1.1 Title of the module: NUR205 Adult Nursing IIProgramme: Bachelor of Science in Nursing and Midwifery Level: Year 2, Semester 2 Credit Value: 12 credits (T = 80 hrs. L = 0 hrs. P =80 hrs) Module Leader: Manikala Moktan Module Tutor(s): Deki Pem General Objectives This module will enable the students to understand the concepts of developmental stages in adult and elderly, health/wellness and health deviation (illness) in adult/elderly population. Furthermore, the students will understand the concepts/theories related to nursing management of disorders of integumentary, renal, male, female reproductive, system and musculoskeletal system in adult/elderly population related to physical, chemical and psychosocial impact. Learning Outcomes Upon completion of the module, the student will be able to: - Describe concept/theory related to nursing management of disorders of integumentary, renal, male and female reproductive and musculoskeletal systems.
- Utilize the nursing process using evidence based learning to a case study (scenario) for planning an individualized and holistic nursing care to clients. individuals, families, and communities with respect to cultural diversity, including enabling of peaceful death.
- Apply the nursing process using evidence based learning to a case study (scenario) for planning an individualized and holistic nursing care to clients. to individuals, families, and communities with respect to cultural diversity, including enabling of peaceful death.
- Identify nurses’ role in health promotion, prevention of illness and injury, and restoration, in providing high quality nursing care to individuals, families, and communities in all stages of health and illness, with compassion.
Skills to be developed - Nursing procedures
- Health Assessment using Nursing process
Learning and teaching approach - Lecture and discussion
- Self study
- Group project and presentation
- Assigned reading
- Demonstration and return demonstration
- Practices in the wards/units
Mode of assessment Formative - Observation
- Questioning
- Quizzes
- Class Assignment
- Feedback on documentation
- Clinical assignment
Summative Assessment Weightage Theory Ongoing summative 40% - Class test
- Assignment
- Presentation
End summative 100 Practical 100 Ongoing summative 50 - Reflective Journal 10%
- Performance evaluation 30%
- Practical record book 10%
- Drug Book 10%
Summative Case Study 50 Note: Final marks, 50% each for Theory and Practical Pre-requisite knowledge - Anatomy and Physiology
- Basic pathology, microbiology and biochemistry
Resource required: Videos and models Subject matter of the module Session (hrs.) | Topics | Methods of T/L | Remarks | 1(20hrs.) | Nursing management of integumentary system disorders. • Review of anatomy and physiology • Health assessment using nursing process • Definition, etiology, pathophysiology, clinical manifestations, diagnostic evaluation, management: Medical, surgical, nursing. Terminology of the following Lesions: • Primary lesions: Macules, Papules, nodules, vesicles, plaque, bulla, wheal, hyper pigmentation and de-pigmentation. • Secondary lesions: Scales, Scars, Ulcer and Erosion • Pre and Post operative care (Grafting) Disorders of skin: • Burns • Skin infections (Impetigo, ringworm) • Eczema • Cellulites • Furunculosis • Herpes zooster and simplex • Urticaria • Congenital lesions : Moles, birth marks • Psoriasis • Alopecia • Keloids • Tumors (warts) • Scabies • Acne • Fungal infection • Vitiligo • Paronchia | Lecture, Discussion small group study, group presentation | | 2(20hrs.) | Nursing management of musculo-skeletal system • Review of anatomy and physiology • Definition, etiology, pathophysiology, clinical manifestations, diagnostic evaluation, management: medical, surgical and nursing of the following musculoskeletal disorders. | Lecture, Discussion, small group study and presentation. Lab: Critique case study/scenario Posting in orthopedic ward and OPD | Group work will be assigned in class. |
Session (hrs.) | Topics | Methods of T/L | Remarks | | Disorders of Musculo-skeletal : • Fracture, dislocation and sub luxation • Sprain and strain • Osteomalacia • Osteoporosis • Osteomyelitis • Bursitis • Sciatica Amputation • Arthritis • Pott’s spine • Bone tumours, spinal cord injury. • Nursing procedures-Plaster application, traction, Prosthesis, Rehabilitation, transplants. | | | 3(25hrs.) | Nursing management of renal and male reproductive system Review of anatomy and physiology • Physical assessment using nursing process • Definition, etiology, pathophysiology, clinical manifestations, diagnostic evaluation, management: medical, surgical and nursing. Disorders of renal system: • Urinary tract infection, upper and lower, neurogenic bladder dysfunction • Nephritis • Hydronephrosis • Nephrotic syndrome • Congenital disorders • Benign prostate hypertrophy • Urinary incontinence and retention • Renal calculi • Renal failure –acute, chronic • Renal trauma • Urethral stricture Disorder of male reproductive system • Prostatitis • Testicular torsion • Orchitis • Benign Prostatic Hypertrophy • Nursing Procedures-Bladder irrigation, Dialysis, catheterization, male, supra pubic, condom | Lecture, Discussion, small group study and presentation Lab: Critique case study/scenario Posting in Medical ward and OPD | Group work will be assigned in class. | Session (hrs.) | Topics | Methods of T/L | Remarks | 4(15hrs.) | Nursing management of female reproductive systems • Review of female reproductive system • Physical assessment using nursing process • Definition, etiology, pathophysiology, clinical manifestations, diagnostic evaluation, management: medical, surgical and nursing. Diseases disorders female reproductive system : • Menstrual disorders • Abortion • Ovarian • Uterine disorders • Cervical cancer • Vaginal disorders • Vulva disorders • Breast diseases • Genital infections and Pelvic inflammatory diseases • Infertility • Nursing procedures-perineal care | Lecture, Discussion, small group study and presentation Posting in Maternity ward | Group work will be assigned in class | 5(80hrs.) | Practice at various medical-surgical wards and Maternity ward in a hospital setting. | Under supervision of faculty and preceptor, Pre & post conference, Nursing care plan, Perform nursing care for clients. Nursing round. | |
Reading List: Main Text: Brown.D.,Edwards. H., (2005) Lewis’s medical surgical, assessment and management of clinical problems. Elsevier Mosby. Australia. Lewis, S. L., Dirkse, S. R., Margaret, M. H., Bucher, L. & Camera, I. (2010). Medical surgical, assessment and management of clinical problems. SINGLE VOLUME. Elsevier Mosby. Australia. Nursing Manual (2011) Faculty of Nursing and Public health, Thimphu, Bhutan Additional Readings: Black, J.M., Jacobs, E.M. (2002) Medical surgical nursing, clinical management for continuity of care (5th ed.). London : Lippincott Boon A Nicholas, Colledge R. Nicki, Walker R Brain, Hunter A.A John and Haslett Christopher (2006) Davidson’s Principles and practice of Medicine, (20th ed.). London :Churchill Livingstone Brunner, Suddarth’s (2008) Textbook of Medical-surgical nursing. (7th ed.). London: Lippincott. Lange Patrica, A (2002) Pathophysology made Incredibly Easy, (10th ed.). London: Lippincott, Philadelphia, Lewis, S.M., Heitkemper, M. M., Dirksen, S.R., (2004) Medical-surgical nursing, assessment and management of clinical problems.( 4th ed.). London: Mosby. Nettina, S.M., (1996) The Lippincott Manual of nursing practice, (6th ed.). London. Lippincott. Date: March 24, 2016
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