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LESSON PLANONUNCONSCIOUS SUBMITTED TO :SUBMITTED BY:Mrs. GEETHAMS. K. SELVILECTURER IN NURSINGP.B.BSc(N)SMVNC SMVNC SUBMITTED ON

INTRODUCTION:-Good morning everybody, I hope you people are well known me, but still I will introduce myself to you. I am K.SELVI Studying Post Basic B.Sc. Nursing Final Year.

When I was posted in the ward I met a patient with the complaints of confusion, drowsiness, disorientation, rapid heartbeat.

So, if these symptoms are found to the patient what will be the diagnosis it is UNCONSIOUS.

Let me discuss in detail about UNCONSIOUS.

SUBJECT: Medical and Surgical NursingTOPIC : UNCONSICOUSGROUP OF STUDENT: B.Sc.NursingNO.OF.STUDENTS :PLACE : Sri ManakulaVinayagar Nursing CollegeDATE :TIME AND DURATION: 45 minutesMETHOD OF TEACHING : Lecture cum DiscussionAUDIO VISUAL AIDS : Chart, Roller board, Blackboard, Pamphlets, Leaflet, Handout, OHP.

NAME OF THE STUDENT TEACHER: K.SELVI, [P.B.B.Sc NSG II Yr]

EVALUATOR : Mrs.GEETHA Msc.Nursing[Lecturer in Nursing]

GENTRAL OBJECTIVES:

At the end of Class the Student will be able to acquire knowledge regarding unconscious and they will develop desirable attitude towards care of the patients in the clinical settings.

SPECIFIC OBJECTIVES:

The student will be able to, define unconscious list out the risk factors for unconscious enlist the clinical manifestation of unconscious describe the pathophysiology of unconscious enlist the diagnostics findings of unconscious list out the assessment of unconscious enumerate the management of unconscious medical (Pharmacological) management nursing management discuss the complications of unconscious

Sl.NoSPECIFIC OBJECTIVESTIMECONTENTTEACHER/LEARNER ACTIVITIESEVALUATION

1.Introduction3minIntroduction:

Loss of consciousness that may result from a wide variety of causes. A consciousness person is usually completely unresponsive to their environment or people around them .Unconsciousness can occur as a result of brain injury, lack of oxygen or poisoning as well as numerous other condition. More detail about the symptoms, causes, and treatment of unconsciousness is available below

Teacher introduce the topic through lecturer method

Student are listeningWhat is mean by Unconscious?

2.Define Unconscious2minDefinition:

Unconsciousness is a lack of awareness of ones environment and the inability to respond to external stimuli. This condition can vary in severity, ranging from a transient faint to prolonged coma.Teacher define the Unconsciousness by using Roller board

Student are actively participate and taking notes.What is Unconscious?

Sl. No.SPECIFIC OBJECTIVESTIMECONTENTTEACHER/LEARNER ACTIVITIESEVALUATION

3

List out the causes for Unconscious5minCauses: HEAD INJURY Skull fracture Fainting Concussion Compression Asphyxia Hypoxia Extremes body temperature Endocrine causes CEREBROVASCULAR ACCIDENT Epileptic fits Hysteria Convulsion Hypoglycemia Alcohol use Cns infection Hyperglycemia SUBARACHNOID HEMORRHAGE Cardiac arrest Blood loss Substance abuse Drug overdose Hypothermia Hypotension Hypertensive crisisTeacher List out the causes by using leaflet.

Student are actively listening.

What are the causes of Unconscious?

Sl. No.SPECIFIC OBJECTIVESTIMECONTENTTEACHER/LEARNER ACTIVITIESEVALUATION

4.Describe the Pathophysiology of Unconscious

5minPathophysiology:

Altered level of consciousness is not a disorderd itself it result from multiple pathopsyologic.

It causes of neurologic dysfunction is description in the cell of neurons system, neutron or brain anato

Cellular oedema and other mechanism.

Increased or decreased in the circulation of blood or cerebrospinal fluid..

Unconscious

Teacher explains about the pathophysiology by using chart.

Student are actively listening

What are the steps in pathophysiology?

Sl. No.SPECIFIC OBJECTIVESTIMECONTENTTEACHER/LEARNER ACTIVITIESEVALUATION

5.

List out the clinical manifestations of Unconscious

3min

Clinical manifestations: Drowsiness Confusion Disorientation Stroke respiration Convulsion Rigidity of extermities Rapid heart beat Light headedness Stupor Increased intra cranial pressure Cerebro spinal pressure Inability to speak Loss of bowel or bladder Teacher List out the clinical manifestation by using pamphlets.

Student are actively participating.

What are the clinical manifestations for Unconscious?

6.Explain about the diagnostic findings of Unconscious

3minDiagnostic Test Findings: Neurological examination Mental status examination Common diagnostic procedure Computer tomography Magnetic resoning imaging Electric encephalo gram Pet Laboratory test Blood glucose Liver function test Blood urea nitrogen Blood electrolyte Serum ammonia

S.NOSPECIFIC OBJECTIVESTIMECONTENTTEACHER/LEARNER ACTIVITIESEVALUATION

7.Enumerate the management of Unconscious

5minManagement:

i. Medical Management:

Maintain a patient airway trachestomy and oral or nasal intubation. Maintain adequate oxygen therapy and mechanical ventilator. Maintain fluid balance (intravenous catheter) Nutritional support (feeding tube or gastrostomy) Circulatory status is monitored to ensure that adequate perfusion to the body and brain is maintained. ii. Nursing Management: Assess the level of unconscious. Maintanence of effective airway. Maintanence of fluid and electrolyte balance. Maintanence of personal hygine and care of pressure areas . Promoting elimination. Maintaining mobity . Family education Teacher explains about the management of Unconsciousness by using Hand out .

Student are actively participate and taking notes.What are the management for Unconscious?

S.NOSPECIFIC OBJECTIVESTIMECONTENTTEACHER/LEARNER ACTIVITIESEVALUATION

8.

9.Discuss the complication of unconscious

Describe the Nursing Assessment

3min

6minComplications:

Acute renal failure Intracranial embolism Alcoholism Shock Lead poisioning Heat stroke

ASSESSMENT

Teacher explains about complication of unconsciousness by using OHP

Student are actively listening

Teacher Describe the Nursing Assessment by using chart

Students are actively taking Notes

What are the complications of unconscious?

What are the Assessment of unconscious?

S.NOSPECIFIC OBJECTIVESTIMECONTENTTEACHER/LEARNER ACTIVITIESEVALUATION

10.List out the Nursing Diagnosis of unconscious6min Nursing Diagnosis:

I. Ineffective airway clearance related to altered level of unconscious.

II. Risk for injury related to decreased level of conscious.

III. Fluid volume deficit related to inability to take fluid by mouth.

IV. Risk for impaired skin integrity related to prolonged immobility .

V. Impaired urinary elimination related to impaired in neurologic sensing and control.

VI. Impaired oral mucus membrane related to mouth breathing absence of pharengeal reflex and altered fluid intake.

Teachers list out the nursing diagnosis of unconscious by using lecture method

Students are actively listening

What are the Nursing Diagnosis?

GLASSGOW COMA SCALE

Eye opening response

Best verbal response

Best motor response

Spontaneous To voice To pain None

Oriented Confused Inappropriate words Incomprehensive sounds None

Obey command Localize pain Withdraws Flexion Extension None

4321

54321

654321

3 to 15

NURSING DIAGNOSISGOALINTERVENTIONRATIONALE

Ineffective airway clearance related to altered level of unconscious.

Will be maintain the airway patternTo promote airway clearance and pulmunarate by the patient position.

1. To assess the respiratory rate, rhythm, effort, oxygen level and breath sound.

2. To give the frequent oral care every 2-4 hrs.

3. To maintain the position such as upright position or semifowler position.

4. To administer the oxygen as per DR order.It helps to breahe the normal pattern.

It helps to assess the respirator y level

It helps to remove the the oral mucus membrane

It helps to improve the airway pattern.

NURSING DIAGNOSISGOALINTERVENTIONRATIONALE

Risk for injury related to decreased level of conscious. Will be reduce the injury.To keep the side rails up on the bed and bed in the lowest position.

To give adequate support to the limbs and hard when moving or turning the unconscious patient.

To protect an unconscious patient from external source of heat .

Avoid over sedation because it may after respiration which increase the intracranial pressure in patient level of consciousness.

It helps to prevent the injury.

It helps to reduce the injury.

It helps to prevent from heat.

It helps to reduce the intracranial pressure.

NURSING DIAGNOSISGOALINTERVENTIONRATIONALE

Fluid volume deficit related to inability to take fluid by mouthWill be improve the normal fluid volume status.To monitor the intake and output

To monitor and record vital sign, skin colour and temperature.

To avoid the over hydration in patient receving iv fluids because of risk of cerebral oedema.

To observe and measure the abdominal girth.

It helps to measure the fluid volume status.

To assess the fluid status of the body.

It helps to prevent the cerebral oedema.

To prevent the over fluid of the body.

NURSING DIAGNOSISGOALINTERVENTIONRATIONALE

Risk for impaired skin integrity related to prolonged immobility .

Will be reduce the skin integrity.To provide the nursing intervention for all self-care needs including bathing, care of hair, skin & nail.

To change the position at least for every 2 hrs

To apply the solution in high fatty acid.

To provide the special or water bed to the patient.

Perennial care should be performed at least every 8 hrs and after every episode of incontinence.

It helps tomaintain the personal hygiene.

It helps to prevent the bed sore.

It helps to prevent the loss of cutaneous oil excrete from the body.

It helps to prevent the rashes in the skin.

It helps to prevent the infection

EVALUATION: SRI MANAKULA VINAYAGAR NURSING COLLEGEMARK: SUBJECTIVE TYPE QUESTIONS:- 30 MIUTES1) Define unconsciousness?2) List out the causes of unconsciousness?3) What are the clinical manifestations of unconsciousness?4) What is the management for unconsciousness?5) What are the complications of unconsciousness?

ASSIGNMENT:- Write the Nursing Care of unconscious?

SUMMARY:Thus we people learned about chronic obstructive pulmonary disease and causes, clinical features, and management for curing this disease.

CONCLUSION:Thus from todays session we people had some knowledge on causing nature of unconscious and its management. As a whole I thank my principal mam and all staff and everyone for your patience given to me while I am taking my session. I thank you for this opportunity to share my knowledge to all.

BIBLIOGRAPHY:TEACHER REFERENCE: BRUNNER &SUDDHARTHS, Textbook of Medical-SurgicalNursing, Published by Jaypee, 12th Edition, Volume-1,Page no:- 1858-1865

JAVED ANSARI, Textbook ofpeeveeComprehensive Medical Surging and Nursing, 1st Edition Published by S.Vikas& company Page no:-475-479

LIPPINCOT WILLIMS& WILKINS AText book of Lippincott manual of Nursing Practice Published by Woltersklwer 9th Edition ,page no:-445-449 WWW.CURRENT NURSING .COM

JOYCE M.BLACK Textbook of Medical surging and Nursing, 7st Edition Published by Saunders, Page no:- 2051-2065STUDENT REFERENCE: SHAFERS AText book of Medical surging and Nursing, 7st Edition Published by B.I Publicationpvt.ltd Page no:208-217

USHA RAVINDIRAN NAIR, A Text book of Medical surging and Nursing, 7st Edition Published by Jaypee Brothers Page no:- 340-350

WWW.INDIANNURASING.COM

THANKING YOU MAM