Course: Clinical Propaedeutics in Nursing

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Course title Clinical Propaedeutics in Nursing
Course code UZV/O3KKP
Organizational form of instruction Tutorial + Seminar
Level of course Bachelor
Year of study not specified
Semester Winter
Number of ECTS credits 3
Language of instruction Czech
Status of course Compulsory
Form of instruction Face-to-face
Work placements This is not an internship
Recommended optional programme components None
Lecturer(s)
  • Pelková Jana, MUDr.
  • Koníčková Terezie, Mgr.
  • Slováková Zuzana, MUDr.
Course content
Seminars - Health, illness, prevention, causes, course, symptoms and stages of illness - 1 hour - Clinical examination of the patient (medical history, basic medical documentation, subjective and objective symptoms of the disease) - 2 hours - Physical examination of an adult and a child by a nurse, including preparation and education of the patient - 1 hour - Laboratory examination methods including OSH, preparation and education of the patient - 2 hours - Selected examination methods including adult and child preparation (X-ray, contrast, CT, nuclear medicine, nuclear magnetic resonance, radionuclide examination methods). The role of nurse in x-ray examination methods and in nuclear medicine - 2 hours - Telemedicine, ultrasound examination. Preparation of the patient, education, assistance during the procedure - 1 hour - Functional examination (spirometry, ergometry, HUT ...), nurse's role, client preparation, education - 1 hour - Endoscopic examination methods. Esophagus-gastro-duodenoscopy, rectoscopy, sigmoideoscopy, colonoscopy, cystoscopy, bronchoscopy. Laparoscopy. The role of nurse in endoscopies, client preparation, assistance, care after surgery. Specialties in examination of children and mentally handicapped clients - 1 hour - Special endoscopy (ERCP, polypectomy, papillosphincterotomy, endoscopic bleeding). Preparation of patients, education, assistance in surgery, care of the patient after surgery - 1 hour - The work of a nurse in a research workplace - environment preparation, patient care, device care, documentation management. Biopsy. Preparation and education of the patient - 1 hour - EEG, EMG, ECG (patient preparation, recording and indicative curve evaluation), Holter monitoring. Application to nursing process in selected diseases - 1 hour Class practice - The role of nurses in the history, monitoring of subjective and objective symptoms - 1 hour - Role of nurse in physical examination of adult patient, child (preparation of aids, environment, documentation, preparation and education of the patient, assistance) - 1 hour - The role of the nurse in special examination methods (patient / client preparation, patient monitoring during examination, patient care after surgery, communication with the patient and his / her relatives before, during and after surgery, education of the patient, basic maintenance) - 1 hour - Role of nurse in EEG, EMG, Holter monitoring, ECG (patient preparation, recording) - 2 hours - Role of nurse in functional examination of lungs, functional tests of kidneys, endocrine glands and digestive tract - role of nurse, preparation and education of client - 1 hour - The role of nurses in X-ray examination methods - native, contrast (preparation of patients, education, special nursing care after contrast methods - irigography, angiography, coronarography, CT) - 1 hour - Role of nurse in radionuclide examination methods, NMR - education of clients, preparation for examination, peculiarities in children and pregnant women - 1 hour - Role of nurse in endoscopic methods - types of individual endoscopic examinations and therapeutic methods - 2 hours - Special procedures in endoscopies - biopsy, polypectomy, papillosphincteromy, sclerotization of esophageal varices - 1 hour - Preparation of environment and aids for endoscopy. Preparation of children and adult clients for endoscopic examination methods, assistance, nursing care of clients after surgery, care of instruments and instrumentation - 2 hours - The role of the nurse in special sampling of biological material (liver biopsy, punctate, etc.), communication with the patient, handling the collected material - 1 hour. - Part of the exercise is an excursion to selected workplaces.

Learning activities and teaching methods
Monologic (Exposition, lecture, briefing), Dialogic (Discussion, conversation, brainstorming), Observation, Practice exercises
  • Preparation for examination - 35 hours per semester
  • Home preparation for classes - 35 hours per semester
  • Participation in classes - 20 hours per semester
learning outcomes
Knowledge
defines the meaning of physical examinations of the patient
defines the meaning of physical examinations of the patient
describes selected symptoms and syndromes for assessment by the nurse
describes selected symptoms and syndromes for assessment by the nurse
will clarify the results of the assessment of the physical examination performed by the nurse
will clarify the results of the assessment of the physical examination performed by the nurse
will explain examination procedures on selected organ systems
will explain examination procedures on selected organ systems
defines the reference limits of the values of selected laboratory examinations
defines the reference limits of the values of selected laboratory examinations
Skills
performs a physical examination of the patient within the scope of the nurse's competence
performs a physical examination of the patient within the scope of the nurse's competence
records the conclusions of the physical examination by the nurse in the documentation
records the conclusions of the physical examination by the nurse in the documentation
prepares patients for a physical examination by a doctor
prepares patients for a physical examination by a doctor
assists the doctor in selected physical examinations
assists the doctor in selected physical examinations
treats the patient after selected physical examinations
treats the patient after selected physical examinations
teaching methods
Knowledge
Observation
Monologic (Exposition, lecture, briefing)
Monologic (Exposition, lecture, briefing)
Practice exercises
Dialogic (Discussion, conversation, brainstorming)
Dialogic (Discussion, conversation, brainstorming)
Observation
Practice exercises
assessment methods
Oral examination
Oral examination
Written examination
Written examination
Recommended literature
  • DOBIÁŠ, V. Klinická propedeutika v urgentní medicíně. Praha: Grada Publishing, 2013.
  • FETISOVOVÁ, Ž. Klinická propedeutika ošetrovateľstva a pôrodnej asistencie. Martin: Osveta, 2012.
  • HOLUBEC, L. Klinická propedeutika v klinických a interních oborech. Plzeň: Západočeská univerzita v Plzni, 2017.
  • KOVALYOVA, O. a T. ASHCHELUOVA. Propedeutics to Internal Medicine Part 1: Diagnostics. Vinnytsya: Nova Knyha publishers, 2011.
  • NEJEDLÁ, M. Fyzikální vyšetření pro sestry. Praha: Grada Publishing, 2015.
  • NEJEDLÁ, M. Klinická propedeutika pro studenty zdravotnických oborů. Praha: Grada Publishing, 2015.
  • ŠPINAR, J., O. LUDKA a kol. Propedeutika a vyšetřovací metody vnitřních nemocí. Praha: Grada Publishing, 2013.
  • TŘEŠKA, V. Propedeutika vybraných klinických oborů. Praha: Grada, 2003.


Study plans that include the course
Faculty Study plan (Version) Category of Branch/Specialization Recommended year of study Recommended semester