain INTRAOPERATIVE CARE • Lecture cum PPT, K. Park. - Caring for patient
organizational  Organization and physical Discussion White Preventive and intraoperatively
2 10hrs-Ms.
set up of the setup of the operation • Demonstration, Board - Submit a list of
Jincy Social
operating theatre Practice session, disinfectants used
theatre. o Classification and Case Medicine. 20th for instruments
5hrs- New
- Differentiate o O.T Design Faculty-1 Discussion ed. India. with the action
the role of scrub o Staffing • Visit to receiving and precaution
Banarsidas
nurse and o Members of the bay
circulating Bhanot. 2009.
o OT team.
nurse. o Duties and
- Describe the
o responsibilities Suzanne C,
different
o of the nurse in OT Branda G.
positioning for 2
 Position and draping for
various Textbook of
common surgical
surgeries. Medical
procedures
- Apply 2
 Instruments, sutures and Surgical
principles of
suture materials,
asepsis in Nursing. 10th
equipment for common
handling the ed. USA.
surgical procedures
sterile 1
 Disinfection and Lippincott
equipment.
sterilization of equipment
 - Demonstrate  Preparation of sets for 1 Williams and
skill in common surgical Wilkins. 2004.
scrubbing procedures
procedures.  Scrubbing procedures – 1
- Demonstrate Gowning, masking and
skill in assessing gloving
1
the patient and  Monitoring the patient
document during the procedures 1
accurately the  Maintenance of the
surgical safety therapeutic environment in
checklist. OT 1
- Develop skill  Assisting in major and
in assisting with minor operation, handling
selected specimen
1
surgeries.  Prevention of accidents
- Explain the and hazards in OT
types, functions,  Anaesthesia – types, 1
and nursing methods of administration,
considerations effects and stages, 1
for different equipment & drugs
types of  Legal aspects
anaesthesia.

III - Identify the NURSING CARE OF • Lecture, PPT, Barbara C,  Short answer
signs and PATIENTS WITH COMMON Ms. discussion, White  MCQ
Wilma J,
symptoms of SIGNS AND SYMPTOMS AND Namrata demonstration Board  Case report
Virginia L.
shock and MANAGEMENT • Case discussion
electrolyte  Fluid and electrolyte 2 Medical-
 imbalances. - imbalance Surgical
Develop skills in  Shock 2
Nursing, A
managing fluid  Pain 2 Nursing
and electrolyte
imbalances. Process
- Perform pain Approach, 3rd
assessment and
plans for the ed. USA.
nursing
management

IV - Demonstrate NURSING MANAGEMENT • Lecture, PPT, Gail A, Judith  Essay

skill in OF PATIENTS WITH discussion, White  Short answer
R, Medical
respiratory RESPIRATORY PROBLEMS • Demonstration Board  OSCE
assessment New Surgical
 Review of anatomy and 2 • Practice session
- Differentiates Faculty-1
physiology of respiratory • Case presentation Nursing. 9th ed.
different breath
sounds and lists system • Visit to PFT Lab USA. Nancy
the indications.  Nursing Assessment –
L.Coon. 1996.
- Explain the history taking, physical 2
etiology, assessment and diagnostic
pathophysiology, tests -Suzanne C,
clinical
 Common respiratory
manifestations, Brenda G,
diagnostic tests, problems:
o Upper respiratory 2 Janice L, Kerry
and medical,
surgical, tract infections H. Textbook of
nutritional and o Chronic 2 Medical
nursing obstructive
management of Surgical
pulmonary
common
Nursing. 11th
 respiratory diseases 2 ed. New Delhi.
problems. o Asthma o Pleural Wolters
- Describe the effusion,
health behaviour 1 Kluwer. 2008.
Empyema 1
to be adopted in
o Bronchiectasis 1
preventing 1
respiratory o Pneumonia
1
illnesses. o Lung abscess
o Cyst and tumors 1
o Chest Injuries
o Acute respiratory 1
distress syndrome
1
o Pulmonary
embolism
o Health
behaviours to
prevent
respiratory illness

V - Explain the NURSING MANAGEMENT • Lecture, PPT, BT • Short answer

etiology, OF PATIENTS WITH Discussion White Basavanthappa, • Quiz
pathophysiology, DISORDERS OF DIGESTIVE New • Demonstration, Board, • OSCE
Faculty-2 1st Edition
clinical SYSTEM • Roleplay Charts
manifestations,  Review of anatomy and 1 • Problem Based 2011, Essential
diagnostic tests, physiology of GI system Learning of Medical
and medical,  Nursing assessment – 2 • Visit to stoma
Surgical
surgical, History and physical clinic
nutritional, and assessment Nursing.
2
nursing  GI investigations
management of  Common GI disorders: Brunner and
1
gastrointestinal o Oral cavity: lips, gums and
Suddarth’s
disorders. teeth 2
o GI: Bleeding, Infections, textbook, 8th
- Demonstrate Inflammation, tumors, edition, of
skill in  Obstruction,
gastrointestinal medical and
Perforation
assessment. surgical
- Prepare patient &
1
for upper and  Peritonitis nursing.
2
lower o Peptic & duodenal ulcer,
gastrointestinal o Mal-absorption,
investigations. Appendicitis, Hernias,
- Demonstrate
Haemorrhoids, fissures, 1
skill in gastric
decompression, Fistulas
gavage, and o Pancreas: inflammation, 1
stoma care. cysts, and tumours
- Demonstrate o Liver: inflammation, cysts,
skill indifferent abscess, cirrhosis, portal
feeding
hypertension, hepatic
techniques. 1
failure, tumours
o Gallbladder :
inflammation,
1
Cholelithiasis, tumours
o Gastric decompression,
gavage and stoma care,
different feeding
1
techniques
  Alternative therapies,
drugs used in treatment of
disorders of digestive
system.

VI - Explain the NURSING MANAGEMENT • Lecture, PPT, Panwar P.K.  Care plan
etiology, OF PATIENTS WITH discussion White  Drug record
Fourth Edition
pathophysiology, CARDIOVASCULAR 15-Ms. • Demonstration Board,  BLS/ BCLS
clinical Daisy (2015), Text evaluation
PROBLEMS • Practice session models
manifestations, 5-New
 Review of anatomy and 1 • Case Discussion Book of
diagnostic tests, Faculty-2
and medical, physiology of © • Health education Medical
surgical, cardiovascular system • Drug
Surgical
nutritional, and  Nursing Assessment: 2 Book/presentation
nursing History and Physical • Completion of Nursing,
management of assessment BCLS Module published by
cardiovascular
 Invasive & non-invasive 2
disorders. Virendra
- Demonstrate cardiac procedures
 Disorders of vascular 1 Kumar Arya,
skill in
cardiovascular system New Delhi.
assessment.  Hypertension, 2
- Prepare patient arteriosclerosis, Raynaud‘s
for invasive and disease, aneurysm and - K. Barbara, E
non-invasive
peripheral vascular Nancy.
cardiac
procedures. disorders Introductory
- Demonstrate  Coronary artery diseases: 2
Medical-
skill in coronary atherosclerosis,
monitoring and Angina pectoris, Surgical
interpreting myocardial infarction Nursing. 9th ed.
 clinical signs  Valvular disorders: USA.
related to cardiac congenital and acquired
2 Lippincott
disorders.  Rheumatic heart disease:
- Complete Williams and
pericarditis, myocarditis, 2
BLS/BCLS
endocarditis, Wilkins. 2007.
module.
cardiomyopathies
 Cardiac dysrhythmias,
heart block 2
 Congestive heart failure,
corpulmonale, pulmonary
3
edema, cardiogenic shock,
cardiac tamponade.
 Cardiopulmonary arrest
1

VII - Explain the NURSING MANAGEMENT • Field visit to PPT, Lewis S,  Interpretation
etiology, OF PATIENTS WITH blood bank White of blood
Collier L.
pathophysiology, DISORDERS OF BLOOD Ms. Jincy • Counselling Board, reports
clinical Medical
 Review of Anatomy and 1 Blood  Visit report
manifestations,
Physiology of blood reports Surgical
diagnostic tests,
and medical,  Nursing assessment: Nursing
2
surgical, history, physical
Assessment
nutritional, and assessment & Diagnostic
nursing tests and
management of  Anemia, Polycythemia 1
Management of
haematological
 Bleeding Disorders:
disorders. Clinical
- Interpret blood clotting factor defects and 2
platelets defects, Problems. 3rd
reports.
 - Prepare and thalassemia, leukemia, ed. USA.
provides health leukopenia, Mosby. 1992.
education on agranulocytosis,
blood donation.
Lymphomas, myelomas 1

VIII - Explain the NURSING MANAGEMENT • Lecture, PPT, Lewis S,  Prepare health
etiology, OF PATIENTS WITH discussion White education on
Collier L.
pathophysiology, DISORDERS OF ENDOCRINE • Demonstration Board, self-
clinical Medical
SYSTEM • Practice session Report administration
manifestations, Ms. Anitha
 Review of anatomy and • Case Discussion s Surgical of insulin
diagnostic tests, 2
and medical, physiology of endocrine • Health education Nursing  Submits a
surgical, system diabetic diet
Assessment plan
nutritional, and  Nursing Assessment – 2
nursing History and Physical and
management of assessment Management of
endocrine
 Disorders of thyroid and 2
disorders. Clinical
- Demonstrate Parathyroid, Adrenal and
Pituitary (Hyper, Hypo, Problems. 3rd
skill in
assessment of tumors) ed. USA.
2
endocrine organ  Diabetes mellitus Mosby. 1992.
dysfunction
- Prepare and
provides health
education on
diabetic diet.
- Demonstrate
skill in insulin
administration.
IX - Explain the NURSING MANAGEMENT • Lecture, PPT, Barbara C, • Drug report
etiology, OF PATIENTS WITH discussion White • Preparation of home
Wilma J,
pathophysiology, DISORDERS OF • Demonstration Board care plan
clinical New Virginia L.
INTEGUMENTARY SYSTEM • Practice session
manifestations, Faculty-2
 Review of anatomy and 1 • Case Discussion Medical-
diagnostic tests,
and medical, physiology of skin Surgical
surgical,  Nursing Assessment: 1 Nursing, A
nutritional, and History and Physical
nursing assessment Nursing
management of  Infection and infestations; 1
Process
disorders of
Dermatitis
integumentary Approach, 3rd
system.  Dermatoses; infectious and 1
Non-infectious ed. USA.
- Demonstrate
 Acne, Allergies, Eczema & 1
skill in Alison Miller.
integumentary Pemphigus 1993.
assessment.  Psoriasis, Malignant 1
- Demonstrate melanoma, Alopecia
skill in 1
 Special therapies,
medicated bath.
- Prepare and alternative therapies
provide health  Drugs used in treatment of 1
education on disorders of integumentary
skin care. system

X - Explain the NURSING MANAGEMENT • Lecture PPT, BT  Nursing care

etiology, OF PATIENTS WITH • Discussion White plan
Basavanthappa,
pathophysiology, MUSCULOSKELETAL Ms. Jincy • Demonstration Board  Prepare health
clinical 1st Edition teaching on
PROBLEMS • Case Discussion
manifestations, care of patient
 Review of Anatomy and 2 • Health education 2011, Essential
diagnostic tests,
and medical, physiology of the of Medical with cast
surgical, musculoskeletal system Surgical
nutritional, and Nursing Assessment:
nursing Nursing.
History and physical
management of
musculoskeletal assessment, diagnostic
tests 2
disorders. Suzanne C,
- Demonstrate  Musculoskeletal trauma:
Brenda G,
skill in Dislocation, fracture,
musculoskeletal sprain, strain Janice L, Kerry
assessment.  contusion, amputation 2
H. Textbook of
- Prepare patient
 Musculoskeletal infections
for radiological Medical
and non- and tumors: Osteomyelitis,
benign and malignant Surgical
radiological
tumor 2
investigations of Nursing. 11th
musculoskeletal  Orthopaedic modalities : ed. New Delhi.
system. Cast, splint, traction,
- Demonstrate crutch walking 2 Wolters
skill in crutch
 Musculoskeletal Kluwer. 2008.
walking and
splinting. inflammation: Bursitis, 2
synovitis, arthritis
 Special therapies,
alternative therapies
2
 Metabolic bone disorder:
Osteoporosis, osteomalacia
and Paget‘s disease
 Spinal column defects and 2
deformities – tumour,
prolapsed intervertebral
 disc, Pott‘s spine

XI - Explain the NURSING MANAGEMENT • Lecture, PPT, K. Park.  Prepares and

etiology, OF PATIENTS WITH discussion, White Preventive and submits
pathophysiology, COMMUNICABLE DISEASES demonstration Board Social protocol on
clinical 10hrs-Ms. Medicine. 20th various
 Overview of infectious 1 • Practice session
manifestations, Anitha ed. India. isolation
diagnostic tests, diseases, the infectious • Case Banarsidas techniques
and medical, process 10hrs-Ms. Discussion/seminar Bhanot. 2009.
surgical,  Nursing Assessment: 2 Shoba • Health education
nutritional, and History and Physical • Drug Brunner and
nursing assessment, Diagnostic Book/presentation Suddarth’s
management of tests • Refer TB Control
patients with textbook, 8th
 Tuberculosis 1 & Management
communicable
 Diarrheal diseases, module edition, of
diseases.
- Demonstrate hepatitis A E, Typhoid 3 medical and
skill in barrier  Herpes, chickenpox,
3 surgical
and reverse Smallpox, Measles,
barrier Mumps, Influenza nursing.
techniques.  Meningitis
- Demonstrate 1
 Gas gangrene
skill in execution 1
of different  Leprosy 1
isolation  Dengue, Plague, Malaria,
protocols. Chikungunya, swine flu, 2
Filariasis
 Diphtheria, Pertussis,
Tetanus, Poliomyelitis 2
 COVID-19
 Special infection control
 measures: Notification, 3
Isolation, Quarantine,
Immunization.

REFERENCES:

 K. Barbara, E Nancy. Introductory Medical-Surgical Nursing. 9th ed. USA. Lippincott Williams and Wilkins. 2007.
 Lewis S, Collier L. Medical Surgical Nursing Assessment and Management of Clinical Problems. 3 rd ed. USA. Mosby. 1992.
 K. Park. Preventive and Social Medicine. 20th ed. India. Banarsidas Bhanot. 2009.
 Suzanne C, Branda G. Textbook of Medical Surgical Nursing. 10th ed. USA. Lippincott Williams and Wilkins. 2004.
 Barbara C, Wilma J, Virginia L. Medical-Surgical Nursing, A Nursing Process Approach, 3rd ed. USA. Alison Miller. 1993.
 Gail A, Judith R, Medical Surgical Nursing. 9th ed. USA. Nancy L.Coon. 1996.
 Suzanne C, Brenda G, Janice L, Kerry H. Textbook of Medical Surgical Nursing. 11th ed. New Delhi. Wolters Kluwer. 2008.
 BT Basavanthappa, 1st Edition 2011, Essential of Medical Surgical Nursing.
 Brunner and Suddarth’s textbook, 8th edition, of medical and surgical nursing.
 Panwar P.K. Fourth Edition (2015), Text Book of Medical Surgical Nursing, published by Virendra Kumar Arya, New Delhi.

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