Universitat Internacional de Catalunya - Barcelona

General Clinical Nursing

• code 08604
• course 2
• term Semester 1
• type OB
• credits 6

Module: Module Fundamentals of Care II

Matter: General Clinical Nursing

Main language of instruction: Catalan

Other languages of instruction: Spanish

Head instructor

Dr. Alberto GALLART - agallart@uic.es

Other instructors

Dda. Sandra MULERO - smulero@uic.es
Dr. Jordi CASTILLO - jcastillo@uic.es

Office hours

Every day to 9:50 to 10:10 am, by appointment via email.

The planning of nurses cares for the principals’ health disorders of the people requires a solid responsibilities base general that will be repeated in the learning of the Plan of cares for every Pathology. To discover and internalise gradually these responsibilities with a methodology that combines the lecture for the most new topics and complexes whereas for the rest of topics the group tutorship is reserved, the information elaboration and presentation will provide the assimilation of responsibilities.

Description.

The subject Nursing General Clinic hones in on to acquire necessary knowledge to know the health disorders of the adult, demonstrations and cares, applying the process of nursing attention (P.N.A). During the subject will be work the procedures to try and/or stem the problems in people cared and family, via a cooperative work with the other members of the team and with the share of the person taken care and of its relatives in the process health-illness. Semiology, Homeostasis and General Basic Principles of Clinical cares are the basic elements for the rest of contents of the area.

• There aren't incompatibilities.

1. Students develop cognitive skills, psychomotor and relationships that allow them to provide adequate nursing cares, promoting the importance of autonomy and health maintenance, disease prevention and wellness of the patient, his family and community.
2.  Acquire the necessary skills to integrate theoretical knowledge into daily practice of nursing profession.
3. To know the general nursing care associated with the most common semiology, the person in critical situations, surgical, chronic diseases and cancer, using the following methodology:
4. Integrate specific knowledge of the disease on the base of the holistic concept of the individual.
5. Remember the pathogenesis, epidemiology, pathophysiology of semiology provided scientific basis of nursing work.
6.  Know the prognosis and possible complications.
7.  Study the Nursing Care Process (N.C.P) following: The obtaining accurate information for the rigorous development of nursing care plan. The specific assessment of the signs, symptoms and problems, using the clinical trial and setting priorities. The planning of care based on the problems and nursing diagnoses.Leer fonéticamente

Table n.15 shows the relationship between the General Clinical Nursing subject content with ECTS and the competences to be acquired by the student.

Table n.15. ECTS and skills contained in the General Clinical Nursing.

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• 11. E - Establish effective communication with patients, families, social groups and partners and promote health education.
• 12. B - Know and observe the ethical code of conduct of Spanish nursing, understanding the ethical implications of health in a changing global context.
• 15. B - Work with the team of professionals as a basic unit in which uni or multidisciplinary and interdisciplinary professionals and other staff of health care are organized.
• 16. G - Know the health information systems.
• 1. G - Ability to provide technical and professional health care appropriate to the health needs of the people they treat, with full technical and scientific autonomy, according to current and available scientific knowledge and to the quality standards and safety requirements set forth in the applicable legal standards and code of ethics.
• 24. G - Ability to work autonomously.
• 2. E - Plan and provide nursing care for individuals or groups, taking health outcomes into account and their impact, through guidelines for clinical practice and care, which describe the four processes by which a health problem is diagnosed or treated.
• 3. E - Know and apply the theoretical and methodological foundations and principals of nursing.
• 4. B - Understand the interactive behavior of the person according to their gender, group or community, within their social and multicultural context.
• 5. G - Design systems of care programed for people or groups, assessing their impact and making necessary modifications.
• 6. E - Base nursing care on scientific evidence and available resources.
• 7. B - Understand people without prejudice, considering their physical, psychological and social aspects, as autonomous and independent individuals, ensuring respect for their opinions, beliefs and values, ensuring their right to privacy through confidentiality and professional secrecy.
• 8. B - Promote and respect the right of participation, information, autonomy and informed consent in decision-making of people treated, according to the way they live their health - disease process..

• Develop cognitive, psychomotor and relationship to provide appropriate nursing care to promote autonomy, health maintenance, disease prevention and welfare of the patient, their family and community.
• Recognize the most frequent sinthomatology in major health alterations
• Develop nursing care from the reflection of the pathogenesis, epidemiology, pathophysiology of semiology provided scientific basis of nursing workthrough the care plan based on problems and nursing diagnoses.
• Knowing the main diagnostic imaging (radiology, scanner, PET etc.) and analytical rationale and implementation, and therapeutic application, especially in cardiovascular and interventional oncology.

Introduction to nursing care of medical - surgical diseases. The physical and chemical agents as a cause of disease. Thermoregulation.

· General sinthomatology. Nursing care in the major clinical syndromes: pain, fever, jaundice, nausea and vomiting, bleeding, dizziness, syncope, coma, dyspnea, oliguria and anuria.

· Disorders of electrolyte balance and acid-base. Nursing care in patients with disorders of electrolyte balance. Fundamental concepts of electrolyte homeostasis and acid-base. Nursing care in patients with fluid. Volumetric disorders. Imbalances of the major intra and extra cellular ions. Nursing care in patients with disorders of acid-base balance.

· The infection. Nursing care to the patient with an infection.

· Shock sepsis and multiorgan failure. Nursing care to patients with shock.

· The chronic and acute disease. Definition and causes of acute and chronic disease. Differential strategies in the diagnosis and treatment. Nursing care in patients with chronic diseases.

· Physiotherapy and rehabilitation. Concept. Modalities. The major therapeutic indications. Nursing care in patient self-care deficit, with risk or impairment of physical mobility, with risk skin integrity, and altered the pattern of elimination.

· Principles of general medical - surgical oncology. Nursing care for cancer patients in relation to cancer pathophysiology, epidemiology, prevention and early detection. System Tumor Node Metastasis classification. General aspects of cancer treatment.

· Analysis clinicians. Diagnostic Laboratory: hematology Laboratory, microbiological, immunological, biochemical and biological. Normal values for common clinical tests. Analytical requests daily clinical practice, hospital and postdischarge.

· Techniques for diagnosis. The clinical diagnostic process. Radiological diagnosis. Histopathological diagnosis. Endoscopy. Clinical monitoring. Special diagnostic techniques. Preparation of the patient undergoing diagnostic tests.

· The surgical patient. Nursing care preoperative patient. Nursing care during the intraoperative: positioning the patient on the operating table. Basic rules of surgical asepsis. The operating room. Sterilization. Surgical instruments. Nursing care after surgery. The postoperative period, postoperative care unit: immediate interventions. Postoperative complications. Nursing care in the surgical wound. Surgical pathophysiology. The surgical wound.

· Intensive care. Nursing care for critical patients. Structure and function of intensive care. Monitoring systems. Treatment systems.

Chapter  ver Material adjunto

Table n.16 you can see the relationship between ECTS and workload in hours of learning according to the different methodologies used in the General Clinical Nursing. All calculations are made under the assumption that the plan must contain 240 ECTS. In this subject, everyone ECTS equals 10 hours in which the teacher has a role or presence. The teaching load can be made by the master class where the teacher will present the main ideas and encourage participation and discourse. Can also be made through group and individual tutorials that will accompany the student to the learning process, guiding and advising. The work will encourage cooperative work among equals. The remaining hours up to 25, not shown in the tables, correspond to the burden of self-directed learning of the student. Self-employment in the student learn to solve problems on their own with the reinforcement of the given material and information received in the classroom. There will be hours spent searching for information, preparation of work and individual study, all to get to achieve the desired knowledge.

The matter will be assessed during the semester various continuous assessments and a final exam. Continuous assessment will have:-Class participation expressed through questionnaires solving through ICT-Working Questionnaires and exercises through ICT and a partial test.
Relationship of assessment approach to the learning objectives

The method of evaluation will include all educational methodologies because on one hand it will collect the individual and in the individual synthesis (partial and final), but also the ongoing work and the synthesis of information with class discussions, reading literature and exercises.

Relative weight of each instance in the overall assessment of the evaluation

· The matter will be assessed during the semester by various continuous assessments with a percentage of 60% and a final exam worth 40%. To make half of all assessment methods will have to get at least a 4 on the final exam.
· The ongoing assessments have:

1. Participation in class work on clinical cases and exercises posed are evaluated with a value of 20%. through:
a) the solution through Moodle questionnaires and whose answers after being made in class by the student will be introduced on the same day.
b) Correction of exercises in class.
c) The resulting rating of "oral quiz" between groups to be held at the end of the course, as a synthesis of matter.

2. Tasks and Questionnaires Working through ICT 20%.

3. 20% partial test.
· The partial test and final exam questions will be multiple choice response (ROM) and / or short-answer questions.

· Second Assessment

Stuff will be evaluated with a final exam worth 60% and the note will be continuous assessment of a percentage of 40% and not take into account the set. Over 40% continuous assessment will be allowed:

  1.recover 20% of the questionnaires Working Moodle Quizzes Tasks and through ICT to perform them again in a second call, in any case the maximum score in this section will be 5.
 2. Finally for 20% of the class participation section will keep note of the 1st call, because what is valued is class attendance and participation.

· Assessment of competences.

The proposed competence in the subject will be overcome if they exceed their assessment tests. Learning outcomes and assessment instruments competencies are in Annex 1.

General evaluation criteria

· To make half of all assessment methods will have to get at least a 4 on the final exam.
· The partial test and final exam questions will be multiple choice response (ROM) and / or short-answer questions if not deducted from adequate.
Evaluation scheme to use

An assessment will be continuous and continuously hanging notes intranet so that students can go valuing learning. Questionnaires were feed back with the right answers so that students can learn and evaluated simultaneously. You can perform a test review.

No fees of Honor awarded for 2nd call

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•  Long, B. C., Phipps, W. J. (2002). Enfermería Médico-Quirúrgica (2ª ed.). Vol 1 y 2. Mosby 2000. Madrid.
• Smeltzer S.C., Bare B.G. Enfermería Médico-quirúrgica de Brunner y Suddarth. 12ª edición. LIPPINCOTT. 2013
• Herdman & Kamitsuru.  Diagnósticos enfermeros. Definiciones y clasificación 2015-2017 Elsevier, 2015
•  Mª T Luis. Los Diagnósticos enfermeros. Masson, Madrid, 9ª Edición.2014

E: exam date | R: revision date | 1: first session | 2: second session:

• E1 12/01/2015 10:00h
• R1 23/01/2015 14:00h
• E2 25/06/2015 08:00h
• R2 03/07/2015 10:00h