Comprehensive – Medical Surgical Nursing: Adult & Geriatric Care (Part I) (ADULT INCLUDING GERIATRICS)

Comprehensive – Medical-
Surgical Nursing: Adult & Geriatric
Care (Part I)
(ADULT INCLUDING GERIATRICS) –
I




Course Description - The purpose of this course is to acquire knowledge and develop
proficiency in caring for patients with medical surgical disorders in varieties of health
care settings and at home.

Specific objectives – At completion of the course the student is able to:
a. Describe the causes, signs and symptoms, treatment and prevention of medical
surgical conditions.
b. Demonstrate skill in carrying out nursing techniques and procedures in keeping with
scientific principles.
c. Discuss nursing process and provide nursing care to patients with various medical
surgical conditions.

Unit Time Learning Contents Teaching Assessment
Hrs Objective Learning Methods
Activities
I 15  Understand the trends in INTRODUCTION  Lectures & Discussion
medical & surgical  Introduction to Medical  Demonstrations  Short answers
nursing Surgical Nursing  Practice sessions  Objective type
 Describe the role of a  Evaluation & trends of  Supervised Clinical  Skill assessment
Nurse in caring for adult medical & surgical nursing practice with check list
patients in hospital &  Review of concepts of health
Community & illness, diseases concepts,
 Describe the concept of its causes- Classification of
Medical Surgical asepsis diseases, International
classification of Diseases
(ICD-10 or later
version)Acute, chronic, &
terminal stages of illness
 Review of concept of
compressive Nursing care in
medical Surgical Condition
based on Nursing Process.
Role of nurse, patients &
family in care of adult patients.
 Role & responsibility of
nurse in medical surgical
settings:
- Outpatient department
- In patient department
- Intensive care units
- Home & community settings
 Introduction to medical
surgical sepsis

, - Inflammation and Infection
- Immunity
- Wound healing
 Care of surgical patients.
 Preoperative
 Intraoperative
 Postoperative
 Demonstrations
- Surgical asepsis
- Dressings
- Care of wound drainage
- Preoperative preparation of
patients.
II 15  Describe the common Common sign and symptoms  Lectures & Discussion
sign and symptoms of and management  Case discussions/  Short answers
problems and their - Fluid & electrolyte seminar  Objective type
specific nursing imbalance
management - Vomiting
- Dyspnea and cough,
respiratory difficulty and
obstructions
- Fever
- Shock
- Unconsciousness, syncope
- Pain
- Incontinence
- Edema
- Age related problems-
Geriatric problem.
III 20 Describe the Etiology Nursing management of  Lectures & Discussion  Essay type
pathophysiology clinical patients (adults including charts, graphs models,  Short answers
manifestation & diagnostic elderly) with respiratory films and slides  Objective type of
measures & management problems  Demonstrations questions
of patients (adult  Review of Anatomy &  Practice sessions  Assessment of
including elderly) with Physiology of respiratory  Case discussions/ skills with
disorder of respiratory system. Seminar assessment of
system  Nursing Assessment –  Clinical Practice patients with
History & Physical  Drug book Clinical work
assessment  Exposure to procedure- X  Management
 Etiology, Pathophysiology, ray MRI Endoscopy problem
Clinical manifestations,
diagnosis, treatment
modalities & Medical,
surgical, Nutritional &
nursing including elderly
with:
 Upper Respiratory tract
infections
 Bronchitis
 Asthma
 Emphysema
 Empyma
 Atelectasis
 Chronic obstructive
Pulmonary

, Diseases (COPD)
 Bronchiectasis
 Pneumonia
 Pulmonary tuberculosis
 Lung abscess
 Pleural effusion
 Cysts & Tumors
 Chest injuries
 Respiratory arrest
insufficiency
 Pulmonary embolism
Special therapies,
alternative therapies Nursing
Procedures Drugs used in
treatment of respiratory
disorders.

 Demonstrations
- Respiratory assessment
assisting in procedures of X
ray chest, MRI, lung Biopsy,
bronchoscopy
- Thoracentesis, - care of
patients with chest drainage
& change of chest drainage
Care of patients on
ventilators & weaning
nebulisation
IV 30 Describe the etiology, Nursing management of  Lectures & Discussion  Essay type
Pathophysiology, clinical patient (Adults including  Charts, graphs models,  Short answers
manifestation, diagnostic elderly) with disorders of films and slides  Objective type
measures and Digestive system  Demonstrations  Skill assessment
management of patients  Review of Anatomy &  Practice sessions with check list
(Adults including elderly) Physiology of digestive  Case discussions  Clinical work
with disorders of Digestive system  Seminars assessment of
system  Nursing Assessment –history  Clinical practice patient
& physical assessment  Drug book management
 Etiology, pathophysiology,  Exposure to related
clinical manifestation, procedures Health
diagnosis, treatment Education Supervised
modalities and medical, clinical practice Drug
surgical, Nutritional & Book / Presentation
nursing management
Disorders of oral cavity
 Oral cavity
- Lips, gums, tongue, salivary
and teeth
-esophagus inflammation,
stricture, obstruction,
- bleeding & esophageal tumour
 Stomach & Duodenum hiatus
hernia, gastritis, peptic &
duodenal ulcer, bleeding,
tumour pyloric stenosis

, -Food allergy & poisoning
 Small intestinal
inflammation and infection
-
Ulcerative colitis, enteritis,
malabsorbtion syndrome,
Obstruction, tumors
perforation,
 Large Intestinal disorders
Colitis inflammations &
infection, obstruction,
Tumors, lump Hernias
 Appendix
Inflammation, mass, abscess,
rupture
 Anal & Rectum
Fistulas,fissures,Hemorroides
 Peritonitis/ acute abdominal
 Pancreas; inflammation,
cyst, abscess, tumours
 Liver- Inflammation, cyst,
cirrhosis, abscess, portal
hypertension, hepatic failure
and tumors
 Biliary tract & gall bladder
Inflammation obstruction,
stones, tumors
 Demonstrations
- Preparing assessing &
witnessing
- Barium meal, enema,
- Abdominal paracentesis,
- Liver biopsy,
- Endoscopies, ERCP, OGD,
- Colonoscopy, Proctoscopy,
Sigmoidoscopy
- Liver function test Gastric
analysis, stomach wash
- Gastrostomy feeding
- Jejunestomy feeding
- Bowel wash
- Colostomy care
 Liver inflammation cyst,
abscess, cirrhosis, portal
hypertension, hepatic failure,
tumours,
 Gall Bladder, inflammation,
Obstruction, Stones, &
tumours
 Special Therapies, alternative
therapies nursing procedures,
drug used in the treatment of
disorders & diseases of
digestive system