28237 - ADULT NURSING CARE III

Subject type: Mandatory

Coordinator: Carolina Chabrera Sanz

Trimester: Third term

Credits: 5

The core of the nursing profession is the care of people throughout the life process, in which periods of health will alternate with those of illness. At both times, nursing plays a basic role in caring for people.

Nursing, as a science, needs professionals with complete training that allows it to adapt to different situations, with the knowledge and skills that facilitate problem solving and decision making.

In the subject Nursing Care in the Adult Person, the nursing student must apply and relate both the knowledge and skills developed in other subjects, in order to expand knowledge in order to respond to health needs. of a changing society.

Problems that affect the person during their life trajectory, both in health and in the disease process, must be addressed by all health professionals and, in some areas, especially by nursing professionals.

In this subject the student will acquire skills that allow him to approach people from health to illness, understanding the purpose, operation and resources of the different levels of care.

Based on the prior knowledge of the most important pathological processes, nursing care is considered, from the detection of needs in the promotion, prevention and pharmacological and non-pharmacological treatment of health problems that affect the person, the family and the community.

This subject has methodological and digital resources to make possible its continuity in non-contact mode in the case of being necessary for reasons related to the Covid-19. In this way, the achievement of the same knowledge and skills that are specified in this teaching plan will be ensured.

The TecnoCampus will make available to teachers and students the digital tools needed to carry out the course, as well as guides and recommendations that facilitate adaptation to the non-contact mode.

LO 2. Select and carry out nursing interventions from a comprehensive approach appropriate for each stage at each level of health care.

LO 6. Identify risk habits and attitudes for physical and/or mental health.

LO 12. Develop a global and integrative view of health situations in adults.

LO 13. Use strategies and skills that allow effective communication.

LO 17. Select relevant screening and monitoring activities.

LO 19. Apply the nursing care process from an integrative and holistic care model.

LO 33. Understand the interactive behavior of the person depending on the gender, group or community, within its social and multicultural context.

LO 34. Establish effective communication with individuals, families and groups and promote health education.

LO 47. Apply appropriate comprehensive nursing care protocols and procedures in each phase of the health-illness process.

LO 56. Knows and uses the contributions of women and gender studies in their discipline.

LO 57. Identify and problematize deviations, stereotypes and gender roles in their discipline and in the practice of their profession.

LO 58. Knows how to make inclusive and non-sexist use of language.

LO 59. Is able to perform a clinical history, physical, psychological examination, or nursing diagnosis, or diagnostic activity specific to other health professions specifically for men and women.

LO 60. Communicates effectively with patients, demonstrating awareness of the professional-patient power differential, including using language that minimizes power imbalances, validates the experiences of sufferers, and eliminates gender stereotypes.

MD 1. Expository class sessions

MD 2. Seminars

MD 3. Group work

MD 4. Individual works

MD 9. Directed practice

MD 10. Simulation

MD 11. Self-employment

Block 11. Nursing care for patients with disorders of the musculoskeletal system

11.1. The fractured patient / 11.2. Patient with total joint prosthesis / 11.3. The amputee patient and the prostheses / 11.4. Introduction to chronic pathologies: from health to disease: Osteoarthritis, arthritis, osteoporosis / 11.5. Assessment of the integumentary system: 11.5.1. Skin Nursing Care / 11.6. Nursing care in acute and chronic wounds

Block 12. The patient and the surgical process

12.1. Levels of emergency surgery / 12.2. Assessment and performance of nursing in the preparatory phases / 12.3. Assessment and performance of nurses in the intraoperative phases / 12.4. Assessment and performance of nursing in the postoperative phases / 

Block 13. Nursing care in emergency situations

 13.1.Primary assessment of the patient / 13.2. Secondary assessment of the patient / 13.3. Assessment of the patient in shock / 13.4. Patient in anaphylaxis / 13.5. Patient with major trauma / 13.6. Burns / 13.7. Patient in hypothermia / hyperthermia / 13.8. Patient in a state of freezing / 13.9. Drug poisoning and overdose / 13.10. Psychiatric emergencies

Block 14. Nursing care for people with communicable diseases

14.1 Nature and chain of infection: 14.1.1.Pathogenic organisms and infections or diseases they produce / 14.2.Infection process: 14.2.1. Stages of the course of infection / 14.2.2. Defenses against infection / 14.3. Factors influencing the prevention and control of infections / 14.4.Nursing assessment related to the risk of infection or the state of the disease / 14.5. Laboratory tests for early detection of infection / 14.6. Nursing diagnoses, planning and nursing interventions / 14.7. Health promotion. Vaccines / 14.8. Clinical asepsis / 14.9. Isolation and care precautions in a patient in isolation / 14.10. Sample collection techniques / 14.11. Nursing and infection control. Universal precautions / 14.12. Nursing care according to specific pathologies (respiratory infections, CNS, sexually transmitted diseases, HIV, ...)

Block 15. Nursing care for patients with sensory disorders

15.1. Sensory alterations / 15.2. Factors affecting sensory function / 15.3. Critical thinking model for the assessment of sensory disorders / 15.4. Nursing assessment related to patients with suspicion and / or sensory disorders / 15.5.Nursing diagnoses, planning and nursing interventions / 15.6.Health promotion. Assistive devices (sight, sense, taste and smell and touch). Patient safety in safe environments. / 15.7. Methods of communication and general considerations in the adult person with sensory disorder.

Simulation

The simulation content follows the sequence of procedures described in the corresponding dossiers:

Block 12. Cardiac monitoring

12.1. Performing the ECG / 12.2. Monitoring and control of heart rhythms                                                                                                                                           

Block 13. Treatment and care of wounds

13.1. Drains / 13.2. Care of the stomata / 13.3. Placement and removal of sutures / 13.4. Treatment and care of chronic wounds

Block 14. Bandage and traction

14.1. Placement and handling of tractions / 14.2. Recurrent bandage / 14.3. Functional bandage / 14.4. Compressive bandage / 14.5. Plaster splint bandage and complete plaster  

Block 15. Surgical area              

15.1. Sterile / aseptic / septic space / 15.2. Washing and surgical gown / 15.3. Surgical equipment and field 

Learning activities:

The assessment of generic and specific competencies will be carried out continuously with the following activities.

The total or partial copy in any of the learning activities will mean a "Not Presented" in the subject, without option to present in the proof of recovery and without prejudice of the opening of a file for this reason.

A system of quantitative (from 0 to 10) and qualitative (suspended, approved, notable, excellent, honorary registration) is used according to RD 1125/2003.

• It will be necessary to obtain a 4 in the exam and in the practical test to weight the final mark.

• The two tests that can be recovered in the case of failing the subject are: the exam and the practical test.

Jamieson EM. Clinical nursing procedures. 5th ed. Madrid: Elsevier, 2008.

Martín Zurro A, Jodar G. Family Care and Community Health. Barcelona: Elsevier; 2011.

Swearingen P. Surgical Medical Nursing Manual. Nursing Interventions and Interdisciplinary Treatments. 6ª ed. Barcelona: Elsevier Mosby; 2008.

Caja López C, López Pisa RM, Community Nursing. Health Education. Master of Nursing. Edit. Masson, SA Barcelona 1998.

Kozier B, Erg G, Blais K, Jonson JY, Temple JS. Techniques in clinical nursing. 4th ed. Madrid: McGraw-Hill Interamericana, 1998.

Pagana KD, Pagana TJ. Guide to diagnostic and laboratory tests. 8ª ed. Barcelona: Elsevier, 2008.

Pagana KD, Pagana TJ. Guide to diagnostic and laboratory tests. 8ª ed. Barcelona: Elsevier, 2008.

Silva García L, Fernández de la Fuente N, Pérez Santana JM, et al. Nursing Care in Primary Care. Adult and Elderly Health Program. Edit. MAD, SL Seville, 2006.