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Vyučující
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Konečný Petr, doc. MUDr. Ph.D., MBA
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Gaul Aláčová Petra, Mgr. Ph.D.
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Bastlová Petra, Mgr. Ph.D.
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Vyskotová Jana, Mgr. Ph.D.
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Zbořilová Lada, Mgr.
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Dus Marta, Mgr.
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Obsah předmětu
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1. Role of Physiotherapist in Cardiothoracic ICU and Postoperative Pathophysiology Safety principles, contraindications and overview of cardiothoracic surgical procedures and their postoperative implications. 2. ICU Devices and Monitoring Basic principles of mechanical ventilation, chest drains, pacing wires, vascular lines, ECMO and patient monitoring relevant to physiotherapy intervention. 3. Questionnaires, Outcome Measures and SMART Goal Setting in ICU Use of selected questionnaires and outcome measures in intensive care, functional and symptom-based assessment tools, goal setting using the SMART approach. 4. Assessment in Cardiothoracic Intensive Care Respiratory, functional and clinical assessment of ICU patients, including pain, fatigue and delirium screening, interpretation of assessment findings. 5. Respiratory Physiology and Breathing Disorders in ICU Breathing mechanics, control of respiration, ventilation-perfusion mismatch and typical breathing dysfunctions in critically ill patients. 6. Diaphragm Dysfunction and Respiratory Muscle Management Diaphragm function in critical illness, ventilator-induced diaphragm dysfunction, phrenic nerve injury and principles of respiratory muscle training. 7. Pulmonary Physiotherapy after Cardiothoracic Surgery Lung expansion techniques, airway clearance, prevention of postoperative pulmonary complications and integration with functional activities. 8. Case Study Presentation from Clinical Practice Presentation of selected cardiothoracic ICU patient, including assessment, application of questionnaires and outcome measures, SMART goal setting, physiotherapy intervention, outcomes and clinical reasoning.
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Studijní aktivity a metody výuky
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nespecifikováno
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Výstupy z učení
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The aim of the course is to develop advanced competencies in physiotherapy management of patients in cardiothoracic intensive care. After completing the course, the student will be able to: -understand the role of a physiotherapist in cardiothoracic intensive care, including safety principles and interdisciplinary cooperation -explain postoperative cardiopulmonary changes after cardiothoracic surgery relevant to physiotherapy -safely apply physiotherapy interventions in patients with ICU devices and monitoring -use selected questionnaires and outcome measures for assessment and SMART goal setting in intensive care -perform respiratory and functional assessment of cardiothoracic ICU patients -apply evidence-based pulmonary physiotherapy and integrate respiratory and functional interventions, -demonstrate clinical reasoning through case study analysis and presentation
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Předpoklady
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nespecifikováno
KFA/PTB22 a zároveň FYT/PTA32 a zároveň KFA/PTA31 a zároveň KFA/PTA32 a zároveň KFA/PTA34 a zároveň KFA/PTB32 a zároveň FYT/PTA42
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Hodnoticí metody a kritéria
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nespecifikováno
Attendance and Participation in Class: The student is required to attend all lectures, seminars and clinical sessions (100% attendance) and actively participate in all class activities. Active participation includes engagement in discussions, practical tasks and seminars. Credit Requirements: During the semester, the student may be asked short oral questions or assigned brief tasks to demonstrate knowledge of previously covered topics. Each student is required to prepare and present one selected questionnaire or outcome measure relevant to intensive care physiotherapy. At the end of the semester, the student must prepare and present a case study of one patient from cardiothoracic intensive care practice. The case study presentation will be delivered in the Pecha Kucha format. At the end of the semester, the student will take a written multiple-choice theory test covering the course material. A minimum score of 70% is required to pass.
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Doporučená literatura
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Gibbon, G. J., Geddes, D. M., Costabel, U., Sterk, P. J., Corrin, B. (2003). Respiratory Medicine. Saunders.
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HARDEN, B., CROSS, J., & BROAD, M. A. Respiratory physiotherapy: An on-call survival guide. Elsevier Health Sciences.
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HOUGH, A. (2014). Physiotherapy in respiratory and cardiac care: an evidence-based approach. Andover.
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CHAITOW, L., BRADLEY, D., GILBERT, CH. (2002). Multidisciplinary approaches to breathing pattern disorders. Edinburg.
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MALIK M., CAMM J. A. (1995). Heart Rate Variability.
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MCCONNELL, A. (2013). Respiratory muscle training: theory and practice. S.l.
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Parrillo, J., E., Dellinger, R. (2008). Critical care medicine: principles of diagnosis and management in the adult. Philadelphia, PA.
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Pryor, J. A. (2002). Physiotherapy for respiratory and cardiac problems: Adults and paediatrics. Edinburgh.
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