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TEACHINGLEARNING ACTIVITY INTRODUCTION

A.V.AIDS

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1 min.

2.

2 min. INTRODUCTION OF TOPICThe population is not static but is always in a dynamic state. The factors involved in population dynamics aredeaths, births & migration. There is disparity between birth rate & death rates which results in rapid rise in population. To bring down the birth rate to a realistic minimum it is necessary to adopt small family norm & other various methods of family planning.

Myself santosh student of M.Sc.Nursing (previous), today going to teach about small family norm, emergency contraceptive, & terminal methods of family planning in community health nursing.

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5 min.

To define family planning.

DEFINITION OF FAMILY PLANNINGFamily planning refers to practices that help individuals or couples to attain certain objectivesy To avoid unwanted births. y To bring about wanted births. y To regulate the intervals between pregnancies. y To control the time at which births occur in relation to the ages of the parent. y To determine the number of children in the family. SMALL FAMILY NORMSmall differences in the family size will make big differences in the birth rate. The difference of only one child per family over a decade will have a tremendous impact on the population growth. The objective of the family welfare programme in India is that people should adopt the small family norm to stabilize the country`s population at the level of some 1533 million by the year 2050 AD. Symbolized by the inverted red triangle, the program initially adopted the model of the 3- child family.

The student teacher defines family planning.

Blackboard

Would you please define family planning.

4.

10 min.

To identify the small family norm.

The student teacher describes the small family norm.

Chart

Would you please tell what is the symbol of small family norm.

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In the 1970s, the slogan was the famous Do Ya Teen Bas . In the view of the seriousness of the situation, the 1980s campaign has advocated the 2- child norm. the current emphasis is on three themesSons or Daughters- two will do . Second child after 3 years . Universal Immunization . The national target was to achieve a Net Reproduction Rate of 1 by the year 2006, which is equivalent to attaining approximately the 2- child norm. All efforts are being made through mass communication that the concept of small family norm is accepted, adopted & woven into lifestyle of the people. Now, the IMA stressed one child norm in 2005 after Darjeeling meeting.
5. 5 min.

To classify contraceptive methods.

CLASSIFICATION OF CONTRACEPTIVE METHODSContraceptive methods are preventive methods to help women avoid unwanted pregnancies. They include all temporary & permanent measures to prevent pregnancy resulting from coitus.

He student teacher classifies the contraceptive methods.

Blackboard

Would you please classify the contraceptive methods.

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1. SPACING METHODSa) Barrier methods b) Intra- uterine devices c) Natural contraception d) Hormonal methods e) Post- conceptional methods 2. TERMINAL METHODSa) Male sterilization b) Female sterilization. EMERGENCY CONTRACEPTION( POSTCOITAL CONTRACEPTION)Post- coital or morning after contraception is recommended within 72 hours of an unprotected intercourse. IndicationsUnprotected intercourse. Condom rupture. Missed pill. Sexual assault or rape. First time intercourse ( unplanned). The available methods are1. HormonesMorning after pill- it prevent conception around the time of ovulation. ethinyl- oestradiol 2.5 mg premarin 15 mg. The student teacher discusses emergency contraceptive methods. chart Please describe the hormonal emergency contraceptives.

6.

10 min.

To discuss emergency contraceptives.

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Combined hormonal regimenTwo tablets of Ovral ( 0.25 mg Levo- norgestrel & 50 ug Ethinyl- oestradiol) should be Taken as early as possible & 2 More tab. To be taken 12 Hour later. Levonorgestrel 0.75 mg, 2 doses given at 12 hour interval. Mode of action Ovulation either prevented or delayed when the drug is taken in the beginning of the cycle.  Fertilization is interfered.  Implantation is prevented as the endometrium is rendered unfavourable.  Interferes with the function of corpus luteum or may cause luteolysis. 2. IUDsIntroduction of IUDs within a maximum period of 5 days can prevent

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Conception. This prevents implantation. 3. ANTI- PROGESTERONEAnti- progesterone binds competitively to progesterone receptors & nullifies the effect of endogenous progesterone. A single dose of 600 mg is to be taken within 27th day of the cycle irrespective of the day & number of intercourse. To describe the terminal methods of family planning. TERMINAL METHODS1. FEMALE STERILIZATIONFemale sterilization involves cutting & tying off the fallopian tubes. a) Postpartum sterilization- when it performed 1-3 days after delivery. b) Interval sterilization- when this operation is done at any time other than following childbirth or abortion. There are 3 main methods of female sterilization1) Traditional tubectomythis is an abdominal operation in which a small The student teacher describes the terminal methods of family planning.
Blackboard

7.

15 min.

Would you please tell about types of female sterilization.

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Piece of each fallopian tube is removed & ligated. The operation is done under general or spinal anaesthesia. Hospitalization is required for 5 to 7 days. After tubectomy, the women can resume light household work after about 10 days. 2) Mini- lap operationIt is a modification of the traditional laparotomy tubectomy. It requires a small incision of 2.5 to 3 cm just above the pubic hair. The tubes are cut & the ends are blocked. Then the incision is closed. It is suitable for postpartum sterilization. 3) LaparoscopyThis is a technique of female sterilization through abdominal approach with a specialized instrument called laparoscope . The abdomen is first inflated with gas to push away the intestine from the site of operation. One or two cuts are made in the lower abdomen. With the laparoscope, the tubes are identified. Once the tubes are assessable, the fallopian rings are applied to occlude the

Blackboard

Please tell about procedure of laparoscopy.

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Tubes. 2. MALE STERILIZATION1) Vasectomy- it involves cutting & tying off the vas deferens on each side under local anaesthesia. After the operation, the patient should rest for at least 2 hours. PrecautionThe man does not become sterile soon after the operation & it requires about 20 ejaculations to empty the stored semen. 2) No- scalpel vasectomy (NSV)It is performed under local anaesthesia. Stretched skin over the vas is punctured with the sharp pointed end of a forceps instead of using a scalpel. Then the hole is increased & the vas is dissected out by using the tips of the forceps. 3) Open ended vasectomyThe abdominal end of the resected vas is coagulated.

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The testicular end is left open. This will prevent congestive epididymitis. Advantages It is simple & can be performed by one with minimal training.  It can be done as outdoor procedure.  Complications are few.  Failure rate is minimal.  The overall expenditure is minimal.

SUMMARYSo, today we have learned about family planning, methods of family planning including emergency contraception & terminal methods of family planning.

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TEACHINGLEARNING ACTIVITY

A.V.AIDS

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20 min.

To describe health administration at local level.

The student teacher describe Panchayati Raj system of rural local self-Govt.

chart

Would you please describe Panchayati Raj institution at village level.

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TEACHINGLEARNING ACTIVITY

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To the village Panchayats engaged in development work. A. AT THE DISTRICT LEVELThe Zilla Parishad/ Zilla Panchayat is the agency of rural local selfGovernment at the district level. The Collector of the district is a non-voting member. The Zilla Parishad is primarily supervisory & coordinating body. Its functions & powers vary from state to state. In some states, it is vested with administrative functions. SUMMARYSo, today we have learned about administrative set-up of health system in India at centre level, state level, & local level which includes 3tier system of Panchayati Raj.

8.

2 min.

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TEACHINGLEARNING ACTIVITY

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TEACHINGLEARNING ACTIVITY

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7.

2 min.

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TEACHINGLEARNING ACTIVITY

A.V.AIDS

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ASSESSMENTPrepare an assignment on emergency contraceptive methods. CONCLUSIONIndia, with 2.5 % of the land`s surface area has to accommodate about 16% of the world population. The population explosion have great impact on the health status, so it is necessary to control the population to improve the overall health status of the community, leading to of the country.

BIBLIOGRAPHY1. K. Park, Preventive And Social Medicine, 20th Edition, Banarsidas Bhanot Publishers, 1167, Premnagar, Nagpur Road, Jabalpur, India, 2009, Pp411-439. 2. Dutta D.C, Textbook of Obstetrics, 6th Edition, New Central Book Agency (p) Ltd., Calcutta, 2004, Pp530-553.

INTRODUCTORY DATAName of student teacher Subject Unit Topic : : : : santosh kumari community health nursing-I VIIth Limiting of family size(small family norm, Emergency contraceptive, terminal methods). Course Group Place Date & Time Method of teaching A.V.AIDS Language Duration of teaching Total no. of students : : : : : : : : : Lecture cum discussion OHP & Chart English 45 minutes 60 B. Sc. Nursing (basic) B. Sc. Nursing Part- II Classroom

REVIEW OF PREVIOUS KNOWLEDGEThe students have knowledge regarding family planning, & spacing methods of limiting the family size. OBJECTIVESGENERAL OBJECTIVEAt the end of teaching, the students will acquire & enhance their knowledge regarding small family norm, emergency contraceptives & terminal methods of family planning & use this knowledge in their practice.

SPECIFIC OBJECTIVESAt the end of the teaching, the students will be able to1. 2. 3. 4. 5. Define family planning. Identify small family norm. Classify contraceptive methods. Discuss the emergency contraceptive methods. Describe terminal methods of family planning.

NAME OF SUPERVISORMs. VIMLESH FRADRIK PRINCIPAL NAME OF STUDENT TEACHERSANTOSH KUMARI M.Sc. NURSING (PREVIOUS) (COMMUNITY HEALTH NURSING)

DATE OF TEACHING :

.10.2009