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Lecturer(s)
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Belešová Romana, Mgr. Ph.D.
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Filausová Drahomíra, PhDr. Ph.D.
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Remeňová Pavla, MUDr.
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Course content
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Lectures: 1. Definition of the term perioperative period; operating department, operating room, operating team, work organization, operational program 2. Types of operations - degree of inevitability and urgency, degree of risk, purpose; gynecological operations abdominal, vaginal 3. Laparoscopy in gynecology, small procedures performed in gynecology 4. Obstetric operations, procedures performed in obstetrics 5. Instrumentation for gynecological operations; instrumentation for obstetric procedures; preparation of the operating room before the operation, preparation of the operating team 6. Pre-operative assessment of the client's state of health in gynecology, standard examination methods before gynecological surgery, special examinations; pre-operative assessment of the client's state of health in obstetrics, standard examination methods before surgery, special examination 7. Preoperative preparation - general, immediate, remote - somatic, psychological preparation; preparation of the client/patient for acute surgery 8. Postoperative care in gynecology, postoperative care in obstetrics 9. Postoperative complications in gynecology and obstetrics, perioperative medical (medical, nursing) documentation for the client/patient Seminars: 1. Education of female clients before, during and after surgery according to the standard care plan 2. Psychological preparation of the client, psychotherapy techniques in perioperative care in obstetrics and gynecology 3. Nursing interventions for distant pre-operative preparations, nursing interventions for immediate pre-operative preparations on the day before surgery, nursing interventions for immediate pre-operative preparations on the day of surgery, preparation of the client/patient for acute surgery, documentation management 4. Nursing process for the client in the intraoperative period, nursing process for the client in the postoperative period 5. Nursing process for a client with an operative wound, documentation management 6. Nursing process for a client with a postoperative complication 7. Instrumentation in the operating room for vaginal and abdominal surgeries, preparation of the operating room 8. Instrumentation in the delivery room, preparation of the delivery room. Instrumentation for minor interventions in gynecology and obstetrics 9. Management of nursing documentation, knowledge of medical documentation during perioperative care
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Learning activities and teaching methods
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Monologic (reading, lecture, briefing), Dialogic (discussion, interview, brainstorming), Activating (simulations, games, drama)
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Learning outcomes
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The course is designed as a theoretical-practical unit for midwives. It focuses on a specific area of care about the needs of the woman in the perioperative period. Get acquainted with conditions requiring surgical intervention, with surgical categories interventions according to urgency, identifying potential perioperative problems (reduction of the patient's stress reactions, reduction risk of infection, assessment of the state of the vascular system, assessment of the state of organ functions, risk of changes in the body appearance, and others), with pre-operative care, intra-operative and post-operative care. The subject introduces individual chapters of gynecological endocrinology, current trends, treatment schemes for menstrual cycle disorders and introduces them to their pharmacological and surgical solutions. He deals with all types of hormonal contraception and hormone replacement therapy. It introduces the advantages and disadvantages of hormonal contraception and hormone replacement therapy, with their indications and contraindications. It also deals with the treatment of infertility, including methods of assisted reproduction. Furthermore, the subject introduces the methods and issues of the midwife's work in the care of women with inflammatory and sexually transmitted diseases. It is focused on the care of a woman throughout her life, with an emphasis on prevention against the onset of inflammatory diseases and the spread of sexually transmitted diseases. Part of the practical part of the subject is the training of psychomotor and communication skills in nursing care in simulation laboratories. Emphasis is placed on managing a complex situation, including compliance with hygienic and epidemiological principles, risk prevention, teamwork and managing crisis situations. The learning process is supported by subsequent debriefing, which is a necessary element of simulation teaching.
Student: - defines the perioperative period for the client/patient - characterizes the types of gynecological operations - characterizes small gynecological procedures, types of obstetric operations in the field of obstetrics - orients himself in the instrumentation needed to perform gynecological and obstetrical operations - characterizes the pre-operative preparation of the client/patient - characterizes post-operative care for clients/patients in gynecology and obstetrics - will explain post-operative complications in gynecology and obstetrics - describes the diagnosis and investigation methods of cycle disorders in women - defines disorders of the rhythm of the menstrual cycle - characterizes climacteric syndrome, sterility, artificial insemination - adequately uses professional terminology - characterizes the symptoms, diagnosis and therapy of inflammatory and sexually transmitted diseases in women - defines the current needs of the client/patient with an inflammatory and sexually transmitted disease - establishes a nursing plan for a client/patient with an inflammatory and sexually transmitted disease
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Prerequisites
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unspecified
UOP/AOPR3
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Assessment methods and criteria
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Oral examination, Student performance assessment, Seminar work
90% participation in classes, active participation in classes, individual preparation for seminars, completion of assigned tasks; active participation in simulation teaching, exam - oral,
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Recommended literature
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CIBULA, D., HENZL, M., ŽIVNÝ, J. Základy gynekologické endokrinologie. Praha: Grada, 2002.
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ČAPOV, I., WECHSLER, J. a kol. Drény a jejich využití v chirurgických oborech. Praha: Grada, 2001. ISBN 80-247-0228-2.
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DUDA, M. Práce sestry na operačním sále. Praha: Grada, 2000. ISBN 80-7169-642-0.
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JANÍKOVÁ, E., ZELENÍKOVÁ, R. Ošetřovatelská péče v chirurgii pro bakalářské a magisterské studium. Praha: Grada, 2012. ISBN 978-80-247-4412-4.
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JEDLIČKOVÁ, J. a kol.:. Ošetřovatelská perioperační péče. Brno, 2012. ISBN 9788070135433.
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LARSEN, R. Anestezie. Praha: Grada, 2004. ISBN 80-247-0476.
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MÁLEK, J., ŠEVČÍK, P. a kol. Léčba pooperační bolesti. Praha: Mladá fronta, 2011. ISBN 978-80-204-2453-2.
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MAŠATA, J. Infekce v gynekologii. Praha: Maxdorf, 2017. ISBN 978-80-7345-531-6.
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PAŘÍZEK, A. a kol. Analgezie a anestezie v porodnictví. Praha: Grada, 2013. ISBN 978-80-7262-893-3.
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PILKA, R. Gynekologie. Praha: Maxdorf, 2017. ISBN 978-80-7345-530-9.
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Repková, A. et al. Gynekologické ošetrovateľstvo.. Martin: Osveta, 2007. ISBN 80-8063-236-7.
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ROB, L., MARTAN, A., CITTERBART, K. et al. Gynekologie. Praha: Galén, 2008. ISBN 978-80-7262-501-7.
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ROZTOČIL, A., a kol.:. Moderní gynekologie. Praha: Grada, 2011. ISBN 978-80-247-2832-2.
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Schneiderová, Michaela. Perioperační péče. 1. vydání. Praha : Grada Publishing, 2014. ISBN 978-80-247-4414-8.
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SKALICKÁ, H. Předoperační vyšetření: návody pro praxi.. Praha, 2007. ISBN 978-80-247-1079-2.
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SLEZÁKOVÁ, L., a kol.:. Ošetřovatelství v gynekologii a porodnictví. Praha: Grada, 2011. ISBN 978-80-247-3373-9.
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