community health nursing syllabus

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community health nursing -1 syllabus

lecture notes

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unit -ix communicable disease

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community health nursing -1

COURSE OUTLINE

T Theory

Unit

Time

(Hrs)

Learning Outcomes

Content

Teaching/Learning

Activities

Assessment Methods

4 (T)

Define public health, community health and community health nursing

Explain the evolution of public health in India and scope of community health nursing

Concepts of Community Health and Community Health Nursing

Definition of public health, community health and community health nursing

Public health in India and its evolution and Scope of

community health nursing

Lecture Discussion

Explain using chart, graphs

Community needs assessment (Field survey on identification of demographic characteristics, health determinants and resources of a rural and an urban community)

Short answer Essay Objective type Survey report

Explain various concepts of health and disease, dimensions and determinants of health

Explain the natural history of disease and levels of prevention

Discuss the health

Review: Concepts of Health & Illness/ disease: Definition, dimensions and determinants of health and disease

Natural history of disease

Levels of prevention: Primary, Secondary &

Explain using examples

Unit	Time (Hrs)	Learning Outcomes	Content	Teaching/Learning Activities	Assessment Methods
		problems of India	tertiary prevention Review Health problems (Profile) of India
II	8 (T)	Describe health planning and its steps, and various health plans, and committees	Health Care Planning and Organization of Health Care at various levels Health planning steps Health planning in India: various committees and commissions on health and family welfare and Five Year plans	Lecture Discussion Field visits to CHC, PHC, SC/ Health Wellness Centers (HWC)	Short answer Essay Evaluation of Field visit reports & presentation
		Discuss health care delivery system in India at various levels	Participation of community and stakeholders in health planning
		Describe SDGs, primary health care and comprehensive primary health care (CPHC)	Health care delivery system in India: Infrastructure and Health sectors, Delivery of health services at sub-centre (SC), PHC, CHC, District level, state level and national level Sustainable development goals (SDGs), Primary Health Care and Comprehensive Primary Health Care (CPHC): elements, principles	Directed reading
			CPHC through SC/Health Wellness Center (HWC)
			Role of MLHP/CHP
		Explain health care policies and regulations in India	National Health Care Policies and Regulations o National Health Policy (1983, 2002, 2017)
			o National Health Mission (NHM): National Rural Health Mission (NRHM), National Urban Health Mission (NUHM), NHM
			o National Health Protection Mission (NHPM)
			o Ayushman Bharat
			o Universal Health Coverage
III	15 (T)	Identify the role of an individual in the	Environmental Science, Environmental Health, and	Lecture	Short answer

Unit	Time (Hrs)	Learning Outcomes	Content	Teaching/Learning Activities	Assessment Methods
		conservation of natural resources	Sanitation Natural resources: Renewable and non- renewable resources, natural resources and associated problems: Forest resources, water resources, mineral resources, food resources, energy resources and land resources	Discussion Debates on environmental protection and preservation Explain using Charts, graphs, Models, films, slides Directed reading Visits to water supply & purification sites	Essay Field visit reports
			Role of individuals in conservation of natural resources, and equitable use of resources for sustainable lifestyles
		Describe ecosystem, its structure, types and functions	Ecosystem: Concept, structure and functions of ecosystems, Types & Characteristics Forest ecosystem, Grassland ecosystem, Desert ecosystem, Aquatic ecosystem, Energy flow in ecosystem
		Explain the classification, value and threats to biodiversity Enumerate the causes, effects and control measures of environmental pollution	Biodiversity: Classification, value of bio-diversity, threats to biodiversity, conservation of biodiversity Environmental pollution: Introduction, causes, effects and control measures of Air pollution, Water pollution, Soil pollution, Marine pollution, Noise pollution, Thermal pollution, nuclear hazards & their impact on health
		Discuss about climate change, global warming, acid rain, and ozone layer depletion Enumerate the role of an individual in creating awareness about the social issues related to environment	Climate change, global warming: ex. heat wave, acid rain, ozone layer depletion, waste land reclamation & its impact on health Social issues and environment: sustainable development, urban problems related to energy, water and environmental ethics Acts related to environmental protection and preservation Environmental Health &

Unit	Time (Hrs)	Learning Outcomes	Content	Teaching/Learning Activities	Assessment Methods
			Sanitation
		List the Acts related to environmental protection and preservation Describe the concept of environmental health and sanitation	Concept of environment health and sanitation Concept of safe water, sources of water, waterborne diseases, water purification processes, household purification of water	Observe rain water harvesting plants
			Physical and chemical standards of drinking water quality and tests for assessing bacteriological quality of water
		Describe water conservation, rain water harvesting and water shed management	Concepts of water conservation: rain water harvesting and water shed management	Visit to sewage disposal and treatment sites, and waste disposal sites
		Explain waste management	Solid waste management, human excreta disposal & management and sewage disposal and management
			Commonly used insecticides and pesticides
IV	7 (T)	Describe the various nutrition assessment methods at the community level	Nutrition Assessment and Nutrition Education Review of Nutrition o Concepts, types o Meal planning: aims, steps & diet plan for different age groups o Nutrition assessment of individuals, families and community by using appropriate methods	Lecture Discussion Demonstration Role play Market visit Nutritional assessment for different age groups	Performance assessment of nutrition assessment for different age groups Evaluation on nutritional assessment reports
		Plan and provide diet plans for all age groups including therapeutic diet	Planning suitable diet for individuals and families according to local availability of foods, dietary habits and economic status
			General nutritional advice
		Provide nutrition counseling and education to all age groups and describe	Nutrition education: purpose, principles & methods and Rehabilitation	Lecture Discussion	Short answer Essay

Unit	Time (Hrs)	Learning Outcomes	Content	Teaching/Learning Activities	Assessment Methods
		the national nutrition programs and	Review: Nutritional deficiency disorders
		Identify early the food borne diseases, and perform initial management and referral appropriately	National nutritional policy & programs in India Food Borne Diseases and Food Safety Food borne diseases
			Definition, & burden, Causes and classification
			Signs & Symptoms
			Transmission of food borne pathogens & toxins
			Early identification, initial management and referral
			Food poisoning & food intoxication
			Epidemiological features/clinical characteristics, Types of food poisoning	Field visits to milk purification plants, slaughterhouse	Field visit reports
			Food intoxication-features, preventive & control measures	Refer Nutrition module-BPCCHN Block 2-unit I & UNIT 5
			Public health response to food borne diseases
V	6 (T)	Describe behaviour	Communication management and Health Education Behaviour change communication skills o communication o Human behaviour o Health belief model: concepts & definition, ways to influence behaviour o Steps of behaviour change o Techniques of behaviour change: Guiding principles in planning BCC activity o Steps of BCC o Social and Behaviour Change Communication strategies (SBCC): techniques to collect social history from clients o Barriers to effective	Lecture	Short answer
		change communication skills		Discussion	Essay
				Role play
				Demonstration: BCC skills
				Supervised field practice
				Refer: BCC/SBCC module
				(MoHFW & USAID)
		Counsel and provide
		health education to
		individuals, families
		and community for			Performance
		promotion of healthy			evaluation of
		life style practices			health

Unit	Time (Hrs)	Learning Outcomes	Content	Teaching/Learning Activities	Assessment Methods
		using appropriate methods and media	communication, and methods to overcome them Health promotion and Health education: methods/techniques, and audio-visual aids		education sessions to individuals and families
VI	7 (T)	Describe community	Community health nursing approaches, concepts, roles and responsibilities of community health nursing personnel Approaches: o Nursing process o Epidemiological approach o Problem solving approach o Evidence based approach o Empowering people to care for themselves Review: Primary health care and Comprehensive Primary Health Care (CPHC) Home Visits: Concept, Principles, Process, & Techniques: Bag technique Qualities of Community Health Nurse Roles and responsibilities of community health nursing personnel in family health services Review: Principles & techniques of counseling	Lecture	Short answer
		health nursing approaches and		Discussion	Essays
		concepts		Demonstration
				Role plays
		Describe and identify the activities of community health nurse to promote and		Supervised field practice	Assessment of supervised field practice
		maintain family
		health through home
		visits
VII	10 (T)	Explain the specific activities of community health nurse in assisting individuals and groups to promote and maintain their health	Assisting individuals and families to promote and maintain their health A. Assessment of individuals and families (Review from Child health nursing, Medical surgical nursing and OBG Nursing)	Lecture Discussion Demonstration Role plays	Short answer Essay Assessment of clinical performance in the field practice area
			Assessment of children, women, adolescents, elderly etc.

Unit	Time (Hrs)	Learning Outcomes	Content	Teaching/Learning Activities	Assessment Methods
			Children: Monitoring growth and development, milestones
			Anthropometric measurements, BMI
			Social development Temperature and Blood pressure monitoring		Assessment of procedural skills in lab procedures
			Menstrual cycle
			Breast self-examination (BSE) and testicles self- examination (TSE)
			Warning Signs of various diseases
			Tests: Urine for sugar and albumin, blood sugar, Hemoglobin
			B. Provision of health services/primary health care:
			Routine check-up, Immunization, counseling, and diagnosis
			Management of common diseases at home and health centre level
			o Care based on standing orders/protocols approved by MoH&FW
		Provide primary care at home/ health centers (HWC) using standing orders/ protocols as per public health standards/approved by MoH&FW and INC regulation	o Drugs dispensing and injections at health centre C. Continue medical care and follow up in community for various diseases/disabilities
			D. Carry out therapeutic procedures as prescribed/required for client and family
			E. Maintenance of health records and reports
			Maintenance of client records
		Develop skill in maintenance of records and reports	Maintenance of health records at the facility level Report writing and documentation of activities carried out during home visits, in the clinics/centers and field visits	Document and maintain: Individual records	Evaluation of records and reports

Unit	Time (Hrs)	Learning Outcomes	Content	Teaching/Learning Activities	Assessment Methods
			F. Sensitize and handle social issues affecting health and development of the family Women empowerment Women and child abuse Abuse of elders Female foeticide Commercial sex workers Substance abuse G. Utilize community resources for client and family Trauma services Old age homes Orphanages Homes for physically challenged individuals Homes for destitute Palliative care centres Hospice care centres Assisted living facility	Family records
				Health center records
		Develop beginning skills in handling social issues affecting the health and development of the family
		Identify and assist the families to utilize the community resources appropriately		Field visits	Evaluation of field visit reports
VIII	10 (T)	Describe the concepts, approaches and methods of epidemiology	Introduction to Epidemiology Epidemiological Approaches and Processes Epidemiology: Concept and Definition Distribution and frequency of disease Aims & uses of epidemiology	Lecture Discussion Demonstration Role play Field visits: communicable disease hospital & Entomology office	Short answer Essay Report on visit to communicable disease hospital Report on visit to entomology office
			Epidemiological models of causation of disease
			Concepts of disease transmission
			Modes of transmission: Direct, Indirect and chain of infection
			Time trends or fluctuations in disease occurrence
			Epidemiological approaches: Descriptive, analytical and experimental
			Principles of control measures/levels of	Investigation of an epidemic of

Unit	Time (Hrs)	Learning Outcomes	Content	Teaching/Learning Activities	Assessment Methods
		Investigate an epidemic of communicable disease	prevention of disease Investigation of an epidemic of communicable disease Use of basic epidemiological tools to make community diagnosis for effective planning and intervention	communicable disease	Report and presentation on investigating an epidemic of communicable disease
IX	15 (T)	Explain the epidemiology of specific communicable diseases Describe the various methods of prevention, control and management of communicable diseases and the role of nurses in screening, diagnosing, primary management and referral to a health facility	Communicable Diseases and National Health Programs 1. Communicable Diseases Vector borne diseases (Every disease will be dealt under the following headlines) Epidemiology of the following vector born diseases Prevention & control measures Screening, and diagnosing the following conditions, primary management, referral and follow up	Lecture Discussion, Demonstration Role play Suggested field visits Field practice Assessment of clients with communicable diseases	Field visit reports Assessment of family case study OSCE assessment Short answer Essay
			o Malaria
			o Filaria
			o Kala-azar
			o Japanese encephalitis
			o Dengue
			o Chickungunya
			2. Communicable diseases: Infectious diseases (Every disease will be dealt under the following headlines)
			Epidemiology of the following infectious diseases
			Prevention & Control measures
			Screening, diagnosing the following conditions, primary management, referral and follow up
			o Leprosy
			o Tuberculosis
			o Vaccine preventable diseases Diphtheria, whooping cough, tetanus, poliomyelitis

Unit	Time (Hrs)	Learning Outcomes	Content	Teaching/Learning Activities	Assessment Methods
			and measles
			o Enteric fever
			o Viral hepatitis
			o HIV/AIDS/RTI infections
			o HIV/AIDS, and Sexually Transmitted Diseases/ Reproductive tract infections (STIs/RTIs)
			o Diarrhoea
			o Respiratory tract infections
			o COVID-19
			o Helminthic soil & food transmitted and parasitic infections Scabies and pediculosis
			3. Communicable diseases: Zoonotic diseases
			Epidemiology of Zoonotic diseases
			Prevention & control measures
			Screening and diagnosing the following conditions, primary management, referral and follow up
			o Rabies: Identify, suspect, primary management and referral to a health facility
		Identify the national health programs relevant to communicable diseases and explain the role of nurses in implementation of these programs	Role of a nurses in control of communicable diseases National Health Programs 1. UIP: Universal Immunization Program (Diphtheria, Whooping cough, Tetanus, Poliomyelitis, Measles and Hepatitis B)
			2. National Leprosy Eradication Program (NLEP)
			3. Revised National Tuberculosis Control Program (RNTCP)
			4. Integrated Disease Surveillance Program (IDSP): Enteric fever, Diarrhea, Respiratory

Unit	Time (Hrs)	Learning Outcomes	Content	Teaching/Learning Activities	Assessment Methods
			infections and Scabies 5. National Aids Control Organization (NACO) 6. National Vector Borne Disease Control Program 7. National Air Quality Monitoring Program 8. Any other newly added program
X	15 (T)	Describe the national health program for the control of non- communicable diseases and the role of nurses in screening, identification, primary management and referral to a health facility	Non-Communicable Diseases and National Health Program (NCD) National response to NCDs (Every disease will be dealt under the following headlines Epidemiology of specific diseases Prevention and control measures	Lecture Discussion Demonstration Role play Suggested field visits Field practice Assessment of clients with non- communicable diseases	Field visit reports Assessment of family case study OSCE assessment Short answer Essay
			Screening, diagnosing/ identification and primary management, referral and follow up care
			NCD-1
			o Diabetes Mellitus
			o Hypertension
			o Cardiovascular diseases
			o Stroke & Obesity
			o Blindness: Categories of visual impairment and national program for control of blindness
			o Deafness: national program for prevention and control of deafness
			o Thyroid diseases
			o Injury and accidents: Risk factors for Road traffic injuries and operational guidelines for trauma care facility on highways
			NCD-2 Cancers
			o Cervical Cancer
			o Breast Cancer
			o Oral cancer
			o Epidemiology of specific cancers, Risk factors/

Unit

Time

(Hrs)

Learning Outcomes

Content

Teaching/Learning

Activities

Assessment Methods

Causes, Prevention, Screening, diagnosis signs, Signs & symptoms, and early management & referral

o Palliative care

o Role of a nurse in non- communicable disease control program

National Health Programs

National program for prevention and control of cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS)

National program for control of blindness

National program for prevention and control of deafness

National tobacco control program

Standard treatment protocols used in National Health Programs

Participation in national health programs

3 (T)

Enumerate the school health activities and the role functions of a school health nurse

School Health Services

Objectives

Health problems of school children

Components of school health services

Maintenance of school health records

Initiation and planning of school health services

Role of a school health nurse

Lecture Discussion Demonstration Role play

Suggested field visits Field practice

Short answer

Essay

Evaluation of health counseling to school children

Screen, diagnose, manage and refer school children

OSCE

assessment