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Tamil Nadu Public Service Commission (TNPSC)
Syllabus




Post Graduate Degree Standard

Other Optional Subjects - Click Here

Nursing Medical and Surgical - (Code - 086)

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Introduction
Functions
Composition
Examinations
Syllabus
Procedure
Contact
Paper - I


Unit - I : Review of Nursing, process and application in various Clinical setting - Nursing History and assessment - Diagnosis,Planning, implementation and evaluation.

Unit - II : Health assessment and extended role of the Nurse - Taking and recording health histories -performance of basic physical and psycho social assessment of various system/parts of the body. - Head and Neck - Cardio thoracic system - gastro intestinal system - Reproductive system - genito urinary system -Integumentary system - Identification of abnormalities Diagnosis and treatment of minor illness.- role of nurse clinician.

Unit - III : Pathophysiological aspects of illness and common Nursing Problems - Infection control - Oxygen insufficiency - Fluid and electrolyte imbalance - Nutritional Problems - Haemorrhage and shock - Altered body temperature - Unconsciousness, sleep - Pattern disturbances - Pain, sensory deprivation - Pre and Post operation care - Rehabilitation, Cardio pulmonary resuscitation - Death and Dying, grief and grieving process.

Unit - IV : Gastro Enterology System: Nursing process and trends pertaining to care of patients with disturbance of gastro intestinal function - Mouth and Oesophagus - Stomatitis, Glossitis, parotitis, Oesophagitis, neoplasm - Stomach and duodenum - gastro enteritis, regional enteritis, peritomitis, hemorrhoids and fistula. Nursing process and trends pertaining to care of patients with disturbances of the liver, biliary tract and pancreas. Liver, Hepatitis, Cirrhosis of liver, portal hypertension, Neoplasms - Gall Bladder - Cholecystitis and chololithiasis. Pancreas: pancreatitis, Carcinoma.

Unit - V : Nursing process and trends pertaining to care of patients with disturbances of endocrine & metabolic function. Pancreas - Diabetis mellitus - Thyroid, simple and toxic goitre - cretinism - Myxoedema - Parathyroid - tetany - Adrenals - Addison's disease, Cushings syndrome Pituitary - Diabetes insipidus.

Unit - VI : Nursing process and trends pertaining to care of patients with orthopaedic conditions.Nursing history, assessment, investigations-congenital deformities - Infections of bons and joints - osteomyelitis (acute and chronic).Arthritis - Rhemaetoid, degenerative gout and ankylosing spondyitis. Common painful conditions in adults - low back pain, bursitis, disabilities of the feet. Trauma to bons, joints and ligaments, sprains, dislocations and fractures. Disease of brain, spinal cord and nerves; poliomelitis, Cerebral Palsy and spinabifida, myasthemia gravis. Tumors of the bones and joints, joint reconstructive surgery, synovectomy and amputations. Paraplegia, Nutritional disorders of the skeleton Physio, occupational and rehabilitation therapies.

Unit - VII : Nursing process and trends pertaining to care of patients with disturbances of special sense organs. Assessment of vision, general management and care of eye disorders. Inflamation of the eye. Foreign bodies. Physical and chemical injuries. Keratomalocia, Catarct, glaucoma, surgical condiditons, recent developments. Ear, Nose, Throat Assessment of sensory function. General management and care of E.NT disorders. Recent development.

Unit - VIII : Nursing process & trends pertaining to care of patients with disturbances in repdoroductive functions. Female reproductive functions - Menstrual abnormalities - Infertility and Sterility - Infection and inflamation - endometriosis - Neoplasms - Vaginal fistula - Uterine displancement - Breast cancer.Male Reproductive functions: Infertility - Prostatic hypertrophy - Neoplasms - Infection & inflamation - Hydrocele.

Unit - IX : Nursing process and trends pertaining to care of patient with disturbances in skin functions.Allergic disorders, Infections - scabies, dermatities, Pyoderma, herpes, Eczema, Ulcers and Neoplasms, Pemphigus, Pemphiguid.

Unit - X : Nursing processing and trends pertaining to care of patients with communicable and sexually transmitted disease. Extent of National Problems.Bacterial - Tuberculosis - Typhoid - tetanus - gas gangerene - dysenteries - diphteria - cholera - leprosy - Gonorrhoea - spirochaetal syphillis - Viral - Influenza - poliomyelitis - lympho granuloma and venereum granuloma. Protozoal - Malaria, Amoebiasis, filariasis. Disorders of immune system - HIV/AIDS - Recent developments. Nursing care pertaining to patient during and after aneasthesia. Types - General, Spinal, Local, Others Care of patients.

Top

Paper - II


Clinical Specialty
  1. Coronary and Cardio thoracic Nursing
  2. Haematology
  3. Vascular Medicine & Surgery
  4. Oncology
  5. Neurology
  6. Urology
  7. Nephrology
  8. Plastic and reconstructive surgery
  9. Critical care Nursing
  10. NursingEmergency & Disaster Nursing
Unit - I : Nursing Process and trends pertaining to patient with Coronary & Cardio thoracic surgical nursing conditions : - Nursing history and assessment of a cardiac patient Invasive and Non Invasive Cardiac Investigations Congenital heart Diseases - Acquired Valvular diseases, Endocarditis, myocarditis, pericarditis, cardiomyopathy Coronary artery disease - coronary artherosclerisis,Angina pectoris, myocardial infarction. CCF, - Arrhythmias, - heart blocks - Cardiac surgeries - Open & Closed - recent advances in cardio thoracic surgeries - Infections and Inflamations of the Respiratory system - COPD, Pulmonary embolism, pulmonary hypertension, lung abscess, lung cancer - chest trauma - Bronchial and Cardiac asthma - Occupational lung disease. Thoracic Surgery - Respiratory emergencies, mechanical ventilators & monitoring devices. Management of Organisation fo CCU, Cardiac emergencies.

Unit - II : Nursing process pertaining to care of patient with Hematologic disorders. Anaemia - polycythaemia - haematopoitic - malignancies - Leukaemias, lymphomas, SLE, multiple myeloma, bleeding disorders.

Unit - III : Nursing process and trends pertaining to care of patients with vascular disorders and problems of peripheral circulation. Nursing history, assessment and investigation. Diseases of arteries, hypertension aneurysms, TAO, Raynau's disease. Disorders of veins, varicose veins, arterio-venous anamolies. Disorders of the lymphatic system.

Unit - IV : Nursing process and trends pertaining to care of patients with cancer. Epidemiology, Early detection methods, Carcinogenesis, Diagnosis, treatment and nursing care of major cancers.
  1. Lung
  2. Breast
  3. Stomach and colon
  4. Leukemias
  5. Lymphomas
  6. Cervix and Uterus cancer
  7. Prostate
  8. Brain
  9. Childhood cancers
  10. Others related to specific population
New advances in Cancer management.

Unit - V : Nursing process and trends pertaining to care of patients with neurologic conditions :- Nursing history and investigations - Head injuries - space occupying lesions - Degenerative disorders - Epilepsy - C.V.A - Infectious processess - neurological trauma - Physio theraphy, occupation and rehabilitation therapies.

Unit - VI : Nursing process and trends pertaining to patients with Urologic conditions. Uretheral inflammations and infections - calculi - neoplasms - prostatic hypertrophy - renal transplantation - Hydrocele - Infertility.

Unit - VII : Nursing process and trends pertaining to patients with renal disorders. Nursing history, assessment and investigations - Urinary tract infections - Acute and Chrononic Glomerulo Nephritis - Nephrotic syndrome - Tuberculosis of the Kidney - Renal abscess Diabetic Nephropathy - Acute and Chronic renal failure Hemodialysis, Peritoneal dialysis.

Unit - VIII : Nursing process and Trends pertaining to patients with Plastic and Reconstructive surgery.

The socpe of plastic and reconstructive surgery. Skin grafts, flaps and micro vascular surgery Cleft lip and Cleft palate, Cosmetic Surgery, Burns.

Unit - IX : Nursing Process and Trends pertaining to critical care nursing.Organisation of a critical care unit - legal aspects of critical care - physical assessment of critically ill patients - emotional esponse in critical illness (families with crisis, dealing with death and dying) - Safety and infection control in critical care units - fluid and electrolyte balance in critically ill patients - critical care of patients with respiratory problems as Air-way and Ventilatory management - ARDS, COPD, Pulmonary embolism. Critical care nursing management of patients with Cardio vascular disorders. - CAD, CCF, Pulmonary oedema, patients undergoing closed and open heart surgery - Advanced cardiac life support (ACLS) - Critical care nursing management of patients with Neurologic conditions as: Head injury - intra cranial tumours - CVA - Guillain Barre Syndrome. - Critical care nursing management of other emergencies: Thyroid crisis - Myxoedema coma - Diabetic keto acidosis - Addisonian crisis - Myasthenic crisis- G.I. Bleeding - DIC poisoning - Shock - polytrauma.

Unit - X : Nursing process and trends pertaining to Emergency and Disaster nursing.

Principles and concepts of emergency and disaster nursing - Organization of man, material and facilities - care of patients with poisoning - corrosive and non corrosive poisons - inhalation of poisons - poisonous bites and stings - alcohol intoxication.Care of patients with problems of temperature regulation. Hyperthermia - heat stroke, sun stroke, heat syncope. Hypothermia - frost bite, chill blains.

Disasters - definition, types disaster prepardness, training of volunteers management of disaster victims and families in floods, fire, earthquakes, Cyclone, Industrial accidents, Nuclear disasters, Air, Rail and Road disasters, Drowning.

For detail about more National and State Civil Services Exams



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