Wednesday, 28 September 2011

Clinical Speciality - I, medical surgical nursing , M.Sc. Nursing syllabus for 1st year

CLINICAL SPECIALITY – I
MEDICAL SURGICAL NURSING
Placement: 1st Year
Hours of instruction
Theory: 150 Hours
Practical: 650 Hours
Total : 800 Hours
Course Description

This course is common for the students undergoing clinical speciality-II in
neuro science nursing/cardiovascular & thoracic nursing/critical care
nursing/oncology nursing/orthopaedic and rehabilitation nursing/nephro &
urology nursing, gastroenterology nursing/ geriatric nursing.
It is designed to assist students in developing expertise and in depth
knowledge in the field of medical Surgical Nursing. It will help students to
appreciate the patient as a holistic individual and develop skill to function
as a specialized Medical-Surgical Nurse. It will further enable the student to
function as educator, manager and researcher in the field of Medical –
Surgical Nursing.

Objectives
At the end of the course the students will be able to:

1. Appreciate the trends & issues in the field of Medical – Surgical
Nursing as a speciality.
2. Apply concepts & theories related to health promotion.
3. Appreciate the client as a holistic individual.
4. Perform physical, psychosocial assessment of Medical – Surgical
patients.
5. Apply Nursing process in providing care to patients.
6. Integrate the concept of family centered nursing care with associated
disorder such as genetic, congenital and long-term illness.
7. Recognize and manage emergencies with Medical- Surgical patients.
8. Describe various recent technologies & treatment modalities in the
management of critically ill patients.
9. Appreciate the legal & ethical issues relevant to Medical – Surgical
Nursing.
10. Prepare a design for layout and management of Medical – Surgical
Units.
11. Appreciate the role of alternative systems of Medicine in care of
patients.
12. Incorporate evidence based Nursing practice and identify the areas of
research in the field of Medical – Surgical Nursing.
13. Recognize the role of Nurse practitioner as a member of the Medical –
Surgical health team.
14. Teach Medical – Surgical Nursing to undergraduate nursing students
& in-service nurses.
COURSE CONTENT:
Unit Hours Content
I

5 Introduction:
􀂉 Historical development of Medical- Surgical Nursing in India.
􀂉 Current status of health and disease burden in India.
􀂉 Current concept of health.
􀂉 Trends & issues in Medical – Surgical Nursing.
􀂉 Ethical & cultural issues in Medical – Surgical Nursing.
􀂉 Rights of patients.
􀂉 National health policy, special laws & ordinances relating to older
people.
􀂉 National goals.
􀂉 Five year plans.
􀂉 National health programs related to adult health.

II 20 Health Assessment of patients
􀂉 History taking.
􀂉 Physical examination of various systems.
􀂉 Nutritional assessment.
􀂉 Related investigations and diagnostic assessment.

III 5 Care in hospital settings:
􀂉 Ambulatory care.
􀂉 Acute and Critical care.
􀂉 Long term care.
􀂉 Home Health Care.
􀂉 Characteristics, care models, practice settings, interdisciplinary
team.
􀂉 Hospitalization- effects of hospitalization on the patient & family.
􀂉 Stressors & reactions related to disease process.
􀂉 Nursing care using Nursing process approach.

IV 10 Management of patients with disorders of Gastro intestinal tract
􀂉 Review of anatomy and physiology.
􀂉 Common Disorders-etiology, Patho physiology, Clinical
manifestations, complications, prognosis.
􀂉 Health assessment- History taking, physical examination,
investigation and diagnostic assessment.
􀂉 Treatment modalities and trends.
􀂉 Nursing management.
􀂉 Related research studies.
􀂉 Evidence based nursing practice.
􀂉 Rehabilitation and follow-up.

Unit Hours Content
V 10 Management of patients with disorders of nervous system
􀂉 Review of anatomy and physiology.
􀂉 Common Disorders- etiology, Patho physiology,Clinical
manifestations, complications, prognosis.
􀂉 Health assessment-History taking, physical examination,
investigation and diagnostic assessment.
􀂉 Treatment modalities and trends.
􀂉 Nursing management.
􀂉 Related research studies.
􀂉 Evidence based nursing practice.
􀂉 Rehabilitation and follow-up.

VI 10 Management of patients with disorders of respiratory system
􀂉 Review of anatomy and physiology.
􀂉 Common Disorders- etiology, Patho physiology,Clinical
manifestations, complications, prognosis.
􀂉 Health assessment-History taking, physical examination,
investigation and diagnostic assessment.
􀂉 Treatment modalities and trends.
􀂉 Nursing management.
􀂉 Related research studies.
􀂉 Evidence based nursing practice.
􀂉 Rehabilitation and follow-up.

VII 10 Management of patients with disorders of cardio vascular system
􀂉 Review of anatomy and physiology.
􀂉 Common Disorders- etiology, Patho physiology,Clinical
manifestations, complications, prognosis.
􀂉 Health assessment-History taking, physical examination,
investigation and diagnostic assessment.
􀂉 Treatment modalities and trends.
􀂉 Nursing management.
􀂉 Related research studies.
􀂉 Evidence based nursing practice.
􀂉 Rehabilitation and follow-up.

VIII 5 Management of patients with disorders of blood
􀂉 Review of anatomy and physiology.
􀂉 Common Disorders- etiology, Patho physiology,Clinical
manifestations, complications, prognosis.
􀂉 Health assessment-History taking, physical examination,
investigation and diagnostic assessment.
􀂉 Treatment modalities and trends.
􀂉 Nursing management.
􀂉 Related research studies
􀂉 Evidence based nursing practice
􀂉 Rehabilitation and follow-up

IX 10 Management of patients with disorders of genito urinary system
􀂉 Review of anatomy and physiology.
􀂉 Common Disorders- etiology, Patho physiology, Clinical
manifestations, complications, prognosis.

Unit Hours Content
􀂉 Health assessment-History taking, physical examination,
investigation and diagnostic assessment.
􀂉 Treatment modalities and trends.
􀂉 Nursing management.
􀂉 Related research studies.
􀂉 Evidence based nursing practice.
􀂉 Rehabilitation and follow-up.

X 10 Management of patients with disorders of endocrine system
􀂉 Review of anatomy and physiology.
􀂉 Common Disorders- etiology, Patho physiology, Clinical
manifestations, complications, prognosis.
􀂉 Health assessment-History taking, physical examination,
investigation and diagnostic assessment.
􀂉 Treatment modalities and trends.
􀂉 Nursing management.
􀂉 Related research studies.
􀂉 Evidence based nursing practice.
􀂉 Rehabilitation and follow-up.

XI 10 Management of patients with disorders of musculo-skeletal
system
􀂉 Review of anatomy and physiology.
􀂉 Common Disorders- etiology, Patho physiology,Clinical
manifestations, complications, prognosis.
􀂉 Health assessment-History taking, physical examination,
investigation and diagnostic assessment.
􀂉 Treatment modalities and trends.
􀂉 Nursing management.
􀂉 Related research studies.
􀂉 Evidence based nursing practice.
􀂉 Rehabilitation and follow-up.

XII 8 Management of patients with disorders of integumentory system
􀂉 Review of anatomy and physiology.
􀂉 Common Disorders- etiology, Patho physiology,Clinical
manifestations, complications, prognosis.
􀂉 Health assessment-History taking, physical examination,
investigation and diagnostic assessment.
􀂉 Treatment modalities and trends.
􀂉 Nursing management.
􀂉 Related research studies.
􀂉 Evidence based nursing practice.
􀂉 Rehabilitation and follow-up.

XIII 5 Management of patients with disorders of Eye and ENT
􀂉 Review of anatomy and physiology.
􀂉 Common Disorders-etiology, Patho physiology, Clinical
manifestations, complications, prognosis.
􀂉 Health assessment-History taking, physical examination,
investigation and diagnostic assessment.
􀂉 Treatment modalities and trends.

Unit Hours Content
􀂉 Nursing management.
􀂉 Related research studies.
􀂉 Evidence based nursing practice.
􀂉 Rehabilitation and follow-up.

XIV 8 Management of patients with disorders of reproductive system
􀂉 Review of anatomy and physiology.
􀂉 Common Disorders- etiology, Patho physiology, Clinical
manifestations, complications, prognosis.
􀂉 Health assessment-History taking, physical examination,
investigation and diagnostic assessment.
􀂉 Treatment modalities and trends.
􀂉 Nursing management.
􀂉 Related research studies.
􀂉 Evidence based nursing practice.
􀂉 Rehabilitation and follow-up.

XV 8 Geriatric nursing
􀂉 Nursing Assessment-History and Physical assessment.
􀂉 Ageing;
􀂉 Demography; Myths and realities.
􀂉 Concepts and theories of ageing.
􀂉 Cognitive Aspects of Ageing.
􀂉 Normal biological ageing.
􀂉 Age related body systems changes.
􀂉 Psychosocial Aspects of Aging.
􀂉 Medications and elderly.
􀂉 Stress & coping in older adults.
􀂉 Common Health Problems & Nursing Management;
􀂉 Psychosocial and Sexual.
􀂉 Abuse of elderly.
􀂉 Role of nurse for care of elderly: ambulation, nutritional,
communicational, psychosocial and spiritual.
􀂉 Role of nurse for caregivers of elderly.
􀂉 Role of family and formal and non formal caregivers.
􀂉 Use of aids and prosthesis (hearing aids, dentures,
􀂉 Legal & Ethical Issues.
􀂉 Provisions and Programmes for elderly; privileges, Community
Programs and health services;
􀂉 Home and institutional care.
􀂉 Issues, problems and trends.

XVI 8 Management of patients with communicable and sexually
transmitted diseases:
􀂉 Review of immune system.
􀂉 Common Disorders of immune system – HIV/AIDS.
􀂉 Review of infectious disease process.
􀂉 Communicable Diseases- etiology, Patho physiology, Clinical
manifestations, complications, prognosis.
􀂉 Health assessment-History taking, physical examination,
investigation and diagnostic assessment.
􀂉 Treatment modalities and trends.

Unit Hours Content
􀂉 Nursing management.
􀂉 Related research studies.
􀂉 Evidence based nursing practice.
􀂉 Rehabilitation and follow-up.

XVII 8 Emergency, trauma and multi-system organ failure
 
􀂉 DIC (disseminated intravascular coagulation)
􀂉 Trauma, burns, poisoning
􀂉 Etiology, Patho physiology, Clinical manifestations, complications,
prognosis.
􀂉 Health assessment-History taking, physical examination,
investigation and diagnostic assessment.
• Treatment modalities and trends.
• Nursing management.
• Related research studies.
• Evidence based nursing practice.
• Rehabilitation and follow-up.

Practical
Total = 660 Hours
1 Week = 30 Hours

                               Dept/Unit                                           No. of Week                       Total Hours
                               General Medical Ward 4 120 Hours
                              General Surgical Ward 4 120 Hours
                              ICUs 4 120 Hours
                              Oncology 2 60 Hours
                              Ortho                                                    2                                          60 Hours
                              Cardio                                                  2                                          60 Hours
                              Emergency Department                         2                                          60 Hours
                              Neuro                                                   2                                          60 Hours
                              Total                                                   22 Weeks                            660 Hours

Student Activities:
• Clinical presentations
• History taking
• Health Assessment
• Nutritional Assessment
• Health Education related to disease conditions
• Case studies
• Project work
• Field visits

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