Maharashtra University of Health Sciences, Nashik

 

Direction No. 8 of 1999

 

Subject :          Examination leading to Degree of Bachelor of Sciences in Nursing (B.Sc.

                        Nursing 1st Year Examination to be held in summer 1999)

 

                Whereas, the Hon. Governor of the Maharashtra promulgated Maharashtra Ordinance No.11 of 1998 to establish Maharashtra University of Health Sciences on 3rd June, 1998, which has been passed as Maharashtra University of Health Sciences Act, 1998 by the Maharashtra State Legislature, for the purposes of ensuring proper and systematic instruction, teaching, training and research in modern medicine and Indian Systems of Medicines, Pharmaceutical Sciences and paramedical courses in the State of Maharashtra and to have balanced growth in health Sciences so also an uniformity in various courses in Health Sciences in the State.

 

                And whereas, it is a duty of the University to hold Examinations of the courses conducted by the University as provided under the sub Section (ii) of Section 5 of  an Ordinance,

 

                And whereas, the University has decided to conduct the First Year B.Sc.Nursing Examinations in first half of 1999.

 

                And whereas, conduct of examinations is an subject matter of Ordinance as provided under sub Section (vi) of Section (50) of the Act.

 

                And whereas, ordinance for conduct of an examination leading to the Degree of Bachelor of Science in Nursing (Fist Year B.Sc.Nursing Examination) is not in existence.

       

                And whereas making of an ordinance is a time taking process.

       

                Now, therefore, I, Dr.D.G. Dongaonkar, Vice-Chancellor of the University in exercise of the powers conferred upon me under sub section (8) of section 16 of the Act, issue following directions.

 

(1)   These directions shall be called “Examinations leading to the Degree of Bachelor of Science in Nursing (First Year Examination) direction, 1998.

 

(2)   These directions shall come into force with effect from the date of its issuance.

 

(3)   There shall be following examinations leading to the Degree of Bachelor of Science in Nursing.

        1.     The First Year B.Sc. Nursing Examinations.

        2.     The Second Year B.Sc. Nursing Examinations.

        3.     The Third Year B.Sc. Nursing Examinations.

        4.     The Final Year B.Sc. Nursing Examinations.

(4)   The Examination referred to in paragraph 3 shall be held once a year at such places and on such dates as may be appointed by Board of Examinations.

 

(5)   Admission Criteria : An applicant for admission to the First Year B.Sc. Nursing Course shall :

i.      Have attained or shall attain the age of 17 years on the day of admission to the college prescribed by Maharashtra University of Health Sciences, Nashik.

ii.     Have passed 12th standard (10+2) / Higher Secondary School Certificate Examination of Maharashtra State Board or any other examination recognised as equivalent examinations by the University, consisting of Physics, Chemistry, Biology (Botany, Zoology) and English.

iii.     Be physically and mentally fit for admission.

iv.    Have obtained not less than 50% of the total marks at the qualifying examination in Physics, Chemistry, Biology and English taken together. However the applicant belonging to back ward classes must have secured not less than 40% at the qualifying examination in the said subjects taken together.

v.     Have passed qualifying examinations at one and the same attempt i.e. an applicant who passes the examination in parts will not be held eligible.

vi.    The each academic year should consist of 240 teaching / clinical days.

 

(6)   Duration : The duration of the course shall be four years.

 

(7)   Distribution of Hours : Minimum Total Working Teaching days - 240.

        First year                                                                          - 40 weeks

        Working Hours / week                                                      - 36 hours

        Teaching  Hours available in 1st year                      -  1440 hours

 

(8)   Vacation and Holidays : A minimum of Six to Eight weeks vacation            shall be given each year.

        Summer vacation                       -       30 days.

        Mid term break                -       14 days (preferred by during

                                                                 Diwali and X’mas)

        Preparatory Holidays                -       10 days

        Sick leave                         -       10 days

All public holidays as per Maharashtra State./ Maharashtra University of Health Sciences, Nashik

 

(9)   Syllabus First Year B.Sc. Nursing

 

Sr. No.        Subject                                 Theory         Practical        Clinical Hours

 

1.     Anatomy                                                80                 20                     --

2.     Physiology                                              65                 10                     --

3.     Bio-Chemistry                                        40                 --                      --

4.     Foundations of Nursing                           76                 154                   300         

5.     Normal nutrition and

        Food Preparation                                   45                 15                     --

6.     Introduction to community

        Health including Family Welfare              75                 --                      45           

7.     Psychology                                             75                 15                     --

8.     English/Marathi/Hindi                              75                 --                      --

 

        Total 531                                                214               345                  

 

 

10.  Examination Ordinance

 

(i)     Student  shall have minimum 75 % of attendance in theory and 90% in practicals  to be eligible for appearing in the  examination.

(ii)    If candidate fails in internal assessment in any subject (Theory or Practical) will be not be eligible for appearing the University examination.

(iii)   Student will not be permitted to keep term  until he  passes  in all  the subjects of the First Year  B.Sc. Nursing Examination.( There will be no A.T.K.T.)

(iv)   Student will not be permitted  more than  three attempts  (actual examination) in  sequence.

(vi)   The internal assessment mark sent previously should be considered for supplimentory examination if student obtained passed mark.

                If candidates fails in Theory or Practical at University examination. He/She has to appear both the examination at supplimentory examination

(vii) The maximum marks allotted to each subject per practical, clinical, oral  and viva-

voce shall be indicated in appendix  A as page No. 4.

(viii)The scope of  Subjects of First Year shall be indicated in the Prospectus appended here as appendix ‘B‘ as page No.5.

(ix)   Standard of passing the examination :-    

(x)    To pass the examination a candidate shall  obtain 50% marks in each  theory  and  Practical   whereas in  subsidiary subjects minimum pass marks shall be 50%.

(xi)  25% of marks for theory  and 50%  of marks for practical  shall be reserved  for class performance and  evaluation of performance in guided clinical  practice  respectively.                                            

(xii)  The examination paper should allot 25% weightage to objective type questions and 75% to long answer type questions and short answers.

(xiii)Maximum  number of  students  to be examined  in the  practical  should not  be more  than  12  per day.

(xiv) Those of the successful candidates who pass the Examination at one and the same time and obtain: 50% or more marks shall be declared to have passed the Examination  in SECOND CLASS. 

-      60% or more marks shall be declared to have passed the Examination in FIRST CLASS. 

-      70% or more marks shall be declared to have passed the examination in FIRST CLASS with DISTINCTION.

*      A successful examinee passing an examination within the minimum prescribed period for the examination and obtaining not less than 75% of the total marks prescribed in a subject shall be declared to have passed the examination with distinction in that subject.

*      An  unsuccessful examinee, who fails  in one of the main subjects or subsidiary subjects, shall appear  in  that subject only  of that academic  year  of the said examination .

*      Not withstanding anything to the contrary in this Direction, no student shall be admitted  to the Examination under this Direction if he has already passed the same examination or an equivalent Examination of any other statutory University.

*      Deficiency  subject to a maximum 5 marks  shall be condoned to enable  an examinee to pass the Said examination.  Such  condonation  shall be granted under one or more heads of passing.

        (Explanation  - Condonation of deficiency of marks shall not be granted of securing examption in the  subject.)

 

EXPLANATION :

 

(a)    Examinees passing  an examination with condonation of deficiency of marks shall not  find a place in the merit list.

(b)   Examinees passing an examination with condonation of deficiency of marks shall not  be  eligible for  any University Scholarship , medals, prizes, and any other University awards pertaining to that examination.

(c)    Statement of marks issued to candidates  shall show condonation of deficiency of marks, if any , without  mentioning the extent of condonation in terms of marks.

(d)   Examinees successful at the First,  Second  and Third  B.Sc. Nursing Examination shall be entitled  to receive  a signed certificate by the  Controller of Examinations  and  statement of  marks  and those successful at  Final B.Sc. Nursing Examination  shall be  awarded   the B.Sc. Nursing Degree  certificate  duly signed by the Vice-Chancellor. 

 

 

 

Date :                                                                           Dr. D. G. Dongaonkar 

    Vice-Chancellor

 

Appendix - A

(SCHEME OF  ANNUAL EXAMINATION)

 

S.

N.

Subject

Subheads

Max. marks allotted

Min. marks required to pass in each sub head

Min. marks required to pass in each subject

Min.marks required for awarding distinction

1   

Anatomy &

Physiology

Including

Biochemistry

Theory (written)

75

38

 

50

 

75

Int. Assessment

25

12

2

Foundations  of

Nursing

 

Theory (written)

75

38

 

 

 

100

 

 

 

150

Practical + Oral

50

25

Int. Asses.

Theory  +

Practical

 

25

50

37

3

General Psychology

Theory (written)

75

38

 

50

 

75

Int. Assessment

25

12

4

Normal Nutrition & Food Preparation

Theory (written)

75

38

 

50

 

75

Int. Assessment

25

12

5

Introduction to Community Health including Family Welfare

Theory (written)

75

38

 

50

 

75

Int. Assessment

25

12

*6

English / Marathi / Hindi

Int. Assessment

50

25

25

38

 

          * College Subject

 

Note – This Scheme of Examination will be applicable to the students

 appearing in May 2002 examination.

 

Appendix  ‘ B’

SCHEME OF INTERNAL ASSESSMENT

 

Sr.       Subjects                      Maximum       Type of                                     Maximum

No.                                          marks for        Assignment/                              marks  of 

internal           Tests                                         assessment/          

assignment                                                       Tests            

 

1.  Anatomy and Physiology                              Periodical Test     -1                             25

     including Biochemistry        25                      Mid term Test       -1                            25

            Pre Final

                                                Examination         -1                             75       

2. Foundations of Nursing       25                      Periodical Test     -1                             25

   (Theory)                                                        Project  on Making

                                                First Aid kit         -1                              25

                                                                        Mid  term Test     -1                             25

                                                                        Pre Final

                                                Examination        -1                              75

      Foundations of Nursing                               Clinical  evaluation                                20

      (Practical)                                                   Viva - Voce                                         10

                                                Clinical assignments:-

                                                History taking     -2                               10

                                                Nursing care plan-2                              10

3.  Psychology                         25                     Periodical Test   -1                               25

                                                Mid term Test      - 1                            25

                                                                        Pre Final Examination– 1         75

4.   Normal  Nutrition and         25                    Periodical Test  - 1                   25

      Food Preparation                                       Practical Test    - 1                               25

                                                (Invalid cookery )

                                                                        Pre Final Examination -1                       75       

5.    Introduction to                                           Periodical Test     -1                             25

       Community Health                                     Mid term Test      -1                             25

       Including  Family                                        Report of Field Visit -1             25

       Welfare                             25                    Pre Final Exam    -1                              75

6.    English / Marathi / Hindi     50                    Periodical Test    -1

                                                Mid term Test     -1                              25       

 

NOTE:-  An aggregate of  year’s work is calculated  for internal assessment  and taken 

                out of 25.         

            Internal assessment should be sent to the University one month before the examination. In each  subject, a candidate must obtain  50%  in aggregate  in both  theory and  practical.

            The record of internal assessment must be  maintained  in  accordance  with  the university  specifications  and  surprise  checks  may be carried out by the university authorities in this regard.      

            Separate internal Assessment forms to be prepared. Clinical evaluation, procedure, case-studies, health talks, case presentation, family study, case plans.

 

APPENDIX  “C”

 

SYLLABUS

 
FIRST YEAR  BACHELOR OF NURSING

 

ANATOMY AND PHYSIOLOGY   INCLUDING

BIOCHEMISTRY

 

AIM :- This course gives the students a broad understanding  of  human anatomy, physiology  and Biochemistry  and to apply the  knowledge of  the same in  clinical nursing practice. 

 

OBJECTIVES:-  The students understand

1.     The general structure and functions of the body as a whole.

2.     The general structure and functions  of each system of the body.

3.     The macroscopic and microscopic structure  and functions of  each organ of the body. 

4.     The normal biochemistry of  human body and the changes  occurring in illness  and assist with simple biochemical tests, interpret the results  and draw inference. 

 

ANATOMY

Theory        -  80 Hrs                                                                                                                                                                                                                                            Practicals   -   20  Hrs

 

UNIT                            TOPIC                                                                             THEORY

I      Introduction                                                                                                            4

        Definition and scope of anatomy, descriptive  terms  and        

        Interpretation .       

        Tissues :- classification ,structure, properties and functions of       

        Different  tissues                                                                                            

        Membranes:- Orientation to the body as a whole, planes of the body or sections,      

        Various  systems and  their functions ,cavities of  the body, their        

        Boundaries and contents.        

        Body fluids – intracellular fluids                                                                      

 

II    General Knowledge of microscopic anatomy    5      

        Skin and its appendages                                                                                       

        Skeletal system :- classification of bones of the axial  and  appendicular       

        Skeleton, articular system                                                                                      

        Muscles  ,synovial   sheaths and bursa                                                                    

        Blood - vascular system, lymphatic system                                                             

        Urogenital system                                                                                           

 

III   Elementary  Embryology including gametology and Fertilization                       1

 

IV   Histology – basic tissues of the body                                                                        2

        Classification of simple stratified epithelium                                                     

        Connective tissue                                                                                        

 

V     Regional  Anatomy of Upper Limb                                                                       6         

        Skeleton of upper limb - scapula ,clavicle, radius,ulna,                                     

        Humerus      

        Joints of upper limbs, their structure, mechanism and analysis of Movement

        Demonstrations of movements in the  vascular, and lymphatic anatomy       

        Brachial plexus                                                                                                     

        Pectoral region and axilla                                                                                      

        Mammary glands                                                                                                  

        Shoulder joints and girdle                                                                                       

        Arm-elbow including joint, cubital fossa, forearm, Waist  and hand                                                                               

 

VI   Regional Anatomy of lower limb                                                                         8

        Skeleton of lower limb                                                                                          

        Joints  of lower limb, knee, ankle, hip joint                                                             

        Femur                                                                                                                      

        Tibia                                                                                                                         

        Fibula  and  Foot                                                                                                     

        Femoral triangle                                                                                                       

        Femoral vessels and nerves                                                                                     

        Poplitial  Fossa, Gluteal region                                                                         

 

VII Regional Anatomy of the Back                                                                             3

        Parts of the typical vertebrae   and  functions                                                         

        Characters of special vertebrae  of different regions of spine                                

        Anatomy of the articulated  spine development curves and  movements,    

        Demonstration of movements of the spine in the  living                             

 

VIII  Regional Anatomy of Thorax                                                                              8

        Osteology  of   thorax                                                                                             

        Intercostal spaces, thoracic cage                                                                            

        Mediastinum                                                                                                         

        Bronchial tree                                                                                                        

        Lungs                                                                                                                   

        Heart and pericardium   

        Heart and its chambers                                                                                         

        Heart and blood vessels                                                                                                                        

        Foetal circulation and changes after birth                                                                                           

 

IX Regional Anatomy of Abdomen, Pelvis and Perineum                                         14

        Abdominal wall (anterior and posterior)                                                                                                 

        Diaphragm                                                                                                                                            

        Liver and Pancreas                                                                                                                                  

        Spleen                                                                                                                                                   

        Stomach                                                                                                                                                  

        Small intestine                                                                                                                                         

        Large intestine                                                                                                                                         

        Reproductive organs    

        Female :-  uterus, fallopian tubes,ovary,cervix,vagina,perineum                                                         

        Male     :-  scrotum, prostrate ,external reproductive organs                                                               

        Inguinal canal                                                                                                                                          

        Pelvis    

        Major blood vessels                                                                                                                                 

        Lymphatic  drainage   and channels                                                                                                  

 

X  Regional Anatomy of Head, Face and Neck                                                          14   

        a) Skull at birth and post natal changes                                                                                             
        b) Anatomy of scalp and muscles of facial  expression 

       c) Anterio –median region of  neck

       d) Intra temporal and sub-mandibular region

       e) Temporo – mandibular   joints

       f) Anatomy of thyroid ,parathyroid and salivary glands

        g) Tongue , palate ,pharynx ,and larynx

        h) Mechanism  of mastication  and deglutition

        i) Muscles  of respiration

j)        Nasal cavity

k)  Senses

l)   Vascular and lymphatic anatomy                                                                                                  

 

XI  Regional Anatomy of Cranium and its Contents                                                  8

a)      Anatomy of cranial fossa                                                            

b)      Cranial meninges, their spaces and venous sinuses,  and emissary veins   

c)      Brain-  cerebral hemispheres 

d)      Functional  areas of cerebral cortex

e)      Basal ganglia 

f)        Brain stem and cerebellum

g)      White and Grey matter

h)      Vascular anatomy, Circle of Willis

i)        CSF formation , circulation

j)        Cranial nerves and spinal cord

k)      Anatomy of  pituitary gland                                                                                                             

 

XII  Anatomy of the Orbit and its Contents             2

        Anatomy of the extra occular muscles and movements of the eye bal1.                                                                                                                                     Anatomy of the eye ball ,eyelids, and  lacrymal  apparatus                                           

 

XIII  Anatomy of the Auditory Apparatus    2   

        a)  External ear, middle ear, internal ear

 

XIV  Anatomy of the Autonomic Nervous System              3

        a)  Sympathetic                                                                                                                                      
        b)  Para  - sympathetic  system                                                                                                                                                                           

                                                ANATOMY   PRACTICALS                                               

                                                                                                                        20  Hrs.

 

1.     MICROSCOPIC STRUCTURE        

        A.     Epithelial  Cells -  Simple , Squamous  , ciliated and stratified  epithelial cells

        B.     Connective Tissue  -   Fibrous connective tissue, cartilage and bones

        C.     Muscles – Striated , non-striated and cardiac muscles

D.          Nerve  cells – Nerve cells and nerve fibres

 

2.     STUDY OF SKELETON        :-     Examination of bones and different types of

                                                                joints.

3.     MUSCULAR SYSTEM           :-     Muscle groups in the Cadaver                                                    

4.     CIRCULATION                      :-     Study of heart and blood vessels and lymphatic

                                                                 system.

5.     RESPIRATORY SYSTEM    :-        Gross and microscopic study of respiratory

                                                                 system

6.     ALIMENTARY SYSTEM       :-      Study of organs of the alimentary system and

                                                                 associated  glands.

7.     EXCRETORY SYSTEM         :-      Gross and microscopic structure of kidney,

                                                                 urinary bladder, and Histology of skin

8.     REPRODUCTIVE SYSTEM   :-      Gross structure and microscopic structure of

                                                                 male and female reproductive system.

9.     CENTRAL NERVOUS SYSTEM    :-     Gross  structure of Brain and Spinal cord

                                                                        and Spinal and Cranial nerves.

10.    SPECIAL SENSES                         :-     Gross structure of eye and ear.     

 

 

BIBLIOGRAPHY

 

1 .    Chakraborthy  .N  ,  Chakraborthy.  D ,   “ Fundamentals of  Human  Anatomy”, New Central  Book  Agency, Pvt Ltd  ,  Calcutta.

2 .    Chaurasia   B. D ,  “ Human  Anatomy    , vol  1-5 CBS  Publishers.

3.     Jackson  Sheils,  “Anatomy  and  Physiology  for  Nurses “,  Prism  Books Pvt  Ltd  ,  Bangalore,  9 th   Edition,  1994

4.     April  E.  N.,  “ Anatomy  pretest “  , International  edition, New  York,  McGraw  Hill, 6th edition, 1991

5.     Anthony  and   Thibodcon,   “ Anatomy and Physiology” ,  C. V  . Mosby   Co., London, 11 th edition, 1983.

6.     Winwood   R  S,    Smith    G,   “ Anatomy and   Physiology   for Nurses “,  ELBS Publication,  6 th edition, 1985.

7.     Tartora, J Gerard and Anagnostakos P Nicholas, “Principles of Anatomy and Physiology”, Harper and Row Publisher, New Delhi.

 

PHYSIOLOGY

Theory - 65

Practicals - 10

UNIT                               TOPIC                                             THEORY HRS

 

I      INTRODUCTION                                                                                             2

        Introduction , Cell, Structure and Function

 

II     BLOOD                                                                                                              8

        Composition and functions of blood

        Classification of blood cells:-

        Formation ,functions and fate of RBC’s, WBC’s and platelets

        Factors regulating erythropoesis, haemolysis

        BLOOD GROUPS

        ABO and Rh grouping

        Blood coagulation

        Reticulo- endothelial system

        Anaemias

 

III   LYMPHATIC SYSTEM                                                                                    3

        Lymph nodes and lymph channels

        Lymphatic glands, lymphatic tissues

        Spleen and thymus gland

 

IV    DIGESTIVE SYSTEM                                                                          8

        Parts of the digestive system and its functions

        Including liver , gall bladder and pancreas

        Composition, mechanism of secretion and functions of

        salivary, gastric, pancreatic, biliary and intestinal secretions

        Mechanical movement of GIT

        Process of digestion and absorption.

 

V     SPECIAL SENSES                                                                                           3

        Sense of taste, taste buds, different tastes, nervous pathway of taste,

        Olfactory sense, sense of touch

        Physiology of vision , errors of refraction

        Physiology of hearing

 

VI    RESPIRATORY SYSTEM                                                                               6

        Functions and  parts of the respiratory system

        Mechanism of respiration , regulation of respiration

        (Nervous and chemical)

        Cycle of respiration- respiratory volumes, vital capacity

        Dead space

 

 

VII EXCRETION AND TEMPERATURE REGULATION                                6

        Parts of the urinary system and functions

        Physiology of urine formation,

        Composition of urine, mechanism of micturation.

        Renal functions tests

        SKIN :-    Functions of skin

                                Thermo regulation

 

VIII CIRCULATORY SYSTEM                                                                  9

        HEART

        Flow of blood through the heart , coronary circulation

        Conduction system of the heart, ECG

        Cardiac cycle, heart sounds ,heart rate and pulse

        Factors affecting Blood pressure and its regulation

        BLOOD VESSELS

        Arteries, veins and capillaries - Structure

        Cell respiration and nutrition

        Systemic circulation

        Pulmonary circulation

        Portal circulation

 

IX    ENDOCRINE SYSTEM                                                                                   5

        Endocrine glands- pituitary, thyroid , parathyroid, thymus

        Adrenals, pancreas, gonads - their morphology, secretion

        Regulation , distribution, function and  important clinical Condition.

 

X     REPRODUCTIVE SYSTEM                                                                            3

        Functions of male and female reproductive system

        Physiology of menstruation

 

XI    NERVOUS SYSTEM                                                                                        12

        Parts of the central nervous system and its functions,

        Brain - cerebrum, cerebellum, pons, medulla oblongata

        CSF formation and circulation, EEG

        Perepheral nervous system:- Cranial and spinal nerves

        Functions of the autonomic nervous system.

 

PHYSIOLOGY PRACTICALS

        Practicals – 10 Hrs

 

1.     Bleeding time, clotting time

2.     Haemoglobin estimation

3.     WBC, RBC and differential counts

4.     Blood groups

5.     Making a smear , staining, identification of formed elements

6.     Properties of cardiac muscles

7.     Properties of skeletal muscles

8.     Stethescope, study of heart sounds

9.     Spirometry

10.   Spinothalamic reflex control

11.   BMR

 

BIBLIOGRAPHY

 

1.     Boris Sergeev, “Physiology in Health and Illness”, 7th edition, 1994.

2.     Gibson John, “Modern anatomy and Physiology for Nurses”, Blackwell Scientific publication,        1975.

3.     Jackson Sheils, “Anatomy and Physiology for Nurses “ , Prism Books Pvt Ltd , Bangalore, 9 th Edition, 1994.

4.     April E. N., “ Anatomy pretest “ , International edition, New York, McGraw Hill,
6th edition, 1991.

5.     Anthony and Thibodcon, “ Anatomy and Physiology” , C. V . Mosby Co., London, 11 th edition, 1983.

6.     Winwood R S, Smith G, “ Anatomy and Physiology for Nurses “, ELBS
Publication, 6 th edition, 1985.

 

 

BIOCHEMISTRY

THEORY – 40 Hrs

 

UNIT                               TOPIC                                                                     THEORY

 

I .    INTRODUCTION TO BIOCHEMISTRY                                                      1

        Importance of biochemistry for nurses

 

II     CARBOHYDRATES                                                                                         10

        General nature, classification, monosaccharides , types

        Chemical structure of glucose, fructose, galactose

        Disaccharides, types and sources

        Polysaccharides, types and sources

        Chemical properties of carbohydrates (special emphasis on the Following topics)

        Reducing property- Reducing and non reducing sugars

        (Benedict’s test for glucose)

        Oxidation (Glucose catabolism)

        Hydrolysis

        Fermentation( disturbances in gastro intestinal tract due to Excessive fermentation)

        Carbohydrate metabolism:- glycogenesis, glyconeogenesis,

        Glycogenolysis, glycolysis (end products under aerobic and  Anerobic conditions).

        Phosphorylation and electron transport chain, fate of

        Pyruvic acid , citric acid ,kreb’s cycle

        Regulation of blood glucose levels.

        Metabolism of fructose.

 

III   LIPIDS                                                                                                               5

        General nature of lipids, classification, chemical reactions

        Of lipids. Factors affecting absorption of lipids in the body,

        Transport of lipids in blood (lipoproteins )

        Storage of lipids, metabolism of lipids, role of liver and hormones

        in lipid metabolism

        Cholesterol:- sources, regulation, metabolism, phenomena of

        Artherosclerosis

 

IV    PROTEINS                                                                                                        6

        General nature of proteins, classification (on the basis of structure,

        function , physio-chemical properties)

        Structure – peptide and other linkages

        Metabolism of proteins :- decarboxylation, transamination

        Transmethylation,.

        Urea cycle and Nitrogen balance

        Nucleic acids:- structure of nucleic acids , DNA and RNA

        Biologically important nucleotides , catabolism of nucleic acids

        Catabolism of purines.

 

V     ENZYMES                                                                                                         4

        Nature , classification and nomenclature of enzymes, theories

        of enzyme action, factors affecting enzyme action

        Co- enzymes and iso-enzymes

 

VI    IRON METABOLISM                                                                                     3

        Nature of iron, absorption and transport of iron, storage and losses

        Nature of haemoglobin, abnormal haemoglobin , breakdown of

        Haemoglobin , jaundice.

 

VII FLUID AND ELECTROLYTE BALANCE                                                     4

        Fluid compartment in the body, components of intra cellular

        And extra cellular fluid.

        Role of electrolytes , maintenance of fluid and electrolyte balance

        in the body. Serum electrolytes and its interpretation .

        Fluid and electrolyte shifts:- oedema, dehydration, hypo and

        Hypernatremia, hypo and hyperkalemia, hypochloremia

 

VIII ACID BASE BALANCE OF THE BODY                                                       4

        Importance of acid base balance in the body

        Maintenance of the acid – base balance in the body , buffer systems

        (carbonic acid bicarbonate , phosphate buffer system)

        Haemoglobin , oxy – haemoglobin and protein buffer system

        Role of lungs and kidneys in acid base balance

 

IX    ORGAN FUNCTION TESTS                                                                           3

        Liver, kidney, pancreas, and heart function tests

        Common haematological tests, normal values, and their

        Interpretation , chemical preservatives used in specimen

        Bottles.

 

BIBLIOGRAPHY

1.     Eastham Duncan Robert , “ Biochemical values in clinical medicine”, 8th edition, John Cought and Sons Ltd, 1977.

2.     Chandlish J K , “ Lecture notes on Biochemistry” , I st edition, Blackwell Scientific Publications, 1984.

3.     Klein S Israel and Ordan James, “Human Biochemistry”, 5 th edition, Mosby Co.,  1958.

4.     Varley Harold , “ Practical Clinical Biochemistry”, 4th edition, CBS Publishers and Distributers, NewDelhi, 1988.

 

 

FOUNDATIONS OF NURSING INCLUDING ETHICS AND HISTORY OF NURSING

Total Hours - 230

Theory - 76

Demo - 154

AIM:- This course gives a fundamental knowledge and understanding of the basic principles of Nursing and helps in developing skills in recognizing and meeting the basic needs of human beings with application of scientific principles.

 

OBJECTIVES :-

 

        The students develop :-

1.     Knowledge and skill to identify and meet the basic needs of patients using the nursing process.

2.     Knowledge of scientific principles and ability to integrate them in rendering nursing care.

3.     Skill in carrying out basic patient care.

4.     Technical skills in taking care of various articles used in patient care.

5.     Desirable attitude to nursing and patient care.

6.     Ability to communicate effectively and to maintain good inter-personal relationship.

7.     Desirable work and health habits and teach others healthy living.

8.     Skill in applying principles of medical and surgical asepsis while performing basic nursing procedures.

9.     Skill in applying principles of body mechanics.

10.   Skill in use of comfort measures in providing care.

 

 

UNIT                               TOPIC                                                                          HOURS

 

I      INTRODUCTION                                                                                             30

        A)     Historical Development in Nursing:

                a) Nursing before the 19th century

                b) Nursing during and after 19th century

        B)     NURSING : Concept – Past and present .

                Definition of Nursing

                Nursing as a profession –

                Criteria of profession

                Functions of a nurse

                Qualities and personal skills required by a nurse

                Concept of comprehensive nursing care

        C)    ADJUSTMENTS FOR NURSING STUDENTS :

                College and hospital life

                Group interaction

                Various subjects in the curriculum

                and their importance

                Adjustments to nursing

 

        D)    NURSING IN INDIA TODAY :-

                        Origin and development important landmarks

        Establishment and the impact of training centres
Nursing Registration Act
Diploma and Degree courses in Nursing

(basic, post basic, post graduation)
Auxiliary courses in Nursing.

E)    NATIONAL AND INTER NATIONAL ORGANISATIONS

        1. International council for nurses
2. Indian Nursing Council
3. State Nursing Council
4. Trained Nurses Association of India
5. Students Nurses Association
6. World Health organisation
7. UNICEF

II     LEGAL AND ETHICAL ASPECTS OF NURSING                           4

        A)     ETHICS, MORALS AND VALUES:-

        Concepts, ethical principles, Code of ethics by ICN
Nurses pledge

        B)     LEGAL ASPECTS:-

        Concepts, consumer rights, Patients Bill of Right
Legal implications in nursing , tort, Malpractice, Negligence.

III   HEALTH AND HEALTH CARE FACILITIES                                                8

        A)     HEALTH:-       Definition of health., Health illness spectrum

                                                Levels of Health care

                                                Modern concepts of Health care approach

                Personal Health and Hygiene of the Nurses- importance and maintenance of Hand washing technique.

        B)     HEALTH CARE ACTIVITIES:-

        Health care delivery system
Hospitals- Geographic location, types, functioins, departments.

        C)    HEALTH TEAM :-

                        Concepts and importance

                Members of the health team and their roles

                        Inter personal Relationship with different members of the health team

 

IV    PATIENTS ENVIRONMENT IN THE HOSPITAL THERAPEUTIC ENVIRONMENT                                                                                            8

        Physical and environmental factors and prevention of accidents

a)     Temperature, light, noise, humidity, ventilation, and aesthetic factors

b)     Maintenance and cleaning patients Unit

c)     Control of pests, rodents, flies, bed bugs and other pests in the hospital premises .

d)     Care of articles :- rubber, enamel, linen, mattress,  glass, steel articles for patient care, sharp objects and disposable items.

        DEMONSTRATIONS:-

        1.     Set up of patients unit

        2.     care of glass, steel, sharp articles, rubber and enamel articles.

V     FUNDAMENTAL NURSING SKILLS           35

        A)     COMMUNICATION:-

Definition and importance of good communication

Components and process of communication

Types of communication(verbal,non verbal,writen,oral)

Lines of communication

Barriers of communication and methods to improve communication.

        Communication in the wards:- Importance of reporting and recording, principles, types of reports and records, Nurses notes,   basic skills in interviewing patients.
 

        B)     BASIC CONCEPTS IN MEDICAL AND SURGICAL ASEPSIS.

                Concepts, principles of sterility and cleanliness

                        Basic concepts of Hand washing

                        Handling Sterile articles.

 

                        DEMONSTRATION

                        Hand washing techniques,  gowning, use of masks,

                        gloves, isolation Unit, Barrier Nursing.

 

    C)    ASSESSMENT SKILLS
Concepts and importance of assessment

            Types of assessment

        Subjective - History taking
Objective - Observation

Observations:- Concepts, importance, principles, factors affecting observation, use of different senses in observation,observation of the patient (general and specific), physical and psychological. DEMONSTRATIONS :- Head to foot observation

 

D) IDENTIFYING PATIENTS NEEDS
Identifying basic needs of patients
(Maslow’s hierarchy of needs),

        Faye Abdella’s 21 Needs,

        Virginia Henderson’s 14 needs

VI    MEETING PATIENTS NEEDS                                                                       40

        A)     BODY MECHANICS :-

                        Principles and use of body mechanics

 

 

 

        B)     COMFORT, REST AND SLEEP :-

                        Importance of comfort, rest and sleep

                Problems related to comfort rest and sleep

        Bed making- principles and types - open, Closed, occupied-top to bottom, side to side

                        Operation bed, comfort devices,

                        Positions for comfort.

 

                        DEMONSTRATIONS

                        Bed Making : Simple Bed

                        Closed and Open Bed

                        Occupied bed - side to side and top to bottom

                        Operation bed , comfort devices,

                        Positions used for comforts -supine, recumbent position, Fowlers, Sims.

 

                C)    ACTIVITY AND EXERCISE

                        Importance of exercise

                Problems related to lack of activity and exercise

                Active and passive exercise

                Moving patients in bed –bed to wheel chair and vice –versa

                        Bed to stretcher and vice-versa

                        Visit to physiotherapy department.

 

        D)    DIVERSIONAL THERAPY

                Meaning

                Importance

                Various methods of diversional therapy

 

        E)     SPIRITUAL NEEDS

                        Importance and recognition of spiritual needs

                Nurses role in meeting the spiritual needs of patients

 

        F)     PERSONAL HYGIENE

                        Importance of personal hygiene

                Care of mouth, skin, nails and hair

                Bed sores and their prevention

                        Care of pressure areas sore and back care

 

                DEMONSTRATIONS

                Mouth wash (assisted, for a helpless patient

                and for unconscious patient)

                Sponge bath, nail cutting,hair wash in bed

                and treatment of pediculosis

                        Back care

 

 

G)    NUTRITION

        Importance of diet in health and illness
Problems of nutrition due to illness,

        Diets in illness

        Standard hospital diet
Other diets(liquid ,soft diet)
Policies and practices in relation to serving diet
Serving and feeding helpless patients

        ARTIFICIAL METHODS OF FEEDING
Insertion of naso gastric tubes
Naso gastric feeding- different methods
Nurses responsibilities in caring for patients

        on naso gastric tube feeding.

        DEMONSTRATIONS
Feeding a helpless patient
Insertion of Naso gastric tube,

        Feeding by different methods.

 

VII  VITAL SIGNS                                                                                                  6

        BP, TPR, Normal values, variation

        and their significance
Measuring and recording vital signs

DEMONSTRATION

        1.     Measuring and recording TPR and BP

 

VIII PATIENTS ADMISSION TO THE HOSPITAL, TRANSFER AND DISCHARGE.                                                                                          5

        Understanding patient as a person

        Psychological aspects of illness

        and patient’s reaction to admission
Principles and procedures in

        admission, transfer and discharge

DEMONSTRATION
Admission ,transfer and discharge of a patient

IX    NURSING PROCESS                                                                                       6

        Definition,concepts,importance

        Steps of the nursing process

        Nursing care plan.

 

 

 

X     ASSISTING FOR PHYSICAL EXAMINATION  AND SIMPLE TESTS     8

        A.     PHYSICAL EXAMINATION
Types of physical examination
Methods of physical examination
Nurses responsibilities in -

        Assisting for general physical examination
Assisting for rectal examination

                        DEMONSTRATIONS:-

                        Setting up and assisting for general examination
        Setting up and assisting for rectal examination
        - Knee chest position.

        B.     COLLECTION OF SPECIMENS AND SIMPLE TESTS

                        Collection of specimens (urine, stool,

        vomitus, sputum, stomach aspirations)
Observation of specimen
Despatch of specimens
Laboratory reports: Nurses responsibilities
Urine testing for specific gravity, reaction , albumin, glucose and ketone bodies.

DEMONSTRATION   

Urine testing - Observation, specific gravity, reaction
- Albumin (heat test and reagent strip)
- Glucose ( Benedicts test and reagent strip)
- Ketones ( reagent strips)
Collection of stool specimens.

 

XI    MEETING ELIMINATION NEEDS                                                              10

A.    Factors affecting urinary and intestinal elimination
Nurses responsibilities in meeting the elimination needs in various stages of illness
Giving bed pan and removing bed pans
Cleaning patients after giving bedpans
Cleaning bedpans and urinals
Problems of elimination and nurse’s responsibilities in dealing with these problems

B.    Suppositories and enemas
Classification and types(oil, purgative, astringent, anti-helminthic,

        carminative, stimulant, nutrient, emolient ,sedative anaesthetic enema)
General principles of administration
Administration of suppositories
Administration of different types of enemas(simple, glycerine, retention, oil,
proctoclysis, use of flatus tube)
Bowel wash, colonic irrigation (tube method and funnel method)

DEMONSTRATIONS
Administration of suppositories
Administration of different types of enemas (simple, glycerine

        and retention) Flatus tube, Bowel wash/ colonic irrigation

        (tube, funnel,Y connection methods)

XII. THERMO REGULATORY NEEDS                                                                12

        A.     Pyrexia - Causes , course, stages and types of fever, care of patients with pyrexia
Rigour - Causes, stages and care of the patient with rigour
Hypothermia- Causes and care of the patient with hypothermia

        B.     COLD AND HOT APPLICATIONS
Cold Application:-
General principles, uses,  effects, different types of applications

                (cold compresses ice cap, ice collar, cold sponge)

                        Hot Application :-

                        different types of application ( hot water bags, simple and

        medicated fomentations, stupes, poultices)

DEMONSTRATION
Cold compress, ice caps, ice collar, tepid sponging,

                fomentation, stupes, poultices

 

XIII    MEETING RESPIRATORY NEEDS                      4

Problems related to maintaining respiration in illness
Nurses responsibilities in maintaining normal respiration
Deep breathing exercises
Steam inhalation
Oxygen therapy: Different methods(catheter, prongs, masks)

DEMONSTRATION
Steam inhalation
Deep breathing exercise

        Percussion of chest and back
Oxygen administration–different methods.

XIV DRUG ADMINISTRATION        20

A.    Weight measurements, abbreviation
Calculation of dosage, dilution and preparation of solutions
Nature and sources of drugs
Routes of administration
Policies in relation to drug administration
Care of medicine cabinet, dangerous drugs.

B.    Nurses Responsibilities in:-
Understanding prescription
Administration of drugs
Reports and records in relation to drug administration
Administration of drugs by different routes( oral, intradermal, Subcutaneous, intramuscular,)

DEMONSTRATIONS
Administration of oral medication, Intradermal  subcutaneous and intramuscular injections.

XV  DEATH AND DYING   4

        Concepts of death and dying
Signs and symptoms of approaching death
Stages of emotional responses to Death in patients and their relatives(grieving)
Factors affecting reactions to death and dying.
Concepts of hospice care
Care of the dying patients and relatives
Last Offices
Ethical and legal aspects in relation to death and dying

        (Medical –legal cases, euthanasia, DNR - do not resuscitate)

DEMONSTRATION
Care of the dead body
Visit to mortuary.

EMERGENCY NURSING
Theory - 30 Hrs

 

AIM   :    This course gives an understanding of the principles and techniques of handling

                        emergencies in the community.

 

OBJECTIVES

        The student
1.     Understands the principles of emergency nursing

        2.     Applies the principles of emergency care

        3.     Applies bandages and splints
4.     Understands the role of the nurse in emergency care.

UNIT                                       TOPIC                                                    THEORY

I      INTRODUCTION
 Concepts and importance of emergency
 Principles of emergency nursing
 Qualities of the emergency care personnel
 Emergency care Kit

II     BANDAGING
Purposes and principles
Types of bandaging- circular ,spiral,reverse spiral, figure

        of eight, spica

        caput, stump
Bandaging of different areas- eye,ear,jaw
Triangular bandage, its uses, slings-(Arm sling, elevation

        sling,,cuff and collar)
Triangular bandage of the head
Binders- T Binder and many tail Binder

III   TYPES OF EMERGENCIES
(Management in the following emergencies will be

        limited to first aid only)
 

        A.     WOUNDS AND HAEMORRHAGE
Wounds, types,principles of care and treatment
Haemorrhage ,types,signs and symptoms, treatment
Use of tourniquet and pressure points.

        B.     SHOCK
Causes recognition, principles of care and treatment

 

 

 

C.                 FRACTURES
Causes, types, signs and symptoms, principles of care, treatment
and Management of fractures of different regions
Methods of transportation of the injured and sick
Transportation of patients with spine and lower limb fracture
Preparation and use of stretcher.

        D.     SPRAINS, STRAINS, DISLOCATION
Causes ,recognition,principles of care and management

        E.     ASPHYXIA
Causes, signs and symptoms and treatment
 Drowning
Artificial respiration(Shafers,Holger Nielsons and Sylvesters and
cardio pulmonary resuscitation)

        F.     FOREIGN BODIES
Foreign body in the eye ,ear, nose and trachea
Hemlich’s procedure (abdominal  trust) for removal of foreign body
in the trachea

        G.     BURNS AND SCALDS:-
Causes and management
Electric shock and its management
Heat stroke and its management

        H.     CONVULSIONS
Causes and management

        I.      POISONING
Types ,signs,and symptoms and treatment

        J.      BITES
Insect bites, animal bite and snake bite

        K.    MISCELLANEOUS
Frost Bite

IV DISASTER AND CALAMITIES
Types of disasters

        Floods, earth quake house/building collapse, fire, bomb blast

        Principles of  organising, managing and assuming responsibilities in

        meeting emergency care on mass basis

        Legal responsibilities

        Utilization of community rosources

        Known agencies and organisations : Red Cross, St. John’s Ambulance,

        Fire brigades, home guards
Fire drills

V     FIELD VISITS
 Fire brigade centre
 Home guards organisation

BIBLIOGRAPHY

1.     Barbara Kosler et al, “ Fundamentals of Nursing concepts and procedure”, Addison Welsloy
publishing Co., 13 th edition.

2.     Brown Ammy Francis, “ Medical Nursing”, W.B Saunders and Co., USA, 3RD EDITION.

3.     Esther Mc Clain R N, “Scientific Principle of Nursing”, current technical literature
publications, Bombay, 1st edition, 1969.

4.     Potter and perry, “Fundamentals of Nursing concepts-process and practice”, C.V Mosby
and Co., 3rd edition., London,1985.

5.     Virginia Henderson et al, “Principles and practice of Nursing”, Mc Milan Publishing Co.,
6th edition, London.

6.     Sr Nancy ,” Principles and practices of Nursing “, vol I, N>R Publishing Home,
Indore, 4th edition,1984.

7.     Elbert et al, “Scientific principles in Nursing”, C V Mosby and Co., USA ,8th edition,1974.

8.     Ann Marriner, “The Nursing Process- A Scientific approach to Nursing care”, CV Mosby
and Co.,3rd edition, 1979.

9.     Hoodmark Rohweden, “Scientific Foundation of Nursing”, J B Lippincott Co.,
Philadelphia,3rd edition, 1975.

10.   First Aid Manual, The authorized manual of St. John’s Ambulance, dorling Kindersly, London.

11.   Norman G. Kirby and Sliphen J Mather, Bailliers hand book of First Aid, 7 th ediciton, All India Traveller Book Sellor, Delhi.

12.   Lois Dakes, “Illustrations of Bandaging and First Aid”, E and S Livingstone Ltd, Teviot plane, 4th editon.

 

NUTRITION AND FOOD  PREPARATION

                                                                                                                     Theory  -  45Hrs

                                                                                                           Demonstration - 15Hrs

 

AIM:-  To enable the students to understand   normal requirement  of Nutrition in a normal. Individual  and variations required during various physiological and pathological conditions, also to learn  and understand various methods of  Food preparation. Preservation, and maintenance of Food Hygiene.

 

 

OBJECTIVES:-    At the end of the course the students will be able to:-

1.     Define various  terminologies  used  in  Nutrition

2.     Understand the different types of nutrients, their importance ,sources, functions, and problems        due to deficiency.

3.     Define balanced diet ,  plan the diet according  to physiological  needs .

4.     Plan menu efficiently

5.     Explain methods of effective cooking, and  Food preservation.

6.     Demonstrate preparation of therapeutic diets.

7.     Apply  the  principles  of  food preparation in the practical field effectively.

 

UNIT                                TOPIC                                            THEORY               DEMO

 

I.     ORIENTATION TO NUTRITION                                       10                        -

        Definition of terms-  Nutrition, Dietetics, Nutrient, Calories, Menu,

        Meal, Food Habits, Food Fads.

        Food pattern  and superstitions

        Menu planning

        Religious  and cultural implications

        Food in relation to health  and illness, problems   due to excessive

        intake  and deficiencies in general.

 

II.    ELEMENTS OF NORMAL NUTRITION                             15                     -

        Classification of nutrients

        Definition, sources, classification ,daily requirements,  function,

        Digestion, absorption , problems due to excessive intake and

        Deficiencies   of  the following:-

       Carbohydrates                                                                                                                             

       Proteins                                                                                                                                    

       Fats                                                                                                                                            

       Minerals

       Vitamins                                                                                                                                  

        Methods of Food preparation,  methods of effective cooking,

        Effects of cooking  on nutritive value of food                                                                          

        Food preservation   and various methods,                                           

 

                                     

III   PLANNING FOR NUTRITIONAL  NEEDS                      15                         -                                          

        Balanced Diet

        Planning  diet – adjustments to meet nutritional requirements in

        Infancy , childhood, adoloscence,  pregnancy and lactation

        Geriatric groups

        Factors influencing food selection  , marketing and budgeting  for

        Various cultural and socio-economic groups

        Principles of   Therapeutic diets:-

        Cardiac diet, diabetic diet,renal diet, high protein diet

 

 

Practical Demonstrations  on:-

        INVALID   COOKERY                                                     5                             15

        Fluid Diet                  : - Egg flip, soups, barley water, whey water,

        Soft Diets                         :-  custard, caramel custard, kanji, jelly

        Semi solid diet          :-  khichadi, mashed potatoes, kheer .

 

 

BIBLIOGRAPHY

 

1.     Anderson, “ Nutrition in Nursing”,  Lippincot Co., 1972.

2.     Antia, E P, “Clinical Dietetics and Nutrition”, 2nd edition, Oxford University Press, New Delhi, 1995.

3.     Corrine H Robinson, “Normal and therapeutic Nutrition”, 13th edition, Oxford and IBH Publications.

4.     Sue Rodwell Williams, “Nutrition and Diet Therapy”, 3rd edition, C. V. Mosby and Co., 1977.

5.     Patwardhan V. N., “Nutrition in India”, 2nd edition, 1961.

6.     Hervietta  Flick, “Introduction to Nutrition “,  MaC Millon Publishing Co., 1970.

7.     Lenna F Copper, “Nutrition in Heath and disease”, 12th edition, J B Lippincot Co.

8.     JOSHI v d, “Hand Book of Nutrition and dietetics”,  Vora  Medical  Publications.

9.     Swaminathan   M, “Hand Book of food and nutrition”,  Bangalore printing and publishing Co., 1970.

 

INTRODUCTION TO COMMUNITY HEALTH

INCLUDING FAMILY WELFARE

Theory - 75 Hrs

Clinical - 45 Hrs

 

AIM:- Students gain a basic knowledge in Community Health and Community Health Nursing And are able to assess environment and maintain healthy environment in their Residence, hostel,hospital and college.

 

OBJECTIVES:- Student understands-

1.     Evolution and concept of community health and community health nursing

2.     The various factors influencing health in the community

3.     The hazards,disease process and levels of prevention

4.     The students develop insight into the environment at health and apply the knowledge to maintain
and promote healthy environment.

5.     Students understand the health team and their role in health and disease

6.     Develop ability and skill to maintain and promote individual health and environmental hygiene.

 

UNIT                       TOPIC                                                                THEORY         HRS

 

UNIT. I   INTRODUCTION TO COMMUNITY AND COMMUNITY              5

                        HEALTH NURSING

1.     Historical evolution of health, community health and community health nursing

2.     Concept of health ,wellness and illness

3.     Determinants and factors influencing health

4.     Philosophy,goals and objectives in community health and community health nursing

5.     Primary health care and goals to be achieved

6.     Levels of health care

UNIT. II  ROLE OF COMMUNITY NURSE IN MAINTAINING AND            30

                         PROMOTING HEALTH

A)    PERSONAL AND FAMILY HEALTH

-      Concept of individual & family health

-      Role of the nurse in maintaining & promoting individual & family health

-      Head to foot care

-      Promoting healthy habits

-      Menstrual hygiene

-      Health check-up

 

B)    MENTAL HEALTH

-      Characteristics of a mentally healthy individual

-      Mental health promotion in the individual, family & community

C)    ENVIRONMENTAL HEALTH

-      Housing

-      Ventilation and lighting

-      Water sanitation

-      Milk sanitation

-      Food Sanitation

-      Market Sanitation

-      Insect, Rodent & Parasite Control

-      Noise Control

-      Disposal of refuge/Sewage

-      Disposal of human excreta

-      Disposal of the dead

-      People’s participation in environment health activities

-      Public Health Laws related to environment & health

 

UNIT  III        DISEASE PROCESS                                                                        10

-      Interaction of agent, host & environment

-      Levels of prevention

-      Role of C. H. Nurse in Prevention of disease

-      Levels of prevention

 

UNIT IV  HEALTH TEAM & THEIR ROLE IN RURAL                                    7

                AND URBAN HEALTH CARE

-      Members of community health team and their role

-      Importance of Interpersonnel Relationship & team co-ordination

 

UNIT V   POPULATION EXPLOSION & FAMILY WELFARE PROGRAMME

                                                                                                                                    10

-      Concept of population & population explosion

-      Problems of population explosion

-      Philosophy, objectives and scope of family welfare

-      Services of family welfare programmes

 

UNIT VI  HEALTH EDUCATION                                                                          10

-      Concept & principles

-      Purposes

-      Community education – Approaches & methods of community education

-      Preparation & use of simple audio-visual aids

 

UNIT VII        HUMAN SEXUALITY  3

-      Understanding human sexuality

-      Sexual Health

 

PRACTICALS: Visit to :-

1.     Milk Dairy

2.     Bakery & Butchery/Slaughter house

3.     Vegetable Market

4.     Water Purification Plant

5.     Sewage Purification Plant

6.     PHC & Subcentre

7.     Urban Public Health Centre

 

BIBLIOGRAPHY

 

1.     “ Community HealthNursing – Concepts & Practice” Barbara Walton Sprodley, 2nd edition, 1985, Little Brown & Co.

2.     “Communicable Diseases” Wilfied H Pauy, #rd edition 1979, Hodder & Stoughton.

3.     “Handbook of Preventive & Social Medicine”, Dr.Vidya Ratan, 8th edition, 1988 Jaypee brothers Medical Publishers.

4.     Kasthuri Sundar Rao, “Community Health Nursing”

5.     J.E. Park, “Textbook of Preventive and Social Medicine”, Latest Edition.

 

 

PSYCHOLOGY

 

Theory : 75 hrs                                                                                Practicals: 15 hrs

 

AIM :

        The aim of the course is to help the student to understand herself the relation between body and mind and interpersonal behaviour and to enable them to apply the principles of psychology in the practice of nursing.

 

OBJECTIVES: The student –

1.     Understands the importance of psychology in personal and professional life.

2.     Knows the biological and psychological basis of human behaviour.

3.     Understands cognitive and affective process

4.     Develops an understanding of self and others.

5.     Understands and is able to identify the psychological needs of patients while planning patient care.

 

UNIT                               TOPIC                                                         THEORY HRS

 

UNIT I I NTRODUCTION  5

-      Meaning of Psychology

-      Development of psychology

-      Scope, branches of psychology

-      Relationship with other subject

-      Application of psychology in nursing practice

-      Importance of psychology in interpersonal behaviour

-      Significance of individual differences.

 

UNIT II BIOLOGICAL BASIS OF BEHAVIOUR                                    5

-      Inheritance of behaviour

-      Basic genetic mechanism

-      Sensory processes – Normal & abnormal

-      Attention and distraction

 

UNIT III COGNITION                                                                     23

A)    PERCEPTION

-      Meaning of Perception

-      Perception of object, depth, distance and motion

-      Normal and abnormal perception

 

B)    INTELLIGENCE

-      Meaning of intelligence

-      Effect of heredity and environment in intellegence

-      Measurement of intelligence tests

-      Mental deficiencies

 

C)    LEARNING & LANGUAGE FORMATION

-      Definition of learning, theories of learning

-      Factors influencing learning

-      Learning process

-      Habit formation

-      Language comprehension, concept formation, listening skills, thinking, reasoning and problem solving.

 

D)    MEMORY

-      Meaning and nature of memory

-      Factors influencing memory

-      Amnesia, methods to improve memory

 

UNIT IV PERSONALITY                                                                            7

-      Meaning of personality

-      Theories of personality

-      Adjustment and maladjustment

 

UNIT V MENTAL MECHANISMS AND MENTAL HEALTH  7

-      Defence Mechanisms

-      Frustrations and conflict

-      Mental Hygiene

 

UNIT VI MOTIVATION                                                                              8

-      Meaning and nature of motivation

-      Biological and special motives

-      Formation of self concept

-      Self admiration, self-awareness

 

UNIT VII EMOTIONS                                                                     5

-      Meaning of emotions

-      Theories of emotions

-      Development of emotions

-      Emotions in sickness

-      Handling emotions in self and other

 

UNIT VIII ATTITUDES                                                                               5

-      Meaning of attitudes

-      Role of attitude in health and sickness

 

UNIT IX DEVELOPMENT PSYCHOLOGY                                              10

-      Infancy, childhood, adolescense, adulthood and old age

-      Psychological needs of various age groups in health and  sickness.

 

PRACTICALS:                                                                                              15

1.     Identify sources of conflicts in classroom and hostel.

2.     Identifying personality of patients.

3.     Identifying emotions in patients.

4.     Listing the psychological needs of patients:

5.     Clinical reports on :-

        a)     Sensation, attention and Perception.

        b)     Emotions of patients

        c)     Patients’s intelligence and their coping skills

6.     Self-awareness, self rating – workshop.

 

Note : The practicals will be integrated into foundations of nursing clinical experience.

        Laboratory Visits

        Demonstrations of :- Intelligence Tests Personality Tests   

 

 

BIBLIOGRAPHY

 

1.     Bhatia B. D, & Craig :- Elements of Psychology & Mental Hygiene.

2.     Morgan C. T, & King :- Introduction to Psychology, VII the edition, Megrow bill international.

3.     Robert C. Calfee : - Human Experimental Psychology.

4.     Zeimbaedo Philip : Psychology & life, 10th edition.

5.     Andrew Mc Ghee, “Psychology on applied to Nursing”, Livingstone Nursing texts, Churchill Livingstopne, 1973, 6th edition.

6.     Philip E Vernon, “ The measurement of Abilities”, University of London Press Ltd., 1972.

7.     Kuppuswamy and P. H. Prabhu, “ General Psychology” Asia Publishing Home, Bombay, New Delhi, 1975.

8.     Madeleine. A. Leininger, “Wontemporary issues in mental health Nursing”, Little brown and company, Boston, 1st edition, 1973.

9.     Donald Snygy, “Individual Behaviour, A new frame of Reference for psychology”, Harper and Brother publishers, 1st edition, 1982.

10.   Phillip L Harriman, “Handbook of psychological terms”, Littlefield adam and co., 1st edition, 1969.

11.   Dandekar, “Elements of Psychology”, Moghe Prakashan publishing, 7th edition, 1978.

 

ENGLISH / MARATHI / HINDI

                                                                                                                     Theory  - 75 Hrs

 

AIM:- To help the students to improve proficiency in communication and  Interactional   

                    skills.

 

OBJECTIVES:-  

 

1.     To enable the students to comprehend spoken and written English/Hindi/Marathi.

2      To help  the students to focus on the issues in conversation and documentation in their day-to-day life

3.     To equip the students with the knowledge of  medical terminologies and the specialized Vocabulary  of the various subjects in their course of study and communication in the urban and rural field.

4.     To  improve communication skill and establish good IPR. 

5.     To widen the students horizons through an exposure to imaginative  literature.

 

 

UNIT                            TOPIC                                                               HOURS

 

I .   ENGLISH / MARATHI / HINDI                                             30 

        Text Book  prescribed for 12th Std.

        Higher Secondary School Board

 

II.    COMPREHENSION                                                                             25

        ENGLISH / MARATHI / HINDI

        Letter writing – Formal

                             - Informal        

        Report writing

        Incidence / Anecdotal reports 

        Essay writing

        Precis writing

        Imaginative writing

                                                                                                  

III. GRAMMAR                                                                                                      20

        ENGLISH / MARATHI / HINDI

        Articles

        Agreement of verb with subject

        Tenses

        Passive and active structure

        Question forms

        Negatives

        Direct and indirect narration

        Use of verbs and adjectives

        Punctuations

        Phrases and idioms.

BIBLIOGRAPHY

 

1.         English / Hindi / Marathi Book prescribed by Higher Secondary School Board for

12th Std. (10+2)

2.         M. L. Tikkoo,  et al, “Intermediate Grammar usage and Composition”, Orient Longman Publication.

3          Sidhu, “An Intensive Course in English – A remedial Work book”, Orient Longman Publication.

4.         R C Jain, “English Grammar and Composition”, Mac Milan Publication.

5.         Marathi and Hindi, Grammer Books - By Tarkhedkar

 

CRITERIA FOR EVALUATION OF PROCEDURE

Clinical / Field Procedure Evaluation Check List

 

Name of the Institute                                         :

Name of the Student                                         :

Name of the Procedure                         :

Area of the clinical Experience              :

Name of the Patient                                          :

Age / Sex                                                         :

Diagnosis                                                          :

Regd. No.                                                        :

Supervised by                                                   :

      (Total marks 50)

     YES          NO   

I.          PLANNING & ORGANIZATION

            (A)       Self Preparation :

                        i)          Does she check & confirm written orders ?

                        ii)         Does she maintain cleanliness & neatness ?

                        iii)         Does she maintain personal safety ?

 

            (B)       Tray Setup :

                        (i)         Does she select the articles correctly ?

                        ii)         Are the articles clean ?

                        iii)         Are the equipments adequate ?

                        iv)        Has she arranged the articles properly ?

 

            (C)       Environmental Setup :

                        i)          Is the unit clean ?

                        ii)         Is the unit well ventilated ?

                        iii)         Has she arranged the unit properly ?

 

(D)              Apporach to the Patient :

 

(a)                Physical Preparation of the patient :

 

                        i)          Has she given the correct position on the patient ?

                        ii)         Has she maintained the safety of the patient ?

                        iii)         Does she maintain the comfort of the patient ?

                        iv)        Has she maintained the privacy of the patient ?

 

                        (b)        Psychological preparation of the patient

 

                        i)          Has she given clear initial explanation to the patient ?

ii)                   Does she maintain a relevent conversation

with the patient throughout the procedure ?

                                                                                                                                               

     YES        NO

II.         TECHNICAL SKILL DURING THE PROCEDURE

            (A)       Skill

                        i)          Does she handle the patient gently ?

                        ii)         Does she observe the patient before the procedure ?

                        iii)         Does she follow aseptic technique ?

                        iv)        Does she take scientific precaution throughout the procedure ?

 

            (B)       Handling of the articles / Equipment ?

                        i)          Does she place articles in the right place ?

                        ii)         Does she use the articles correctly ?

                        iii)         Does she use the the material economically ?

 

            (C)       Termination of the procedure & after care of the patient

                        i)          Does she made the paitent comfortable ?

                        ii)         Has she observed the result of the procedure ?

                        iii)         Has she cleaned & dried the articles properly ?

                        iv)        Has she disinfected / sterilized the articles before replacement ?

 

            (D)       Reporting & Recording

                        (a)        Reporting

                        i)          Does she report significant points ?

                        ii)         Does she report accurately ?

 

                        (b)        Recording

                        i)          Has she recorded precisely / neatly ?

                        ii)         Has she recorded accurately ?

                        iii)         Has she recorded promptly ?

 

III.       APPLICATION OF KNOWLEDGE

            i)          Does she have knowledge of the procedure ?

            ii)         Does she know the purpose of procedure ?

            iii)         Does she know the various methods of the procedure ?

            iv)        Does she know the scientific principles applicable to the procedure ?

 

IV.       STUDENTS ABILITIES

            i)          Has she maintained correct posture throughout

                        the procedure ?

            ii)         Does she know initiative ?

            iii)         Does she exhibit resourcefulness ?

            iv)        Is she dependable ?

            v)         Does she show positive response to the suggestions

                        & criticism ?

            vi)        Has she maintained right attitude towards the patient ?

vii)               Does she know use of articles & adaptation of methods to the home situation ?

        viii)           Does she complete the procedure in time ?

        ix)             Does she take opportunity for incidental teaching ?

        x)             Does she implement principles of Health teaching ?

 

V.    OVER ALL REMARKS OF THE TEACHER

 

VI.   REMARKS FOR IMPROVEMENT

 

        Signature of the student

(That she has seen the evaluation)                                              Signature of the Teacher

 

N.B.1) The Checklist should be filled in by Teacher /  Supervisor in the Ward / Dept. directly observing procedure when the student is performing without student’s knowledge.

        2) Student should not be disturbed during the procedure unless she is doing something harmful to the patient.

        3) Supervisor should put the check mark (    ) on every criteria mentioned on the form under YES or NO column.

        4) Supervisor shold maintain minimum record of two procedure annually for every student.

        5) Supervisor should give additional marks for over all impression.

                        Satisfactory      -       One mark

                        Good               -       Two marks

                        Very Good       -       Three marks

                        Excellent          -       Four marks

        6) Other each point carries one mark.

 

Evaluation of Comprehensive Nursing Care

            In the clinical area during  B.Sc. Nursing Programme

 

Name of the Institution :

Student’s Name                        :

Year                                         :

Ward / Depart                          :From _______________ to ______________________

Duration of Experience :

 

 

 

S.N.

Particulars

Grading

Poor

Satisfactory

Good

V-Good

Excellent

Remarks

1

2

3

4

5

 

I  

Understanding of patient

as a person

A) Approach

1. Report with a patient /

    family / relatives

2. Has she collected all the

    information regarding the   

    patient / family

B) Understanding patients

    health problems

1. Knowledge about the

    disease of the patient.

2.Knowledge about the 

    investigation done for the

    disease.

3. Knowledge about the  

    treatment given to the

    patient.

4. Knowledge about the  

    progress of the patient.

 

 

 

 

 

 

II

Planning Care

1. Correct observation of  the

    patient.

2. Assessment of the condition

    of the patient.

3. Identification of the patient

    needs.

 

 

 

 

 

 

 

4. Individualisation of planning

    to meet specific health needs

    of  patient.

5. Identification of priorities.

 

 

 

 

 

 

III

 

Teaching Skill

1.Enonomical & safe

   adaptaptation to the situation

   available facilities.

2.Implements the procedure

   with skill / speed

   completeness.

3.Scientific knowledge

   about the procedure.

 

 

 

 

 

 

IV

Recording & Reporting

1.Prompt precise & accurate

   (regarding patient)

2.Maintains self

   experience file upto date.

 

 

 

 

 

 

V

Health Teaching

1.Incidental / Planned Teaching.

   (Implements teaching

    principles)

2.Uses visual aids appropriately.

 

 

 

 

 

 

VI

Personality

1. Professional appearance

    (Uniform, dignity,  

    tactfulness, interpersonal

    relationship, punctuality etc.)

2. Sincerity, Honesty & sense  

    of Responsibility

 

 

 

 

 

 

 

Total Marks Grade :

 

 

 

 

 

 

 

Remarks of supervisor in terms of professional strengths & weaknesses

 

 

 

Evaluation discussed on

 

 

 

 

 

Sign of Student

(that she has seen the evaluation)                                        Sign of Supervisor