Welcome to the gateway of knowledge for the 3rd Sem Adult Health Nursing 1 Notes. This is where your journey toward becoming an adept and compassionate adult health nurse truly begins. The field of adult health nursing is both challenging and rewarding, as it revolves around caring for adults with a diverse range of healthcare needs. These notes are your compass, guiding you through the intricacies of adult health nursing, equipping you with essential skills, and nurturing your understanding of the healthcare landscape. Whether you’re a nursing student on your educational path or a professional seeking to enhance your expertise, you’ve arrived at the right destination. Let’s embark on this educational voyage together and empower you to provide exceptional care to adult patients.
Unit-1
Introduction
- Evolution and trends of medical and surgical Nursing International classification of diseases
- Roles and responsibilities of a nurse in medical and surgical settings Introduction to medical and surgical asepsis
- Wound care and dressing Outpatient department In-patient unit
- Intensive care unit Care of the surgical patient
- Pre-operative post-operative Alternative therapies used in
- caring for patients with Medical Surgical Disorders Intraoperative Care
- Inflammation, infection Wound healing – stages, influencing factors
Unit-2
Intraoperative Care
- Organization and physical setup of the operation theatre
- technique Classification T Design
- Staffing Members of the OT team
- Duties and responsibilities of the nurse in OT
- Position and draping for common surgical procedures
- Instruments, sutures and suture materials, equipment
- for common surgical procedures Disinfection and sterilization of equipment
- Preparation of sets for common surgical procedures
- Scrubbing procedures – Gowning, masking and gloving
- Monitoring the patient during the procedures Maintenance of the therapeutic environment in OT Assisting in major and minor operations, handling specimen
- Prevention of accidents and hazards in OT
- Anesthesia- types, methods of administration, effects, and stages, equipment & drugs Legal aspects
Unit-3
Nursing care of patients with common signs and symptoms and management
- Fluid and electrolyte
- imbalance
- Shock
- Pain
Unit-4
Nursing Management of patients with respiratory problems
- Review of anatomy and physiology of the respiratory system
- Nursing Assessment – history taking, physical assessment and diagnostic tests
- Common respiratory problems:
- Upper respiratory tract infections
- Chronic obstructive
- pulmonary diseases
- Pleural effusion,
- Empyema
- Bronchiectasis
- Pneumonia
- Lung abscess
- Cyst and tumors
- Chest Injuries
- Acute respiratory
- distress syndrome
- Pulmonary embolism
- Health behaviours to prevent respiratory illness
Unit-5
Nursing Management of patients with disorders of the digestive system
- Review of anatomy and physiology of GI system
- Nursing assessment – History and physical assessment
- GI investigations Common GI disorders: Oral cavity-lips, gums and teeth
- GI – Bleeding, Infections, Inflammation, tumors, Obstruction, Perforation & Peritonitis Peptic & duodenal ulcer, Mal-absorption, Appendicitis, Hernias Hemorrhoids, fissures, Fistulas Pancreas- inflammation, cysts, and tumors Liver-inflammation, cysts, abscess, cirrhosis, portal hypertension,hepatic failure, tumors
- Gall bladder inflammation, Cholelithiasis, tumors Gastric decompression, gavage and stoma care. different feeding techniques Alternative therapies, drugs used in the treatment of disorders of digestive system
Unit-6
Nursing Management of patients with cardiovascular problems
- Review of anatomy and physiology of cardio
- Vascular system nursing Assessment and Physical assessment
- Disorders of vascular system-Hypertension, arteriosclerosis, Raynaud’s
- disease, aneurysm, and peripheral vascular disorders
- Coronary artery disease coronary atherosclerosis,
- Angina pectoris, myocardial infarction
- Valvular disorders – congenital and acquired Rheumatic heart disease – pericarditis, myocarditis, endocarditis, cardiomyopathies Cardiac dysrhythmias, heart block
- Congestive heart failure, cor pulmonate, pulmonary edema, cardiogenic shock, cardiac tamponade Cardiopulmonary arrest
Unit-7
Nursing Management of patients with disorders of blood
- Review of Anatomy and Physiology of blood, nursing assessment- history, physical assessment & Diagnostic tests
- Anemia, Polycythemia Bleeding Disorders – clotting factor defects and platelets defects, thalassemia, leukemias,
- leukopenias, agranulocytosis Lymphomas, myelomas
Unit-8
- Nursing management of patients with disorders of endocrine system
- Review of anatomy and physiology of endocrine system
- Nursing Assessment
- History and Physical assessment
- Disorders of thyroid and Parathyroid, Adrenal and Pituitary (Hyper, Hypo, tumors)Diabetes mellitus
Unit-9
Nursing management of patients with disorders of Integumentary system
- Review of anatomy and physiology of skin
- Nursing Assessment – History and Physical assessment
- Infection and infestations; Dermatitis Dermatoses; infectious and Noninfectious
- Acne, Allergies, Eczema & Pemphigus Psoriasis, Malignant melanoma, Alopecia
- Special therapies, alternative therapies Drugs used in the treatment of disorders of the integumentary system
Unit-10
Nursing management of patients with musculoskeletal problems
Review of Anatomy and physiology of the musculoskeletal system
Nursing Assessment History and physical assessment, diagnostic tests Musculoskeletal trauma: Dislocation, fracture, sprain, strain, contusion, amputation Musculoskeletal infections, and tumors: Osteomyelitis, benign and malignant tumor Orthopedic modalities:Cast
splint, traction, crutch walking Musculoskeletal inflammation: Bursitis,
synovitis, arthritis Special therapies, alternative therapies
Metabolic bone disorder: Osteoporosis, osteomalacia and Paget’s disease Spinal column defects and
deformities – tumor, prolapsed intervertebral disc, Pott’s spine Rehabilitation, prosthesis Replacement surgeries
Unit-11
Nursing management of patients with Communicable diseases
- Overview of infectious diseases, the infectious process
- Nursing Assessment – History and Physical assessment, Diagnostic tests
- Tuberculosis Diarrhoeal diseases, hepatitis A-E, Typhoid
- Herpes, Chickenpox, Smallpox, Measles, Mumps, Influenza Meningitis
- Gas gangrene Leprosy Dengue, Plague, Malaria,
- Chikungunya, swine flu, Filariasis Diphtheria, Pertussis, Tetanus, Poliomyelitis
- Special infection control measures: Notification, Isolation, Quarantine, Immunization,
We genuinely appreciate your visit to our establishment. Your presence brightened our day, and we hope you enjoyed your time with us as much as we did. Your support and patronage mean the world to us, and we look forward to welcoming you back soon. If there’s anything more we can do to enhance your experience, please don’t hesitate to let us know. Thank you once again for choosing us, and we can’t wait to see you again!