Basics of Internal Diseases

Study Course Description

Course Description Statuss:Approved

Course Description Version:8.00

Study Course Accepted:17.08.2023 14:45:53

Study Course Information
Course Code:		MDAK_283		LQF level:		Level 6
Credit Points:		2.00		ECTS:		3.00
Branch of Science:		Clinical Medicine; Internal Medicine		Target Audience:		Social Welfare and Social Work
Study Course Supervisor
Course Supervisor:		Dagnija Brutāne
Study Course Implementer
Structural Unit:		Department of Nursing and Obstetric Care
The Head of Structural Unit:
Contacts:		Riga, 26a Anninmuizas boulevard, mdakrsu[pnkts]lv, +371 67061568
Study Course Planning
Full-Time - Semester No.1
Lectures (count)		6	Lecture Length (academic hours)		2	Total Contact Hours of Lectures		12
Classes (count)		10	Class Length (academic hours)		2	Total Contact Hours of Classes		20
Total Contact Hours								32
Part-Time - Semester No.1
Lectures (count)		5	Lecture Length (academic hours)		2	Total Contact Hours of Lectures		10
Classes (count)		5	Class Length (academic hours)		2	Total Contact Hours of Classes		10
Total Contact Hours								20
Study course description
Preliminary Knowledge:
Prerequisites: Anatomy, physiology, biochemistry, professional communication, developmental psychology, biomedical aspects of human functioning.
Objective:
To develop students' knowledge and skills in the care and education of patients with internal diseases in outpatient practice; to promote the application of knowledge and skills in practical work; to evaluate and analyse patients' social functioning abilities; develop skills in providing psychological support and effective communication with internal patients and their relatives.
Topic Layout (Full-Time)
No.	Topic			Type of Implementation		Number	Venue
1	Respiratory disease (bronchial asthma, COPD, pneumonia, etc.), patient care. Symptom evaluation, patient objective evaluation, care management.			Lectures		1.00	E-Studies platform
2	Patient care for cardiovascular disease (CHD, arterial hypertension, myocardial infarction, atherosclerosis, heart failure). Symptom evaluation, patient objective evaluation, care management.			Lectures		1.00	E-Studies platform
3	Gastrointestinal disease (gout, colitis, Crohn's disease, pancreatitis, cirrhosis of the liver), patient care. Evaluation of digestive system symptoms, management of care. Patient care for kidney and urinary tract diseases (urinary tract infections, glomerulonephritis, pyelonephritis, kidney failure, kidney stone disease). Assessment of objective status of patients, management of patient care.			Lectures		1.00	E-Studies platform
4	Endocrine disorders (diabetes, obesity, osteoporosis, thyroid disease, adrenal disease), patient care. Patient evaluation, care management. Management of rheumatological (systemic lupus erythematosus, vasculitis, scleroderma, spondyloarthropathy, osteoarthrosis, rheumatoid arthritis) patients.			Lectures		1.00	E-Studies platform
5	Management of the care of neurological (peripheral nervous system diseases, extrapyramidal disorders, circulatory disorders, degenerative diseases, epilepsy, neuromuscular diseases, nervous system infections) patient care.			Lectures		1.00	E-Studies platform
6	Principles of drug substance administration, modes of administration, side effects. Principles of choosing pain medication.			Lectures		1.00	E-Studies platform
8	Care of respiratory patients. Symptom evaluation, patient objective evaluation, care management. Oxygen therapy, inhaler use, tracheostomy care, breathing exercises. Care of patients with cardiovascular disease. Symptom evaluation, patient objective evaluation, care management. Vital indicators, blood pressure and pulse measurement, temperature measurement.			Classes		2.00	METC
9	Care of patients with digestive diseases. Evaluation of digestive system symptoms, management of care. Enteral and parenteral nutrition, ostomy care. Care of patients with endocrine disorders. Patient evaluation, care management. Sugar level determination, insulin administration, dietary principles. Management of rheumatological patient care.			Classes		2.00	METC
10	Peritoneal dialysis and patient care management. Hemodialysis and patient care management. Principles of diabetes patient training. Principles of rheumatological patient care. Principles of neurological patient care.			Classes		2.00	METC
11	Care of patients with kidney and urinary tract diseases. Assessment of objective status of patients, management of patient care. Basic principles of bladder catheter use and care. Management of neurological patient care. Positioning, use of aids. Bedridden patient care. Bedsore prevention and care.			Classes		2.00	METC
13	Seminar - principles of care for patients with internal diseases (including social)			Classes		2.00	METC
Topic Layout (Part-Time)
No.	Topic			Type of Implementation		Number	Venue
2	Patient care for cardiovascular disease (CHD, arterial hypertension, myocardial infarction, atherosclerosis, heart failure). Symptom evaluation, patient objective evaluation, care management.			Lectures		1.00	E-Studies platform
3	Gastrointestinal disease (gout, colitis, Crohn's disease, pancreatitis, cirrhosis of the liver), patient care. Evaluation of digestive system symptoms, management of care. Patient care for kidney and urinary tract diseases (urinary tract infections, glomerulonephritis, pyelonephritis, kidney failure, kidney stone disease). Assessment of objective status of patients, management of patient care.			Lectures		1.00	E-Studies platform
4	Endocrine disorders (diabetes, obesity, osteoporosis, thyroid disease, adrenal disease), patient care. Patient evaluation, care management. Management of rheumatological (systemic lupus erythematosus, vasculitis, scleroderma, spondyloarthropathy, osteoarthrosis, rheumatoid arthritis) patients.			Lectures		1.00	E-Studies platform
5	Management of the care of neurological (peripheral nervous system diseases, extrapyramidal disorders, circulatory disorders, degenerative diseases, epilepsy, neuromuscular diseases, nervous system infections) patient care.			Lectures		1.00	E-Studies platform
7	Respiratory disease (bronchial asthma, COPD, pneumonia, etc.) patient care. Symptom evaluation, patient objective evaluation, care management. Principles of drug substance administration, modes of administration, side effects. Principles of choosing pain medication.			Lectures		1.00	E-Studies platform
8	Care of respiratory patients. Symptom evaluation, patient objective evaluation, care management. Oxygen therapy, inhaler use, tracheostomy care, breathing exercises. Care of patients with cardiovascular disease. Symptom evaluation, patient objective evaluation, care management. Vital indicators, blood pressure and pulse measurement, temperature measurement.			Classes		1.00	METC
9	Care of patients with digestive diseases. Evaluation of digestive system symptoms, management of care. Enteral and parenteral nutrition, ostomy care. Care of patients with endocrine disorders. Patient evaluation, care management. Sugar level determination, insulin administration, dietary principles. Management of rheumatological patient care.			Classes		1.00	METC
12	Peritoneal dialysis and patient care management. Hemodialysis and patient care management. Management of rheumatological patient care. Management of neurological patient care. Positioning, use of aids. Bedridden patient care. Bedsore prevention and care.			Classes		2.00	METC
13	Seminar - principles of care for patients with internal diseases (including social)			Classes		1.00	METC
Assessment
Unaided Work:
Within the course, create a care plan for a patient with oral diseases, including his social needs. In order to evaluate the quality of the study course as a whole, the student must fill out the study course evaluation questionnaire on the Student Portal.
Assessment Criteria:
A 10-point system is used for evaluating students' knowledge and skills, the criteria described in the RSU Study Regulations are used for evaluation. The final assessment of the course takes place in the form of a written exam, which must reflect the knowledge acquired during the course, which constitutes 50% of the final assessment of the study course. During the course of study, you must participate in seminars (5% of the final grade) and develop the course work (45% of the final grade).
Final Examination (Full-Time):		Exam (Written)
Final Examination (Part-Time):		Exam (Written)
Learning Outcomes
Knowledge:		As a result of the study course students acquire basic knowledge about the signs and course of internal illness, the specifics of patient care, the meaning and management of care.
Skills:		As a result of the course the students will be able to recognise complaints and course of internal diseases, to identify and formulate care problems for patients with diagnoses of internal diseases, as well as to plan and implement the care process by assessing and analysing patients' social functioning abilities.
Competencies:		As a result of the course acquisition students will be able to understand the subjective and objective symptoms and syndromes of organ system disorders, to identify the main clinical signs and to differentiate them according to their severity, to predict and to plan patient care. Students will be able to professionally collaborate with patients (both individually and in an interdisciplinary team), adhere to medical ethics, and respect the right of patients to take responsibility for independent learning and to act as a health promoter in the context of specific and non-specific prophylaxis and methods.
Clinical Skills:
No.	Skill					Level
1	Administration of Insulin Using a Pre-filled Syringe (Pen)					A - Beginner level
2	Administration of Insulin Using a Pre-filled Syringe (Pen)					B1 - Basic level
3	Administration of Insulin using an Insulin Syringe					A - Beginner level
4	Administration of Insulin using an Insulin Syringe					B1 - Basic level
5	Administration of Medication using a CVC (Perfusor)					A - Beginner level
6	Administration of Medication using a CVC (Perfusor)					B1 - Basic level
7	Administration of Medication using a CVC (System)					B1 - Basic level
8	Administration of Medication using a PVC (System)					B1 - Basic level
9	Administration of Medication using a PVC (Perfusor)					A - Beginner level
10	Administration of Medication using a PVC (Perfusor)					B1 - Basic level
11	Assessing Apical Pulse					A - Beginner level
12	Assessing Apical Pulse					B1 - Basic level
13	Assessing Peripheral Pulse					A - Beginner level
14	Assessing Peripheral Pulse					B1 - Basic level
15	Bed making and changing of bed linen					A - Beginner level
16	Bed making and changing of bed linen					B1 - Basic level
17	Colostomy irrigation					A - Beginner level
18	Detecting Respiratory Rate					A - Beginner level
19	Detecting Respiratory Rate					B1 - Basic level
20	Diskus inhalers usage					A - Beginner level
21	Enteral Feeding using PEG (percutaneous endoscopic gastrostoma))					A - Beginner level
22	Enteral Feeding using PEG (percutaneous endoscopic gastrostoma))					B1 - Basic level
23	Female perineal care					A - Beginner level
24	Female perineal care					B1 - Basic level
25	Handihaler inhalers usage					A - Beginner level
26	High O2 concentration mask placement					A - Beginner level
27	High O2 concentration mask placement					B1 - Basic level
28	High O2 concentrations masks					A - Beginner level
29	High O2 concentrations masks					B1 - Basic level
30	Hygienic Hand Disinfection					A - Beginner level
31	Hygienic Hand Disinfection					B1 - Basic level
32	Hygienic Hand Washing					A - Beginner level
33	Hygienic Hand Washing					B1 - Basic level
34	Indwelling catheterisation for male					A - Beginner level
35	Indwelling catheterisation for male					B1 - Basic level
36	Indwelling female catheterisation					A - Beginner level
37	Indwelling female catheterisation					B1 - Basic level
38	Insertion and removal of the nasogastric tube					A - Beginner level
39	Insertion and removal of the nasogastric tube					B1 - Basic level
40	Intermittent female catheterisation					A - Beginner level
41	Intermittent female catheterisation					B1 - Basic level
42	Intermittent male catheterisation					A - Beginner level
43	Intermittent male catheterisation					B1 - Basic level
44	Intracutaneous injection					A - Beginner level
45	Intracutaneous injection					B1 - Basic level
46	Intramuscular injection					A - Beginner level
47	Intramuscular injection					B1 - Basic level
48	Low O2 concentration masks					A - Beginner level
49	Low O2 concentration masks					B1 - Basic level
50	Male perineal care					A - Beginner level
51	Male perineal care					B1 - Basic level
52	Measurement of arterial pulse					A - Beginner level
53	Measurement of arterial pulse					B1 - Basic level
54	Metered-dose inhaler (MDI) with spacer usage					A - Beginner level
55	Ostomy care and changing the stoma pouch					A - Beginner level
56	Ostomy care and changing the stoma pouch					B1 - Basic level
57	Oxygen supply providing by nasal prongs					A - Beginner level
58	Oxygen supply providing by nasal prongs					B1 - Basic level
59	Patient bed bathing					A - Beginner level
60	Patient bed bathing					B1 - Basic level
61	Patient feeding through nasogastric tube using bolus method					A - Beginner level
62	Patient feeding through nasogastric tube using bolus method					B1 - Basic level
63	Patient Feeding using the NG Tube Continuous Method					A - Beginner level
64	Patient Feeding using the NG Tube Continuous Method					B1 - Basic level
65	Removal of personal protective equipment in case of health-related infections					A - Beginner level
66	Removal of personal protective equipment in case of health-related infections					B1 - Basic level
67	Subcutaneous injection					A - Beginner level
68	Subcutaneous injection					B1 - Basic level
69	Taking a Rectal Temperature, using a Digital Thermometer					A - Beginner level
70	Taking an Axillar Temperature, using a Digital Thermometer					A - Beginner level
71	Taking an Axillar Temperature, using a Digital Thermometer					B1 - Basic level
72	Taking an Axillar Temperature, using a Glass Thermometer					A - Beginner level
73	Taking an Axillar Temperature, using a Glass Thermometer					B1 - Basic level
74	Taking an Oral Temperature, using a Digital Thermometer					A - Beginner level
75	The patient's oral hygiene					A - Beginner level
76	The patient's oral hygiene					B1 - Basic level
77	The use of personal protective equipment in case of health-related infections					A - Beginner level
78	The use of personal protective equipment in case of health-related infections					B1 - Basic level
79	Tracheostomy Care – Changing Dressing					A - Beginner level
80	Tracheostomy Care – Tracheal Suctioning					A - Beginner level
81	Tracheostomy Care – Tracheal Suctioning					B1 - Basic level
82	Usage of blood glucose meter					A - Beginner level
83	Usage of blood glucose meter					B2 - Intermediate level
Bibliography
No.	Reference
Required Reading
1	Purviņš I., Purviņā S. Praktiskā farmakoloģija. Rīga, 2011.
2	A. Lejnieks. Red. Klīniskā medicīna. Rīga. Medicīnas apgabals: 2010.
3	A. Grigāne, I. Bušmane. Nepārtraukta nieru aizstājterapija
4	A. Lejnieks. Red. Klīniskā medicīna II. Rīga. Medicīnas apgabals: 2012.
5	A. Lejnieks. Red. Klīniskā medicīna III. Rīga. Medicīnas apgabals: 2012.
Additional Reading
1	I. Konrāde., L. Ārente. Cukura diabēta ABC. Rīga, Nacionālais apgabals: 2003.
2	A. Ērglis. A. Kalvelis. u.c. Akūta koronāra sindroma (AKS) diagnostikas, loģistikas un ārstēšanas vadlīnijas. Rīga: 2011.
3	A. Ērglis, A.Kalvelis. Kardiovaskulāro slimību (KVS) profilakses vadlīnijas. Rīga: 2010.
4	A. Kalvelis, A. Lejnieks Hipertensīvā sirds slimība. LHb 2015.
5	Šiliņa M., Dupure I. Pacientu izglītošana – māsas kompetence. Rīga, NA, 2004.
6	G. Biksone. Medikamentozā ārstēšana un aprūpe. Rīga, SIA „Kerena”: 2008.
7	Mācību materiāls. Internās aprūpes māsas pamatspecialitāte. Nacionālais apgabals: 2009.
8	Mācību materiāls. Diabēta aprūpes māsas papildspecialitāte. Nacionālais apgabals: 2009.