In this course of adult health nursing, students are introduced to the individual adult client with common alterations in health status. It is designed to give a broad general background in care of adults who have medical and surgical problems. Students are guided to examine terminology, pathophysiology of common causes, specific diagnostic procedures, and medical management for each specific alteration in health status. Nursing process is the framework used to deal with each health problem. Principles of holistic approach are emphasized during the care of nursing client. These courses focus on pre and postoperative care, fluid / electrolytes and acid base balance, oncology and the alterations in haematology, vascular, cardiac respiratory, dermatology and gastrointestinal systems. Principles of nursing assessment standardized nursing diagnoses amenable to nursing, nursing interventions, interventions, and criteria for evaluation are introduced with emphasis on holistic approach during the care for nursing clients. The course focuses also on the comprehensive delivery of care through the use of the nursing process to elderly and geriatric patients at home, in institutions or who have been hospitalized for complex, acute or chronic condition