LESSON PLAN

Name of the student teacher : Sandhya Gupta

Class : M. Sc. Nursing final Year
No. Of students : 08
Subject : Obstetric & Gynaecological Nursing
Unit :
Date and time : / 03 /2023
Duration : 45 minutes
Venue : M.Sc. Nursing final Year
Topic : Hepatitis
Methods of teaching : Lecture cum discussion
Teaching aids : Black Board, PPT, Handouts, Video etc.
General objectives : The students will be able to gain knowledge about the Hepatitis.
Specific objectives : After end of the class the students will be able to understand about the Hepatitis.
 Introduce about the Hepatitis
 Define the Hepatitis.
 Enumerate about the incidence of hepatitis.
 Discover about the hepatitis in pregnancy.
 Enlist the Etiology of hepatitis.
 Discuss about the types of viral hepatitis
 Describe about the hepatitis A, B, C, D & D management.
 Explain about the nursing management of hepatitis.
 Discuss about the complication of hepatitis
 Conclude the topic.
  Summarize the topic.


TIME SPECIFIC TEACHERS LEARNER A.V. EVALUATI

OBJECTIVE CONTENTS ACTIVITY S AIDS ON
ACTIVITY

2min. Introduce the INTRODUCTION- Lecture cum PPT What is the

hepatitis. Hepatitis means inflammation of the liver. The liver is a vital discussion Students hepatitis?
organ that processes nutrients, filters the blood, and fights listening

infections. When the liver is inflamed or damaged, its

function can be affected. Heavy alcohol use, toxins, some
medications, and certain medical conditions can cause
hepatitis.

3min Define the DEFINITION - PPT

hepatitis Hepatitis refers to an inflammatory condition of the liver. Lecture cum Students Define
discussion listening hepatitis?
-Hepat (liver) + itis (inflammation)
.

5min Enumerate INCIDENCE: - Lecture cum Students PPT Enumerate

about the discussion listening about the
incidence of  Viral hepatitis is a major public health concern; 10 incidence of
hepatitis. million cases occur worldwide. hepatitis?

 It is nearly universal during childhood in developing

countries.
 India is a hyperendemic for hepatitis A virus
infection.
 Annually over 1 to 2 lakh Indians die due to illness
 related to HBV infection.
5min Discover HEPATITIS IN PREGNANCY Lecture cum Students PPT Discover
about the discussion listening about hepatitis
hepatitis in Physiological changes in the liver during in pregnancy?
pregnancy.
pregnancy Increased:
 Blood volume and cardiac output rise by 35%–50%
 Alkaline phosphatase levels rise threefold or fourfold
due to placental production
 Clotting factor changes create a hypercoagulable state
HEPATITIS ON PREGNANCY –
First trimester –
Second and third trimesters

Enlist the ETIOLOGY OF HEPATITIS: -

5min Etiology of Lecture cum Students PPT Enlist the
hepatitis  Viral hepatitis discussion listening and Etiology of
 Alcoholic hepatitis understandin hepatitis?
g
 Autoimmune hepatitis
 Non- alcoholic steatohepatitis (NASH)
Discuss about TYPES OF VIRAL HEPATITIS: - What are the
5min the types of Students Show types of viral
viral hepatitis. There are five types such as: Lecture cum listening and in hepatitis?
 Hepatitis A virus discussion understandin PPT
g
 Hepatitis B virus
 Hepatitis C virus
 hepatitis D virus
 Hepatitis E virus
10min Describe HEPATITIS A (Hep A): - Lecture cum PPT What are
about the discussion Students hepatitis
hepatitis A highly contagious liver infection caused by the hepatitis A listening and A,B,C,D &E
A,B,C,D,& E virus (HAV). Hepatitis A virus is a ribonucleic acid (RNA) understandin management?
Managements g
virus of the enterovirus family.
HEPATITIS B (Hep B)
Hepatitis B virus can cause acute and chronic infection.
Acute hepatitis B infection may last up to 6 months (with or
without symptom) and infected persons are able to pass these
viruses during these times. Chronic hepatitis B is defined as
persistence of HBsAg for 6 months or more after acute
infection with HBV.
HEPATITIS C (Hep C)
Hepatitis c virus is an RNA virus. Perinatal transmission (10-
40%) is higher if the mother is co-infected with (HIV)
HEPATITIS D OR DELTA HEPATITIS HDV
It is a defective single – stranded RNA virus that cannot
survive on its own. It requires hepatitis B to replicate
HEPATITIS E (HEV)
Hepatitis E virus (HEV) is an RNA virus. Found in Asia,
Africa and Mexico. More common in adults and severe in
pregnant women.

Explain about NURSING ASSESSMENT :- Lecture cum Students PPT What is

5min the nursing discussion listening and nursing
management  Assess for systemic and liver related symptoms. understandin management
of hepatitis  Obtain history such as I.V. drug use, sexual activity, g of hepatitis?
 travel and ingestion of possible contaminated food or
water to assess for any mode of transmission of the
virus.
 Assess size and texture of liver to detect enlargement
or characteristics of cirrhosis.
 Obtain vital signs, including temperature.
NURSING DIAGNOSIS:-
 Imbalanced nutrition less than body requirements
related to the effects of liver dysfunction.
 Deficient fluid volume related to nausea vomiting.
 Activity intolerance related to anorexia and liver
dysfunction.
 Risk for injury related to coagulopathy because of
impaired liver function.
 Deficient knowledge
 Disturbed thought process related to encephalopathy.
NURSING INTERVENTION: -
MAINTAINING ADEQAUTE NUTRITION-
 Encourage small frequent feedings of high- calorie, low
fat diet.
 Avoid large quantities of protein during acute phase of
illness.
 Encourage taking pleasing meals in an environment with
minimal noxious stimuli.
MAINTAING ADEQUATE FLUID INTAKE-
  Provide frequent oral fluids as tolerated.
MAINTAINING ADEQAUTE REST –
 Promotes periods of rest during symptom producing
phase.
 Provide emotional support and diversional activities.

ENSURE PREVENTION OF DISEASE

TRANSMISSION-
 Stress importance of proper public and home
sanitation and proper preparation of foods.

PREVENTING AND CONTROLLING BLLEDING –

 Monitor and teach patient to monitor and report sign of
bleeding.
MONITORING THOUGHT PROCESS –
Monitor for sign of encephalopathy

Discuss about COMPLICATION: - Lecture cum Students PPT What is

5min the discussion listening and & complication
complication  Fetal growth restriction understandin black of hepatitis?
of hepatitis.  Brachial plexus injury g board

 Fetal distress
2min Summarize Viral hepatitis is a cause of considerable morbidity and Students Blackboard Sum
the topic listening and mariz
mortality, both from acute infection and, mostly, from
understanding ed the
chronic infection. Chronic viral hepatitis is the leading cause topic
of cirrhosis and hepatocellular carcinoma worldwide, and
accounts for more than 1 million deaths per year.
2min Questioner  What is hepatitis? Listening and Student Show Evaluated
session  Enlist the Etiology of hepatitis? given answer Answer the in
 What is incubation time of hepatitis B? question PPT
 What are complications of hepatitis?

1min Assignment Difference between hepatitis A & hepatitis B? Given Students PPT
assignment listening
 BIBLIOGRAPHY

 Dutta D.C. Text Book of Obstetrics, (6thed.) Calcutta; New Central Book Agency (2009). page no 607-609.

 Jacob A. A. Comprehensive Textbook of Midwifery & Gynecological Nursing, 5th ed. New Delhi; Jaypee Brothers (2019) page no 444-446

 Sira S and Magon S. Text Book of Midwifery and obstetrics, (3rd ed.) New Delhi Lotus Publishers (2015) page no 640-642.

 https://www.slideshare.net/Omverma /Hepatitis.

 https://www.slideshare.net/Nikhilvaisnav/Hepatitis.