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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