Dr. D.Y.

PATIL VIDYAPEETH,PUNE
(DEEMED TO BE UNIVERSITY)
( Re-Accredited by NAAC with a CGPA of 3.62 a four point scale at ‘A grade)
Dr. D. Y. PATIL COLLEGE OF NURSING
PIMPRI, PUNE-26

LESSON PLAN
BASIC B.Sc. NUSING I YEAR
FIRST SEMESTER

Subject code: 3
Subject: Nursing Foundation (Theory)
Faculty: Mrs. D.Priya, Mrs. Jasmin, Mrs. Dhanashree K, Mrs. Leena M, Mrs. Heera. B,
Mr.Sanjay. S

Units Topics No.Of Lectures

lectures serial
no.
I • Concept of Health : Health illness continuum 1 1
Introduction To • Factors influencing health 1 2
Fundamental • Causes and risk factors for developing illness. 1 3
Of Nursing. • Body defenses: Immunity and immunization 1 4
• Illness and illness Behavior 1 5
• Impact of illness on patient and family 1 6
• Health care services: 1 7
1 8
• Health Promotion and Prevention,
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 12

Nursing as a • Nursing :-
profession o Definition , Concepts, philosophy , objectives 2 14
o Characteristics, nature and scope of nursing practice
o Functions of nurse 2 16
o Qualities of a nurse
18
o Categories of nursing personnel 2
o Nursing as a profession
o History of Nursing in India 2 20
• Values : Definition, Types, Values Clarification and
values in professional Nursing : Caring and Advocacy 22
2
• Ethics :
o Definition and Ethical Principal
o Code of ethics and professional conduct for nurses 2 24

4
 o Consumer rights 2 26
Patient’s Bill of rights
III • Admission to the hospital 2 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 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

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

Communication Process, Factors influencing Communication
and Nurse o Methods of effective Communication 1 33
patient o Attending skills 1 34
relationship o Rapport building skills 1 35
o Empathy skills 1 36
o Barriers to effective communication 1 37
o Helping Relationships (NPR): Dimensions of Helping
1 38
Relationships, Phases of a helping relationship
o Communicating effectively with patient, families and 1 39
team members and maintain effective human relations
with special reference to communication with
vulnerable group( children ,women physically and
mentally challenged and elderly)
o Patient Teaching: Importance, Purposes, Process, Role
of nurse and Integrating teaching in Nursing process 1 40

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 1 45
o Assessment 1 46
- Collection of Data: Types, Sources, Methods
- Formulating Nursing judgment : Data interpretation 2 48
o Nursing diagnosis
- Identification of client problems
 - Nursing diagnosis statement
- Difference between medical and nursing diagnosis
o Planning
- Establishing Priorities 2 50
- Establishing Goals and Expected Outcomes,
- Selection of interventions: Protocols and standing
Orders
- Writing the Nursing Care Plan
o Implementation
2 52
- Implementing the plan of care
o Evaluation 2 54
- Outcome of care
- Review and Modify
o Documentation and Reporting 1 55

VI • Body temperature: 1 56
Vital signs -Physiology &Regulation Factors affecting body
temperature,
• Assessment of body temperature: sites, equipments 2 58
and techniques, special considerations
-Temperature alterations: Hyperthermia, Heatstroke,
Hypothermia
-Hot and cold applications 2 60
Pulse:
Physiology and regulation, Characteristics of 1 61
the pulse, Factors affecting pulse
• Assessment of pulse : Sites, location , equipments 2 63
and technique, special consideration
• Alterations in pulse:
1 64
o Physiology and Regulation, Mechanics of breathing
Characteristics of the respiration, factors affecting
respiration 1 65
• Assessment of respirations: technique, special
consideration 1 66
• Alterations in respiration
• Blood pressure: 1 67
Physiology and Regulation, Characteristics of the
blood pressure, Factors affecting blood pressure.
• Assessment of blood pressure: sites, equipments and 1 68
technique, special consideration
1 69
• Alterations in blood pressure
-Recording of vital signs 70
1

VII Purposes 2 73
Health 2 75
assessment -Process of Health assessment
2 77
• Health history 2 79
• Physical examination 2 81
- Methods-
 Inspection,palpation, 2 83
Percussion,Auscultation,Olfaction 4 87
2 89
• Preparation for examination : 2 91
Patient and unit 2 93
• General assessment 4 97
1 98
• Assessment of each body system 2 100
Recording of health assessment

VIII • Basic needs (Activities of daily living) 1 101

Meeting needs of - Maslow’s hierarchy of Needs 1 102
patient o Providing safe and clean Environment: 1 103
- Physical-environment: Temperature, Humidity,
Noise, Ventilation, light, Odor, pests control
- Reduction of Physical hazards: fire, accidents
- Safety devices: Restraints, side rails, airways,
Trapeze etc. Role of nurse in providing safe and
clean environment
o Hygiene: 2
105
- Factors Influencing Hygienic Practice
- Hygienic care : Care of the Skin-Bath and pressure
points,
- feet and nail,
- Oral cavity,
- Hair care , 2 107
- Eyes, Ears and Nose Assessment , Principles Types,
Equipments, Procedure, Special Consideration 2 109
- Patient environment: Room Equipment and linen,
making patient beds, Types of beds and bed 1 110
making
o Comfort:
- Factors Influencing Comfort, Comfort devices 2 112
o Oxygenation 2 114
- Review of Cardiovascular and respiratory 2 116
physiology
- Factors Affecting Oxygenation 117
1
- Alteration in oxygenation 118
1 119
- Nursing Intervention in oxygenation: assessment, 1
types, equipment used, procedure and special 120
1
considerations
Maintenance of patent airway 1 121
Oxygen administration 1 122
Inhalations : Dry and moist 1 123
Chest Physiotherapy and postural drainage 1 124
Pulse oxymeter 1 125
CPR-Basic life support
 IX 2 127
Machinery, Introduction:
Equipment &
Linen Indent, Maintenance, Inventory 1 128

• Types: Disposables and Re-usable-Linen, rubber goods, 2

glass ware, metal , 130
plastics, furniture, machinery

PRACTICUM: demonstration and re-demonstration - 105 Hrs.

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