Full Text
REGD. No. D. L.-33004/99
The Gazette of India
CG-DL-E-01092026-275905
EXTRAORDINARY
PART III—Section 4
PUBLISHED BY AUTHORITY
No. 511]
NEW DELHI, TUESDAY, AUGUST 18, 2026/SHRAVAN 27, 1948
INDIAN NURSING COUNCIL
NOTIFICATION
New Delhi, the 17th August, 2026
F.No. 11-1/2026(I)-INC:— In exercise of the powers conferred by sub-section (1) of Section 16 of Indian
Nursing Council Act, 1947 (XLVIII of 1947), as amended from time to time, the Indian Nursing Council hereby
makes the following regulations, namely:—
1. SHORT TITLE AND COMMENCEMENT
i. These Regulations may be called the Indian Nursing Council (Post Basic Diploma in Geriatric Specialty
Nursing - Residency Program) Regulations, 2026.
ii. These Regulations shall come into force on the date of notification of the same in the Official Gazette of India.
2. DEFINITIONS
In these Regulations, unless the context otherwise requires,
i. 'the Act' means the Indian Nursing Council Act, 1947 (XLVIII of 1947) as amended from time to time;
ii. 'the Council' means the Indian Nursing Council constituted under the Act;
iii. 'SNRC' means the State Nurse and Midwives Registration Council, by whichever name constituted, by the
respective State Governments;
iv. 'RN & RM' means a Registered Nurse and Registered Midwife (RN & RM) and denotes a nurse who has
completed successfully, recognised Bachelor of Nursing (B.Sc. Nursing) or Diploma in General Nursing and
Midwifery (GNM) course, as prescribed by the Council and is registered in a SNRC as Registered Nurse and
Registered Midwife;
v. 'Nurses Registration & Tracking System (NRTS)' means a system developed by the Council and software
developed in association with National Informatics Centre (NIC), Government of India, and hosted by NIC for
the purpose of maintenance and operation of the Indian Nurses Register. It has standardised forms for
collection of the data of Registered Nurse and Registered Midwife (RN & RM)/Registered Auxiliary Nurse
Midwife (RANM)/Registered Lady Health Visitor (RLHV) upon Aadhar based biometric authentication;
vi. 'NUID' is the Nurses Unique Identification Number given to the registrants in the NRTS system;
vii. 'General Nursing and Midwifery (GNM)' means Diploma in General Nursing and Midwifery qualification
recognized by the Council under Section 10 of the Act and included in Part-I of the Schedule of the Act.
POST BASIC DIPLOMA IN GERIATRIC SPECIALTY NURSING - RESIDENCY PROGRAM
I. INTRODUCTION
Population ageing is a worldwide phenomenon. India has a rapidly growing elderly population. In 2022, India had
approximately 149 million people aged 60 and above, representing 10.5% of its total population. It is projected to
increase more than double to an estimated 349 million by 2025, comprising of 20.8% of the total population. India has
the second largest aged population in the world. The health status of older people varies, and it is influenced by many
factors such as living conditions, lifestyle and supporting factors of family, community and health care delivery
system. The magnitude of the problems of older population is also expected to increase. This invites for promotive,
preventive, curative, rehabilitative and home-based care as needed. Provision of accessible, affordable long term
quality health care, to an ageing population has emerged as a major concern for health system in India.
National Health Policy (2017), National Population Policy (2015), and National Program for Health Care of the
Older Adults (2014), have emphasized the need for provision of quality and specialized health care of the older
population. NHP (2017) emphasizes significant expansion in tertiary care services both in public and private health
sectors. National Policy for Older People (1999) has recognized the older persons' right to health and directed special
provisions for older adults regarding welfare measures and special provision for health care services. Comprehensive
care provided to older adults reduces the burden on tertiary care by focusing on preventive, primary and community-
based interventions.
Nurses play an important role in rendering health care to the older adults both in the hospital and community
settings. Specialized educational preparation will enable them to assess and participate in promoting health, health
maintenance, health restoration, rehabilitation, and palliative care for older adult patients with chronic/critical
illnesses. This challenge in health care demands for older adults, requires adequate number of nurses specially trained
in geriatric nursing. It is essential for the health care system to meet such needs effectively.
Post Basic Diploma in Geriatric Specialty Nursing - a Residency Program is designed to develop specially trained
geriatric nurses to assume such responsibility and accountability for the holistic care of older adults under his/her care
in the institutions and community settings.
II. PHILOSOPHY
The Council believes that registered nurses need to be further trained as specialist nurses to function in various
emerging specialty areas of practice and the training should be competency based. One such area that demands
specialist nurses is geriatric care. Expanding roles of nurses and advances in geriatric care necessitates additional
training to prepare nurses with specialized skills, knowledge and attitude to deliver competent, intelligent and
appropriate care to older adults in institutions and community settings.
III. CURRICULUM FRAMEWORK
The Post Basic Diploma in Geriatric Specialty Nursing is a one-year residency program. The curriculum is
conceptualized with foundational short courses and major specialty courses for specialty nursing.
The foundations to the program include professionalism, communication, patient education, clinical leadership,
resource management and evidenced based and applied research which are short courses that aim to provide the
students the knowledge, attitude and competencies for clinical practice to function as accountable, sincere, safe and
competent specialist nurses. The clinical specialty courses are divided into two major parts which are Geriatric
Specialty Nursing I and Geriatric Specialty Nursing II. The Geriatric Specialty Nursing I comprises of introduction to
geriatric nursing, the concepts, principles and practices in geriatric care and basic sciences applied to geriatric nursing.
Geriatric Specialty Nursing II comprises of nursing management of specific geriatric health problems including
geriatric health assessment, diagnosis, treatment and patient safety, quality, illness specific considerations related to
ageing including rehabilitation, palliative care, and end of life care
The curricular framework for the Geriatric Specialty Nursing - Residency Program is illustrated in the following
Figure-1.
POST BASIC DIPLOMA IN GERIATRIC SPECIALTY NURSING - RESIDENCY PROGRAM
FOUNDATIONS TO GERIATRIC SPECIALTY
NURSING - COURSES
GERIATRIC SPECIALTY
NURSING - COURSES
+-------------------+ +-----------------------+
| Professionalism | Context/Introduction |
| | to specialty nursing |
| | practice |
+-------------------+ +-----------------------+
| Communication, patient and | +-----------------------+
| family/caregiver education | | Basic sciences |
| and counseling relevant to | | applied to |
| specialty nursing | | specialty care |
+-------------------+ +-----------------------+
| Clinical leadership | | Nursing management |
| and resource | | including assessment |
| management | | and specialised |
| | | intervention |
+-------------------+ +-----------------------+
| Evidence based and | | Patient safety & |
| applied research | | quality, illness specific|
| | | considerations |
+-------------------+ +-----------------------+
ONE-YEAR RESIDENCY PROGRAM (For Registered Nurses & Midwives)
Theory – 10% & Practicum – 90% (Skill Lab + Clinical)
Figure 1. Curricular Framework for Geriatric Specialty Nursing - Residency Program
IV. AIM/PURPOSE AND COMPETENCIES
The Post Basic Diploma in Geriatric Specialty Nursing program aims to develop nurses with specialized skills,
knowledge and attitude in providing quality care to older adults. The program focusses on supporting healthy ageing
and improvement of quality of life for older adults and their families. The goal is to prepare technically qualified and
trained specialist nurses who will function effectively by applying principles of geriatric nursing care management in
elderly population and develop skills and attitude in providing comprehensive and competent nursing care to older
adults requiring specialized care in different settings such as hospitals, elderly homes, long term care and community
settings, providing high standards of care.
COMPETENCIES
On completion of the program, the Geriatric specialist nurses will be able to:
1. Demonstrate professional accountability for the delivery of nursing care which are consistent with moral,
altruistic, legal, ethical, regulatory and humanistic principles in Geriatric nursing.
2. Communicate effectively with older adults, families and professional colleagues fostering mutual respect and
shared decision making to enhance health outcomes.
3. Educate and counsel older adults and their families to participate effectively in treatment and care and enhance
their coping abilities through crisis and bereavement.
4. Demonstrate understanding of clinical leadership and resource management strategies and use them in geriatric
care settings promoting collaborative and effective teamwork.
5. Identify, evaluate and use the best current evidence in geriatric care and treatment coupled with clinical expertise
and consideration of elder's preferences, experience and values to make practical decisions in geriatric nursing
practice.
6. Participate in research studies that contribute to evidence-based geriatric nursing care interventions with basic
understanding of research process.
7. Apply the concepts and principles of geriatric nursing and basic sciences in the assessment, diagnosis, treatment
and management of the physiological, physical, psychological, social and spiritual problems of older adults and
their families requiring specialized geriatric care.
8. Apply nursing process in the care of older adults.
9. Demonstrate specialized practice competencies/skills relevant in providing care to the older adults with various
health problems/conditions.
10. Identify treatment related adverse effects and geriatric emergencies and manage them effectively in primary,
secondary and tertiary care settings.
11. Ensure access to palliative, rehabilitative care and community resources that contribute to improve quality and
cost-effective health services.
12. Develop an understanding of the method of drug procurement, storage, administering and maintenance of
common drugs used in different morbidity conditions of older adults.
13. Conduct clinical audit and participate in quality assurance activities in geriatric unit.
14. Demonstrate safe delivery of various therapies to older adults and protect them from occupational harm.
15. Identify caregiver stress and provide adequate support.
16. Identify abuse of older adults, counsel them, their families and community.
17. Demonstrate the team management skills in organizing and conducting injury prevention, counselling and
rehabilitation services for older adults.
18. Demonstrate specialized practice competencies/skills relevant in supporting end of life care, loss, grief and
bereavement.
19. Provide end of life care to older adults with emphasis to promoting comfort and dignity respecting individual
cultural and spiritual needs and differences.
20. Creating a healing environment to promote a peaceful death.
V. PROGRAM DESCRIPTION AND SCOPE OF PRACTICE
The Post Basic Diploma in Geriatric Specialty Nursing - Residency Program is a one-year residency program
designed to prepare registered nurses (GNM/B.Sc. Nursing) with specialized knowledge, skills and attitude in
providing safe and competent care to older adults, with a focus on competency-based training. The theory includes
foundational courses, specialty courses and bedside practicum. The theory component comprises of 10% and
practicum 90% (Clinical and Lab). The candidates will be able to practice as per the competencies/clinical skills as
specified in the log book.
On completion of the program and certification, and registration as additional qualification with respective
SNRC, the specialist nurses will be employed in the specialty hospital/department/unit as specialist nurses as well as
in long term care and community settings. They will be able to practice as per the competencies trained during the
program particularly the specialized procedural competencies/clinical skills as per the logbook of the Council
syllabus. The specialist nurses can be privileged to practice those specialized procedural competencies by the
respective institution as per institution protocols. Specialist nurse cadre/positions should be created at
government/public/private sectors. The diploma will be awarded by the respective Examination
Board/SNRC/University approved by the Council.
VI. MINIMUM REQUIREMENTS/GUIDELINES FOR STARTING THE POST BASIC DIPLOMA IN GERIATRIC SPECIALTY
NURSING - RESIDENCY PROGRAM
1. THE PROGRAM MAY BE OFFERED AT
a. College of Nursing offering degree programs in nursing attached to parent specialty hospital/tertiary
hospital having minimum of 200 beds with a minimum of 30 bedded geriatric ward with diagnostic,
therapeutic and supportive services such as orthopaedics, neurology, physiotherapy, occupational
therapy, ophthalmology, gynaecology, dentistry, rheumatology, psychiatry, rehabilitative and community
health services. The hospital can have affiliation to old age homes.
OR
Hospitals offering DNB/Fellowship programs in Geriatric Medicine/Family Medicine/General Medicine
having minimum of 200 beds with diagnostic, therapeutic and supportive services such as orthopaedics,
neurology, physiotherapy, occupational therapy, ophthalmology, gynaecology, dentistry, rheumatology,
psychiatry, rehabilitative and community health services. The hospital can have affiliation to old age
homes.
b. The above eligible institution shall get recognition from the concerned SNRC for Post Basic Diploma in
Geriatric Specialty Nursing - Residency Program for the particular academic year, which is a mandatory
requirement.
c. The Council shall after receipt of the above documents/proposal would then conduct statutory inspection
of the recognized training nursing institution under Section 13 of the Act in order to assess suitability
with regard to availability of teaching faculty, clinical and infrastructural facilities in conformity with
Regulations framed under the provisions of the Act.
2. NURSING TEACHING FACULTY
a. Full time teaching Faculty in the ratio of 1:10.
b. Minimum number of faculty should be two.
c. Qualification and Number:
i. M.Sc. Nursing with Medical Surgical Nursing/Community Health Nursing or M.Sc. (NP in Geriatric
Nursing/NP in Family Health) - 1.
ii. Post Basic Diploma in Geriatric Nursing with Basic B.Sc. Nursing/P.B.B.Sc. Nursing - 1.
d. Experience: Minimum three years of clinical experience in Medical Surgical Nursing/Geriatric
Nursing/Community Health Nursing.
e. Guest Faculty: Multi-disciplinary in related specialties (Pharmacology, Pathophysiology, Geriatric
Medicine, General Medicine and General Surgery, Cardiology, Orthopaedics, Gynaecology, Dentistry,
Rheumatology, Psychiatry, Rehabilitative Psychiatry, Community Medicine, Family Medicine,
Physiotherapy, and Occupational therapy).
f. Preceptors:
• Nursing Preceptor: Full time qualified GNM with 6 years' experience in specialty nursing (Geriatric
nursing) or B.Sc. Nursing with 2 years' experience in Geriatric Nursing/Medical Surgical
Nursing/M.Sc. Nursing with Medical Surgical Nursing/Community Health Nursing or M.Sc. (NP in
Geriatric Nursing/NP in Family Health) with one-year of work experience in geriatric care unit.
• Medical Preceptor: Specialist Geriatric Medicine/General Medicine/Family Medicine doctor with
PG qualification (with 3 years post PG experience/Faculty level/consultant level preferable).
• Preceptor student ratio: Nursing 1:10, Medical 1:10 (Every student must have a medical and
nursing preceptor).
3. BUDGET
There should be budgetary provision for staff salary, honorarium for guest faculty, and part time teachers,
clerical assistance, library and contingency expenditure for the program in the overall budget of the
institution.
4. PHYSICAL AND LEARNING RESOURCE AT HOSPITAL/COLLEGE
a. One classroom/conference room in the specified clinical area.
b. Skill Lab for simulated learning at the hospital/college. Skill Lab requirements are listed in
Appendix-1.
c. Library and computer facilities with access to online journals.
d. i. College library having current books journals and periodicals related to Geriatric Nursing, Nursing
Administration, Nursing Education, Nursing Research and Statistics. There should be provision for
access to online journals.
OR
Permission to use medical college/hospital library having current books, journals and periodicals
related to Geriatric Nursing, Nursing Administration, Nursing Education, Nursing Research and
Statistics.
ii. Computer with internet facility
e. E-Learning facilities
Teaching Aids - Facilities for use of
i. Overhead projectors,
ii. Video viewing facility,
iii. LCD projector,
iv. CDs, DVDs and DVD players,
v. Appropriate equipment, manikins and simulators for skill learning.
f. Office facilities
i. Services of typist, office attendant, housekeeping staff
ii. Facilities for office, equipment and supplies such as
• Stationery,
• Computer with Printer,
• Xerox Machine,
• Telephone and Fax.
5. CLINICAL FACILITIES
a. Parent specialty hospital/tertiary hospital having minimum of 200 beds and should have 30 geriatric
beds with specialized nursing care facilities. The Geriatric Medicine Unit with inpatient facility, a
functioning geriatric care OPD and home visits every week for patients in and around the town.
b. There should be diagnostic, therapeutic, supportive services such as orthopaedics, neurology,
physiotherapy, occupational therapy, ophthalmology, gynaecology, dentistry, rheumatology,
psychiatry, rehabilitative and community health services. The hospital can have affiliation to old age
homes.
c. Nurse staffing of units as per the Council recommended norms.
d. Student patient ratio - 1:3
6. ADMISSION TERMS AND CONDITIONS/ENTRY REQUIREMENTS
The student seeking admission to this program should:
a. Be a registered nurse and midwife (R.N.&R.M.) or equivalent with any SNRC having NUID
number.
b. Possess a minimum of one-year clinical experience as a staff nurse preferably in Geriatric/Medical
Surgical Nursing/Community Health Nursing/Psychiatric Nursing prior to enrolment.
c. Be physically fit.
d. Selection must be based on the merit of an entrance examination and interview held by the
competent authority.
e. Nurses from other countries must obtain an equivalence certificate from the Council before
admission.
7. NUMBER OF SEATS
a. For hospital having 200 beds and 30 geriatrics specialty beds, number of seats = 10
b. For hospital having 500 beds and more with 60 geriatric specialty beds, the number of seats = 20
8. NUMBER OF CANDIDATES
One candidate for 3 specialty beds.
9. SALARY
a. In-service candidates will get regular salary.
b. Stipend/Salary will be given to other candidates as per the salary structure of the hospital where the
program is conducted.
VII. EXAMINATION REGULATIONS AND CERTIFICATION
EXAMINATION REGULATIONS
A.1 Examining and Diploma Awarding Authority: Respective Examination
Board/SNRC/University approved by the Council.
1. Eligibility for Appearing in the Examination
a. Attendance: Theory and Practical - 80%. However, 100% clinical attendance have to be obtained
prior to certification
b. The candidate who successfully completes the necessary requirements such as logbook and clinical
requirements will be eligible to appear for final examination.
2. Practical Examination
a. OSCE: Objective Structured Clinical Examination type of examination (for Basic competency
assessment) will be conducted alongside viva (oral examination) both in the internal and final
examination (Detailed guidelines are given in guidebook).
b. Observed Practical/Clinical: Final internal and external examination will also include assessment of
actual clinical performance in real settings including viva and mini clinical evaluation exercise for 3-4
hours (Nursing process application and direct observation of procedural competencies). Minimum
period of assessment in the clinical area is 5-6 hours. (Evaluation guidelines are given in guidebook).
c. Maximum number of students per day = 10 students.
d. Practical examination should be held in clinical area only.
e. The team of practical examiners will include one internal examiner [(M.Sc. Nursing faculty with two
years of experience in teaching the respective specialty program/M.Sc. (Medical Surgical Nursing)
faculty with 5 years of Post PG experience], one external examiner (nursing faculty with the same
qualification and experience stated as above) and one medical internal examiner who should be
preceptor for the respective specialty program.
f. The practical examiner and the theory examiner should be the same nursing faculty.
3. Standard of Passing
a. In order to pass, a candidate should obtain at least 60% marks in aggregate of internal assessment and
external examination both together, in each of the theory and practical papers. Less than 60% is
considered fail.
b. Students will be given opportunity of maximum of 3 attempts for passing.
c. If the student fails in either theory or practical, he/she needs to appear for the exam failed either theory or
practical only.
4. Certification
a. TITLE - Post Basic Diploma in Geriatric Specialty Nursing
b. A diploma will be awarded by the Examination Board/SNRC/University approved by the Council, upon
successful completion of the prescribed study program, which will state that
i. Candidate has completed all the courses of study under the Post Basic Diploma in Geriatric
Specialty Nursing - Residency Program.
ii. Candidate has completed 80% Theory and 100% Clinical requirements.
iii. Candidate has passed the prescribed examination.
VIII. SCHEME OF EXAMINATION
+------------------------------------------------+--------------------------+--------------------------+-------------+-----------------------+
| Courses | Internal assessment | External assessment | Total | Exam hours |
| | marks | marks | marks | (external) |
+================================================+==========================+==========================+=============+=======================+
| Theory - Experiential/Residential Learning | | | | |
+------------------------------------------------+--------------------------+--------------------------+-------------+-----------------------+
| Geriatric Specialty Nursing (Part I and Part II)| 25 | 75 | 100 | 3 |
| {Part I - Geriatric Specialty Nursing I including| (10+15) | (35+40) | | |
| Foundations, | | | | |
| Part II - Geriatric Specialty Nursing II} | | | | |
+------------------------------------------------+--------------------------+--------------------------+-------------+-----------------------+
| Practicum - Geriatric Specialty Nursing | 75 (25+50) | 150 (50+100) | 225 | Minimum |
| • OSCE including Viva | (OSCE-25 & | (OSCE-50 & | | 5-6 hours in |
| • Observed practical/clinical (Direct observation of | Observed | Observed | | the clinical |
| | Practical-50) | Practical-100) | | area |
+------------------------------------------------+--------------------------+--------------------------+-------------+-----------------------+
| actual performance in real setting) including viva - | | | | |
| with mini clinical evaluation exercise for 3-4 hours | | | | |
| (Nursing process application and direct observation | | | | |
| of procedural competencies) | | | | |
+------------------------------------------------+--------------------------+--------------------------+-------------+-----------------------+
| Grand Total | 100 | 225 | 325 | |
+------------------------------------------------+--------------------------+--------------------------+-------------+-----------------------+
IX. PROGRAM ORGANIZATION/STRUCTURE
1. Courses of Instruction
2. Implementation of Curriculum
3. Clinical Practice (Residency Posting)
4. Teaching Methods
5. Methods of Assessment
6. Logbook and Clinical Requirements
1. Courses of Instruction: Delivered through Mastery of Learning (Skill Lab Practice) and
Experiential Learning (including Clinical Practice) Approaches
+-------+-------------------------------------------------------------+-----------------+-----------------+-----------------+
| Unit | Courses | Theory (hours) | Lab/Skill | Clinical (hours)|
| | | | Lab (hours) | |
+=======+=============================================================+=================+=================+=================+
| I | Foundations to Geriatric Specialty Nursing Practice | 40 | - | - |
| | 1. Professionalism | | | |
| | 2. Communication, patient and family/caregiver | | | |
| | education and counseling relevant to specialty | | | |
| | nursing | | | |
| | 3. Clinical leadership and resource management in the | | | |
| | specialty care setting | | | |
| | 4. Evidence based and applied research in specialty | | | |
| | nursing | | | |
+-------+-------------------------------------------------------------+-----------------+-----------------+-----------------+
| II | Geriatric Specialty Nursing Courses | | | |
| | Geriatric Specialty Nursing I | 50 | 10 | 1730 |
| | 1. Context/Introduction to specialty nursing | | | |
| | 2. Basic sciences applied to specialty care: | | | |
| | diagnosis and treatment of clinical conditions | | | |
| | (Anatomy and Physiology, Microbiology, | | | |
| | Pharmacology, Pathophysiology, Psychology and | | | |
| | Sociology) | | | |
| | Geriatric Specialty Nursing II | 110 | 30 | |
| | 3. Nursing management of clinical conditions | | | |
| | including assessment, diagnosis, treatment and | | | |
| | specialized interventions | | | |
| | 4. Patient safety and quality | | | |
| | 5. Specialty/Illness specific considerations | | | |
| | (Supportive care/palliative care/rehabilitation, | | | |
| | impact of illness on individual, family, and | | | |
| | community) | | | |
+-------+-------------------------------------------------------------+-----------------+-----------------+-----------------+
| | TOTAL = 1970 hours | 200 (5 weeks) | 40 (1 week) | 1730 (38 weeks) |
+--------------------------------------------------------------------------------------------------------------------------+
Total weeks available in a year = 52 weeks
• Annual Leave + Casual Leave + Sick Leave + Public Holidays = 6 weeks
• Exam Preparation and Exam = 2 weeks
• Theory and Practical = 44 weeks
2. Implementation of the Curriculum (Theory - 10% and Skill Lab + Clinical - 90%)
• Block classes - 2 weeks x 40 hours per week = 80 hours
• Residency - 42 weeks x 45 hours per week = 1890 hours
Total = 1970 hours
• Block classes - Theory and Skill Lab experience = 2 weeks × 40 hours per week (80 hours)
{Theory = 74 hours, Skill Lab = 6 hours, Total = 80 hours}
• Clinical Practice including Theory and Skill Lab = 42 weeks × 45 hours per week (1890 hours)
{Theory = 126 hours, Skill Lab = 34 hours, Clinical = 1730 hours, Total = 1890 hours}
• Theory = 200 (74 + 126) hours, Skill Lab = 40 (6 + 34) hours, Clinical = 1730 hours
• 126 hours of Theory and 34 hours of Skill Lab learning can be integrated during Clinical Experience. Mastery
learning and experimental learning approaches are used in training the students throughout the program.
Skill Lab requirements are listed in Appendix-1.
3. Clinical Practice (Residency Posting)
Clinical Residency Experience: A minimum of 45 hours per week is prescribed, however, it is flexible
with different shifts and OFF followed by on call duty every week or fortnight.
Clinical Placements: The students will be posted to the under mentioned clinical areas during the
training period.
+-------+-----------------------------------+---------+
| S.No. | Clinical Areas | Weeks |
+=======+===================================+=========+
| 1 | Geriatric Wards | 10 |
+-------+-----------------------------------+---------+
| 2 | Geriatric Clinics/OPDs | 2 |
+-------+-----------------------------------+---------+
| 3 | General Medical Wards | 4 |
+-------+-----------------------------------+---------+
| 4 | General Surgical Wards | 4 |
+-------+-----------------------------------+---------+
| 5 | ICU/CCU | 2 |
+-------+-----------------------------------+---------+
| 6 | Orthopedic OPD | 2 |
+-------+-----------------------------------+---------+
| 7 | Neuro Ward/OPD | 2 |
+-------+-----------------------------------+---------+
| 8 | Urology and Nephrology Wards | 2 |
+-------+-----------------------------------+---------+
| 9 | Oncology OPD/Wards | 2 |
+-------+-----------------------------------+---------+
| 10 | Emergency Ward | 2 |
+-------+-----------------------------------+---------+
| 11 | Ophthalmology Ward | 1 |
+-------+-----------------------------------+---------+
| 12 | Physiotherapy/Occupational Therapy| 1 |
+-------+-----------------------------------+---------+
| 13 | Rehabilitation Centre | 2 |
+-------+-----------------------------------+---------+
| 14 | Community Field Practice Area | 3 |
+-------+-----------------------------------+---------+
| 15 | Old Age Homes and Day Care Centre | 2 |
+-------+-----------------------------------+---------+
| 16 | Field Visits/Hospice/Palliative Care| 1 |
+-------+-----------------------------------+---------+
| | TOTAL | 42 weeks|
+-----------------------------------------------------+
The residency students will follow the same duty schedule as staff nurses with different shift duties. In addition to
that 4 hours every week are dedicated for their learning that can be offered for theory (faculty lecture - 1 hour,
nursing and interdisciplinary rounds - 1 hour, clinical presentations, case study report, and clinical assignments
1 hour and skill lab practice - 1 hour) to cover a total of 126 hours of theory and 34 hours of skill lab practice. A
small group research project can be conducted during clinical posting applying the steps of research process and
written reports to be submitted.
4. Teaching Methods
Theoretical, Skill Lab and Clinical teaching can be done in the following methods and integrated during clinical
posting:
• Case/clinical presentation
• Case study report
• Drug study and presentation
• Bedside clinic/Nursing rounds/Interdisciplinary rounds
• Clinical seminar/Conference
• Journal clubs
• Faculty lecture and discussion in the clinical area
• Demonstration and skill training in skill lab and at bedside
• Directed reading/Self study
• Role play
• Symposium/group presentation
• Group research project
• Clinical assignments/term papers
• Workshops
• Field Visits
• Patient engagement exercise (engaging patients in care decisions to improve health outcomes using
information technology) for example discharge planning and follow up
5. Method of Assessment
• Written test (Case or scenario based)
• Practical examination - OSCE and Observed Practical (Direct observation of actual clinical performance at
real settings)
• Written assignments
• Project
• Case studies/care plans/clinical presentation/drug study
• Clinical performance evaluation
• Completion of clinical procedural competencies and clinical requirements
For assessment guidelines refer Appendix-2
6. Clinical Logbook and Clinical Requirements
At the end of each Clinical Posting, Clinical Logbook (Specific Procedural Competencies/Clinical Skills)
(Appendix-3and Clinical Requirements (Appendix-4) and Clinical Experience Details (Appendix-5) must be
signed by the concerned clinical faculty/preceptor.
X. COURSE SYLLABUS
FOUNDATIONS TO GERIATRIC SPECIALTY NURSING PRACTICE:
PROFESSIONALISM, COMMUNICATION, PATIENT EDUCATION & COUNSELLING, CLINCIAL
LEADERSHIP & RESOURCE MANAGEMENT, QUALITY CARE, EVIDENCE BASED AND
APPLICATION OF RESEARCH IN GERIATRIC NURSING PRACTICE
Total Theory: 40 hours
Course Description: This course is designed to develop an understanding of professionalism, communication, patient
education and counselling, clinical leadership, resource management, quality care, evidence based and applied
research in geriatric nursing practice.
+------+-----------+----------------------------------------------+-------------------------------------------------------------+-----------------------------+
| Unit | Time | Learning Outcomes | Content | Teaching/Learning Activities| Assignments/Assessment |
| | (hours) | | | | Methods |
+======+===========+==============================================+=============================================================+=============================+
| I | 3 (T) | Demonstrate understanding of professionalism | Professionalism | • Lecture and discussion | • Write about Code of Ethics|
| | | and exhibit professionalism in the practice of | • Meaning and elements - accountability, knowledge, visibility| • Case-based learning | related to geriatric nursing|
| | | geriatric nursing | and ethics in geriatric specialty nursing practice | | practice |
| | | | • Professional values and professional behaviour | | |
| | | | • INC code of ethics, code of professional conduct and | | |
| | | | practice standards | | |
| | | | • Ethical principles, ethical decision making - advance | | |
+------+-----------+----------------------------------------------+-------------------------------------------------------------+-----------------------------+
| | | | directive, will, euthanasia | | |
| | | | • Ethical issues related to geriatric nursing | | |
| | | | • Expanding role of nurse - geriatric specialist nurse, | | |
| | | | geriatric nurse practitioner | | |
| | | | • Professional organizations | | |
| | | | • Continuing nursing education | | |
+------+-----------+----------------------------------------------+-------------------------------------------------------------+-----------------------------+
| II | 3 (T) | Describe medico-legal aspects of geriatric | Medico-Legal Issues | • Lecture | • Maintain medico legal |
| | | nursing | • Legislations and regulations related to care of older | | records of older adult |
| | | | adults | | patients |
| | | | • Consumer protection act | | |
| | | | • Negligence and malpractice | | |
| | | | • Medico-legal aspects | | |
| | | | • Records and reports | | |
| | | | • Legal responsibilities of geriatric specialist nurses | | |
+------+-----------+----------------------------------------------+-------------------------------------------------------------+-----------------------------+
| III | 12 (T) | Communicate effectively with older adult | Communication | • Lecture | • Maintain digital records |
| | | patients, their families and professional | • Basic principles of communication | • Module | |
| | | colleagues/ interdisciplinary team fostering | • Channels and techniques of communication | • Communication | |
| | | mutual respect and shared decision making to | • Culturally sensitive communication | • Breaking bad news | |
| | | enhance health outcomes | • Shared decision making | • Role play | |
| | | | • Breaking bad news | | |
| | | | • Crisis communication | | |
| | | | • Information technology tools for communication | | |
| | | | • Team communication | | |
| | | Educate and counsel patients and families to | Patient and Family/Caregiver Education | • Peer teaching | Assignment |
| | | participate effectively in treatment and care| • Principles of teaching and learning | • Patient engagement | • Prepare patient education |
| | | | • Principles of health education | exercise, e.g. discharge | materials on relevant |
| | | | • Assessment of information needs and education needs of | planning and planning for | topics |
| | | | patients and families/caregivers | home care | • Conduct a group education |
| | | | • Developing patient education materials | • Lecture | program for older adult |
| | | | Counselling | | patients |
| | | | • Counselling techniques | • Counselling sessions | • Report |
| | | | • Patient and family counselling during breaking bad news, | | |
| | | | intensive treatment, crisis intervention and end of life | | |
| | | | stage | | |
+------+-----------+----------------------------------------------+-------------------------------------------------------------+-----------------------------+
| IV | 12 (T) | Demonstrate understanding of Clinical | Leadership and Resource Management in the Geriatric | • Lecture and discussion | Assignment |
| | | Health Care Unit | | | • Prepare the job |
+------+-----------+----------------------------------------------+-------------------------------------------------------------+-----------------------------+
| | | clinical leadership and management strategies| Geriatric Health Care Unit | | description of the in- |
| | | and use them in geriatric care settings | • Leadership and management | | charge/senior geriatric |
| | | promoting collaborative, interdisciplinary | • Elements of management of geriatric nursing care - | | nurse |
| | | and effective teamwork | planning, organizing, staffing, reporting, recording, and | | • Plan a duty roster for |
| | | | budgeting | | the junior nursing |
| | | | • Clinical leadership and its challenges | | officers/ staff nurses |
| | | | • Delegation | | working in the geriatric |
| | | | • Managing human resources in geriatric care units | | care units |
| | | | • Material management | | |
| | | | • Emotional intelligence and self-management skills | | |
| | | | • Working as interdisciplinary team member | | |
| | | Demonstrate skills in setting up a geriatric | • Designing an ideal geriatric care unit in hospital, long | • Demo - Preparation of | Assignment |
| | | care unit | term care and community settings | geriatric care unit | • Design an ideal Geriatric |
| | | | • Participation in making policies relevant to care of | | Care Unit |
| | | | older adults | | • Develop SOPs for geriatric|
| | | | • Development of nursing care records, flow sheets for | | nursing care practice in |
| | | | documentation | | a geriatric care unit |
| | | | • Electronic health records in geriatric care areas | | |
| | | | • Use of electronic devices for practice support and | | |
| | | | enhancement | | |
| | | Conduct clinical audit and participate in | Quality Assurance Program | • Lecture | Written Assignment |
| | | quality assurance activities in geriatric | • Nursing audit | • Module/consult on | • Prepare a survey of |
| | | care unit | • Nursing standards for a geriatric care unit | accreditation and practice| problem issues of the |
| | | | • Quality assurance | standards | geriatric care unit with |
| | | | | | root cause analysis and |
| | | | | | the solutions |
+------+-----------+----------------------------------------------+-------------------------------------------------------------+-----------------------------+
| V | 10 (T) | Describe research process and perform basic | Evidence based practice and clinical application of | • Lecture and discussion | • Prepare a statistical |
| | | statistical tests | research | • Module | data of the geriatric |
| | | | • Introduction to nursing research and research process | • Writing of scientific | care unit for the last 5 |
| | | | • Data presentation, basic statistical tests and its | paper | years |
| | | | application | | |
| | | | • Research priorities in geriatric nursing | | |
| | | Identify and apply | • Formulation of problem/question relevant to | | |
+------+-----------+----------------------------------------------+-------------------------------------------------------------+-----------------------------+
| | | evidence-based/best practices in geriatric | geriatric nursing practice | | • Conduct literature review |
| | | nursing practice | • Review of literature to identify evidenced based/best | | on nursing interventions |
| | | | practices in geriatric nursing practice | | relevant to geriatric |
| | | | • Preparation of a project proposal in geriatric care unit | | nursing interventions |
| | | | • Implementation of evidenced based practice in daily | | • Perform an evidence based |
| | | | professional practice | | practice group project |
| | | | • Ethics in research | | |
+------+-----------+----------------------------------------------+-------------------------------------------------------------+-----------------------------+
GERIATRIC SPECIALTY NURSING - I
CONTEXT/INTRODUCTION TO GERIATRIC NURSING AND BASIC SCIENCES
APPLIED TO GERIATRIC NURSING PRACTICE
(Applied Psychology, Sociology, Anatomy & Physiology, Microbiology, Pharmacology & Pathophysiology)
Theory: 50 hours and Lab: 10 hours
Course Description: This course is designed for students to develop understanding and in-depth knowledge regarding
the context of care of older adults and application of principles of geriatric nursing, application of basic sciences in the
diagnosis and treatment of older adult patients suffering from medical and surgical disorders and age-related health
conditions.
+------+-----------+------------------------------------------------+-------------------------------------------------------------+-----------------------------+-----------------------------+
| Unit | Time | Learning Outcomes | Content | Teaching/Learning Activities| Assignments/Assessment |
| | (hours) | | | | Methods |
+======+===========+================================================+=============================================================+=============================+=============================+
| I | 8 (T) | Describe the concepts, principles, and scope | Introduction to Geriatric Nursing Principles, Practices of | • Lecture and discussion | Written Assignment |
| | | of geriatric nursing practice | Geriatric Nursing and Roles and Responsibilities of | | • Describe a day of the |
| | | | Geriatric Specialist Nurses | | nurse in the geriatric care |
| | | | • Ageing and ageing process | | areas/old age home and |
| | | | • Definition of geriatric nursing | | explain their roles |
| | | | • Global and Indian perspective of geriatric care | | |
| | | | • Principles of geriatric care/geriatric nursing | | |
| | | Describe the levels of health care, geriatric | • Scope of geriatric nursing | | |
| | | health care team and roles, responsibilities | • Levels of geriatric care | | |
| | | of geriatric specialist nurses | • Geriatric health care team | | |
| | | | • Role of geriatric specialist nurses | | |
+------+-----------+------------------------------------------------+-------------------------------------------------------------+-----------------------------+-----------------------------+
| II | 6 (T) | Describe psychosocial and spiritual aspects in | Psychosocial and Spiritual Aspects | • Lecture and discussion | Written Assignment |
| | 2 (L) | the care of older adult patients/family | • Human behaviour and psychosocial reactions | • Role play | • Describe the psychosocial |
| | | | • Psychosocial assessment of older adult patients/family | | assessment of older adult |
| | | | | | patients/ family in stress|
| | | | | | and crisis |
+------+-----------+------------------------------------------------+-------------------------------------------------------------+-----------------------------+
| | | Perform psychosocial and spiritual needs | family | | • Case presentation |
| | | assessment of older adults/families | • Factors influencing psychosocial adjustment for older | | |
| | | | adult patients suffering from acute/chronic illnesses and | | |
| | | | terminally ill | | |
| | | | • Stress and coping in emergency/crisis situations | | |
| | | | • Nursing interventions of psychosocial issues and problems | | |
| | | | of older adults/patients | | |
| | | | • Socio-cultural influences on care of older adults/patients| | |
| | | | • Social organizations and community resources | | |
| | | | • Spiritual assessment and spiritual care interventions | | |
| | | Develop counselling skills for families of | | | |
| | | older adult patients admitted in geriatric care| | | |
| | | unit with acute/chronic illnesses/terminally | | | |
| | | ill | | | |
+------+-----------+------------------------------------------------+-------------------------------------------------------------+-----------------------------+
| III | 4 (T) | Coordinate with key stakeholders in providing | Social support and health services for older adults | • Visit to CHC/PHC/HWCs | • Report presentation |
| | | care to older adults in hospital and community | • Implementation of National Health Policy (NHP) for older | | |
| | | settings | adults | | |
| | | | • National Program for the Health Care of the Elderly | | |
| | | | (NPHCE) | | |
| | | | • Regional Geriatric Centres (RGCS) | | |
| | | | • National Centres of Ageing (NCAS) | | |
| | | | • National Non-communicable Diseases Control Program | | |
| | | | • Ayushman Bharat Pradhan Mantri Jan Arogya Yojana | | |
| | | | • Rastriya Vayo Shri Yojana | | |
| | | | • Role of Governmental organizations and NGOs | | |
| | | | • Agencies working for the health care of older population: | | |
| | | | National and State | | |
| | | | • Social support and social networking, self-help groups, | | |
| | | | elderly clubs, role of police | | |
| | | | • Welfare measures and provisions for the older adults | | |
+------+-----------+------------------------------------------------+-------------------------------------------------------------+-----------------------------+
| IV | 4 (T) | Acquire knowledge on principles and practices | End of Life Care | • Lecture | • Clinical evaluation |
| | 2 (L) | related to end-of-life care among older adult | • Principles of good death | • Discussion | • Case presentation |
| | | patients on palliative care | • Principles for best care for the dying person | • Role play on counselling | |
+------+-----------+------------------------------------------------+-------------------------------------------------------------+-----------------------------+
| | | | • End of life care in different settings | | |
| | | | • Communication with the family and support of family | | |
| | | | members | | |
| | | | • Talking about death and dying | | |
| | | | • Common symptoms in last 48 hours | | |
| | | | • End of life care at home | | |
| | | | • Care after death | | |
| | | | • Registration of death and death certificate | | |
| | | | • Organ donation | | |
| | | | • Postmortem | | |
| | | | • Role of Nurses in end-of-life care | | |
| | | Develop skills on managing end of life care | • Grief counselling after death of an older adult | | |
| | | situations and grief counselling both in | | | |
| | | hospital and community settings | | | |
+------+-----------+------------------------------------------------+-------------------------------------------------------------+-----------------------------+
| V | 6 (T) | Explain the infection control measures in | Applied Microbiology | • Lecture and discussion | • Clinical evaluation |
| | 2 (L) | geriatric care units and community settings | • Infection prevention and control practices | • Demonstration | Assignment |
| | | | • Principles of asepsis, sterilization and disinfection | | • Infection control in |
| | | | • Standard safety measures | | geriatric care unit |
| | | | • Biomedical waste management | | • SOPs for infection control|
| | | | • Infection control practices for older adults in different | | in community/geriatric |
| | | | settings | | care settings |
| | | | • HICC audit | | |
+------+-----------+------------------------------------------------+-------------------------------------------------------------+-----------------------------+
| VI | 12 (T) | Describe the basic anatomy and physiology of | Review of applied anatomy and physiology - Structural and | • Lecture and discussion | Quiz |
| | 2 (L) | various systems | functional changes applicable to ageing | • Self-study | • Assignment |
| | | | • Neurological system | • Video show | |
| | | | • Respiratory system | | |
| | | | • Cardiovascular system | | |
| | | | • Gastro intestinal system | | |
| | | | • Endocrine system | | |
| | | | • Musculoskeletal system | | |
| | | | • Genitourinary system | | |
| | | | • Reproductive system | | |
| | | | • Sensory organs | | |
+------+-----------+------------------------------------------------+-------------------------------------------------------------+-----------------------------+
| VII | 8 (T) | Explain pharmacotherapy for different | Applied Pharmacology | • Lecture and discussion | Quiz |
| | | conditions affecting older adults | • Principles of drug administration in older adults | | • Drug presentation |
| | | | • Role of nurses and care of drugs | | |
| | | | • Pharmacodynamics and pharmacokinetics of common | | |
+------+-----------+------------------------------------------------+-------------------------------------------------------------+-----------------------------+
| | | | common drugs used in the management of health problems of | | |
| | | | older adults | | |
| | | | • Analgesics | | |
| | | | • Antipyretics | | |
| | | | • Anti-inflammatory agents | | |
| | | | • Opioids | | |
| | | | • Anxiolytics | | |
| | | | • Corticosteroids | | |
| | | | • Bronchodilators | | |
| | | | • Diuretics | | |
| | | | • Anticholinergics | | |
| | | | • Anti-ulcer drugs | | |
| | | | • Laxatives | | |
| | | | • Anti diarrheal | | |
| | | | • Antiemetics | | |
| | | | • Nutritional supplementary drugs | | |
| | | | • Supplemental oxygen | | |
+------+-----------+------------------------------------------------+-------------------------------------------------------------+-----------------------------+
| VIII | 2 (T) | Describe the alternative therapies in the care | Complementary and Alternative therapy in the care of | • Lecture | • Return demonstration of |
| | 2 (L) | of older adults | older adults | • Discussion | selective alternative |
| | | | • Mind-body intervention | • Demonstration | therapy methods |
| | | | • Meditation | | |
| | | | • Relaxation techniques | | |
| | | | • Guided imagery | | |
| | | | • Hypnosis | | |
| | | | • Biofeedback | | |
| | | | • Music therapy | | |
| | | | • Special diet | | |
| | | | • Massage therapy | | |
| | | | • Aroma therapy | | |
| | | | • Reflexology | | |
| | | | • Acupressure | | |
| | | | • Hydrotherapy | | |
+------+-----------+------------------------------------------------+-------------------------------------------------------------+-----------------------------+
GERIATRIC SPECIALTY NURSING - II
NURSING MANAGEMENT OF CLINICAL CONDITIONS INCLUDING ASSESSMENT,
DIAGNOSIS, TREATMENT AND SPECIALIZED INTERVENTIONS, PATIENT SAFETY,
AND SPECIALITY ILLNESS SPECIFIC CONSIDERATIONS
(Supportive Care/Palliative Care/Rehabilitation)
Theory: 110 hours and Lab: 30 hours
Course Description: This course is designed for students to develop an understanding and in-depth knowledge and
competencies required for assessment, diagnosis, treatment, nursing management, supportive/palliative care to older
adults with various geriatric health conditions including rehabilitation and end of-life care.
+------+-----------+------------------------------------------------+-------------------------------------------------------------+-----------------------------+-----------------------------+
| Unit | Time | Learning Outcomes | Content | Teaching/Learning Activity | Assignments/Assessment |
| | (hours) | | | | Methods |
+======+===========+================================================+=============================================================+=============================+=============================+
| I | 6 (T) | Demonstrate skill in assessing older adult | MANAGEMENT OF COMMON DISEASES OF OLDER ADULTS | • Lecture | Case Presentation |
| | 2 (L) | patients with common cardiovascular conditions | CARDIOVASCULAR SYSTEM | • Discussion | • Interpretation of normal |
| | | | | • Demonstration of CPR and | ECG |
| | | Prepare/assist in diagnostic tests | Assessment and diagnostic tests | ECG taking and | • Return demonstration of |
| | | | Common cardio-vascular orders of older adults | interpretation | CPR |
| | | | • Hypertension | | |
| | | | • Coronary Artery Disease | | |
| | | | • Acute myocardial infarction | | |
| | | | • Congestive cardiac failure | | |
| | | | • Syncope | | |
| | | | • Hyperlipidemia | | |
| | | | • Other common problems | | |
| | | Develop skill in providing nursing care to | Application of Nursing Process | | • Use of Defibrillator |
| | | older adult patients with cardiovascular | | | |
| | | disorders applying nursing process both in | | | |
| | | hospital and community settings | | | |
+------+-----------+------------------------------------------------+-------------------------------------------------------------+-----------------------------+
| II | 8 (T) | Demonstrate skill in assessing older adult | ENDOCRINE SYSTEM | • Lecture | Quiz |
| | 2 (L) | patients with common endocrine conditions | Assessment and diagnostic tests | • Discussion | • Return demonstration |
| | | | Management pf common endocrine disorders of older adults | • Demonstration of insulin | • Health education on |
| | | Prepare/assist in diagnostic tests | • Diabetes mellitus | therapy | diabetic diet |
| | | | • Hypo/hyperthyroidism | • Foot assessment | |
| | | | • Pituitary disorders | • Foot care | |
| | | | • Obesity | | |
| | | Describe etiology, pathophysiology, clinical | • Osteoporosis | | |
| | | manifestations, diagnosis and management of | • Vitamin D deficiency | | |
| | | older adult patients with common endocrine | Application of Nursing Process | | |
| | | disorders | | | |
| | | Develop skill in providing nursing care to | | | |
| | | older adult patients with endocrine disorders | | | |
| | | applying nursing process both in hospital and | | | |
| | | community settings | | | |
+------+-----------+------------------------------------------------+-------------------------------------------------------------+-----------------------------+
| III | 8 (T) | Demonstrate skill in assessing older adult | GASTROINTESTINAL SYSTEM | • Lecture | • Case presentation |
| | 2 (L) | patients with common gastrointestinal | Assessment and monitoring of gastrointestinal system | • Discussion | • Return demonstration of |
| | | conditions including nutritional assessment | Assessment of nutritional status | • Demonstration of enteral | enteral nutrition, |
| | | | Management of common gastrointestinal disorders of older | nutrition, gastrostomy/ | gastrostomy/ jejunostomy |
| | | Prepare/assist in diagnostic tests | adults | jejunostomy colostomy care| |
| | | | • Acid Peptic Disease | | |
| | | | • Non-ulcer dyspepsia | | |
| | | Describe etiology, pathophysiology, clinical | • GERD | | |
| | | manifestations, diagnosis and management of | | | |
+------+-----------+------------------------------------------------+-------------------------------------------------------------+-----------------------------+
| | | management of older adult patients with | older adult patients with common gastrointestinal disorders | | |
| | | common gastrointestinal disorders | • Acute abdomen | | |
| | | | • Gastrointestinal bleeding | | |
| | | Develop skill in providing nursing care to | • Acute pancreatitis | | |
| | | older adult patients with gastrointestinal | • Hernia | | |
| | | disorders applying nursing process both in | • Hepatobiliary disease | | |
| | | hospital and community settings | Management modalities | | |
| | | | • Therapeutic diet planning | | |
| | | | • Surgery | | |
| | | | • Stoma and Ostomy | | |
| | | | Application of Nursing Process | | |
| | | | • Preoperative care | • Demonstration of surgical | • Return demonstration |
| | | | • Post operative care | wound dressing | |
| | | | • Care of surgical wound | • Suture removal | • Suture removal |
| | | | • Suture removal | | |
+------+-----------+------------------------------------------------+-------------------------------------------------------------+-----------------------------+
| IV | 8 (T) | Demonstrate skill in assessing older adult | NERVOUS SYSTEM | • Lecture | Quiz |
| | 2 (L) | patients with common neurological disorders | Assessment and diagnostic tests | • Discussion | • Return demonstration |
| | | | Management of common neurological disorders of older | • Demonstration of ICP | • Case presentation |
| | | Prepare/assist in diagnostic tests | adults | monitoring | |
| | | | • Cerebrovascular Disease and CVA | • Coma status monitoring | |
| | | | • Seizure disorders | | |
| | | Describe etiology, pathophysiology, clinical | • Parkinson's syndrome | | |
| | | manifestations, diagnosis and management of | • Dementia | | |
| | | older adult patients with common neurological | • Delirium, Unconsciousness, Coma | | |
| | | disorder | • Alzheimer's disease | | |
| | | | • Problems related to thermoregulation | | |
| | | Develop skill in providing nursing care to | Application of Nursing Process | | |
| | | older adult patients with neurological | | | |
| | | disorders applying nursing process both in | | | |
| | | hospital and community settings | | | |
+------+-----------+------------------------------------------------+-------------------------------------------------------------+-----------------------------+
| V | 8 (T) | Demonstrate skill in assessing older adult | RESPIRATORY SYSTEM | • Lecture | • Return demonstration of |
| | 2 (L) | patients with common respiratory disorders | Assessment and diagnostic tests | • Discussion | airway management |
| | | | Management of common respiratory disorders of older adults | • Videos on ventilatory | • Interpretation of ABG |
| | | Prepare/assist in diagnostic tests | • Bronchial asthma | management | analysis |
| | | | • COPD | • Demonstration of airway | |
| | | | • Pneumonia | management | |
| | | Describe etiology, pathophysiology, clinical | • Pleural effusion | • Demonstration of setting | |
| | | manifestations, diagnosis and management of | • Acute Respiratory Distress Syndrome | up of mechanical ventilator| |
| | | older adult patients with common respiratory | | | |
+------+-----------+------------------------------------------------+-------------------------------------------------------------+-----------------------------+
| | | disorders | | | |
| | | Develop skill in providing nursing care | • Tuberculosis | | |
| | | applying nursing process to older adult | • Common allergies | | |
| | | patients with respiratory disorders both in | Management modalities | | |
| | | hospital and community settings | • Airway management | | |
| | | | • Ventilatory management - invasive, noninvasive, deep | | |
| | | | breathing exercise, chest physiotherapy, chest drainage | | |
| | | | Application of Nursing Process | | |
+------+-----------+------------------------------------------------+-------------------------------------------------------------+-----------------------------+
| VI | 8 (T) | Demonstrate skill in assessing older adult | GENITOURINARY & RENAL SYSTEM | • Lecture | • Return demonstration |
| | 2 (L) | patients with common genitourinary and renal | Assessment and Diagnostic tests | • Discussion | • Health teaching on bladder|
| | | disorders | Management of common genitourinary and renal disorders of | • Demonstration of | training and pelvic floor |
| | | | older adults | catheterization | exercises |
| | | Prepare/assist in diagnostic tests | • Urinary tract infection | • Pelvic floor exercises | • Health teaching on renal |
| | | | • Urinary incontinence types, classification | • Health counselling | diet |
| | | | • Catheter associated infections | | |
| | | | • Overactive bladder | | |
| | | | • BPH | | |
| | | Describe etiology, pathophysiology, clinical | • Renal stones | | |
| | | manifestations, diagnosis and management of | • Chronic kidney disease | | |
| | | older adult patients with genitourinary and | Management Modalities | | |
| | | renal disorders | • Haemodialysis | | |
| | | | • Management of incontinence | | |
| | | Develop skill in providing nursing care | • Pelvic floor exercise | | |
| | | applying nursing process to older adult | • Fluid replacement | | |
| | | patients with common genitourinary and renal | Application of Nursing Process | | |
| | | disorders both in hospital and community | | | |
| | | settings | | | |
+------+-----------+------------------------------------------------+-------------------------------------------------------------+-----------------------------+
| VII | 8 (T) | Demonstrate skill in assessing older adult | MUSCULSKELETAL SYSTEM | • Lecture | • Nursing rounds |
| | 2 (L) | patients with common musculoskeletal disorders | Assessment and diagnostic tests | • Discussion | • Case presentation |
| | | | Management of common musculoskeletal disorders of older | • Demonstration of | • Return demonstration of |
| | | Prepare/assist in diagnostic tests | adults | exercises and use of | exercises and use of |
| | | | • Osteoporosis | assistive devices | assistive devices |
| | | | • Osteoarthritis | | |
| | | | • Rheumatoid arthritis | | |
| | | Describe etiology, pathophysiology, clinical | • Falls, Injuries | | |
| | | manifestations, diagnosis and management of | • Fractures | | |
| | | older adult patients with common | • Low back disorders | | |
| | | musculoskeletal disorders | • Spondylosis | | |
| | | | Application of Nursing Process | | |
+------+-----------+------------------------------------------------+-------------------------------------------------------------+-----------------------------+
| VIII | 6 (T) | Demonstrate skill in performing assessment of | MANAGEMENT OF OTHER EMERGENCY CONDITIONS | • Lecture | • Return demonstration on |
| | 2 (L) | common emergency conditions of older adults | • Trauma and Injuries | • Discussion | assessments - primary |
| | | | • Shock | • Demonstration of | and secondary survey |
| | | | • Inflammatory Response: Systemic Inflammatory Response | assessments | |
| | | | Syndrome (SIRS) and Multiple Organ Dysfunction Syndrome | | |
| | | | (MODS) | | |
| | | Explain the clinical features, diagnosis and | • Drug overdose and poisoning | | |
| | | management: medical, surgical and nursing | • Alert signs: sudden chest pain, dyspnoea, sudden | | |
| | | management of various injuries, various types | weakness/numbness, loss of consciousness, severe bleeding,| | |
| | | of shock, SIRS, MODS, drug overdose, poisoning | seizures, severe abdominal pain, high fever | | |
| | | and AIDS | Response to alert signs | | |
| | | | Assessment and diagnostic tests | | |
| | | Prepare/assist in diagnostic tests | Application of Nursing Process | | |
| | | Develop skill in providing nursing care | | | |
| | | applying nursing process to older adult | | | |
| | | patients with common emergency conditions both | | | |
| | | in hospital and community settings | | | |
+------+-----------+------------------------------------------------+-------------------------------------------------------------+-----------------------------+
| IX | 2 (T) | Demonstrate skill in assessing older adult | INTEGUMENTARY SYSTEM | • Lecture | • Health education on |
| | | patients with common dermatological problems | Assessment and diagnostic tests | • Discussion | prevention of pressure |
| | | | Management of common dermatological problems of older | • Demonstration of wound | sores |
| | | Prepare/assist in diagnostic tests | adults | care | |
| | | | • Skin infections - Herpes, Scabies, Pyoderma | | |
| | | | • Pruritus' Dermatitis | | |
| | | Describe etiology, pathophysiology, clinical | • Eczema | | |
| | | manifestations, diagnosis and management of | • Psoriasis | | |
| | | older adult patients with common | • Decubitus ulcers | | |
| | | dermatological problems | • Burns | | |
| | | | • Allergies and drug reactions | | |
| | | Develop skill in providing nursing care | Application of Nursing Process | | |
+------+-----------+------------------------------------------------+-------------------------------------------------------------+-----------------------------+
| | | applying nursing process to older adult | | | |
| | | patients with common dermatological | | | |
| | | problems both in hospital and community | | | |
| | | settings | | | |
+------+-----------+------------------------------------------------+-------------------------------------------------------------+-----------------------------+
| X | 2 (T) | Demonstrate skill in assessing older adult | VISUAL SYSTEM | • Lecture | • Report on vision screening|
| | 1 (L) | patients with common eye problems | Assessment and diagnostic tests | • Discussion | |
| | | | Management of common eye problems of older adults | • Demonstration of | |
| | | Prepare/assist in diagnostic tests | • Cataract | screening for vision | |
| | | | • Glaucoma | | |
| | | | • Macular degeneration | | |
| | | | • Presbyopia | | |
| | | Describe etiology, pathophysiology, clinical | • Retinopathy | | |
| | | manifestations, diagnosis and management of | • Vision screening | | |
| | | older adult patients with common eye problems | Application of Nursing Process | | |
| | | Develop skill in providing nursing care | | | |
| | | applying nursing process to older adult | | | |
| | | patients with common eye problems both in | | | |
| | | hospital and community settings | | | |
+------+-----------+------------------------------------------------+-------------------------------------------------------------+-----------------------------+
| XI | 2 (T) | Demonstrate skill in assessing older adult | EAR, NOSE, THROAT | • Lecture | • Return demonstration on |
| | | patients with common ENT problems | Assessment and diagnostic tests | • Discussion | use of hearing aids |
| | | | Management of common ENT problems of older adults | • Demonstration | |
| | | Prepare/assist in diagnostic tests | • Presbycusis | | |
| | | | • Tinnitus | | |
| | | | • Cerumen (ear wax) | | |
| | | | • Rhinitis | | |
| | | Describe etiology, pathophysiology, clinical | • Anosmia | | |
| | | manifestations, diagnosis and management of | • Chronic sinusitis | | |
| | | older adult patients with common ENT problems | • Dysphagia | | |
| | | | • Presbyphonia | | |
| | | | • Laryngopharyngeal reflux | | |
| | | Develop skill in providing nursing care | Application of Nursing Process | | |
| | | applying nursing process to older adult | | | |
| | | patients with common ENT problems both in | | | |
| | | hospital and community settings | | | |
+------+-----------+------------------------------------------------+-------------------------------------------------------------+-----------------------------+
| XII | 1 (T) | Demonstrate skill in assessing older adult | DENTAL SYSTEM | • Lecture | • Return demonstration on |
| | | patients with common dental problems | Assessment and diagnostic tests | • Demonstration on oral | oral examination |
+------+-----------+------------------------------------------------+-------------------------------------------------------------+-----------------------------+
| | | dental problems | Management of common dental problems of older adults | examination | |
| | | | • Dental caries | | |
| | | Prepare/assist in diagnostic tests | • Periodontal disease | | |
| | | | • Denture related issues | | |
| | | | • Use of dentures | | |
+------+-----------+------------------------------------------------+-------------------------------------------------------------+-----------------------------+
| XIII | 6 (T) | Demonstrate skill in assessing and screening | Management of common malignancies of older adults | • Lecture | Written Assignment |
| | 2 (L) | older adult patients for common malignancies | Assessment and diagnostic tests | • Discussion | • Field visit reports |
| | | | Malignancies of ageing | • Role play | |
| | | Prepare/assist in diagnostic tests | • Cervix, Breast, Prostate, Oral, Lung, Gastrointestinal | • Field visits | |
| | | | • Cancer screening | | |
| | | | • Principles of management - Surgery, Radiotherapy, | | |
| | | | Chemotherapy | | |
| | | Describe the common malignancies in older | • QOL of older adults with cancer | | |
| | | adults, apply principles of nursing | • Palliative care | | |
| | | management in providing treatment and nursing | • Hospice care | | |
| | | care to these patients including palliative | • Care of terminally ill | | |
| | | care and hospice care | Application of Nursing Process | | |
| | | Develop skill in providing nursing care | | | |
| | | including palliative and hospice care | | | |
| | | applying nursing process to older adult | | | |
| | | patients with common malignancies both in | | | |
| | | hospital and community settings | | | |
+------+-----------+------------------------------------------------+-------------------------------------------------------------+-----------------------------+
| XIV | 6 (T) | Perform and accurately document a pertinent, | GERIATRIC NURSING ASSESSMENT | • Lecture and discussion | • Return demonstration |
| | 3 (L) | comprehensive, and focused physical, mental | • Comprehensive and focused health history and physical | • Demonstration | • Written assessment reports|
| | | health and cognitive assessment of older adults| assessment | Videos | |
| | | | • Evaluation of newly worsened health status or newly | | |
| | | | discovered risk factor | | |
| | | | • Components - clinical, functional, activities of daily | | |
| | | | living (ADL), cognitive, muscle power, gait, fall risk, | | |
| | | | pain, pressure sore, environment, social support, mental | | |
| | | | status examination (MSE), nutrition | | |
| | | | • Multidisciplinary geriatric assessment | | |
+------+-----------+------------------------------------------------+-------------------------------------------------------------+-----------------------------+
| XV | 4 (T) | Identify, assess and develop skill in | GERIATRIC SYNDROME & SYMPTOM ASSESSMENT AND | • Lecture | • Case presentation |
| | 2 (L) | providing relevant care to older adult patients| MANAGEMENT | • Discussion | • Written assignments |
| | | with geriatric syndrome both in hospital and | • Falls and fractures | • Role play | • Mini mental health status |
| | | community setting | • Pressure sores | Videos | examination report |
| | | | • Urinary symptoms - incontinence, overactive bladder, UTI | | |
| | | | • Joint pain and stiffness | | |
| | | | • Constipation | | |
| | | Prepare/assist in diagnostic tests | • Frailty | | |
| | | | • Nutrition problems | | |
| | | | • Sleep problems | | |
| | | Educate and demonstrate to older adults and | • Delirium | | |
| | | their care givers regarding the management of | • Dementia | | |
| | | geriatric syndrome | • Aches and pains | | |
| | | | • Vision and hearing problems | | |
| | | | • Mood changes | | |
| | | | • Role of nurses | | |
| | | | • Geriatric nursing assessment using appropriate tools and | | |
| | | | scales | | |
+------+-----------+------------------------------------------------+-------------------------------------------------------------+-----------------------------+
| XVI | 5 (T) | Describe the mental health problems/issues of | Mental Health of older adults | • Lecture | • Case presentation |
| | 2 (L) | concern among older adults | • Mental well being | • Discussion | • Written assignments |
| | | | • Depression | • Role play | • Mini mental health status |
| | | Recognize, assess, and plan for culture | • Psychosis | Videos | examination report |
| | | specific mental health interventions for older | • Anxiety | | |
| | | adults | • Sleeping disorders | | |
| | | | • Self-neglect, social isolation | | |
| | | | • Drugs and substance abuse | | |
| | | | • Cognitive impairment and dementia | | |
| | | Develop skill in providing care to older adults| • Suicidal risk | | |
| | | with mental health problems applying nursing | • Mental health services, counseling services for | | |
| | | process | retirement, relocation, widowhood and bereavement, | | |
| | | | ambulatory treatment for mental diseases | | |
| | | | Application of Nursing Process | | |
+------+-----------+------------------------------------------------+-------------------------------------------------------------+-----------------------------+
| XVII | 3 (T) | Recognize, prevent and manage elder abuse and | Elder Abuse Violence | • Lecture | • Case presentation |
| | | violence | • Definition spectrum | • Discussion | |
| | | | • Identification of elder abuse | | |
| | | | • Likely victims | | |
+------+-----------+------------------------------------------------+-------------------------------------------------------------+-----------------------------+
| XVIII| 2 (T) | Develop skill in assessment of care giver | Care Giver Stress/Burden | • Lecture | Written assignment: |
| | | stress/burden and provide support to the care | • Burden of care giving | • Discussion | • Report on care giver |
| | | givers/families | • Assessment of care giver burden | | burden assessment |
| | | | • Supporting the care giver/family | | |
+------+-----------+------------------------------------------------+-------------------------------------------------------------+-----------------------------+
| XIX | 8 (T) | Explain the goals and principles of | Rehabilitation, Physiotherapy and Occupational Therapy | • Lecture | • Case study |
| | 2 (L) | rehabilitation of older adults/patients | • The concepts and history of rehabilitation | • Discussion | • Return demonstration |
| | | | • Needs and goals of rehabilitation | • Demonstration exercises | exercises and use of |
| | | | • Principles of rehabilitation | and use of assistive | assistive devices |
| | | Assess and manage older adult patients who | • Rehabilitation in older adults | devices | |
| | | require palliative, hospice, and rehabilitative| • Rehabilitation as teamwork | • Videos | |
| | | care in different health care settings | • Self-care evaluation and management of activities of | | |
| | | | daily living | | |
| | | | • Bladder and bowel training | | |
| | | | • Positioning aids | | |
| | | | • Basic position - sitting, standing, passive | | |
| | | Elaborate on the role of physiotherapy and | • Therapeutic exercises | | |
| | | occupational therapy in the rehabilitation of | • Gait training | | |
| | | older adults | • Standing balance wheelchair mobility, transfers | | |
| | | | • Assistive devices/aids and application | | |
| | | | • Innovations | | |
| | | Develop skill in meeting the rehabilitation | • Role of physiotherapy and occupational therapy in older | | |
| | | training needs of older adult patients | adults | | |
| | | | • Contractures and other deleterious effects of immobility | | |
| | | | • Pressure ulcer | | |
| | | | • Rehabilitation of stroke in the elderly | | |
| | | | • Rehabilitation of specific diseases | | |
| | | | • Organization and effectiveness of rehabilitation services | | |
+------+-----------+------------------------------------------------+-------------------------------------------------------------+-----------------------------+
| XX | 3 (T) | Describe age friendly environment in the | Age Friendly Environment | • Lecture | • Field visit reports |
| | | hospital and community settings | • Safety considerations - prevention of risks and falls | • Discussion | |
| | | | injuries | • Field visits | |
| | | | • Modifications in the home, institutions, and community | | |
| | | | - roads, buildings, public places, old age homes | | |
| | | | • Technology to enhance independence and safety | | |
| | | | • Assisting devices | | |
| | | | • Role of society, neighbours and police | | |
| | | | Application of Nursing Process | | |
+------+-----------+------------------------------------------------+-------------------------------------------------------------+-----------------------------+
| XXI | 6 (T) | Identify, assess and develop skill in | Home based care to older adults (Review) | • Lecture | Case study |
| | 2 (L) | providing home-based care to older adult | • Pain management at home | • Discussion and | • Health counselling |
| | | patients with geriatric syndrome and common | • Symptom management | demonstration | |
| | | health problems | • Home management older adults with chronic illnesses/ | | |
| | | | conditions | | |
| | | | • Nutritional support | | |
| | | | • Psychosocial support | | |
| | | | • End-of-life care | | |
| | | | • Integration of geriatric care into primary health | | |
| | | | care/HWCs | | |
| | | | • Role of nurses | | |
+------+-----------+------------------------------------------------+-------------------------------------------------------------+-----------------------------+
PRACTICUM (SKILL LAB AND CLINICAL)
Total hours: 1770 hours (40 + 1730)
(Skill Lab - 40 hours and Clinical - 1730 hours)
Practice Competencies
At the end of the program students will be able to:
1. Perform assessment of functional, physical, cognitive, psychological, social and spiritual status of older adults by
using appropriate tools.
2. Assist and perform special procedures in geriatric care settings.
3. Prepare and care for patients admitted in geriatric health care units applying nursing process.
4. Recognize and manage symptoms and common health problems of elderly adults including geriatric syndromes.
5. Assess and manage older adult patients who require critical care, palliative care, hospice care and rehabilitative
care in different health care settings.
6. Prepare older adult patients for home care management.
7. Use technology to enhance the functional independence and safety of older adults.
8. Maintain and store drugs and keep daily records relevant in the care of older adults.
9. Provide culturally appropriate end of life care to older adults.
10. Provide bereavement counselling and support.
11. Deal with psychosocial, legal and ethical issues of older adult patient/family.
12. Teach and supervise nurses/health workers/care givers in competencies necessary to deliver care to older adults.
13. Demonstrate skills in management of geriatric care services.
14. Design a plan for organization of geriatric care units in different settings.
CLINICAL POSTINGS
+------------------+------------------+-------------------------------------------------------------+-------------------------------------------------------------+------------------------------------+------------------------------------+
| Clinical | Duration | Clinical Learning | Skills/Procedural | Assignments | Assessment |
| Areas | (weeks) | Outcomes | Competencies | | Methods |
+==================+==================+=============================================================+=============================================================+====================================+====================================+
| Geriatric Wards | 10 weeks | Perform assessment | • History taking | • Geriatric health | • Clinical |
| | | of functional | • Geriatric health | assessment | evaluation |
| | | physical, cognitive, | assessment | reports | • Case study |
| | | psychological, social | • Preparing, performing | • Case study | report |
| | | and spiritual status of | and assisting in | report | evaluation |
| | | older adults by using | diagnostic tests | • Health | • Clinical |
| | | appropriate tools | • Interpretation of the | counselling | presentation |
| | | | results | • Preparation for | |
| | | Provide | • Competent nursing care | home care | |
| | | comprehensive high- | • Health education | | |
| | | quality evidence- | • Planning for home care | | |
| | | based nursing care to | | | |
| | | older adult patients | | | |
| | | and their families | | | |
| | | including the | | | |
| | | underprivileged and | | | |
| | | disabled, applying | | | |
| | | nursing process | | | |
+------------------+------------------+-------------------------------------------------------------+-------------------------------------------------------------+------------------------------------+------------------------------------+
| Geriatric | 2 weeks | Assist in examination | • History taking | • Geriatric health | • Clinical |
| Clinics/OPDS | | of older adult patients | • Physical examination | assessment | evaluation |
| | | with different health | • Health education | report | • Evaluation of |
| | | conditions | | | health |
| | | | | | counselling |
| | | Assist in diagnostic | | | • Reports on |
| | | procedures | | | health |
| | | | | | assessment |
+------------------+------------------+-------------------------------------------------------------+-------------------------------------------------------------+------------------------------------+------------------------------------+
| General Medical | 4 weeks | Provide nursing care | • History taking | • Health | Clinical |
| Wards | | for older adult | • Physical examination | assessment | evaluation |
| | | patients with acute | • Assisting in diagnostic | • Case study | • Case study |
| | | and chronic medical | tests | | report |
| | | conditions using | | | |
| | | nursing process | | | |
+------------------+------------------+-------------------------------------------------------------+-------------------------------------------------------------+------------------------------------+------------------------------------+
| General Surgical | 4 weeks | Perform pre- and | • Preparation of patients | • Case study | • Clinical |
| Wards | | post-operative care | for surgery | • Counselling | evaluation |
| | | for patients | • Postoperative care | session | • Case study |
| | | undergoing surgeries | • Wound management | • Report on pain | report |
| | | | • Support during all | assessment | • Report of |
| | | Perform counselling | phases of disease | | SOP for |
| | | to patients and their | process | | infection |
| | | relatives | • Counselling of patients | | control in a |
| | | | and relatives | | surgical ward |
| | | Observe and | • Wound assessment and | | |
| | | maintain infection | management | | |
| | | control in the surgical | • Pain assessment and | | |
| | | unit | management | | |
+------------------+------------------+-------------------------------------------------------------+-------------------------------------------------------------+------------------------------------+------------------------------------+
| ICU/CCU | 2 weeks | Provide | • Managing patients on | • Special needs | • Clinical |
| | | comprehensive care | ventilator | and | evaluation |
| | | to critically ill older | • Advanced airway | requirement of | • Assignment |
| | | adult patients in the | management | older adult | evaluation |
| | | ICU/CCU setup | • Hemodynamic | patients on | |
| | | | monitoring of patients | ventilator | |
| | | Provide | • Chest pain assessment | • Cardiovascular | |
| | | comprehensive care | • Monitoring CVP and | and respiratory | |
| | | to older adult patients | ABP of patients | | |
+------------------+------------------+-------------------------------------------------------------+-------------------------------------------------------------+------------------------------------+------------------------------------+
| | | with medical and | with medical and | | |
| | | surgical disorders | surgical disorders | | |
| | | | • Taking and interpreting | assessment | |
| | | | ECG | • ABG | |
| | | | • Preparing patients for | interpretation | |
| | | | cardiac and respiratory | • ECG | |
| | | | critical care | interpretation | |
| | | | interventions | | |
| | | | • Providing competent | | |
| | | | care to older adult | | |
| | | | patients with medical | | |
| | | | and surgical emergency | | |
| | | | conditions | | |
| | | | • Thrombolytic therapy | | |
+------------------+------------------+-------------------------------------------------------------+-------------------------------------------------------------+------------------------------------+------------------------------------+
| Orthopedic | 2 weeks | Provide nursing care | • History taking | • Health | • Clinical |
| OPD/Ward | | for older adults with | • Physical assessment | assessment | evaluation |
| | | various orthopedic | • Assisting in diagnostic | • Case study | • Health |
| | | disorders | tests | • Pain assessment | assessment |
| | | | • Managing patients with | and | report |
| | | Prepare and assist | splints/tractions/ | management | • Case study |
| | | patients with various | external fixators | | report |
| | | immobilizing devices | • Crutch walking | | • Prosthetics |
| | | | • Assisting with various | | and orthotics |
| | | Assist with pain | splints application | | unit visit |
| | | relief | • Assisting with skin | | report |
| | | | traction application | | • Pain |
| | | | • Performing Log Rolling | | assessment |
| | | | • Collar care | | |
| | | | • Assisting with | | |
| | | | application of | | |
| | | | compression devices | | |
| | | | • Pain assessment and | | |
| | | | management | | |
+------------------+------------------+-------------------------------------------------------------+-------------------------------------------------------------+------------------------------------+------------------------------------+
| Neurology | 2 weeks | Provide holistic care | • History taking | • Health Talk | • Clinical |
| OPD/Ward | | for older adult | • Neurological assessment | • Neurological | evaluation |
| | | patients with | • Coma assessment - | assessment | • Case |
| | | neurological disease | Glasgow Coma Scale | | presentation |
| | | conditions - transient | • Preparation of patients | | |
| | | ischemic attack, | for neurological | | |
| | | cerebrovascular | diagnostic and | | |
| | | disorders and stroke, | therapeutic procedures | | |
| | | Parkinson's disease, | • Monitoring patients with | | |
| | | seizure disorders | neurological conditions | | |
| | | | • Management of | | |
| | | | increased intra cranial | | |
| | | | pressure | | |
| | | | • Counselling relatives for | | |
| | | | organ donation | | |
+------------------+------------------+-------------------------------------------------------------+-------------------------------------------------------------+------------------------------------+------------------------------------+
| Urology and | 2 weeks | Provide nursing care | • History taking | • Urinary and | • Report |
| Nephrology | | to older adult patients | • Assessment of urinary | renal function | evaluation |
| Wards | | with urinary | and renal function | assessment | |
| | | problems | • Preparation and assisting | report | |
| | | | patients for urodynamic | | |
| | | Provide care to older | studies | | |
| | | adult patients with | • Bladder diary | | |
| | | renal problems | • Catheterization | | |
| | | including patients on | • Pelvic floor exercises | | |
| | | dialysis | | | |
+------------------+------------------+-------------------------------------------------------------+-------------------------------------------------------------+------------------------------------+------------------------------------+
| Oncology | 2 weeks | Provide nursing care | • Assessment of | • Demonstration | • Clinical |
| OPD/Ward | | to older adult patients | bedridden older adult | to family care | rounds |
+------------------+------------------+-------------------------------------------------------------+-------------------------------------------------------------+------------------------------------+------------------------------------+
| | | undergoing | cancer patients | | |
| | | chemotherapy and | • Care of bedridden | | |
| | | radiotherapy | patients (bowel, bladder | | |
| | | | and skin care) | | |
| | | | • Post chemo/radiation | | |
| | | | therapy care | | |
+------------------+------------------+-------------------------------------------------------------+-------------------------------------------------------------+------------------------------------+------------------------------------+
| Emergency | 2 weeks | Provide nursing care | • Triaging | • Emergency | • Clinical |
| Ward | | for older adult | • Emergency assessment | health | evaluation |
| | | patients suffering | • Assisting in diagnostic | assessment | |
| | | from critical | procedures | report | |
| | | conditions/ disorders | • Preparation of | • Health | |
| | | | emergency cart for | counselling | |
| | | Prepare and assist in | emergency management | | |
| | | resuscitation of older | • Basic life support | | |
| | | adult patients | • Assisting in advanced | | |
| | | | life support | | |
| | | | • Transfer to intensive | | |
| | | | care unit | | |
| | | | • Patient and family | | |
| | | | counselling | | |
| | | | • Initiating and assisting | | |
| | | | with resuscitation | | |
| | | | • Resuscitative measures - | | |
| | | | CPR and early | | |
| | | | management of trauma | | |
| | | | • Emergency | | |
| | | | interventions | | |
| | | | • Identification of early | | |
| | | | complications | | |
| | | | • Use of noninvasive | | |
| | | | ventilation | | |
| | | | • Interpretation of ABG | | |
| | | | analysis | | |
| | | | • Application restraints | | |
| | | | • Application of MLC | | |
| | | | policies in patient care | | |
+------------------+------------------+-------------------------------------------------------------+-------------------------------------------------------------+------------------------------------+------------------------------------+
| Ophthalmology | 1 week | Recognition, | • Screening for vision | • Report on vision | Evaluation of |
| Ward | | assessment, and | problems among older | assessment | assessment |
| | | care/management | adults - cataract, | • SOPs for eye | report |
| | | and appropriate | retinopathy, refraction | emergencies | |
| | | referral for common | error | | |
| | | eye conditions in | | | |
| | | older adults | | | |
+------------------+------------------+-------------------------------------------------------------+-------------------------------------------------------------+------------------------------------+------------------------------------+
| Physiotherapy/ | 1 week | Assist older adult | • Assisting with various | • Written | • Report on |
| Occupational | | patients with | therapies provided | assignment | modified |
| Therapy | | orthopedic disorders | • Observation of use of | | self-care |
| | | and rehabilitation | modified self-care | | equipment |
| | | needs in performing | equipment in meeting | | |
| | | therapies | daily needs | | |
| | | | • Preparation, assisting | | |
| | | | and monitoring patients | | |
| | | | with TENS | | |
+------------------+------------------+-------------------------------------------------------------+-------------------------------------------------------------+------------------------------------+------------------------------------+
| Rehabilitation | 2 weeks | Provide care for | • History taking | • Case study | • Clinical |
| Centre | | patients with | • Physical examination | report | evaluation |
| | | rehabilitation | • Tube feeding | • Drug study | • Assessment |
| | | challenges | • Administration of drugs | report on | of |
| | | | • Suctioning and | bladder and | assignments |
+------------------+------------------+-------------------------------------------------------------+-------------------------------------------------------------+------------------------------------+------------------------------------+
| | | | tracheostomy care | bowel training | |
| | | | • Dietary assessment | • Preparing and | |
| | | | • Sleep assessment and | assisting | |
| | | | maintenance of sleep log | patients for gait | |
| | | | • Fall risk assessment | analysis | |
| | | | • Bladder assessment and | | |
| | | | maintenance of bladder | | |
| | | | dairy | | |
| | | | • Performing bladder | | |
| | | | training | | |
| | | | • Catheterizing the patient | | |
| | | | • Intermittent clean | | |
| | | | catheterization | | |
| | | | • Bowel assessment and | | |
| | | | maintenance of bowel | | |
| | | | dairy | | |
| | | | • Performing bowel | | |
| | | | training | | |
| | | | • Performing digital | | |
| | | | stimulation and digital | | |
| | | | evacuation | | |
| | | | • Assisting with | | |
| | | | swallowing assessment | | |
| | | | performed by speech | | |
| | | | therapists | | |
| | | | • Bedsore care | | |
| | | | • Position changes every 2 | | |
| | | | hours | | |
| | | | • Assisting with | | |
| | | | psychological | | |
| | | | assessment performed | | |
| | | | by psychologist | | |
| | | | • Working with | | |
| | | | rehabilitation team | | |
| | | | • Observation of fitting of | | |
| | | | prosthetics and orthotics | | |
| | | | • Preparation and assisting | | |
| | | | patients for urodynamic | | |
| | | | analysis | | |
| | | | • Report of sleep lab | | |
| | | | • SOP on fall prevention | | |
| | | | • Preparing and assisting | | |
| | | | patients for gait analysis | | |
+------------------+------------------+-------------------------------------------------------------+-------------------------------------------------------------+------------------------------------+------------------------------------+
| Community Field | 3 weeks | • History taking | • Case study | • Case study | • Case study |
| Practice Area | | • Symptom assessment | report | report | report |
| | | • Assisting in therapeutic | | | |
| | | procedures | | | |
| | | • Wound management | | | |
| | | • Pain assessment and | | | |
| | | pain management | | | |
| | | • Symptom management | | | |
| | | • Alternative therapy for | | | |
| | | symptoms | | | |
| | | • Home care - Provision | | | |
| | | of care for management | | | |
| | | of specific therapies, | | | |
| | | colostomy, gastrostomy, | | | |
| | | wounds, oral and skin | | | |
| | | care, foot care etc. | | | |
+------------------+------------------+-------------------------------------------------------------+-------------------------------------------------------------+------------------------------------+------------------------------------+
| Old Age Home/ | 2 weeks | Observe the activities | • Nutritional management | • Written | • Report |
| Day Care | | of old age home/day | • Psychosocial support | assignment | presentation |
| Centers | | care center | • Report on visit to old | | |
| | | | age home | | |
| Field Visits | 1 week | Observe the care | • Report on visit to | • Written | • Field visit |
| | | provided to the | palliative care center | assignment on | report |
| | | older adult patients | and Hospice | visit to | |
| | | at the palliative care | | palliative care | |
| | | center and Hospice | | center and | |
| | | of old age home/day | | Hospice | |
| | | care center | | | |
+------------------+------------------+-------------------------------------------------------------+-------------------------------------------------------------+------------------------------------+------------------------------------+
APPENDIX 1
SKILL LAB REQUIREMENTS
Note: In addition to the basic skill lab requirement of College of Nursing, the following are necessary.
+-------+-------------------------------------------------------------+--------+
| S.No. | Skill Lab Requirement | Number |
+=======+=============================================================+========+
| | General Equipment | |
+-------+-------------------------------------------------------------+--------+
| 1 | Electronic ICU cot with related attachments with mattress | 1 |
| | and bed linen (One for every 5-10 students) | |
+-------+-------------------------------------------------------------+--------+
| 2 | Bedside trolley with basic patient care equipment and | 1 |
| | personal protective equipment | |
+-------+-------------------------------------------------------------+--------+
| 3 | Dressing trolley/over bed trolley | 1 |
+-------+-------------------------------------------------------------+--------+
| 4 | Sink (deep sink) with hand wash essentials and drier | 1 |
+-------+-------------------------------------------------------------+--------+
| 5 | IV stand | 1 |
+-------+-------------------------------------------------------------+--------+
| 6 | Color coded waste bins with lids | 1 |
+-------+-------------------------------------------------------------+--------+
| 7 | Wall mounted ports for oxygen, medical air and vacuum | 1 |
+-------+-------------------------------------------------------------+--------+
| 8 | Portable oxygen cylinder with stand and oxygen flow meters | 1 |
+-------+-------------------------------------------------------------+--------+
| 9 | Nebulizer machine with nebulizer mask (adult) | 1 |
+-------+-------------------------------------------------------------+--------+
| 10 | Oxygen mask (adult) | 1 |
+-------+-------------------------------------------------------------+--------+
| 11 | Venturi mask with T piece | 1 |
+-------+-------------------------------------------------------------+--------+
| 12 | Nasal cannula (adult) | 1 |
+-------+-------------------------------------------------------------+--------+
| 13 | BP apparatus with adult cuffs | 1 |
+-------+-------------------------------------------------------------+--------+
| 14 | BP monitor with stethoscope (adult) | 1 |
+-------+-------------------------------------------------------------+--------+
| 15 | Glucometer | 1 |
+-------+-------------------------------------------------------------+--------+
| | Equipment for Emergency Care | |
+-------+-------------------------------------------------------------+--------+
| 1 | Cardiac/multimodal monitor (hemodynamic monitoring) with | 1 |
| | accessories including monitor stand | |
+-------+-------------------------------------------------------------+--------+
| 2 | ECG machine | 1 |
+-------+-------------------------------------------------------------+--------+
| 3 | Crash cart | 1 |
+-------+-------------------------------------------------------------+--------+
| 4 | Defibrillator (adult) | 1 |
+-------+-------------------------------------------------------------+--------+
| 5 | Ventilator | 1 |
+-------+-------------------------------------------------------------+--------+
| 6 | Ambu bag (adult) | 1 |
+-------+-------------------------------------------------------------+--------+
| 7 | NIV mask (adult) | 1 |
+-------+-------------------------------------------------------------+--------+
| 8 | Pressure bag | 1 |
+-------+-------------------------------------------------------------+--------+
| 9 | Bain circuit (adult) | 1 |
+-------+-------------------------------------------------------------+--------+
| 10 | Syringe pump with stand | 1 |
+-------+-------------------------------------------------------------+--------+
| 11 | High concentration mask (adult) | 1 |
+-------+-------------------------------------------------------------+--------+
| 12 | Ear probe (saturation monitoring)* | 1 |
+-------+-------------------------------------------------------------+--------+
| 13 | Esophageal temperature probe* | 1 |
+-------+-------------------------------------------------------------+--------+
| 14 | Bipap machine | 1 |
+-------+-------------------------------------------------------------+--------+
| 15 | Laryngeal mask airway (adult) | 1 |
+-------+-------------------------------------------------------------+--------+
| 16 | ABG machine | 1 |
+-------+-------------------------------------------------------------+--------+
| | Tray Sets for Various Procedures | |
+-------+-------------------------------------------------------------+--------+
| 1 | Intubation tray (adult) | 1 |
+-------+-------------------------------------------------------------+--------+
| 2 | Tracheostomy tray | 1 |
+-------+-------------------------------------------------------------+--------+
| 3 | CVP tray | 1 |
+-------+-------------------------------------------------------------+--------+
| 4 | Catheterization tray | 1 |
+-------+-------------------------------------------------------------+--------+
| 5 | IV cannulation tray | 1 |
+-------+-------------------------------------------------------------+--------+
| 6 | Blood sample collection tray | 1 |
+-------+-------------------------------------------------------------+--------+
| 7 | LP tray | 1 |
+-------+-------------------------------------------------------------+--------+
| 8 | Thoracentesis tray | 1 |
+-------+-------------------------------------------------------------+--------+
| 9 | Paracentesis tray | 1 |
+-------+-------------------------------------------------------------+--------+
| 10 | Arterial line tray | 1 |
+-------+-------------------------------------------------------------+--------+
| 11 | Suture removal tray | 1 |
+-------+-------------------------------------------------------------+--------+
| 12 | Dressing tray | 1 |
+-------+-------------------------------------------------------------+--------+
| 13 | Injection tray | 1 |
+-------+-------------------------------------------------------------+--------+
| 14 | Suction tray | 1 |
+-------+-------------------------------------------------------------+--------+
| 15 | ICD/chest drainage tray | 1 |
+-------+-------------------------------------------------------------+--------+
| 16 | PPE kit | 1 |
+-------+-------------------------------------------------------------+--------+
| 17 | Spillage kit (Blood and Chemical) | 1 |
+-------+-------------------------------------------------------------+--------+
| 18 | Tubes, catheters, lines of different sizes, drugs, fluids, | 1 |
| | syringes, BG sets, micro drip set, IV sets, Arterial lines, | |
| | Central lines as per skill requirements | |
+-------+-------------------------------------------------------------+--------+
| 19 | Sterile linen bundle | 1 |
+-------+-------------------------------------------------------------+--------+
APPENDIX 2
ASSESSMENT GUIDELINES (THEORY AND PRACTICUM)
I. THEORY
A. INTERNAL
GERIATRIC SPECIALTY NURSING (Part I Geriatric Specialty Nursing I including
Foundations and Part II - Geriatric Specialty Nursing II) - TOTAL: 25 marks
• Test papers and quiz -10 marks
• Written assignments - 10 marks (Code of ethics relevant to geriatric nursing practice, literature review on
EBP in geriatric nursing/infection control practices, nutritional care of patients with chronic disease)
• Group project - 5 marks
B. EXTERNAL/FINAL
GERIATRIC SPECIALTY NURSING (Part I Geriatric Specialty Nursing I including
Foundations and Part II - Geriatric Specialty Nursing II) - TOTAL: 75 marks
Part I - 35 marks (Essay 1 × 15 marks = 15, Short answers 4 x 4 marks = 16, Very short answers 2
× 2 marks = 4) and Part II - 40 marks (Essay 1 x 15 marks = 15, Short answers 5 × 4 marks = 20,
Very short answers 5 × 1 mark = 5)
II. PRACTICUM
A. INTERNAL - 75 marks
• OSCE - 25 marks (End of posting OSCE - 10 + Internal end of year OSCE - 15)
• Other Practical - 50 marks
a) Practical assignments - 20 marks (Clinical presentation and Case study report - 5, Counselling report/
Field visit report - 5, Drug study report - 5, and Health talk - 5)
b) Completion of procedural competencies and clinical requirements - 5 marks
c) Continuous clinical evaluation of clinical performance - 5 marks
d) Final Observed Practical (actual performance in clinicals) - 20 marks
B. EXTERNAL - 150 marks
OSCE - 50 marks
Observed Practical - 100 marks
*Detailed guidelines are given in guidebook.
APPENDIX 3
CLINICAL LOGBOOK FOR POST BASIC DIPLOMA IN
GERIATRIC SPECIALTY NURSING - RESIDENCY PROGRAM
(Specific Procedural Competencies/Clinical Skills)
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| S.No. | Specific Competencies/Skills | Number Performed/ | Date & Signature |
| | | Assisted/Observed | of the Faculty/ |
| | | (P/A/O) | Preceptor |
+=======+=============================================================+==========================+==============================+
| I | FOUNDATIONS TO GERIATRIC SPECIALTY | | |
| | NURSING | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 1 | Preparation of patient education materials | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 2 | Patient education plan for teaching patients/relatives of | P | |
| | older adult patients | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 3 | Preparation of duty roster for nursing officers/staff nurses| P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 4 | Writing literature review/systematic review | P | |
| | (Identify evidence-based nursing intervention/ practices) | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 5 | Preparation of a manuscript for publication/paper | P | |
| | presentation | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 6 | Research Project (Group) | P | |
| | Topic | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| II | GERIATRIC SPECIALTY NURSING | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 1 | Health Assessment | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 1.1 | History taking and physical examination of older adult | P | |
| | patient with a chronic disease/condition | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 1.2 | History taking and physical examination of a critically ill | P | |
| | older adult patient | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 1.3 | Functional assessment | P | |
| | Barthel index | P | |
| | TUG test | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 1.4 | Assessment of muscle power | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 1.5 | Gait assessment | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 1.6 | Nutritional assessment | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 1.7 | Fall risk assessment | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 1.8 | Pain assessment | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 1.9 | Pressure sore assessment | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 1.10 | Cognitive assessment | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 1.11 | Sleep assessment | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 1.12 | Mini mental status examination | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 1.13 | Geriatric depression assessment | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 1.14 | Vision screening | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 1.15 | Hearing test | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 1.16 | Assessment for Parkinson's syndrome | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 2 | Diagnostic Procedures | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 2.1 | Blood sampling for blood tests | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 2.2 | Ultrasound | O | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 2.3 | ECG taking and interpretation | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 2.4 | EEG | O | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 2.5 | Bronchoscopy | O | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 2.6 | Gastroscopy | O | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 2.7 | Post void residual urine | O | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 2.8 | Uroflowmetry | O | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 2.9 | Cystoscopy | O | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 3 | Therapeutic/Specialized Procedures | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 3.1 | Cardiac monitoring | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 3.2 | Arterial BP monitoring | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 3.3 | ABG analysis | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 3.4 | ECG recording and interpretation | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 3.5 | Insertion of central line | A | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 4 | Airway Management | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 4.1 | Application of oropharyngeal airway | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 4.2 | Laryngeal airway | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 4.3 | Pulse oximetry | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 4.4 | Endotracheal intubation | A | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 4.5 | Endotracheal/tracheal suctioning | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 4.6 | Oral suctioning | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 4.7 | Tracheostomy care | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 5 | Use of infusion pump | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 6 | IV cannulation/therapy | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 7 | Administration of blood and blood products | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 8 | Oxygen Therapy | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 8.1 | Nasal cannula/venturi/simple face mask | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 8.2 | NIV | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 8.3 | Nebulization | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 9 | ICP monitoring | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 10 | Consciousness status monitoring | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 11 | Rehabilitation of Older Adults | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 11.1 | Bladder incontinence/Bladder training | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 11.2 | Pelvic floor exercise | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 11.3 | Insertion and removal of urinary catheter | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 11.4 | Condom catheterization | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 11.5 | Diaper use | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 12 | Bowel training | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 13 | Digital evacuation | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 14 | Exercises | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 14.1 | Swallowing and speech | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 14.2 | Brandt-Daroff | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 14.3 | Isotonic | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 14.4 | Isometric | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 15 | Physiotherapy | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 15.1 | Chest | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 15.2 | Limbs | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 16 | Mobility Training | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 16.1 | Use of assistive devices | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 16.2 | Use of walkers | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 16.3 | Use of wheelchairs | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 16.4 | Assistive devices for ADL | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 16.5 | Use of prosthesis/hearing aid | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 17 | Use of Restraints | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 17.1 | Physical | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 17.2 | Chemical | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 18 | Podiatric care | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 19 | Transfer techniques | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 20 | Care of patients on | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 20.1 | Cast | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 20.2 | Splint | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 20.3 | Traction | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 20.4 | Amputee | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 21 | Diet Planning | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 21.1 | Soft solid | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 21.2 | Liquid | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 21.3 | Nasogastric tube - insertion and feeding | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 21.4 | Orogastric tube - insertion and feeding | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 21.5 | Gastrostomy/jejunostomy tube feeding | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 21.6 | Total parenteral nutrition | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 22 | Oral care | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 23 | Dental care - dentures | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 24 | Eye care | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 25 | Wound Management | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 25.1 | Surgical wound dressing | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 25.2 | Care of pressure sore | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 25.3 | Ostomy care | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 26 | Alternative Therapy | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 26.1 | Diversional therapy | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 26.2 | Cognitive stimulation therapy | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 26.3 | Group therapy | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 27 | Counselling | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 27.1 | Patient | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 27.2 | Family | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 28 | Handling Challenging Situation | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 28.1 | Anger/denial/crying/depression | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 28.2 | Breaking bad news | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 28.3 | Bereavement counselling | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 28.4 | Organ donation | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 28.5 | End of life care | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 29 | Community/Home Care Based Procedures | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 29.1 | Home care of normal older adult | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 29.2 | Home care of older adult patient with a chronic disease/ | P | |
| | condition | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 29.3 | Home care of older adult patient with mental illness | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 29.4 | Symptom management at home | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 30 | Health Education/Counselling | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 30.1 | Glucose monitoring | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 30.2 | Home care management of insulin | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 30.3 | Therapeutic diets | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 30.4 | Oral hygiene | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 30.5 | Wound management | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 30.6 | Compliance of medication | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 30.7 | Pain management | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 30.8 | Exercise | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 30.9 | Foot care | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 30.10 | Vaccination | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 30.11 | Home safety measures | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 31 | Asepsis Sterilization/Disinfection | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 31.1 | Hospital | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 31.2 | Community | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 32 | Quality Control | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 32.1 | Preparation of SOPs for infection control in geriatric care | P | |
| | units | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 32.2 | Preparation of SOPs for home safety measures for older | P | |
| | adults | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 32.3 | Conducting geriatric unit audit | P | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 33 | Field Visits | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 33.1 | Old age home | O | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 33.2 | Day care centre | O | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 33.3 | Geriatric club | O | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 33.5 | Palliative care centre | O | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 33.6 | Hospice care centre | O | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
Signature of the Program Coordinator/Faculty
Signature of the HOD/Principal
*When the student is found competent to perform the skill, the faculty will sign it.
Students: Students are expected to perform the listed skills/competencies many times until they reach level 3
competency, after which the faculty signs against each competency.
Faculty: Must ensure that the signature is given for each competency only after they reach level 3.
• Level 3 competency denotes that the student is able to perform that competency without supervision.
• Level 2 competency denotes that the student is able to perform each competency with supervision.
• Level 1 competency denotes that the student is not able to perform that competency/skill even with supervision.
APPENDIX 4
CLINICAL REQUIREMENTS
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| S.No. | Clinical Requirement | Date | Signature of the |
| | | | Faculty/Preceptor |
+=======+=============================================================+==========================+==============================+
| 1 | Health Talk (Geriatric Ward/Home Care) | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 1.1 | Topic | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 1.2 | Topic | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 2 | Counseling Patient and Family | | |
| | Counseling Report - 1 | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 3 | Health Assessment | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 3.1 | Geriatric Health Assessment - History and Symptoms, | | |
| | Physical Examination (Two written reports) | | |
| | a. Critically ill older adult | | |
| | b. Older adult with NCD | | |
| | c. Normal older adult at home | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 4 | Journal Club/Clinical Seminar | | |
| | Topic | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 5 | Case Study/Clinical Presentation and Report - 2 | | |
| | Geriatric Ward - 1 and Medical/Surgical Ward - 1 | | |
| | (Nursing/Interdisciplinary Rounds) | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 5.1 | Name of Clinical Condition | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 5.2 | Name of Clinical Condition | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 6 | Drug Study, Presentation and Report | | |
| | (Two written reports for submission) | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 6.1 | Drug Name | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 6.2 | | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 6.3 | | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 6.4 | | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 7 | Designing Geriatric Care Unit/Home Care | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 8 | Visits - Reports | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 8.1 | Old Age Home | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 8.2 | Palliative Care Centre | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
| 8.3 | Hospice Care | | |
+-------+-------------------------------------------------------------+--------------------------+------------------------------+
Signature of the Program Coordinator/Faculty
Signature of the HOD/Principal
APPENDIX 5
CLINICAL EXPERIENCE DETAILS
+---------------------+-----------------------+-------------------+------------------------------+
| Number of days | Name of clinical area | Clinical condition| Signature of the |
| care given | | | Faculty/Preceptor |
+=====================+=======================+===================+==============================+
| | | | |
| | | | |
| | | | |
| | | | |
| | | | |
| | | | |
| | | | |
| | | | |
| | | | |
| | | | |
| | | | |
| | | | |
| | | | |
| | | | |
| | | | |
| | | | |
| | | | |
| | | | |
| | | | |
| | | | |
| | | | |
+---------------------+-----------------------+-------------------+------------------------------+
Signature of the Program Coordinator/Faculty
Signature of the HOD/Principal
Dr. T. DILEEP KUMAR, President, Indian Nursing Council
[ADVT.-III/4/Exty./280/2026-27]
Uploaded by Dte. of Printing at Government of India Press, Ring Road, Mayapuri, New Delhi-110064
and Published by the Controller of Publications, Delhi-110054.
KUMER
CHAND
MEENA
Digitally signed
by KUMER
CHAND MEENA
Date: 2026.09.01
16:27:28 +05'30'
Login to read full text