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Lecturer(s)
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Hudáčková Andrea, PhDr. Ph.D.
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Lorenc Vít, MUDr.
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Course content
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Lectures: (1 hour per week - 10 weeks) 1st - 2nd week Chronic Intensive Care Unit (primary diagnosis, pharmacotherapy, instrumentation, material equipment, staffing, documentation, legislation) Week 3 - 4 Vegetative state (causes, clinical picture, diagnosis, treatment, complications, prognosis, palliative care, follow-up care options) Week 5 - 6 Immobility and immobilization syndrome. Effect of immobility on individual organ systems, techniques and methods of preventing immobilization syndrome. Management of complications resulting from immobilization syndrome. Week 7 - 8 Management of discharge of a patient in a vegetative state to home care Week 9 - 10 Home artificial pulmonary ventilation (indications for DUPV, forms, complications, legislation, DUPV project, oxygen therapy). Seminars: (1 hour per week - 10 weeks) 1st - 2nd week Chronic Intensive Care Unit (CICU, DIP, DIOP, NIP) - goals of hospitalization and nursing process, prevention of secondary changes. Physical and psychological demands of highly specialized nursing care. Needs of a patient hospitalized in OCHRIP, DIP, DIOP, NIP - hygiene care, prevention of decubitus, nutrition (swallowing training, nursing care of PEG and PEJ), elimination - highly specialized nursing care. Week 3 - 4 Highly specialized nursing care of the airway of a patient admitted to OCHRIP, DIP, DIOP, NIP (tracheostomy/complicated tracheostomy care, airway toileting, VAP prevention, airway medication administration, weaning, non-invasive ventilation, respiratory function assessment) Week 5 - 6 Needs of the patient hospitalized in the OCHRIP, DIP, DIOP, NIP - need to be pain-free, need for sleep and rest, psychosocial needs, communication with the patient and family. Basal stimulation of patients in intensive care (meaning of the concept, implementation of the concept in nursing care, practical training, use of kinesthetics in basal therapy, family's contribution to the care of a person in DIOP) Week 7 - 8 Rehabilitation in intensive care (positioning, passive/active, breathing, special rehabilitation for selected diagnoses, verticalization of patients, rehabilitation plan for the chronically ill, education for self-sufficiency, aids, documentation). Week 9 - 10 Management of discharge of a patient in a vegetative state to home care - competencies of the caregiver, transfer of information, and education of the caregiver before discharge
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Learning activities and teaching methods
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Dialogic (discussion, interview, brainstorming), Demonstration, Activating (simulations, games, drama)
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Learning outcomes
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" To introduce the student to the concept of long-term intensive nursing care " To introduce the student to the concept of highly specialized care of patients in the ICU " Introduce the student to the issue of immobility and immobilization syndrome in critical care. " To introduce the student to perceptual stimulation and its application in critical care. " To familiarize the student with the problems of rehabilitation in long-term intensive care " To familiarize the student with the management of discharge of a patient in a vegetative state to home care " To familiarize the student with the issues of home artificial pulmonary ventilation
The student understands the concept of long-term intensive nursing care " The student knows the issues of highly specialized care of patients in the ICU " The student knows how to provide complex, highly specialized nursing care for the patient with impaired consciousness " The student understands the issues involved in complex, highly specialized nursing care of patients requiring UPV, including risks, and associated complications and participates in their management " The student masters the methods of communication with the UPV patient " The student knows how to care for the patient in a vigilant coma, " The student is familiar with immobility and immobilization syndrome in intensive care and knows how to prevent changes " The student understands the concept of perceptual stimulation and its application in critical care. " The student applies the concept of perceptual stimulation in working practices. " The student understands rehabilitation in long-term intensive care " The student understands the management of discharge of a patient in a vegetative state to home care " The student understands the issues of home artificial pulmonary ventilation " The student can apply psychological approaches and communication techniques in interpersonal relationships.
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Prerequisites
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unspecified
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Assessment methods and criteria
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Oral examination, Student performance assessment, Seminar work
Credit terms: - 80 % participation in seminars - submission of the Biographical History on Moodle by Friday, 31 December 2022, 22.00 Moodle Colloquium: oral colloquium
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Recommended literature
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DRÁBKOVÁ, Jarmila, HÁJKOVÁ, Soňa. Následná intenzivní péče. Praha, Mladá fronta, 2018. ISBN 978-80-204-4470-7.
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FRIEDLOVÁ, Karolína. Koncept bazální stimulace v dlouhodobé péči. Praha: Grada Publishing, 2011. ISBN 978-80-247-4026-3.
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Gerlichová, Markéta. Muzikoterapie v praxi : příběhy muzikoterapeutických cest. 2., přepracované a doplněné vydání. Praha : Grada Publishing, 2021. ISBN 978-80-271-1791-8.
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Kapounová, Gabriela. Ošetřovatelství v intenzivní péči. 2., aktualizované a doplněné vydání. Praha : Grada Publishing, 2020. ISBN 978-80-271-0130-6.
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Kapounová, Gabriela. Ošetřovatelství v intenzivní péči. Vyd. 1. Praha : Grada, 2007. ISBN 978-80-247-1830-9.
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Kupka, Martin. Psychosociální aspekty paliativní péče. Vydání první. Praha : Grada Publishing, 2014. ISBN 978-80-247-4650-0.
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LIPPERTOVÁ- GRÜNEROVÁ, Marcela. Trauma mozku a jeho rehabilitace. Praha: Galén, 2009. ISBN 978-80-7262-569-7.
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LUKÁŠ, Jindřich et al. Tracheostomie v intenzivní péči. Praha: Grada, 2005. ISBN 80-247-0673-3.
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Lukáš, Jindřich. Tracheostomie v intenzivní péči. 1. vyd. Praha : Grada Publishing, 2005. ISBN 80-247-0673-3.
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Maloň Friedlová, Karolína. Bazální stimulace? pro ošetřující, terapeuty, logopedy a speciální pedagogy : praktická příručka pro pracující v sociálních službách, dlouhodobé péči a ve speciálních školách. Vydání 2. Tábor : Asociace poskytovatelů sociálních služeb ČR, 2018. ISBN 978-80-907053-1-9.
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Maloň Friedlová, Karolína. Bazální stimulace v základní ošetřovatelské péči. Vyd. 1. Praha : Grada, 2007. ISBN 978-80-247-1314-4.
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Mandincová, Petra. Psychosociální aspekty péče o nemocného : onemocnění štítné žlázy. 1. vyd. Praha : Grada, 2011. ISBN 978-80-247-3811-6.
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Powell, Trevor J.; Wdowyczynová, Magda. Poškození mozku : praktický průvodce pro terapeuty, rodinné příslušníky a pacienty. Vyd. 1. Praha : Portál, 2010. ISBN 978-80-7367-667-4.
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SEIDL, Z. Neurologie pro studium i praxi. Praha: Grada, 2015. ISBN 978- 80-247-5247-.
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SLÁMA, Ondřej, KABELKA Ladislav a Jiří VORLÍČEK et al. Paliativní medicína pro praxi. Praha: Galén, 2007. ISBN 978-80-7262-505-5.
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SLEZÁKOVÁ, Zuzana. Ošetřovatelství v neurologii. Praha: Grada, 2014. ISBN 978-80-247-4868-9.
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Zadák, Zdeněk. Výživa v intenzivní péči. 2., rozš. a aktualiz. vyd. Praha : Grada, 2008. ISBN 978-80-247-2844-5.
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