LESSON PLAN

BASIC B.Sc. NUSING I YEAR

Subject code: 3
Subject: Nursing Foundation
Faculty: Ms. Vaishali Jagtap

Units Topics No.Of Lectures

lectures serial
no.
I • Concept of Health : Health illness continuum 1 1
Introduction To • Factors influencing
Fundamental health 1 2
Of Nursing. • Causes and risk factors
for developing illness. 1 3
• Body defenses: 1 4
Immunity and
immunization
• Illness and illness 1 5
Behavior
• Impact of illness on 1 6
patient and family
• Health care services: 1 7
• Health Promotion and Prevention,
1 8
Primary care , Diagnosis, Treatment, Rehabilitation
and Continuing care, Health care teams
• Types of health care agencies: Hospitals: Types,
1 9
Organization and Functions
• Heath Promotion and levels of disease Prevention 1 10
Primary health care and its delivery: role of Nurse

II • Definition and Characteristics of a profession 2 11-12

Nursing as a • Nursing :-
profession o Definition , Concepts, philosophy , objectives 6 13-18
o Characteristics, nature and scope of nursing practice
o Functions of nurse
o Qualities of a nurse
o Categories of nursing personnel
o Nursing as a profession
o History of Nursing in India
• Values : Definition, Types, Values Clarification and
values in professional Nursing : Caring and Advocacy
• Ethics : 4 19-22
o Definition and Ethical Principal
o Code of ethics and professional conduct for nurses
 o Consumer rights 4 23-26
Patients Bill of rights

III • Admission to the hospital 2 27-28

Hospital o Unit and its preparation admission bed
admission and o Admission procedure
discharge o Special considerations
o Medico-legal issues
o Roles and Responsibilities of the nurse
*Discharge from the hospital
o Types: Planned discharge, LAMA and abscond, 2 29-30
Referrals and transfers
o Discharge Planning
o Discharge procedure
o Special considerations
o Medico-legal issues
o Roles and Responsibilities of the nurse
o Care of the unit after discharge discharge, LAMA and
abscond, Referrals and transfers
o Discharge Planning
o Discharge procedure
o Special considerations
o Medico-legal issues
o Roles and Responsibilities of the nurse
Care of the unit after discharge

IV • Communication : Levels , Elements, Types, Modes, 2 31-32

Communication Process, Factors influencing Communication
and Nurse o Methods of effective Communication
patient o Attending skills 1 33
relationship o Rapport building skills 1 34
o Empathy skills 1 35
o Barriers to effective communication 1 36
o Helping Relationships (NPR): Dimensions of Helping 1 37
Relationships, Phases of a helping relationship 1 38
o Communication effectively with patient, families and
team members and maintain effective human relations
with special reference to communication with 2 39-40
vulnerable group( children ,women physically and
mentally challenged and elderly)
V • Critical Thinking and Nursing Judgment 1 41
Nursing process o Critical Thinking: Thinking and Learning. 1 42
o Competencies , Attitudes for critical Thinking , 1 43
Levels of critical thinking in Nursing
o Nursing Process Overview: Application in Practice 1 44
o Nursing process format : INC current format
o Assessment 1 45
- Collection of Data: Types, Sources,
Methods 1 46
- Formulating Nursing judgment : Data interpretation
o Nursing diagnosis 2 47-48
- Identification of client problems ‘
- Nursing diagnosis statement
- Difference between medical and nursing diagnosis
o Planning
- Establishing
Priorities 2 49-50
- Establishing Goals and Expected Outcomes,
- Selection of interventions: Protocols and standing
Orders
- Writing the Nursing Care Plan
o Implementation
- Implementing the plan of care
o Evaluation 2 51-52
- Outcome of care
- Review and Modify
o Documentation and Reporting 2 53-54

1 55

VI • Documentation : Purpose of Recording and 1 56

Documentation reporting,Communication within the Health Care
and reporting Team,
• Types of records; ward records, medical/nursing
records,Common Record-keeping forms, 1 57
Computerized documentation
• Guidelines for Reporting: Factual
basis,Accuracy,completeness,Organization,confidenti 1 58
ality
• Methods of recording, Reporting: Change –of shift
reports, Incident reports 1 59
Minimizing legal Liability through effective record keeping

Guidelines for taking vital signs:

VII • Body temperature:
Vital signs -Physiology &Regulation Factors affecting body 1 60
temperature,
• Assessment of body temperature: sites, equipments
and techniques, special considerations 2 61-62
-Temperature alterations: Hyperthermia, Heatstroke,
Hypothermia
-Hot and cold applications
2 63-64
• Pulse:
Physiology and regulation,Characteristics of the 1 65
pulse, Factors affecting pulse
• Assessment of pulse : Sites, location , equipments
and technique, special consideration 2 66-67
• Alterations in pulse:
o Physiology and Regulation, Mechanics of breathing 1 68
Characteristics of the respiration, factors affecting
respiration 1 69
• Assessment of respirations: technique, special
consideration 1 70
• Alterations in respiration
1 71
• Blood pressure:
Physiology and Regulation, Characteristics of the
blood pressure, Factors affecting blood pressure.
1 72
• Assessment of blood pressure: sites, equipments and
technique, special consideration
1 73
• Alterations in blood pressure
-Recording of vital signs 1 74

Purposes
VIII -Process of Health assessment 1 75
Health • Health history
assessment • Physical examination 4 76-79
- Methods-
Inspection,palpation,Percussion,Auscultation,Olfaction
• Preparation for 6 80-85
examination :
Patient and unit 6 86-91
• General assessment
• Assessment of each body system 6 92-97
Recording of health assessment 6 98-103
1 104

• Types: Disposables and

IX Re-usables-Linen, rubber goods, glass ware, metal ,
Machinery, plastics, furniture, machinery 2 105-106
Equipment & • Introduction:
Linen Indent, Maintenance, Inventory
3 107-109

• Basic needs (Activities of daily living)

X - Maslow’s hierarchy of Needs 1 110
Meeting needs o Providing safe and clean Environment:
of patient - Physical-environment: Temperature, Humidity, 1 111
Noise, Ventilation, light, Odor, pests control
- Reduction of Physical hazards: fire, accidents
Safety devices: Restraints, side rails, airways, trapez
etc.Role of nurse in providing safe and clean environment
o Hygiene: 1 112
- Factors Influencing Hygienic Practice
- Hygienic care : Care of the Skin-Bath and pressure
points,
- feet and nail, 2 113-114
- Oral cavity,
- Hair care , 2 115-116
- Eyes, Ears and NoseAssessment , Principles Types, 2 117-118
Equipments, Procedure, Special Consideration 2 119-120
- Patient environment: Room Equipment and lines,
making patient beds,Types of beds and bed making 2 121-122
o Comfort:
- Factors Influencing Comfort, Comfort devices 2 123-124

• Physiological needs:
Sleep and Rest:
- Physiology of sleep 2 125-126
- Factors affecting sleep
- Promoting Rest and sleep
- Sleep Disorders
o Nutrition:
- Importance 2 127-128
- Factors affecting nutritional needs
- Assessment of nutritional needs: Variables
- Meeting Nutritional needs: Principals, equipment
procedure and special considerations 2 129-130

Oral

Enteral: Naso/Oro-gastric, gastrostomy

o Urinary Elimination
- Review of Physiology of Urine 1 131
 EliminationComposition and characteristics of urine 2 132-133
,Factors Influencing Urination, Alteration in Urinary
Elimination
- Types and Collection of urine specimen: 2 134-135
Observation, urine testing
Facilitation urine elimination, assessment, types,
equipmentsprocedures and special considerations

Providing urinal/bed pan, Condom drainage 2 136-137

Perineal care

o Bowel Elimination
1 138
- Review of Physiology of Bowel elimination 1 139
composition and characteristics of faces

- Factors affecting Bowel elimination,Alteration in 2 140-141

Bowel elimination

- Type and Collection of specimen of faces:

Observation Facilitation bowel eliminationassessment,
equipments procedures and special considerations

Passing of Flatus tube

Enemas, Suppository 1 142

Sitz bath

Bowel wash
1 143
o Mobility and Immobility 1 144
1 145
- Principles of Body Mechanics
1 146
- Maintenance of normal body Alignment and
mobility
1 147
- Factors affecting body Alignment and mobility
1 148
- Hazards associated with immobility

- Alteration in body Alignment and Mobility

1 149
- Nursing interventions for impaired Body Alignment
1 150
and Mobility: Assessment, types, devices used
method and special considerations. Rehabilitation
1 151
aspects
1 152

Range of motion exercises

Maintaining body alignment : Positions

 1 153

Moving
Lifting, Transferring, Walking 1 154

Restraints
1 155

o Oxygenation
- Review of Cardiovascular and respiratory 1 156
Physiology
- Factors Affecting Oxygenation
- Alteration in oxygenation
- Nursing 1 157
Intervention in oxygenation: assessment, types,
equipment used, 1 158
procedure and special considerations

Maintenance of patent airway 1 159

Oxygen administration 1 160

1 161
1 162

Inhalations : Dry and moist
1 163

Chest Physiotherapy and postural drainage

1 164

Pulse oximetry
1 165

CPR-Basic life support

1 166
o Fluid, Electrolyte, Acid Base Balances
- Review of Physiological Regulation of Fluid, electrolyte, 1 167
and Acid Base Balance,Factors Affecting Fluid
Electrolyte, and Acid Base Balance,Nursing intervention
in Fluid, Electrolyte and Acid, Base Imbalances 1 168
assessment, procedure and special considerations,
- Measuring fluid intake and output, Correcting Fluid
Electrolyte imbalance :

• Psychosocial
needs
o Concepts of Cultural Diversity, Stress and
adaptation,Self- Health, Coping with loss,
death & grieving, Assessment of psychosocial needs Nursing
 intervention for Psychosocial needs
- Assist with coping and adaptation
- creating therapeutic environment 1 169
Recreational and divers ional therapies

• Infection control
o Nature of infection, Chain of infection transmission

o Defenses against infection : natural and acquired

XI Hospital acquired infection (Nosocomial infection)
Infection
control in 1 170
clinical setting
• Concept of asepsis: medical asepsis and surgical
asepsis,Isolation precautions (Barrier nursing) 1 171

o Hand washing: simple, hand antisepsis and surgical

antisepsis (scrub)
o Isolation: source and protective 3 172-174

o Personal protecting equipments: types, uses and

technique of wearing and removing 3 175-177

o Decontamination of equipment and unit 1 178

o Transportation of infected patient 2 179-180

o Standard safety precautions(Universal precautions)

2 181-182
Transmission based precautions
2 183-184

*Biomedical waste management 1 185

• General 2 186-187
Principles/Consideration, Purposes of Medication

o Principles: 5 rights, Special considerations, Prescription 2 188-189

Safety in administering Medications and Medication
XII errors
Administration 1 190
of medication o Drug forms
o Routes of administration 1 191

o Storage and maintenance of drugs and Nurses

responsibility
 2 192-193
o Broad classification of drugs
2 194-196
o Therapeutic Effect, Side Effects, Toxic effects
Idiosyncratic Reactions, Drug Tolerance, Drug 2 197-198
Interactions,

o Factors Influencing drug Actions, 2 199-200

o Systems of Drug Measurement: Metric system, 2 201-202

Apothecary system, Household Measurements, Solutions.

o Converting Measurements Units: conversion within one

system, conversion between systems, Dosage Calculation. 2 203-204
o Terminologies and abbreviations used in prescriptions of
medication 2 205-206

*Oral Drugs Administration: Oral , sublingual and Buccal :

Equipment, procedure
*Topical Administration : Purposes, site equipment 2 207-208
procedure special considerations for
o Application to Skin 2 209-210

o Application to mucous membrane

2 211-212
• Direct application of liquids – Gargle and swabbing the
throat 2 213-214

• Insertion of Drug into body cavity: Suppository / 2 215-216

medicated packing in rectum / vagina
2 217-218
• Inhalation : Nasal, oral, endo tracheal / tracheal (steam
oxygen and medications) purposes, types, equipment
procedure, special considerations 2 219-220
Recording and reporting of medications administered

2 221-222
• Definition and concepts
• Pre operative phase
• Intra operative phase 5 223-227

o Recovery Unit
2 228-229
o Post operative unit
o Wounds
XIII o Care of drainage 1 230
Meeting needs o Postoperative care surgical asepsis 1 231
of Pre operative 1 232
Patients o Application of Bandages, Binders, Splints, Slings
o Heat and cold Therapy 1 233

1 234
1 235
• Care of patients having alteration in 1 236
o Temperature (hyper and hypothermia): 1 237
Types, Assessment, Management
o Sensorium 1 238
( Unconsciousness) : assessment, Management 1 239
o Urinary Elimination (retention and
unconsciousness)Assessment , Management
XIV o Functioning of sensory organs: (visual & hearing
Meeting special impairment)
needs of the o assessment of self- Care ability 1 240
patient o communication Methods and special considerations
o Mobility ( physical 1 241
challenged, cast)

• assessment of self-care ability:Communication Methods 1 242

and special considerations
o Mental state (mentally challenged ) , 1 243
assessment of Self-Care ability; 1 244
o Communication Methods and special considerations 1 245
o Respiration (distress);
Types, Assessment, Management 1 246

*Comfort-(pain)Nature,Types, Factors influencing pain,

coping ,Assessment; Management 1 247

1 248

o Concepts of Loss, Grief grieving process 1 249

o Signs of clinical death 2 250-251
o Care of dying patient; special considerations
-Advance directives:
euthanasia will dying
declaration ,organ 3 252-254
donation etc
o Medico-legal issues
o Care of dead body:Equipment, procedure and care of
unit,Autopsy, Embalming
XV 1 255
care of 1 256
terminally ill 1 257
patient • Conceptual and theoretical models of nursing practice:
Introduction to models-
holistic model, health
belief model , health 1 258
promotion model etc
• Introduction to Theories 1 259
in Nursing ; Peplau’s ,
Henderson’s Orem’s ,
Neumann’s Roger’s and
XVI Roy’s
Professional • Linking theories with 2 260-261
Nursing nursing process
concepts and • Complimentary and
practices alternate healing
techniques. 2 262-263

1 264

1 265
PRACTICUM: demonstration and re-demonstration - 200 Hrs.

Nursing process application.

- Select two patients and write nursing care plan. 450 Hrs.

EVALUATION:
Paper -3, Subject -Nursing Foundation, Duration -3HRS
Internal Assessment-25 , ExternalAssessment-75, Total Marks= 100
Internal Assessment: 25 Marks
(Out of 25 Marks to be send to the University)
Unit test I: 25 Marks
Unit test II: 50Marks
Prelim: 75 Marks
Assignment: 25 marks
Total: 150 Marks
External Assessment (Theory): 75 Marks
(University Examination)

REFERENCES :
1. Kozier B, Erb, G & Oliver, R : Fundamentals of Nursing ;4th ed. California,
Addison Wesley., 1991
2. Perry, A.G. & Potter, P.A.: Basic nursing essentials of practice; 5th ed. St. Louis,
Mosby, 2003
3. Potter, P.A. & Perry, A.G.: Fundamentals of nursing; 5th ed. Mosby Harcott
(India) Pvt. Ltd.
4. Beverly Witler Dugas : Introduction to patient care ; 4th ed., Saunders, 2002
5. White, Lois: Foundations of nursing caring for the whole person; U.S.A.
Delmer Thompson Learning,
6. Luckmann, J & Sorensen, K.C.: Basic nursing: a psychophysiologic approach ; 3rd
ed., W. B. Saunders, 2002
7. Park, J.E. :Text book of preventive and social medicine ; 17th ed., Banarasidas
Bhanot, 2003