GROW MORE INSTITUTE OF NURSING, HIMMATNAGAR

Medical Surgical Nursing-II

(Adult including Geriatrics)

Placement: Third year Time Allotted: Theory-120 hours Practical-270

hours

Course Description:
The purpose of this course is to acquire knowledge and develop
proficiency in caring for patients with medical and surgical disorders in varieties
of health care setting and at home.
TIME
CONTENT
UNIT (Hrs)
1
15 Nursing management f patient with disorder of Ear Nose and Throat
Review of anatomy and physiology of the Ear Nose and Throat
Nursing assessment History and physical assessment

Etiology, Pathopysiology, Clinical manifestation, Diagnosis, Treatment

modalities and medical & surgical nursing management of ear nose
and throat disorders
External ear: deformities otalgia foreign bodies and tumors.
Middle ear: impacted wax, tympanic membrane perforation, otitis
media, otosclerosis, mastoiditis, tumor
Inner ear : memieres disease, labyrinthitis, ototoxicty, tumor
Upper air way infections: common cold, sinusitis, ethinitis, rhinitis,
pharyngitis, tonsillitis and adenoiditis, peritonsilar abscess, laryngitis

Upper respiratory airway epstaxis

Nasal obstruction, laryngeal obstruction, cancer of the larynx
Cancer of the oral cavity
Speech defects and speech therapy
Deafness
Prevention, control and rehabilitation
Hearing Aids, implanted hearing devices
Special therapies
Nursing procedures
Drug used in treatment of disorders of Ear Nose and Throat

 Role of nurse communicating with hearing impaired and muteness

2

15 Nursing management of patient with disorder of eye

Review of anatomy and physiology o the eye
Nursing assessment History and Physical assessment
Etiology, Patho-physiology, Clinical manifestation, Diagnosis, Treatment
modalities and medical & surgical nursing management of Eye disorders;

Refractive errors
Eyelid-infection, tumors and deformities

Conjunctiva-inflammation an infection, bleeding

Cornea-inflammation and infection

Lens-cataracts

Glaucoma

Disorder of uveal tract

Ocular emergencies and their prevention

Blindness

National blindness control program

Eye Banking
Eye prostheses an rehabilitation
Role of a nurse-communication with visually impaired, Eye
cams Special therapies
Nursing procedures
Drug used in treatment of disorder of eye
3

16 Nursing management of patient with neurological disorders

Review of anatomy and physiology of the neurological system
Nursing Assessment-History and physical and neurological
assessment and Glasgow coma scale
Etilogy, patho-physiology, clinical manifestations, diagnosis,
treatment

modalities

and

medical&

management of neurological disorders

Congenital malformations
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surgical

nursing

Headache
Head injuries
Spinal injuries:

Paraplegia

Hemiplegia

Quadriplegia

Spinal cord compression-herniation of intervertibral

disc Tumors of the brain & spinal cord
Intracranial

and

cerebral

aneurysms Infection:
Meningitis, Encephalitis, Brain Abscess, neurocstcercosis
Movement disorder

Chorea

Seizures

Epilepsies

Cerebro vascular Accidents (CVA)

Cranial, Spinal Nuropathies- Bells palsy, trigeminal neuroplegia
Peripheral Neuropathies; Guillain-Barre Syndrome
Myasthenia gravis
Multiple Sclerosis
Degenerative diseases
4

16

Nursing management of patients with disorders of female reproductive system

Review of anatomy and physiology of the female reproductive system
Nursing Assessment-History and physical assessment
Breast self examination
Etiology, patho-physiology, clinical manifestations, diagnosis, treatment
modalities and medical& surgical nursing management of the female
reproductive system
Congenital abnormalities of female reproductive system
Sexuality and reproductive health

-3Sexual health assessment

Menstrual disorders: Dysmenorrhea, Amenorrhea, Premenstrual
syndrome Abnormal uterine bleeding: Menorragia, metrorrhagia
Pelvic inflammatory Disease
Ovarian and fallopian tube disorder: infection yst,tumors
Uterine and cervical disorders: Endometrium, polyps, fibroids,
Cervial and uterine tumors, uterine displacement:
Cystocele/ Urethrocele/ Rectocele
Vaginal

disorders;

Infection

and

discharge,

fistulas Vulvar disorders; infection, cysts, tumors

Disease of breast; deformities, infection, cysts and
tumors Menopause and Hormonal Replacement Therapy

Infertility
Contraception; types methods, risk and effectiveness
Spacing method
- Barrier methods,
Intera Uterine Devices, Hormonal, Post Concetonal methods,et

Terminal methods
-Sterilization

Emergency Contraception methods

Abortion-Natural, Medical and surgical abortion-MTP
Act Toxic shock syndrome
Injuries

and

Trauma;

Sexual

violence Special therapies

Nursing procedure
Drugs used in treatment of gynecological disorders
National family welfare programe
5

16 Nursing management of patients with Burns, reconstructive and

cosmetic surgery
Review of anatomy and physiology of the skin and connective tisues and
-4-

various deformities
Nursing Assessment-History and physical assessment and
assessment of burns and fluid and electrolyte loss
Breast self examination
Etiology,classification,

pathophysiology

,clinical

manifestations,

diagnosis, treatment modalities and medical& surgical nursing

management of Burns, reconstructive and cosmetic surgery
Types of re-constructive and cosmetic surgery; or burns,
congenital deformities, injuries and cosmetic purpose
Roe of nurse
Legal aspects
Rehabilitation

Special therapies
Psychosocial aspects
Nursing procedures

Drugs used in treatment of burns, reconstructive an cosmetic surgery

6

10

Nursing management of patients with oncological conditions

Structure & characteristic of normal & cancer cells
Nursing Assessment-History and physical assessment
Prevention, Screening Early detection, Warning signs of cancer
Epidemiology, Etiology, classification, pathophysiology , staging, clinical
manifestations, diagnosis, treatment modalities and medical& surgical
nursing management of oncological conditions
Common malignancies of various body system; Oral, Larynx, Lung,
Stomach, and colon, Liver, Leukemias and Lymphodes Breast, Cervix,
Ovary, Uterus Sarcoma, Brain, Renal, Blader, Prostate etc.
Oncogical emergencies
Modalities of treatment

Immunotherapy

Chemotherapy

-5 Radiotherapy
Surgical Interventions
Stem cells and bone marrow transplant
Gene therapy
Other forms of treatment
Psychosocial aspects of cancer
Palliative ce, Symptom and pain
Management, Nutrition Supprt

Home care
Stomal Therapy
Special therapies
Psychosocial aspects
Nursing procedures

10 Nursing management of patients in EMERENCY & DIASTER situatin

Disaster Nursing
Concepts and principles of Disaster Nursing
Causes and Types of Disaster: Natural and Man made
Earthquakes, Floods Epidemics, Cyclones
Fire, Explosion, Accidents
Violence, Terrorism: Bio chemical war
Policies

related

to

emergency/Disaster

management;

International, National, state, intuitional

Disaster preparedness:
Team, Guidelines, Protocols, Equipments, Resources
Coordination and involvement of community, various govt.
department, Non-Govt .organization and international agencies
Role of nurse: Working Legal aspects of Disaster
Nursing Impacts on health and after disorder
Rehabilitation: physical, psychosocial, financial relocation
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Emergency Nursing
Concept, priorities, principles and Scope of emergency nursing
Organization of emergency services: physical setup, staffing,
equipment and supplies, protocols,
Concept of triage and role of triage nurse
Coordination and involvement of different departments and
facilities Nursing Assessment-History and physical assessment
Etiology, classification, pathophysiology , staging, clinical
manifestations, diagnosis, treatment modalities and medical& surgical
nursing management of patient with medical and surgical emergency
Principal of emergency
Common emergencies
Cardiac emergencies

Shock

and

Hemorrhage Pain
Poly trauma, road accidents ,crush injuries
,wound Bites
Poisoning,: Food, gas, drugs & chemical
poisoning Seizures
Thermal emergencies : Heat stroke& cold
injuries Pediatric Emergencies
Psychiatric Emergencies
Obstetrical Emergencies
Violence, Abuse, Sexual assault
Cardio Pulmonary Resuscitation
Crisis Intervention

Role of nurse: communication and inter personal

relationship Medico-Legal Aspects
8

10 Nursing care of the elderly

Nursing Assessment History an physical assessment
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Aging
Demography; Myths and realities
Concepts an theories of aging
Cognitive Aspects of Aging
Normal biological ageing
Age related body systems changes
Psychosocial Aspects of aging
Medication and elderly
Stress & coping in older adults
Common health problems & Nursing management
Cardio vascular, Respiratory, Musculoskeletal
Endocrine, genitor urinary, gastrointestinal
Neurological, skin and other sensory organs
Psychosocial and sexual
Abuse of elderly
Role of nurse for care of elderly; ambulation, nutritional,
communicational, psychosocial and spiritual
Role of nurse for care givers for elderly
Role of family and formal and non formal care givers
Use of ads and prosthesis ( hearing aids, denures)
Legal and ethical issues
Provisional and programmes for elderly; privilege, community
programmes and health services
Home and institutional care
I
X

10

Nursing management of patient in critical care units

Nursing assessment- history and physical assessment
Classification
Principles of critical care nursing
Organization ; physical setup, policies, staffing norms
Protocols, equipments and supplies

Special

-8equipments;

ventilators,

cardiac

monitors,

defibrillators Resuscitation equipments

Infection control protocols
Nursing

management

of

critically

ill

patients Monitoring of critically ill patients

CPR- Advance Cardiac Life Support
Treatment and procedures

Transitional care
Ethical and illegal aspects
Communication with patient and
family Intensive care records
Crisis intervention
Death and dying coping with
Drugs used in critical care unit

Nursing management of patients adults including elderly with occupational

and industrial disorders
Nursing assessment- history and physical assessment
Etiology, pathophysiology, clinical manifestations, diagnosis,
treatment modalities and medical and surgical nursing
management of occupational and industrial health disorders
Role of nurse
Special

therapies,

alternative

therapies Nursing procedures

Drugs used in treatment of occupational and industrial disorders

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MEDICAL SURGICAL NURSING-II

(ADULT AND GERIATRIC) - PRACTICAL
Placement: Third year

Time Allotted: Theory-120 hours

Practical-270 hours
Intership-430 hrs.

AREAS

DURATION
(in week)

SKILLS
Perform examination of ear, nose, and throat

ENT

Assist with diagnostic procedure.

Assist with therapeutic procedure.
Instillation of drops.
Perform/assist with irrigations.
Apply ear bandage
Perform tracheotomy care.
Teach patients and families.
Perform examination of eye

Ophthalmology 1

Assist with diagnostic procedure.

Assist with therapeutic procedure.
Perform/assist with irrigations.
Apply eye bandage
Apply eye drops/ointment.
Assist with foreign body removal.
Teach patients and families

Neurology

Perform neurological examination

Use Glasgow coma scale
Assist with diagnostic procedure.
Assist with therapeutic procedure
Teach patients and families
Participate in rehabilitation program

Gynecology
Ward

Assist with Gynecological examination

Assist with diagnostic procedure.
Assist with therapeutic procedure
Teach patients and families

-10Teaching self Breast examination

Assist with PAP smear collection
Assessment o the burns patient
Burns

Unit

-percentage of burns
-Degree of burns
Fluid & electrolyte replacement therapy
-Assess
-Calculate
-Replace
-Record intake-output
Care of burns wounds
-Bathing
-Dressing
Perform active and passive
Examination
Practice medical & surgical asepsis
Counsel and teach patients and families
Participate in rehabilitation programme.

Oncology unit

Screen for common cancers-TNM classification

Assist with diagnostic procedures
o Biopsies
o Pap smear
o Bone marrow aspiration
Breast examination
Assist with therapeutic procedures
Participate in various modalities of treatment
o Hemo therapy
o Radio therapy
o Pain management
o Stomal therapy
o Hormonal therapy
o Immune therapy
o Gene therapy
o Alternative therapy
Participate in palliative care

-11Counsel and teach patiens families

o Self breast examination
Critical care

o Warning sign
Participate in rehabilitatin programme

unit

Monitoring of patients in ICU

Maintain flow sheet
Care Of Patients on ventilators
Perform endotracheal suction
Demonstrate use of ventilators,cardiac monitors etc..
Collect specimen and interprets ABG analysis
Assist with arterial puncture
Maintain CVP line
Pulse oxymetry
CPR-ALS
Defibrillators
Pace makers
Bag-mask ventilations
Emergency tray/trolley-crash cart
Administration of drugs
o Infusion pump
o Epidural
o Intra thecal
o Intra cardiac
Total parenteral therapy
Chest physio therapy
Perform active and passiv exercises
Counsel the patient and family in dealing with grieving and
bereavement

Casuality/
emergency

Practice triage
1

Assist with assessment,examination,investigations&their

interpretations,in emergency and disaster situations
Assist in documentations
Assist in legal procedures in emergency unit
Participate in managing crowd
Counsel patient and families in grief and bereavement

-12-

Placement: internship
Time: 9weeks
AREA

DURATION

SKILLS

(IN WEEK)
Medical ward

Surgical ward

Critical care

Integrated practice.

unit/ICCU
Casuality/eme

rgeny
Operation

theatre(eye,E
NT,neuro)

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