Teaching period

5th semester

 

Learning outcomes

  • Familiarization of the students with cardiopneumatic patients and their particularities,
  • Skills development concerning the approach and evaluation of the patient as well as the decision making on the appropriate therapeutic method,
  • Development of fluency concerning the design and application of integrated rehabilitation plans for every cardiovascular and respiratory disease.

 

Teaching method

  • Study of medical files,
  • Complete evaluation of the patient,
  • Design of the optimal therapeutic program and application on the patient, in collaboration with the medical and nursing staff of the facility.
  • Discussions in order to solve any possible problems.

 

Week by week schedule

Clinical Practice I Lab is summarised in 120 teaching hours, organised in 30 4-hour sessions (2 sessions per week, meaning 15 weeks total), in which student attendance is mandatory. The sessions take place at the local university hospital.

 

WeekUnit

1

Evaluation of the Cardiopneumatic Patient

2

Cardiopneumatic Physiotherapy for Chronic Obstructive Pneumopathy

3

Cardiopneumatic Physiotherapy for Bronchial Asthma

4

Cardiopneumatic Physiotherapy for Pleuritic Fluid Collection

5

Cardiopneumatic Physiotherapy for Pneumothorax

6

Cardiopneumatic Physiotherapy for Ankylosing Spondylarthritis

7

Cardiopneumatic Physiotherapy for Kyphoscoliosis

8

Cardiopneumatic Physiotherapy for Obesity

9

Cardiopneumatic Physiotherapy for Dyspnea Treatment

10

Cardiopneumatic Physiotherapy for Respiratory Failure

11

Cardiopneumatic Physiotherapy for Heart Failure

12

Preoperative and Postoperative Cardiopneumatic Physiotherapy (Thorax Surgery)

13

Preoperative and Postoperative Cardiopneumatic Physiotherapy (Abdomen Surgery)

14

Oxygen Therapy and Mechanical Breathing Support

15

Cardiopneumatic Physiotherapy in Intensive Care Unit (ICU)

 

Clinical education model

The majority of the clinical sessions are conducted at the University Hospital of Rio and specifically for Clinical Practice I in the Cardiology, Pathology, Pneumology, Surgery, Cardiosurgery and Thoracic Surgery Clinics of the hospital. During the sessions, the students are given the opportunity to gain their knowledge and perform their practice on real patients of every age, gender, nationality and even with mental health problems. The students are divided in groups of 5 persons, which are supervised by a professor of the university and the chief of each clinic of the hospital at all times. Furthermore, some of the sessions are materialized at the local nursing home. In every case, the students are taught to educate the patients to perform some of the exercises themselves in order to maintain the effects of physiotherapy even after the end of the treatment, or in situations where the patient cannot exercise on his/her own, their family is taught to do so.

 

Textbooks/reference material

In English

  1. “Physiotherapy for Respiratory and Cardiac Problems (Adults and Pediatrics)”. Pryor, Jennifer A., Prasad, Ammani. S. Churchill and Livingstone. 4th revised edition 2007
  2. “Physiotherapy in Respiratory Care: A problem Solving Approach”, Hough, Alexandra. Nelson Thornes Ltd. 3rd revised edition 2001
  3. March A. (2005) A Review of Respiratory Management in Spinal Cord Injury. Journal of Orthopaedic Nursing, 9:19-26
  4. Spruit M.A., Gosselink R., Troosters T., Depaepe K., Decramer M. (2002). Resistance vs Endurance Training in Patients with COPD and Peripheral Muscle Weakness. European Respiratory Journal, 19:1072-1078
  5. Berney S., Denehy L. (2003). The effect of physiotherapy treatment on oxygen consumption and haemodynamics in patients who are critically ill. Australian Journal of Physiotherapy; 49:99-105.
  6. Ciesla N. (1996). Chest physical therapy for patients in the intensive care unit. Phys Ther; 76:609-625.
  7. Mackenzie C., Imle C., Ciesla N. (1989). Chest physiotherapy in the intensive care unit. 2nd ed. Williams & Wilkins. Baltimore, Maryland.
  8. Ellis E., Alison J. Key (1994). Issues in Cardiorespiratory Physiotherapy. 2nd edition, Butterworth-Heinemmann, Oxford.
  9. Polden M.M. (1991). Physiotherapy in obstetrics and gynaecology, Butterworth-Heinemmann, Oxford. 
  10. Stiller K. (2007). Safety issues that should be considered when mobilizing critically ill patients. Critical Care Clin; 23:35-37.
  11. Stiller K. (2000). Physiotherapy in intensive care towards an evidence-based practice. Chest; 118:1801-1813.
  12. Zeppos L., Patman S., Berney S. et al. (2007). Physiotherapy intervention in intensive care is safe: an observatory study. Australian Journal of Physiotherapy; 53:279-283.

 

In Greek

  1. Μυριανθεύς Π., Μπαλτόπουλος Γ. (2005). Μηχανική υποστήριξη της αναπνοής. Ιατρικές εκδόσεις Πασχαλίδης, Αθήνα (Mechanical Breathing Support)
  2. Νανάς Σ. (2006). Καρδιοαναπνευστική Δοκιμασία Κοπώσεως και Προγράμματα Καρδιοανα-πνευστικής Αποκατάστασης. ΕκδόσειςΑθ. Σταμούλης (Cardiopulmonary Exercise Test and Cardiopulmonary Rehabilitation Programs)
  3. Νανάς Σ. (2006). Αλγόριθμοι στην Καρδιοπνευμονική Αναζωογόνηση. ΕκδόσειςΑθ. Σταμούλης (AlgorithmsinCardiopulmonaryResuscitation-CPR)
  4. Brewis R.A.L. (2003).  Νόσοι του Αναπνευστικού Συστήματος. Εκδ. Παρισιάνος (Diseases of the Respiratory System)
  5. Chapman S., RobinsonG., StradlingJ., WestS. (2007) ΕγχειρίδιοΠνευμονολογίας. (Μετάφραση Αγγλικής Έκδοσης) Ιατρικές Εκδόσεις Πασχαλίδης, Αθήνα (ManualofPneumonology)
  6. Ellestad M.H. (1999). Δοκιμασία Φόρτισης: Αρχές και Εφαρμογές. (ΜετάφρασηΑγγλικήςΈκδοσης) ΕκδόσειςΠασχαλίδη, Αθήνα (ChargeTest: PrinciplesandApplications)
  7. Hampton J.R. Ταχεία Ερμηνεία ΗΚΓ. (2002), (Μετάφραση Αγγλικής Έκδοσης) Εκδόσεις Πασχαλίδη, Αθήνα (TheECGmadeeasy)
  8. Reid W.D, Chung F. (2008). Κλινική προσέγγιση στην Καρδιοαναπνευστική Φυσικοθεραπεία. (Μετάφραση Αγγλικής Έκδοσης) Ιατρικές Εκδόσεις Π.Χ. Πασχαλίδη, Αθήνα (ClinicalApproachinCardiopulmonaryPhysiotherapy)

 

Assessment

Clinical Practice I laboratory assessment takes place on a daily basis with three more formal exam-type assessments which comprise of practical demonstration of techniques and methods from students. Except from the daily evaluation of students and the intermediate evaluation, a final examination takes place at the end of the semester. This examination is conducted by the teaching professors personally with the students divided in pairs, in order to recreate the skills they have obtained during the semester on each other. The final grade of the subject derives from the average of the theoretical and laboratory part and has to be 5 out of 10 or higher. Nevertheless, the students need to achieve 5 out of 10 for each of the parts to consider the subject passed. The examination’s duration is 15-30 minutes. After passing the theoretical and laboratory part, the students are awarded with 9 ECTS credits.            



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