Identifying Data 2023/24
Subject (*) Medical-Surgical Conditions in Adult Patients Code 653G01301
Study programme
Grao en Terapia Ocupacional
Descriptors Cycle Period Year Type Credits
Graduate 1st four-month period
 Third Obligatory 7
Language
Spanish
Galician
Teaching method Face-to-face
Prerequisites
Department Fisioterapia, Medicina e Ciencias Biomédicas
Coordinador
Crespo Leiro, María Generosa
 E-mail
maria.generosa.crespo.leiro@udc.es
Lecturers
Blanco García, Francisco Javier
Crespo Leiro, María Generosa
Lorenzo López, Laura
Maseda Rodríguez, Ana Belén
Reimunde Figueira, Pedro
 E-mail
f.blanco1@udc.es
maria.generosa.crespo.leiro@udc.es
laura.lorenzo.lopez@udc.es
ana.maseda@udc.es
pedro.reimunde@udc.es
Web http://www.udc.es/fcs
General description Esta materia pretende o desenvolvemento de competencias que permitan ao alumnado comprender e aplicar os coñecementos relacionados coas afeccións médico cirúrxicas do adulto que orixinan disfunción ocupacional. Descritores: Coñecemento do proceso fisiopatolóxico en todos os momentos do ciclo vital, identificando os problemas e aspectos clínicos, preventivos e terapéuticos da persoa, tanto na saúde como na enfermidade. Coñecementos Médicos e Cirúrxicos aplicables ao ser humano en todos os momentos do ciclo vital (adulto) que capaciten para avaliar, sintetizar e aplicar tratamentos de Terapia Ocupacional.

Study programme competencies
Code Study programme competences
A1 Explicar la relación entre el funcionamiento ocupacional, la salud y el bienestar.
A3 Sintetizar y aplicar el conocimiento relevante de ciencias biológicas, médicas, humanas, psicológicas, sociales, tecnológicas y ocupacionales, junto con las teorías de ocupación y participación.
B2 Resolver problemas de forma efectiva.
B4 Trabajar de forma autónoma con iniciativa.
B5 Trabajar de forma colaborativa.
B8 Capacidad de análisis y de síntesis.
B10 Conocimientos básicos de la profesión.
B12 Conocimientos generales básicos sobre el área de estudio.
B13 Resolución de problemas.
B28 Toma de decisiones.
C1 Expresarse correctamente, tanto de forma oral como escrita, en las lenguas oficiales de la comunidad autónoma.

Learning aims
Learning outcomes Study programme competences
Knowledge and ability to apply Pathophysiology within the context of Occupational Therapy. A1
A3
 B2
B10
B12
B13
B28
Knowledge and ability to apply Medical Pathology within the context of Occupational Therapy. A1
 B2
B4
B8
 C1
Knowledge and ability to apply Surgical Pathology within the context of Occupational Therapy. A1
 B2
B4
B5
B8
 C1

Contents
Topic Sub-topic
Rheumatology block. Medical Diseases of the Locomotor System

 1.Inflammatory joint diseases. Rheumatoid arthritis.
2.Spondyloarthropathies. Ankylosing spondylitis. Psoriatic arthropathy and others.
3.Microcrystal arthropathies. Gout and Pseudogout
4.Osteoarthritis of the spine and limbs.
5.Generalized bone diseases. Osteoporosis. Osteomalacia. Paget's disease of bone. Renal osteodystrophy.
Neurology Block

 1.Coma and disorders of consciousness.
2.Infections of the central nervous system.
3.Epilepsy.
4.Alcoholism and central nervous system.
5. Amyotrophic Lateral Sclerosis (ALS).
Cardiovascular and Respiratory Pathology Block

 1.Arteriosclerosis. High blood pressure.
2.Ischemic heart disease. Other heart diseases.
3.Heart failure.
4.Respiratory failure. Types. Chronic obstructive pulmonary disease (COPD). Occupational lung diseases.
5.COVID-19 and Post-COVID-19 Syndrome.
Miscellaneous Pathology Block
 1.Infectious diseases. Antimicrobial therapy. Immunizations. Tuberculosis. Human Immunodeficiency Syndrome.
2.Diabetes mellitus: types. Acute and chronic complications
3.Chronic liver disease: cirrhosis.
4.Chronic renal failure.
5.Major hematopoietic syndromes: anemia. Hemophilia. Oncology: causes, epidemiology and prevention Extension diagnosis and therapeutic strategies. Palliative care.
Surgical Pathology Block 1.Lymphatic system and lymphedema.
2.Breast pathology: Breast nodule. Types. Benign or malignant? Breast cancer. Surgical treatment and its complications. Breast reconstruction after mastectomy. Early or late reconstruction. Types of reconstruction.
3.Approach to the polytraumatized patient. ABC. Sequential phases of treatment. Damage control surgery. Traumatic brain injury (TBI) and its medical-surgical treatment.
4.Spondyloarthritic pathology with special emphasis on low back pain and cervicalgia. Medical-surgical treatment. Physical exercise in patients with low back pain and cervicalgia.
5.Urinary incontinence. Concept and epidemiology. Physiology of urination. Classification and types. Risk factors. Diagnosis and treatment.

Planning
Methodologies / tests Competencies Ordinary class hours Student’s personal work hours Total hours
Guest lecture / keynote speech A1 A3 B8 B10 B12 B28 27 17 44
Case study B2 B4 B5 B8 B13 C1 94 0 94
Objective test B2 B8 B12 B13 B28 0 32 32
 
Personalized attention 5 0 5
 
(*)The information in the planning table is for guidance only and does not take into account the heterogeneity of the students.

Methodologies
Methodologies Description
Guest lecture / keynote speech The master class is also known as "lecture", "expository method" or "master lesson". This last modality is usually reserved for a special type of lesson given by a teacher on special occasions, with a content that supposes an original elaboration and based on the almost exclusive use of the word as a means of transmitting information to the audience.
Case study Methodology where the subject is faced with the description of a specific situation that poses a problem that has to be understood, valued and solved by a group of people, through a process of discussion. The student is faced with a specific problem (case), which describes a real situation of professional life, and must be able to analyze a series of facts, referring to a particular field of knowledge or action, to reach a reasoned decision through a process of discussion in small working groups.
Objective test Written test used for the assessment of learning, whose distinctive feature is the possibility of determining whether the answers given are correct or not. It is a measurement instrument, rigorously developed, that allows to evaluate knowledge, capacities, skills, performance, aptitudes, attitudes, intelligence, etc. It is applicable for diagnostic, formative and summative evaluation.

The objective test can combine different types of questions: multiple choice, ordering, short answer, discrimination, completion and/or association questions. It can also be built with only one type of one of these questions.

Personalized attention
Methodologies
Guest lecture / keynote speech
Objective test
Case study
Description
Personalized attention will be done, globally, through direct and virtual personalized tutorials, individual and group.

STUDENTS WITH RECOGNITION OF PART-TIME DEDICATION AND ACADEMIC EXEMPTION FROM ATTENDANCE, as established to "Rule that regulates the regime of dedication to the study of undergraduate students at the UDC" (Art.3.b and 4.5) and the "Rules of evaluation, review and claim of the qualifications of undergraduate studies and university master's degree (Art. 3 and 8b), students may request tutorials with the teaching staff of the subject whenever they need it, facilitating the face-to-face or virtual mode according to the availability of the student.

Assessment
Methodologies Competencies Description Qualification
Guest lecture / keynote speech A1 A3 B8 B10 B12 B28 The student's attention, their intervention in class and fundamentally their attendance are evaluated. 10
Objective test B2 B8 B12 B13 B28 It will be a single exam with all parts of the subject. The exam will be multiple choice test type and with only one correct answer. Each teacher will contribute the number of questions corresponding to the part that corresponds to him and the number of questions will be proportional to the amount of material taught. 70
Case study B2 B4 B5 B8 B13 C1 Continuous evaluation through presentation of topics and activities to be developed in the interactive teaching groups and reduced working groups. 20
 
Assessment comments

STUDENTS WITH RECOGNITION OF PART-TIME
DEDICATION AND ACADEMIC EXEMPTION FROM ATTENDANCE, as established by the
"Norm that regulates the regime of dedication to the study of
undergraduate students at the UDC" (Art.3.b and 4.5) and the "Rules
of evaluation, review and claim of the qualifications of the undergraduate and
master's degree studies (Art. 3 and 8b), the qualification referred to
classroom attendance, will be
replaced by the realization of a practical work linked to said training. In
addition, in personalized tutorials they will be explained the work done in the
classroom so that they can do it properly at home.

Important supervised works:-The fraudulent
performance of the tests or evaluation activities, once verified, will directly
imply the loss of the right to the opportunity in which the fault is committed
and with respect to the matter in which it was committed. Qualification of suspense in the
call in which the lack is committed and respect for the subject in which it was
committed: the student will be qualified with "suspense" (numerical
grade 0) in the corresponding call of the academic year, both the commission of
the fault occurs in the first opportunity and in the second. For this, their
qualification will be modified in the first chance certificate, if necessary.

As
stated in the different regulations applicable to university teaching, the
gender perspective must be incorporated in this matter (non-sexist language
will be used, bibliography of authors of both sexes will be used, the intervention
in class of students will be encouraged ...). Work will be done to identify and
modify prejudices and sexist attitudes and influence the environment to modify
them and promote values of respect and equality. Situations of discrimination
based on gender should be detected and actions and measures proposed to correct
them.

Sources of information
Basic Farreras-Rozman (2020). Medicina Interna, XIX Edición. Elsevier
Francisco J Blanco y Jesus Tornero (2020). Tratado de Enfermedades Reumaticas de la SER. Madrid: Editorial Medica Panamericana

CARDIOVASCULAR AND MISCELANEOUS BIBLIOGRAPHY: 

Harrison Manual de Medicina, 2020. 20 edición.  Editores: J. Larry Jameson, Anthony S. Fauci, Dennis L. Kasper, Stephen L. Hauser, Dan L. Longo, Joseph Loscalzo

 Sección 6. Hematologia y Ondologia; Sección 7. Enfermedades Infecciosas; Sección 8. Cardiologia; Sección 9: Neumologia


NEUROLOGY BIBLIOGRAPHY: Vázquez-Sánchez F, García-López B. Manual de Neurología para Terapia Ocupacional. Madrid-España: Editorial Médica Panamericana SA; 2023.

SURGICAL PATHOLOGY BIBLIOGRAPHY: 1. Abbad CM, Rial R, Ballesteros MD, García C. Guías de práctica clínica en enfermedad venosa crónica. Torrejón de Ardoz: iD-Médica; 2015. Disponible en: http://www.capitulodeflebologia.org/media/Guias-Practica-Clinica-Enfermedad-Venosa-Cronica_431.pdf 2. Guía de práctica clínica. Consenso sobre úlceras vasculares y pie diabético de la Asociación Española de Enfermería Vascular y Heridas (AEEVH). Disponible en: http://www.aeev.net/pdf/AEEV%2035%20.pdf 3. Guía Española de Consenso Multidisciplinar en Enfermedad Arterial Periférica de Extremidades inferiores. Suárez C, Lozano FS, coordinadores. Madrid: Luzán5; 2012. Disponible en: https://www.fesemi.org/sites/default/files/documentos/publicaciones/guia-consenso-enfermedad-arterial-periferica.pdf 4. Manual de Práctica Clínica en Senología 2015. Sociedad Española de Senología y Patología Mamaria. Disponible en: http://new.sespm.es/archivos/MANUAL-SESPM-2015.pdf 5. Aspectos destacados de la actualización de las Guías de la AA para RCP y ACE de 2015. American Heart Association, 2015. Disponible en: https://eccguidelines.heart.org/.../2015/.../2015-AHA-Guidelines-Highlights-Spanish.pdf 6. Manejo del paciente politraumatizado en el ámbito prehospitalario. Boletín de Información Farmacoterapéutica de navarra. Vol 16 (3); 2008. Disponible en: https://www.navarra.es/home_es/Temas/Portal+de+la+Salud/Profesionales/Documentacion+y+publicaciones/Publicaciones+tematicas/Medicamento/BIT/Vol+16/BIT+16+3.htm 6.PAS-Pautas actuación y seguimiento. Incontinencia urinaria. Coordinador general: Lozano J. Organización Médica Colegial. ISBN: 978-84-7867-243-1. Disponible en: https://www.ffomc.org/sites/default/files/PAS%20IU-MONOGRAFIA.pdf

Complementary


Recommendations
Subjects that it is recommended to have taken before

Subjects that are recommended to be taken simultaneously

Subjects that continue the syllabus

Other comments
To achieve a sustainable immediate environment and meet the strategic objective 2 of the fifth Plan of sustainability - environmental Green Campus FCS 2023-2025, the documentary work carried out on this subject: 
 a. Will be mostly requested in a virtual format and computer support 
 b. If paper is used: 
 -Do not use plastics 
 -Use double-sided printing 
 -Use recycled paper 
 -Prevent the realization of drafts


(*)The teaching guide is the document in which the URV publishes the information about all its courses. It is a public document and cannot be modified. Only in exceptional cases can it be revised by the competent agent or duly revised so that it is in line with current legislation.