MIKCH021p Chronic intensive nursing care - lecture

Faculty of Medicine
Spring 2017
Extent and Intensity
0/0/0. 3 credit(s). Type of Completion: k (colloquium).
Teacher(s)
PhDr. Michaela Schneiderová, Ph.D. (lecturer)
PhDr. Olga Suková (lecturer)
Mgr. Zdeňka Knechtová (seminar tutor)
Bc. Tereza Polzer, DiS. (assistant)
Guaranteed by
PhDr. Michaela Schneiderová, Ph.D.
Department of Health Sciences – Departments of Non-medical Branches – Faculty of Medicine
Contact Person: Bc. Tereza Polzer, DiS.
Supplier department: Department of Health Sciences – Departments of Non-medical Branches – Faculty of Medicine
Prerequisites
MIKOS0121 Nurs. care at Resusc. and IM I
MIKOS0121
Course Enrolment Limitations
The course is only offered to the students of the study fields the course is directly associated with.
fields of study / plans the course is directly associated with
Course objectives
At the end of the course students will be able to explain the difference between acute and chronic intensive care; clarify the issue of chronic intensive care - the spectrum of patients, staffing, material and technical equipment of the workplace, documentation; Legislation describe the issue; clarify patient needs to separation DIP; explain the issue of home mechanical ventilation and long-term home oxygen therapy, including child care   in   home on oxygen therapy or mechanical ventilation; clarify the risk of nosocomial infections in   DIP; properly conduct prevention of nosocomial infections; properly conduct monitoring of vital functions in   DIP and DP; explain the risks and complications of catheterization of men; correctly perform bladder catheterization u ~ men; correctly perform the toilet airway u ~   patient with tracheostomy; properly perform tracheostomy dressing (including complicated tracheostomy); explain the procedures used to   preventing ventilator-associated pneumonia; correctly apply the medication into the airways u ~   patient with tracheostomy; monitor patients on prolonged mechanical ventilation clarify the benefits and contraindications for noninvasive mechanical ventilation; explain the correct procedure for treating subcutaneous ports (including the risks and complications); explain the concept of basal stimulation; incorporate elements of the basal stimulation in nursing. care; use kinaesthetic elements in the implementation of the IP. care; enumerate communication options u ~ patients on long-term mechanical ventilation; perform active and passive rehabilitation in patients   on artificial ventilation; draw up a plan of rehabilitation for the chronically ill  .
Learning outcomes
Student will: - care for the patient in a vigilant coma - Tackle pain relief - Apply psychological approach and communication techniques in interpersonal relationships - Properly apply pharmacological agents used in intensive medicine and recognize their side effects - Apply the concept of stimulating perception in working practices - Perform highly specialized nursing care for patients in vigilant coma, persistent and permanent vegetative state - apply the hygiene regime - use trends in wound healing - Provide comprehensive, highly specialized nursing care for patients requiring UPV including the risks and complications associated with them and to participate in their solution - Communicate with the patient on UPV - Monitor the functionality of the instrumentation technician to perform the UPV and ensure its continued readiness - Perform comprehensive highly specialized nursing care for a patient with a disorder of consciousness - Apply psychological aspects of nursing care in intensive medicine - Tackle pain relief
Syllabus
  • Lecture: Week 1 Department of Chronic intensive care (primary diagnosis, instrumentation, equipment and facilities, staffing, documentation, legislation, needs of the patient in   DIP, goals hospitalization and nursing process). Week 2 home mechanical ventilation (indication DUPV, forms, complications, legislation, project DUPV, Os.   Process of ventilated patients in   DP, oxygen). Week 3 Nasal stimulation, immobilization syndrome, infection prevention (specific hygienic care of the patient   according to the extent of his disability, chronic infections, nosocomial infections, care aids   v ~ DIP, DP). 4th week physiological functions in   DIP, IP. Care   nutrition and excretion in patients   DIP (swallowing training, evaluation tolerance nutrition, catheterization men). Week 5   Rehabilitation in Intensive Care Unit (positioning, passive / active RHB, RHB breathing, spec. RHB u ~ selected diagnoses, verticalization - locomotion, a plan of rehabilitation u ~ chron. Sick, restoring damaged functions, education   sufficiency, utilities, documentation).
Literature
  • DOSTÁL, Pavel. Základy umělé plicní ventilace. 3. rozšířené vydání. Praha: Maxdorf, 2014, 394 stran. ISBN 9788073453978. info
  • TRACHTOVÁ, Eva, Gabriela TREJTNAROVÁ and Dagmar MASTILIAKOVÁ. Potřeby nemocného v ošetřovatelském procesu. Vyd. 3., nezměn. Brno: Národní centrum ošetřovatelství a nelékařských zdravotnických oborů, 2013, 185 s. ISBN 9788070135532. info
  • ADAMUS, Milan. Základy anesteziologie, intenzivní medicíny a léčby bolesti. 2., dopl. vyd. Olomouc: Univerzita Palackého v Olomouci, 2012, 358 s. ISBN 9788024429960. info
  • PROCHÁZKOVÁ, Lucie. Bazální stimulace jako možnost komunikace. In Sborník přednášek a statí specializovaného vzdělávání logopedů ve školství. Modul 2. Měcholupy: Asociace logopedů ve školství, 2010, p. 33-39. info
  • BORÝSKOVÁ, Hedvika and Eva JÁŇOVÁ. Bazální stimulace aneb jak probudit smysly. In Pracovní dny České a slovenské neurochirurgické společnosti ČLS JEP. Špindlerův Mlýn: Neurochirurgická klinika FN Hradec Králové, 2007, p. 75. ISBN 978-80-239-8990-0. info
  • FRIEDLOVÁ, Karolína. Bazální stimulace v základní ošetřovatelské péči. 1st ed. Praha: Grada publishing, 2007, 170 pp. ISBN 978-80-247-1314-4. info
  • KAPOUNOVÁ, Gabriela. Ošetřovatelství v intenzivní péči. Vyd. 1. Praha: Grada, 2007, 350 s. ISBN 9788024718309. info
  • ŠTOURAČ, Petr. Základy anesteziologie. 5.12.2007. Brno, 2007. Portál MEFANET. ISSN 1801-6103. info
  • ZEMANOVÁ, Jitka. Základy anesteziologie. 1. vyd. Brno: NCONZO, 2005, 163 s. ISBN 8070134305. info
  • ZEMANOVÁ, Jitka. Základy anesteziologie. 1. vyd. Brno: IDVPZ, 2003, 149 s. ISBN 8070133740. info
  • TRACHTOVÁ, Eva. Potřeby nemocného v ošetřovatelském procesu. 2. vyd. Brno: IDVPZ, 2001, 185 s. ISBN 8070133244. info
Teaching methods
Teaching is conducted through lectures and workshops.
Assessment methods
The course is finished colloquium. Essay from the area of news related to chronic intensive care nursing.
Language of instruction
Czech
Further comments (probably available only in Czech)
The course is taught annually.
Information on the extent and intensity of the course: 10 celkem.
Listed among pre-requisites of other courses
The course is also listed under the following terms Spring 2015, Spring 2016, Spring 2018, spring 2019, spring 2020, spring 2021, spring 2022, spring 2023, spring 2024, spring 2025.
  • Enrolment Statistics (Spring 2017, recent)
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