Course: Specialized Nursing in Otorhinolaryngology

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Course title Specialized Nursing in Otorhinolaryngology
Course code KKO/V8ORL
Organizational form of instruction Lecture + Lesson
Level of course Master
Year of study 1
Semester Summer
Number of ECTS credits 2
Language of instruction Czech
Status of course Optional
Form of instruction Face-to-face
Work placements This is not an internship
Recommended optional programme components None
Lecturer(s)
  • Pellant Arnošt, prof. MUDr. DrSc.
Course content
Symptoms of ear diseases. Otalgia, tinnitus, Labyrinthine vertigo, discharge from ear. Furuncle of ear canal. Acute purulent inflammation of the middle ear (epidemiology, etiology, treatment, prevention). Differential diagnosis of furuncle of ear canal, acute purulent inflammation of the middle ear and mastoiditis, nursing care of these conditions). Noise-induced hearing disability (acute and chronic acoustic trauma). Screening and dispensary care of hearing difficulties. A patient with hearing difficulties. Pharynx: Anatomy and function. Adenoid vegetation. Tonsillitis and pharyngitis. Indication and contraindication of tonsillectomy and adenoidectomy. Nose and paranasal sinuses: Anatomy and function. Furuncle of nose. Nasal septum deviation. Nasal fracture. Headache in otorhinolaryngology. Larynx: Anatomy and clinical presentation of diseases of larynx. Stenotic inflammation of the larynx. Voice and speech disorders. Diagnostics, conservative and surgical treatment, psychosocial consequences. Swallowed and inhaled foreign objects. Chemical burns of the food pipe (first aid, nursing care). Guidelines for antibiotic treatment in otorhinolaryngology. Corticoids in otorhinolaryngology. Specific problems of medical care in otorhinolaryngology. Outpatient surgery, otorhinolaryngological care centre, indication for a spa treatment, issuing medical opinions) Consumable healthcare material in otorhinolaryngology. Payments for separately billed material in otorhinolaryngology. Guidelines for nursing care for patients after surgery of ear, nose, food pipe and airways. Nursing documentation and nursing diagnosis Keeping patient documentation, nursing observation in otorhinolaryngology. Informed consent for patients and parents, waivers, injury report, discharge report. Preparation of cotton swabs and ear tampons, ointment frontal tamponade and rear structural tamponade. Nosebleed treatment. Demonstration of selected X-ray images (fundamental projections, resolved findings), demonstration of foreign bodies in otorhinolaryngology. Patient admission. Indication and guidelines for specimen collection from ear, nose, pharynx and larynx. Theoretical principles of paracentesis, tympanocentesis, and myringotomy, ventilation tubes. Politzerization and catheterization. Ear irrigation. Vestibular testing. Final seminar, discussion, credit.

Learning activities and teaching methods
Monologic (reading, lecture, briefing), Dialogic (discussion, interview, brainstorming), Monitoring, Skills training
Learning outcomes
The aim of the subject is to broaden students' knowledge of the field of Otorhinolaryngology.
Students will understand function of individual organs and clinical presentation of diseases, which have a close relationship to nursing diagnosis, nursing objectives and meeting needs of the patient. Classic medical or nursing otorhinolaryngology issues are, rather nontraditionally, supplemented by managerial and economic (use and placing an order for medical supplies and material), organizational (outpatient surgery, ORL care center), and social and legal issues (medical opinions, spa care). Students will be able to implement theoretical knowledge in practice and thus improve nursing care quality.
Prerequisites
unspecified

Assessment methods and criteria
Oral examination

- completion of compulsory 80% attendance at the practicum sessions and seminars - successful completion of an oral examination
Recommended literature
  • ASTL, J. Otorinolaryngologie a chirurgie hlavy a krku (pro bakaláře, obor ošetřovatelství). 1. vyd. Karolinum, 2012.
  • CHROBOK, V., ASTL., J., KOMÍNEK P. a kol. Tracheostomie a koniotomie, techniky, komplikace a ošetřovatelská péče.. 1. vyd. Praha: Maxdorf, 2004.
  • PELLANT, A., ASTL J., ŠKVRŇÁKOVÁ J. A SPOL. Ošetřovatelská péče o nemocného s tracheotomií..
  • PELLANT, A.; MEJZLÍK, J.; ŠKVRŇÁKOVÁ, J.; HLAVÁČKOVÁ, E.; BLANAŘ, V. Učební texty z otologie pro studenty nelékařských zdravotnických oborů.
  • ŠLAPÁK, I.; JANEČEK, D.; LAVIČKA, L. Základy otorinolaryngologie a foniatrie pro studenty speciální pedagogiky. Brno: Klinika dětské ORL LF MU a FN BRNO, 2009.


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