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Learning outcomes descriptions A.1.b

Competence description VQTS:

A.1.b Is able to

  • recognise changes in the patient’s/client’s condition using scoring tools and react appropriately,
  • interrelate the patient’s/client’s condition to the clinical picture.    
Competence (EQF)SkillsKnowledge

The professional caregiver is able to autonomously and independently recognise changes in the patient’s/client’s condition and behaviour using scoring tools, interrelate these changes to diseases, and show appropriate reactions regarding care of patient/client.

The professional caregiver is able to:

  • adequately respond to impaired consciousness (e.g. with special care for patients/clients with dementia),
  • determine the patient’s/client’s position on the Glasgow Coma Scale (GCS),
  • assess raised GCS of patients/clients with respect to disorder (e.g. 10 points equates to moderate unconsciousness),
  • asses pain condition using scales (e.g. Behavioural Pain Score),
  • apply an Early Warning Score (EWS) system,
  • apply a Medical Early Response Intervention and Therapy (MERIT) system,
  • apply Cardiac Arrest Triage (CART),
  • detect changes that are attributed to ongoing infusions and transfusions (see also CA.3.2),
  • consider movement restrictions based on diseases and observe their progress,
  • fill in EWS (Early Warning Scores),
  • monitor postoperative and intensive care patients/clients (see also CA.3.4),
  • estimate the sedation state of patients/clients and determine whether adequate sedatives were administered (see also CA.3.2).

The professional caregiver is able to:

  • describe their own competence framework from a legal perspective (e.g. decision-making powers, responsibilities),
  • explain the concept of different sleep depths (e.g. dozing, deep sleep, REM sleep),
  • name abnormalities of consciousness (e.g. dementia, psychosis, coma),
  • name and explain levels of intensity of consciousness disorders (e.g. drowsiness, somnolence, sopor, coma),
  • name the components of the central nervous system (CNS) and the peripheral nervous system (e.g. brain, spinal cord, somatic NS, autonomic NS),
  • describe the anatomy of the CNS (e.g. medulla oblongata, reticular formation, PONS, thalamus),
  • explain the concept of the Glasgow Coma Scale (e.g. 3 – 15 points possible),
  • name measures for disturbances of consciousness (e.g. 10 points corresponds to intubation readiness),
  • name intestinal disorders that can lead to changes (e.g. absorption disorders, worms, hyperthyroidism, cancers, renal insufficiency, gastrointestinal bleeding, diverticulitis, parasites),
  • name disorders from every field that can lead to changes in the patient’s/client’s condition (e.g. intestinal, musculoskeletal, fascial, neurological, psychological disorders),
  • explain pain assessment using Behavioural Pain Score (BPS),
  • explain the concept of Early Warning Scores (EWS),
  • explain the concept of Medical Early Response Intervention and Therapy (MERIT),
  • explain the concept of Cardiac Arrest Triage (CART),
  • name adverse events to medication and transfusion (e.g. thrombophlebitis, transfusion reaction) (see also CA.3.2),
  • explain physiology and pathophysiology of respiration (e.g. respiratory rate, lung function, pulmonary oedema).

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