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Adult Health Nursing -I&II HEC Curriculum 


Adult Health Nursing BScN 2nd Year Syllabus and Course Outline
Adult Health Nursing BScN 2nd Year Syllabus and Course Outline

AHN, Adult Health Nursing  Manual , Basic Care Manual, BSc Clinical Manual, Nursing Manual, FON Manual, Nursing Services Administrative Manual. BScN 2nd Year , HEC, PNC, UHS, Syllabus,Course Outline, Clinical Objective.

Subject Semester Hours 

     In the 136 Credit hour program ,the 8 theory  Credit hours, 4theory, 3Clinical,1 Lab hours for both AHN I and AHN II there is no lab or clinical hours needed for this course.It belongs to Discipline Specific Course

Course Description

    This course aimed to furnish learners with the knowledge and skills to care
for an adult patient admitted to the hospital with a disease condition. It
emphasizes on effective utilization of nursing process to provide care to
the client and facilitate them in restoration of optimum health. Assessment
Tool has been utilized for recognizing the responses towards disease
process on individuals and their families and plan care accordingly.
Specific nursing skills and procedures necessary to care for ill patients are
included. Learners are exposed to the variety of clinical settings to
integrate theory into practice under supervision. 

 Course Objectives

By the end of the course, the learners will be able to: 

1. Discuss the disease process, medical and surgical management,
including patient’s education for client’s experiencing following
disorders: 

a. Haematology Disorders 

b. Immunological Disorders 

c. Fluid, Electrolyte and Acid Base Balance and Imbalance 

d. Cellular adaptation and aberrant cell growth 

e. Gastrointestinal Disorders 

f. Genitourinary Disorders 

 2. Discuss the purposes, indications and the nursing care of clients
undergoing medical, surgical and diagnostic procedures related to
the above-mentioned disorders. 

 3. Utilize nursing process when caring for adult clients and their
families related to above-mentioned disorders. 

4. Integrate knowledge of pathophysiology, nutrition & pharmacology
for clients experiencing the above-mentioned disorders.
5. Begin to recognize the need for integrating research-based
information in the care of clients.
6. Demonstrate awareness of the importance of legal and ethical
issues in nursing practice.

AHN I


Sr No

Topics

1.      

UNIT I: Gastrointestinal Disorders:

Review the anatomy and physiology of gastrointestinal system (GIT)+Discuss the causes, pathophysiology and manifestation of the following GIT disorders 

2.      

Discuss the diagnostic, medical and surgical management of the below mentioned disorders

3.      

Apply nursing process including assessment, planning, implementation and evaluation of care provided to the clients with GIT disorders

4.      

Develop a teaching plan for a client experiencing disorders of the GIT

5.      

Disorders of mouth and esophagus:Stomatitis+Oral cancer/tumour

6.      

Salivary gland disorders

7.      

Gastro esophageal reflux disorder+Hiatal hernia

8.      

Achalasia+Diverticula

9.      

Esophageal cancer/tumor

10.  

Disorders of stomach

 Gastritis+Ulcer disease

11.  

Gastric carcinoma

12.  

Disorders of small and large intestine:

Irritable bowel syndrome+Hernias+Intestinal obstruction

13.  

Hemorrhoids+Colorectal cancer+Appendicitis

14.  

Peritonitis+Ulcerative colitis+Chron’s disease

15.  

Anorectal abscess+Anal fissure+Anal fistula

16.  

Alteration in hepatobiliary system:

17.  

Pancreatitis+Pancreatic pseudocyst/abscess

18.  

Pancreatic carcinoma

19.  

Hepatic abscess+Cancer of liver+Cirrhosis of liver

20.  

Cholecystitis+Cholilithiasis

21.  

Cancer of gall bladder

22.  

UNIT II: Fluid, Electrolyte, and Acid Base Balance & Imbalances

Analyze the client’s status on the basis of physical examination findings+Identify clients at risk for fluid imbalances, acidosis and alkalosis 

23.  

Use laboratory data and clinical manifestations to determine the presence of fluid imbalances, acidosis and alkalosis.

24.  

Apply appropriate nursing techniques to the client with fluid volume deficit and excess and acidosis and alkalosis

25.  

Develop a teaching plan to prevent above mentioned problems.

26.  

Fluid volume excess+Fluid volume deficit

27.  

Respiratory Acidosis and Alkalosis

28.  

Metabolic Acidosis and Alkalosis

29.  

UNIT III: Genitourinary Tract (Gut) Disorders

Review the anatomy& physiology of GUT+Discuss the causes, pathophysiology and manifestation of the following GUT disorders

30.  

Discuss the diagnostic, medical and surgical management.Apply nursing process including assessment, planning, implementation and evaluation of care provided to the clients with genitourinary disorders.Develop a teaching plan for a client experiencing disorders of the genitourinary:Urinary tract infections+Renal abscess & tuberculosis

31.  

Glomerulunephritis (immunologic disorder)+Urethral strictures, hydroureter and hydronephrosis

32.  

Urinary incontinence/ Retention & Urinary Calculi

33.  

Acute & Chronic Renal failure

34.  

Urinary Bladder and Renal cell carcinoma

35.  

UNIT IV: Reproductive Disorders

Female Reproductive Disorders:Review the anatomy & physiology of female reproductive system+Discuss the function of the supporting ligaments and pelvic floor muscles in maintaining the position of the pelvic organs  

36.  

Discuss the alteration in estrogen and progesterone levels as a cause of dysfunctional menstrual cycle.Discuss the causes, pathophysiology and manifestation of the following female reproductive disorders.Discuss the diagnostic, medical and surgical management of the below mentioned disorders.Apply nursing process including assessment, planning, implementation and evaluation of care provided to the clients with reproductive disorders.Develop a teaching plan for a client experiencing disorders of the reproductive system :Reproductive tract Infections

37.  

Menstrual Disorders+Dysfunctional uterine bleeding

38.  

Menopause+Endometriosis

39.  

Pelvic inflammatory disease+Uterine prolapse 

40.  

Cystocele+Rectocele

41.  

Fistulas+Infertility

42.  

Ectopic Pregnancy+Abortion

43.  

Hydatidiform mole+Ovarian cyst

44.  

Ovarian tumor and cancer

45.  

Uterine tumor/ fibroids +Breast cancer

46.  

Male Reproductive Disorders:Discuss the structure & function of male reproductive system.Discuss the causes, pathophysiology and manifestation of the following male reproductive disorders.Discuss the diagnostic, medical and surgical management of the below mentioned disorders.Apply nursing process including assessment, planning, implementation and evaluation of care provided to the clients with male reproductive disorder. Develop a teaching plan for a client experiencing disorders.f the reproductive system :Benign prostate hypertrophy+Erectile dysfunction

47.  

Prostate and testicular cancer

48.  

Infertility in male

49.  

UNIT V: Haematology Disorders

Discus the causes, manifestations and associated mechanisms of anemia

50.  

Describe the pathogenesis of hemolytic disease of the newborn 

51.  

Discuss the lymph proliferative disorders associated with Hodgkin disease and non-Hodgkin’s lymphomas+Discuss the mechanism of drugs induced and idiopathic thrombocytopenia

52.  

Discuss the diagnostic, medical and surgical management of the below mentioned disorders+Apply nursing process including assessment, planning, implementation and evaluation of care provided to the clients with hematological disorders

53.  

Develop a teaching plan for a client experiencing disorders of the hematology:Sickle cell anaemia.+Immunohemolytic Anaemia

54.  

Iron deficiency anaemia +Vitamin B12 deficiency anaemia

55.  

Folic acid deficiency anaemia+Aplastic anaemia

56.  

Polycythemia

57.  

Leukemia +Hodgkin disease & Non Hodgkin lymphoma

58.  

Autoimmune and thrombotic Thrombocytopenic purpura+DIC

59.  

UNIT VI: Cellular Adaptation & Aberrant Cell Growth

Identify the goals of cancer therapy

60.  

Discuss different treatment modalities available for Cancer 

61.  

Discuss chemotherapy and radiation therapy, their types, indication, side effects and nursing care

62.  

Discuss different types of cancer surgeries and nursing care of patients undergoing cancer surgery.

63.  

Discuss end of life care (palliative and hospice care.

64.  

UNIT VI: Immunological Disorders

Discuss Immunologic disorders

65.  

Discuss the diagnostic, medical and surgical management of the below mentioned disorders

66.  

Apply nursing process including assessment, planning, implementation and evaluation of care provided to the clients with immunological disorders.Develop a teaching plan for a client experiencing disorders of the immunology:HIV/ AIDS

67.  

Hypersensitivity and autoimmunity disorders

Sr No

Topics

1.      

UNIT I: Orthopedic Nursing

Relate the normal anatomy and physiology of the musculo-skeletal system to alterations of normal structures and functions

2.      

Display the ability to assist in carrying out diagnostic procedures related to the musculo-skeletal system and also recognizes and reports the abnormalities in the results. 

3.      

Identify the needs of the client, with different types of tractions and amputation+Use nursing concepts in identifying potential complications associated with musculo-skeletal disorders.Utilize nursing process in delivering care, promoting and maintaining the optimal wellness of clients with musculo-skeletal disorders.Understands and performs Neuro-Muscular assessment independently on patients having musculo-skeleton disorder.Demonstrate pre and post operative nursing care in patients with Musculo-skeletal surgeries. Soft tissue injury+Fracture.+Amputation.

4.      

Paget’s disease and Gout

5.      

Osteomylitis+Osteoarthritis

6.      

Osteoperosis+Rheumatoid Arthritis

7.      

Bone tumors+Tuberculosis

8.      

UNIT II: Endocrine Nursing

Identify pathogenesis and manifestations of the acute and chronic complications of diabetes mellitus.

Assess: Hypo and Hyperglycemic conditions.

Discuss the medical and pharmacological treatment for a diabetic client. 

9.      

Discuss the purpose and plan of diet for diabetic clients.

Describe the nursing management of a newly diagnosed diabetic client.

10.  

Describe the nursing management of a diabetic client who has Ketoacidosis, Hypoglycemia, and who is undergoing surgery

11.  

The psychological impact of diabetes mellitus on the client and his family.

The nursing responsibilities in the long-term management of the diabetic client.

Demonstrates understanding of medical and surgical management of patients with thyroid disorders.

12.  

Describe pre and post-operative care of thyroidectomy.

Identify potential complications of thyroid disorders and describe appropriate measures in that regard. 

13.  

Explain the complications of thyroidectomy.

Treatment modalities of patients with parathyroid disorders.

14.  

Utilize nursing process in provision of care to patients with disorders of parathyroid gland.  Integrate the disorders associated with adrenal cortex and medulla.

Describe treatment modalities of patients with adrenal gland disorders.

Utilize the nursing process in the provision of care to patients with adrenal gland disorder.

Review effects and side effects of gluco-corticoid therapy and plan client teaching accordingly.

Explain the systemic effects of short and long term use of corticosteroid therapy.

15.  

UNIT III: Neurological Nursing

Increased ICP (Intra cranial pressure) and Head Injury

Review anatomy and physiology of brain and its protective structures.

Differentiate between primary and secondary head injuries and demonstrate an understanding of the related pathophysiology.

Anticipate major complications that may result from head injuries.

Utilize nursing process in caring for a patient, with head injury.  

16.  

Spinal Cord Injury

Review basic anatomy and physiology of spinal cord and its protective structures.

Various mechanisms of injury that may be involved in spinal cord injury.

Relate pathophysiological changes that take place after a partial or complete cord transaction.

Identify life threatening complications that may result from spinal cord injury.

Appreciate the need for prompt interventions in case of a patient with spinal shock and autonomic dysreflexia.

Describe the nursing care of a patient with spinal cord injury in an emergency and acute care setting.

Rehabilitative needs of patients with Spinal cord injury.

Identify the causes and mechanism of injury involved in intervertebral disc herniation.

Describe the role of nurses in surgical and non-surgical management of a patient with intervertebral disc herniation.

Discuss the importance of maintaining proper body mechanics in preventing intervertebral disc herniation.

17.  

Cerebro Vasular Accident (CVA)

Utilize nursing process in caring for the patient with CVA.

Infections/Inflammations of CNS (Central Nervous System)

Meningitis/ Encephalitis/ Brain abscess

Describe alterations in intracranial dynamics resulting from infectious disorders of Central Nervous System (CNS).

Differentiate between the etiology, manifestations and diagnostic markers of meningitis, encephalitis and brain abscess.

18.  

Discuss the pharmacological and nursing management of patients with inflammations and infections of CNS.

19.  

Epilepsy/Seizures

Use nursing process to provide care to patients with various seizures disorders.

Demonstrate an understanding of the side effects and nursing care of some common antiepileptic drugs.

Appreciate the psychological effects of epilepsy for a patient and family.

20.  

Disorders of Neuromuscular Transmission.

Myasthenia Gravis (MG)/Gullien Barrie Syndrome (GBS) (Tutorial)

Relate the normal physiology of neuro-muscular transmission to the pathophysiological mechanisms involved in GBS and MG.

Distinguish the signs and symptoms of MG and GBS.

Describe nurses’ role in caring for patients undergoing diagnostic procedures to rule out MG and GBS. 

21.  

Identify major complications associated with Myasthenic Crises and Cholinergic Crisis.

Utilize effective nursing process in caring for patients with neuromuscular transmission disorder.

22.  

Pain and painful disorders related to nervous system.

This unit focuses on the etiology, Pathophysiology, manifestations and nursing care of a patient with headache and facial pain. 

23.  

1. Trigeminal Neuralgia

Review the basic anatomy of trigeminal nerve and its main division.

Explain the etiology and Pathophysiology of trigeminal neuralgia.

Recognize the clinical manifestations of trigeminal neuralgia.

Identify the diagnostic techniques used to rule out the above disorder.

Explain medical and surgical management of the same.

Utilized nursing process in providing care and teaching to a patient with trigeminal neuralgia.

24.  

2. Migraine / Headache.

Classify the various types of headaches according to their etiology and pathophysiology.

Describe dietary and other precipitants of migraine headache.

Explain the pharmacological and symptomatic treatment used for patients with various types of headaches.

Describe nursing responsibilities in caring and teaching of a patient with headaches.

25.  

Chronic Neurological Disorders

 Parkinson’s disease

Discuss the medical surgical management.

Utilized nursing process to extend care to a patient with Parkinson’s disease.

Appreciate patient and family needs for teaching and home management.

26.  

2. Alzheimer’s Disease

Define Alzheimer ’s disease.

Discuss its etiology and pathophysiology

Identify signs and symptoms exhibited by patient with Alzheimer’s disease

Appreciate the social and psychological sequel for patient with Alzheimer’s disease.

27.  

3.Brain damage and special states of altered consciousness.

Various causes of Brain damage classified as: Anoxia/Hypoxia and perfusion failure.

The pathophysiological mechanism of anoxic and ischemic brain injury

General signs and symptoms manifested by a patient with brain damage.

Demonstrate an understanding of special states of altered consciousness: Persistent vegetative state locked in syndrome and brain stem death.

Discuss the essential state involved in brain stem death criteria.

 Discuss general nursing interventions and ethical

28.  

UNIT IV: Cardiovascular Disorders:

Review the anatomy& physiology of cardiovascular system.

The causes, Pathophysiology and manifestation of the following cardiovascular disorders

The diagnostic, medical and surgical management of the below mentioned disorders  

29.  

Basic ECG (Electro Cardiogram) interpretation

Apply nursing process including assessment, planning, implementation and evaluation of care provided to the clients with cardiovascular disorders

Develop a teaching plan for a client experiencing disorders of the cardiovascular and lymphatic system .

30.  

A. Disorders of the Arterial circulation

Atherosclerosis and Aneurysm

Review the anatomy & physiology of blood vessels

Use Poiseulle’s & Laplace’s laws to explain the factors affecting blood flow

Discuss the role of low density lipoprotein in terms of lipid transport and development of atherosclerosis  

31.  

List risk factor in atherosclerosis

Describe the mechanisms involved in the development of atherosclerosis

Discuss the causes and mechanisms involved in the development of aneurysm

32.  

Differentiate among Berry’s, aortic and dissecting aneurysm

Discuss medical, surgical and nursing management of patients.

33.  

B Disorders of the venous circulation:

Varicose veins and venous thrombosis

The factors assisting venous return of blood from lower extremities.

The relation of muscle pump and the effects of gravity in the development of varicose vein 

34.  

The risk factors and manifestation associated with venous thrombosis

Medical, surgical and nursing management of patients with disorders in venous circulation

35.  

C. Alteration in blood pressure: Hypertension

Define hypertension

The role of cardiac output and peripheral vascular resistance in the mechanism of hypertension 

36.  

The risk factors contributing in the development of hypertension

Pathophysiology and clinical manifestations of HTN (hypertension)

Medical and nursing management of patients with HTN.

37.  

D. Alteration in cardiac function:

Infectious disorders: Pericardiatis, Myocardiatis and Endocardiatis:

The anatomy & physiology of pericardium, myocardium & endocardium 

38.  

The causes, pathophysiology and manifestation of pericardiatis, myocardiatis and endocardiatis.

The causes, pathophysiology and manifestation of cardiomyopathies.

Medical, surgical and nursing management of patients with alterations in cardiac infections and myopathies.

39.  

E. Coronary heart diseases:

Blood flow in the coronary circulation and relate if to the metabolic needs of the heart

The pathophysiological changes and clinical manifestation in patients with Coronary Artery Disease (CAD) 

40.  

Myocardial ischemia (angina & its types)

41.  

Myocardial infarction

Discuss medical, surgical and nursing management of patients suffering from coronary artery diseases.

42.  

F. Valvular disorders:

The alteration in hemodynamic function of the heart that occurs with valvular disease

Differentiate the effects of stenotic and regurgitant mitral & aortic valvular heart disease on cardiovascular function.

43.  

G. Heart failure:

Discuss the factors effecting cardiac performance in the light of Frank starling law i.e. pre load, after load and cardiac contractility

Describe the pathological mechanism underlying the manifestation of congestive heart failure 

44.  

Differentiate between:

Systolic versus diastolic failure

Right side versus left side failure

45.  

Discuss the clinical manifestation of congestive heart failure

Discuss medical, surgical and nursing management of patients with heart failure

46.  

H. Disorders of Cardiac Conduction and Rhythm:

The anatomy & physiology of cardiac conduction system

The electrical activity of the conduction system on an Electrocardiography (ECG) tracing.

Describe the mechanism for dysrhythmia generation 

47.  

The different types of dysrhythmias.

Various heart blocks

Medical, surgical and nursing management of patients with disorders of cardiac conduction and rhythm.

48.  

Heart Blocks and Pacemaker

The different kinds of heart blocks.              

The care of clients with temporary and permanent pacemaker

49.  

UNIT V: Pulmonary Nursing

The anatomy & physiology of upper respiratory tract

The causes, Pathophysiology and manifestation of the following respiratory tract disorders

Discuss the diagnostic, medical and surgical management of the below mentioned disorders  

50.  

Apply nursing process including assessment, planning, implementation and evaluation of care provided to the clients with respiratory disorders

Teaching plan for a client experiencing disorders of the respiratory tract.  

51.  

Upper respiratory tract infections:

Sinusitis

Pharyngitis

Tonsillitis

52.  

Lower respiratory tract infections:

Influenza

Pneumonia

Pulmonary T.B ( tuberculosis)

53.  

Lung Abscess

Distress Syndrome

Chest trauma

54.  

Obstructive lung diseases:

Asthma

COPD ( Chronic obstructive pulmonary disease)

Lung cancer

Acute Respiratory failure

Acute Respiratory

55.  

UNIT VI: Eye and ENT Nursing

Otitis media and Mastoiditis/Meinere’s Disease .

Review anatomy and physiology of External and Middle ear.

Differentiate between Otitis Externa and Otitis media.

Discuss the measures to prevent the spread of infection from the middle ear to the Mastoid process.

Utilize nursing process while caring for patients with Otitis Media. 100

56.  

Epistaxis and Deviated Nasal Septum.

Review the anatomy and physiology of nose.

Discuss the nursing care of patients with deviated nasal septum.

Explain the emergency care of a patient with epistaxis.

57.  

Tonsillitis.

Review the anatomy and physiology of throat.

Discuss the important nursing care of a patient with tonsillitis.

Identify the signs and symptoms of tonsillitis. 

58.  

Discuss the criteria for tonsillectomy.

Utilize nursing process for a patient undergoing surgery.

59.  

Laryngitis.

Explain the important nursing care of a patient with laryngitis.

Utilize nursing process while caring for patient with a patient undergoing laryngectomy.

Describe the speech therapy and resources available in the country for speech therapy after laryngectomy.

60.  

Infections/Inflammations of the eye.

Review anatomy and physiology of eye.

Differentiate between the sign and symptoms of different eye infections. 101

Utilize nursing process while caring for patients with different infections.

Discuss different medical treatment for Blephaaritis, Hordeolum, Chalazia Trachoma and conjunctivitis.

61.  

Glaucoma/Retinal Detachment.

Identify the causes of Glaucoma.

Describe different diagnostic procedures and signs and symptoms present in a person with Glaucoma.

Utilize the nursing process while taking care of a patient with Glaucoma. 

62.  

Discuss different causes of retinal detachment.

Explain the signs and symptoms a person would develop after having a detached retina.

Describe the role of nurses in caring for patients with detached retina.

63.  

Cataract

Identify the causes of cataract.

Utilize nursing process while caring for patient with cataract.

Discuss the role of nurses in helping patients after surgical interventions.

Explain home care of a patient with surgical interventions.

64.  

Burns

Define burns.

Discuss problems of impaired skin integrity.

Describe various types of burns and their causative agents.

65.  

Demonstrate an understanding of the commonly used drugs in the management of cardiac arrest.

Describe the complications of Cardio Pulmonary Resuscitation (CPR).

66.  

Classify the size and depth of a burn.

Demonstrate understanding of the Pathophysiology of a major burns injury. 

67.  

Discuss the nursing care of a burn-injured patient in immediate post-burn period.

Demonstrate a basic understanding of the management of cardiac arrest in an in-patient care setting.

CLINICAL OBJECTIVES 

During medical/surgical rotation learners are expected to apply the nursing
process and critical thinking in delivering holistic nursing care to the clients
with Oncological, Hematological, Immunological, Gastrointestinal and
Genitourinary Disorders. Learners will utilize recommended assessment
tools for clients’ assessment during clinical. 

1. Utilize the nursing process in providing care to the sick adult in the
hospital. 

a) Collect data from the client and family, nursing kardex, patient’s
charts, nursing notes and health team members. 

b) Integrate the knowledge of diagnostic tests in the process of data
collection. 

c) Collect data necessary to determine nursing care needs of the
patient 

 d) Set priority or needs for nursing care. 

e) Develop a plan to meet the identified nursing needs of a client 

 f) Adults the plan of care as necessary. 

2. Use a sound knowledge base in proving nursing care to adults in the
hospital. 

3. Apply scientific principles in providing nursing care of adults. 

4. Identify the effects of sickness and hospitalization of adults and their
families. 

5. Identify and plan out nursing intervention to meet the physiological and
psychosocial and spiritual needs of the clients and families. 

6. Implement care according to priority order. 

7. Provide perioperative nursing care to client undergoing surgery. 

8. Evaluate the expected outcomes and revise the nursing care plan on
an ongoing basis. 

 9. Provide for the comfort and safety of adults in the hospital

10. Demonstrate the ability to communicate effectively with the patient and
/or the family 

 Communicate effectively with patient using verbal and non-verbal
methods 

 Explain nursing actions appropriately to the patient or family 

 Carry out nursing procedure safely and correctly 

 Use correct procedures 

 Ensure patient safety 

 Perform skills with dexterity 

 Maintain accurate records and reports 

a. Record comprehensive patient data 

b. Report the significant patient data to appropriate personnel 

11. Assess, plan, implement and evaluate health teaching related to
medical and surgical conditions of patients.

12. Integrate theoretical knowledge and participate in care of clients
undergoing following diagnostic procedures: 

a. Upper and lower GI (Gastro Intestinal) endoscopies 

b. Ultrasound 

c. Barium studies 

d. Biopsy (liver) 

e. Cystoscopy 

f. Paracenthesis 

g. CT( Computed Tomography) scan 

h. Pathological Lab test 

i. IVP ( Intravenous pyelography)
j. X- rays
k. Gastric analysis 

13. Integrate knowledge of pathophysiology, nutrition & pharmacology for
clients experiencing the various disorders. 

 14. Begin to recognize the need for integrating research-based
information in the care of clients 

15. Demonstrate awareness of the importance of legal and ethical issues
in nursing practice 

16. Demonstrate the role of a nurse as a health educator.

Clinical skills checklist 

 IV medication 

 Tube feeding and insertion 

 Catheterization 

 Ostomy care

ADULT HEALTH NURSING-II 

    This course provides opportunities to learners to give safe & competent
care for patients with various cardiovascular, respiratory, endocrine,
musculoskeletal, Neurological and ENT disorders. They are assisted in
development of critical thinking and nursing judgment while caring for a
wide variety of patients including those who require long term care with
emphasis on patient teaching and discharge planning. 

 Course Objectives

    At the end of the Adult Health Nursing II, the learners will be able to: 

 1. Demonstrate an ability to utilize nursing process in extending holistic
care to adult patients with a variety of Cardiovascular, Respiratory,
Endocrine, Musculo-skeletal, Neurological and ENT (Ear, Nose and
Throat) related disorders. 

2. Describe the risk factors, etiology, signs & symptoms and integrate
Pathophysiology of various disease processes using a nursing
framework, (Functional Health pattern) to assess patient’s needs and
problems. 

3. Discuss the need of using relevant research findings in designing
appropriate nursing care for the patients. 

4. Demonstrate an awareness of legal and ethical standards in caring for
patients with various disorders in a variety of acute and intermediate
care settings.  

AHN II

 

Sr
No

Topics

1.     
 

UNIT I: Orthopedic Nursing

Relate the normal anatomy and physiology of the musculo-skeletal
system to alterations of normal structures and functions

2.     
 

Display the ability to assist in carrying out diagnostic
procedures related to the musculo-skeletal system and also recognizes and
reports the abnormalities in the results. 

3.     
 

Identify the needs of the client, with different types of
tractions and amputation+Use nursing concepts in identifying potential
complications associated with musculo-skeletal disorders.Utilize nursing
process in delivering care, promoting and maintaining the optimal wellness of
clients with musculo-skeletal disorders.Understands and performs
Neuro-Muscular assessment independently on patients having musculo-skeleton
disorder.Demonstrate pre and post operative nursing care in patients with
Musculo-skeletal surgeries. Soft tissue injury+Fracture.+Amputation.

4.     
 

Paget’s disease and Gout

5.     
 

Osteomylitis+Osteoarthritis

6.     
 

Osteoperosis+Rheumatoid Arthritis

7.     
 

Bone
tumors+Tuberculosis

8.     
 

UNIT II: Endocrine Nursing

Identify pathogenesis and manifestations of the acute and chronic
complications of diabetes mellitus.

Assess: Hypo and Hyperglycemic conditions.

Discuss the medical and pharmacological treatment for a diabetic
client. 

9.     
 

Discuss the purpose and plan of diet for diabetic clients.

Describe the nursing management of a newly diagnosed diabetic
client.

10.   

Describe the nursing management of a diabetic client who has
Ketoacidosis, Hypoglycemia, and who is undergoing surgery

11.   

The psychological impact of diabetes mellitus on the client and
his family.

The nursing responsibilities in the long-term management of the
diabetic client.

Demonstrates understanding of medical and surgical management of
patients with thyroid disorders.

12.   

Describe pre and post-operative care of thyroidectomy.

Identify potential complications of thyroid disorders and
describe appropriate measures in that regard. 

13.   

Explain the complications of thyroidectomy.

Treatment modalities of patients with parathyroid disorders.

14.   

Utilize nursing process in provision of care to patients with
disorders of parathyroid gland. 
Integrate the disorders associated with adrenal cortex and medulla.

Describe treatment modalities of patients with adrenal gland
disorders.

Utilize the nursing process in the provision of care to patients
with adrenal gland disorder.

Review effects and side effects of gluco-corticoid therapy and
plan client teaching accordingly.

Explain
the systemic effects of short and long term use of corticosteroid therapy.

15.   

UNIT III: Neurological Nursing

Increased ICP (Intra cranial pressure) and Head Injury

Review
anatomy and physiology of brain and its protective structures.

Differentiate between primary and secondary head injuries and
demonstrate an understanding of the related pathophysiology.

Anticipate major complications that may result from head
injuries.

Utilize
nursing process in caring for a patient, with head injury.
 

16.   

Spinal Cord Injury

Review basic anatomy and physiology of spinal cord and its
protective structures.

Various mechanisms of injury that may be involved in spinal cord
injury.

Relate pathophysiological changes that take place after a partial
or complete cord transaction.

Identify life threatening complications that may result from
spinal cord injury.

Appreciate the need for prompt interventions in case of a patient
with spinal shock and autonomic dysreflexia.

Describe the nursing care of a patient with spinal cord injury in
an emergency and acute care setting.

Rehabilitative needs of patients with Spinal cord injury.

Identify the causes and mechanism of injury involved in intervertebral
disc herniation.

Describe the role of nurses in surgical and non-surgical
management of a patient with intervertebral disc herniation.

Discuss
the importance of maintaining proper body mechanics in preventing
intervertebral disc herniation.

17.   

Cerebro Vasular Accident (CVA)

Utilize nursing process in caring for the patient with CVA.

Infections/Inflammations of CNS (Central Nervous
System)

Meningitis/ Encephalitis/ Brain abscess

Describe alterations in intracranial dynamics
resulting from infectious disorders of Central Nervous System (CNS).

Differentiate between the etiology,
manifestations and diagnostic markers of meningitis, encephalitis and brain
abscess.

18.   

Discuss the pharmacological and nursing management of
patients with inflammations and infections of CNS.

19.   

Epilepsy/Seizures

Use nursing process to provide care to patients
with various seizures disorders.

Demonstrate an understanding of the side effects
and nursing care of some common antiepileptic drugs.

Appreciate the psychological effects of epilepsy for a
patient and family.

20.   

Disorders of Neuromuscular Transmission.

Myasthenia Gravis (MG)/Gullien Barrie Syndrome
(GBS) (Tutorial)

Relate the normal physiology of neuro-muscular
transmission to the pathophysiological mechanisms involved in GBS and MG.

Distinguish the signs and symptoms of MG and
GBS.

Describe nurses’ role in caring for patients
undergoing diagnostic procedures to rule out MG and GBS. 

21.   

Identify major complications associated with
Myasthenic Crises and Cholinergic Crisis.

Utilize effective nursing process in caring for patients
with neuromuscular transmission disorder.

22.   

Pain and painful disorders related to nervous
system.

This unit focuses on the etiology, Pathophysiology,
manifestations and nursing care of a patient with headache and facial
pain. 

23.   

1. Trigeminal Neuralgia

Review the basic anatomy of trigeminal nerve and
its main division.

Explain the etiology and Pathophysiology of
trigeminal neuralgia.

Recognize the clinical manifestations of
trigeminal neuralgia.

Identify the diagnostic techniques used to rule
out the above disorder.

Explain medical and surgical management of the
same.

Utilized nursing process in providing care and teaching to
a patient with trigeminal neuralgia.

24.   

2. Migraine / Headache.

Classify the various types of headaches according to their
etiology and pathophysiology.

Describe dietary and other precipitants of
migraine headache.

Explain the pharmacological and symptomatic
treatment used for patients with various types of headaches.

Describe nursing responsibilities in caring and teaching of
a patient with headaches.

25.   

Chronic Neurological Disorders

 Parkinson’s disease

Discuss the medical surgical management.

Utilized nursing process to extend care to a
patient with Parkinson’s disease.

Appreciate patient and family needs for teaching and home
management.

26.   

2. Alzheimer’s Disease

Define Alzheimer ’s disease.

Discuss its etiology and pathophysiology

Identify signs and symptoms exhibited by patient
with Alzheimer’s disease

Appreciate the social and psychological sequel for patient
with Alzheimer’s disease.

27.   

3.Brain damage and special states of altered
consciousness.

Various causes of Brain damage classified as:
Anoxia/Hypoxia and perfusion failure.

The pathophysiological mechanism of anoxic and
ischemic brain injury

General signs and symptoms manifested by a
patient with brain damage.

Demonstrate an understanding of special states
of altered consciousness: Persistent vegetative state locked in syndrome and
brain stem death.

Discuss the essential state involved in brain
stem death criteria.

 Discuss general nursing interventions and
ethical

28.   

UNIT IV: Cardiovascular Disorders:

Review
the anatomy& physiology of cardiovascular system.

The
causes, Pathophysiology and manifestation of the following cardiovascular
disorders

The
diagnostic, medical and surgical management of the below mentioned disorders
 

29.   

Basic
ECG (Electro Cardiogram) interpretation

Apply
nursing process including assessment, planning, implementation and evaluation
of care provided to the clients with cardiovascular disorders

Develop
a teaching plan for a client experiencing disorders of the cardiovascular and
lymphatic system
.

30.   

A. Disorders of the Arterial circulation

Atherosclerosis and Aneurysm

Review the anatomy & physiology of blood vessels

Use Poiseulle’s & Laplace’s laws to explain the factors
affecting blood flow

Discuss the role of low density lipoprotein in terms of lipid
transport and development of atherosclerosis
 

31.   

List
risk factor in atherosclerosis

Describe the mechanisms involved in the development of
atherosclerosis

Discuss the causes and mechanisms involved in
the development of aneurysm

32.   

Differentiate among Berry’s, aortic and
dissecting aneurysm

Discuss medical, surgical and nursing management of
patients.

33.   

B Disorders of the venous circulation:

Varicose veins and venous thrombosis

The factors assisting venous return of blood
from lower extremities.

The relation of muscle pump and the effects of
gravity in the development of varicose vein 

34.   

The risk factors and manifestation associated
with venous thrombosis

Medical, surgical and nursing management of patients with
disorders in venous circulation

35.   

C. Alteration in blood pressure: Hypertension

Define hypertension

The role of cardiac output and peripheral vascular
resistance in the mechanism of hypertension 

36.   

The risk factors contributing in the development of
hypertension

Pathophysiology and clinical manifestations of HTN
(hypertension)

Medical and nursing management of patients with HTN.

37.   

D. Alteration in cardiac function:

Infectious disorders: Pericardiatis, Myocardiatis and
Endocardiatis:

The anatomy & physiology of pericardium,
myocardium & endocardium 

38.   

The causes, pathophysiology and manifestation of
pericardiatis, myocardiatis and endocardiatis.

The causes, pathophysiology and manifestation of
cardiomyopathies.

Medical, surgical and nursing management of patients with
alterations in cardiac infections and myopathies.

39.   

E. Coronary heart diseases:

Blood flow in the coronary circulation and relate if to the
metabolic needs of the heart

The pathophysiological changes and clinical manifestation
in patients with Coronary Artery Disease (CAD) 

40.   

Myocardial ischemia (angina & its types)

41.   

Myocardial infarction

Discuss medical, surgical and nursing management of
patients suffering from coronary artery diseases.

42.   

F. Valvular disorders:

The alteration in hemodynamic function of the heart that
occurs with valvular disease

Differentiate the effects of stenotic and regurgitant
mitral & aortic valvular heart disease on cardiovascular function.

43.   

G. Heart failure:

Discuss the factors effecting cardiac performance in the
light of Frank starling law i.e. pre load, after load and cardiac
contractility

Describe the pathological mechanism underlying the manifestation
of congestive heart failure 

44.   

Differentiate between:

Systolic versus diastolic failure

Right side versus left side failure

45.   

Discuss the clinical manifestation of congestive heart
failure

Discuss medical, surgical and nursing management of
patients with heart failure

46.   

H. Disorders of Cardiac Conduction and Rhythm:

The anatomy & physiology of cardiac conduction system

The electrical activity of the conduction system on an
Electrocardiography (ECG) tracing.

Describe the mechanism for dysrhythmia generation 

47.   

The different types of dysrhythmias.

Various heart blocks

Medical, surgical and nursing management of patients with
disorders of cardiac conduction and rhythm.

48.   

Heart Blocks and Pacemaker

The
different kinds of heart blocks.                      

The
care of clients with temporary and permanent pacemaker

49.   

UNIT V: Pulmonary Nursing

The anatomy & physiology of upper respiratory tract

The causes, Pathophysiology and manifestation of the following
respiratory tract disorders

Discuss the diagnostic, medical and surgical management of the
below mentioned disorders
 

50.   

Apply nursing process including assessment, planning,
implementation and evaluation of care provided to the clients with
respiratory disorders

Teaching
plan for a client experiencing disorders of the respiratory tract.
 

51.   

Upper respiratory tract infections:

Sinusitis

Pharyngitis

Tonsillitis

52.   

Lower respiratory tract infections:

Influenza

Pneumonia

Pulmonary T.B ( tuberculosis)

53.   

Lung Abscess

Distress Syndrome

Chest
trauma

54.   

Obstructive lung diseases:

Asthma

COPD ( Chronic obstructive pulmonary disease)

Lung cancer

Acute Respiratory failure

Acute
Respiratory

55.   

UNIT VI: Eye and ENT Nursing

Otitis media and Mastoiditis/Meinere’s Disease .

Review
anatomy and physiology of External and Middle ear.

Differentiate
between Otitis Externa and Otitis media.

Discuss
the measures to prevent the spread of infection from the middle ear to the
Mastoid process.

Utilize
nursing process while caring for patients with Otitis Media. 100

56.   

Epistaxis and
Deviated Nasal Septum.

Review the anatomy and physiology of nose.

Discuss the nursing care of patients with deviated nasal
septum.

Explain the emergency care of a patient with epistaxis.

57.   

Tonsillitis.

Review the anatomy and physiology of throat.

Discuss the important nursing care of a patient with
tonsillitis.

Identify the signs and symptoms of tonsillitis. 

58.   

Discuss the criteria for tonsillectomy.

Utilize nursing process for a patient undergoing surgery.

59.   

Laryngitis.

Explain the important nursing care of a patient with
laryngitis.

Utilize nursing process while caring for patient with a
patient undergoing laryngectomy.

Describe the speech therapy and resources available in the
country for speech therapy after laryngectomy.

60.   

Infections/Inflammations of the eye.

Review anatomy and physiology of eye.

Differentiate between the sign and symptoms of different
eye infections. 101

Utilize nursing
process while caring for patients with different infections.

Discuss different medical treatment for Blephaaritis,
Hordeolum, Chalazia Trachoma and conjunctivitis.

61.   

Glaucoma/Retinal Detachment.

Identify the causes of Glaucoma.

Describe different diagnostic procedures and
signs and symptoms present in a person with Glaucoma.

Utilize the nursing process while taking care of
a patient with Glaucoma. 

62.   

Discuss different causes of retinal detachment.

Explain the signs and symptoms a person would
develop after having a detached retina.

Describe the role of nurses in caring for patients with
detached retina.

63.   

Cataract

Identify the causes of cataract.

Utilize nursing process while caring for patient
with cataract.

Discuss the role of nurses in helping patients
after surgical interventions.

Explain home care of a patient with surgical interventions.

64.   

Burns

Define burns.

Discuss problems of impaired skin integrity.

Describe various types of burns and their
causative agents.

65.   

Demonstrate an understanding of the commonly
used drugs in the management of cardiac arrest.

Describe
the complications of Cardio Pulmonary Resuscitation (CPR).

66.   

Classify the size and depth of a burn.

Demonstrate understanding of the Pathophysiology of a major
burns injury. 

67.   

Discuss the nursing care of a burn-injured
patient in immediate post-burn period.

Demonstrate a basic understanding of the
management of cardiac arrest in an in-patient care setting.

Clinical Objectives AHN 

1. Applies the nursing process and critical thinking in delivering Holistic
nursing care to clients with various medical/surgical conditions in
institutions and communities. 

2. Formulate Nursing Care plans while caring for all adult clients in the
units. 

3. Incorporate cognitive, interpersonal and technical skills from the
humanities, natural and behavioral sciences while providing nursing
care to clients. 

4. Demonstrate awareness of legal and ethical standards when providing
nursing care. 

5. Develop awareness for self-evaluation of effectiveness in dealing with
clients with Endocrine, Cardio vascular, Respiratory, ENT, Neurological
and Orthopedic disorders. 

6. Demonstrate the knowledge of pharmacology used to treat all medical
surgical disorders. 

7. Demonstrate leadership abilities necessary to foster change in the
delivery of care for the patients. 

8. Provide culturally sensitive and realistic teaching to clients and families
in collaboration with other health team members. 

9. Incorporate research findings relevant to nursing practice. 

10. Collaborate with members of the health care team to promote and
maintain optimum wellness of adult clients. 

11. Prepares and provide care for patients going for following diagnostic
tests/examinations: 

 C.T. Scan 

 Cerebral Angiography 

 Lumber puncture 

 Mylogramme 

 Audimetric 

 Thyroid scanning. 

12. Document all assessments, nursing care and discharge teaching
provided to the clients. 

SPECIFIC CLINICAL OBJECTIVES 

In the Med/Surgical rotations the learners will be able to: 

 Identifies the normal values and alterations in the diagnostic tests
carried out for clients.

 Demonstrates an understanding of the psychological needs of patients
and their families during hospitalization and surgery. 

 Discuss the possible reaction that a family member may exhibit when
confronted with trauma, illness, and death and dying. 

13. Assist the following skills: 

 Lumber puncture 

 12 Lead ECG 

 Blood sugars 

 Eye and ear irrigation. 

 Eye bandaging. 

 Skin and Skeletal traction. 

 Application of Plaster, cast 

14. a) Develop Skills in preparing and assisting in skin tractions, Knee
mobilizer and CPM
b) Demonstrate pre and post operative nursing care in patients
with Musculokeletal surgeries. 

15. Provide holistic care to the patients who are bed ridden and immobile. 

16. Identify normal sinus rhythm on cardiac monitor and differentiate it with
the abnormal rhythms. 

17. Identify signs of increased ICP in-patients with neurological conditions. 

18. Observe the Emergency room systems and apply the concepts of
triage. 

19. Differentiate the role and responsibilities of each individual in E.R.
from other units. 

CLINICAL SKILLS LIST 

1. Trachesostomy care 

2. Suctioning (oral, nasal, tracheal) 

 3. Assist in procedures 

 4. Lumber puncture 

5. Thorcentesis 

6. Paracentesis 

7. Chest tube insertion 

8. Dressing 

9. ECG ( electro cardiogram

Book Reference 

1. Brune, B. (July 2001). Deep vein thrombosis prophylaxis: The
effectiveness and implications of using below knee or thigh length
graduated compression stocking. (Vol. 30). Heart and lung 277-284. 

2. Dolan, J. T. (1991). Critical care nursing: Clinical management through
nursing process. Philadelphia: Davis.