Universitat Internacional de Catalunya
Physiotherapy for Critically Lll Patients
Other languages of instruction: English, Spanish,
Teaching staff
Dr. Márcio Donadio mdonadio@uic.es
Introduction
We define a critical patient as a patient who has an acute illness or is in a phase of exacerbation of a disease considered chronic and who manifests signs and symptoms that globally generate a maximum response from the patient's body, leading to a situation of risk.
We can find this type of patient in a wide group of populations, such as from childhood patients to elderly patients, and on the other hand, we can find them from different origins or causes. The focus of attention occurs in the intensive care unit, in which semiology, invasive or non-invasive mechanical ventilation and physiotherapeutic intervention are of fundamental importance.
The aim of this course is to provide the student with comprehensive training from a theoretical point of view of the different aspects that can be found when dealing with patients in critical condition, in the acute or chronic phase, as well as to train the skills that allow a physiotherapeutic approach for prevention and treatment.
Pre-course requirements
There are no previous requirements.
Objectives
• To know the different population groups in which we can find critically ill patients.
• To know the procedures for the prevention of respiratory complications in critically ill patients and their treatment.
• To establish physiotherapeutic interventions for the treatment of the critical or semi-critical patients.
• To know the guidelines and/or protocols related to semiology, oxygen therapy and artificial ventilation in the intensive care unit.
• To know the main populations in which we can find critical patients and what should be the role of physiotherapy.
Competences/Learning outcomes of the degree programme
- 01 - The ability to analysis and synthesis.
- 02 - The ability to organise and synthesize
- 09 - Demonstrate critical thinking skills.
- 10 - Develop autonomous learning skills.
- 15 - Demonstrate a concern for quality.
- 18 - Demonstrate a patient-centered approach by showing respect for the central role of the individual and his/her needs in decision-making.
- 28.3 - Show respect, appreciation and sensitivity towards the work of others.
- 30.1 - Teamwork skills.
- 37.4 - adhere to professional competencies and standards in health care
- 43 - Knowledge of physiotherapeutic procedures based on techniques and methods specific to physiotherapy interventions applied to the various disorders of all systems and medical and surgical specialisations, as well as health promotion and disease prevention.
- 48 - Ability to establish a physiotherapeutic diagnosis according to international norms and using internationally validated assessment tools.
- 49 - Ability to design a physiotherapy treatment plan.
- 53 - Capacity to participate within the areas of health promotion and disease prevention.
Learning outcomes of the subject
With the acquired knowledge, the student will be able to evaluate the most frequent functional alterations in critical patients, including complementary exams such as chest X-ray and arterial gasometry.
It will also bring you to know the most frequent pathologies and disorders that affect critical patients and their prognosis, as well as the goals and the therapeutic approach from physiotherapy.
Know the basic principles of oxygen therapy, non-invasive mechanical ventilation and invasive mechanical ventilation.
Finally, will get to know the limits of its performance and the importance of work in team with other professionals in an intensive care unit.
Syllabus
1. Fundamental bases of the critical patient concepts
2. Determination of the main deficiencies and disabilities present in the different populations of critical patients and areas of action.
3. Evaluation and approach to the critical patient in the Intensive Care Unit
4. Oxygen therapy
5. Non-invasive mechanical ventilation
6. Invasive mechanical ventilation
7. Skills and Procedures in the critical patient. Physiotherapeutic treatment in the intensive care unit.
Teaching and learning activities
In person
This discipline will be held mainly in pearson, with classes at the University classrooms, conducting theoretical and practical seminars. The methodology used will be the lecture, cooperative learning and the resolution of exercises and problems proposed in class.
The student must carry out self-learning activities. The methodology used will be the learning contract in order to develop the student's autonomous learning.
Independent study from students will be carried out in a non-face-to-face way.
Evaluation systems and criteria
In person
The final mark for this course will consist of the marks earned from the activities described below:
Evaluation Method
IN-PERSON WORKS (30%):
1. Delivery of a theoretical activity related to oxygen therapy.
2. Delivery of a theoretical activity regarding non-invasive ventilation and physiotherapy.
3. Delivery of a theoretical activity regarding the early mobilization of critical patients.
CONTINUOUS EVALUATION (10%):
Carrying out the activities planned during the classes and active participation in class.
FINAL EXAM (60%):
Test of 30 to 50 multiple choice questions.
The grading system is in accordance with the current regulations. Currently, according to RD 1125/2003 of September 5.
0 to 4.9: Fail/F (Suspenso in Spanish)
5.0 to 6.9: Pass/C (Aprobado in Spanish).
7.0 to 8.9: B (Notable in Spanish)
9.0 to 10: A (Sobresaliente in Spanish)
Bibliography and resources
Frendl, Gyorgy. Cuidados intensivos de bolsillo. L'Hospitalet de Llobregat, Barcelona: Lippincott Williams & Wilkins, D.L. 2013
Varon, Joseph. Cuidados intensivos. Barcelona [etc.]: Mosby/Doyma Libros, cop. 1995.
Fernández Ayuso, David. Cuidado integral del paciente crítico de la extrahospitalaria a la UCI. Barcelona: Elsevier Masson, cop. 2008.
Chiappero, Guillermo Ricardo. Ventilación mecánica: libro del Comité de Neumonología Crítica de la SATI. Buenos Aires: Médica Panamericana, 2010.
Souza, Leonardo Cordeiro de. Fisioterapia intensiva. Bogotá: Distribuna, cop. 2012.
Cristancho Gómez, William. Fundamentos de fisioterapia respiratoria y ventilación mecánica. Manual Moderno, 3ª edición, 2015.
Evaluation period
- E1 26/02/2025 A16 08:00h
- E2 02/07/2025 I3 10:00h