CRITICAL CARE NURSING LESSON PLAN definition, types, purpose, advantages

critical care of nursing, definition, purpose, advantages etc.,

1. Lesson p
lan
on
specia
l equipments

2. Subject : Medical Surgical Nursing II
Topic : Special Equipments
Unit : 9
Class : IIIrd year B.Sc nursing
Time :
Date :
Place : B.Sc Nursing III Year class room
Method of teaching : Lecture cum disscussion
Instructional aids : Block board ,Chart, OHP
Name of the presenter :
General objectives : All the end of the session the student will be able to knowledge about cognitive aspects of aging
Specific objectives : At the end of the class the student wii be able to theories of aging

3. TIMEOBJECTIVES CONTENT AV.AIDSTEACHERS
LEARNER
ACTIVITY
METHOD OF
TEACHING
EVALUATION
20minExplain the
special
equipments
VENTILATOR:
Introduction : Mechanical
ventilator in the health care
setting helps patient breath
by assisting the inhalation of
o2 in to the lungs and the
exhalation.
INDICATION:
1.Bradypnea
2. Acute lung injury
3.Trachypnea
4.COPD
5.Hypotension
6. coma
INVASSIVE VENTILATOR
MODES:
1.Volume control support
2.Pressure control support
3.Volume support
COMPLICATION:
1.Acute lung injury
2.Barotrauma
3.Oxygen toxicity
4.ARDS
5.Diaphram atropy
6.Decreased cardiac output
PPT Explained
the
Specific
Equipments
Lecture discussionExplain the special
equipments?

4. Explain about
Defebrilator
DEFIBRILATOR:
DEFINATION:
Application of a present
electrical
Current across t6he
myocardium to course
synchronus deplorazation of
cardiac muscle.
3 MAJOR PHYSICAL:
1.Power supply
2.Capacitor
3.Indicator
TYPES OF DEFIRILATOR:
1.Manual external
2.Automateded external
3.Implantable cardiac
defirilation
ENERGY LEVEL OF
DEFIBRILATOR:
1.Monophasic- 360j
2. Biphasic- 120-200j
SYNCHORONIZED CARDIO
VERTION:
Narrow regular QRS-complex
trachycardia-50-100
Narrow irregular complex
trachycardia-120-200
PPT
Demonstration
What is cardiac
monitor?

5. Explain the
cardiac monitor
Explain about
the pulse
oximetry
CARDIAC MONITOR:
ECG MONITOR:
1.Electro graphy
2.ECG monitor
3.Activity of the heart
over
a period of time
4.The wave form
produced
And displayed of ecg
3 leads:
1.Right arm( white)
2.Left arm (black)
3.Left leg(red)
12 leads:
Combines of the 3 limb
electrodes with 6leads
INTA VENTILATION
FUNCTION:
1.Trancutanus pacing
2. Provide on electrical
single
3. It own built in
pacemaker
PULSE OXIMETRY:
1.Non invasive method of
monitoring a patient
oxygen saturation
2.Clinical manificant
a.Provide a clinical
CHART
Black
board
Lecture discussion
Lecture discussion
What is the pulse
oximetry?

6. b. Picture of a patient
c. Respiratory status
CARDIO GRAPHY:
1.Monitor a patient
ventilator rate.
2.Sampling device measure
the amount of expired co2 at
the end of each of respiratory
cycle end tidal co2.
3.Normal range.35-4
Summary:
Summarise about the topic of the special equipments of ventilator ,defirlator , cardiac monitors
Bibliography:
•Lewis, Medical Surgical Nursing, volume II, South Asia Edition, 2016 page no.1234-
1245
•Joyce M. Black, Medical Surgical Nursing, 8
th
edition , 2015 Elsevier publication.

7. Lesson p
lan
O
n
N
ursing management
of
critica
l ill patient

8. Subject : Medical Surgical Nursing II
Topic : NURSING MANAGEMENT OF CRITICALL ILL PATIENT
Unit : 9
Class : IIIrd year B.Sc nursing
Time :
Date :
Place : B.ScNursing III Year class room
Method of teaching : Lecture cum disscussion
Instructional aids : Block board ,Chart, OHP
Name of the presenter :
General objectives : All the end of the session the student will be able to
knowledge about cognitive aspects of aging
Specific objectives : At the end of the class the student will be able to theories of aging

9. TIME OBJECTIVES CONTENT AV AIDS TEACHERS
LEARNER
ACTIVITY
METHOD
OF
TEACHING
EVALUATIO
N
5 mins
10 minutes
Describe the
Patient assessment
Explain the
planning patient
care
Patient Assessment
Upon receiving responsibility
for the care of a patient the
veterinary technician should
assess the patient. The
assessment includes
becoming familiar with the
patient's history, and
performing a physical
examination
Planning Patient Care
Planning helps the technician
become organized, set
priorities, and contemplate
actual and potential problems
or risk factors. A part of the
planning process includes the
development of nursing care
plans. Nursing care plans
should include monitoring ins
and outs, nutritional support,
meeting comfort needs
including assessing for pain.
Measures should be taken to
minimize the risk of
nosocomial infections.
Bandage and wound care
should be performed. Non-
ambulatory patients will
require recumbent patient
care. Catheter care will need
to be performed
Black board
Black board
Teacher is
described the
patient
assessment
Teacher is
explained the
planning
patient care
Lecture
discussion
Supervised
clinical
practice
Describe the
Patient
assessment?

10. SUMMARY:
Summarise about the topic of the introduction ,definition ,planning of the nursing care, implementation ,evaluation .
Bibliography:
•Lewis, Medical Surgical Nursing, volume II, South Asia Edition, 2016, page no.1345 –
1350.
•Joyce M. Black, Medical Surgical Nursing, 8
th
edition,2015 Elsevier publication, page no943-949.
Lesson p
lan

11. O
n
C
risis intervention
Subject : Medical Surgical Nursing II
Topic : DEATH &DYING& CRISIS INTERVENTION
Unit : 9
Class : IIIrd year B.Sc nursing
Time :
Date :
Place : BS.CNursing III Year class room
Method of teaching : Lecture cum disscussion
Instructional aids : Block board ,Chart, OHP

12. Name of the presenter :
General objectives : All the end of the session the student will be able to
knowledge about cognitive aspects of aging
Specific objectives : At the end of the class the student wii be able to theories of aging
TIME OBJECTIVES CONTENT AV.AIDS TEACHERS
LEARNER ACTIVITY
METHOD OF
TEACHING
EVALUATION

13. 5
minutes
5
minutes
15
minutes
Define the
definition of
death
Describe the
importance to
consider death
and dying.
Explain the
cope with
death and
Death
Put simply and biologically death is
the permanent cessation of all
biological functions that sustain a
living organism although, of course, it
is a great deal more than this in
terms of its impact on others
important to consider death and
dying:
Dying does not take place in a social
and physical vacuum. For example, it
has implications for the way in which
dying is managed. When dying takes
place in a public, open and visible
space such as a hospital, or a section
of a hospital such as the intensive
care setting, an individual's
experience becomes a communal
issue and a public administrative
matter. So the management and
understanding of dying is important.
cope with death and dying
1. Denial
This first stage of grieving helps us to
Black
board
Black
board
Black
board
Teacher is defined
the death
Teacher is
described the
importance to
consider death and
dying.
Teacher is
explained the cope
with death and
Lecture discussion
Lecture discussion
counseling
Define the
definition of
death?

14. dying.
survive the loss. In this stage, the
world becomes meaningless and
overwhelming. Life makes no sense.
We are in a state of shock and denial.
Denial and shock help us to cope and
make survival possible. Denial helps
us to pace our feelings of grief. As
you accept the reality of the loss and
start to ask yourself questions, you
are unknowingly beginning the
healing process. You are becoming
stronger, and the denial is beginning
to fade. But as you proceed, all the
feelings you were denying begin to
surface.
2. Anger
Anger is a necessary stage of the
healing process. It is important to
feel your anger, even though it may
seem endless. The more you truly
feel it, the more it will begin to
dissipate and the more you will heal.
We usually know more about
suppressing anger than feeling it. The
anger is just another indication of the
intensity of your love.
3. Bargaining
dying.

15. Before a loss, it seems like you will do
anything if only your loved one
would be spared. We want life
returned to what it was; we want our
loved one restored. We want to go
back in time. Guilt is often
bargaining’s companion. We will do
anything not to feel the pain of this
loss. We remain in the past, trying to
negotiate our way out of the hurt.
People often think of the stages as
lasting weeks or months. They forget
that the stages are responses to
feelings that can last for minutes or
hours as we flip in and out of one and
then another.
4. Depression
After bargaining, our attention moves
into the present. Empty feelings
present themselves, and grief enters
our lives on a deeper level, deeper
than we ever imagined. This
depressive stage feels as though it
will last forever. It’s important to
understand that this depression is
not a sign of mental illness. It is the
appropriate response to a great loss.
The loss of a loved one is a very
depressing situation, and depression

16. 5
minutes
5
minutes
Define crisis
List out the
signs of crisis.
is a normal and appropriate
response. To not experience
depression after a loved one dies
would be unusual.
5. Acceptance
This stage is about accepting the
reality that our loved one is
physically gone and recognizing that
this new reality is the permanent
reality. We will never like this reality
or make it OK, but eventually we
accept it. We learn to live with it. It is
the new norm with which we must
learn to live. We may start to reach
out to others and become involved in
their lives. We invest in our
friendships and in our relationship
with ourselves.
CRISIS:
Crisis can occur on a personal
or societal level. Personal trauma is
defined as an individual's experience
of a situation or event in which
he/she perceives to have exhausted
his/her coping skill, self-
Black
board
Black
board
Teacher is defined
the crisis
Teacher is listed
out the signs of
crisis.
Lecture discussion
Lecture discussion
Define crisis?

17. 5
minutes
5
minutes
Describe the
principles.
Explain the
esteem, social support, and power.
SIGNS OF CRISIS:
the person appears disoriented,
becomes hypersensitive or confused,
has poor concentration, uncertain,
and poor troubleshooting
capabilities. Physical responses to
trauma include increased heart rate,
tremors, dizziness, weakness, chills,
headaches, vomiting, shock, fainting,
sweating, and fatigue. Among the
common emotional responses of
people who experience crisis in their
lives include apathy,
depression, irritability, anxiety, panic,
helplessness,
hopelessness, anger, fear, guilt, and
denial. When assessing behavior,
some typical responses to crisis are
difficulty eating and/or sleeping,
conflicts with others, withdrawal and
lack of interest in social activities
PRINCIPLES:
Prompt intervention
Facilitate comprehension
Problem-solving
Return to normalcy
Black
board
Black
Teacher is
described the
principles.
Teacher is
Lecture discussion
Lecture discussion
Describe the
principles?

18. crisis
intervention
CRISIS INTERVENTION:
Crisis intervention is an immediate
and short-term psychological care
aimed at assisting individuals in a
crisis situation in order to restore
equilibrium to their bio-psycho-social
functioning and to minimize the
potential of long-term psychological
trauma.
[1][2]
Crisis situations can be in the form of
natural disasters, severe physical
injury, sudden death of a loved one,
and specific emotional crises as a
result of drastic transitions such as
divorce, children leaving home,
pregnancy, family and school
violence.
[3]
The priority of crisis intervention and
counseling is to hasten the process of
and achieve stabilization. Crisis
interventions must be applied at the
spur of the moment and in a variety
of settings, as trauma can arise
instantaneously.
board explained the crisis
intervention.
SUMARY:

19. Summaraise about the topic of the definition, important, cope, principle, signs.
Bibliography:
•Lewis, Medical Surgical Nursing, volume II, South Asia Edition, 2016, page no.1564 -
1569.
•Joyce . M. Black, Medical Surgical Nursing, 8
th
edition, 2015 Elsevier publication, page no. 764-768.

20. Lesson p
lan
O
n
I
ntensive care records
&
T
ransitional care treatment
Subject : Medical Surgical Nursing II
Topic : INTENSIVE CARE RECORDS & TRANSITIONAL CARE TREATMENT

21. AND PROCEDURE.
Unit : 9
Class : IIIrd year B.Sc nursing
Time :
Date :
Place : BS.C Nursing III Year class room
Method of teaching : Lecture cum disscussion
Instructional aids : Black board ,Chart, OHP
Name of the presenter :
General objectives : All the end of the session the student will be able to
knowledge about cognitive aspects of aging .
Specific objectives : At the end of the class the student will be able to theories of ageing
TIME OBJECTIVES CONTENT AV.AIDS TEACHERS LEARNER
ACTIVITY
METHOD OF
TEACHING
EVALUATION

22. 5
minute
s
Explain the
intensive care
records.
INTENSIVE CARE RECORDS:
The patient record is an integral
part of the health care system to
document the care the providers
and their ancillary staff provide to
the patient.
In spite of the recent technological
advances in hardware and software
applications for computers, the
patient record is predominantly
paper, even in high technology
environments such as the intensive
care unit (ICU).
Even with ICUs that have
computerized or electronic medical
records (EMR), no system exists
today that supports a totally
integrated electronic medical
record.
The lack of a totally integrated EMR
makes it difficult to track the
patients' care from the ambulatory
to the inpatient setting and prevents
Black boardTeacher id explained
the intensive care
records
Lecture
discussion
Explain the
intensive care
records.?

23. improved medical decision making,
which is necessary for decision
support and critical pathways.
“electronic patient record that
resides in a system specifically
designed to support users by
providing accessibility to complete
and accurate data, alerts,
reminders, clinical decision support
systems, links to medical
knowledge, and other aids.”
16
 Part
of the potential of the EMR is its
ability to synthesize the inherently
unlimited scores of evidence that
exceeds the limitations of the
unaided human mind.
 Unfortunately, there are not many
systems that are currently available
commercially that meet the goals of
the computerized patient record as
defined by the Institute of Medicine.
The next generation of computers
will need to incorporate these
features.
This article reviews some of the

24. 5
minute
s
Introduce the
topic.
important problems with present-
day medical records and the present
state of the art of the EMR in the
ICU.
TRANSITIONAL CARE AND
TREATMENT AND
PROCEDURE
Introduction:
Transitional care refers to the
coordination and continuity
of health care during a movement
from one healthcare setting to
either another or to home,
called care transition, between
health care practitioners and
settings as their condition and care
needs change during the course of a
chronic or acute illness. Older adults
who suffer from a variety of health
conditions often need health
care services in different settings to
Black boardTeacher is introduce
the topic.
Lecture
discussion
Introduce the
topic?

25. 5
minute
s
5
minute
s
Define the topic.
Describe the
continuity of
health care
meet their many needs. For young
people the focus is on moving
successfully from child to adult
health services.
DEFINITION:
Transitional care or transition care
also refers to the transition of young
people with chronic conditions to
adult based services. Transition care
is a Youth Health service
CONTINUITY OF HEALTH CARE:
Continuity of health care means
different things to different types of
caregivers, and can be of several
types:
Continuity of information. It
includes that information on
prior events is used to give care
that is appropriate to the
patient's current circumstance.
Continuity of personal
relationships, recognizing that
an ongoing relationship
Black board
Black board
Teacher is defined
the topic.
Teacher is described
the continuity of
health care
Discussion
method
Lecture
discussion
Introduce the
topic?

26. 5
minute
s
Describe the
improving
quality of
transitional
care.
between patients and providers
is the undergirding that
connects care over time and
bridges discontinuous events.
Continuity of clinical
management
IMPROVING QUALITY OF
TRANSITIONAL CARE:
After leaving a particular care
setting, older patients may not
understand how to manage their
health care conditions or whom to
call if they have a question or if their
condition gets worse. Poorly
managed transitions can lead to
physical and emotional stress for
both patients and their caregivers.
During a transition, the patients'
preferences or personal goals in one
setting may not be passed on to the
next setting. This may result in
important elements of the care plan
"falling through the cracks
TREATMENT AND
PROCEDURES:
Black boardTeacher is described
the improving
quality of
transitional care
Explain using
models
Describe the
improving
quality of
transitional
care?

27. 5
minute
s
Explain the
treatment and
procedure of
critical care unit
Mechanical Ventilation
Mechanical ventilation is a form of
artificial respiration that uses
a breathing machine (ventilator) to
assist patients with their breathing.
Intubation
The most common use of this term
in the ICU refers to placing a
breathing tube into a patient’s
windpipe.
Central Venous Catheterization is a
central venous catheter is a special
IV line that is inserted into a large
vein in the body. They can be
inserted into the shoulder, neck, or
groin
Cardiopulmonary Resuscitation
CPR is the combination of life saving
measures performed to restart lung
and heart function in a patient who
has stopped breathing and/or
whose heart has stopped beating.
This is called a cardiac arrest.
Measures may include pushing
down on the chest, attempting to
restore the heart rhythm to normal
administration of medications and
artificial respiration using a face
mask or breathing tube
Arterial lines
Black boardTeacher is explained
the treatment and
procedure of critical
care unit.
Lecture
discussion

28. An arterial line is a catheter that is
inserted into a artery, as opposed to
a vein (as is the case for IVs). They
may be inserted into the wrist or
groin
Chest tubes
A chest tube is a hollow tube placed
between the ribs into the small
space between lung and the chest
wall. The chest tube provides a way
to drain air, blood, or infection from
the pleural space.
Tracheostomy
A tracheostomy tube is a small tube
placed directly into a patient’s
windpipe through the neck. It
replaces the breathing tube that is
inserted through the mouth. The
surgical procedure of inserting a
tracheostomy tube is
called a tracheotomy.
Feeding Tubes
Due to illness or injury, some ICU
patients cannot eat in the usual
fashion. Therefore, nutrition is often
given to patients through feeding
tubes or intravenously.
Treatment
Arterial Catheterization

29. 5
minute
s
List out the
treatment of
critical care
Central Venous Catheter
Chest tube insertion
Chest Tube Thoracostomy
Tracheostomy
Tracheostomy
What Is a Ventilator
Black boardTeacher is listed out
the treatment of the
critical care
DemonstrationList out the
treatment of
critical care?
SUMMARY:
Intensive care records, continuity of care, improving of the care,
Transitional care: definition ,introduction ,quality of care, continuity of the care, procedure.
Bibliography:
•Lewis, Medical Surgical Nursing, volume II, South Asia Edition, 2016, page no.1780 –
1784.
•Joyce . M. Black, Medical Surgical Nursing, 8
th
edition,2015 Elsevier publication, page no. 906-908.