Clinical Care and Rehabilitation in Patient Care

Study Course Description

Course Description Statuss:Approved

Course Description Version:9.00

Study Course Accepted:14.08.2023 11:02:07

Study Course Information
Course Code:		MDAK_307		LQF level:		Level 6
Credit Points:		4.00		ECTS:		6.00
Branch of Science:		Clinical Medicine; Health Care		Target Audience:		Nursing Science
Study Course Supervisor
Course Supervisor:		Lilija Antoņēviča
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)		0	Lecture Length (academic hours)		0	Total Contact Hours of Lectures		0
Classes (count)		16	Class Length (academic hours)		2	Total Contact Hours of Classes		32
Total Contact Hours								32
Full-Time - Semester No.2
Lectures (count)		4	Lecture Length (academic hours)		2	Total Contact Hours of Lectures		8
Classes (count)		12	Class Length (academic hours)		2	Total Contact Hours of Classes		24
Total Contact Hours								32
Study course description
Preliminary Knowledge:
General Pathology, Pathological Physiology, Anatomy, Microbiology with Virology and Parasitology.
Objective:
Acquisition of basic theoretical knowledge and practical skills in clinical care. To develop understanding of rehabilitation principles and their application in nursing practice.
Topic Layout (Full-Time)
No.	Topic			Type of Implementation		Number	Venue
1	Plan of hygienic and anti-epidemic measures in a medical institution.			Classes		1.00	E-Studies platform
2	Hand hygiene. The use of personal protective equipment according to the procedure or the anti-epidemic measure to be taken.			Classes		1.00	METC
3	Aseptic and antiseptic principles. Donning of a sterile gown and gloves.			Classes		1.00	METC
4	Basic principles of ergonomics. Moving and positioning of patients.			Classes		1.00	METC
5	Environmental safety and comfort. Patient care hygiene and bed making.			Classes		1.00	METC
6	Patient mobilisation.			Classes		1.00	METC
7	Vital signs and their determination.			Classes		1.00	METC
8	Clinical procedures that ensure fluid and nutritional intake for a patient.			Classes		2.00	METC
9	Anthropometric indicators and their determination.			Classes		1.00	METC
10	Clinical procedures for the provision of gastrointestinal elimination procedures.			Classes		1.00	METC
11	Preparing a patient for diagnostic and medical procedures.			Classes		1.00	E-Studies platform
12	Laboratory examinations			Classes		1.00	METC
13	Clinical procedures for providing urogenital elimination procedures.			Classes		2.00	METC
14	Clinical procedures for ensuring the oxygenation process for the patient.			Classes		1.00	METC
15	Principles of rehabilitation team work. Rehabilitation techniques in nursing patient care. International classification of functioning, disability and health. Evaluation of patient's self-care abilities.			Lectures		1.00	E-Studies platform
16	Rehabilitation stages. The most important methods to prevent or reduce disability in early rehabilitation. Methods to prevent or reduce disability during the various stages of rehabilitation.			Lectures		1.00	E-Studies platform
17	Drug administration. Parenteral administration. Equipment for parenteral administration.			Lectures		2.00	METC
18	Methodology of drug dose calculation.			Classes		1.00	E-Studies platform
19	Administering oral and topical medication. Parenteral administration of the drug, (i/c, s/c). Characteristics of administration of heparin and insulin.			Classes		2.00	METC
20	Provision of intravenous therapy through the peripheral vein and the central vein. Administration of drugs through an epidural catheter.			Classes		1.00	METC
21	Parenteral nutrition. Administering parenteral nutrition through a central line. Administering parenteral nutrition through a peripheral line.			Classes		1.00	METC
22	Administering intravenous medications by infusion pumps.PVC, CVC			Classes		1.00	METC
23	Blood transfusion.			Classes		1.00	clinical base
24	Wound care. Putting stitches and removal of sutures.			Classes		1.00	METC
25	Wound care. Principles of wound management.			Classes		1.00	METC
26	Principles of rehabilitation in neurology, cardiology and pulmonology.			Classes		1.00	METC
27	Principles of rehabilitation in surgery.			Classes		1.00	METC
28	Principles of rehabilitation in paediatrics.			Classes		1.00	METC
Assessment
Unaided Work:
Theoretical acquisition of given clinical skill’s process using materials available on e-studies. Substantive improvement of student’s clinical skills in METC simulated environment. 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:
At the end of the 1st part (study year I) course, the student receives a "pass" if all tests and independent assignments have been successfully completed, and there are no missed lessons or they have been worked up. At the end of the 2nd part (II year of study) course – Objectively Structured Clinical Examination (OSKE) (rating in a 10-point system). Evaluation criteria for the objectively structured clinical exam (OSKE): 1. The objectively structured clinical exam is allowed to be taken if a "pass" has been received in all tests and independent works, as well as there are no missed classes or they have been worked up. OSKE Part 1 – the complex theory test, which includes 100 questions in the form of a test (Respondus Monitor and Lockdown Browser) attempts allowed: 1, Time limit: 1 hour 30 min (computerized). A successful test rating is applied if the student answers correctly to at least 55% of the total number of questions. In the final evaluation, the proportion of the test result of part 1 is 30% of the total evaluation. If the test is not passed successfully, the student does not continue to take part 2 of the test. Part 2 – the student takes the practical exam in person, which includes a practical test of the skills learned in the entire study course at 3 base stations, where the 1st base station is drug administration. 2. base station general skills. 3rd base station rehabilitation and patient care. Upon entering the examination room, the student draws a ticket with three skills, where one of the skills is medication administration, the second is general skill, and the third is rehabilitation and patient care skill. When answering and practically demonstrating the skill, the student must know the purpose of the skill, indications, contraindications, prepare appropriate equipment, demonstrate the skill, assess the patient before and after the procedure. In the final exam assessment, the share of the practical exam assessment is 70% of the total assessment. In order to receive a passing grade, the student must receive a positive grade at each base station. All base station units have received at least a rating of 1. The evaluation of the practical part is formed as follows: 1. The purpose of the skill, indications, contraindications 0 (zero) – rating is negative, the student did not answer or answered incorrectly the questions of the specific skill; 1 (one) – positive assessment, the student partially answered the questions of the specific skill correctly. 2 (two) – positive assessment, the student answered all the questions of the specific skill completely correctly. 2. Equipment. 0 (zero) – negative rating, the student has not prepared or incorrectly prepared the equipment for the specific base skill; 1 (one) – positive assessment, the student partially prepared the equipment for the specific basic skill. 2 (two) – a positive assessment, the student has completely correctly prepared the equipment for the specific basic skill. 3. Skill performance. 0 (zero) – negative rating, the student performed the skill incorrectly harming the patient.; 1 (one) – positive assessment, the student performed the skill accurately without harming the patient. 2 (two) – positive assessment, the student performed the skill completely correctly. 4. Pre-procedure patient assessment and education. 0 (zero) – the rating is negative, the student did not evaluate and educate the patient or did it incorrectly, which is necessary for the specific base skill; 1 (one) – positive assessment, the student partially correctly assessed and educated the patient on the specific basic skill; 2 (two) – positive assessment, the student has fully correctly assessed and educated the patient for the specific basic skill. 5. Patient assessment and education after the procedure. 0 (zero) – the rating is negative, the student did not evaluate and educate the patient or did it incorrectly, which is necessary for the specific base skill; 1 (one) – positive assessment, the student partially correctly assessed and educated the patient on the specific basic skill; 2 (two) – positive assessment, the student has fully correctly assessed and educated the patient for the specific basic skill. The sum of the points obtained in the 2nd part exam is divided by three and the final mark (points) is obtained. The assessment is based on a 10-point system: Excellent (10) – knowledge, skills and competence exceed the requirements of the study course, show the ability to conduct independent research and a deep understanding of problems; excellent (9) – knowledge, skills and competence fully meet the requirements of the study course, possess the ability to use the acquired knowledge independently; very good (8) – the study course learning requirements are fully met, but there is not a deep enough understanding of certain issues to use the knowledge independently in solving more complex problems; good (7) – in general, the requirements of the study course are met, but sometimes there is an inability to use the acquired knowledge independently; almost good (6) – the requirements of the study course have been met, but an insufficiently deep understanding of the problem and the inability to use the acquired knowledge can be detected; mediocre (5) – the study course has been mastered in general, but insufficient familiarity with some problems and the inability to use the acquired knowledge can be found; almost mediocre (4) – the study course has been mastered in general, however, insufficient understanding of some basic concepts can be found, there are significant difficulties in the practical use of the acquired knowledge; weak (3) – knowledge is superficial and incomplete, the student is unable to use it in specific situations; very weak (2) – there is only superficial knowledge of certain problems, the major part of the study course has not been mastered; very, very weak (1) – there is no understanding of the basic issues of the study subject, there is almost no knowledge of the study course. it is considered passed if the rating is not lower than 4 (almost mediocre), i.e. at least a rating of 1 has been received for all base station units. If the exam receives a rating of 3 (weak) or less, then it is considered that the exam has not been passed. In the case of an unpassed exam, you must agree with the head of the RSU MDAK department about the time of retaking the exam. The student takes the re-examination in person, a commission is formed from RSU MDAK lecturers. If the student does not come to the exam, it is considered that the exam received a negative evaluation and the student has the opportunity to take the exam with a specially created RSU MDAK lecturer commission. Cumulative final grade of the course is calculated according to the formula: (Grade of tests and independent works + OSKE grade): 2= Course grade.
Final Examination (Full-Time):		Exam (OSCE)
Final Examination (Part-Time):
Learning Outcomes
Knowledge:		The student will know the aims, indications and contraindications of the manipulations included in the study course. The student will know the stages of manipulations included in the study course.
Skills:		Student is able to successfully demonstrate manipulations on the mannikin.
Competencies:		The ability to provide the patient with the best possible level of comfort and a safe environment. Ability to administer medications and remedies. Ability to perform wound care. Ability to assess and ensure patient oxygenation. Ability to provide fluid and nutritional intake to the patient. Ability to provide clinical procedures for elimination processes. Ability to prepare and participate in the diagnostic and therapeutic procedures of patients and participate in their implementation. Ability to provide patient mobilization.
Clinical Skills:
No.	Skill					Level
1	"8" Form Bandage					A - Beginner level
2	"8" Form Bandage					B1 - Basic level
3	32. Medication Delivery to the Nose (Drops/Ointment)					A - Beginner level
4	32. Medication Delivery to the Nose (Drops/Ointment)					B1 - Basic level
5	Administration of Heparin (Low-Molecular-Weight) using a Pre-filled Syringe					A - Beginner level
6	Administration of Heparin (Low-Molecular-Weight) using a Pre-filled Syringe					B1 - Basic level
7	Administration of Insulin Using a Pre-filled Syringe (Pen)					A - Beginner level
8	Administration of Insulin Using a Pre-filled Syringe (Pen)					B1 - Basic level
9	Administration of Insulin using an Insulin Syringe					A - Beginner level
10	Administration of Insulin using an Insulin Syringe					B1 - Basic level
11	Administration of Medication by i/v Route using a Syringe with a Needle					A - Beginner level
12	Administration of Medication by i/v Route using a Syringe with a Needle					B1 - Basic level
13	Administration of Medication by i/v Route using a Syringe with a Needle					B2 - Intermediate level
14	Administration of Medication using a CVC (Perfusor)					A - Beginner level
15	Administration of Medication using a CVC (Perfusor)					B1 - Basic level
16	Administration of Medication using a CVC (Syringe)					A - Beginner level
17	Administration of Medication using a CVC (Syringe)					B1 - Basic level
18	Administration of Medication using a CVC (System)					A - Beginner level
19	Administration of Medication using a CVC (System)					B1 - Basic level
20	Administration of Medication using a PVC (System)					A - Beginner level
21	Administration of Medication using a PVC (System)					B1 - Basic level
22	Administration of Medication using a PVC (Syringe)					A - Beginner level
23	Administration of Medication using a PVC (Syringe)					B1 - Basic level
24	Administration of Medication using a PVC (Perfusor)					A - Beginner level
25	Administration of Medication using a PVC (Perfusor)					B1 - Basic level
26	Assessing Apical pulse					A - Beginner level
27	Assessing Apical pulse					B1 - Basic level
28	Assessing Blood Pressure					A - Beginner level
29	Assessing Blood Pressure					B1 - Basic level
30	Assessing Peripheral Pulse					A - Beginner level
31	Assessing Peripheral Pulse					B1 - Basic level
32	Bed making and changing of bed linen					A - Beginner level
33	Bed making and changing of bed linen					B1 - Basic level
34	Blood components transfusion - Cryoprecipitate transfusion					A - Beginner level
35	Blood components transfusion - Cryoprecipitate transfusion					B1 - Basic level
36	Blood components transfusion - plasma					A - Beginner level
37	Blood components transfusion - plasma					B1 - Basic level
38	Blood components transfusion - Platelet mass transfusion					A - Beginner level
39	Blood components transfusion - Platelet mass transfusion					B1 - Basic level
40	Blood products transfusions - blood transfusion					A - Beginner level
41	Blood products transfusions - blood transfusion					B1 - Basic level
42	Blood sampling					A - Beginner level
43	Blood sampling					B1 - Basic level
44	Cleansing Enema					A - Beginner level
45	Cleansing Enema					B1 - Basic level
46	Collecting Blood Sample on Sterility for (Microbiological) Examination					A - Beginner level
47	Collecting Blood Sample on Sterility for (Microbiological) Examination					B1 - Basic level
48	Collecting blood sample with Monovette, using aspiration method					A - Beginner level
49	Collecting blood sample with Monovette, using aspiration method					B1 - Basic level
50	Collecting blood sample with Monovette, using vacuum method					A - Beginner level
51	Collecting blood sample with Monovette, using vacuum method					B1 - Basic level
52	Desault bandage					A - Beginner level
53	Desault bandage					B1 - Basic level
54	Detecting Respiratory Rate					A - Beginner level
55	Detecting Respiratory Rate					B1 - Basic level
56	Donning and doffing of disposable gloves					A - Beginner level
57	Donning and doffing of disposable gloves					B1 - Basic level
58	Donning of surgical attire					A - Beginner level
59	Donning of surgical attire					B1 - Basic level
60	Donning Sterile Gloves					A - Beginner level
61	Donning Sterile Gloves					B1 - Basic level
62	Eye bandage application technique					A - Beginner level
63	Eye bandage application technique					B1 - Basic level
64	Emptying of urine drainage bag					B1 - Basic level
65	Enteral Feeding using PEG (percutaneous endoscopic gastrostoma))					A - Beginner level
66	Enteral Feeding using PEG (percutaneous endoscopic gastrostoma))					B1 - Basic level
67	Faeces sampling					A - Beginner level
68	Faeces sampling					B1 - Basic level
69	Fecal occult blood (FOB) screening test					A - Beginner level
70	Fecal occult blood (FOB) screening test					B1 - Basic level
71	Female perineal care					A - Beginner level
72	Female perineal care					B1 - Basic level
73	High O2 concentration mask placement					A - Beginner level
74	High O2 concentration mask placement					B1 - Basic level
75	High O2 concentrations masks					A - Beginner level
76	High O2 concentrations masks					B1 - Basic level
77	Higiēnas procedūra - nail and foot care					A - Beginner level
78	Higiēnas procedūra - nail and foot care					B1 - Basic level
79	Hygiene procedure - hair care					A - Beginner level
80	Hygiene procedure - hair care					B1 - Basic level
81	Hygiene procedure - shaving beard					A - Beginner level
82	Hygiene procedure - shaving beard					B1 - Basic level
83	Hygienic Hand Disinfection					A - Beginner level
84	Hygienic Hand Disinfection					B1 - Basic level
85	Hygienic Hand Washing					A - Beginner level
86	Hygienic Hand Washing					B1 - Basic level
87	Hypertonic Enema					A - Beginner level
88	Hypertonic Enema					B1 - Basic level
89	Indwelling catheterisation for male					A - Beginner level
90	Indwelling catheterisation for male					B1 - Basic level
91	Indwelling catheterisation for male					B2 - Intermediate level
92	Indwelling female catheterisation					A - Beginner level
93	Indwelling female catheterisation					B1 - Basic level
94	Indwelling female catheterisation					B2 - Intermediate level
95	Insertion and removal of the nasogastric tube					A - Beginner level
96	Insertion and removal of the nasogastric tube					B1 - Basic level
97	Insertion and removal of the nasogastric tube					B2 - Intermediate level
98	Insertion of a nasogastric tube for gastric decompression					B1 - Basic level
99	Insertion of Peripheral Venous Catheter					A - Beginner level
100	Insertion of Peripheral Venous Catheter					B1 - Basic level
101	Intermittent female catheterisation					A - Beginner level
102	Intermittent female catheterisation					B1 - Basic level
103	Intermittent female catheterisation					B2 - Intermediate level
104	Intermittent male catheterisation					A - Beginner level
105	Intermittent male catheterisation					B1 - Basic level
106	Intermittent male catheterisation					B2 - Intermediate level
107	Intracutaneous injection					A - Beginner level
108	Intracutaneous injection					B1 - Basic level
109	Intracutaneous injection					B2 - Intermediate level
110	Intradermal suture					A - Beginner level
111	Intradermal suture					B1 - Basic level
112	Intramuscular injection					A - Beginner level
113	Intramuscular injection					B1 - Basic level
114	Intramuscular injection					B2 - Intermediate level
115	Intraosseous access					A - Beginner level
116	Intraosseous access					B1 - Basic level
117	Intraosseous access					B2 - Intermediate level
118	Intravenous Infusion of Medications with a Butterfly Needle					A - Beginner level
119	Intravenous Infusion of Medications with a Butterfly Needle					B1 - Basic level
120	Low O2 concentration masks					A - Beginner level
121	Low O2 concentration masks					B1 - Basic level
122	Maintenance of the Central Venous Catheter					A - Beginner level
123	Maintenance of the Central Venous Catheter					B1 - Basic level
124	Male perineal care					A - Beginner level
125	Male perineal care					B1 - Basic level
126	Medication administration in the ear					A - Beginner level
127	Medication administration in the ear					B1 - Basic level
128	Medication Administration in the Eye (Drops/Ointment)					A - Beginner level
129	Medication Administration in the Eye (Drops/Ointment)					B1 - Basic level
130	Microlax Enema					A - Beginner level
131	Microlax Enema					B1 - Basic level
132	Oil Retention Enema					A - Beginner level
133	Oil Retention Enema					B1 - Basic level
134	Ostomy care and changing the stoma pouch					A - Beginner level
135	Ostomy care and changing the stoma pouch					B1 - Basic level
136	Oxygen supply providing by nasal prongs					A - Beginner level
137	Oxygen supply providing by nasal prongs					B1 - Basic level
138	Patient bed bathing					A - Beginner level
139	Patient bed bathing					B1 - Basic level
140	Patient feeding through nasogastric tube using bolus method					A - Beginner level
141	Patient feeding through nasogastric tube using bolus method					B1 - Basic level
142	Patient Feeding using the NG Tube Continuous Method					A - Beginner level
143	Patient Feeding using the NG Tube Continuous Method					B1 - Basic level
144	Performance of pharyngela swab					C2 - Expert level
145	Plaster splinting application and removal					C1 - High level
146	Preparation for primary closure of the wound (arranging sterile kit/desk)					A - Beginner level
147	Preparation for primary closure of the wound (arranging sterile kit/desk)					B1 - Basic level
148	Pulse oximetry					C1 - High level
149	Putting in eye drops technique					A - Beginner level
150	Putting in eye drops technique					B1 - Basic level
151	Putting in eye ointment technique					A - Beginner level
152	Putting in eye ointment technique					B1 - Basic level
153	Removal of personal protective equipment in case of health-related infections					A - Beginner level
154	Removal of personal protective equipment in case of health-related infections					B1 - Basic level
155	Removing Sutures					B1 - Basic level
156	Simple interrupted skin suture					A - Beginner level
157	Simple interrupted skin suture					B1 - Basic level
158	Sputum sampling					A - Beginner level
159	Sputum sampling					B1 - Basic level
160	Subcutaneous injection					A - Beginner level
161	Subcutaneous injection					B1 - Basic level
162	Surgical Hand Disinfection					A - Beginner level
163	Surgical Hand Disinfection					B1 - Basic level
164	Swab sampling from anterior nose cavity					A - Beginner level
165	Swab sampling from anterior nose cavity					B1 - Basic level
166	Swab sampling from nasopharynx					A - Beginner level
167	Swab sampling from nasopharynx					B1 - Basic level
168	Swab sampling from throat					A - Beginner level
169	Swab sampling from throat					B1 - Basic level
170	Taking a Rectal Temperature, using a Digital Thermometer					A - Beginner level
171	Taking a Rectal Temperature, using a Digital Thermometer					B1 - Basic level
172	Taking an Axillar Temperature, using a Digital Thermometer					A - Beginner level
173	Taking an Axillar Temperature, using a Digital Thermometer					B1 - Basic level
174	Taking an Axillar Temperature, using a Glass Thermometer					A - Beginner level
175	Taking an Axillar Temperature, using a Glass Thermometer					B1 - Basic level
176	Taking an Oral Temperature, using a Digital Thermometer					A - Beginner level
177	Taking an Oral Temperature, using a Digital Thermometer					B1 - Basic level
178	The patient's oral hygiene					A - Beginner level
179	The patient's oral hygiene					B1 - Basic level
180	The use of personal protective equipment in case of health-related infections					A - Beginner level
181	The use of personal protective equipment in case of health-related infections					B1 - Basic level
182	Tracheostomy Care – Changing Dressing					A - Beginner level
183	Tracheostomy Care – Changing Dressing					B1 - Basic level
184	Tracheostomy Care – Tracheal Suctioning					A - Beginner level
185	Tracheostomy Care – Tracheal Suctioning					B1 - Basic level
186	Urine Sampling for Clinical Examination					A - Beginner level
187	Urine Sampling for Clinical Examination					B1 - Basic level
188	Usage of blood glucose meter					A - Beginner level
189	Withdrawing Medication from a Vial into a Syringe					A - Beginner level
190	Withdrawing Medication from a Vial into a Syringe					B1 - Basic level
191	Withdrawing Medication from an Ampoule into a Syringe					A - Beginner level
192	Withdrawing Medication from an Ampoule into a Syringe					B1 - Basic level
Bibliography
No.	Reference
Required Reading
1	Perry, Anne Griffin. Clinical nursing skills & techniques / [edited by] Anne Griffin Perry, Patricia A. Potter, Wendy R. Ostendorf. 8th ed. St. Louis, Mo. : Elsevier, [2013], c2014
2	Klīniskās procedūras un pacientu drošība / Dzintra Puriņa, Ināra Upmale. Rīga : Rīgas Stradiņa universitātes Sarkanā Krusta medicīnas koledža, 2018.
3	Ministru kabineta noteikumi Nr. 104 . Noteikumi par higiēniskā un pretepidēmiskā režīma pamatprasībām ārstniecības iestādē. Rīgā 2016. gada 16. februārī (prot. Nr.8 21.§); Ministru kabineta noteikumi Nr. 104 Rīgā 2017. gada 28. februārī (prot. Nr. 10 7. §) Noteikumi par iepirkuma procedūru un tās piemērošanas kārtību pasūtītāja finansētiem projektiem
4	RSU Klīnisko prasmju reģistrs
5	Ārvalstu studentiem/For international students
6	J. Gardovska red Ķirurģija .Izdošanas ziņas Rīga : Rīgas Stradiņa universitāte, 2013
Additional Reading
1	Starptautiskā funkcionēšanas, nespējas un veselības klasifikācija. Rīga: Pasaules Veselības organizācija, 2003. 299 lpp.
2	Lu Werne, W.Lewis, Barbara K. Timby's fundamental nursing skills and concepts / Loretta A. Donnelly-Moreno. Library of Congress Catologing-in-Publication Data J.B.Lippincott Company Philadelphia, 2021.
3	Doenges, Marilynn E., Nursing care plans : guidelines for individualizing client care across the life span / Marilynn E. Doenges, Mary Frances Moorhouse, Alice C. Murr. Edition 9. Philadelphia : F.A. Davis Company, 2019
4	Medforth J., Battersby S., Evans M. Oxford handbook of midwifery. Oxford University Press, 2017.
5	Johnson R., Taylor W. Skills for midwifery practice. Elsevier/Churchill Livingstone, 2016.
6	The Oxford handbook of rehabilitation psychology, edited by Paul Kennedy. New York: Oxford University Press, 2012, 594 p.
7	Merholz J, Physical therapy for the stroke patient: early stage rehabilitation. Stuttgart; New York: Thieme, 2012. 195 p.
8	Physical therapy for children, edited by Suzann K. Campbell. Elsevier/Saunders 2017, 1090 p.
9	Essentials of cardiopulmonary physical therapy, edited by Ellen Hillegass. 3rd ed., Elsevier/Saunders 2011, 763 p.
10	Physical medicine and rehabilitation, edited by Randall L. Braddom, 4th ed., Elsevier/Saunders 2011, 1506 p.
11	Gutenbrunner C., Rehabilitācija, fizikālā medicīna un dabas dziedniecība. Rīga, Nacionālais apgāds, 2008.
12	Ārvalstu studentiem/ For international students:
13	Physical medicine and rehabilitation, edited by Randall L. Braddom, 4th ed., Elsevier/Saunders 2011, 1506 p.
14	Lu Werne, W.Lewis, Barbara K. Timby's fundamental nursing skills and concepts / Loretta A. Donnelly-Moreno. Library of Congress Catologing-in-Publication Data J.B.Lippincott Company Philadelphia, 2021.
15	Doenges, Marilynn E., Nursing care plans : guidelines for individualizing client care across the life span / Marilynn E. Doenges, Mary Frances Moorhouse, Alice C. Murr. Edition 9. Philadelphia : F.A. Davis Company, 2019
16	Medforth J., Battersby S., Evans M. Oxford handbook of midwifery. Oxford University Press, 2017.
17	Johnson R., Taylor W. Skills for midwifery practice. Elsevier/Churchill Livingstone, 2016.
18	Merholz J, Physical therapy for the stroke patient: early stage rehabilitation. Stuttgart; New York: Thieme, 2012. 195 p.
19	Physical therapy for children, edited by Suzann K. Campbell. Elsevier/Saunders 2017, 1090 p.
20	Essentials of cardiopulmonary physical therapy, edited by Ellen Hillegass. 3rd ed., Elsevier/Saunders 2011, 763 p.
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4	Decontamination, Sterilization, and Sterile Storage. Available from: http://www.brooks.af.mil/DIS/icguidelines/chap6.htm
5	http://www.cdc.gov/ncidod/hip/Sterile/sterile.htm
6	http://www.infectioncontroltoday.com/articles/061cleaning.h…
7	Gravity Displacement. Available from: http://www.tpub.com/dental1/69.htm
8	http://www.cdc.gov/ncidod/hip/guide/handwash.htm