Nursing IV - Adult and Elderly people: Health/Disease processes

Scholar Year: 2019/2020

Courses

Weekly workload Hours/week T TP P PL TC S E EL OT TPL O OT/PL Type of classes 6 1,33 3,67 1,33 1 Lectures Type Teacher Classes Hours Theoretical Totals 1 6,00 Theoretical-practical Totals 2 2,66 Práticas-Laboratórios Totals 4 14,68 Seminário Totals 1 1,33 Orientação Tutorial Totals 4 4,00

Teaching language

Portuguese

Intended learning outcomes (Knowledges, skills and competencies to be developed by the students)

This Curriculum Unit (UC) claims that students acquire knowledge, develop skills that enable them to take care of adult and elderly people. It is assumed in this care, the right and duty of every person to participate in planning and decision as to nursing suggested before their experiences of health and illness. The student learning will focus on the Nursing Care, guided by systematic thought process, strengthen the learning of clinical decision making and personalization of care and culturally the practice of nursing sensitive.
Structurally, UC Nursing IV is organized into three modules:
Module 1 - Nursing Care with the person and family with response to different experiences of health and illness of medical and surgical forums (110h);
Module 2 - Praxis Nursing (75h);
Module 3 - Case-based Reasoning (15h);

Student Learning Outcomes:
Know the main health indicators;
Analyze nurses intervention in prevention and control of Infections Associated Healthcare.
Understand the holistic experiences of health from each person and family at illness of medical and surgical forums,
Meet the responses of the person and the family experience of hospitalization and illness;
Know the different models and tools for assessment and family intervention;
Use the model of the Calgary family assessment;
Know and use the instruments of geriatric assessment;
o Develop the process of clinical reasoning with the person and family behind to experience health and illness of medical and surgical forums, duly substantiated Process Systematic Thinking in Nursing.
Formule sensitive to the practice of nursing diagnoses using CIPE language;
Understand the pathophysiological mechanisms of disease, and analyze the response to the person and family are to manage this experience in your life;
Distinguish the different methods of pain assessment;
Meet the psychological and social factors that influence the perception of pain and the different pharmacological and non-pharmacological approaches in the treatment of pain;
It reflects on the process of dying;
Identify the strategies to cope with the death of loved one, to help the family and examines the impact of this loss itself;
Understand the organization and management of an operating room;
Analyze the role of the perioperative nurse in different areas integrated in the multidisciplinary team;
Identify the needs of the person / family in perioperative experience;
Identifies the potential risks to people and professionals;
It bases the knowledge of good practice in the Operating Room;
you judge the professional liability practice of perioperative nursing;
Acquire knowledge about the surgery at the clinic;
Meet the algorithm of the Basic Life Support (BLS).
Identify the interventions to perform in accordance with the complexity of situations, ensuring the safety and the life of the victim;
Practice the BLS algorithm in simulated practice.
Know the Rules Procedure Practical Nursing (NPT);
Respect the principles of NTP;
Perform the learning competence for each Technical Procedure
Nursing (PTE), as a nursing care with the person;
Know and prepare the material for each Technical P. Nursing;
Get to the jurisdiction under the simulated practical for every NPT;
Perform the safe simulated practice.
Use the Clinical Reasoning methodology based on simulated cases of individuals and families;
the Work Team and individually;
Mobilize the information, knowledge and skills learned;
Deepen the Clinical Reasoning in Nursing;
Evaluate the process of teaching and learning in relation to expected results.

Syllabus

Continuous health and disease.
the National Health Indicators.
the Family Health.
Nursing family.
the prevention and control of infections associated with health care.
o Nursing Care with the person and family, and responses to different experiences of health and illness of medical and surgical forums, on admission, and specificity of the elderly.
Geriatric Assessment Instruments;.
Models of the family assessment and intervention - the Dynamic model.
the family assessment instruments.
The intervention of the nurses with the person subject to an invasive technique experience - Standards of Nursing interdependent Technical Procedures: a) collaborate in performing lumbar puncture; b) collaborate in performing thoracentesis; c) collaborate in performing paracentesis; d) assist with the placement of chest tube drainage; e) assist in the placement of central venous catheters; f) To collaborate in performing liver biopsy; g) Manage Blood and Blood Products;
the historical context of pain, Pathophysiology of acute pain and chronic pain;
psychosocial aspects of the evaluation of pain, and pain;
the therapeutic pharmacological and non-pharmacological approach;
Education about the process of dying;
Definition of Perioperative Nursing: historical and prospective trends;
Role of Perioperative Nurses: the circulating nurse, the nurse anesthesia and the scrub nurse;
The Surgical Team - multidisciplinary team;
o The Perioperative Period: phases that compose it;
Introduction to the surgical environment - types of surgery and category; architecture, structure, materials, features and organization.
Risk in the Operating Room: security for person and professional;
the Nursing Care with the person and family in the perioperative: physical and psychological preparation of the person.
Specificity of the nursing records of nursing care with the person and family in the perioperative period;
Introduction to the anesthesia. Concept of general anesthesia, loco-regional, and local combined - most used drugs;
the nursing care to the client undergoing anesthetic procedures;
General principles in surgery - surgical handwashing, clothing and drapes (its characteristics), skin preparation and positioning of the person;
The suture material: historical perspective and characteristic type;
The specifics of the professional liability in perioperative nursing;
the processing of material: decontamination, cleaning, packaging, sterilization processes and waste disposal;
The Intervention of nurses in Unit Post-Anesthesia Care (PACU) requirements and characteristics.
Basic Life Support.
Principles of the preparation and administration of therapy;
o Preparation of Sheet Therapeutics;
the Technical Standards of Nursing Procedure in Preparation and Administration of Therapeutic
- Nursing Care with the person in need of positioning the experience of stroke disease;
- Nursing Care with the person in need of aspiration of secretions;
- Nursing Care with the person in need of bladder irrigation;
- Nursing Care of the person with experience of tracheostomy;
- Nursing Care of catheterization of a peripheral vein of the person;
- Nursing Care with the person in need of venous blood collection;
- Nursing Care with the person in need of blood samples for blood culture;
- Nursing Care with the person in need of traction-skin;
- Nursing care to the person injured and need surgical removal of suture material;
- Nursing Care with the person in need of monitoring of Central Venous Pressure

Demonstration of the syllabus coherence with the UC intended learning outcomes

In order to answer to the course learning objectives, the structure it was drawn at three modules:
a) Module I - Nursing care to adult and elderly and family, planned in response to different experiences of health and illness, is scheduled in the syllabus;
b) Module II - Nursing práxis. Guiding module learning the different technical procedures of Nursing, defined in the Rules of Procedure, and based on scientific evidence;
c) Module III - Theory and Practice of Clinical Reasoning Nursing. Model IUREPIC. has provided in topic of the syllabus, response to learning objectives.
The syllabus contents aimed, for acquisition by students of knowledge and skills, that enable them to take care of adult and elderly person with different experiences of health and illness. Learning of nursing care is guided by the nursing process, based on clinical decision making and personalization of care, sensitive to nursing practice;

Teaching methodologies

Expositive and ative learning strategies;
Clinical Reasoning Exercises;
Nursing care exercises with simulated practice;
Analyse and discussion nursing practice througth films/vídeos observation.
Simulated practice in basic life support

Demonstration of the teaching methodologies coherence with the curricular unit's intended learning outcomes

biannual curricular unit. It proposes the set of previously presented methodologies that enable the achievement of learning objectives proposed by the students: expository methodologies that promote the acquisition of knowledge; active methods of discussion of clinical cases of adults and elderly people with different experiences of health and illness, facilitate comprehension of changing human needs due to pathophysiological processes, and learning the clinical decision making; case-based reasoning methodology (CBR) which promotes the clinical reasoning in nursing and individual work of students

Assessment methodologies and evidences

The evaluation methodologies consist at:
- 2 evaluation tests of knowledge (50%);
- Nursing Clinical Reasoning evaluation (20%);
- Pratical evaluation - (25%);
- Pratical evaluation SBV - (5%)


Exam:
- Test of knowledge (70%);
- Pratical evaluation - (30%)
of the UC ranking in exam season.

Attendance system

As defined in the Academic Regulation

Software

Word, PwP, Moodle

Bibliografia

BERGER, L., & MAILLOUX-POIRIER, D. Pessoas Idosas, uma abordagem global. Loures, Lusociência. 1995.

BOLANDER, Verolyn Barnes – Sorensen e Luckman. Enfermagem Fundamental: Abordagem Psicofisiologica.1a ed. Lisboa: Lusodidacta, 1998. ISBN 972-96610-6-5.

INTERNATIONAL COUNCIL OF NURSES. CIPE Versao 2 – Classificação Internacional para a Pratica de Enfermagem. Ordem dos Enfermeiros. Fevereiro de 2011. ISBN 978-92-95094-2

MONAHAN, F. D.; SANDS, J.K.; NEIGHBORS, M.; MAREK, J.F.; GREEN, C.J. – ENFERMAGEM MÉDICO-CIRÚRGICA. Perspetivas de Saúde e Doença. 8ª Edição. Loures: Lusodidacta. 2010. ISBN 978-989-8075-22-2

NUNES, L. & RUIVO, A. – Manual 2006- Técnicas de Enfermagem. Setúbal: Escola Superior de Saúde. 2006. ISBN: 972-8431-27-9.

PHIPPS, Wilma; SANDS, Judith; MAREK, Jane – ENFERMAGEM MÉDICO-CIRÚRGICA; Conceitos e Prática Clínica. 6a ed. Loures: Lusociência, 2003.ISBN 972-8383-65-7.

STANHOPE, M. – Enfermagem Comunitária – Promoção da Saúde de Grupos, Famílias e Indivíduos. 4ª Edição. Lisboa: Lusociência, 1999.1225 p. ISBN 972-8383- 05-3.

STOCK, Yvonne; CLAYTON, Bruce – Fundamentos de Farmacologia. 12a Edição. Lisboa: Lusociência. 2002. 700p. ISBN: 972-8383-36-3.