Universitat Internacional de Catalunya - Barcelona

Caregiving for Adults II

• code 09086
• course 3
• term Semester 2
• type OB
• credits 11

Module: Module Nursing Care from Birth to Death

Matter: Nursing Care for Adults

Not specified

Head instructor

Office hours

Students can contact teachers preferably from 9.50 to 10.10 (by appointment via e-mail), or after school.

Update date Course Guide: June 2012

CARE OF ADULT II

     code
     3 rd year
     period Semester 2
     OB
     11 credits

Module: Module III. Care since the beginning of life to death

Subject: Care of Adults II

Language of instruction: Catalan, Castilian, English.

Schedule:
LD 10:10 h to 14:00 h
DM 10:10 h to 14:00 h
DC 10:10 h to 12:00 h            (except week 6 and 7 which is 10 to 14h)
DJ 10:10 h to 12:00 h             (except week 8 which is 10-14h)

DV 10:10 h to 12:00 h


Faculty responsible:

Dr. Alberto GALLART FERNANDEZ-PUEBLA-agallart@csc.uic.es

Adult Acute Care: 4 ECTS

Other teachers

Anna Maria ALIBERCH Raurell MSU,-aaliberch @ csc.uic.es

Adult Acute Care: 2 ECTS

Maria Angeles JOHN MSU mdejuan@csc.uic.es

Adult Care Community Care: 3 ECTS

María Cibeles MORENO - m@csc.uic.es

Adult Care Community Care: 1ECTS

Mercè Iruela

Adult Care Community Care: 1 ECTS

The Adult Care II course aims to provide tools to schedule and perform nursing activities aimed at prevention and health promotion nephrological problems, endocrine, muscle, joint, trauma, dermatological, ophthalmic, ENT and neurological disorders. Furthermore, with this matter, it will enable the student to perform a comprehensive care for the person with a chronic or acute condition of the systems mentioned above.

A constant goal of the Community Nursing is prevention and the promotion of self care and personal responsibility in understanding and promoting health. This course will develop the content about the foundations and main tools of health promotion.

Not required. Although successfully to study the subject, it is important to review the knowledge of anatomy and pathophysiology of nephrology systems, endocrine, muscle, joint, trauma, dermatological, ophthalmic, ENT and neurological disorders.

• 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..

At the end of the field of Adult Care I, students will be able to:

  1.   To assess the importance of families and community groups in health care.
  2.   Make a plan of care to chronically ill and their families by identifying and minimizing its complications. Know the objectives and priority actions to develop preventive measures.
  3.   Ability to work in the environment of the patient and his family. Knowing providing excellent home care, taking into account the needs of the individual and his family.
  4.  Develop intervention programs to family or community.
  5.  Know the measures of primary and secondary prevention aimed at adults.
  6.  Run a program of intervention.
  7.  Knowing specific techniques to support diagnostic and therapeutic nursing care in nephrology diseases, endocrine, muscle, joint, trauma, dermatological, ophthalmic, ENT and neurological disorders.
  8.  Apply P. A. E. patients with specific diseases of the endocrine systems, muscle joint pain, trauma, dermatological, ophthalmic, ENT and neurological disorders.
  9.  Remember the pathogenesis, epidemiology, pathophysiology and clinical presentation. Understand the possible complications.

10. Know the main diagnostic tests for image and applied analytical particularly care for kidney patients, and neurological emergencies.

Item 1 NURSING PREVENTIVE IMMUNIZATIONS, screening and health advice
      1. Topic 1.1. Immunizations. Concept. Epidemiological chain. Effectiveness. Effectiveness. Type classifications. General contraindications. Precautions. Overview of Immunizations: Immunizations systematic and unsystematic: immunization schedule, membership management and conservation of vaccines.
      1. Topic 1.2. Passive immunizations. Gammaglobulins. Concept. Type. General contraindications. Precautions.
      1. Topic 1.3. Vaccines. Indications, contraindications, side effects. Immunization schedule.
      1. Item 1. 4. Screening: screening: concepts. Diseases that could be screened. Conditions, sensitivity, PV +, PV -. Specificity.
      1. Topic 1.5. Targeted screening: breast cancer and colon. Natural history, secondary prevention, early diagnosis, screening techniques, screening recommendations.
      1. Topic 1.6. Health advice. Counseling: smoking. Food. Exercise. Physical activity. Prevention of accidents.

Item 2 NURSING CARE TO CHRONIC DISEASE
      2. Topic 2.1. General aspects of the experience of having a chronic illness.
      2. Topic 2.2. Attention to the person in chronic conditions.
      2. Topic 2.3. The chronic patient: respiratory patients, oxygen therapy, health education, monitoring and control to the patient and family. Food, care, resources.

Item 3 NURSING HOME CARE
      3. Item 3.1. The home care environment. Features. Stages. Resources. Difficulties. And health services.
      3. New alternatives: UFISS. Hospital at Home.
      3. Coordination between the hospital services, AP, SS centers and homes.
      3. PADES. Concept, performance.
      3. The family as caregiver. The primary caregiver.
      3. Process of nursing care in home care.
      3. Breathing, nutrition, elimination, activity, mobility, sleep, sleep. Hygiene-related communication, safety and comfort.
      3. Patients with dementia, care, family care, social resources.

Unit 4 NURSING CARE OF THE PERSON WITH ENDOCRINE CHANGES
      4.1 Prevention, health promotion and monitoring from Primary Health Care, the person filing an endocrine pathology.
      4.2 Attention to the person in acute endocrine pathology.

Item 5 NURSING THE PERSON WITH RENAL CHANGES
      5.1 Prevention, health promotion and monitoring from Primary Health Care, a person who has a kidney disease.
      5.2 Attention to the person in acute renal pathology.

Item 6 NURSING WITH THE PERSON dermatology
      6.1 Prevention, health promotion and monitoring from Primary Health Care, a person who has a dermatological disease
      6.2 Attention to the person in acute dermatological pathology.

Item 7 NURSING CHANGES TO THE PERSON WITH JOINT MUSCLES
      7.1 Prevention, health promotion and monitoring from Primary Health Care, the person filing a joint muscle pathology.
      7.2 Attention to the person in acute articular muscle pathologies.

Item 8 NURSING CARE FOR PEOPLE WITH NEUROLOGICAL DISORDERS
      8.1 Prevention, health promotion and monitoring from Primary Health Care, a person who has a neurological disease.
      8.2 Attention to the person in acute neurological pathology.

Item 9 NURSING THE PERSON WITH OPHTHALMIC DISORDERS
      9.1 Prevention, health promotion and monitoring from Primary Health Care, the person filing an ophthalmic pathology
      9.2 Attention to the person in acute ophthalmic pathology.

Item 10 NURSING THE PERSON WITH ALTERATIONS OTORRINOLARINGÒGIQUES
      10.1 Prevention, health promotion and monitoring from Primary Health Care, the person filing a otorrinolarinogológica pathology.
      10.2 Attention to the individual pathology of acute ENT.

Item 11 NURSING CARE IN EMERGENCY SITUATIONS
      11.1 Attention to the person in emergencies

The attached table shows the relationship between ECTS and the workload in hours of learning according to the different methodologies used in the Adult Care 2. The course is developed through theoretical sessions (lectures), practical sessions, guided and self-learning.
In this area, everyone ECTS is equivalent to 10h in which the teacher has a paper face. The teaching load may be made by the Master Class in which the teacher will present the main ideas and encourage participation and discourse. The content of the lectures will be to develop major themes and concepts of the subject listed on the agenda. As regards the practical classes will use the methodology from the perspective of cases and clinical community by encouraging work and Individual Cooperative work between equals and where will accompany the student in the learning process, guiding, advising and advising.
The remaining hours of 15h to 25h to 1 ECTS distributed:
• 7h freelance work which Professor protection 3h virtually through ICT (short questionnaires with questions regarding the pathophysiology of the theme through Moodel) and 4h correspond to the students themselves.
•  The remaining 8 hours not listed in the tables correspond to the burden of self-directed learning and 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, development of work and individual study, all to get to achieve the desired knowledge.

CM:        Clase magistral

Eje:         Realización de ejercicios y                    

                Aprendizaje cooperativo

Lc y Dis: Lectura Crítica y Discusión en Clase

MC:        Método del caso.

Vi:           Aprendizaje Autónomo Virtual: 

               Cuestionarios, Ejercicios y Lectura        

               de casos clínicos y literatura

Ev:         Horas Evaluación

11 ECTS credits (11x25H = 275H).
• Work with the teacher in the class held in the classroom: 110h (during 2011_12 is approx 7.6 weeks so that by applying the schedule is 104 hours and needs to take care of the person of Mayor for a total of 6h complete the 110h).
or Lectures: 74
Other methodologies or classroom (cases, discussions, cooperative work, etc..): 32
• Autonomous Work led by Professor and performed in a non-face: 33h (3h ECTS): 11 am No Virtual carrying cases, 22 virtual (background reading for work or work in the classroom, etc.).
• Individual work (12h per ECTS): 132H. Working understanding of notes, exercises and case made in class and not mandatory bibliography, summary of notes and study them.
 
Methods of teaching / learning in mixed mode

The course Caring Adult 2 developed a method of teaching / learning mixed with the intent to promote, protect and evaluate a participatory lifelong learning and the student with the use of hours of active work in the classroom and with the use of ICT in virtual classrooms.
During these classes will be held:
* 53% of lectures
* 47% of active classes of the student.
      ** 23% will be in class
          ***Case Method  11%
          ***Exercises 1%
          *** Discussion critical reading class after 11% (for synthesis and peer learning)
      ** 24%  Self Guided out work
          *** 8% No Virtual Case
          *** 16%  Virtual ICT.
                  **** Case 5%
                  **** Questionnaires 7%
                   ****Reading  case reports and literature 3%.
                   ****Audiovisual  1%

The reason for this mixed approach is to combine the presentation and explanation of all issues by the teacher, but at the same time the student has the opportunity to delve into the same subject by methods that help you internalize and endorse the content.
To develop this method is necessary to emphasize that it will have to overcome some challenges from both the teacher and student as both will have to incorporate into your work schedule, not just the hours and schedule calendar at present, but both will have to reserve a space on the agenda for virtual work hours. Of course, the virtual work will not have an exact time to be done, but if the student and teacher recommend that you mark a specific time (which may change depending on unforeseen can arise to them). Also, must present their work always within a maximum period of one week, as will be seen in the schedule.
To develop this subject have institutional support through technical support to the Moodle platform, mentoring and classroom teacher and appropriate physical space and information

The matter will be evaluated during the semester by continuous assessment and final examination.

The continuous assessments have: Class participation in discussion groups after the critical reading of literature and case development, Working Questionnaires, case studies and exercises through ICT and a partial examination.

Relationship of the evaluation approach with the competencies and learning outcomes

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

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

The matter will be evaluated during the semester by continuous assessment system with a rate of 60% and a final exam with a value of 40% (in the case of don't pass the exam. In the case of pass the middle term exam, it will cost 30%) . Continuous assessment will have:

· Class participation in discussion groups after the critical reading of literature, exercises and development of all cases: 5%

· Self-employment non-virtual: of all clinical cases were performed

indicate one for evaluation: 20%

· Virtual Self study: questionnaires, exercises and critical reading: 15%

· Partial Test: 20% (in the case of don't pass the exam. In the case of pass the middle term exam, it will cost 30%).

General evaluation criteria
· In order to rid the middle term exam, the students have to mark at least a 5.
· To make half of all assessment methods will have to get at least a 4.5 in the final exam                                                                                                                         · In any type of evaluation will be distributed the weight of the contents of Community Care by 45% and Acute Care by 55%, except for the part to be Community Care by 55% and Acute Care by 45%.

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

Evaluation scheme using

An assessment will be continuous and continuously hanging notes intranet so that students can go valuing learning. The questionnaires will feed back with the right answers so that students can learn and be assessed at the same time.

 

Second evaluation
For the 2nd call will remain the same type of evaluation in the first round but will repeat the Autonomous work virtual if  is  it suspended with the Conduct of questionnaires after reading and analyzing cases and / or reading of topics hung virtually (on Moodle) with a value of 15%. It will keep the note of class participation and group work of the first call. On the other hand, the value of the partial examination will not hold if it is suspended and the end value will be reduced to 60%. The final mark for the course will be the result of applying the averages of the subject.

3ª y 4º convocatoria

Para la 3ª y 4ª convocatoria se mantendrá el mismo tipo de evaluación que en la 1ª y 2ª convocatoria y en ningún caso se guardarán las notas parciales o de cualquier tipo de evaluación de un curso para el otro.

Period of evaluation

    Final Exam 1 st call: 29 to 14h Maig12
    Final Exam Review 1 st call: 11 10 to 11h Juny
    Final Exam 2nd call: 27 Juny 10 to 12
    Final Exam Review 2nd call: 6 of july from 15.00h 16.00

Rules governing the course

Presence and participation

Although attendance is not mandatory, it is important that those days where work is being done in class, especially the exercises, will be a great help, so that failure to attend to them difficult for the student to pass the course.

 Testing and measurable activities

Each year marks a few days of tests to perform (see annual schedule)

 Integrity in the student's work

During the performance of students undertake work to be creative and avoid plagiarism.

 Reference to key elements of the institutional calendar

It is important to comply with the schedule attached to keep pace with the class (see attached schedule)

Caja López, C. (2003). Enfermería Comunitaria III: Atención Primaria. Manuales de enfermería (2nd ed.). Barcelona, etc: Masson.

- Caja López, C., & López Pisa, R. M. (1997). Enfermería comunitaria: educación sanitaria. Barcelona: Masson.

- Frías Osuna, A. (2000). Enfermería Comunitaria. Barcelona: Masson.

- García Suso, A. (2001). Enfermería Comunitaria: Bases Teóricas. Enfermería S 21 (1st ed.). Madrid: DAE.

- Mazarrasa, A; Germán, B; Sánchez M.; Sánchez G; Merelles T y Aparicio R. Salud Pública y Enfermería Comunitaria. Volúmen I. Madrid: McGraw-Interamericana, 1996.

- Ramos Calero, E. (2002). Enfermería comunitaria: métodos y técnicas. Madrid: DAE.

- Sánchez Moreno, A., Aparicio Ramón, V., Germán Bes, C., Mazarrasa Alvear, L., Merelles Tormo, A., & Sánchez García, A. (2000). Enfermería Comunitaria 3. Actuación en enfermería comunitaria, los sistemas y programas de salud. Madrid [etc.]: McGraw-Hill.

-Thibodeau GA, Paton KT. Anatomía y fisiología, 2ª edición de Harcourt Brace, Madrid.

-Gorzeman J, Bowdorn, C. Toma de decisiones en enfermeríamédico-quirúrgica. Interamericana / MacGraw-Hill. Madrid, 1993.

-Long BC, Phipps WJ. La enfermería médico-quirúrgica, 2 vols. Interamericana / MacGraw-Hill, Madrid, 1992.

-Smeltzer S.C., Bare B.G. Enfermería Médico-quirúrgica de Brunner y Suddarth. Octava edición. McGraw-Hill Interamericana. 1998

-(Varios autores. Departamento de enfermeria del Massachussetts General Hospital de Boston. Manual de procedimientos de enfermería. Paradigma, 1984.

-NANDA. Diagnosticos enfermeros. Definiciones y clasificaciones. Mosby / Doyma, Madrid, 1995.

-Mª T Luis. Diagnosticos enfermeros. Mosby/Doyma, Madrid, 1996

Websites of interest:

Spanish Association of vaccines http://www.vacunas.org/
http://www.gencat.es/sanitat
Citing documents:
http://www.uic.es/es/citar-documentos?seccio=2
How to cite electronic resources: http://www.ub.edu/biblio/citae-e.htm
Vancouver criteria: http://www.fisterra.com/recursos_web/mbe/vancouver.asp