LESSON PLAN ON

PEPTIC ULCER

LESSON PLAN

SUBJECT

:-

MEDICAL SURGICAL NURSING

UNIT

:-

10

TOPIC

:-

PEPTIC ULCER

COURSE

:-

POST BSc NURSING

LEVEL OF STUDENT

;-

1st YEAR

DATE

:-

TIME

:-

PLACE

:-

POST B.Sc CLASSROOM

METHOD OD TEACHING

:-

DISCUSSION

TEACHING AIDS

:-

CHART, OHP

METHOD OF INSTRUCTION

:-

LECTURE , DISCUSSION

General Objective:
After the completion of the class the students will be able to manage patients with peptic ulcers.

Specific objective:

To
To
To
To
To
To

define peptic ulcers.

explain the risk factors.
enlist the causes.
explain the pathophysiology.
describe the diagnostic evaluation.
explain the management.

SL.
NO

TIME

5 mnt

3mnt

OBJECTIVE

Explain the
definition of the
peptic ulcer

Explain the
incidence of the
peptic ulcer

10mn
t
Explain the
etiology of the
peptic ulcer

CONTENT

DEFINITION:
A peptic ulcer is an
excavation[ hollowed out area] of
that forms in the mucosal wall of
the stomach , in the pylorus
[opening b/w stomach &
duodenum], in the duodenum or
in the oesophagus

INCIDENCE:
It occurs mainly in the
age between 40-60 yrs of age.

ETIOLOGY:
Excessive secretion of
HCL
Infection with gram ve
bacteria[helicobacter pylori]
Alcoholism
Smoking

A,V AIDS

Chart

TEACHING
LEARNING
ACTIVITY
discussion

Black
board

Lecture method

OHP

discussion

EVALUATION

Students can
explain the
the definition
of the peptic
ulcer

Student can
explain the
incidence of
peptic ulcer

Student
understood
the etiology of
peptic ulcer

Chronic use of NSAIDS

Flip
chart

15mn
ts
Explain the
path physiology of
the peptic ulcer

Lecture
Student
understood
the
pathophysiolo
gy of peptic
ulcer

PATHOPHYSI0LOGY:
Due to etiological
factors

Increase in the secretion or

activity of acid pepsin

Decreased resistance
of mucous against HCL & Pepsin

Damaging the gastro duodenal

mucus takes place & cannot
secreat enough mucous to act as
a
barrier against HCL
5
7mnts

G.I bleeding, heart burn,

vomiting etc

discussion
OHP

Explain the
Clinical
manifestation of
the peptic ulcer

6
5mnts
Explain the
Diagnostic
evaluation of the
peptic ulcer

CLINICAL MANIFESTATIONS
o Burning sensation
o Heart burn [pyrosis]
o Vomiting
o Constipation
o Diarrhoea
o G.I Bleeding
o Vomiting blood
o Difficulty swallowing
o Nausea
o Black or tar-like stool
(indication that there
is blood in the stool)
o Sudden, severe pain
in the abdominal
area
o Unusual weakness,
usually because of
anemia
DIAGNOSTIC EVALUATION
Physical
examination
Endoscopy
x-ray
Biopsy of the
gastric mucosa
Breath test

Student
understood
the clinical
manifestation
of peptic ulcer

Lecture
Black
board
Student
understood
the diagnostic
evaluation of
peptic ulcer

lecture

Discussion and
questioning

SUMMARY AND CONCLUSION

Explain the
Summary and
conclusion of the
peptic ulcer

We learnt about the

disease condition of the peptic
ulcer is an excavation[ hollowed
out area] of that forms in the
mucosal wall of the stomach , in
the pylorus [opening b/w
stomach & duodenum], in the
duodenum or in the oesophagus.
It occurs mainly in the age
between 40-60 yrs of age.

Student
gained
necessary
information
regarding
peptic ulcer
and its
management.