Veidlapa Nr. M-3 (8)
Study Course Description
Internal Medicine and Patient Care III (Clinical Endocrinology and Patient Care, Diseases of the Digestive System and Patient Care, Liver Diseases and Patient Care)
Course Code
MDAK_336
Branch of Science
Clinical medicine; Health care sciences and services
ECTS
6.00
Target Audience
Nursing Science
LQF
Level 6
Study Type And Form
Full-Time
Study Course Implementer
Course Supervisor
Inta Višņevska
Structure Unit Manager
Kristaps Circenis
Structural Unit
Department of Nursing and Obstetric Care
Contacts
Riga, 26a Anninmuizas boulevard, mdak@rsu.lv, +371 67061568
About Study Course
Objective
Provide theoretical knowledge and practical skills in assessment of the general condition for patients with gastroenterological, endocrinological and liver diseases. To determine diagnosis and treatment processes, provide care planning and evaluation of achieved care outcomes.
Preliminary Knowledge
Anatomy, Microbiology with virology and parasitology, Functional physiology, Propaedeutics, Clinical care, Medical biochemistry, General pathology, Pathological physiology, Pathological anatomy, Internal medicine and patient care, Pharmacology, Public health and epidemiology, Clinical pharmacology and medicine.
Learning Outcomes
Knowledge
1.Students will know the characteristics of endocrinological and gastroenterological diseases, etiological and pathogenetic factors, symptoms of diseases. Will know the main diagnostic methods of diseases used in gastroenterology and endocrinology and the principles of patient preparation before the examination. Students will know the methods used in patient education in the case of chronic diseases. Will know the symptoms of hypoglycemia and hyperglycemia, the early and late complications of diabetes, and the principles of foot care for diabetic patients.
Skills
1.Students will be able to assess the general health of patients and identify disorders. Will be able to prepare patients for visual diagnostics and laboratory examination. Will be able to identify and prevent the symptoms of hypoglycemia and hyperglycemia. Students will be able to apply educational methods to provide special care for patients' self-care needs. Will be able to identify patient care needs, their priorities. Will be able to perform general and specific patient care.
Competences
1.Provide a patient care process for patients with gastroenterological, endocrinological and liver diseases based on recent research evidence.
Assessment
Individual work
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Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Individual work |
-
|
-
|
|
Independent work with literature sources and the latest scientific literature. Exploration, selection, compilation, analysis and interpretation of international guidelines and the latest research on the topicality of problems. During the study course the student independently performs the analysis of two clinical cases and presents it.
|
||
Examination
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Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Examination |
-
|
-
|
|
Active participation in classes and 100% class attendance. Presentation of the description of the analysis of clinical cases - identification of care diagnoses and determination of their causes, selection of appropriate care activities, forecasting of potential care results, evaluation of care activities.
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||
Study Course Theme Plan
FULL-TIME
Part 1
-
Lecture
|
Modality
|
Location
|
Contact hours
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|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Classification and characterization of endocrinological diseases. Etiological and pathogenetic factors influencing the clinical manifestations of the disease and changes in basic needs in patients of different age groups.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Thyroid and parathyroid diseases, diseases of adrenal cortex, Cushing's disease, Cushing's syndrome, osteoporosis, metabolic syndrome - the basic principles of patient care.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
4
|
Topics
|
Thyroid and parathyroid diseases, diseases of adrenal cortex, Cushing's disease, Cushing's syndrome, osteoporosis, metabolic syndrome - the basic principles of patient care.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
4
|
Topics
|
Thyroid and parathyroid diseases, diseases of adrenal cortex, Cushing's disease, Cushing's syndrome, osteoporosis, metabolic syndrome - the basic principles of patient care.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Diabetes type I and II. Acute and late complications of diabetes. Principles of care for a patient with diabetes. Foot care.
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-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
4
|
Topics
|
Insulin therapy. Hypoglycaemia. Hyperglycaemia. Glycemic control and monitoring.
Peculiarities of medical care in patients with endocrine system diseases.
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-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
4
|
Topics
|
Nutrition and physical activity planning for diabetic patients. The role of self-control in the treatment of a diabetic patient.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
4
|
Topics
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Care planning and analysis for diabetic patients initiating insulin therapy in inpatient and outpatient practice. Patient training.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Classification and characterization of gastroenterological diseases. Etiological and pathogenetic factors influencing the clinical manifestations of the disease and changes in basic needs in patients of different age groups.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
The main diagnostic methods used in gastroenterology. Aspects of treatment and care in patients with gastroenterological diseases.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Pancreatic and biliary tract diseases, basic principles of care.
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-
Lecture
|
Modality
|
Location
|
Contact hours
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|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Acute and chronic liver diseases, basic principles of care.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
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|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Inflammatory bowel disease. Irritable bowel syndrome. Basic principles of care for chronic gastroenterological patients.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Providing and managing the patient care process for patients with edocrinological and gastroenterological diseases.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Providing and managing the patient care process for patients with edocrinological and gastroenterological diseases.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
4
|
Topics
|
Providing and managing the patient care process for patients with edocrinological and gastroenterological diseases.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
4
|
Topics
|
Providing and managing the patient care process for patients with edocrinological and gastroenterological diseases.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
4
|
Topics
|
Diagnostic examination methods in gastroenterology. Preparation of patients for visual diagnostic procedures and laboratory diagnostic examinations - objectives of the procedures, course, desired and undesirable results, complications, patient education and observation before and after the procedure.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
4
|
Topics
|
Diagnostic examination methods in gastroenterology. Preparation of patients for visual diagnostic procedures and laboratory diagnostic examinations - objectives of the procedures, course, desired and undesirable results, complications, patient education and observation before and after the procedure.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
4
|
Topics
|
The role of the nurse in the interdisciplinary team in providing quality treatment and care services to patients with endocrinological and gastroenterological diseases. The role of patient education in the treatment and care of patients with chronic diseases. Promoting patient self - care. Peculiarities of medical care.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
4
|
Topics
|
The role of the nurse in the interdisciplinary team in providing quality treatment and care services to patients with endocrinological and gastroenterological diseases. The role of patient education in the treatment and care of patients with chronic diseases. Promoting patient self - care. Peculiarities of medical care.
|
Total ECTS (Creditpoints):
6.00
Contact hours:
64 Academic Hours
Final Examination:
Test (Semester)
Bibliography
Required Reading
1.
Aprūpes diagnozes: Definīcijas un klasifikācija 2018-2020, 11. izdevums, 2019.
2.
Klīniskā medicīna. Prof. A. Lejnieka redakcijā, 1. grāmata. Medicīnas apgāds, 2010.
3.
Klīniskā medicīna. Prof. A. Lejnieka redakcijā, 2. grāmata. Medicīnas apgāds, 2012.
4.
Klīniskā medicīna. Prof. A. Lejnieka redakcijā, 3. grāmata. Medicīnas apgāds, 2012.
5.
2. tipa cukura diabēta profilakses, diagnostikas un ārstēšanas vadlīnijas. Hromets poligrāfija, 2007. Pieejams: https://www.evisit.eu/files/medinfo/file/421/CD_vadliinijas.pdf
Additional Reading
1.
Klīniskie algoritmi un pacientu ceļš. Slimību Profilakses un Kontroles Centrs (SPKC) Pieejams: https://www.spkc.gov.lv/sites/spkc/files/data_content/4.cd_algoritms1.pdf
2.
Management of Hyperglycaemia in type 2 Diabetes, 2018. A consensus Report by the American Diabetes Association (ADA) and the European Association for the study of Diabetes (EASD) https://doi.org/10.2337/dci18-0033
3.
ISPAD Clinical Practise Consensus Guidlines 2018: Definition, epidemiology and classification of diabetes in children and adolescents. https://cdn.ymaws.com/www.ispad.org/resource/resmgr/consensus_guidelines_2018_/1.definition,_epidemiology,_.pdf
4.
ISPAD Clinical Practise Consensus Guidlines 2018: Diagnosis and management of type 1 diabetes https://cdn.ymaws.com/www.ispad.org/resource/resmgr/consensus_guidelines_2018_/4.the_diagnosis_and_manageme.pdf
Other Information Sources
1.
Gastroenterology Nursing.
2.
Journal of Gastrointestinal and liver Diseases.
3.
Journal of Endocrinology.