Family Medicine

Study Course Description

Course Description Statuss:Approved

Course Description Version:7.00

Study Course Accepted:13.11.2023 09:03:06

Study Course Information
Course Code:		MDAK_327		LQF level:		Level 6
Credit Points:		2.00		ECTS:		3.00
Branch of Science:		Clinical Medicine		Target Audience:		Nursing Science
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)		5	Lecture Length (academic hours)		2	Total Contact Hours of Lectures		10
Classes (count)		11	Class Length (academic hours)		2	Total Contact Hours of Classes		22
Total Contact Hours								32
Study course description
Preliminary Knowledge:
Anatomy and physiology, pathological physiology, clinical pharmacology and drug treatment, transcultural patient care, general care, propaedeutics, internal diseases, pediatrics, public health and care process.
Objective:
To provide the student with the necessary knowledge and practical skills about patient care at primary health care level in the practice of a GP, ensuring the care of chronic patients and its succession, various disease prevention, health promotion, public health measures.
Topic Layout (Full-Time)
No.	Topic			Type of Implementation		Number	Venue
1	Principles of primary health care organization. Provision of family medical care in Latvia.			Lectures		1.00	auditorium
2	Ensuring public health. Significance, classification and implementation possibilities of prevention at the level of outpatient care.			Lectures		1.00	auditorium
3	Healthy child care in outpatient care nurse practice. The role of prevention in physical, mental and social health aspects. Basic elements of care for a child with acute and chronic diseases in the practice of a GP.			Lectures		2.00	auditorium
4	Care of patients with chronic diseases.			Lectures		1.00	auditorium
5	Principles of patient care in the practice of a GP – tasks of a nurse in health promotion, organization of practice work. Planning of prevention work and health promotion. Organisation GP's practice work, nurse's responsibilities in family care.			Classes		2.00	METC
6	Peculiarities of a child's physical and mental development and their assessment in different age periods. Use of percentile map in assessment of a child's development.			Classes		1.00	METC
7	Principles of healthy eating in children and adolescents.			Classes		1.00	METC
8	Child's psychomotor, cognitive and social development at different ages.			Classes		2.00	METC
9	The role of immunisation and basic principles. Organisation of the vaccination process.			Classes		1.00	clinical base
10	Provision of care for patients with chronic diseases in case of various chronic diseases. Long-term care. Principles for promoting self-care and self-help. Prevention of complications of chronic diseases. Educational opportunities for patients and relatives.			Classes		4.00	METC
Assessment
Unaided Work:
1. Presentation "Psychomotor development of a child at a certain age from birth to 18 years". 2. Study "Different levels of preventive measures for patients of family doctor's practice". 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. At the end of the study course - an oral exam, where situational tasks are solved on the topics included in the study course. The final grade of the study course is formed from the assessment of independent works (the proportion of each task is 25%) and the assessment of the exam (the proportion is 50%).
Final Examination (Full-Time):		Exam (Oral)
Final Examination (Part-Time):
Learning Outcomes
Knowledge:		The student will gain knowledge about the principles of a healthy and ill child care in the GP's practice, the principles of nutrition of a healthy and ill child, educating the child and family or legal representatives, observing healthy lifestyle at different ages, injury prevention, vaccination principles and regulations, health promotion in reproductive age, physiology of breastfeeding and its performance, neonatal care in GP practice and corresponding normative regulations, provision of long-term care for chronic patients and corresponding normative regulations, development of motivation, prevention of chronic disease complications, primary health care principles in primary care and corresponding normative regulations, involvement of the public in promotion of a healthy environment, disease prevention in the practice of general practitioners.
Skills:		The student will be able to assess and promote the child's physical, psychomotor, cognitive and social development in different age groups and recognise pathological changes, explain to the child and family or legal representatives the goals of drug therapy, predict possible drug-related side effects, evaluate drug effects and doses, promote basic principles of healthy nutrition and identify nutrition problems in different periods of the child's age, provide effective information to the child with health problems and his family or legal representatives, using appropriate methods according to the child's age, educate the child and his family or legal representatives about healthy lifestyle and health promotion, trauma and disease risk prevention; provide care of a newborn, recognise health risks and complications, provide psycho-emotional support to a woman after termination of a pregnancy, promote involvement of peers (support persons, family, legal representatives), educate family or legal representatives / individual in the context of maternal and child's health / reproductive health, to understand the basic principles of maternal and child's health care policy; to assess the most characteristic symptoms of chronic diseases, to know the necessary diagnostic methods and diagnostic criteria, as well as to know the principles of treatment, to understand complementary and alternative medicine and creative therapies in chronic diseases and patient care, to promote the necessary interdisciplinary cooperation in patient care. To help the patient acquire the knowledge, skills and abilities necessary for self-care by applying teaching methods and teaching materials in patient education, to evaluate the results of care of chronically cared for patients, to provide emotional support to patients with chronic diseases, to ensure continuity and sustainability of care for patients with chronic diseases; to identify health, psychosocial and economic risks in the individual's environment and family, including legal representatives, to assess the individual's health and physical and psychosocial problems, to plan and implement health promotion and disease prevention. Use teaching and coaching methods in educating an individual, know screening methods, manage and administer the vaccination process, implement long-term cooperation with the individual and his family or legal representatives, plan and advise the individual on quality of life according to his needs, participate in public health promotion and strengthening of health.
Competencies:		Using the acquired knowledge, the student will be able to provide evidence-based pediatric care; to provide maternal, child care and education of family or legal representatives in the context of reproductive health, to provide long-term care for patients with chronic diseases at all ages, to provide primary health care for persons of all ages.
Clinical Skills:
No.	Skill					Level
1	12-Lead Electrocardiogram (ECG) recording , result interpretation					B1 - Basic level
2	Administration of Insulin Using a Pre-filled Syringe (Pen)					B1 - Basic level
3	Administration of Insulin using an Insulin Syringe					B1 - Basic level
4	Administration of Medication by i/v Route using a Syringe with a Needle					B1 - Basic level
5	Administration of medication intravenously using infusomat pump					B1 - Basic level
6	Administration of Medication using a CVC (System)					B1 - Basic level
7	Administration of Medication using a PVC (System)					B1 - Basic level
8	Administration of Medication using a PVC (Perfusor)					B1 - Basic level
9	Assessing Apical Pulse					B2 - Intermediate level
10	Assessing Blood Pressure					B2 - Intermediate level
11	Assessing Peripheral Pulse					B1 - Basic level
12	Detecting Respiratory Rate					B1 - Basic level
13	Evaluation of child anthropometric data					C1 - High level
14	Examination technique of breast, as well as supraclaviculal, infraclavicular and axillary lymph nodes					B1 - Basic level
15	Faeces sampling					B1 - Basic level
16	Fecal occult blood (FOB) screening test					B1 - Basic level
17	Intracutaneous injection					B1 - Basic level
18	Intramuscular injection					B2 - Intermediate level
19	Otoscopy					A - Beginner level
20	Subcutaneous injection					B2 - Intermediate level
21	Vision inspection					B1 - Basic level
Bibliography
No.	Reference
Required Reading
1	D. Rezeberga. “Dzemdniecība”. Medicīnas apgāds, Rīga, 2016.
2	A. Lejnieks. Red. Klīniskā medicīna. Rīga. Medicīnas apgabals: 2010. (akceptējams izdevums)
3	A. Lejnieks. Red. Klīniskā medicīna II. Rīga. Medicīnas apgabals: 2012. (akceptējams izdevums)
4	A. Lejnieks. Red. Klīniskā medicīna III. Rīga. Medicīnas apgabals: 2010. (akceptējams izdevums)
5	Ervin, Naomi E. Advanced Public and Community Health Nursing Practice: Population Assessment, Program Planning and Evaluation. 2018.
6	T. Hītera Herdmane, Šigemi Kamitsura. Aprūpes diagnozes. Definīcijas un klasifikācija, 2018 - 2020. 11. izdevums. Rīga, Latvijas Māsu asociācija, 2020.
7	Ārvalstu studentiem/ For international students:
8	Ervin, Naomi E. Advanced Public and Community Health Nursing Practice: Population Assessment, Program Planning and Evaluation. 2018.
9	Perry, Anne Griffin, Potter, Patricia A., Ostendorf, Wendy R. Clinical Nursing Skills and Techniques. 8th Edition. 2013. EBSCOhost
10	Kraszewski, Sarah. Communication Skills for Adult Nurses. 2010. EBSCOhost (akceptējams izdevums)
Additional Reading
1	”Immunization Strategies and Practices”. American Academy of Pediatrics, 2018.
2	Craft – Rosenberg M., Krajicek M. “Guidelines for Nursing Excellence in the Care of Children, Youth and Families”. Springer Publishing Company, 2017.
3	Thomas R. Freeman. McWhinney's Textbook of Family Medicine. Oxford University Press, Incorporated, 2016.
4	Paul M. Paulman, Audrey A. Paulman, Kimberly J. Jarzynka, and Nathan P. Falk. Taylor's Manual of Family Medicine. Wolters Kluwer, 2015.
5	Sines, David; Fanning, Agnes and more. Community and Public Health Nursing. John Wiley&Sons, Inc., 2013.
Other Information Sources
1	Ervin, Naomi E.; Kulbok, Pamela. Advanced Public and Community Health Nursing Practice 2e : Population Assessment, Program Planning and Evaluation. Springer Publishing Company, 2018.
2	Cynthia Murray. Scope and Standards of Practice for Professional Ambulatory Care Nursing. American Academy of Ambulatory Care Nursing, 2017.