CCMAS Course Search

Concept of community cultural practices. Maternal and child health nursing practice in community settings. Review of the reproductive system in relation to the practice of normal midwifery. The health of the family and the normal needs of the mother, father, foetus and other siblings in the family context. Management of normal pregnancy, labour, puerperium and the care of the baby. Prenatal care/ focused antenatal care. Normal labour. Stages of labour. Normal puerperium. The care of the newborn and newborn environment. Infant nutrition. Discharge, and follow-up. Family care studies as necessary. Domiciliary Midwifery Practice. Role of the nurse. Immunisations - Expanded Programme on Immunisation (EPI)/ National Programme on Immunisation (NPI). Oral Rehydration Therapy (ORT). Physical assessment. Nursing diagnosis. The use of Standing Order and implementation of nursing interventions. Family planning and post-natal exercises. Growth and development of the child. Health education. Growth monitoring. Family planning and infertility. Data collection and management information system in family planning. Record keeping in community practice.

Complications associated with pregnancy, labour, postpartum and the neonatal life. Roles and responsibilities of nurses and midwives in prevention and management of obstetrics emergencies (antepartum haemorrhage, obstructed labour, postpartum haemorrhage, eclampsia and many others). Socio-cultural events that contribute significantly to causes of pregnancy complications and obstetrical emergencies. Risk factors/ conditions that complicate pregnancy and labour. Management of risk factors/ conditions. Management of medical conditions and infections that complicate pregnancy. Malposition and malpresentations and their management. Abnormal pregnancy. Abnormal labour. Obstetrics emergencies. Abnormal conditions of the new born. Youth friendly services. Teenage pregnancy and complications.

Students are posted to clinical and community sites where maternal and child health services are provided. Students’ activities include, provision of normal midwifery services. Antenatal booking and mothers’ comprehensive assessment. Palpation. Weighing. Urine testing. Mothers’ education. Home visits in domiciliary midwifery (Field work – 6 weeks/ Health care institutions’ practice and community midwifery services.

The students are posted to the community health facilities to work under supervision of trained staff for the conduct and provision of community midwifery services. Activities include participation in all the clinic services. Provision of antenatal care. Routine care. Monitoring of mothers in labour. Health education. Counselling. Home visits and follow ups. Child welfare clinics. Immunisations and practice proper recording and reporting.

Student activities in the clinical experience - discovering, developing and refining necessary competencies and skills related to maternal and child health care. Completion of 8hrs per week and a period of 6 weeks in the clinical settings where maternal and child health services are being rendered. Conduct of normal midwifery. Rotation through family planning clinic, antenatal clinic, labour ward, and postnatal wards in primary and tertiary institutions. Each student to conduct 20 - 30 antenatal palpations, 10 vaginal examinations, 10 - 25 normal Midwifery deliveries, care for 5 - 30 women during normal puerperium, and perform minimum of five Episiotomies. In the family planning Unit, each student must insert 5 -10 IUCD and give oral contraceptives to at least 10 women. The course lecturer and the clinical instructors conduct on the site supervision of the students.

Review of anatomy and physiology of organs concerned. Basic concept and terminologies of medical and surgical conditions. Health care delivery systems and models of health care. Concept of adaptation and conditions that threaten adaptation/ disrupted homeostasis and psycho physiologic response to illnesses. Disrupted homeostasis and psycho physiologic response to illnesses and nursing interventions. Diagnostic measures in medical and surgical conditions. Evidence-based nursing. Concept and principles of rehabilitation. Critical thinking. Ethical decision making, Use of nursing process as framework for practice. Skin care and wound management. Nursing care of selected medical and surgical conditions.

Review of anatomy, physiology and pathophysiology as they affect the systems of the body. Concept of oxygenation and disturbances of oxygen carrying mechanism. Blood pumping mechanism and blood vessel distribution. Anatomic physiologic overview of the respiratory system. Disorders of the respiratory system. Nursing care and management of patients with disorders of the respiratory system. Anatomic and physiologic overview of the cardiovascular system. Disorders of the cardiovascular system. Nursing care and management of patients with disorders of the cardiovascular system. Vascular disorders and inflammatory responses. Gastrointestinal system disorders. Metabolic disorders of ingestion, digestion and elimination. Genitourinary system disorders and management. Hepatic functions and disorders. Glucose metabolism and hormonal disorders. Nutritional disorders. Pathophysiology of cell proliferation and maturation, and neoplastic disorders. Care of patients with cancer and pain management. Medical care and nursing management of client/patients with specific acute and chronic medical and surgical conditions.

Anatomic and physiologic overview of the immune system. Disorders of the immune system, nursing care and management of patients with immune diseases. Musculo-skeletal system disorders (Orthopaedics) and the skin. Burns. Disorders of the special senses (eye, ear, nose, and throat). Disorders of the male and female reproductive system. Sexually transmitted infections. Nervous system disorders. Shock. Endocrine system and associated disorders. Role of the nurse in acute and chronic states of diseases of the mentioned systems. The course also deals with perioperative concepts and care. Emergency and disaster care. Unconscious patient. Patients undergoing surgical and special procedures. Care of the elderly, palliative and end of life care. Nurse’s role in the special units - operating theatre, intensive care unit, eye ward, and other wards. Perioperative concepts and nursing management. Care and management of patients with special medical and surgical needs (Patients having surgery. Patients experiencing trauma. Unconscious patient. Patient with burns and many others). Care of the elderly. Palliative and end of life care.

This clinical course is designed to provide students with the opportunity to develop more competence in medical and surgical care of patients. The students are posted to special units of the hospital such as renal/urinary, operating theatres, ear, nose and throat, eye, and gynaecological units for proper integration of theory into practice and for enhancing their patient care skills.

Concepts in mental health nursing and the variety of commonly occurring psychiatric conditions throughout the lifespan. The role of the nurse in the care of the mentally ill, including mental health promotion and rehabilitation in the community. Patient assessment for mental health/psychiatric disorder using the nursing process and relevant management methods. Use of the DSM – IV TR (Multiaxial System for Psychiatric Diagnosis) to evaluate and describe multiple conditions of clients. Interpersonal skills and attitudes necessary for the nurse to act as a therapeutic agent. History of the mental health movement - national and international. Classification of mental health disorders. Discussion of specific behaviours. Symptoms, signs. Intervention methods by health care providers - individual and group approach. Therapeutic care. Behaviour management. Management of different mental health disorders. Substance related disorders and management. Legal coverage (Mental Health Acts, ethical codes and patients’ Bill of rights). The legal aspects of mental health/psychiatric nursing and the nurses’ role. Mental health counselling, referrals and follow ups.