COLLEGE OF NURSING, A.I.M.

S, SRI MUKTSAR SAHIB

COURSE PLANNING (SESSION 2022-2022)

SUBJECT:NURSING FOUNDATION - II (Including Health Assessment Module)

PLACEMENT: II SEMESTER
THEORY: 6 Credits (120 hours)
SUBJECT INCHARGE: MS.HARPREET KAUR (ASSISTANT PROFESSOR), MS.SHERIN(LECTURER)
PRACTICUM: Skill Lab: 3 Credits (120 hours), Clinical: 4 Credits (320 hours)
DESCRIPTION: This course is designed to help novice nursing students develop knowledge and competencies required to provide
evidence-based, comprehensive basic nursing care for adult patients, using nursing process approach.
COMPETENCIES: On completion of the course, the students will be able to
1. Develop understanding about fundamentals of health assessment and perform health assessment in supervised clinical settings
2. Demonstrate fundamental skills of assessment, planning, implementation and evaluation of nursing care using Nursing process
approach in supervised clinical settings
3. Assess the Nutritional needs of patients and provide relevant care under supervision
4. Identify and meet the hygienic needs of patients
5. Identify and meet the elimination needs of patient
6. Interpret findings of specimen testing applying the knowledge of normal values
7. Promote oxygenation based on identified oxygenation needs of patients under supervision
8. Review the concept of fluid, electrolyte balance integrating the knowledge of applied physiology
9. Apply the knowledge of the principles, routes, effects of administration of medications in administering medication
10. Calculate conversions of drugs and dosages within and between systems of measurements
11. Demonstrate knowledge and understanding in caring for patients with altered functioning of sense organs and unconsciousness
12. Explain loss, death and grief
13. Describe sexual development and sexuality
14. Identify stressors and stress adaptation modes
15. Integrate the knowledge of culture and cultural differences in meeting the spiritual needs
16. Explain the introductory concepts relevant to models of health and illness in patient care
*Mandatory Module used in Teaching/Learning:
Health Assessment Module: 40 hours
 T - Theory, SL - Skill Lab
Unit Time Learning Outcomes Content Teaching/ Learning Assessment
(Hrs) Activities Methods
I 20 (T) Describe the purpose Health Assessment • Modular Learning • Essay
and process of health
20 (SL) • Interview techniques *Health Assessment • Short answer
assessment and
Module
perform assessment • Observation techniques • Objective
under supervised • Lecture cum type
clinical practice • Purposes of health assessment Discussion
• Process of Health assessment • OSCE
• Demonstration
o Health history
o Physical examination:
■ Methods: Inspection, Palpation,
Percussion, Auscultation, Olfaction
■ Preparation for examination:
patient and unit
■ General assessment
■ Assessment of each body system
■ Documenting health assessment
findings
II 13 (T) The Nursing Process • Lecture • Essay
Describe assessment,
8 (SL) planning, • Critical Thinking Competencies, • Discussion • Short answer
implementation and Attitudes for Critical Thinking, Levels of
critical thinking in Nursing • Demonstration • Objective type
evaluation of nursing
care using Nursing • Nursing Process Overview • Supervised • Evaluation of
process Clinical Practice care plan
 approach
o Assessment
■ Collection of Data: Types,
Sources, Methods
■ Organizing Data
■ Validating Data
■ Documenting Data
o Nursing Diagnosis
■ Identification of client problems,
risks and strengths
■ Nursing diagnosis statement -
parts, Types, Formulating,
Guidelines for formulating Nursing
Diagnosis
■ NANDA approved diagnoses
■ Difference between medical and
nursing diagnosis
o Planning
■ Types of planning
■ Establishing Priorities
■ Establishing Goals and Expected
Outcomes - Purposes, types,
guidelines, Components of goals and
outcome statements
■ Types of Nursing Interventions,
Selecting interventions: Protocols
and Standing Orders
■ Introduction to Nursing
Intervention Classification and
Nursing Outcome Classification
■ Guidelines for writing care plan
o Implementation
■ Process of Implementing the plan
of care
■ Types of care - Direct and
Indirect
o Evaluation
■ Evaluation Process,
Documentation and Reporting

III 5 (T) Identify and meet the Nutritional needs • Lecture • Essay
5 (SL) Nutritional needs of • Importance • Discussion • Short answer
patients
• Factors affecting nutritional needs • Demonstration • Objective type
• Assessment of nutritional status • Exercise • Evaluation of
nutritional
• Review: special diets - Solid, Liquid, • Supervised assessment &
Soft Clinical practice diet planning
• Review on therapeutic diets
• Care of patient with Dysphagia,
Unit Time Learning Outcomes Content Teaching/ Learning Assessment
(Hrs) Activities Methods
Anorexia, Nausea, Vomiting
• Meeting Nutritional needs: Principles,
equipment, procedure, indications
o Oral
o Enteral: Nasogastric/
Orogastric
o Introduction to other enteral
feeds - types, indications,
Gastrostomy, Jejunostomy
o Parenteral - TPN (Total
Parenteral Nutrition)
IV 5 (T) Identify and meet the Hygiene • Lecture • Essay
15 (SL) hygienic needs of • Factors Influencing Hygienic Practice • Discussion • Short answer
patients
• Hygienic care: Indications and purposes, • Demonstration • Objective type
effects of neglected care
• OSCE
o Care of the Skin - (Bath, feet and nail,
Hair Care)
o Care of pressure points
o Assessment of Pressure Ulcers using
Braden Scale and Norton Scale
o Pressure ulcers - causes, stages and
manifestations, care and prevention
o Perineal care/Meatal care
o Oral care, Care of Eyes, Ears and
Nose including assistive devices (eye
glasses, contact lens, dentures, hearing
aid)

V 10 (T) Identify and meet the Elimination needs • Lecture • Essay

elimination needs of
10 (SL) • Urinary Elimination • Discussion • Short answer
patient
o Review of Physiology of Urine • Demonstration • Objective type
Elimination, Composition and
characteristics of urine • OSCE

o Factors Influencing Urination

o Alteration in Urinary Elimination
o Facilitating urine elimination:
assessment, types, equipment,
procedures and special
considerations
o Providing urinal/bed pan
o Care of patients with
■ Condom drainage
■ Intermittent Catheterization
■ Indwelling Urinary catheter and
urinary drainage
■ Urinary diversions
■ Bladder irrigation
Unit Time Learning Outcomes Content Teaching/ Learning Assessment
(Hrs) Activities Methods

• Bowel Elimination
o Review of Physiology of Bowel
Elimination, Composition and
characteristics of feces
o Factors affecting Bowel elimination
o Alteration in Bowel Elimination
o Facilitating bowel elimination:
Assessment, equipment, procedures
■ Enemas
■ Suppository
■ Bowel wash
■ Digital Evacuation of impacted
feces
■ Care of patients with Ostomies
(Bowel Diversion Procedures)

VI 3 (T) Explain various types • Lecture • Essay

of specimens and Diagnostic testing
4 (SL) • Discussion • Short answer
identify normal • Phases of diagnostic testing (pre-test,
values of tests intra-test & post-test) in Common • Demonstration • Objective type
investigations and clinical implications

Develop skill in o Complete Blood Count

specimen collection, o Serum Electrolytes
handling and
transport o LFT
o Lipid/Lipoprotein profile
o Serum Glucose - AC, PC, HbAlc
o Monitoring Capillary Blood
Glucose (Glucometer Random
Blood Sugar - GRBS)
o Stool Routine Examination
o Urine Testing - Albumin,
Acetone, pH, Specific Gravity
o Urine Culture, Routine, Timed
Urine Specimen
o Sputum culture
o Overview of Radiologic & Endoscopic
Procedures

VII 11 (T) Assess patients for • Lecture • Essay

Oxygenation needs
10 (SL) oxygenation needs,
promote oxygenation • Review of Cardiovascular and • Discussion • Short answer
and provide care Respiratory Physiology • Demonstration & • Objective type
during oxygen Re-demonstration
therapy • Factors affecting respiratory functioning
• Alterations in Respiratory Functioning
• Conditions affecting
o Airway
o Movement of air
Unit Time Learning Outcomes Content Teaching/ Learning Assessment
(Hrs) Activities Methods
o Diffusion
o Oxygen transport
• Alterations in oxygenation
• Nursing interventions to promote
oxygenation: assessment, types,
equipment used & procedure
o Maintenance of patent airway
o Oxygen administration
o Suctioning - oral, tracheal
o Chest physiotherapy -
Percussion, Vibration & Postural
drainage
o Care of Chest drainage -
principles & purposes
o Pulse Oximetry - Factors
affecting measurement of oxygen
saturation using pulse oximeter,
Interpretation
• Restorative & continuing care
o Hydration
o Humidification
o Coughing techniques
o Breathing exercises
o Incentive spirometry

VIII 5 (T) Describe the concept Fluid, Electrolyte, and Acid - Base • Lecture • Essay
10 (SL) of fluid, electrolyte Balances • Discussion • Short answer
balance
• Review of Physiological Regulation of
Fluid, Electrolyte and Acid-Base • Demonstration • Objective type
Balances • Problem solving
• Factors Affecting Fluid, Electrolyte and - calculations
Acid-Base Balances
• Disturbances in fluid volume:
o Deficit
■ Hypovolemia
■ Dehydration
o Excess
■ Fluid overload
■ Edema
■ Electrolyte imbalances (hypo and
hyper)
o Acid-base imbalances
■ Metabolic - acidosis &alkalosis
■ Respiratory - acidosis & alkalosis
o Intravenous therapy
Unit Time Learning Outcomes Content Teaching/ Learning Assessment
(Hrs) Activities Methods

■ Peripheral venipuncture sites

■ Types of IV fluids
■ Calculation for making IV fluid plan
■ Complications of IV fluid therapy
■ Measuring fluid intake and output
■ Administering Blood and Blood
components
■ Restricting fluid intake
■ Enhancing Fluid intake

IX 20 (T) Explain the • Lecture • Essay

Administration of Medications
principles, routes,
22 (SL) • Discussion • Short answer
effects of • Introduction - Definition of Medication,
administration of Administration of Medication, Drug • Demonstration & • Objective type
medications Nomenclature, Effects of Drugs, Forms Re-demonstration
of Medications, Purposes, • OSCE
Pharmacodynamics and
Calculate conversions Pharmacokinetics
of drugs and dosages
within and between • Factors influencing Medication Action
systems of • Medication orders and Prescriptions
measurements
• Systems of measurement

Administer oral and • Medication dose calculation

topical medication • Principles, 10 rights of Medication
and document Administration
accurately under
supervision • Errors in Medication administration
• Routes of administration
• Storage and maintenance of drugs and
Nurses responsibility
• Terminologies and abbreviations used in
prescriptions and medications orders
• Developmental considerations
• Oral, Sublingual and Buccal routes:
Equipment, procedure
• Introduction to Parenteral
Administration of Drugs - Intramuscular,
Intravenous, Subcutaneous, Intradermal:
Location of site, Advantages and
disadvantages of the specific sites,
Indication and contraindications for the
different routes and sites.
• Equipment - Syringes & needles,
cannulas, Infusion sets - parts, types,
sizes
• Types of vials and ampoules,
Preparing Injectable medicines from
vials and ampoules
o Care of equipment: decontamination
and disposal of syringes, needles,
Unit Time Learning Outcomes Content Teaching/ Learning Assessment
(Hrs) Activities Methods

infusion sets
o Prevention of Needle-Stick Injuries
• Topical Administration: Types,
purposes, site, equipment, procedure
o Application to skin & mucous
membrane
o Direct application of liquids, Gargle
and swabbing the throat
o Insertion of Drug into body cavity:
Suppository/ medicated packing in
rectum/vagina
o Instillations: Ear, Eye, Nasal,
Bladder, and Rectal
o Irrigations: Eye, Ear, Bladder,
Vaginal and Rectal
o Spraying: Nose and throat
• Inhalation: Nasal, oral,
endotracheal/tracheal (steam, oxygen
and medications) - purposes, types,
equipment, procedure, recording and
reporting of medications administered
• Other Parenteral Routes: Meaning of
epidural, intrathecal, intraosseous,
intraperitoneal, intra-pleural, intraarterial

X 5 (T) Provide care to Sensory needs • Lecture • Essay

6 (SL) patients with altered • Introduction • Discussion • Short answer
functioning of sense
organs and • Components of sensory experience - • Demonstration • Objective type
unconsciousness in Reception, Perception & Reaction
supervised clinical
practice • Arousal Mechanism
• Factors affecting sensory function
• Assessment of Sensory alterations -
sensory deficit, deprivation, overload &
sensory poverty
• Management
o Promoting meaningful
communication (patients with
Aphasia, artificial airway & Visual
and Hearing impairment)
Care of Unconscious Patients
• Unconsciousness: Definition, causes &
risk factors, pathophysiology, stages of
Unconsciousness, Clinical
Manifestations
• Assessment and nursing management of
patient with unconsciousness,
complications
Unit Time Learning Outcomes Content Teaching/ Learning Assessment
(Hrs) Activities Methods
XI 4 (T) Explain loss, death • Lecture • Essay
Care of Terminally ill, death and dying
6 (SL) and grief • Discussion • Short answer
• Loss - Types
• Case discussions • Objective type
• Grief, Bereavement & Mourning
• Death care/last
• Types of Grief responses office
• Manifestations of Grief
• Factors influencing Loss & Grief
Responses
• Theories of Grief & Loss - Kubler Ross
• 5 Stages of Dying
• The R Process model (Rando’s)
• Death - Definition, Meaning, Types
(Brain & Circulatory Deaths)
• Signs of Impending Death
• Dying patient’s Bill of Rights
• Care of Dying Patient
• Physiological changes occurring after
Death
• Death Declaration, Certification
• Autopsy
• Embalming
• Last office/Death Care
• Counseling & supporting grieving
relatives
• Placing body in the Mortuary
• Releasing body from Mortuary
• Overview - Medico-legal Cases,
Advance directives, DNI/DNR, Organ
Donation, Euthanasia

PSYCHOSOCIAL NEEDS (A-D)

XII 3 (T) Develop basic A. Self-concept • Lecture • Essay
understanding of self-
concept • Introduction • Discussion • Short answer
• Components (Personal Identity, Body • Demonstration • Objective type
Image, Role Performance, Self Esteem)
• Case Discussion/
• Factors affecting Self Concept Role play
• Nursing Management
XIII 2 (T) Describe sexual B. Sexuality • Lecture • Essay
development and
• Sexual development throughout life • Discussion • Short answer
sexuality
• Sexual health • Objective
type
• Sexual orientation
• Factors affecting sexuality
Unit Time Learning Outcomes Content Teaching/ Learning Assessment
(Hrs) Activities Methods

• Prevention of STIs, unwanted

pregnancy, avoiding sexual harassment
and abuse
• Dealing with inappropriate sexual
behavior
XIV 2 (T) Describe stress and C. Stress and Adaptation - Introductory • Lecture • Essay
adaptation concepts
4 (SL) • Discussion • Short answer
• Introduction • Objective
• Sources, Effects, Indicators & Types of type
Stress
• Types of stressors
• Stress Adaptation - General
Adaptation Syndrome (GAS), Local
Adaptation Syndrome (LAS)
• Manifestation of stress - Physical &
psychological
• Coping strategies/ Mechanisms
• Stress Management
o Assist with coping and adaptation
o Creating therapeutic environment
• Recreational and diversion therapies

XV 6 (T) Explain culture and D. Concepts of Cultural Diversity and • Lecture • Essay
cultural norms Spirituality
• Discussion • Short answer
• Cultural diversity
• Objective
Integrate cultural o Cultural Concepts - Culture, type
differences and Subculture, Multicultural, Diversity,
spiritual needs in Race, Acculturation, Assimilation
providing care to
patients under o Transcultural Nursing
supervision o Cultural Competence
o Providing Culturally Responsive Care
• Spirituality
o Concepts - Faith, Hope, Religion,
Spirituality, Spiritual Wellbeing
o Factors affecting Spirituality
o Spiritual Problems in Acute, Chronic,
Terminal illnesses & Near-Death
Experience
o Dealing with Spiritual
Distress/Problems
XVI 6 (T) Explain the Nursing Theories: Introduction • Lecture • Essay
significance of
nursing theories • Meaning &Definition, Purposes, Types • Discussion • Short answer
of theories with examples, Overview of
• Objective
selected nursing theories - Nightingale,
type
Orem, Roy
• Use of theories in nursing practice