Nauki w zakresie podstaw opieki pielęgniarskiej: Badania fizykalne 1855-P1-BFIZYK-S1

Didactic aims of the subject:
During the lectures the following topics will be discussed: - general and detailed subjective examination. Rules for its management and documentation. The importance of an interview regarding: main symptoms, course, current disease; accompanying symptoms; history of current and past diseases, potential risk factors, - general and detailed physical examination, physical examination techniques
assessment of the patient's condition, principles - the importance of the results of the subjective and physical examination in formulating the assessment of the patient's health for the purposes of nursing care.

Clinical exercises will include conducting a subjective examination of the patient, analyzing, interpreting the results for the purposes of nursing diagnosis, documenting the subjective examination, - physical examination, taking into account the patient's age and condition, using appropriate techniques to assess: skin, breast examination, peripheral lymph nodes, sense organs , head, chest, respiratory system, central and peripheral cardiovascular system, abdominal cavity, urinary system and genital organs, musculoskeletal system and nervous system, - interpreting and documenting the results of physical examination and its use in assessing the patient's health condition.

Lecture topics:
1. Principles of conducting and documenting subjective and objective examination;
2. Methods and techniques of comprehensive physical examination for obstetric care;
3. Methods of conducting a physical examination using IT or communication systems;
4. The importance of the results of the subjective and physical examination in formulating the assessment of the patient's health condition for the needs of nursing care.

The exercises are devoted to preparing the student for the physical and subjective examination of newborns, adults and geriatric people, as well as the interpretation and documentation of their results, which concern the examination of:

• Skin, appendages, head: sense organs, eye, ear; head, neck, thyroid, mouth, nose, teeth, lymph nodes;
• Genital examinations, breast examinations, newborn examinations;
• Nervous system and musculoskeletal system: joints, muscles;
• Circulatory system, ECG, lymphatic system;
• Respiratory system, digestive system, abdominal cavity.

Self-education is intended to develop the student's ability to independently acquire knowledge, skills and abilities in the field of physical examination.
Preparation and development of written tasks:
• Perform a physical examination of an adult or child (your choice),
• Briefly describe the person on whom you performed the test,
• List the physical examinations you have performed,
• Record the obtained test results according to. SOAP schema,
• Propose an action plan appropriate to the condition of the examined person
Criteria for assessing self-education according to SOAP:

Criterion Points
Subiective data: 0 1 2 3 4
Identified and collected necessary data about the patient's health condition
Included all relevant data/information about the patient's health condition
Objective data: 0 1 2 3 4
Identified and collected necessary data about the patient's health condition
Categorized and organized the data using an appropriate tool, scale
Included all relevant data/information about the patient's health condition
Evaluation: 0 1 2 3 4
Correctly selected important data about the patient's health condition
Indicated important information about the patient's health condition
Identified the patient's complete list of health problems
Plan: 0 1 2 3 4
Took into account therapeutic goals
Took into account diagnostic goals
Took into account nursing and care goals
Took educational goals into account
Recommended an appropriate plan for the specific symptoms/health condition of the patient
Presented the plan in an orderly, logical manner, consistent with current knowledge and guidelines

For each assessment criterion, the student receives 0-4 points:
0 = incorrect, 1 = contains errors, 2 = acceptable, 3 = good, 4 = very good
Passing self-study above 36 points - 70%

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W cyklu 2024/25L:

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Całkowity nakład pracy studenta

Hours carried out with the participation of the teacher - lectures – 10 hours - exercises – 30 hours Individual student work - self-study – 5 hours - other work (reading the indicated literature, supplementing notes, required repetition of material) -5 h Time to prepare and pass the subject - 10 hours Total: 60 hours = 2 ECTS

Efekty uczenia się - wiedza

C.W32. the concept and principles of conducting a physical examination and documenting it; C.W33. methods and techniques of comprehensive physical examination; C.W34. the importance of the results of the subjective and physical examination in formulating the assessment of the patient's health condition for the needs of nursing care; C.W35. methods of conducting a physical examination using IT or communication systems; C.W40. methods, tools and techniques of data acquisition;

Efekty uczenia się - umiejętności

C.U2. collect information by interview, observation, measurement, physical examination, and documentation analysis in order to recognize the patient's health condition and formulate a nursing diagnosis; C.U43. conduct a physical examination of the patient, analyze and interpret its results; C.U44. recognize and interpret the basic differences in examining a child and an adult, including the elderly; C.U45. use physical examination techniques to assess the physiological and pathological functions of the skin, senses, head, chest, mammary glands, abdominal cavity, genitals, cardiovascular system, respiratory system, peripheral circulatory system, musculoskeletal system, and nervous system and document the results physical examination and use it to assess the patient's health status; C.U46. conduct a comprehensive subjective and objective examination of the patient, document the examination results and analyze them for the purposes of nursing care; C.U47. conduct a physical examination using IT or communication systems;

Efekty uczenia się - kompetencje społeczne

1) being guided by the patient's good, respecting the dignity and autonomy of people entrusted to care, showing understanding for ideological and cultural differences and empathy in the relationship with the patient and his family; 2) respecting patient’s rights; 3) independent and reliable performance of the profession in accordance with ethical principles, including compliance with moral values and obligations in patient care; 4) bearing responsibility for professional activities performed; 5) seeking the opinion of experts in case of difficulties in solving the problem on your own; 6) anticipating and taking into account factors influencing one's own and the patient's reactions; 7) noticing and recognizing one's own limitations in terms of knowledge, skills and social competences, and self-assessing educational deficits and needs.

Metody dydaktyczne

Informative and problem-based lecture, seminar, exercises, film, demonstration with discussion, algorithmic and situational method, simulation method using phantoms, self-education

Wymagania wstępne

The subject concerns the ability to assess the patient's health condition by using physical and subjective examination techniques

Koordynatorzy przedmiotu

Anna Andruszkiewicz

Kryteria oceniania

Exam - consists of: average of 2 grades (theoretical tests + practical tests)

Theoretical part - test with 4 distractors, 1 choice, about 40-50 questions, pass with 70% or more

Practical part – OSCE exam

Criteria
According to the scoring from the checklist, passing after completing all mandatory points.

Self-education
Work evaluation criteria:
- detailed description of the examined person,
- detailed description of the subjective and physical examination performed,
- systematizing interview data in accordance with the SOAP scheme and proper documentation.

Praktyki zawodowe

Not applicable

Literatura

Basic literature:

1. Dyk D.(red.). Badanie fizykalne w pielęgniarstwie - podmiotowe i przedmiotowe. Wyd. Lekarskie PZWL, Warszawa 2020.
2. Dyk D.(red.). Badanie fizykalne w pielęgniarstwie. Wyd. Lekarskie PZWL, Warszawa 2016.
3. Augustyniuk K., Grochans E. (red.) Check- listy z zakresu badań fizyklanych. Kierunek Pielęgniarstwo i Położnictwo. Wyd PUM, Szczecin 2020 .
4. Zaborowski P. Podstawy badania klinicznego. Basics in Clinical Examination. Wyd. Medipage, Warszawa 2016.

Additional literature:
1. Krajewska- Kułak E., Szczepański M. (red.): Badanie fizykalne w praktyce pielęgniarek i położnych. Wydawnictwo Czelej, Lublin 2008.;
2. Bates B., Bickley L.S., Hoekelman R.A.: Wywiad i badanie fizykalne. Wyd. Springer PWN, Warszawa. 1997;
3. Bickley L.S, Szilagyi P. G. (red. Gaciong Z., Jędrusik P.): Przewodnik Batesa po badaniu przedmiotowym i podmiotowym. Wyd. Medyczne Termedia, Poznań 2010.
4. Morrow C.B. (tłum. Rowiński W.). Badania laboratoryjne i obrazowe dla pielęgniarek. Wyd. PZWiL 2006

W cyklu 2023/24L:

Basic literature:

W cyklu 2024/25L:

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Więcej informacji

Dodatkowe informacje (np. o kalendarzu rejestracji, prowadzących zajęcia, lokalizacji i terminach zajęć) mogą być dostępne w serwisie USOSweb:

Strona przedmiotu 1855-P1-BFIZYK-S1 w USOSweb