Fundamental of Nursing-I&II HEC Curriculum
Fundamental of Nursing-I
Course Semester Credit Hours
In the 136 Credit hour program ,there 4 hours for FON I.With 2 theory and 2 Skills Lab Credit hours In the "Discipline Specific Foundation Courses " Category.
Course Description
This course introduces the student to nursing as a professional discipline. The concept of a professional nurse is addressed through a brief overview of nursing historical development, definitions of nursing, nursing education, the practice, roles of the nurse and nurses accountability. The conceptual basis for nursing practice is presented as the relationship which exists among human needs, adoption and homeostasis, alterations in health, voluntary and involuntary processes, and nursing intervention. The position of nurses in the health care delivery system of the Country is explained through a description of its organization and administration, facilities, and personnel. International health and nursing organizations are discussed.
Course Objectives
At the end of this course, the student will be able to:
a. Describe the historical development of Health care and Nursing.
b. Describe early Nursing Leaders and their contributions to the profession of nursing.
c. Compare requirements and advantages of different Nursing Educational Programs.
d. Compare and contrast definitions of nursing by different Nursing Scholars.
e. Describe the roles of a professional nurse.
f. Describe the relationship among Human needs, Adoption Homeostasis, alterations in Health, Voluntary and Involuntary processes, and nursing intervention.
g. Explain the content and purposes of Code of Ethics, and Standards of Nursing practice.
h. Discuss the purposes and activities of the World Health Organization and the International Council of Nurses.
FON I. Theory portion
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Unit-I: History of Health Care and Nursing Summary of ancient cultures |
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Site of Health Care in Ancient Cultures |
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Islam
and Nursing |
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The
founder of Nursing |
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Historical
Perspective |
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Nursing
in Mongol period + Nursing Defined by different scholar |
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Definition
of Nursing by WHO 17 |
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Types
of Nursing Educational Programmes |
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History
of Nursing Education in Pakistan |
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Unit-II: Roles of the Nurse in Health Care Professional+ Characteristics of a Profession |
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Role of the Professional nurse |
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Description of Career roles |
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Description of role as Communicator |
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Description
of role as a Teacher |
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Description
of role as Counselor |
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Unit-III: Goals of Nursing and related concepts Define basic human needs |
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Discuss basis of nursing practice
|
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Define World Health Organization + Explain model of conceptual
framework for generic BS N program |
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Explore nursing and nursing practice |
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Define
goal of nursing process |
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Identify
historical perspective of the nursing process |
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Nursing
Assessment |
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Nursing
Diagnosis |
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Nursing
Planning |
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Nursing Implementation |
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Nursing
Outcomes/Evaluation |
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Unit-IV: Communication Define Communication, elements of the communication process, ways
of communication |
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Identify the characteristics of the effective verbal
communication |
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Describe factors that’s facilitates and interfere with the
effective communication |
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Discuss techniques that facilitate and interfere with effective
communication Define ways to respond therapeutically |
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Identify non therapeutically respond |
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Discuss the legal aspects of documentations |
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Unit V: Nursing Skills (Vital Signs) Define Vital Signs |
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Define terms related to Vital signs |
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Describe the physiological concept of temperature, respiration |
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Blood pressure |
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Describe the principles and mechanisms for normal
thermoregulation in the body. |
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Identify ways that affect heat production and heat loss in the
body |
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Define types of body temperature according to its characteristics |
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Identify the sign and symptoms of fever + Discuss the normal
ranges for temperature, pulse |
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Respiration and blood pressure + List the factors affecting
temperature, pulse, respiration |
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Describe
the characteristics of pulse and respiration + List factors responsible for
maintaining normal blood pressure |
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Describe
various methods and sites used to measure T.P & B.P |
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Recognize
the signs of alert while taking TPR and B.P. |
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UNIT VI: Skin Management Define decubetic ulcer (bed sore) |
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List the causes of decubetic ulcer |
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Apply
nursing interventions to prevent decubetic ulcer |
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Identity
rise bactars of bedsores |
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UNIT VII: Concept of Safety: Risk Management Define safety+Describe the characteristics of safety |
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Identify physical and microbial hazards in environment |
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Discuss various ways to minimize hazards |
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Discuss the assessment for environmental safety |
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Identify
physical and microbial hazards in the hospital environment, which interfere
with patients’ safety |
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Explain
general preventive measures for safe environment for health team members and
patient |
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Using
assessment, identify people at risk for safety dysfunction |
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Unit-VIII: Concept of Teaching Learning Identify the learning needs of the patient at the clinical site |
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Develop teaching learning plan |
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Perform
health teaching at the clinical site |
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Unit-IX: Oxygenation: Respiratory Function & Cardiovascular
System Identify factors that can interfere with effective oxygenation of
body tissues |
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Describe common manifestations of altered respiratory and
cardiovascular function |
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Discuss lifespan-related changes and problems in respiratory
function and cardiovascular system |
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Describe nursing measures to ensure a patient airway |
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Apply Nursing Process and teaching plan for a client with altered
respiratory function and cardiovascular function |
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Recognize
the emergencies related to respiratory and cardiovascular system |
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Explain
ways that caregivers can decrease the exposure of clients to infection |
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Differentiate
between medical and surgical asepsis. |
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Unit X: Activity and Exercise Pattern Define terms mobility, joint mobility, body alignments and body
mechanics |
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Discuss the benefits of activity and exercise |
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Identify the principles of gravity that affects balance |
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Discuss factors affecting mobility |
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Discuss the effects of immobility on human body. |
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Review A&P of muscular skeletal system and characteristics of
normal movement |
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Describe
the impact of immobility on Physiologic and Psychological functioning |
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Apply
nursing process while planning for the client with altered muscular skeletal
system |
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Unit XI: Process of Hospitalization : Define the team admission, transfer and discharge |
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Discuss the procedure for admission, transfer and discharge |
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Identify nursing responsibility during admission, transfer and
discharge |
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Discuss nurse role in preparing patients and family for discharge |
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Discuss
the normal reaction of patient being hospitalized |
FON I Skills Lab
- CPR Certifications BLS
- Preparing of different beds Bathing a patient in bed
- Measuring body temperature
- Assessment of pulse
- Assessment of Respiration
- Monitoring of Blood pressure
- Mouth care of unconscious patient
- Measurement of Height & Weight
- Admission of a patient in hospital Discharge of patient in hospital
FON I Clinical Objectives of Fundamental of Nursing:
1. Identify the roles and functions of health care team members.
2. Describe the functions of the various departments in a hospital.
3. Describe the physical setup of a ward
4. Utilize techniques of therapeutic communication skills with patient and health team members.
5. Collect patients’ data through interview.
6. Observe the coordination of patients’ care between the health team members.
7. Identify different forms used for documentation in patients’ care.
8. Utilize appropriate hospital forms for documentation.
9. Assess, document and identify variations in Vital Signs
10. Discuss the observations for different Vital Signs pattern.
11. Develop problem list based on patients’ assessments and rationalize each problem identified.
12. Document assessment of patients’ problems/needs by using Maslow’s Hierarchy of human needs at a beginning level.
13. Develop Nursing care plan based on priority patients’ problem by following all the six components of nursing process.
14. Observe the process of admission of a patient in hospital.
15. Orient a patient to hospital environment.
16. Assist in transfer of patients from one unit to another unit and department.
17. Assist in preparing patients and family for discharge.
18. Document the discharge of patients from the hospital.
19. Observe various legal forms/documents used in the admission process
20. Observe patients’ reactions to hospitalization and give assistance as needed.
21. Demonstrate occupied and unoccupied bed making.
22. Assess the need of personal hygiene care for selected patients and provide care accordingly.
23. Document patients’ assessment and care provided.
24. Utilize skills to maintain healthy nails and feet
25. Demonstrate use of following safety measures for patients:
26. Side rails
27. Restraints
28. Hand washing
29. Demonstrate application of body mechanics when moving and lifting patient.
30. Demonstrate range of motion exercises on a patient.
31. Provide back care to bed ridden patients.
32. Assist in transferring patients from bed to bed, bed to chair and bed to stretcher.
33. Utilize different comfort devices in patients’ care.
34. Assist patients with different types of positions.
35. Demonstrate characteristics of a professional nurse.
36. Assist patients in maintaining proper body alignment in bed.
FON II Theory
Fundamental of Nursing-II
Course Semester Credit Hours
In the 136 Credit hour program ,there 4 hours for FON II.With 2 theory, 1 for Clinical and 1 Skills Lab Credit hours In the "Discipline Specific Foundation Courses " Category.
Course Description
This course introduces learners to different concepts of nursing practice with emphasis on identifying the patient needs, developing communication skills and use of the nursing process. Learners will gain knowledge related to theoretical concepts, values, and norms of the profession, while learning skills for providing basic nursing care to patients in hospital settings. Gordon’s Functional Health Pattern (FHPs) will be used to assess patient needs.
Course Objectives
By the completion of this course, learners will be able to:
1. Identify the prescribed standards of nursing care set by the institution.
2. Begin to identify the importance of evaluation in his/her nursing practice.
3. Identify relevant sources, which contribute to personal and professionals growth.
4. Begin to use the nursing process to deliver safe nursing care to individuals.
5. Begin to understand the knowledge derived from Humanities, Natural and Behavioral Sciences, when providing nursing care to clients.
6. Identify basic principle that protection against
7. Use critical thinking skills in selecting nursing intervention and outcomes for the planning of care setting.
8. Perform all basic nursing skills safely and accurately at clinical settings
FON II
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Topics |
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Unit I: Nursing Process Nursing Assessment: Describe the assessment phase of the nursing process + Discuss
the purpose of assessment in nursing practice
|
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Identify the skills required for nursing assessment + Differentiate
the three major activities involved in nursing assessment + Describe the
process of data collection. |
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Perform a nursing assessment using a functional health approach. |
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Nursing Diagnosis: Define diagnosis in relation to the nursing process + State the
meaning of nursing diagnosis |
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Describe the components of a nursing diagnosis + Differentiate
between a nursing diagnosis and medical diagnosis. |
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Identify the clinical skills needed to make nursing diagnoses + Formulate
nursing diagnoses according to NANDA list. |
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Outcome Identification and Planning: Define outcome identification and planning + Explain the purposes
of outcome identification and planning. |
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Describe the components of the nursing plan of care + Use a
functional health approach to plan client care. |
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Implementation and evaluation: Define implementation and evaluation +Discuss the purposes of
implementation and evaluation |
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Describe clinical skills needed to implement the nursing plan of
care + Describe activities the nurse carries out during the evaluation phase
of the nursing process + Use a functional approach to implement and evaluate
client care. |
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Communication of the Nursing Process: Documenting and Reporting: Describe the purposes of the client record + List the principles
of charting |
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Discuss the guidelines of documentation + Discuss the importance
of confidentiality in the documenting and reporting. |
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Critical Thinking: Explain the importance of critical thinking in nursing + Discuss
definitions of, characteristics of, and skills used in critical thinking |
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Identify the three major factors that affect thinking |
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Explore
ways to enhance and develop critical thinking skills especially as applied to
nursing + Set personal goals for developing critical thinking skills. |
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UNIT II: Concept of Value Belief Define value/belief pattern + Explain how behaviors related to
values |
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Identify sources of professional nursing values + Apply cultural
and developmental perspective when identifying values |
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Examine
values conflict and resolution in nursing care situations |
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UNIT III: Self Concept and Self Perception Define self perception/ self concept pattern + Describe the
functions of self and self concept |
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Discuss how self concept develops through out the life span + Discuss
factors that can effect self concept |
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Identify
possible manifestation of altered self concept + Apply nursing process for a
person with an altered self concept |
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UNIT IV: Concept of Pain (Different Therapies) Define the process of pain (physiological changes) + Describe the
different theories of pain theory. |
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Differentiate between acute and chronic pain + Discuss the non
pharmacologic interventions pain management. |
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Identify
pharmacologic interventions for pain management |
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UNIT V: Concept of Nutrition and Dietary Define nutrition/metabolic pattern + Review essential nutrients
and examples of good dietary sources for each
|
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Review normal digestion, absorption, and metabolism of
carbohydrates, fats, and proteins + Discuss nutritional considerations across
the life span |
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list factors that can effect dietary pattern + Describe
manifestations of altered nutrition |
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Explain nursing interventions to promote optimal nutrition and
health + Apply nursing process for client with altered nutritional status |
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UNIT VI: Concept of Elimination Define elimination pattern + Discuss common problems of
elimination |
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Identify nursing interventions for common problems of fecal
elimination + Discuss common problem of Urinary Elimination |
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Identify nursing intervention for common urinary problems + Describe
factors that can alter urinary function |
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Discuss nursing process for a patient with altered elimination
pattern |
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UNIT VII: Concept of Sleep Define rest and sleep pattern+Define terms related to rest and
sleep. |
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Compare the characteristics of sleep and rest+Discuss the
characteristics of two kinds of sleep |
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Enumerate the functions of sleep+Discuss factors affecting sleep |
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Identify common sleep disorders+Identify conditions necessary to
promote sleep. |
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Discuss nursing process for a patient to promote sleep |
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UNIT VIII: Human Reponses to Illness Define coping stress tolerance pattern+Differentiate the concepts
of stress as a stimulus, response, and transaction |
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Identify physiological and psychological manifestations of
stress+Discuss Factors affecting coping pattern during hospitalization |
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Describe various types of coping pattern+Discuss the nursing
process related to coping stress pattern |
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UNIT IX: Concept of Sexuality Review the Anatomy and physiology of the male and female
reproductive system+Describe normal sexual pattern |
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Relate sexuality to all stages of life cycle+Identify factors
that effects sexual functioning |
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Describe common risks and alteration in sexuality+Understand the
nursing process as it relate to sexual functioning |
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UNIT X: Concept of Loss & Grieving and Death and Dying Assess the physiologic signs of death+Identify beliefs and
attitude about death in relation to age.
|
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Discuss the various ways of helping the dying patient meet
his/her physiological, spiritual and emotional needs+Discuss care of the body
after death+Discuss the legal implications of death. |
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Describe how a nurse meets a dying patient’s needs of
comfort+Discuss important factors in caring for the body after death. |
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List changes that occur in the body after death+Define terms
related to loss and grieving. |
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Discuss Kubler-Ross’ theory to assess grieving behaviors+Identify
common manifestations of grief |
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Discuss the effects of multiple losses on the grief process+Apply
the nursing process to grieving clients |
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UNIT XI: Concept of Stress & Coping The objective has to be developed |
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UNIT XII: Oral Medication The objective has to be developed |
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UNIT XII: Parental Medication The objective has to be developed |
FON Ii List of Skills Labs
1. Application of hot water bag
2. Application of Cold Compresses
3. Applying bandages including wound dressing
4. Performing nebulization/steam therapy
5. Apply suction therapy.
6. Care of drainage bags (catheter)
7. Sitz bath
8. Elimination: Suppositories, Enema, Flatus Tube, Manual extraction
9. Specimen Collection
10.Urine Testing through dipstick
FON II Clinical Skills
1. Medication (Oral and Topical)
2. Medication (Parental)
3. Sitz bath
4. Care of catheter 50
5. Mouth care of unconscious Patient
6. Elimination: Suppositories, Enema, Flatus Tube, Manual extraction.
7. Urine testing/ Specimen collection.
FON II Clinical Objectives of Fundamental of Nursing:
1. Identify the roles and functions of health care team members.
2. Describe the functions of the various departments in a hospital.
3. Describe the physical setup of a ward
4. Utilize techniques of therapeutic communication skills with patient and health team members.
5. Collect patients’ data through interview.
6. Observe the coordination of patients’ care between the health team members.
7. Identify different forms used for documentation in patients’ care.
8. Utilize appropriate hospital forms for documentation.
9. Assess, document and identify variations in Vital Signs
10. Discuss the observations for different Vital Signs pattern.
11. Develop problem list based on patients’ assessments and rationalize each problem identified.
12. Document assessment of patients’ problems/needs by using Maslow’s Hierarchy of human needs at a beginning level.
13. Develop Nursing care plan based on priority patients’ problem by following all the six components of nursing process.
14. Observe the process of admission of a patient in hospital.
15. Orient a patient to hospital environment.
16. Assist in transfer of patients from one unit to another unit and department.
17. Assist in preparing patients and family for discharge.
18. Document the discharge of patients from the hospital.
19. Observe various legal forms/documents used in the admission process
20. Observe patients’ reactions to hospitalization and give assistance as needed.
21. Demonstrate occupied and unoccupied bed making.
22. Assess the need of personal hygiene care for selected patients and provide care accordingly.
23. Document patients’ assessment and care provided.
24. Utilize skills to maintain healthy nails and feet
25. Demonstrate use of following safety measures for patients:
26. Side rails
27. Restraints
28. Hand washing
29. Demonstrate application of body mechanics when moving and lifting patient.
30. Demonstrate range of motion exercises on a patient.
31. Provide back care to bed ridden patients.
32. Assist in transferring patients from bed to bed, bed to chair and bed to stretcher.
33. Utilize different comfort devices in patients’ care.
34. Assist patients with different types of positions.
35. Demonstrate characteristics of a professional nurse.
36. Assist patients in maintaining proper body alignment in bed.
Refence Books
1. Carpinito L. J. (1998). Nursing Care Plans & Documentation: Nursing Diagnosis and Collaborative Problem (3rd ed.) Philadelphia: Lippincott
2. Craven, R. F., & Hirnle, C. J. (2000). Fundamentals of Nursing: Human Health and Function. (3rd ed.). New York: Lippincott.
3. Delaune, S. C., & Ladner, P. K. (2002). Fundamentals of Nursing: Standards and Practice. (2nd ed.) Canada: Delmar.
4. Erb, G. K., B. (2000). Fundamentals of Nursing: Concepts, Process and Practice (5th ed.) Addison: Wesley.
5. Potter, P. A & Perry, A. G. (2003). Basic Nursing: Essentials for Practice (5th ed.) St. Louis: Mosby.
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