LESSON PLAN
ON
IDENTIFICATION DATA
Name of the student teacher : Mr. saravanan
Class : M.Sc Nursing1styear
Name of the subject : mental health nursing
Name of the Topic : neurological assessment
Size of the group :
venue :
Date&Time :
Duration of teaching : 45 mins
Method of discussion : lecture and demonstration
Audio visual aids :
Name of the evaluator :
PREVIOUS KNOWLEDGE:
The student have adequate knowledge regarding central nervous system in their B.Sc nursing first year (anatomy and physiology)
GENERAL OBJECTIVE :
At the end of the class the students will be able to develop skill and in depth knowledge of neurological examination and will be able to apply
this knowledge in clinical fields.
SPECIFIC OBJECTIVES
At the end of the session the group will be able to-
define neurological examination
enlist the purpose of neurological assessment
list out the equipment's required for the assessment
enumerate different components of neurological examination
explain the assessment of level of consciousness.
describe the cranial nerves assessment
demonstrate the motor function assessment.
discuss the sensory function assessment.
demonstrate the assessment of reflexes
discuss the role of nurse in neurological examination.
TEACHING LEARNING A.V EVALUATION
S.NO TIME SPECIFIC CONTENT ACTIVITY ACTIVITY AIDS
OBJECTIVE
Introduction :
Inhaling the warm vapors of boiling water
has a number of therapeutic effects. Steam may reduce
viral load and prevent the severity of the infection
Definition :
Breathing warm and moist air produced by a
vaporizer is called steam/moist inhalation. The value of
steam inhalation lies chiefly in the moisture and heat,
although the medicines used are also helpful as they are
acting as respiratory antiseptics.
It is the process in which water is boiled to steam which
is inhaled through nose and mouth for therapeutic
purpose.
PURPOSES :
To relieve the inflammation and congestion of the
mucous membrane of the respiratory tract and
paranasal sinuses.
To soften thick tenacious mucous.
To help in expectoration.
TEACHING LEARNING A.V EVALUATION
S.NO TIME SPECIFIC CONTENT ACTIVITY ACTIVITY AIDS
OBJECTIVE
To provide heat and moisture and to prevent the
dryness of mucous membranes of lungs and upper
respiratory passages. To aid in the absorption of
oxygen.
To relieve spastic condition of the larynx and
bronchi.
To decrease the edema of the respiratory tract.
Methods for giving steam inhalation:
By jug method
By steam tent
By electric steam inhaler
Open Jug Method
Open jug method for the inhalation is used for the
infants and toddlers who cannot inhale through the
inhaler.
In the open jug method, boiling water is mixed with
the tap water in proportion of five parts of boiling
water to one part of tap water. The jug should be half
filled.
A towel or a thick paper or discarded x-ray film can
be folded around the jug to form a funnel.
TEACHING LEARNING A.V EVALUATION
S.NO TIME SPECIFIC CONTENT ACTIVITY ACTIVITY AIDS
OBJECTIVE
The infant should be wrapped up to the neck to
restrain his extremities.
The mother can be asked to sit in the chair by holding
the baby in her lap with baby’s face facing downward
over the funnel, which is wrapped around the jug of
hot water.
The baby’s face should be adjusted to direct the
steam towards the baby’s face.
The distance between the baby’s face and level of the
water should be 30 cm (12’’ inches).
As the baby cries the steam will be breathed in and
out of the baby’s respiratory passage.
Inhalation can be continued for ten minutes then; the
jug should be removed, and the baby’s face should be
wiped.
Baby should be made comfortable and should not be
exposed for 30 minutes.
TEACHING LEARNING A.V EVALUATION
S.NO TIME SPECIFIC CONTENT ACTIVITY ACTIVITY AIDS
OBJECTIVE
Steam Tent :
When a high concentration of steam is required, a
steam tent may be used.
There are different ways of making a tent.
A quick and easy method is to place a screen on
either sides on the patient’s bed and stretch blankets
or sheets across them thus forming a canopy.
The steam can then be directed into the tent from the
spout of the kettle
Never point the spout toward the face of the patient.
The steam may be given for 20-30 min at a time and
it may be repeated every 4 hrs.
continuous observation is required to avoid scalding
of the patient.
Electric steam inhaler- Small electric vaporizers can
be used to give steam inhalation.
It consists of a small jar with a heating element
extending into the jar.
The jar is filled with water. On the top of the jar is a
removable perforated cup to which is attached a
small metal spout.
TEACHING LEARNING A.V EVALUATION
S.NO TIME SPECIFIC CONTENT ACTIVITY ACTIVITY AIDS
OBJECTIVE
As the water boils, the medicated steam is directed
through the spout which is inhaled by the patient.
GENERAL INSTRUCTIONS
The spout of the inhaler must be placed in such a way
that the patient can not touch it or put his face too
near.
Have the water in the jug method at a moderate
temperature. The temperature is maintained between
120 to 160F [54.4 to 76.7C]. if the water is cold, it
will not generate steam. If the water is too hot, it may
cause scalding of the patient.
Keep the patient warm and prevent draught before,
during and after the inhalation. During the treatment,
the blood vessel is easily chilled when exposed to
draught. This predisposes him to a more severe and
prolonged attack of inflammation and congestion.
Therefore the patient should not go into a cold
atmosphere for several hrs after the treatment. The
windows and doors are closed and the fan is put off
during the treatment to prevent draught.
TEACHING LEARNING A.V EVALUATION
S.NO TIME SPECIFIC CONTENT ACTIVITY ACTIVITY AIDS
OBJECTIVE
Ask the patient to empty the bladder to ensure that
the patient will remain on the bed for several hrs after
inhalation.
Place a sputum cup in the reach of the patient to spit
the sputum that is coughed up during the inhalation.
Explain the procedure to the patient or parents before
the preparation of the inhalation, so that no time is
lost to start the inhalation once the inhaler with
boiling water is taken to the bedside.
If the time is lost for explanations the temperature of
the water will be reduced.
NELSON’S INHALER
TEACHING LEARNING A.V EVALUATION
S.NO TIME SPECIFIC CONTENT ACTIVITY ACTIVITY AIDS
OBJECTIVE
.
