Nursing IX Complex and High-Risk Care Situations

Scholar Year: 2019/2020

Courses

Head Teacher Responsability António Manuel Martins de Freitas Head Andreia Filomena Ferreri de Gusmão Gonçalves Cerqueira Colaborador Miguel Quaresma Oliveira Colaborador Nuno Miguel Ventura de Oliveira Colaborador Rita Isabel Gonçalves Costa Colaborador

Weekly workload Hours/week T TP P PL TC S E EL OT TPL O OT/PL Type of classes 1,33 ,67 ,67 Lectures Type Teacher Classes Hours Theoretical Totals 1 1,33 Andreia Cerqueira   0,13 António Freitas   1,00 Nuno Oliveira   0,20 Theoretical-practical Totals 2 1,34 António Freitas   0,53 Miguel Oliveira   0,13 Nuno Oliveira   0,13 Rita Costa   0,53 Orientação Tutorial Totals 4 2,68 António Freitas   0,66 Miguel Oliveira   0,66 Nuno Oliveira   0,66 Rita Costa   0,66

Teaching language

Portuguese

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

 Define complexes care settings and its features
 Set priorities in care in emergency situations / emergency the person and family
 Defines concepts of nursing knowledge, for the delivering of nursing care to the person in critical condition.
 Discusses the specificity of application of instruments Nursing Basics in complex contexts of care.
 Identify the main psychosocial factors that influence the care decision and uncertainty management in complex environment.
 Analyzes the specificity of clinical decision making in complex contexts of care.
 Identify the specific measures of infection control in complex care environments.
 Sets out specific interventions in complex contexts of care within the specificity of the nursing process applied to people in critical condition.

Syllabus

 The concept of Triage: Manchester Triage System.
 The kinematics of trauma.
 Trauma victim’s assessment.
 Nursing interventions to people with Traumatic brain injury
 Nursing interventions to a person with Invasive and Non-Invasive Ventilation
 Nursing interventions in emergency situations respiratory
 Hemodynamic monitoring and ECG trace.
 Drugs commonly used in UCI and ER
 Nursing interventions in cardiovascular emergencies
 Nursing interventions for people with spinal cord injuries
 Nursing interventions for people with poisoning.
 Nursing interventions for people with burns.
 Transplantation and organ harvesting.
 Nursing interventions for persons undergoing dialysis techniques
 Advanced Life Support.

Demonstration of the syllabus coherence with the UC intended learning outcomes

This Curricular Unit includes issues related to nursing care needs in persons who are under critical condition, whose care is provided in healthcare environments of great complexity, such as in emergency rooms (ER), intensive care units (ICU) or intermediate and other specialized care units. It is intended that students will develop skills in caring for people with unstable vital functions, which he/she has to resort to a very rapid problem-solving approach to make care decisions in life threatening situations or organ failure towards to people who are under their care. In this sense, nursing care to people in critical situation, is marked by high instability and severity of disease conditions.

Teaching methodologies

Expository-participatory approach in the lectures.
In Theoretical and practical classes are discussed and debated clinical cases on topics taught in lectures classes.
The Tutorial lessons wich occurs in small groups where takes place clinical case discussions; the preparation of materials to support student teaching-learning process and; the use of simulated environment of complex units were cases takes places.
The use of the written test, evaluates the integration of the student's new knowledge in conjunction with the knowledge that was previously acquired.

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

This Course emphasizes an active approach in order to raise student development by providing knowledge and skills that allow to develop in the context of nursing care in complex environments. The clinical skills to be developed by the students are organized based on the evidence produced in this area in order to regulate good practices, ensuring safe and high quality care. So, students are prepared to develop a critical approach that is appropriate to the care that provided in emergency rooms, intensive care units or intermediate care thus developing a set of specific skills enabling to provide specific answers in situations of great complexity and instability .
In this perspective both theoretical classes allow addressing the issues, while the theoretical serve as deepening spaces and concurrently discussion for nursing interventions.
The lectures, an important feature as it allows students to create simulated environments for student learning, as well as organize study materials and support for student learning in order to develop desired skills.

Assessment methodologies and evidences

Written test, October 22nd
Exam for access to Clinical Learning, October 26th

Attendance system

Free presence in theoretical classes
Mandatory presence in TP and OT classes

Assement and Attendance registers

Bibliografia

Luckman & Sorensen (2007) Enfermagem Fundamental – Abordagem Psicofisiológica.. Lisboa: Lusodidacta, ISBN 972-96610-6-5.
FAWCETT, Jacqueline (2005). Contemporary nursing knowledge : analysis and evaluation of nursing models and theories - 2nd ed. F. A. Davis Company, Philadelphia
MISHEL, M., & BRADEN, C. (1998). Finding meaning: antecedents of uncertainty. Nursing Research , pp. 98–103, 1988.
NATIONAL ASSOCIATION OF EMERGENCY MEDICAL TECHNICIANS (2010). Phtls Prehospital Trauma Life Support, Elsevier - Health Sciences Division, ISBN: 9780323065023
PHIPPS, Wilma e outros (2009). Enfermagem Médico-Cirúrgica – Conceitos e Prática Clínica.. Lisboa: Lusodidáctica,. ISBN 972-96610-0-6.
THELAN L.A. tal.(2008). Enfermagem em Cuidados Intensivos – Diagnóstico e Intervenção. Lisboa: Lusodidacta. ISBN – 972-96610-2-2
TOMEY, Ann; ALLIGOOD, Martha (2004) . Teóricas de Enfermagem e a Sua Obra - Modelos e Teorias de Enfermagem, 5ª edição. Lusociência, ISNB 972-8383-74-6