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Lecturer(s)
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Vránová Věra, Mgr. Ph.D.
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Chvatíková Sylvie, Mgr.
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Kudlová Pavla, PhDr. Bc. Ph.D., MBA
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Course content
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Seminar - Anatomical, physiological and pathological bases of the wound healing process - 1 hour. - Healing of chronic defects - factors influencing wound healing, exudative, proliferative and differentiation wound healing - 2 hours. - Assessment of wound condition in terms of origin, extent, depth, size, edges and base of the wound, the nature of exudation, location and age of the wound, presence of pathogens in the wound. Recommended classifications for the evaluation of wounds and pressure ulcers - 3 hours. - Special dressing materials for the treatment of chronic wounds and their use. Competences of a nurse in dressing a wound - 1 hour. - Record of nursing documentation of chronic wound - 1 hour. Tutorials - Wound treament, a dressing trolley as a mobile part of the treatment unit equipment, aseptic wound dressing, wound swab - 3 hours. - Skin examination to detect skin melanoma. Education of patients for skin self-examination. Dehiscence of surgical wound casuistry - 1 hod. - Special treatment of pressure ulcers - etiology, diagnostics, treatment and education - recommended treatment procedures, casuistry, demonstration and model practice - 1 hour. - Special treatment of diabetic foot - etiology, diagnostics, treatment and education - recommended treatment procedures, casuistry, demonstration and model practice - 1 hour. - Special treatment of varicose ulcers - etiology, diagnostics, treatment and education - recommended treatment procedures, casuistry, demonstration and model practice - 1 hour. - Internship at specialized departments - internal, pediatric, dermal, surgical - 1 hour.
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Learning activities and teaching methods
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Monologic (Exposition, lecture, briefing), Dialogic (Discussion, conversation, brainstorming), Demonstration, Practice exercises, Dealing with situational issues - learning in situations
- Participation in classes
- 12 hours per semester
- Preparation for course credit
- 12 hours per semester
- Home preparation for classes
- 12 hours per semester
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| prerequisite |
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| Knowledge |
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| - describe the pathophysiology of wounds; - use professional terminology in the field of wound healing; - describe methods of wound assessment regardless of the patient's age; - describe and explain local treatment of wounds of different etiologies; - justify the importance of using assessment scales and measurement techniques in patients with non-healing wounds; be familiar with moist wound therapy. |
| - describe the pathophysiology of wounds; - use professional terminology in the field of wound healing; - describe methods of wound assessment regardless of the patient's age; - describe and explain local treatment of wounds of different etiologies; - justify the importance of using assessment scales and measurement techniques in patients with non-healing wounds; be familiar with moist wound therapy. |
| Skills |
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| assist in assessing the condition of non-healing wounds according to given criteria; apply knowledge of factors influencing wound healing; observe and monitor changes in the overall condition of the client and local changes in the skin; prevent the formation of wounds and complications of wounds; choose the appropriate method of local treatment for non-healing wounds and defects, including the selection of therapeutic materials for moist wound healing; coordinate nursing interventions in the care of non-healing wounds and defects; prepare the patient mentally, non/pharmacologically, for nursing interventions; assist with invasive procedures (surgical debridement, amputation, necrotomy, etc.); perform dressing changes for non-healing wounds using modern means of healing non-healing wounds; educate the client and their relatives in primary and secondary prevention of non-healing wounds; maintain medical records. |
| assist in assessing the condition of non-healing wounds according to given criteria; apply knowledge of factors influencing wound healing; observe and monitor changes in the overall condition of the client and local changes in the skin; prevent the formation of wounds and complications of wounds; choose the appropriate method of local treatment for non-healing wounds and defects, including the selection of therapeutic materials for moist wound healing; coordinate nursing interventions in the care of non-healing wounds and defects; prepare the patient mentally, non/pharmacologically, for nursing interventions; assist with invasive procedures (surgical debridement, amputation, necrotomy, etc.); perform dressing changes for non-healing wounds using modern means of healing non-healing wounds; educate the client and their relatives in primary and secondary prevention of non-healing wounds; maintain medical records. |
| learning outcomes |
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| Knowledge |
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| describe the pathophysiology of the wound |
| describe the pathophysiology of the wound |
| describe ways of assessing wounds regardless of the age of the client |
| describe ways of assessing wounds regardless of the age of the client |
| describe and explain local wound treatment of different etiologies |
| describe and explain local wound treatment of different etiologies |
| justify the importance of using rating scales and measurement techniques in patients with non-healing wounds |
| justify the importance of using rating scales and measurement techniques in patients with non-healing wounds |
| be familiar with wet wound therapy |
| be familiar with wet wound therapy |
| Skills |
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| assist in assessing the condition of a non-healing wound according to the given aspects and apply knowledge of factors influencing wound healing |
| assist in assessing the condition of a non-healing wound according to the given aspects and apply knowledge of factors influencing wound healing |
| observe and monitor changes in the client's general condition and local changes in the skin |
| observe and monitor changes in the client's general condition and local changes in the skin |
| treat non-healing wounds aseptically, correctly and with the choice of appropriate therapeutic dressings |
| treat non-healing wounds aseptically, correctly and with the choice of appropriate therapeutic dressings |
| educate the client in primary and secondary prevention of non-healing wounds |
| educate the client in primary and secondary prevention of non-healing wounds |
| keep medical records |
| keep medical records |
| teaching methods |
|---|
| Knowledge |
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| Dialogic (Discussion, conversation, brainstorming) |
| Dialogic (Discussion, conversation, brainstorming) |
| Demonstration |
| Demonstration |
| Practice exercises |
| Practice exercises |
| Dealing with situational issues - learning in situations |
| Dealing with situational issues - learning in situations |
| Monologic (Exposition, lecture, briefing) |
| Monologic (Exposition, lecture, briefing) |
| assessment methods |
|---|
| Analysis of the student's performance |
| Didactic test |
| Didactic test |
| Analysis of the student's performance |
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Recommended literature
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JBI. 2008. Dekubity ? péče o tkáně poškozené tlakem. In: Best Practice. [online]. 2008. roč. 12, č. 3. [cit. 2010-04-29].
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Léčba ran, Hojení ran, Interní medicína pro praxi, Kasuistiky v diabetologii, Postgraduální medicína, Vnitřní lékařství, Sestra v diabetologii aj..
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Výbor ČDS. Standardy léčby pacientů se syndromem.
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BARANOSKI, S. Wound Care Essentials: Practice Principles. NBN International, 2011.
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HERDMAN, T. H., KAMITSURU, S. (eds.). Ošetřovatelské diagnózy: definice a klasifikace 2018-2020. Prah: Grada, 2020.
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KOUTNÁ, M. Institucionalizace sestry specialistky pro hojení ran. In: Hojení ran, 2009.
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KUDLOVÁ, P. a R. CHLUP. Lokální léčba syndromu diabetické nohy. In Racionální přístupy k léčbě osob s diabetem. Terapeutická edukace ve 3. miléniu.
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KUDLOVÁ, P., I. HÁTALOVÁ a J. KEPRTOVÁ. Péče o jizvy po chirurgickém zákroku. Léčba ran, 2017.
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KUDLOVÁ, P., I. HÁTALOVÁ a M. HUBÁČKOVÁ. Péče o jizvy po porodu. Léčba ran, 2017.
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KVASNICOVÁ, E. Standard ošetřovatelské dokumentace chronické rány. 2010.
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POKORNÁ, A. a R. MRÁZOVÁ. Kompendium hojení ran pro sestry. Praha: Grada, 2012.
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POSPÍŠILOVÁ, A. Bércový vřed ? standard ČSLR. 2010.
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SOUČKOVÁ, B. Doporučené nutriční postupy pro prevenci a léčbu dekubitů. Praha: Nutricia, 2003.
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SOUČKOVÁ, B. Doporučené postupy pro prevenci dekubitů. Praha: Nutricia, 1998.
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STRYJA, J. a kol. Repetitorium hojení ran 2. Praha: Geum, 2011.
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ŠEFLOVÁ, L. Standard péče pro ošetřování a léčbu dekubitů. Pardubice, 2009.
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