Assessment and Diagnostic of Health Status
Study Course Implementer
Riga, 26a Anninmuizas boulevard, 2nd floor, Rooms No. 236 and 237, gmk@rsu.lv, +371 67060826
About Study Course
Objective
The aim of the study course is to develop the ability of students to perform the assessment and diagnosis of a patient’s state of health based on in-depth clinical medicine knowledge and evidence-based approaches. The course prepares students for professional and independent action to perform an assessment of a patient’s health status and interpret diagnostic examinations, identify pathology, as well as take decisions on therapeutic strategies and effectively document the process. It promotes a nurse’s competence to take on more responsibility for patient care, incorporating a holistic, human-centered approach and multidisciplinary cooperation.
Preliminary Knowledge
Aetiology of diseases, pathogenesis, clinical scene and treatment and care interventions, epidemiology, preventive measures, functional and laboratory diagnostics.
Learning Outcomes
Knowledge
1.As a result of the study course acquisition, students shall: 1. Gain an in-depth understanding of disease aetiology, pathogenesis, clinical presentation, treatment and care interventions, epidemiology, propedeytics, and the nature of prevention measures. 2. Addresses the possibilities of functional and laboratory diagnostic methods and is able to interpret their results, conclusions. 3. Is familiar with the differentiation of normal and pathological physiology in the context of clinical situations.
Skills
1.As a result of the study course acquisition, students shall: 1. Is able to evaluate a patient’s health condition by applying clinical medical knowledge and skills. 2. Can interpret the results of functional, laboratory and radiological examinations. 3. Able to identify an abnormal finding and link it to clinical symptoms. 4. Able to assess indications, contraindications and side effects of treatment. 5. Is able to make an independent decision to perform therapeutic interventions by developing and using evidence-based action algorithms. 6. Can explain and document the findings according to standards. 7. Understand the principles of human-centered and evidence-based practice.
Competences
1.Ability to decide on and document an individual, group, community vaccination, screening. Ability to perform an evaluation of an individual, group, community health status after vaccination, screening. Ability to apply information and communication technologies. Ability to provide an autonomous assessment of a patient’s overall state of health. Ability to interpret and provide information comprehensible to the individual, group and community about the results of the examinations conducted and the necessary follow-up actions. Ability to make clinical decisions within the framework of evidence-based Nursing practice using research methodology and terminology.
Assessment
Individual work
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Patient case analysis: interpretation of clinical symptoms and signs |
10.00% from total grade
|
Test
|
|
2.
Patient case analysis: application of propedeytic methods to clarify diagnosis |
10.00% from total grade
|
Test
|
|
3.
Patient case analysis: ECG rhythm interference recognition and care |
10.00% from total grade
|
Test
|
|
4.
Patient case analysis: role of laboratory examinations in diagnosis of disease |
10.00% from total grade
|
Test
|
|
5.
Patient case analysis: opportunities, advantages and disadvantages of application of Radiological Diagnostics |
10.00% from total grade
|
Test
|
|
6.
Patient case analysis: Family planning challenges and solutions |
10.00% from total grade
|
Test
|
|
7.
Patient case analysis: The role of vaccination and screening in disease prevention |
10.00% from total grade
|
Test
|
|
8.
Patient case analysis: identifying and treating dependencies in primary care |
10.00% from total grade
|
Test
|
|
9.
Patient case analysis: The importance of Critical thinking in Medicine |
10.00% from total grade
|
Test
|
|
10.
Patient case analysis: Clinical decision-making and the factors affecting it |
10.00% from total grade
|
Test
|
Study Course Theme Plan
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Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Principles and methods for assessing health status
|
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Analysis of clinical symptoms and signs
|
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Use of propedeytic methods in the examination of various organ systems
|
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
General principles of pathology
|
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
ECG - recognition of major rhythm disorders and management of care
|
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Reffering to laboratory examinations and interpretation of results
|
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Types and uses of radiological diagnostic methods
|
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Family planning (contraception, fertility disorders)
|
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Vaccination, screening, anaphylaxis
|
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Critical thinking
|
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Clinical decision-making
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
4
|
Topics
|
Principles and methods for assessing health status
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
4
|
Topics
|
Analysis of clinical symptoms and signs
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
4
|
Topics
|
Use of propedeytic methods in the examination of various organ systems
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
4
|
Topics
|
General principles of pathology
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
4
|
Topics
|
ECG - recognition of major rhythm disorders and management of care
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
4
|
Topics
|
Reffering to laboratory examinations and interpretation of results
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
4
|
Topics
|
Types and uses of radiological diagnostic methods
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
4
|
Topics
|
Family planning (contraception, fertility disorders)
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
-
|
4
|
Topics
|
Vaccination, screening, anaphylaxis
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
4
|
Topics
|
Identification of addiction issues in primary healthcare
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
4
|
Topics
|
Critical thinking
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
4
|
Topics
|
Clinical decision-making
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Study room
|
4
|
Topics
|
Clinical decision-making
|
Bibliography
Required Reading
Robbins and Cotran Pathological Basis of Disease, 8th ed. Kumar V, Abbas AK, Fausto N, Aster J. Elsevier, 2009.
Aprūpes diagnozes : definīcijas un klasifikācija 2018-2020. 2020. / T. Hīteras Herdmanes un Šigemi Kamitsuras redakcijā; zinātniskās redaktores: Rita Konstante, Agita Melbārde-Kelmere; no angļu valodas tulkojusi Maija Treilona; literārā redaktore Agnese Biteniece.
Orļikovs G., Pičkurs K. & Rīgas Stradiņa universitāte. Iekšķīgo slimību katedra. (2009). Propedeitika / Rīgas Stradiņa universitāte. Iekšķīgo slimību katedra ; G. Orļikova un K. Pičkura redakcijā ; [autori: G. Orļikovs ... [et al.]. (3. izd.). Rīga: RSU.
Macleod, Douglas, Nicol, Robertson, Macleod, John, Douglas, Graham, … Robertson, Colin. (2013). Macleod’s clinical examination / edited by Graham Douglas, Fiona Nicol, Colin Robertson ; illustrated by Robert Britton, Ethan Danielson. (13th ed.). Edinburgh ; New York: Churchill Livingstone/Elsevier.
Kalējs, O., & Rīgas Stradiņa universitāte. (2009). Elektrokardiogrāfija : mācību materiāls / Oskars Kalējs ; Rīgas Stradiņa universitāte. Rīga: Nacionālais apgāds.
Latvijas Radiologu asociācija, & Valsts Vides diensts (2017). Vadlīnijas diagnostiskās radioloģijas izmeklējumu izvēlē
Balode, A. O. (2008). Laboratoriskā diagnostika / Arta Balode. ([2. izd.]). Rīga: Nacionālais apgāds.
Kurcalte, Kurcalte, Irēna, & Latvijas Universitātes P. Stradiņa medicīnas koledža. (2010). Funkcionālās diagnostikas metožu principi : mācību materiāls / Irēna Kurcalte ... [u.c.] ; Latvijas Universitātes P. Stradiņa medicīnas koledža ; [galvenā redaktore Maija Šetlere]. Rīga: Medicīnas apgāds.
SCORE OP working group ESC Cardiovascular risk collaboration. (2021). SCORE2-OP risk prediction algorithms: estimating incident cardiovascular event risk in older persons in four geographical risk regions. https://doi.org/10.17863/CAM.77151