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Home Nursing GNM 2nd Year all Chapters with Practical Notes
Medical-Surgical Nursing – I
Chapter 1: Introduction to Medical-Surgical Nursing
Definition and Scope
Medical-Surgical Nursing focuses on providing care to adult patients with a variety of medical and surgical conditions.
It includes assessment, planning, implementation, and evaluation of care.
Role of the Nurse
Care provider, educator, advocate, researcher, and collaborator in interdisciplinary teams.
Principles of Patient-Centered Care
Holistic care, respect for patient autonomy, individualized care plans.
Ethical and Legal Considerations
Informed consent, confidentiality, accountability, and maintaining professional boundaries.
Chapter 2: Common Signs and Symptoms of Illness
General Symptoms
Fever, fatigue, weakness, weight changes.
Altered Vital Signs
Tachycardia, bradycardia, hypertension, hypotension.
Skin Changes
Rashes, ulcers, cyanosis, jaundice.
Chapter 3: Fluid and Electrolyte Balance
Importance
Regulates bodily functions, maintains homeostasis.
Fluid Imbalances
Dehydration: Causes, signs, and nursing interventions.
Edema: Types, causes, and management.
Electrolyte Imbalances
Sodium: Hypernatremia, hyponatremia.
Potassium: Hyperkalemia, hypokalemia.
Nursing Interventions: Monitoring lab values, administering IV fluids, and electrolyte replacements.
Chapter 4: Perioperative Nursing
Preoperative Care
Patient assessment, obtaining consent, providing education, and reducing anxiety.
Intraoperative Care
Ensuring aseptic techniques, assisting the surgical team, monitoring the patient.
Postoperative Care
Monitoring for complications, pain management, wound care, and patient education.
Chapter 5: Nursing Management of Patients with Specific Disorders
Respiratory Disorders
Pneumonia, COPD, Asthma, TB: Causes, symptoms, and nursing care plans.
Cardiovascular Disorders
Hypertension, Myocardial Infarction, Heart Failure.
Neurological Disorders
Stroke, Epilepsy, Meningitis.
Endocrine Disorders
Diabetes Mellitus, Thyroid Disorders.
Musculoskeletal Disorders
Arthritis, Fractures, Osteoporosis.
Infectious Diseases
HIV/AIDS, Hepatitis, Malaria.
Medical-Surgical Nursing – II
Chapter 1: Oncology Nursing
Introduction
Definition, classification, and risk factors for cancer.
Warning Signs
CAUTION mnemonic (Change in bowel habits, A sore that doesn’t heal, etc.).
Modalities of Treatment
Surgery, chemotherapy, radiotherapy, immunotherapy.
Nursing Care
Managing side effects like nausea, hair loss, and fatigue.
Chapter 2: Nursing Management of Patients with Specific Disorders
Burns
Degrees of burns, immediate care, wound care, and prevention of complications.
Gastrointestinal Disorders
Peptic Ulcer, Appendicitis, Hepatitis.
Renal and Urinary Disorders
Acute Renal Failure, Chronic Renal Failure, UTIs.
Immunological Disorders
Lupus, Rheumatoid Arthritis.
Skin Disorders
Chapter 3: Critical Care Nursing
ICU Setup
Equipment, monitoring systems, and environment.
Patient Monitoring
Vital signs, consciousness levels, and laboratory results.
Management of Shock
Types of shock (hypovolemic, septic), nursing interventions.
Chapter 4: Emergency and Disaster Nursing
Triage
Categories, prioritization of care.
First Aid
For fractures, burns, poisoning, and cardiac arrest.
Disaster Management
Planning, implementation, and evaluation of disaster response.
Chapter 5: Nursing in Specialized Areas
ICU, CCU, Dialysis Units
Specialized care techniques, monitoring, and patient education.
Mental Health Nursing
Chapter 1: Concepts of Mental Health and Illness
Definition
Mental health as a state of well-being.
Factors Influencing Mental Health
Biological, psychological, social, and environmental factors.
Chapter 2: Classification of Mental Disorders
DSM-V and ICD Systems
Anxiety disorders, Mood disorders, Psychotic disorders, Personality disorders.
Chapter 3: Nursing Management
Care Plans for Mental Disorders
Assessment, diagnosis, interventions, and evaluation.
Therapeutic Communication
Active listening, empathy, and trust-building.
Psychopharmacology
Common drugs, side effects, and nursing responsibilities.
Chapter 4: Counseling and Therapy
Individual Counseling
Techniques, goals, and evaluation.
Group Therapy
Benefits, types, and nursing roles.
Behavioral Therapy
CBT, DBT, and crisis intervention.
Child Health Nursing
Chapter 1: Growth and Development
Milestones
Physical, cognitive, emotional development.
Assessment Tools
Growth charts, Denver Developmental Screening Test.
Chapter 2: Nursing Care of the Newborn
Immediate Care
APGAR scoring, thermoregulation, cord care.
Common Neonatal Issues
Jaundice, sepsis, feeding difficulties.
Chapter 3: Common Childhood Illnesses
Infectious Diseases
Measles, Chickenpox, Mumps.
Nutritional Disorders
Protein-Energy Malnutrition, Rickets.
Respiratory Disorders
Chapter 4: Immunization
Schedule
National Immunization Schedule for India.
Vaccine Handling
Cold chain maintenance, adverse event monitoring.
Chapter 5: Pediatric Emergencies
Common Emergencies
Febrile seizures, dehydration, poisoning.
Management
First aid, stabilization, and referral.
Practical Components
Medical-Surgical Nursing Practical
Physical Assessment
Techniques, documentation, and interpretation.
Procedures
Wound dressing, catheterization, IV insertion.
Post-Operative Care
Monitoring, pain management, prevention of complications.
Mental Health Nursing Practical
Patient Interaction
Building rapport, conducting mental status exams.
Group Activities
Participating in therapy sessions.
Medication Administration
Monitoring and documenting side effects.
Child Health Nursing Practical
Growth Monitoring
Immunization
Administering vaccines, educating parents.
Emergency Management
Handling pediatric emergencies, BLS for children.
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