Med Surg Final Exam Study Guide

MEDICAL SURGICAL NURSING (ADULT INCLUDING GERIATRICS) – I Theory: 210 hours Practical: 720 hours 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 Hrs Learning Objective Contents Teaching Learning Activities Assessment Methods I 15 Understand the trends in medical & surgical nursing Describe the role of a Nurse in caring for adult patients in hospital & Community Describe the concept of Medical Surgical asepsis INTRODUCTION Introduction to Medical Surgical Nursing  Evaluation & trends of medical & surgical nursing Review of concepts of health & illness, diseases concepts, its causes- Classification of 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 Lectures & Discussion Demonstrations Practice sessions Supervised Clinical practice Short answers Objective type Skill assessment with check list -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 sign and symptoms of problems and their specific nursing management Common sign and symptoms and management -Fluid & electrolyte imbalance -Vomiting -Dyspnea and cough, respiratory difficulty and obstructions -Fever -Shock -Unconsciousness, syncope -Pain -Incontinence -Edema -Age related problems- Geriatric problem. Lectures & Discussion Case discussions/ seminar Short answers Objective type III 20 Describe the Etiology pathophysiology clinical manifestation & diagnostic measures & management of patients (adult including elderly) with disorder of respiratory system Nursing management of patients (adults including elderly) with respiratory problems Review of Anatomy & Physiology of respiratory system. Nursing Assessment – History & Physical assessment Etiology, Pathophysiology, Clinical manifestations, diagnosis, treatment modalities & Medical, surgical, Nutritional & nursing including elderly with: Upper Respiratory tract infections Bronchitis Asthma Emphysema Empyma Atelectasis Chronic obstructive Pulmonary Lectures & Discussion charts, graphs models, films and slides Demonstrations Practice sessions Case discussions/ Seminar Clinical Practice Drug book Exposure to procedure- X ray MRI Endoscopy Essay type Short answers Objective type of questions Assessment of skills with assessment of patients with Clinical work Management problem 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, Pathophysiology, clinical manifestation, diagnostic measures and management of patients (Adults including elderly) with disorders of Digestive system Nursing management of patient (Adults including elderly) with disorders of Digestive system Review of Anatomy & Physiology of digestive system Nursing Assessment –history & physical assessment Etiology, pathophysiology, clinical manifestation, diagnosis, treatment modalities and medical, surgical, Nutritional & 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 Lectures & Discussion Charts, graphs models, films and slides Demonstrations Practice sessions Case discussions Seminars Clinical practice Drug book Exposure to related procedures Health Education Supervised clinical practice Drug Book / Presentation Essay type Short answers Objective type Skill assessment with check list Clinical work assessment of patient management