《護(hù)理學(xué)基礎(chǔ)》課程教學(xué)大綱一、學(xué)時(shí)分配總學(xué)時(shí)為208學(xué)時(shí)。分為兩個(gè)部份，第一部份為導(dǎo)論部份：學(xué)時(shí)數(shù)為24學(xué)時(shí)。第二部份為基本知識(shí)與技能部份：理論74學(xué)時(shí)，實(shí)驗(yàn)78學(xué)時(shí)。自習(xí)學(xué)時(shí)：2學(xué)時(shí)。臨床見(jiàn)習(xí)32學(xué)時(shí)。二、承擔(dān)課程教學(xué)院系、教研室護(hù)理系護(hù)理教研室三、課程性質(zhì)和任務(wù)課程性質(zhì)：專業(yè)基礎(chǔ)課，必修課任務(wù)：《護(hù)理學(xué)基礎(chǔ)》是高等護(hù)理教育課程體系中的一門主干課程，是護(hù)理專業(yè)本科生必修的專業(yè)基礎(chǔ)課程。它為學(xué)生提供從事臨床護(hù)理實(shí)踐、社區(qū)保健、家庭護(hù)理等所有護(hù)理領(lǐng)域工作所必須具備的基礎(chǔ)知識(shí)、基礎(chǔ)理論、基本技能在護(hù)理專業(yè)課程中具有奠基的作用。它將護(hù)理學(xué)的基本概念和現(xiàn)代整體護(hù)理觀和相關(guān)人文、社會(huì)科學(xué)的基本理論和概念有機(jī)地融入學(xué)科系統(tǒng)知識(shí)中，并在各項(xiàng)護(hù)理基本技術(shù)中加以運(yùn)用。它將通過(guò)實(shí)驗(yàn)室、臨床為學(xué)生提供初步的整體護(hù)理實(shí)踐經(jīng)驗(yàn)和技能。通過(guò)這門課程的分階段實(shí)施，學(xué)生將逐步樹(shù)立護(hù)理是運(yùn)用專門知識(shí)和技術(shù)使患者達(dá)到最佳健康水平的獨(dú)特專業(yè)的信念，并在教學(xué)過(guò)程中主動(dòng)思考、學(xué)習(xí)、掌握護(hù)理學(xué)的基礎(chǔ)知識(shí)、理論和技能。由于本課程是護(hù)理本科生專業(yè)課程的起始課程，因此在教學(xué)中將特別注意激發(fā)學(xué)生對(duì)護(hù)理專業(yè)積極熱愛(ài)的情感，同時(shí)注重對(duì)學(xué)生思維能力、交流能力、觀察能力、操作能力和解決問(wèn)題能力的訓(xùn)練。四、課程基本內(nèi)容和要求以人為本，以素質(zhì)教育為本，教會(huì)學(xué)生在如何建立良好護(hù)患關(guān)系，取得患者信任和合作，關(guān)心尊重病人。（一）基礎(chǔ)理論和基本知識(shí)1．護(hù)理學(xué)的發(fā)展，護(hù)理學(xué)的基本概念，護(hù)理范疇。2．護(hù)理理論，護(hù)理程序，與護(hù)理相關(guān)的倫理與法律。3．掌握醫(yī)院環(huán)境的設(shè)置，預(yù)防院內(nèi)感染的措施。4．掌握維持患者基本生理需求的基本技術(shù)。5．掌握基本診斷和治療技術(shù)。6．掌握基本搶救技術(shù)。7．掌握護(hù)理病歷的書寫。（二）基本技能1．鋪各種病床。2．維持患者舒適、營(yíng)養(yǎng)、睡眠、排泄、清潔、氧氣等技能。3．基本診斷和治療技術(shù)：生命體征的觀察，冷熱療法，各種給藥技術(shù)，輸液和輸血法，標(biāo)本采集，臨床護(hù)理。4．基本搶救技術(shù)：給氧、吸痰、洗胃、心肺復(fù)蘇。5．能正確填寫護(hù)理病歷五、必須先修習(xí)的課程在學(xué)習(xí)《護(hù)理學(xué)基礎(chǔ)》課程前，應(yīng)先掌握生理、生化、病理、免疫學(xué)、微生物學(xué)、藥理學(xué)等醫(yī)學(xué)基礎(chǔ)課程。六、教材（一）教材1．.Christensenkockrow,Foundationsofnursing,mosby,2005（二）參考書1．《最新護(hù)理學(xué)技術(shù)》臺(tái)灣華杏護(hù)理叢書（中華護(hù)理學(xué)會(huì)推薦）2．姜安麗主編，《護(hù)理學(xué)基礎(chǔ)》（上下）（雙語(yǔ)）（第一版），人民衛(wèi)生出版社，2005年3．尤黎明主編，《內(nèi)科護(hù)理學(xué)》（第三版），人民衛(wèi)生出版社，2004年4．吳在德主編，《外科學(xué)》（第五版），人民衛(wèi)生出版社，2001年5．呂探云主編，《健康評(píng)估》（第一版），人民衛(wèi)生出版社，2002年6．鄭修霞主編，《婦產(chǎn)科護(hù)理學(xué)》（第三版），人民衛(wèi)生出版社，2003年7．吳光煜主編，《傳染病護(hù)理學(xué)》（第一版），人民衛(wèi)生出版社，2000年8．周秀華主編，《急救護(hù)理學(xué)》（第一版），人民衛(wèi)生出版社，2004年9．馬如婭主編，《護(hù)理技術(shù)》（第一版），人民衛(wèi)生出版社，2005年10．李秀云主編，《護(hù)理技術(shù)操作規(guī)程及評(píng)分標(biāo)準(zhǔn)》（第一版），湖北科學(xué)技術(shù)出版社，2005年11．JaniceB.Lindberg.,MaryLoveHunter,etal,IntroductiontoNursing:Concepts,Issues,andOpportunities3thed.Newyork,Lippincott,199812．劉振華主編醫(yī)療糾紛方法與應(yīng)訴北京：清華大學(xué)出版社2003年（三）專業(yè)雜志中華護(hù)理學(xué)雜志、護(hù)理學(xué)雜志、護(hù)士進(jìn)修雜志、現(xiàn)代護(hù)理、護(hù)理研究、實(shí)用護(hù)理雜志。（四）學(xué)習(xí)網(wǎng)站1．高雄醫(yī)學(xué)大學(xué)的PBL討論論壇：http://pbl、nurse、kmu、edu、tw/2．吉林大學(xué)遠(yuǎn)程教育：http://dec-vod、jlu、net、cn/tod/3．4．http://WWW.5．七、教學(xué)進(jìn)度與學(xué)時(shí)安排章節(jié)教學(xué)內(nèi)容學(xué)時(shí)理論課學(xué)時(shí)實(shí)驗(yàn)（實(shí)踐）學(xué)時(shí)第一章概述22第二章護(hù)理的基本理念44第三章護(hù)理理論22第四章健康與護(hù)理22第五章護(hù)理程序66第六章護(hù)理中的人際溝通44第七章護(hù)理實(shí)踐中的倫理與法律44第八章環(huán)境1367第九章病人出入院護(hù)理422第十章舒適與安全422第十一章預(yù)防與控制醫(yī)院感染18810第十二章病人的清潔衛(wèi)生1679第十三休息與活動(dòng)22第十四章生命體征的評(píng)估與護(hù)理1697第十五章冷熱療法422第十六章飲食與營(yíng)養(yǎng)835第十七章排泄1688第十八章藥物療法和過(guò)敏試驗(yàn)221012第十九章靜脈輸液與輸血1046第二十章標(biāo)本采集321第二十一章病情觀察及危重病人的搶救和護(hù)理642第二十二章臨終護(hù)理431第二十三章醫(yī)療和護(hù)理文件記錄22操作總復(fù)習(xí)44自學(xué)2臨床見(jiàn)習(xí)3232合計(jì)20898110（實(shí)驗(yàn)與見(jiàn)習(xí)）八、教學(xué)內(nèi)容Chapter1IntroductionTeachingObjectives1.

Identifytheexpertiseofthenursingprofession.2.

Definecriticalthinkingandleadership.3.

Identifycommonelementsinseveralleaders’definitionsofnursing.4.

Explaintheconceptsofcaringandcriticalthinkinginrelationtonursingpractice.5.

Identifytheelementsofperson-centerednursingcare.TeachingContents1.

Anintroductiontothenursingprofession.Nursingasanoccupationmeetssomecriteria;Describenursinginthepastandnursingatpresent.2.

Criticalthinkingandleadership.Definitionsofthinking,criticalthinking,frameworkthinking,andleadership;Howtodevelopcriticalthinkingandleadershipskills.3.

Caringasabasisfornursing.Aspecificmeaningofcaring;Factorsthatareintegraltothecaringprocess;Caringbehaviors;Howtotakegoodcareofpatients.4.

Definitionsofnursing.ThemainviewsondefinitionsofnursingfromNightingale,Henderson,King,Roy,Orem,andMarthaRogers;Thecommonelementsinseveralleaders’definitionsofnursing.5.

Elementsofperson-centeredcare.CarlRogers’thoughtsthatappliedtonursing;Attributesofclient-centeredapproach.6.

Attributesoftheperson-centerednurse.7.

Distinctionsbetweenpatientsandclients.PracticalContents1.

Videoandhospitalvisit:ThehistoryofTongjiHospital.Teachinghours2hrs:lecturetime:2hrsExercises1.

Givethedefinitionsofcriticalthinkingandleadership.2.

Developanewdefinitionofyourown.3.

Explaintheelementsofperson-centerednursingcare.Chapter2BasicConceptsofNursingTeachingObjectives1.

Describehowsocialandphilosophicsystemshaveaffectednursingthroughhistory.2.

Describethehighlightsofnursinghistory.3.

Describenursing’shistoricalprogressasart,scienceandprofession.4.

Describenursing’sstatusinrelationtoeachofthecharacteristicsofprofessions.TeachingContents1.

Aphilosophicperspectiveofnursing.Fourphilosophicperiodsofnursinghistoryandhowtheyaffectednursingineachperiod.2.

Historicalhighlights.Historicalhighlightsduringthelatemiddleages,thereformationperiod,FlorenceNightingale’seraandduringthenursingreform.3.

Developmentofmedicineandnursing.Developmentofmedicine;Developmentofnursing;Divergencebetweenmedicalandnursingpractice.4.

Nursingasanart.Thetimethatnursingasanartpredominate;Thereasonwhynursingisanart;Namesandopinionsofsomecreativenurses.5.

Nursingasascience.FlorenceNightingale’sgreatachievementstonursingasascience;Amajorbreakthroughforthedisciplineofnursing;Highlightsofnursing’sscientifichistory.6.

Nursingasaprofession.Definitionsofprofessionalismandprofessionalization.Generalcriteriaforprofessions.Teachinghours4hrs:lecturetime:4hrsExercises1.

Describethefourphilosophicperiodsofnursinghistory.2.

Makedivergencebetweenmedicalandnursingpractice.3.

Givegeneralcriteriaforprofessionsandthemainpointsofeachcharacteristic.Chapter3NursingRelatedTheoriesTeachingObjectives1.

Statehowtheconceptofholismappliestonursing.2.

Describehowtheconceptofsystemappliestonursing.3.

Relatetheconceptoftheperson’sviewofselftoone’sownself.4.

Describeseveralprinciplesofgrowthanddevelopment.5.

ApplyideasfromthetheoriesofMaslow,Erikson,Piaget,andCarlRogerstoreal-lifesituations.TeachingContents1.

Thepersonasanopensystem.Definitionofholism;andtheinterrelationshipsoftheholisticperson;2.

Generalsystemstheory.Attributesofsystem,definitionsofopenandclosedsystem,systemstheoryappliedtotheperson,exchangeofenergyamongthesubsystemsofaperson;3.

Maslow’shierarchyofneeds.DescribeMaslow’shierarchyofneedsandcharacteristicsofeachneed;12ideasextractedandadaptedfromMaslow;4.Person’sperceptionofself.Definitionsofself-concept,self-ideal,bodyimage,valueandvaluejudgement.5.Generalprinciplesofgrowthanddevelopment.Differencebetweengrowthandmaturation;PrinciplesofGrowthanddevelopment;DevelopmentaltasksaccordingtoErikson;Howtoapplyconceptsfrompsychosocialdevelopmentaltheorytopractice;FourmajorlevelsinthedevelopmentofcognitionaccordingtoPiaget;Definitionsofassimilation,accommodation.PracticalcontentsPracticeinTongjiHospital:Holismappliedtothenursingpractice.Teachinghours2hrs:lecturetime:2hrsExercises1.

Howtounderstandpersonisauniqueandcomplexhumanbeing.2.

DescribeMaslow’shierarchyofneeds.3.

DescribedevelopmentaltasksaccordingtoErikson.4.

Givethecharacteristicsofthefourmajorlevelsinthedevelopmentofcognition.Chapter4Health:AnursingperspectiveTeachingObjectives:1.Definetheconceptofhealth.2.Describetwotypesofhealthbehaviorandtheirapplicationindailylife.3.Describehealth-beliefmodel,healthpromotionmodelandtheirapplicationsindailylife.4.IdentifywaystheprofessionalnursepromoteshealthTeachingContents1.Conceptofhealth2.Healthbehavior3.Health-BeliefModel4.Healthpromotionmodel5.Nurses’rolesinhealth-protectionandhealth-promotionTeachinghours2hrs:lecturetime:2hrsExercises1.Stateyourpersonaldefinitionofhealth,andinterviewanurse,aclient,astudent,andphysicianabouttheirdefinitionofhealth.2.Discusstherangeofdefinitionusingwhatwehavelearnedasaframeofreference.Chapter5NursingprocessTeachingObjectives1.Stateconceptofnursingprocess2.Statefivesteps(phases)ofnursingprocess3.Definethemajorcharacteristicsofnursingprocess4.Stateconceptofassessing5.Differentiateobjectivedataandsubjectivedata6.Identifysourcesofdata7.Applythemethodscorrectlyindatacollection8.Definetheconceptofnursingdiagnosis.9.Definetheconceptofcollaborativeproblems10.

DescribeimportanceandpurposesofND11.DescribeandidentifycategoriesofND11.

Stateformatforwritingdiagnosticstatements12.Meaningofplanning13.Purposeofplanning14.Importanceofplanning15.Statestepsthatoccurintheplanningphase.16.StatethedifferencebetweenInitialandongoingplanning,anddischargeplanning17.StatedefinitionandPurposeofImplementing18.IdentifyCategoriesofInterventions19.StatesevendomainsofNursingInterventionClassification20.Applyguidelinesforsuccessfulimplementation21.Statedefinitionofevaluation22.Statecomponentsofevaluation23.DocumentingtheresultsofevaluationcorrectlyTeachingContents1.Historicalperspective2.Descriptionofnursingprocess3.Characteristicsofnursingprocess4.Assessment4.1Definition4.2Purpose4.3Typesandcharacteristicsofdata4.4Sourcesofdata4.5Methodsofdatacollection5.Nursingdiagnosis5.1Conceptofnursingdiagnosis5.2Conceptofcollaborativeproblems5.3PurposesandwritingformatsofND6.Planning6.1.Meaningofplanning6.2.Purposeofplanning6.3.Importanceofplanning6.4.Planningphase.6.5.DifferencebetweenInitialandongoingplanning,anddischargeplanning7.Implementing7.1DefinitionandPurposeofImplementing7.2CategoriesofInterventions7.3NursingInterventionClassification

GuidelinesforSuccessfulImplementation8.Evaluation8.1Definitionofevaluation8.2Componentsofevaluation8.3DocumentingevaluationTeachinghours6hrs:lecturetime:6hrsExercisesCasestudyMs.Nancyatwellisa32-year-oldunmarriedteacherwhowasdiagnosedwithrheumatoidarthritis4yearsago.Thischangehasmadeherkneespainfulandhaslimitedthemotionandweight-bearingabilityofthekneejointsthemselves.Shehasrecentlybeendiagnosedwithuterinecancer,andnowentersthehospitaltoundergoahysterectomy.Onherpreviousadmissionfortreatmentofherarthritis,shehadbeenquiet,withdrawn,andextremelyconcernedforherprivacy.Nowsheseemsmoreoutgoingandlessovertlyconcernedaboutprivacy.Whenquestioned,Ms.Atwellstatedthatshehadhadnoprevioussurgicalexperience,butdeniesfeelingnervousabouttheoperation.Herpreoperativeordersfollow:1.

S.S.enemaat09002.

Nembutal100mgp.o.atHS3.

NPOPre-opmed:Demerol75mgIMat1pm.Pleasewritedownthecontentsofassessmentdata,nursingdiagnoses,plan,andevaluation.Chapter6:InterpersonalcommunicationinnursingandhealthI.Learningobjectives:Afterthislesson,thestudentswillbeableto1.

understandthedefinition,processandthetypeofinterpersonalcommunication.2.

applytheguidelinesinnonverbalcommunication.3.

understandthefactorsaffectinginterpersonalcommunication4.

befamiliarwithdefinition,characteristicsofhelpingrelationship5.

befamiliarwithrolesofnurseashelpers.6.statesthephasesofgrowthinnurse-clientrelationship;7.discusstheguidelinesforsuccessfulhelpingrelationship;8.describeeffectivecommunicationtechniques9.identifynontherapeuticcommunicationtechniques10.differentiateassertive,aggressiveandpassivecommunication.II.Focus1.Componentsofcommunicationprocess.2.Differencebetweenprofessionalrelationshipandsocialrelationship3.Stagesofdevelopmentofnurse-clientrelationship.4.Guidelinesforsuccessfulhelpingrelationship5.Assertivecommunication.6.Factorsaffectingcommunitaion.III.Contentofteachingandkeypoints1.Definition,processandthetypeofinterpersonalcommunication.2.Guidelinesinnonverbalcommunication:facialexpression,eye-contact,bodyposture,gesture,appearance,environment,distance,etc.3.

Factorsaffectinginterpersonalcommunication:Internalfactors,andexternalfactors.4.Definitionandcharacteristicsofhelpingrelationship,differencebetweensocialrelationshipandprofessionalrelationship.5.Fourrolesofnurseaseffectivehelpers.6.Phasesofgrowthinnurse-clientrelationship,andtasksineachphase.7.Guidelinesforestablishingsuccessfulhelpingrelationship.8.Effectivenurse-clientcommunicationtechniques:empathy,listening,explaining,silence,reflection,etc.9.Nontherapeuticcommunicationtechniques:falsereassurance,advice,subjectivejudgement.10.Assertive,aggressiveandpassivecommunication.Teachinghours4hrs:lecturetime:4hrsIV.Contentsforself-learning1.Interpersonalprocessappliedtonursing:Atheoreticalperspectives.2.Conflictresolution,andcollaboration.V.Suggestedreadings1.李小妹主編護(hù)理學(xué)導(dǎo)論湖南科技出版社，2001年2.李繼平主編護(hù)理人際關(guān)系與溝通教程北京科學(xué)技術(shù)出版社2004年3．Improveyourcommunicationskills/guides/growth/23032.htmlVI.Assignment1.Analyzethecommunicationstylesofyourthreeclassmates.Compareandcontrastpassive,assertive,andaggressivecommunicationthroughexamples.2.Whatareyourstrengthsoruniquepersonalskillsthatmightinfluenceyourinterpersonalcommunication?3.Inwhatspecificwayscanyouprepareyourselfforbetterpersonalcommunicationandprofessionalcommunication?4.Considerhowtoestablishsuccessfulnurse-clientrelationship.5.Compareandcontrasttherapeuticandnontherapeuticcommunicationtechniques.6.Whatwouldyouconsiderifyouaregoingtoestablishtherapeuticcommunicationwithpersonsolderthanyou,youngerthanyou,andoftheoppositegender?Chapter7EthicalandlegalaspectsofnursingI.Teachingobjectives:1.Explainfollowingterms:ethics,moral,values,autonomous,value.2.Statethedevelopmentprocessofmoralvalues.3.Describethepurposeofvalueclarification.4.Befamiliarwithbasicethicalprinciples5.Beawareofpatient’srights.6.Identifymajorethicalissuesconfrontingnursing,otherhealthprofessionals,andsociety.Stateyourownopinion.7.Befamiliarwiththebasicknowledgeaboutlaw8.Befamiliarwithlawconcerningnursingpractice9.Discusslegalissuesinnursingpractice10.Identifythestrategiesinpreventinglawsuitinnursingpractice.II.Focus1.Basicterms:ethics,nursingethics,moral,values,autonomous.2.Processofdevelopmentofmoralvalues3.Majorethicalissuesconfrontingnursing,otherhealthprofessionals,andsociety.4.Commonlegalissuesinnursingprofession.5.Strategiestopreventlawsuitinnursingpractice.III.Contentofteaching1.Basicterms:ethics,nursingethics,moral,values,autonomous.2.Developmentprocessofmoralvalues.3.Valueclarificationanditspurpose.4.Basicethicalprinciples:autonomy,beneficence,justice,informedconsent.5.Patient’srights.6.Majorethicalissuesconfrontingnursing,otherhealthprofessionals,andsociety:humanassistedreproductivetechnology,organtransplantation,euthanasia,eugenics,cloning,etc.7.Basicknowledgeaboutlaw:definition,classificationoflaw,typesoflaw.8.Familiarwithlawconcerningnursingpractice:law,administrativeregulations,divisionrules,nursingstandards,ethiccodes.9.Commonlegalissuesinnursingpractice:nursingdocumentation,physician'sorder,student'saccountability,liability,etc.10.Strategiestopreventlawsuitinnursingpractice.Teachinghours4hrs:lecturetime:4hrsIV.Contentforselflearning1.Somepersonalbioethicalissues,suchas.bioengineering,2.Theoreticalapproachestoethicalissues.3.Legislativeprocess.V.Suggestedreadings1.李小妹主編護(hù)理學(xué)導(dǎo)論湖南科技出版社，2001年2．護(hù)理倫理學(xué)3．劉振華主編醫(yī)療糾紛方法與應(yīng)訴北京：清華大學(xué)出版社2003年4．中華護(hù)理雜志護(hù)理管理雜志5．/nursing/fa/VI.Assignment1.WhatistheprocessofvaluedevelopmentaccordingtoKolhberg?2.Chooseanethicalissueofinterest.Compareitsdiscussionincurrentmedicalandnursingliterature.Identifyyourownopinion.3.Whataretherightsofapatient?4.Whatarethetypesoflaw?5.Describethepurpose,principlesofnursingdocumentation.6.Asanursingstudent,howtoavoidlitigation?Chapter8EnvironmentTeachingObjectives1.Obtaincompleteinformationaboutthemeaningandtherangeofenvironment.2.Describethecommonfactorsinenvironmentwhichinfluencethehealth3.Identifytherelationshipbetweenenvironmentandnursing.4.Describemedicalenvironment5.Identifythepurposesofmakingdifferenthospitalbeds6.Describeandpreparetheequipmentsneededinmakingdifferenthospitalbed7.Describeinfectioncontrolandbodymechanicsusinginbedmaking8.Demonstratethecorrecttechniquesofmakingdifferentbeds(Paymuchattentiontoinfectioncontrolandusebodymechanicswhileperforming)TeachingContents1.Environmentandhealth2.Medicalenvironment3.Providingcomfortableandsafeenvironment4.Thebasicfurnishingsandequipmentofthebedunit5.Bedsafety6.Bedcomfort7.Rationalefortheuseofmakingdifferentbeds8.Infectioncontrolinbedmaking9.Bodymechanicsinbedmaking10.ClinicalguidelinesinbedmakingPracticalcontents1.Makingclosedbed2.Makingunoccupiedbed3.MakingsurgicalbedTeachinghoursTheoreticalcourses:6hoursPracticalcourses:7hoursExercises1.Describethephysicalenvironmentinhospitalanditsfrondoserequirement2.MakingeachkindofbedChapter9AdmissionandDischargeTeachingObjectives1.Describethenurses’sroleinmaintainingcontinuityofcareforadmission,transfer,anddischargefromanacute-carefacility.2.Identifyclientsinneedofcomprehensivedischargeplanning.3.Discussnursingresponsibilitiesinadmissionanddischarge4.properapplicationtotransfertheclientwithstretcherandchair5.describesevenvariablesthatinfluencebodyalignmentandmobility6.grasptheeffectsofexerciseandimmobilityonmajorbodysystemsTeachingContents1.NursingcareofAdmission2.NursingcareofDischarge3.Properapplicationtotransfertheclientwithstretcherandchair5.Sevenvariablesthatinfluencebodyalignmentandmobility6.TheeffectsofexerciseandimmobilityonmajorbodysystemsPracticalcontents1.Admitanddischargeapatients2.TransfertheclientwithstretcherandchairTeachinghours 1.Theoreticalcourse:2hour2.Practicalcourse:2hourExercisesDorevisionChapter10ComfortandsafetyTeachingobjectives1.tograspfivekindsofcommonpositionsandpurposes2.toidentifyfactorsthatmaybesafetyhazardsintheclients’environment3.toidentifyclientsatriskoffalling4.toknowsomethingaboutnursingdiagnosisassociatedwithaclientinanunsafesituation5.toapplyrestraintsproperlytotheclientsTeachingcontents1.fivekindsofcommonpositionsandpurposes2.factorsthatmaybesafetyhazardsintheclients’environment3.clientsatriskoffalling4.nursingdiagnosisassociatedwithaclientinanunsafesituation5.restraintsproperlytotheclientsPracticalcontents1.ApplyrestraintsandcommonpositionstotheclientcorrectlyTeachinghoursTheoreticalpart:2hrPracticepart:2hrExercisesPracticeofapplyingrestraintsandpositionstotheclientcorrectlyChapter11HospitalInfectionPreventionandControlTeachingobjectives1.Definekeytermsusedinthischapter:theinfectioncycle,nosocomialinfection,disinfectionsterilizationmedicalasepsisandsurgicalasepsis2.Describetheprinciplesofasepsis,3.Listthestagesofaninfection4.Identifyclientsatriskfordevelopinganinfection5.Statefactorsthatinfluencetheincidenceofnosocomialinfection6.Identifysituationsinwhichhandwashingisindicated7.Identifynursingdiagnosesassociatedwithaclientwhohasaninfectionorisatriskofdevelopinginfection8.Demonstratethecorrecttechniquesofmedicalandsurgicalasepsisfortheinstructor9.Demonstratethecorrecttechniquesofisolationskillsfortheinstructor.Teachingcontents1.Thefirstsection:nosocomialinfection2.Thesecondsection:disinfectionandsterilization×3.Thethirdsection:aseptictechniques4.Thefourthsection:practiceofaseptictechniques5.Thefifthsection:isolation6.Thesixthsection:practiceofisolationskillsPracticeContents1.Aseptictechniques:pouringsterilesolution;prepareasterilefield;donningandremovingsterilegloves2.Isolationskills:donningandremovingisolationgown;takingTPRfortheclientsinthestrictisolationTeachinghours18hours1.Theoreticalcourse:8hours2.Practicalcourse:10hoursExercisesPracticeaseptictechniquesChapter12HygieneTeachingobjectives:1.Mastertheimportanceofclient’shygiene.2.Oralhygiene:knowtheguidanceofbrushing,flossing;masterdenturecare;masterpurposesandassessmentoforalhygiene;discusstheindicationsforspecialoralhygiene;masterthecommonlyusedmouthwash;discusstheprocedureofspecialoralhygiene;discusstheattentionsoforalhygiene.3.Haircare:helptheclientwithcombingandshampooinginbed;discussthedrugforandprocedureofeliminationofheadlouse.4.Skincare:knowthebasicanatomyandfunctionoftheskin;discussassessmentoftheskin;knowhowtoassisttheclientwithshowerandtubbath;discussthemostimportantactionintheprocedureofbedbaths;masterthetechniqueofmakinganoccupiedbed.5.Pressureulcer:definepressureulcer;discusstheusualsitesofpressureulcer;stagepressureulceranddiscussthemanifestationofeachstage;discussthepreventionmeasuresofpressureulcer;discussthetreatmentandnursingmeasuresofpressureulcer;masterthetechniquesofpreventionofpressureulcer.6.Morningcareandeveningcare:masterthemaintasksofmorningcare;masterthemaintasksofeveningcare.7.Self-studycontents:careofperinealareaTeachingcontentsEpisode1:purposesofadministeringoralhygiene;procedureofadministeringoralhygieneEpisode2:purposesofhaircare,procedureofadministeringhaircareEpisode3:purposesofskincare,procedureofadministeringskincare;purposesofmakinganoccupiedbed;procedureofmakinganoccupiedbedEpisode4:Causesofpressureulcer,procedureofpreventionofpressureulcer(purposes,commonsites,preventioninterventions,treatmentofpressureulcer)Practicingcontents1.Administeringoralhygiene2.Makinganoccupiedbed3.PreventionofpressureulcerTeachinghours16hrs:lecturetime:7hrspracticetime:9hrsExercises1.Definepressureulcer.2.Writedowntheordertotakeoffandputonclothesforclientduringbedbath.3.Writedownpreventionofpressureulcer.4.Pleasestagingpressureulcerandwritedowntreatmentofpressureulcer.Chapter13RestandActivityTeachingobjectives1.todescribesevenvariablesthatinfluencebodyalignmentandmobility2.tograsptheeffectsofexerciseandimmobilityonmajorbodysystemsTeachingcontents1.Sevenvariablesthatinfluencebodyalignmentandmobility2.TheeffectsofexerciseandimmobilityonmajorbodysystemsTeachinghours2hourstheory:2hrsChapter14VitalSignsTeachingObjectives1.Definekeytermsofthischapter:vitalsigns,bodytemperature,continuedfever,remittentfever,intermittentfever,irregularfever,hypothermia,intermittentpulse,pulsedeficit,paradoxicalpulse,dicroticpulse,boundingpulse,threatpulse,alternatepulse,hypertention,hypotention,tachypnea,bradypnea,Kussmauls’respiration,Cheyne-Stokesrespiration,Biot’srespiration,hyperpnea,apnea,dyspnea,orthopnea,stridor,wheeze,crackles,gurgles,hypoxia2.Graspthenormalrangeofbodytemperature,normalpulse,normalrespiration,normalbloodpressure.3.Grasptheabnormalconditionsofvitalsignswhichincludethebodytemperature,pulse,respiration,bloodpressure.Andcareforthepatientwithabnormalvitalsigns.4.Graspthemethodstomeasurebodytemperature,pulse,respiration,andbloodpressure.5.Graspthemethodsofremovingrespiratorytractsecretions.6.Grasptheattentionsforsputumsuction.7.Graspadministrationofoxygenbymeansofanasalcatheter.Teachingcontents1.Definitionofvitalsigns,andthepurposeforlearningandobservingvitalsigns.1)definitionofbodytemperature2)temperatureregulation3)normalbodytemperature4)factorsaffectbodytemperature5)abnormalbodytemperature:hyperthermiaandhypothermia6)fevertypes7)nursingforthepeoplewhohaselevatedbodytemperature8)measurebodytemperature2.Section2pulse1)definitionofpulse2)normalpulserate3)factorsaffectpulserate4)abnormalpulserate:tachycardia,bradycardia5)normalpulserhythm6)abnormalpulserhythm:arrhythmia7)measurepulse3.Section3bloodpressure1)definitionofbloodpressure2)normalbloodpressure3)factorsaffectbloodpressure4)abnormalbloodpressure:hypertension,hypotension5)measurebloodpressure4.Section4respiration1)definitionofrespiration2)respirationprocess3)anatomyofrespiration4)normalrespirationrate5)abnormalrespirationrate:polypnea,bradypnea6)respirationdepth7)natureofrespiration8)breathsounds9)nursingfortheclientswithrespirationsystemproblems10)methodsofremovingrespiratorytractsecretions11)procedureandattentionfortrachealsuction12)definitionofhypoxia13)methodsofprovidingsupplementaloxygen14)theadministrationofoxygenbymeansofanasalcatheterpracticingcontents1.measurebodytemperature,bloodpressure,respiration,andpulse2.administrationofoxygenbymeansofanasalcatheter,suctionsputum3.testofgivingoxygenbymeansofanasalcatheterTeachinghours16hours1.theorylessons:10hrs2.practicelessons:6hrsExercises1.Whatistherangeofnormalvitalsigns?2.Comparenormalandabnormalvitalsignassessments,includingcauses,effects,andimplicationsofabnormalfindings.3.Whatequipmentsisnecessarytoassessvitalsigns?4.What’stheattentionswhengivingoxygen?Chapter15ColdandHeatTherapyTeachingobjectives1.Toknowlocaleffectsofheatandcold2.Toknowfactorsinfluencingheatandcoldtolerance.3.TograsptheapplicationofheatandcoldtherapyColdtherapy:applicationoficebag,icecap,coldcompress,cleanwithwarmwateroralcohol.Heattherapy:applicationofhotbag,heatlamps,heatcompress,sitbath,warmsoaksTeachingcontents1.localeffectsofheatandcold2.Factorsinfluencingheatandcoldtolerance.3.Applicationofheatandcoldtherapy3.1Coldtherapy:applicationoficebag,icecap,coldcompress,cleanwithwarmwateroralcohol.3.2Heattherapy:applicationofhotbag,heatlamps,heatcompress,sitbath,warmsoaksPracticecontentstocleantheclientwithalcoholTeachinghours6hourstheory:4hourspractice:2hoursExercisesDorevisionChapter16DietandNutritionTeachingObjectives1.

Definekeytermsinthischapter.2.

Describetheimportanceofdietandnutrition.3.

Listthesixclassesofnutrientsandexplainthesignificanceofeach.4.