This course examines the aetiology of disease and alteration of health status and the relevant scientific clinical tests, including the role of micro-organisms in the disease processes. The course introduces the student to health problems of the adolescent, adult and the elderly which can be medically and /or surgically managed. It focuses on concepts, principles and techniques of medical/surgical nursing. Students' are expected to know the impact of diseases on the psychosocial, economical and spiritual wellbeing of the client as an individual, on families, communities and Fiji as a nation. The course also encourages students to reflect on own cultural perspectives of diseases and altered health states and how ill-health is managed, reversed and prevention of relapse is maintained.