Clinical Nursing II

.- To know the processes that trigger the disease in the field of medical and surgical pathology.
.- To differentiate the mechanisms and / or problems of most common diseases of different organ systems of the human body, medical and surgical treatment.
.- precise procedures and interventions to provide adequate nursing care to individuals with medical and surgical problems in various equipment and systems.
.- Identify and assess the needs and / or problems caused by disease, establishing priorities.
.- Elaborate planning nursing care to meet the needs / problems identified.
.- Participate in the implementation and subsequent evaluation of care plan

Different subjects include clinical manifestations of the disease, diagnostic testing and nursing care, urgency outpatient and inpatient care, critical care management and care in the
hospital unit according to patient needs.


MODULE I - NERVOUS SYSTEM
Unit 1.-Degenerative processes of the central nervous system. Care (E: I / O Block Schedules: Block II and III Schedules).
Unit 2.- Spinal cord injuries. Critical and urgent outpatient and inpatien management, procedures and care (immediate care, immobilization, transfer, etc.). General care for patients with spinal cord injuries (E: Block I hours; Block II and III hours).
Unit 3.- Cranioencephalic traumas. Critical and outpatient care (immediate care, immobilization, transfer, etc.) and in-hospital care, procedures and critical care. General care in patients with head trauma (E: Block I Hours; S: Block II and III Hours; L: Block II and III Hours).
Unit 4. Stroke. Critical and urgent outpatient and inpatien management, procedures and care (immediate care, transfer, etc.) a. Care for the patient with stroke (E: Block I schedules).
Unit 5. Meningitis and meningeal syndrome Care (Schedules E Block I).
Unit 6. Epilepsy and convulsive disorders. Critical and urgent outpatient and inpatien management, procedures and care (immediate care, transfer, etc.) . General care in the patient with epilepsy (E: Block I schedules).

MODULE II-HEART AND GREAT VESSELS
Unit 1. Endocarditis. Rheumatic fever. General study of valvulopathies. General care (E: Schedules of Block I).
Unit 2. Heart failure. Acute pulmonary edema. (E: Schedules Block I; S: Schedules Block II and III; L: Schedules Block II and III) Critical and urgent outpatient and inpatien management, procedures and carere (immediate care, life support, transfer, etc.). General care in the patient with heart failure.
Unit 3. Disorders of heart rate and rhythm (E: schedules of Block I; S: schedules of Block II and III; L: schedules of Block II and III). Critical and urgent outpatient and inpatien management, procedures and caree (immediate care, life support, transfer, etc.) . General care in the patient with arrhythmias.
Unit 4. Coronary insufficiency (E: Block I schedules; S: Block II and III schedules; L: Block II and III schedules). Critical and urgent outpatient and inpatien management, procedures and care (immediate care, life support, transfer, etc.) . General care in the patient with coronary insufficiency.

MODULE III- ENDOCRINE SYSTEM
Unit 1. Thyroid and parathyroid diseases. Care of patients with hypo, hyperthyroidism and parathyroidism. Pre- and post-surgical care for thyroid surgery. Acute metabolic disorders: critical and emergency management, procedures and care. General care in the patient with thyroid and parathyroid diseases. (E: Schedules of Block I).
Unit 2. Adult diabetes. General care in the patient with diabetes. Acute metabolic disorders: critical and emergency management, procedures and care. Chronic complications: prevention and care (E: Block I schedules; S: Block II and III schedules; L: Block II and III schedules).
Unit 3. Diseases of the adrenal glands. Care in the patient with hypohyperfunction adrenal glands. Acute metabolic disorders: Critical and emergency management, procedures and care (E: Block IV).

MODULE IV-URINARY SYSTEM
Unit 1. Obstruction of the urinary tract. Urinary stones.Care (E: Block IV; S: Schedules Block V and VI; L: Schedules Block V and VI).
Unit 2- Trauma of the urinary tract Care (E: schedules Block IV; S: schedules Block V and VI; L: schedules Block V and VI).
Unit 3. Acute renal failure. Management of critical patients (E: block IV schedules; S: block V and VI schedules).
Unit 4. Nephrotic syndrome and nephritic syndrome. Care (E: Schedules Block IV).
Unit 5. Dialysis. Care (E: Schedules Block IV).

MODULE V - MUSCULOSKELETAL SYSTEM
Topic 1.- Sprains and dislocations. Management, procedures and care. (E: Schedules Block IV).
Unit 2.- Fractures. Management, procedures and care. Pre- and post-surgical care in osteosynthesis, external fixators and joint replacement. -Basic principles of care for multiple victims. -Polytraumatized patient. -Thoracic injuries. Critical and urgent outpatient and inpatien management, procedures and care (immediate care, life support, transfer, etc.) (E: Block IV schedules; S: Block V and VI schedules; L: Block V and VI schedules)

MODULE VI- HEMATOLOGICAL ALTERATIONS
Topic 1. Disorders of the red series (E: schedules of block V; S: schedules of block V and VI).
Topic 2. Disorders of the White series (E: schedules of block V; S: schedules of block V and VI).
Topic 3. Disorders of hemostasis (E: block diagrams V; S: block diagrams V and VI).
Item 4. Blood transfusion (E: Block V schedules; S: Block V and VI schedules).

E: Expository; S: seminars; L: laboratory

The basic information and contents of the subject can be accessed on the virtual campus.

Guides and consensus documents are part of the basic literature. You can access them at the following links.
It is part of the complementary bibliography: Other documents and articles available at the following links.


All are freely accessible and have the scientific backing of the associations and organizations that publish them.

Consensus documents, company journals with free access to articles, clinical guides, etc. can be accessed on the websites of the companies listed below.


-American Heart Association. https://www.heart.org/. Se dispone de guias, declaraciones de consenso, etc en: https://professional.heart.org/en/guidelines-and-statements/guidelines-…

- Sociedad Española de Cardiología (SEC) http://www.secardiologia.es/

-Consejo Español de Resucitación Cardiopumonar: Se dispone de guias, documentos, legislación sobre DEAs y RCP, etc. en el enlace: https://www.cercp.org/guias-

-European Society of Cardiology (ESC) http://www.escardio.org/Pages/index.aspx

-Sociedad Española de Enfermedades Infecciosas y Microbioloxía Clínica (SEIMC) http://www.seimc.org/inicio/index.asp. Se dipone de documentos de consenso no enlcace https://www.seimc.org/documentos-cientificos/documentos-de-consenso

Sociedad Española de Medicina Intensiva, Crítica y Unidades Coronarias (SEMICYUC):https://semicyuc.org/

-Sociedad Española de Neurología (SEN): Se dipone de documentos de consenso, guías de descarga gratuita no seguinte enlace: https://www.sen.es/profesionales/guias-y-protocolos

- Sociedad Española de Cirugía Ortopédica y Traumatoloxía (SECOT) http://www.secot.es/

- European Society of Endocrinlogy (ESE) http://www.euro-endo.org/

- Sociedad Española de Endocrinoloxia (SEEN) http://www.seen.es/

-Sociedad Española de Diabetes (SED) http://www.sediabetes.org/:
Se dipone de documentos de consenso, guías y recomendaciones de descarga gratuita en
https://www.sediabetes.org/consensos- guias-y-recomendaciones/
Se dispone de revista "Diabetes" en el enlace: https://fundacion.sediabetes.org/index.php/revista/

-Asociación Española de Enfermería Quirúrgica. https://www.aeeq.net/
https://aeeq.net/archivos_cientificos/archivos.php


Books: .-The Sanford Guide to Antimicrobial Therapy. Edición 2011.
.-Principles and practice of Infectious Diseases. Mandell, Douglas, Bennet. Editorial: Churchill
Livinstone. VII ed. 2010. Morillo J, Fernández D. Enfermería Clínica I. ISBN: 9788490224953; eBook ISBN: 9788490229002
Elsevier; 2016.

Specific competences :

(* ORDER CIN / 2134/2008, + ANECA White Paper on Nursing Degree).

* To know the alterations of the health of the adult, identifying the manifestations that appear in their different phases. Identify care needs arising from health problems. Analyze the data collected in the assessment, prioritize the problems of the adult patient, establish and execute the care plan and perform its evaluation. Perform nursing care techniques and procedures, establishing a therapeutic relationship with patients and relatives. Select interventions to treat or prevent problems from health deviations. Have a cooperative attitude with the different team members *.
+ Competence “ANECA White Paper on Nursing Degree” II8 (p. 85).
Ability to recognize and interpret normal or changing signs of health - poor health, suffering, disability of the person (assessment and diagnosis).
+ “ANECA White Paper on Nursing Degree” II.CE13 (p. 85). Ability to implement health and safety principles, including patient mobilization and management, infection control, basic first aid and emergency procedures (use of skills ...).

ORDER CIN / 2134/2008: Basic: CB2, CB3; CB4, CB5. General: CG1, CG2, CG3, CG5, CG6, CG7, CG10, CG11, CG15.
Transverse: CT1, CT2, CT5,

E, S, L: use of new technologies that incorporate clinical images, diagnostic tests and simulations by computer or with mannequins and with standardized simulated patients (theater group formed by students / graduates, collaboration students and doctorate).

S, L: Basic and advanced simulation in urgent and critical care, simulation in basic and advanced life support.

Standardized robotic clinical cases will be used according to the competencies of the subject, with video learning and multimedia debriefing.

• ECOE FORMAT. Oriented to evaluate the competences by means of a format of the test / s of an ECOE, tool of proven validity to determine the capacity of the student to use the knowledge, abilities and attitudes to solve the situations that present in the exercise of the profession .

The following clinical competencies are included in the ECOE test:
• Basic clinical skills.
• Communication
• Technical skills
• Management of situations (nursing action plan)


Instruments used:
• Standardized simulated patients
• advanced simulators
• mannequins
• clinical images
• Open-ended questions with short answer and type of exam
• Structured oral exam

To pass the subject it is required to pass the parts corresponding to the expository and interactive teaching of both seminars and laboratories.

For the evaluation of class attendance, the provisions of the Regulation on Teaching Assistance adapted to the European Higher Education Area (Agreement of the Governing Council of 25 March 2010) shall apply.
A) Continue:
-Contents corresponding to the expository teaching and seminar by means of diverse face-to-face tests (20%).
-Contents corresponding to laboratories (20%).
(B) Face-to-face final test of the contents corresponding to the expository teaching and seminar (60%)

For the evaluation of class attendance, the provisions of the Regulation on Teaching Assistance adapted to the European Higher Education Area (Agreement of the Governing Council of 25 March 2010) shall apply.

The qualification of he seminars and laboratories will be saved during an academic year.

If due to exceptional circumstances (illness, etc.), the student does not attend any of seminars/laboratories and does not participate in the activities related to them, asome alternative to carry out the corresponding activities coulb be considered.

Hours Type
Individual study 72
Further reading, review of bibliography or similar 48
Personal work practices with simulation 60

Establish links between the theoretical information received in the lectures and observations and interventions made at the seminars.

Request cooperation and assistance of the teacher through the tutorials.

Study technique based on the reasoning in the search for the practical applicability of the theoretical contents

In this subject, in different units, contents related to the general attention in the adult patient are approached, as well as in the handling, procedures and critical and urgent attention in the context of the “ORDER CIN / 2134/2008, of 3 July , which establishes the requirements for the verification of official university degrees that enable the exercise of the profession of Nurse ”.

The in-depth approach to the management of urgency and t critical patient is carried out in the Master in Care, Management and Health Care, among others in the subjects of "Critical Patient Management", "Urgencies, Emergencies and Major Catastrophes", "Prepracticum: simulated cases" and "Clinical practices"

USE OF ELECTRONIC DEVICES IN CLASS
- In accordance with article 9.2.a of the USC Student Statute and article 36 of the Organic Law of the University System, the use of electronic devices (mobile phones, tablets, computers, etc.) is not authorized in expository and interactive classes. ) except when expressly authorized by the teachers.

ENVIRONMENTAL RESPONSIBILITY
The delivery of works in digital format will be promoted. If a printed work is requested for the subject, either individual or group, the following indications will be taken into account:
- Avoid plastic caps or other unnecessary outer wraps.
- Whenever possible, use staples instead of spirals.
- "Ink-saving" quality double-sided printing.
- Do not use blank sheets as chapter or part dividers.
- Avoid annexes that do not have direct reference to the topics covered in the papers.
For more information see https://www.usc.gal/es/usc/institucional/desarrollo-sostenible


GENDER PERSPECTIVE
In view of the criteria of gender equality in the university environment, it is recommended to use non-sexist language both in daily classroom work and in requested academic work. The information can be obtained at the following link:
http://www.usc.es/export/sites/default/gl/servizos/oix/descargas/lingua…

Other measures will also be used to apply the gender approach in teaching, such as the recognition and consideration of the particular situations of students, the promotion of an egalitarian climate of interactions, the egalitarian organization of groups whenever possible, the deployment of scientific contributions and techniques. of women in the subject and of the students themselves, and the introduction of gender as a category of analysis of students' work.

PERSONAL DATA PROTECTION
The regulations on privacy and protection of personal data available at https://www.usc.gal/gl/normativa/protecciondatos/index.html will be followed.