Bachelor's degree in Nursing (to qualify as a nurse) (Legnago)

Clinical nursing care in medical area - MEDICINA INTERNA

Course code
Name of lecturer
Francesco Bertoldo
Number of ECTS credits allocated
Academic sector
Language of instruction
INF LEG - 2° anno 1° sem dal Oct 3, 2016 al Dec 22, 2016.

To show the organization of the course that includes this module, follow this link * Course organization

Lesson timetable

INF LEG - 2° anno 1° sem

Not inserted.

Learning outcomes

Teaching focuses on assisting patients with chronic medical problems during stability and instability (hypertension, heart failure, cardiovascular risk factors, rheumatoid and hematological pathology). The approach considers the contents and modes of care to trigger specific self-behaviors, considering that most patients with chronic illness live at home and hospitalization time is very short. Patient problems will be addressed considering their evolution, reasoned patient evaluation, and choice of care based on the patient's evidences, appropriateness and needs. Instability / exacerbation will be addressed through a welfare protocol. This Teaching is built on the knowledge of the 1st year of nursing, physiology, pathophysiology and general pathology. Content is linked to the next two forms of community therapeutic and nursing education for the early resignation trend and need for support at discharge


The program for the academic year 2016-17 envisages the following topics:
Cardiovascular risk factors in particular: dyslipidemia and atherosclerosis, obesity
Heart failure
Rheumatology: general classification and pain in rheumatology
Degenerative pathologies: osteoarthritis
And inflammatory diseases: rheumatoid arthritis, LES, scleroderma, Sjogren
Anemia. Caries, loss, thalassemia, hemolytic anemia, and iporigenerative
Hemorrhagic syndromes: factor V and VIII deficiency, intravascular coagulation disseminated
• Arterial hypertension
The picture of arterial hypertension will be presented and its grading according to the latest international guidelines. Practical examples of possible pitfalls will be discussed in the measurement and monitoring modes. Practical examples will be presented and discussed with the cynical relapse of hypertension and urgency and hypertensive emergencies. It will be mentioned in the rationale for therapy and choice of drug
• Cardiovascular risk factors: atherosclerosis
The modern concept of integrated cardiovascular risk and the weight of the individual risk factors will be presented, especially in the case of dyslipidemia and overweight. In the latter case, the method of assessing overweight and obesity will be presented, such as the different evaluation methods ( Weight, BMI, body composition, body fat distribution, waist circumference).
• Heart failure:
Clinical manifestations and symptoms and signs of heart failure will be presented, with their physiopathological bases. The basic elements will be described in order to evaluate the severity of the basic hygiene procedure and the principles of therapy, for its management both in chronic and urgent condition.
• Rheumatology:
A general framework for the patient with osteoarthritis and a description of the various components of the pain will be proposed. The main drawings (clinical risk factors and typical dental factors, diagnostic principles and differential diagnostics) related to osteoarthritis, rheumatoid arthritis, LES, SJogren's disease and connective tissues will be discussed. A well-documented clinical typography will be presented and discussed That of concomitant radiological imaging to provide the clinical features of the BPs clinical perception and the perception of the clinical commitment of the patient underlying the counseling.
The clinical and symptomatic picture of anemia will be framed and the elements to judge its severity and urgency will be presented with the main forms of anemia with particular forms of anemia. Sideropenic and folic acid shapes and B12 are also illustrated by the forms related to food shortages and related to the different types of diet. The transfusion need will be illustrated in the context of good blood use. For defit forms a summary of emglobin will be described in particular thalassemia given the epidemiological impact of the territory. Finally, hemolytic forms will be mentioned.
Hemorrhagic diseases
The picture of hemorrhagic diseases will be presented, in particular, hemo-coagulative diseases such as various forms of hemophilia and vonWillebrand's disease with characteristic clinical frameworks and management principles. The typical clinical picture of a chronic acute and chronic intravascular coagulation is unusual, so common in a hospital clinical setting (pathogenesis, clinical frameworks and management disorders).
For each lesson topic, a space for interactive discussion on the proposed theme is left.

Reference books
Author Title Publisher Year ISBN Note
Dennis L. Kasper, Eugene Braunwald, Anthony Fauci, Stephen Hauser, Dan Longo, J. Larry Jameson Harrison - Principi di Medicina Interna.2 voll. (Edizione 19) McGraw-Hill, Milano 2015
Antonelli Incalzi Raffaele Medicina Interna perScienze infermieristiche PICCIN 2012 978-88-299-2114-0

Assessment methods and criteria

The examination will be carried out by multiple-choice tests (25 questions with four possible answers) and the possibility of integration both written and oral


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