Veidlapa Nr. M-3 (8)
Study Course Description
Neurology and Patient Care
Course Code
NUNK_019
Branch of Science
Clinical medicine; Neurology
ECTS
3.00
Target Audience
Nursing Science
LQF
Level 6
Study Type And Form
Full-Time
Study Course Implementer
Course Supervisor
Jānis Mednieks
Structure Unit Manager
Guntis Karelis
Structural Unit
Department of Neurology and Neurosurgery
Contacts
Riga, 13 Pilsonu Street, VSIA P.Stradiņa KUS, Block No. 37; 2 Hipokrata Street, Unit 7, Room No. 901, neuro@rsu.lv, +371 67069653; +371 67536540
About Study Course
Objective
To provide students with knowledge on objective of care for neurological patients and treatment principles in inpatient and outpatient practice.
Preliminary Knowledge
Normal anatomy, functional physiology, internal and surgical diseases and patient care.
Learning Outcomes
Knowledge
1.To master knowledge on objective of care of neurological patients and treatment principles in outpatient practice. To plan, provide and evaluate care appropriate for a neurological patient. The student will have obtained knowledge allowing: • to understand the specifics of neurological diseases; • to know the most common reasons and mechanisms of neurological syndromes and diseases; • to evaluate complaints of patients about symptoms of a nervous system damage, its significance and impact in clinical practice.
Skills
1.The student will be able: • to use the obtained knowledge in case for neurological patients, to recognise characteristic complaints, to collect data in a targeted way; • to formulate care problems, to plan care for a neurological patient; • to recognise patients with visual, hearing and speaking disorders, to establish full communication; • to use creative approach in solving different problems of a neurological patient and to integrate knowledge and skills of other clinical courses in care for a neurological patient; • to provide psychoemotional support to the patient and his/her immediate family, to educate them. When mastering the study course, students will master evaluation of neurological diseases, course and prognosis of the disease; skills to use the obtained knowledge in care for neurological patients and understanding of the specifics of diseases of neurological patients, recognition of the most characteristic complaints and ability to conduct a basic examination of neurological patients, as well as formulation of care problems, planning of care for a neurological patient. In the study course, students will master the skills of establishing fully-fledged communication with a neurological patient, to provide psychoemotional support to the patient and his/her immediate family, as well as skills to educate the patient and their immediate family.
Competences
1.The student will be able: • to participate in planning of care for a neurological patient; • to determine, in cooperation with other medical practitioners, the care tactics for an individual patient based on a psychosocial approach; • to evaluate short-term and long-term effects and prognostic tasks of treatment and prevention activities for patients with nervous system diseases.
Assessment
Individual work
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Individual work |
-
|
-
|
|
The student independently studies the literature offered in the study programme by creating a summary of obtained information. Participation in discussions on specific clinical cases, analysis of therapy, prevention and care. Preparation and analysis of clinical cases and care protocols during training.
|
||
Examination
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Examination |
-
|
-
|
|
a. Attendance of classes and activity during classes
b. Volume of theoretical and practical knowledge in the theory test
|
||
Study Course Theme Plan
FULL-TIME
Part 1
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Introduction to neurology:
Tasks of the neurology discipline. Structure and clinical anatomy of the nervous system. Tasks and stages of neurological care. Additional examinations in neurology
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Neural regulation of movement act and syndromes of movement disorders: Paresis and paralysis, their signs. Cranial muscle movement disorders: paresis of eyeball and mimic muscles, bulbar and pseudobulbar syndrome. Brainstem impairment symptoms
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Neural regulation of movement act and syndromes of movement disorders: Paresis and paralysis, their signs. Cranial muscle movement disorders: paresis of eyeball and mimic muscles, bulbar and pseudobulbar syndrome. Brainstem impairment symptoms
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Extrapyramidal movement disorder syndromes: Parkinson’s disease and hyperkinesis. Balance and coordination disorders: ataxias and vertigo. Tasks of care for patients with movement and motion disorders
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Extrapyramidal movement disorder syndromes: Parkinson’s disease and hyperkinesis. Balance and coordination disorders: ataxias and vertigo. Tasks of care for patients with movement and motion disorders
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Sensory systems and their disorders: vision, hearing, olfaction, taste, peripheral sensory disorders and pain. Transverse spinal cord lesion syndromes
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Brain hemisphere damage symptoms. Dementias, language and other higher-order function disorders. Tasks of care for patients with higher-order neural activity disorders
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Disturbance in the blood supply to the brain: types, risk factors and prophylaxis, clinical manifestations. Stroke unit operation principles and tasks, tasks of patient monitoring and care. Stroke prophylaxis tasks at primary care level and at different stroke care stages
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Disturbance in the blood supply to the brain: types, risk factors and prophylaxis, clinical manifestations. Stroke unit operation principles and tasks, tasks of patient monitoring and care. Stroke prophylaxis tasks at primary care level and at different stroke care stages
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Peripheral nervous system diseases, their manifestations. Reasons and prophylaxis of back aches, principles, methods of analgesia and pain care protocols; Acute pain care service: led by doctors and nurses; Stable postsurgical pain
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Headaches, their types. Warning symptoms of headaches. Risk factors and prophylaxis of primary headaches. Reasons, types and clinical signs of neural infections. Tasks and prophylaxis of neural infections
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Head and spinal cord injury. Principles of care for a patients with a transverse brain lesion. Evaluation of the degree of unconsciousness and coma. Paroxysmal conditions: epileptic and non-epileptic seizures. Care and treatment principles, emergency assistance during a seizure
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Muscular diseases and neuromuscular junction diseases. Myopathies, myosites, myasthenia. Evaluation and care principles of patients with a neuromuscular disease
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Computer room
|
2
|
Topics
|
Peculiarities of care for gerontological patients in neurology. CNS function disorders caused by somatic diseases. Evaluation of and care for patients with acute confusion
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Clinical manifestations, complications of demyelinating diseases. Role of a nurse in care and education of sclerotic patients
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Neurodegenerative diseases, their clinical manifestations. Parkinson's disease, dementia, amyotrophic lateral sclerosis. Evaluation and principles of care for neurological patients with progressing respiratory failure, swallowing disorders.
Signs, evaluation and principles of care for autonomic dysfunction
|
Total ECTS (Creditpoints):
3.00
Contact hours:
32 Academic Hours
Final Examination:
Exam
Bibliography
Required Reading
1.
Douglas J.Gould, PhD. Pocket Neuroanatomy. 2014.
2.
Ināra Logina, Elvīra Smeltere. Neiroloģija shēmās. Avots, 2009. 61 lpp. (akceptējams izdevums)
3.
Lange Medical book "Current Medical Diagnosis & Treatment". 2022.
4.
Fundamentals of Neurology. An Illustrated Guide. 2nd Edition, 2017.
5.
Ārvalstu studentiem/ For international students:
6.
Douglas J.Gould, PhD. Pocket Neuroanatomy. 2014.
7.
Wilkinson, Judith M. Treas, Leslie S.Barnett, Karen L. Smith, Mable H. 2016. Fundamentals of Nursing. F.A.Davis. EBSCOhost
8.
Lange Medical book "Current Medical Diagnosis & Treatment". 2022.
9.
Fundamentals of Neurology. An Illustrated Guide. 2nd Edition, 2017.
Additional Reading
1.
Harrison's Neurology in Clinical Medicine, 2006
2.
Neurorehabilitation Technology, 2016.
Other Information Sources
1.
Medscape. Available from: http://emedicine.medscape.com
2.
UpToDate. Available from: https://www.uptodate.com/home