The Ministry of Health of Ukraine Ukrainian Medical Stomatological Academy Approved at the Department of Propaedeutics to Internal Medicine with Care of Patients meeting on 11 09 2018 Protocol No2 The Head of the Department Professor Yu. Kazakov METHODICAL INSTRUCTION FOR STUDENTS’ SELF-PREPARATION WORK Educational discipline Care of patients Module No 1 Enclosure module No 1 Topic The main principles and organization aspects of care of patients with therapeutic pathology. Organization of the work of therapeutic in-patient departments Year 2 Faculty medical 1. The topic basis: Care of patients is complex of actions, directed to forming of favorable conditions for successful treatment of the patients and alleviation of their condition and satisfaction of the main requirements of organism. The most important tasks of the care should be directed to activation and support of reserve means of his/her organism during struggle against disease. Actions of care of patients have often decisive importance in successful treatment of the patients and in whole process of their recovery. More often care of patients is realized by middle and junior medical personnel. But despite the fact that actions on care of patients aren’t functional physician duties, every physician must know all peculiarities of care and be able to perform any manipulation or procedure independently, control quality of the work of middle and junior medical personnel, secure realization of all essential manipulations on care in case of absence of the nurse also or in out-hospital conditions. That is why mastering by technique of carrying out manipulations on care of patients with following deontological and esthetical norms is one of the most important link in clinical preparation of future physician. 2. The specific aims: To become acquainted with structure and functioning of therapeutic in- patient department. To demonstrate using of the main principles of medical deontology. To determine essence of care of patients and its role in structure of general- therapeutic actions. To demonstrate using of skills on observance of treatment-protective regimen To demonstrate using of skills on securing of sanitary-hygienic regimen of the main subdivisions of therapeutic hospital. To formulate notion about the main psychotherapeutic approach to the patients. To demonstrate using of the main moral-deontological principles of medical specialist. To list functional duties of junior nurse in hospitals. To acquainted with structure and functioning of therapeutic in-patient department. To demonstrate using of skills concerning observance of treatment protective regimen. To demonstrate using of skills on securing of sanitary-hygienic regimen of the main subdivisions of therapeutic hospital. To acquire skills concerning filling in medical documentation of admitting office. To carry out anthropometric examination of the patients and count index of body weight. To become acquainted with patients’ transporting on stretcher, wheel chair, wheel stretcher. To become acquainted with modern agents for carrying out of sanitary- hygienic cleaning of therapeutic department’s rooms 3. Basic knowledge, experience, skills necessary for studying the topic in connection with other subjects (interdisciplinary integration) : Previous disciplines Obtained skills 1. Anatomy To know human anatomy. 2. Physiology To know physiology of the main systems of organism. 3. Medical psychology To be able to observe principles of ethics and deontology in medical practice. 4. Chemistry To know properties of the main substances, solutions of which are used for prophylactic disinfection 4. Tasks for self-work during preparation to the class. 4.1 List of the main terms, parameters, characteristics, which should be mastered during preparation to the class: Term Definition 1. Care of patients It is complex of actions, directed to forming of favorable conditions for successful treatment of the patients and alleviation of their condition and satisfaction of the main requirements of organism. 2. Medical ethics It is complex of moral criteria, which are used by medical worker during his/her work on support of preservation and strengthening of the health. 3. Medical deontology It is complex of ethical norms and principles of behavior during carrying out of professional duties by medical worker 4. Physician secret Confidential information about patient’s appealing for medical aid, diagnosis, and other information about condition of his/her health and private life, obtained as result of examination and treatment, prophylaxis and rehabilitation. 5. Iatrogeny It is psychogenic disorder, disease or any pathological process, occurred under influence of medical interventions, carried out with diagnostic, treatment or prophylactic purpose 6. «Vocal aseptics» It is necessity of constant control of their behavior by medical personnel - of intonations, looks, gestures, which can be interpreted by the patient incorrectly. 7. Nursing lookout It is the workplace of ward nurse. It is intended for 25-30 post patients, it always takes place near wards, in order to all patients can be under the permanent care of nurse. 8. Transporting of It is transference or transportation of them from the patients admitting office to the medical department, from one medical department to another, or from one hospital to another. 9. Index of body It is ratio of body weight to patient’s squared height (kg/m2). weigh Normally it is 18,5-24,9 kg/m2 . 4.2. Theoretical questions to be answered before class: 1. Historical landmarks of formation of medical aid to the ill men. 2. Determining of role and place of care of patient in treatment-diagnostic process. 3. Structure of care of patients, conditions of its carrying out. 4. Moral-ethical and deontological aspects of forming of medical specialist. 5. The main professional duties of junior medical personnel (junior nurse). 6. The main deontological aspects of medical worker’s activity. 7. Principles of professional subordination in system physician-nurse-junior nurse. 8. Conception of treatment-protective, sanitary and hospital regimens of therapeutic hospital. 9. Role of junior medical personnel in support of treatment-protective and sanitary regimens of therapeutic hospital. 10. Name the role of therapeutic department of hospital. 11. Name the professional duties of medical personnel of therapeutic department. 12. Name the functional role of nursing lookout post. 13. Name the medical documents of therapeutic department. 14. What is the organization of patient’s visits and discharge from a hospital? 15. What is the role of admitting office? 16. What document is filled by the nurse of admitting office? 17. What’s the way of sanitization of hair in patients? 18. What technical equipment is used for transporting of patients? 19. In what case is the form of urgent report filled in? 20. What does the term “anthropometry” mean? 4.3. Practical work (tasks), which should be performed during class: 1. To become acquainted with the main moral-ethical and deontological aspects of carrying out of care of patients, principles of professional subordination. 2. To acquire concepts treatment-protective, sanitary and hospital regimen of therapeutic hospital. 3. To prepare one of disinfectants for prophylactic disinfection. 4. Work in admitting office: to register patients, admitting to the hospital; to fill in title page of case history and statistic bond; to transport patients to hospital’s departments. 5. Carrying out of patient’s anthropometric measurers: to measure patient’s growth (standing and sitting) by means of auxanometer; to measure patient’s body weight by means of medical balance; to calculate index of body weight and to interpret it. 6. Carrying out of actions on securing of sanitary-hygienic regimen of therapeutic department: to prepare solutions of chlorinated lime and chloramine for moist cleaning of rooms of therapeutic department; to perform cleaning of therapeutic department’s rooms. The contents of topic: Text CARE OF PATIENTS Care of patients, hypurgia is complex of actions, directed to forming of favorable conditions for successful treatment of the patients and alleviation of their condition and satisfaction of the main requirements of organism. Care includes giving aid to the patient for provision of his/her organism’s needs in food, water, physical activity, defecation and urination, amelioration during pathological conditions, particularly, in nausea, vomiting, asthma, cough, various pains, etc. Care foresees forming for the patient quiet (easy) moral atmosphere, favorable living and hygienic conditions (optimal temperature, sufficient lighting and ventilation of the wards, comfortable clear bed, necessary minimum of personal hygiene’s objects, alarm system). Peculiarities and volume of care actions depend on general patient’s condition, character and degree of his/her disease’s severity, regimen prescribed by physician. The most important tasks of the care should be directed to activation and support of reserve means of his/her organism during struggle against disease. It is well known, that actions of care of patients have often decisive importance in successful treatment of the patients and in whole process of their recovery. Organizing of favorable conditions of patient’s being in the ward, tactful relations from the side of medical personnel, timely giving of the first medical aid isn’t only obligatory condition of successful treatment, but often these actions play not less