Pharmacology and the Legal and Psychological Aspects in Nursing in the Assisted Reproduction Service

A Postgraduate Diploma created to offer you the most up-to-date information on Pharmacology and Legal and Psychological Aspects in Assisted Reproduction Services for Nurses"

The main objective of this Postgraduate Diploma is to familiarize the nursing staff of Assisted Reproduction Units with the different pharmacological treatments involved in the different treatments. The different types of drugs currently on the market and the various hormone treatments will be presented.

Secondly, this program will allow you to learn about the psychosocial, behavioral, cognitive and emotional aspects that patients with fertility problems may present. It will also provide the student with specific communication skills so that they are able to identify any psychological and/or emotional needs of patients who come to the reproduction unit, and can implement interventions to provide holistic and comprehensive care.

The final part of the Postgraduate Diploma will qualify students in the important legal field of assisted reproduction, which will provide students with the ability to resolve multiple legal issues, both in matters related to the legality, uses and limits of assisted reproduction techniques, as well as any doubts about the use and approach of informed consents.

With this Postgraduate Diploma you will be able to combine high intensity learning with your professional and personal life, achieving your goals in a simple and real way"

This Postgraduate Diploma in Pharmacology and the Legal and Psychological Aspects in Nursing in the Assisted Reproduction Service offers the characteristics of a high level scientific, teaching and technological course. These are some of its most notable features:

• The latest technology in online teaching software
• A highly visual teaching system, supported by graphic and schematic contents that are easy to assimilate and understand
• Practical cases presented by practising experts
• State-of-the-art interactive video systems
• Teaching supported by telepractice
• Continuous updating and recycling systems
• Autonomous learning: full compatibility with other occupations
• Practical exercises for self-evaluation and learning verification
• Support groups and educational synergies: questions to the expert, debate and knowledge forums
• Communication with the teacher and individual reflection work
• Content that is accessible from any fixed or portable device with an Internet connection
• Supplementary documentation databases are permanently available, even after the course

Acquire the specific competencies of nursing in the field of Assisted Reproduction consultation and perform with the solvency of a high-level professional"

Our teaching staff is made up of professionals from different fields related to this specialty. In this way, TECH makes sure to offer the training update objective it intends. A multidisciplinary team of professionals trained and experienced in different environments, who will develop the theoretical knowledge in an efficient way, but above all, they will bring their practical knowledge from their own experience to the program: one of the differential qualities of this training.

This mastery of the subject matter is complemented by the effectiveness of the methodological design of this Postgraduate Diploma in Pharmacology and the Legal and Psychological Aspects in Nursing in the Assisted Reproduction Service. Developed by a multidisciplinary team of Postgraduate Diploma, it integrates the latest advances in educational technology. In this way, the student will be able to study with a range of comfortable and versatile multimedia tools that will give him the operability he needs in his training.

The design of this program is based on Problem-Based Learning: an approach that conceives learning as a highly practical process. To achieve this remotely, TECH will use telepractice: with the help of an innovative interactive video system and Learning from an Expert, the student will be able to acquire the knowledge as if they were facing the scenario they are learning at that moment. A concept that allows students to integrate and memorize what they have learnt in a more realistic and permanent way.

A training created and directed by professional experts in Assisted Reproduction that turn this Postgraduate Diploma into a unique opportunity for professional growth"

The learning of this Postgraduate Diploma is supported by the best didactic means and the best online resources to guarantee that your efforts will have the best possible results"

The contents of this Postgraduate Diploma have been developed by the different experts involved in the program, with a clear purpose: to ensure that our students acquire each and every one of the necessary skills to become true experts in this field. 

A complete and well-structured program will take you to the highest standards of quality and success.

A comprehensive teaching program, structured in well-developed teaching units, oriented towards learning that is compatible with your personal and professional life" 

Module 1. Pharmacology

1.1. Folliculogenesis Inducer: Clomiphene Citrate 

1.1.1. Introduction
1.1.2. Definition
1.1.3. Mechanism of Action 
1.1.4. Administration and Use 
1.1.5. Side effects:
1.1.6. Advantages and Disadvantages
1.1.7. Results

1.2. Induction of Folliculogenesis with Gonadotropins 

1.2.1. Introduction and Indications 
1.2.2. Types

1.2.2.1. Follicle Stimulants
1.2.2.2. Corpus Luteum Stimulants 

1.2.3. Stimulation with Increasing or Decreasing Doses 
1.2.4. Treatment Results
1.2.5. Complications
1.2.6. Instruction in Self-Administration 

1.3. Ovulation Inducers

1.3.1. Human Chorionic Gonadotropin (hCG) and Recombinant Chorionic Gonadotropin 
1.3.2. Human Menopausal Gonadotropin (hMG)
1.3.3. Recombinant Follicle Stimulating Hormone (FSH) 
1.3.4. Recombinant Luteinizing Hormone (LH)
1.3.5. GnRH Agonists

1.4. Other Hormonal Treatments

1.4.1. Hypothalamic Gonadotropin-Releasing Hormone (GnRH) 

1.4.1.1. Introduction 
1.4.1.2. Mechanism of Action
1.4.1.3. Administration GuidelinePauta de administración
1.4.1.4. Complications

1.4.2. Aromatase Inhibitors

1.4.2.1. Definition and What It Is Used For
1.4.2.2. Mechanism of Action and Mode of Use
1.4.2.3. Administration GuidelinePauta de administración 
1.4.2.4. Types 
1.4.2.5. Advantages and Disadvantages.  

1.5. Use of Gonadotropin Analogues in Assisted Reproduction

1.5.1. Agonists 

1.5.1.1. Introduction and Main Agonists
1.5.1.2. Origin, Chemical Structure and Pharmacodynamic Properties
1.5.1.3. Pharmacokinetics and Method of Administration
1.5.1.4. Effectiveness

1.5.2. Antagonists

1.5.2.1. Types and Mechanism of Action
1.5.2.2. Form of Administration
1.5.2.3. Pharmacokinetics and Pharmacodynamics

1.6. Other Coadjuvant Pharmaceutical Products Used in Assisted Reproduction 

1.6.1. Insulin-Sensitizing Drugs: Metformin
1.6.2. Corticoids
1.6.3. Folic Acid
1.6.4. Estrogens and Progesterone
1.6.5. Oral Contraceptives

1.7. Pharmacological Support of the Luteal Phase in In Vitro Fertilization

1.7.1. Introduction
1.7.2. Ways to Treat Luteal Phase Deficit

1.7.2.1. Luteal Support with hCG
1.7.2.2. Luteal Phase Supplementation with Progesterone
1.7.2.3. Luteal Phase Supplementation with Estrogens 
1.7.2.4. Luteal Phase Maintenance with GnRH Agonists 

1.7.3. Controversies 
1.7.4. Conclusions 

1.8. Complications of Ovarian Stimulation: Ovarian Hyperstimulation Syndrome (OHSS).

1.8.1. Introduction 
1.8.2. Pathophysiology. 
1.8.3. Symptomatology and Classification 
1.8.4. Prevention
1.8.5. Treatment 

1.9. Commercial Presentations in Fertility Treatments 

1.9.1. Ovitrelle®, Elenva®, Ovaleap®, Porgoveris®, Bemfola®, Monopur®, Gonal®, Puregon®, Fostipur®, HMG-Lepori®, Decapeptyl®, Cetrecide®, Orgaluntan® 

1.10. Anesthetic Management in Assisted Reproduction 

1.10.1. Introduction
1.10.2. Local Anesthesia 
1.10.3. Opioids
1.10.4. Benzodiazepines 
1.10.5. Inhalation and Intravenous General Anesthesia: Nitrous Oxide, Halogenated and Propofol  
1.10.6. Regional Anesthesia
1.10.7. Conclusions

Module 2. Psychological Support and Special Situations in Assisted Reproduction

2.1. Psychology of Human Reproduction

2.1.1. Reproductive Physiology
2.1.2. Human Sexuality: Functional and Dysfunctional
2.1.3. Definition of Sterility/Infertility
2.1.4. Infertile Couple Support
2.1.5. Annex ISES (Scale)

2.2. Assisted Human Reproduction Psychology

2.2.1. Beliefs about Assisted Reproduction
2.2.2. Psychological, Emotional, Behavioral, Cognitive and Emotional Aspects of Assisted Reproduction
2.2.3. Psychological Aspects of Genetic Studies  
2.2.4. Psychological and Emotional Repercussions of Reproductive Treatments  
2.2.5. Awaiting Results  
2.2.6. Families Resulting from Assisted Reproduction  

2.2.6.1. Family Types and Emotional Nursing Support  

2.3. Recurrent Gestational Loss  

2.3.1. Causes

2.3.1.1. Stress.

2.3.2. Social, Cultural and Religious Beliefs  
2.3.3. Possible Reactions to Repeat Abortion 
2.3.4. Psychological, Cognitive-Behavioral Repercussions of Abortion 
2.3.5. Psychosomatic Repeat Miscarriage 
2.3.6. Intervention in Repeat Abortions 
2.3.7. Indication for Psychotherapy: Nursing Support in Psychotherapy  

2.4. Psychosocial Approach in Gamete Donation 

2.4.1. Interviewing Gamete Donor Candidates  

2.4.1.1. Qualitative Assessment 
2.4.1.2. Quantitative Valuation
2.4.1.3. Behavioral Assessment
2.4.1.4. Psycho-Technical Evaluation

2.4.2. Gamete Donation Candidate Evaluation Report 

2.4.2.1. Re-evaluation 

2.4.3. Gamete Recipient Families

2.4.3.1. Myths and Beliefs about Gamete Donation 
2.4.3.2. Frequently Asked Questions  
2.4.3.3. Disclosure of Origins According to Family Models 

2.5. Assisted Reproduction Nursing Consultation: Psychosocial Approach 

2.5.1. Holistic Counseling and Treatment in Assisted Reproduction Nursing 
2.5.2. Primary Health Care Role of the Infertile Couple  

2.5.2.1. Target Population Recruitment 
2.5.2.2. Initial Interview: Reception, Information, Orientation, Referral to Other Professionals. 

2.5.3. Management of Communication with Assisted Reproductive Technologies Patients.  

2.5.3.1. Communicative Skills. 
2.5.3.2. Nurse-Patient Interpersonal Relationship
2.5.3.3. Emotional Patient Care in Assisted Reproduction 

2.5.3.3.1. Detection of Emotional Problems in the Interview with the Patient
2.5.3.3.2. Intervention and Prevention Strategies 
2.5.3.3.3. Support Groups 

2.5.4. Principal Nursing Diagnoses (NANDA), Interventions (NIC) and Outcomes (NOC) in the Emotional Process of Assisted Reproduction.  

2.6. Special Situations 

2.6.1. Reproductive Approach in the Oncology Patient  

2.6.1.1. How Does Cancer Treatment Affect Fertility? 
2.6.1.2. When is it Necessary to Preserve Fertility? 
2.6.1.3. Limits Fertility Preservation 

2.6.2. Fertility Preservation in Oncology Patients  

2.6.2.1. Ovarian Stimulation for Fertility Preservation in Oncology Patient 
2.6.2.2. Preservation Methods: 

2.6.2.2.1. Cryopreservation: Oocytes, Embryos and Ovarian Tissue 
2.6.2.2.2. Hormone Therapy 
2.6.2.2.3. Ovarian Transposition 

2.6.3. Fertility Preservation in Oncology Patients 

2.6.3.1. Preservation Methods: 

2.6.3.1.1. Cryopreservation of Semen
2.6.3.1.2. Cryopreservation of Testicular Tissue
2.6.3.1.3. Hormone Therapy 

2.6.4. Reproductive Approach and Preservation in Patients with Sex Change.

2.7. Nutritional Advice in Assisted Reproduction  

2.7.1. Nutrition and Infertility. Lifestyle

2.7.1.1. Obesity
2.7.1.2. Hormonal Problems

2.7.1.2.1. Hypothyroidism/Hyperthyroidism 
2.7.1.2.2. Diabetes Mellitus 
2.7.1.2.3. SOP
2.7.1.2.4. Endometriosis 

2.7.2. Foods Recommended/disadvised Before and During Assisted Reproduction Treatment  

2.7.2.1. Role of Vitamins 
2.7.2.2. Role of Minerals

2.7.3. Myths and Truths About Feeding in Assisted Reproduction  
2.7.4. Examples of Diet  

2.8. Grief in Assisted Reproduction  

2.8.1. Concept of Grief 
2.8.2. Types of Grief in Assisted Reproduction:  

2.8.2.1. Infertility Bereavement  
2.8.2.2. Mourning the Loss of the Invisible 
2.8.2.3. Gestational Bereavement 
2.8.2.4. Duel for Unsuccessful Implementations
2.8.2.5. Perinatal Bereavement

2.8.3. Therapeutic Advice for Overcoming Grief 
2.8.4. Care Plan in the Bereavement Process

2.9. Assisted Reproduction Failure: New Alternatives

2.9.1. Adoptions
2.9.2. Childless Family.

Module 3: Legal and Ethical Aspects in Assisted Reproduction 

3.1. Assisted Reproduction Before the Law 

3.1.1. Introduction and Key Concepts to be Defined
3.1.2. Law 14/2006 on Assisted Human Reproduction Techniques in Spain: Key Points to Highlight. 
3.1.3. Rights and Duties of Users Undergoing Assisted Reproductive Technology 

3.1.3.1. Women's Rights
3.1.3.2. Right of the Partner or Husband 
3.1.3.3. Donor Rights and Obligations 
3.1.3.4. Female Couple 
3.1.3.5. Filiation of Children Born Through Assisted Reproductive Techniques  
3.1.3.6. Transsexuality and Fertility Preservation 

3.2. Informed Consents, Law 41/2002 Respect for Patient Autonomy 

3.2.1. What Should a Consent Form Look Like, When and Who Should Give It, What Are Its Limits, and How Long Should We Keep It? 
3.2.2. Examples of Consents Used in Assisted Reproduction  
3.2.3. Presentation of Case Studies on the Utility and Use of Informed Consents  

3.3. Portfolio of Services Offered by Our National Social Security System in Assisted Reproduction  

3.3.1. Types of Treatments Offered
3.3.2. General Access Criteria and Exclusion Criteria 
3.3.3. Specific Access Criteria for Each of the Offered Techniques 

3.4. Ethical and Legal Approach to Surrogacy 

3.4.1. Definition and Current situation in Spain 
3.4.2. Ethical Debate For or Against. Breakdown of Points 

3.5. Ethical Issues and Approaches 

3.5.1. What are the Ethical Aspects to be Taken into Account in the Daily Practice of Infertility Treatments? 
3.5.2. Ethical Limits to Treatment 
3.5.3. Advanced Maternal Age Under Debate
3.5.4. Religious and Cultural Tendencies of Users as Influencing Factors in Undergoing Assisted Reproductive Techniques 
3.5.5. Embryo Donation and Destruction: Ethical and Legal Issues 
3.5.6. Growth of Assisted Reproduction as a Private Business - Access for All? 

3.6. Assisted Reproduction Research 

3.6.1. Biomedical Research Law 14/2007, Application and General Principles. 
3.6.2. Donation and Use of Human Gametes and Preembryos 

3.6.2.1. Procurement of Cells of Embryonic Origin
3.6.2.2. Donation of Human Embryos and Fetuses 
3.6.2.3. Donation Requirements

3.6.3. Genetic Analysis and Biological Samples 
3.6.4. Biobanks 

3.7. Legislation on Assisted Reproduction in Other Countries of the European Union. Why Do So Many Foreigners Come to Our Country? 
3.8. Mandatory European Guidelines

A unique, key, and decisive training experience to boost your professional development”