Community Health Nursing ‘Health Promotion 120 75 | 195 20 180 | 200 A. Nutrition 35 30| 65 B. Human body and Hygiene’ 35 20) 55 C. Environmental Sanitation 20 15 | 35 D. Mental health 30 10] 40 Primary health care nursing I- 130 150 | 280 90 300 | 400 JA. Infection and Immunization 25 20). 45 B. Communicable disease] 40 25| 65 C. Community Health Problems 30 50 80 D. Primary Medical Care 20 20 40 E, First Aid and Referral 25 35 |. 60 Child health nursing 78| 110 | 185 80| 100 | 180 ‘Total = 1720 hours 18Second Year (First six months) Midwifery 160 | 360 220 380 Vv ‘VI | Health centre management 40 40 80 lane 60 60 Total = 880 hours Second Year (Internship-Six months) + Antenatal ward 40 + Intranatal/labour room 120 * Post natal ward 40 + Neonatal care unit 40 it’ | Child Health 80 160 240 ii_| Community health and heal Total = 880 hours in the internship period Grand Total-1760 hrs 3uidelines for internship: 4 The ANM students (in a group of 4-5) should be posted in the sub center/ primary health centre with a regular ANM for one month/4 weeks for super vised independent practice in the community which should be residential. >. The students should participate in all National Health and Family Welfare programs during their clinical experience. At least 80% of all the clinical requirements should be completed before appearing for the final (second year) examination, The principal of the ANM School should certify for each student that she has undergone successfully the internship program, completed 100% of the clinical requirements and acquired the requisite competencies as listed in the syllabus before the award of the certificate/diploma by the state nursing council/examination board. 19e. The casebook and competency record book should be completed and signed by the competent authority of the school before appearing for the second year practical examination. Scheme of Examination Theory and practical examinations at the end of the first year Grand total Theory and ‘Cours _ntemal | Daration| een a essment| Theory Community Health 73 2 3 hrs. Paper | Nursing Theory Health Promotion 75 25 Shs. Paper I Theory Primary Health Care Nursing| 75 25 3 brs Paper III Theory Child Health Nursing 75 25 3 hrs Paper IV Practical [ Community Health Nursing 100 100 ct Nursing and health promotion Practical I | Child Health Nursing 100 100 management Grand total for second year 600 marks 20 ‘Theory Health Centre Management 75 25 3 hrs. Paper VI Practical III | Midwifery: 100 100 : Practical 1V| Primary health care nursing and health center 100 100 ;‘Theory - 120 hours Demonstration - 50 hours e Total - 170 hours Learning objectives: On completion of the course the student will be able to : 1. Describe the concept of community health, primary health care. | Understand health policies, plans and programmes of the country. |. (Understand the concept of community. 2. 3 4. Appreciate the role of the health team. 5. Demonstrate home visit techniques and practices in the community 6. Describe structure, function, characteristics and administrative set up of a community. : 7. Identify leaders, resources persons, .community-based organizations, NGOs, and local resources. 8, Identify community health needs and problems * 9, Describe concepts and methods of communication for health information. 10. Describe the purposes, principles and methods of health counseling. 23Define health and Concept of Health health problems Explain specific health Programmes at National, state and community levels explain its + Health and its + Lecture dimensions changing concepts. discussion. List determinants..|. Dimensions of + Posters. of health “health e Define Prim: * Determinants of | ‘** Health Care health List components of| + Primary health Primary Health care, definition, Care and their components, application Ma | sienifirence, @ community community, application _ Es) we 2. | 10 Describe health | Community Health concepts and Practices Practices of Health concepts of |+ Lecture: community, {P) people and health distussion, Enumerate health'}” care providers + Practice related cultural |. Health behaviours, | session, beliefs and + beliefs and cultural |. Demonstration. practices practices of community, + Ethics and behaviour related to, community " ©" practices, : * Method of.home a ‘visiting, 3/15] 5 Describe National | Health problems and Policies Overview of health |+ Lecture ° problems of discussion. communities in India. 24Trendsand development in national health programmes and policies National health + programmes and its implementation at community level. Role and functions of Accredited Social health Activists (ASHA), Anganwadi worker, Dai etc. Participate in national health and family welfare programs Field Visits: Village, Sub center, Community health center. 4. | 10 + Explain the organization of health services at different levels Describe the referral system. + Explain the Role o! National and International health agencies and Non- Governmental \ Organisations Health Organization Organization of SC, |. PHC, CHC and district hospital. Organization of health care delivery system at different levels Referral system Health agencies: International: WHO, UNICEF, UNFPA, UNDPA, World Bank, FAO, DANIDA, European Commission, Red Cross, US aid, UNESCO, Colombo Plan, ILO, CARE etc, Lecture. discussion. Field Visits to various available organizations.- welfare, Family National: Indian Red Cross, Indian Council for Child planning association of India etc Non-Governmental organizations 5 Describe health _| Role of health team. team with special |. Team concept and {+ Lecture focus on the ANM\|’ Functions of the discussion. Hag health team + Observation of + Role and activities Responsibilities of | rendered by ANM \ FHW the health + Code of ethics for team ANM members. 10 Describe physical | Structure of structure of village | community andurbanarea [+ Rural community- |+ Lecture Identify social Characteristics, discussion. groups, changes in the + Field visits: organizations and | village community |" Jillage leaders development, major mapping, slu: Explei rural problems mapping, administrative set |* Urban Community-| resource up at the village Characteristics, mapping. changes and + Drawing of adjustments to Panchayat urban environment, structure and major urban urban wards. pevblems + Listing of * Village: Physical formal and structure informal 26‘Th. Influence of Class, Caste and Race on health and health practices Family and marriage: ‘Types Changes & legisla- tions on family and marriage in India - marriage acts - Administrative leaders, set up: groups in the + Function of community. Panchayat + Visit toa + 73" and 74% village and amendments to meet Constitution and Panchayat role of Panchayat in} members, visit health. block office. + Structure of an List their role urban community | in health care. slum + Social groups organizations, leaders + Community resources 10 Describe the Dynamics of interaction community between different |- Social processes+- Lecture groups and individual and process| discussion. communities of socialisation + Interaction within the village |+ Interaction between| with different Describe social different social groups in the traditions and groups in the village! village. customs in the + Traditions and + Prepare a list village. customs and their | oF ditferent influence on health.| 2.stoms and + Social stratification: | t-aditions. aT,Demonstrate methods of community need assessment Community need assessment + Scope and Methods of community need assessment + Survey: Planning Preparation of tool questionnaires, interview schedules, check list ete + Community Survey: Principles and methods: data collection, conducting interviews, focus group discussions (FGD) and case studies + Participatory learning for action(PLA) + Analysis of data, Preparation of report Lecture discussion. Preparation of questionnaire Field visits/ community: Conduct survey, 9. | 20 15 Explain the concept, principles and methods of communication Prepare simple and low cost aids of communication. Conduct health education Communication methods & media + Principles, Methods and Process of ‘commiunication. + Inter personal relationship (IPR): communication Lecture discussion: Demonstration of different methods of communicatio} Role/Play. 28with different + Prepare health] s groups and health | messages team members. using different| + Types and use of | Media and iy aise methods. + Preparation of Use of local folk methods and TEC material. media for * Practice using disseminating abiae health messages. | © meal BCC (Behavioural fone Sr at ; education plan| communication), _ {C{nformation, [" Conduct BCC Education and Bession:. communication): |" oe and Aims, Scope, follow up o concept and education, approaches Teaching learning process, concept , characteristics, steps of learning, characteristics of learner Principles, methods of teaching Planning of health education activities: Role and responsibilities of ANM’s /Health workers in BCC 29individuals, family and community. i0| s | 8 | Explain concept | Counseling. and principles of | Concept, Principles}+ Lecture counseling and Techniques of discussion. + Describe the counseling. Conduct technique of + Identifying needs counseling counseling and areas for session and + Describe role of counseling in the | follow up. counsellor community. + Role of counselor + Role of ANM/ Female Health worker as counselor 11) 5 2 + State health Community based conditions where | rehabilitation rehabilitation is .|+ Health Conditions |+ Lecture required. needing discussion + List the various rehabilitation Cave: resources available |- Community discussion in a community. Resources available + Educate Suggested activities for Evaluation Health organizational chart. Return demonstration of home visit. Field visits Preparation of IEC material Demonstration of counseling technique. Village mapping. Community survey. 30Theory - 120 hours Demonstration - 75 hours ‘Total — 195 hours Learning objectives: On completion of the course the student will be able to : Explain importance of nutrition in health and sickness. Promote nutrition of a individual, family and community Explain principles of hygiene and its effect on health. Describe hygiene for self and individuals. Describe importance of environmental sanitation and waste management. Promote mental health of individual, family and community aa Pen A. Nutrition ‘Theory - 35 hrs. Demonstration - 30 hrs. ‘Total - 65 hrs. + List essential Esséntial nutrients nutrients Importance of + Lecture + Describe nutrition in health | discussion. classification of and sickness + Explain using food and their Essential Models and nutritive values nutrients, Charts. and functions. functions, sources |. Exhibit raw * Explain and requirements food item importance of * Classification of showing nutrition in health | foods and their balanced diet and sickness. nutritive value+ Plan balanced diet |~/Normal for different age requirements at groups ferent ages. ‘Balanced diet for different age group 2.}10] 5 | Identify Nutritional problems malnutrition and | Nutritional + Lecture nutritional deficiencies: discussion. defile + Deficiencies, + Visit ICDs * Counsel women correction, project and with anaemia. treatment and discuss the + Describe special referral - protein program, diet for sick. energy + Explain using + Explain role of malnutrition Models and ANM’s/FHW/ + Vitamin and Charts. AWWs. mineral + Planning diets deficiencies: for anemic Nutritional women and. anaemia in women | other + Under five nutrition] deficiency * The role of ANM’s/ | conditions FHW/ AWWs in supplement food. . + Special diets of individuals for different age group. 3. | 5 | 5 |+ Assess nutritional | Nutritional status of assessment individual and * Methods of + Lecture family. nutritional | discussion. + Identify local foods | _ assessment of + Demonstration for enriching diet. | individual and + Field visits. * Identify good food | family: mother and habits from child 3233 Raed > harmful food fads_| + Identification of and customs. local food sources and their value in enriching diet. i * Food fads, taboos, } customis and their i influence on i health. 4/10 | 15 |+ Plan diet fora Promotion of family nutrition * Counsel for + Planning diets * Lecture improving diet of and special diets discussion. ; the family. _ for a family + Plan diet for i + Demonstrate safe |+ Methods of using the family preparation and locally available assigned, cooking methods. | foods for special |+ Health + Explain methods diet education, of safe + Principles and + Visit a milk methods of pasteurization cooking plant. i + Promotion of + Demonstration] kitchen gardens of various + Food hygiene and | methods of safe preparation cooking. + Storage and preservation + Food adulteration * Precautions during festivals and Melas. 4 Suggested activities for Evaluation * Cooking of special diet. : + Nutrition education to a group. + Planning diet of a family assigned 33B, Human body and hygiene [eez eames body Theory - 35 hrs Demonstration ~ 20 hrs. Total - 55 hrs. for self and ‘ individuals health. * Care for sick to maintain their and comfort personal hygiene - * Hygiene and * Describe the structure and +AStructure and + Lecture functions of the functions of human| discussion. various systems body. < Tdentifies#on ob howy + Body systems and | of body parts. * State functions their functions~ |. Explain using of different digestive system Models and organs. respiratory system,| Charts. genito urinary system, cardiovascular system, nervous system, muscular system, endocrine system, special si sensory organs. 2. | 5 | 15 |* Understand lene of the body importance of Personal and + Lecture personal hygiene individual hygiene discussion. - Care of mouth, skin, hair and nails, - Sexual hygiene - Menstrual hygiene. comforts needs of the Sick: Care of skin: Bath sponging, back care, care of + Demonstration| 34aE ¥ pressure points, position changing, Care of hair: hair wash Care of hand and nails: hand ~ washing Care of eyes: eye wash, Mouth care: Elimination Care of bowels and bladder 3.) 5 5 |» State the basic: Optimal functioning human needs. of the body + Explain importance|* Basic human needs|+ Lecture of fulfilling these |- Rest, sleep, activity,| discussion. basic needs. exercise, posture |+ Health ete education - - Food, eating and regarding drinking habits healthy life - Participation in style, social activities. - Self-actualisation and spiritual need. Interpersonal and human relations Lifestyle and healthy habits. Suggested activities for Evaluation + Preparation of anatomy practical book + Return demonstration of personal hygiene including care of various organs of body. 35Cc. Environmental Sanitation 1. | 5 | 2° J+ Explain the sanitation at home and in the community, Theory - 20 hrs.” Demonstration - 15 hrs. Environmental importance of basic] Sanitation + Anvironment and ecology for healthy living: basic sghitary needs. + Air, sunlight and ‘yentilation. |, rome envionment -: smoke, animals, water, drains and toilets etc. Total — 35 hrs. + Lecture discussion + Case study. 24) 5 4 |+ Describe the importance of safe water for health. + Describe methods of purifications of water. Safe water + Sources of water & characteristics of safe water — sources| of contamination and prevention. * Purification of water for drinking : methods- small and| large scale. * Disinfections of well, tube well. tank and pond in a village. * Waterborne diseases and prevention. + Lecture discussion. * Village mapping: water sources, drains, ponds and contamination areas. * Visit to a water| purification plant. 363.| 5 | 4. |* Explain the Disposal of excreta importance of safe |and waste. ; disposal of waste [+ Methods of excreta |* Lecture and its role in disposal — types of discussion. eae a latrine. » Demonstration. iseases. F : + Handling animal |. visit to sewage . Sia the baer tira. disposal unit ue tO Nea + Methods of waste and sanitary disposal latrine * Hazards due to waste 4.| 5 | 5 | Involvecommunity |Community + Lecture in sanitation participation discussion. activities. + Drdinage and + Construction + Educate preparation of soak | ofa small- community for safe | pits. scale soak pit disposal of different]. Maintaining healthy, at school or types of waste. * environment within | health centre and around village -|_ Premises: cleaning and + Disinfection of maintenance of awell, tube village drains, well along ponds and wells. with village + Common waste, leaders or excreta and animal | members of waste - disposal in | community. the village. + Organize village ‘ meeting. Suggested activities for Evaluation + Purification of water at home, community + Disinfections of a well/tube well. + Construction of a small scale soak pit. + Health education for use of sanitary latrine. 37Mental Health Theory - 30 hrs Demonstration- 10 hrs | Total - 40 hrs Explain relationship Concept of mental |+ Lecture between body and | frealth discussion. mind. |» Body-mind + Observation, * Identify the factors |" Relationship. * Use of necessary for Factors influencing| questionnaire normal mental mental health. to do ee + Characteristics ofa} assessment + Educate for mentally healthy | for mental promoting mental | person, health status. health . is” Developmental tasks of different : age groups < Different defense mechanisms 3 2 + Identify causes of | Maladjustment maladjustment + Features of a * Lecture + Educate family in | maladjusted discussion. solving problems. | individual. » Demonstration + Common causes of | of counselling’ maladjustment. for maladjusted + Counselling an individual in individual, family the community, and community. Mental illness 12 4 * Identit +f if Identity signs of) Tgeotty bnermal [+ Lecture behaviours. discussion, * 38Care of elderly at home. Rehabilitation and agencies of caring elderly. ss See P eT + Identify them early|+ Types of mental |+ Visit toa and refer. illnesses and mental + Guide family treatments. hospital/ members in home |+ Early detection and| clinic. care referral of mentally + Counsel for il prevention of [+ Prevention of mental illness. mental illness + Home care and counselling * Refer psychiatric emergencies. 4.| 5 2 |+ Explain process of | Old age care ageing. * Process of ageing - |* Lecture + Identify physical, discussion. characteristics of psychological + Ifavailable visit elderly changes. an old age + Provide need based|* Needs and home. care. problems Suggested activities for Evaluation Assessment of mental health status of Individual Care plan for an elderly person at home. 39Learning objectives: On completion of the course student will be able to : = 1 NOX wa w Theory - 130 hot Demonstration - 150 how Total - 280 how Explain concept of infection and causation of diseases. Describe body defense mechanisms and development of immunity agair diseases Perform immunization effectively. Describe different methods of disinfections and sterilization. Describe common communicable diseases and their management. Explain prevention of common communicable diseases and their control. Describe care of the sick in community with common ailments and refe: required. Explain recognition of conditions related to different body systems. Describe and demonstrate routes of administration of drugs List common drugs used for emergencies and minor ailments, thi indications, dosage and actions 40A. Infection and Immunization Theory - 25 hours Demonstration - 20 hours Total ~ 45 hours 1.) 2 | - | + Understand Concept of disease. | Lecture concept of Concept and discussion. occurrence of definition of illness |+ Explain using diseases e/Disease causation | Charts. + Describe +/ Classification of classification of lséaies, diseases. 2.| 4 | 2 |+ Understand Infection + Lecture process of ‘Meaning and types | discussion. infection. of infection. + Demonstration| + Describe je’ Causes of infection |+ Explain using characteristics of |. Classification and | microscope, microbes characteristics of + Narrate methods of] micro organisms: spread of infection] Pathogenic and + State factors Non-pathogenic affecting spread of |+ Incubation period infection. and spread of infection — transmission Factors affecting "growth and : destruction of microbes. 3.) 6 2 + Understand body \|Immunity and body |+ Lecture defence defense mechanisms | discussion. mechanism + Body's defense + Demonstratio: * State types of mechanism + Field visits for immunity * Immunity -concept| cold chain. 41Describe different types of vaccine and their preservation. + Hypersensitivity: Antigen antibody reaction Js Types of immunity ‘ Types of vaccines ‘Storage and care - cold chain maintenance 4, State immunization] }J@mmunization Lecture echedale + Immunization discussion. Give immunization | against different Demonstration. Organize infections — Posters on i imnunteneet immunization immunization fai | camps schedule schedule i Prepare articles for |" Injection safety Visit immunization ee Methods of immunization Participate in administering taxnp/ special drives. pecans outreach * Sterilization of camp. syringes and : needles. + Immunization in the community + Immunization Hazards * Precautions while giving vaccines + Special immunization drives and programmes. + Records and reports S Collect specimens |Collection of Lecture correctly specimen discussion. Handle body + Principles and Preparation of discharges safely | methods of malaria slide, 42ve + Give health collection of * Collection of education for specimens and sputum. disposal of body handling body * Collection of discharges. discharges. ‘urine and * Collection of stool. specimens of blood,|, yabeling of the| sputum, urine, specimens. stool nei ¢ Visit to the + Safe disposal of laboratory body discharges. 6.|3 | 6 |+ Explain difference |Disinfectionand | Lecture between antisepsis,| sterilization discussion. disinfection and | Principles and + Demonstration| sterilization methods of |. Visit > Describe the + antisepsis, sterilization principles of disinfection and department of antisepsis, sterilization a hospital. disinfection and |» Methods of sterilization disinfecting cd > Perform different disinfections and equipments sterilization of + Methods of various equipments] sterilizing different equipments 7.12 2. |* Explain the Waste Disposal + Lecture methods of waste |, waste disposals- discussion disposal infectious and non-|* Demonstration| infectious: concepts, principles, and : methods at different levels Suggested activities for Evaluation + Demonstration of sterilization of syringes and needles /using pressure cooker/ small autoclave + Demonstration of preparation of Malaria slides. 43Soe eS Sa + Techniques of vaccination + Assignment on cold chain system: +. Prepare ‘poster/chart-on immunization schedule. + Demonstrate different methods of waste disposable B. Communicable Diseases | Theory - 40:hi | Demonstration - 25 hi | Total ~ 65h: | Activities Understand Introduction to + Lecture epidemiological _|communicable discussion concept of diseases * Calculation occurrence of + Common mortality an diseases. communicable morbidity fo Describe levels of | diseases; different prevention and Epidemiological diseases, a general measures | concepts — * Visit isolatio for control of Incidence and unit communicable prevalence, ; + Surveillance diseases. mortality and Been morbidity. importance of Levels of prevention Surveillance, Control and notification, prevention of reporting. communicable diseases General measures Surveillance, isolation, notification, reporting. 442 [25 5 + Describe signs and |Communicable * Lecture symptoms of diseases. discussion. different * Signs, Symptoms, |* Visit communicable care and prevention| infectious diseases. of the following: disease + Explain preventive |. Diphtheria, hospital / measures for ‘pertussis, tetanus, | center. different poliomyelitis, + Demonstration|| communicable measles and + Supervised diseases. tuberculosis Clinical + Describe care and |- Chicken pox, Practice. referral for mumps, rubella, different enteric fever, communicable hepatitis, rabies, diseases. malaria, dengue, filaria, kala-azar trachoma, conjunctivitis, scabies, STDs and : HIV/AIDS - Encephalitis - Leptospirosis - Acute respiratory infections. - Diarrhoeal diseases - Worm infestations - leprosy. - Role and ‘ responsibilities of health worker/ANM 3. | 6 | 8 |+ State the Care in + Lecture, principles of care of| communicable discussion. infectious cases. _| diseases + Demonstration + Enumerate + Care of patients * Prepare Standard safety with communicable | education measures diseases. messages 45,+ Understand preventive measures Provide health education Isolation methods. Standard safety measures (Universal] precautions) Health education and messages for different communicable diseases. Role and responsibilities of health worker/ANM| Prepare chart |) on Standard jj safety measures. Identify causes of epidemics Define role of health worker/ ANM in relief work. Lecture Epidemic Management discussion. + Definitions and © | + Community causes of mapping. epidemics. + Health’ + Epidemic enquiry in) Education. a community and epidemic mapping Relief work and role| of health worker/ ANM. Suggested activities of Evaluation + Preparation of surveillance report Conduct Health education Demonstration on :- - Standard safety measures in Nursing Practice 46c. Community Health Problems Theory ~ 30 hrs. Demonstration 50 hrs, Total - 80 hrs. 1.) 3 | 10 |* Identify common |care of the sick in health problems in|the community the commit + Common health | Lecture * Perform health conditions in the discussion. assessment of community - * Demonstration. individual danger signs of 1, Suoervised * Render care to the illnesses. clinical sick at home + Health practice. * Advise family assessment; * Healt! members in care of] Taking history, eae Siok Physical examination: Vital signs, Weight, . Height: ~ recognition of abnormalities Identification of health problems Management of the sick: home and community nursing procedures, care of the sick, referral Health education: individual and family 2.|-3 | g | * Check and record [Fever vital signs » Vital signs; * Lecture * Describe stages of | Temperature, discussion. fever pulse, respiration, |. Demonstration| blood pressure 47List common . conditions causing fever Provide care to patients with fever |+ Temperature maintenance and the physiology of fever Fever: Types and stages Causes of fever ~ common conditions causing fever, malaria, typhoid, Acute respiratory Infection{ ARI) ete Nursing management of patient with fever Alternate system of medicine + Supervised clinical practice. Enumerate causes, |Respiratory problems sign and symptoms |, respiratory problems Provide Care to patients with respiratory infections. State common home remedies and] their application. Common respiratory problems: types, classifications- cold and cough, ARI, Asphyxia, tonsillitis, asthma, bronchitis pneumonia and tuberculosis Causes, sign and symptoms, treatment of respiratory problems Management: Role and responsibilities of ANM/health workers in care of + Lecture discussion. + Demonstration. * Demonstration] of steam inhalation, nasal drops, oxygen inhalation : Health education 48Content: patients with * Lecture respiratory discussion problems including |. Demonstration, epmercare + Supervised remedies. clinical + Integrate accepted practice. practices of AYUSH |, teaith education 4/2 2 |+ Identify cause and | Aches and pains provide careand + Causes and nursing|* Lecture support management of : discussion + Refer when Tooth ache,ear |» Demonstratio necessary. ache, abdominal |. Health pain, headache, edusaticn joint pains. + Management as per the standing orders and protocols + Role of ANM/health| worker in the community including Home care remedies * Integrate accepted practices of AYUSH s. | 3 | 4 |+ Identify cause and | Digestive problems provide careand |. indigestion, + Lecture support anorexia, vomiting, | _ discussion. + Refer when distension and + Demonstration, “necessary Constipation + Health + Haemorrhoids, education hernia, ulcers and intestinal obstruction 2cause and |+ provide care and Role of ANM/health worker in the and blood related problems: heart attack, chest pain, anemia, hypertension and leukemia Care of a cardiac patient at home support community * Refer when including Home necessary care remedies. * Integrate accepted practices of AYUSH 6.| 3 | 3. |+ Identify cause and:|Urinary problems — [+ Lecture provide careand | Signs and discussion. support symptoms of renal _|* Demonstration. + Refer when conditions |. Health necessary. * Retention of urine, | education renal colic, edema * Role of ANM/health worker in the community including Home care remedies. * Integrate accepted. practices of AYUSH 7.| 3 | 3 J« Identify cause and |Cardiovascular > Lecture provide care and [problem discussion. support * Signs and + Demonstration. + Refer when symptoms of * Health necessary cardiac conditions | education 50+ Role. of ANM/health]| worker in the community including Home care remedies. * Integrate accepted practices of AYUSH Identify cause and provide care and support Refer when necessary _| + Care of pressure Diseases of the nervous system * Signs and symptoms of neurological problems - Headache, backache and paralysis * Care of a patient with stroke at home. points, back care changing of positions, active and passive exercises, body support to prevent contractures. * Role of ANM/health| worker in the community including Home care remedies. * Integrate accepted practices of AYUSH * Lecture discussion. + Demonstration] * Health education. $1care at home + Counselling for prevention of certain handicaps + Understandings the| handicapped person * Helping family to. ensure need based care 9. Identify cause and | Metabolic diseases |+ Lecture Provide care and . |. Diabetes — signs discussion. support and symptoms, + Demonstrat Refer when- complications diet |. Health necessary and medications education Give insulin + Skin care, foot care injection * Urine testing and Counsel for administration of prevention of insulin injection. complications * Integrate accepted practices of AYUSH 10. Identify the Diseases of musculo | + Lecture conditions skeletal system discussion. Provide care to + Signs and + Demonstrat relieve pain symptoms of * Case study Prevent ebenin, teat Of * Health complications and | ligaments and education eee arthritis. * Integrate accepted * practices of AYUSH lu. Identify need of | Careofhandicap . |, Lecture handicapped * Handicaps ~ discussion, Ensure need base | - different types + Demonstrati + Case study. 52Suggested activities for Evaluation Demonstration of + | Urine testing for albumin and sugar. + Urinary catheterization + Local application of cold and hot + Plain water enema * Checking of B.P. and TPR + Disease conditions. D. Primary Medical Care Name different systems of medicine Understand abbreviations Calculate dosages of medicines Understand classification of drugs. ‘Theory - 20 hrs. Demonstration - 20 hrs. Total -40 hrs. + Lecture discussion. * Calculation of dosage and conversion. ‘Types of drugs * Different Systems of medicine: allopathic and AYUSH Classifications of drugs Forms and characteristics of drugs Abbreviations used in medication + Drug study. 53Administration of drugs: Policies and regulations, as per 5 protocols and standing orders + Calculation of dosage 10 |+ Demonstrate Administration of _|+ Lecture administration of drugs discussion. drugs * Routes of « Demonstra Explain importance] administration— |. practice of observations and| Oral, parentral rscssiont recording. (intradermal, 7 int ui . Peeper subcutaneous, Intral SGministratll jeenaws), rectal of IV fluids a pest Soe ete: per protocol! + Administration of |, 5, ; of |. Preparation f drugs: Precautions, eo blood eer transfusion + Observations and per protocol. recording. 2 |+ Administer drugs [Drugs used in minor |+ Lecture for minor ailments {ailments discussion. Explain the'care of |* Common drugs for |+ Visit drugs. fever, cold and subcentre. cough, aches and |. Demonstrati pains ete. + Drug kit in the subcentre, content and its use. + Storage and care of drugs 54Administer Common emergency | + Lecture emergency drugs | drugs discussion. following * Methergine, * Demonstration | precautions. misoprostol + Drug study. injection oxytocin, IV fluids, antibiotics, injection and magnesium sulphate deriphylline, avil and other antihistaminic, pethedine, vitamin K, antirabies vaccine, anti snake venoms as per the protocol Precautions for administration Storage and Care of emergency drugs Suggested activities of Evaluation * Preparation of list of common drugs used in sub centre, their action dosages and use. + Demonstration of administration of medication by different routes * Drug study 55E. First Aid and Referral Theory - 25 hr Demonstration - 35 hr. Total - 60 hr: 1] 2] 7) |+ Understand Need for First Aid [+ Lecture principle of first aid]. Principles of first discussion. care aid * Demonstration * Use first aid kit * Mobilization of * Practice + Demonstrate resources session. diferent type of |. pigt aid kit & bandages supplies. + |* Bandages: Types, Uses * Principles and methods of bandaging 2.]10 ) 5 |* Demonstrate first | Minor Injuries and |, Lecture aid care for Cuts _| ailments discussion, and wounds, * Cuts and wounds : | , 5, i i * Demonstration, Foreign bodies, types, principles | | rs | Burns and scalds_| and first aid care ae , session * Health education |+ Foreign bodies * ‘Supervised and referral * Burns and scalds clinical types, principles practice, [ and firstaidcare [| fe f 1 * Health education education {| and referral i + Role of ANM/health| worker 3.]/ 5 | 8 |* Identify different | Fractures * Lecture bones * Skeletal system discussion. * Describe types of | and different * Demonstration. fracture bones. * Practice* Apply splints and |+ Fractures: Types, session bandages Causes, signs and + Transfer fractured | Symptoms, first aid patients correctly. care, + Methods of immobilization and transportation. 4. | 8 | 15. |* Follow principles of|Life Threatening [+ Lecture first aid and Conditions discussion. provide care in + Bleeding * Demonstration. enema | Derane. pena + Strangulation, + mee euitocation at tourniquet. asphyxia + Loss of age eS ; consciousness demonstration|| * Cardio respiratory: |* Insertion of arrest naso gastric * Convulsions tube + Foreign bodies + Practice + Chest injuries session + Shock and allergic conditions * Poisoning, bites and stings + Stroke ; + Heat stroke * Severe burn Suggested activities for Evaluation Demonstration of following: 1. Wound care 2. Splints, slings, bandages 3. Transportation of casualties 4. BLS 5, Naso gastric tube insertion 6. Care during different emergencies 57a ‘Theory - 75 he Demonstration - 110 hc Total - 185 he Learning objectives: On completion of the course the student will be able to : 1. Assess growth and development of a child at different ages. Describe nutritional needs of different age groups of children. Provide care to’sick children during their common illness. Describe school health programme . Describe ‘ Rights’ of children . Educate mothers and family memiber as per need of their children. AARwWD ee Assess growth and | Growth & + Lecture development in. | development discussion. infants and + Introduction to + Demonstratic children Growth and + Explain usir * Maintain ‘road to development road to healt health’ chart * Factors affecting chart. + Explain the needs | growth and + Health of a child development education + Growth and development in * Describe the care of a normal child * Visit a schoo * State the common |.--.infants and accidents in children: children and:their |, Assessment protection 58+ Physical, psychological and social development .of children * Monitoring and recording of growth and development of infants and children * Care of infants and children — play, hygiene, emotional needs training for bowel and urination| Accidents: causes, precautions and prevention. + Congenital anomalies 2. | 10 10 Explain the importance of breast feeding Educate mothers regarding breast feeding ‘Explain complimentary feeding Educate for nutrition of children according to age Nutrition of infants and children * Exclusive Breast feeding + Nutritional requirements + Complementary feeding + Problems of feeding * Breast feeding Counselling * Infant feeding and HIV * Baby friendly hospital initiative + Lecture discussion, * Demonstration,| 593./ 5 10 .|* Describe the rights | Children’s Rights of children * Convention of + State the steps for | Rights of the Child prevention of child | « Prevention of child labour and child labour nS * Abuse and legal protection * Special care of girl child. * Female infanticide Sat vitie * Lecture - discussion. + Survey the areas where child labour used in the community. 4. | 10] 35 |+ Provide care to the | Care of the sick child sick children * Common childhood + Identify the signs | disorders and symptoms of | Signs, symptoms common childhood | and management. disorders * Vaccine for * Identify signs of preventable high risk in case of | diseases ARI and Diarrhoea |. acute Respiratory + Educate mother tract infections ey ___-_|* Diarhoca vomiting, members regarding] © constipation prevention of : sities Hitees, Tonsillitis and mumps + Ear infections + Worm infestation ; * Accidents and injuries * Skin infections * Fever - malaria, measles. ¢ IMNCI strategy * Lecture discussion. + Explain usir charts. * Preparation ORS at clinic home * Demonstratic + Explain usin slide. + IMNCI protocols 60Assess the school child Need based counselling of children, teacher and parents. [Care of School |children School health: Objectives, problems and programmes Environment of school Assessment of general health of school children Dental and eye problems Nutritional deficiencies School health education for children Need based sharing| of health information| with — teachers/ parents/children Records and reports * Explain the various changes in the adolescents \Care of adolescents Physical growth during adolescence Emotional and behavioural changes in girls and boys Special needs of adolescents. Sex education for adolescents Counselling 61 + Demonstration,| * Demonstration] * Explain usingA o a Th. [Demo - Pee Sain be 10 | 10 |+ Discuss the special] Care of adolescent i needs of girl child | girls + Explain the effect |+ Menstruation and |+ Lecture girl child menstrual hygiene | . discussion. discrimination in| « special nutritional |+ Explain using the family and needs charts. Say + Barly marriage and|+ Health * Counsel mother its alfects education. ey on). Adolescent girls: need for care of a |* Seaescent Bt pegcnild abortion + Preparing for family life- pre marital counseling. * Role of ANM/ female health worker Suggested activities for Evaluation + Case studies Breast feeding techniques Preparation of ORS Preparation of complementary feeds Assessment of growth and development of children Assessment of common childhood illnesses in infant, children. and adoles cent ‘ Poster on: - Growth and development - Prevention of common accidents in children - Menstrual cycle. ~ Physical changes in adolescence