STATE BUDGETARY EDUCATIONAL INSTITUTION OF

HIGHER PROFESSIONAL EDUCATION

"THE ORENBURG STATE MEDICAL UNIVERSITY" OF
THE MINISTRY OF HEALTH OF THE RUSSIAN FEDERATION
Training simulation center

Fundamentals of Special patient care: Workbook for extracurricular

Independent work
Specialty 31.05.01 Medical faculty

3 option
The student's name_____________________
Group number
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The student's name_____________________Group number___________
Task № 1: Solve the clinical problem
You are taking care of a patient who was hospitalized in the morning for a
sharp deterioration in the course of hypertension. Throughout the day,
figures of blood pressure remained very high (from 150/90 to 180/100 mm
Hg) despite treatment. However, the patient was active, in contact with
medical staff and neighbors on the ward. The next morning, when you
came to check blood pressure you found that the patient was
unresponsive. You shook her by the shoulder and called her name loudly.
In response, the patient opened her eyes, said something unintelligible,
and closed them again.
Evaluate the patient's consciousness.
Assess the severity of the patient's condition.
Describe your actions.
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__________________

Task № 2: Carefully study the photos. Describe what you see as part of
the General inspection.

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Task № 3: Write down the main pathogenetic mechanisms of
development of a choking attack in bronchial asthma.

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Task № 4: Solve the clinical task.
A patient was admitted to the pulmonology Department with a diagnosis
of right-sided lower lobe pneumonia. The patient complains of chest pain
that increases with coughing and deep breathing. According to the
patient, the pain is reduced when he lies on the sick side. Objective data:
the patient is lying on the right side, cyanosis of the entire skin, the
frequency of respiratory movements is 26 per minute.
What is this type of dyspnea called? _______________________________
What is the name of the position that the patient is taking?
_____________________________________________________________
Name the type of cyanosis by
origin________________________________________________________

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The student's name_____________________Group number___________
Task № 5: Write down Signs of cardiac edema.
1.______________________________________________________________________________________________________
_____________________________
2.______________________________________________________________________________________________________
_____________________________
3.______________________________________________________________________________________________________
_____________________________
4._____________________________________________________________________________________________________
______________________________

Task № 6: Study the data from the observation sheet for resuscitation
patients and determine the water balance of patients.
Patient № 1
Through the Intravenously Amount of urine Pathological
mouth loosing
500 ml 1000 ml 600 ml 0 ml

Conclusion_________________________________________________________________________________________
__________________________________

Patient № 2
Through the Intravenously Amount of urine Pathological
mouth loosing
1200 ml 300 ml 1045 ml 200 ml of
vomiting mass
Conclusion_________________________________________________________________________________________
__________________________________

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The student's name_____________________Group number___________
Task № 7: Solve the clinical task.
You are going to take blood from a patient's vein for a biochemical
analysis. The patient reports that he is afraid of the sight of blood. You
perform blood sampling from a vein and Patient suddenly loses
consciousness at that time. Objectively: no consciousness, skin is pale,
Pulse is regular, rate 120 beats per minute, small in volume and low in
tension, BP 90/60 mm Hg.
Identify an emergenc.y
Create an algorithm for providing emergency care at the pre-medical
stage.
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Task № 8: Fill out the diagram “Characteristics of gastric pain”

Pain of gastric
origin has the
following features:

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Task № 9: Fill the table «Local signs of GIT bleeding».
Source of bleeding Local signs
Esophagus
Stomach
Duodenum
Small intestine
Large intestine
Rectum

Task № 10: Look at the photo and determine the type of tubes.

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Task № 11: List possible indications for gastric lavage.

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Task № 12: The answer to questions about performing a cleansing

enema. Insert the missing word.
1. Functional purpose of this medical manipulation
__________________________________________________________
2. Actions of the nurse in case the patient does not have voluntary
consent for the upcoming procedure
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MARK_______________________________

TEACHER'S COMMENTS:

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LIST OF RECOMMENDED LITERATURE
List of used literature
1. Nancy Sr. M.S. J Principles and Practice of nursing [Текст]. Vol. I :
Nursing arts Procedures / конс. Sr. M. S. L. Ivan, 2015. - 714 с.
2. Beers, Mark H., M. D., and Thomas V. Jones, MD. Merck Manual
of Geriatrics, 3rd ed., Chapter 4, “Comprehensive Geriatric Assessment.”
Whitehouse Station, NJ: Merck, 2015.
3. Mace, Nancy L., and Peter V. Rabins. The 36-Hour Day: A Family
Guide to Caring for People with Alzheimer Disease, Other Dementias, and
Memory Loss in Later Life, 4th ed. Baltimore, MD: Johns Hopkins University
Press, 2016.
4. Boltz, M., Capezuti, E., Fulmer, T. T., & Zwicker, D. (Eds.).
(2016). Evidence-based geriatric nursing protocols for best practice.
Springer Publishing Company // Access mode:
https://www.amazon.com/s?k=9780826171672&i=stripbooks&language=en
_US&linkCode=sl2&linkId=55f7566960aab3a48fb639feb0e72174&tag=nurse
slabs-20&ref=as_li_ss_tl
5. Geriatric Nursing Care Plans (Older Adult) // Access mode:
https://nurseslabs.com/geriatric-nursing-care-plans/
6. Biston P, Aldecoa C, Devriendt J, Madl C, Chochrad D, Vincent JL,
De Backer D. Outcome of elderly patients with circulatory failure. Intensive
Care Med. 2014 Jan;40(1):50-6. PMID: // Access mode: 24132383.
7. British Geriatrics Society. Fit for frailty. Consensus best practice
guidance for the care of older people living with frailty in community and
outpatient settings. London: British Geriatrics Society 2014. Available online
at // Access mode: www.bgs.org.uk/campaigns/fff/fff_full.pdf [Accessed 10
August 2015]
8. Heyland DK, Dodek P, Mehta S. Admission of the very elderly to
the intensive care unit: family members’ perspectives on clinical decision-
making from a multicenter cohort study. Palliative medicine. 29(4):324-35.
2015. // Access mode: pubmed
9. Heyland DK, Garland A, Bagshaw SM. Recovery after critical
illness in patients aged 80 years or older: a multi-center prospective
observational cohort study. Intensive care medicine. 2015.// Access mode:
pubmed
10. Iwashyna TJ, Ely EW, Smith DM, Langa KM. Long-term cognitive
impairment and functional disability among survivors of severe sepsis.
JAMA. 2010 Oct 27;304(16):1787-94. // Access mode: PMC3345288.
11. Nguyen YL, Angus DC, Boumendil A, Guidet B. The challenge of
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1 option
The student's name_____________________Group number___________
admitting the very elderly to intensive care. Ann Intensive Care. 2011 Aug
1;1(1):29. // Access mode: PMC3224497.
12. Rusinova K, Guidet B. “Are you sure it’s about ‘age’?”. Intensive
Care Med. 2014 Jan;40(1):114-6. doi: 10.1007/s00134-013-3147-x. Epub 2013
Nov 12. PubMed PMID: 24217659.
13. Sprung CL, et al. The Eldicus prospective, observational study of
triage decision making in European intensive care units. Part II: intensive
care benefit for the elderly. Crit Care Med. 2012 Jan;40(1):132-8. PMID: //
Access mode: 22001580.
14. J.O. Ciocon, F.A. Silverstone, L.M. Graver, C.J. Foley. Tube
feedings in elderly patients. Indications, benefits, and complications //
Access mode: 02.05.2021г. https://pubmed.ncbi.nlm.nih.gov/3124777/
15. Roger Weetch, RN, DipHS, is staff nurse, Bradford Royal
Infirmary. A nutritionally sound diet has been shown to be an important
factor in healthy ageing // Access mode: 02.05.2021г.
https://www.nursingtimes.net/roles/older-people-nurses-roles/feeding-
problems-in-elderly-patients-19-04-2001/
List of recommended literature
1. Hospital hygiene: study guide for students autonomous work / I.
L. Karpenko [и др.] = Больничная гигиена: учеб. пособие для самост.
подготовки студентов иностр. факультета / И. Л. Карпенко [и др.]. -
Оренбург, 2016. - 115 on-line. (Шифр 613(075.8)/H81-448375).— Режим
доступа: http://lib.orgma.ru/jirbis2/elektronnyj-katalog
2. Clement I. Textbook of Nursing Foundations [Текст] : учебник / I.
Clement, 2011. - 713 с.
3. Hooks, Robin. Developing nursing care plans // Nursing Standard.
2016.- 30 (45): 64–65.
4. Юдаева Ю.А., Негодяева О.А. Monitoring and nursing care for
patients with respiratory diseases [Электронный ресурс] :
учебное пособие / Оренбург, 2017.- 123с.— Режим доступа:
http://lib.orgma.ru/jirbis2/elektronnyj-katalog
5. Юдаева Ю.А. [и др.] Simple physiotherapeutic procedures in the
organization of caring for a patient [Электронный ресурс] // ОрГМА. -
Оренбург, 2014.— Режим доступа: http://lib.orgma.ru/jirbis2/elektronnyj-
katalog
Internet resources
1. Journal. AJN, American Journal of Nursing // Access mode:
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1 option
The student's name_____________________Group number___________
https://www.nursingcenter.com/journalissue.aspx?Journal_ID=51568
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2. Journal. Nursing2021 // Access mode:
https://www.nursingcenter.com/journalissue.aspx?journal_id=54016
3. Journal. The Nurse Practitioner // Access mode:
https://www.nursingcenter.com/journalissue.aspx?journal_id=54012
3. Social care for older people: Home truths King's Fund,
September 2016 // Access mode:
https://www.kingsfund.org.uk/publications/social-care-older-people
3. Pressure ulcers: prevention and management. Clinical guideline
[CG179] Published: 23 April 2014 // Access mode:
http://www.nice.org.uk/nicemedia/pdf/CG029publicinfo.pdf

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