Colegiul de Medicină Orhei

GHID
PENTRU LECȚII PRACTICE LA DISCIPLINA:
ÎNGRIJIRI PALIATIVE

Profesor: Polușina Olga

ORHEI 2022
 Plan tematic
ÎNGRIJIRI PALIATIVE
cu nursing specific.
Calificarea „Asistent Medical”
Locul Numărul de ore
Nr Subiectul lecţiei desfăşurări teorii practică
.
1. Îngrijirea paliativă în sistemul de sănătate. CESIM
Conceptul de îngrijire paliativă. 2 4
2. Comunicarea veștilor proaste în îngrijiri CESIM 2 4
paliative.
3. Evaluarea durerii totale. Managementul CESIM 2 4
durerii.
4. Evaluarea și controlul simptomelor CESIM 2 8
respiratorii.
5. Evaluarea și controlul simptomelor CESIM 2 4
digestive.
6. Problemele la nivelul tegumentelor și CESIM 2 4
mucoaselor.
7. Planul de îngrijire interdisciplinar. CESIM 1 2
8. Teza. CESIM 2
Total

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REGULILE CU PRIVIRE LA SECURITATEA MUNCII

✓ Srudenții poartă în incinta CESIM forma profesională

(halat, bonetă, încalțăminte de schimb, costum )
✓ Înainte de lecție cabinetul se aerisește
✓ Studenții se prezintă la lecții după instructajul tehnicii
securității
✓ Dupa fiecare lecție se efectuiază curațenia umedă

Se interzice:
✓ Întrarea în cabinet în haine de afară
✓ Consumul produselor alimentare
✓ Efectuarea manoperilor practice invazive student/student
✓ Demontarea, repararea și instalarea prizelor electrice
✓ Includerea aparatelor în rețea electrică fără voia
profesorului.
✓ Aparatele electrice se șterg de praf numai cînd sunt
deconectate de la rețea electrică.
✓ Studentul respectă strict igiena personală și metodica
dezinfectării mîinilor.

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 Tema I. Îngrijirea paliativă în sistemul de sănătate.
Conceptul de îngrijiire paliativă.

Data ______________

1.Definirea noțiunii de îngrijiri paliative

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2.Aspecte generale îngrijirii paliative

• _______________________________
• _______________________________
• _______________________________
• _______________________________

3.Beneficiarii îngrijirii paliative

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4.Enumerați instituțiile care acorda servicii de îngrijiri paliative.

5. Definiți noțiunile:

Îngrijirea hospice
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Îngrijirea terminală
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Echipa interdisciplinară
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 6. Enumerați membrii echipei interdisciplinare.
1. _______________________
2. _______________________
3. _______________________
4. _______________________
5. _______________________
6. _______________________
7. _______________________
8. _______________________
9. _______________________
10. _____________________
11. _____________________
12. _____________________

7. Clasificarea echipei de bază (membrii ei).

Echipa de
bază

8. Descrieți rolul medicului în echipa interdisciplinară.

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9. Descrieți rolul asistentului medical în echipa interdisciplinară.
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10. Descrieți rolul asistentului social în echipa interdisciplinară.

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Concluzii.
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Semnatura profesorului
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Tema II. Comunicarea veștilor proaste în îngrijiri paliative.
Data_____________

1. Definirea noțiunii de veste proastă.

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2. Explicați importanța comunicării adevărului pacienților.

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3. Enumerați pașii de comunicarea a veștilor proaste.

______________________ _____________________

_____________________ ___________________

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4. Descrieți pașii de comunicare a veștilor proaste.

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 ________________________________________________________
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Concluzii:
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Semnatura profesorului
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TEMA III. EVALUAREA DURERII TOTALE.

MANAGEMENTUL DURERII.

Data:_____________

1.Definirea noțiunii de durere.

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2. Enumerați factorii care afectează pragul durerii.
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3. Descrieți treptele analgeziei conform OMS.

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-
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5. Explicați necesitatea folosirii medicamentelor analgezice.

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___________________________________________________
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Conculzii:
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Semnatura profesorului:
__________

Subiectul nr IV. EVALUAREA ȘI CONTROLUL

SIMPTOMELOR RESPIRATORII

Data__________

1.Definiți noțiunile:

Dispnee___________________________________________________
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Dispneea terminală
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Tusea
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Respirația sterotoasă
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Sughițul
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2. Enumerați cauzele sughițului

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3. Classificați formele particulare ale tusei:

________________

________________ ________________

TUSEA

________________ ________________

________________

4.Enumerați principiile de tratament a dispneei.

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5.Descrieți tehnica îngrijirii traheostomei.

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__________________________________________________________
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Concluzuzii:________________________________________________
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Semnatura profesorului:
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Subiectul nr V. EVALUAREA ȘI CONTROLUL SIMPTOMELOR

DIGESTIVE.

Data ___________

1. Difiniți noțiunile:

Anorexia
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Constipația
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__________________________________________________________
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Diareea
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2. Enumerați cauzele reversibile a anorexiei:

_____________________________________________________ _____________________________________________________ _____________________________________________________

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3.Enumerați cauzele apariței greței și vomei la pacienții paliativi.

4. Descrieți tehnica îngrijirii colostomei.

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__________________________________________________________________
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5. Descrieți complicațiile posibile a îngrijirii incorecte a colostomei.
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6. Enumerați simptome digestive posibile la pacienți

7. Enumerați simprome digestive ușor de remediat și cele mai dificile.

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CONCLUZII:
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Sematura profesorului: ______________

Subiectul VI. PROBLEME LA NIVELUL TEGUMENTELOR ȘI

MUCOASELOR.
Data: _____________

1. Identificați problemele posibile ce pot aparea la nivelul tegumenteor și

mucoaselor la pacienți aflați în îngrijiri paliative.
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2. Enumerați cauzele apariției problemelor la nivelul tegumenteor și
mucoaselor.
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3. Escarele de decubit. Definiție, cauze, tratament, profilaxie.

D.

C.

T.

P.

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 4.Enumerați zonele care sunt predispuse apariției escarelor.

5. Descrieți problemele la nivelul mucoaselor.

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Concluzii:
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Semnatura profesorului: _____________

Subiectul VII. PLANUL DE ÎNGRIJIRE INTERDISCIPLINAR.

Data: _____________

1. Definirea planului de îngrijire.

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2. Componentele unui plan de îngrijire.

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3. Descrieți rolul asistentului medical în planificarea îngrijirii pacientului.
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4. Descrieți etapele de întocmire planului de îngrijire.

1.

2.

3.

4.

5.

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5. Avantajele a planului de îngrijire interdisciplinar.

6. Enumerați avantajele planului de îngrijire.

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________________________________________________________________
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Concluzii:
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Semnatura profesorului: _____________

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