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LESSON PLAN
ON
UNCONSCIOUS
SUBMITTED TO :

SUBMITTED BY:

Mrs. GEETHA

MS. K. SELVI

LECTURER IN NURSING

P.B.BSc(N)

SMVNC

SMVNC
SUBMITTED ON

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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.

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SUBJECT

: Medical and Surgical Nursing

TOPIC

: UNCONSICOUS

GROUP OF STUDENT

: B.Sc.Nursing

NO.OF.STUDENTS

PLACE

: Sri ManakulaVinayagar Nursing College

DATE

TIME AND DURATION

: 45 minutes

METHOD OF TEACHING

: Lecture cum Discussion

AUDIO 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]

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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

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Sl.No

SPECIFIC
OBJECTIVES

TIME

CONTENT

1.

Introduction

3min

Introduction:

Teacher
introduce the
Loss of consciousness that may result from a wide topic through
variety of causes. A consciousness person is
lecturer method
usually completely unresponsive to their
environment or people around them
Student are
.Unconsciousness can occur as a result of brain
listening
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

What is mean by
Unconscious?

2.

Define
Unconscious

2min

Definition:

What is
Unconscious?

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/
LEARNER
ACTIVITIES

Teacher define
the
Unconsciousness
by using Roller
board
Student are
actively
participate and
taking notes.

EVALUATION

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Sl.
No.

SPECIFIC
TIME
OBJECTIVES

List out the

causes for
Unconscious

5min

CONTENT

Causes:
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

TEACHER/
LEARNER
ACTIVITIES
Teacher
List out the
causes by using
leaflet.

Student are
actively
listening.

EVALUATION

What are the

causes of
Unconscious?

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Sl.
No.

SPECIFIC
TIME
OBJECTIVES

Drug overdose
Hypothermia
Hypotension
Hypertensive crisis

CONTENT

TEACHER/
LEARNER
ACTIVITIES

EVALUATION

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4.

Describe the
Pathophysiolog 5min
y of
Unconscious

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

Teacher
explains about
the
pathophysiology
by using chart.
Student are
actively listening

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

What are the

steps in
pathophysiology?

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Sl.
No.

SPECIFIC
TIME
OBJECTIVES

CONTENT

TEACHER/
LEARNER
ACTIVITIES

EVALUATION

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5.

6.

List out the

3min
clinical
manifestations
of Unconscious

Explain about
the diagnostic
findings 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
Diagnostic 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

Teacher
List out the
clinical
manifestation by
using pamphlets.
Student are
actively
participating.

What are the

clinical
manifestations for
Unconscious?

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S.NO

SPECIFIC
TIME
OBJECTIVES

CONTENT

TEACHER/
LEARNER
ACTIVITIES

EVALUATION

Management:
7.

Enumerate the 5min

management of
Unconscious

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.

Teacher
What are the
explains about
management for
the management Unconscious?
of
Unconsciousness
by using Hand
out .
Student are
actively
participate and
taking notes.

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Maintaining mobity .
Family education

S.NO

SPECIFIC
TIME
OBJECTIVES

8.

Discuss the
complication of
unconscious

CONTENT

Complications:

3min

Acute renal failure

Intracranial embolism
Alcoholism
Shock
Lead poisioning
Heat stroke

TEACHER/
LEARNER
ACTIVITIES

EVALUATION

Teacher
explains about
complication of
unconsciousness
by using OHP

What are the

complications of
unconscious?

Student are
actively listening

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ASSESSMENT
9.

Describe the
Nursing
Assessment

6min

Teacher
Describe the
Nursing
Assessment by
using chart

Students are
actively taking
Notes

What are the

Assessment of
unconscious?

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S.N
O

SPECIFIC
OBJECTIVES

TIME

10.

List out the

Nursing
Diagnosis of
unconscious

6min

A
S
S
E
S
S
M
CONTENT
E
N
Nursing Diagnosis:
T
I.

II.

Ineffective airway clearance related to

altered level of unconscious.

Risk for injury related to decreased level

of conscious.

TEACHER/
LEARNER
ACTIVITIES

EVALUATION

Teachers list
out the nursing What are the
diagnosis of
Nursing
unconscious by Diagnosis?
using lecture
method

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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.

Students are
actively
listening

GLASSGOW COMA SCALE

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Eye opening response

Spontaneous
To voice
To pain
None

4
3
2
1

Best verbal response

Oriented
Confused
Inappropriate words
Incomprehensive sounds
None

5
4
3
2
1

Best motor response

Obey command
Localize pain
Withdraws
Flexion
Extension
None

6
5
4
3
2
1
3 to 15

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NURSING
DIAGNOSIS
Ineffective airway
clearance related to
altered level of
unconscious.

GOAL

Will be maintain the

airway pattern

INTERVENTION

To 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.

RATIONALE

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.

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NURSING DIAGNOSIS

Risk for injury related to

decreasedNURSING
level of
DIAGNOSIS
conscious.

GOAL

Will be reduce the

injury. GOAL

Fluid volume deficit

Will be improve the
related to inability to take normal fluid volume
fluid by mouth
status.

INTERVENTION
To keep the side rails
INTERVENTION
up
on the bed and bed
in the lowest position.
To
adequate
Togive
monitor
the intake
support
to the limbs
and output
and hard when
moving or turning the
To monitor patient.
and
unconscious
record vital sign, skin
To
colour
protect
andan
unconscious
temperature.patient
from external source
of heat .
To avoid the over
hydration in patient
Avoid
receving
overivsedation
fluids
because
becauseitof
may
riskafter
of
respiration
cerebral oedema.
which
increase the
intracranial pressure
To observe and
in patient level of
measure the
consciousness.

RATIONALE

It helps to prevent the

injury. RATIONALE
It helps to reduce the
It helps to measure the
injury.
fluid
volume status.
It helps to prevent from
To assess the fluid status
heat.
of the body.
It helps to reduce the
It helps to prevent
intracranial
pressure.the
cerebral oedema.
To prevent the over fluid
of the body.

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abdominal girth.
NURSING DIAGNOSIS

Risk for impaired skin

integrity related to
prolonged immobility .

GOAL

Will be reduce the skin

integrity.

INTERVENTION

To provide the nursing

intervention for all selfcare 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.

RATIONALE

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

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EVALUATION:

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SRI MANAKULA VINAYAGAR NURSING COLLEGE

MARK:
SUBJECTIVE TYPE QUESTIONS:1)
2)
3)
4)
5)

Define unconsciousness?
List out the causes of unconsciousness?
What are the clinical manifestations of unconsciousness?
What is the management for unconsciousness?
What are the complications of unconsciousness?

ASSIGNMENT:Write the Nursing Care of unconscious?

30 MIUTES

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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
management. As a whole I thank my principal mam and all staff and everyone for your patience
while I am taking my session. I thank you for this opportunity to share my knowledge to all.

BIBLIOGRAPHY:
TEACHER REFERENCE:

and its
given to me

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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,
Edition Published by S.Vikas& company Page no:-475-479

1st

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:- 2051-2065
STUDENT 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

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THANKING YOU MAM