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

Pathophysiology applied at Nursing [Matricole pari] (2017/2018)

Course code
4S000090
Credits
9
Coordinator
Roberto Leone

Teaching is organised as follows:
Unit Credits Academic sector Period Academic staff
FARMACOLOGIA GENERALE 2 BIO/14-PHARMACOLOGY INF VR - 1° anno 2° sem Roberto Leone
SEMEIOTICA E FISIOPATOLOGIA 2 MED/09-INTERNAL MEDICINE INF VR - 1° anno 2° sem Francesca Pellini
INFERMIERISTICA CLINICA 3 MED/45-NURSING See the unit page See the unit page
PATOLOGIA GENERALE 2 MED/04-EXPERIMENTAL MEDICINE AND PATHOPHYSIOLOGY INF VR - 1° anno 2° sem Stefano Dusi

Learning outcomes

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MM: FARMACOLOGIA GENERALE
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Aim of the unit of General Pharmacology within the course " Physiopathology applied to Nursing" is to give students the basics related to mechanism and use of drugs, with reference to pharmacodynamics, pharmacokinetics, pharmacoepidemiology and pharmacovigilance. Basic concepts in pharmacology prepare the nurse to the management and surveillance of pharmacological therapies and to educating patient about their medications. The General Pharmacology module is preparatory to the study of each class of drugs, starting from anti-inflammatory and antibacterial drugs. Further knowledge will be gained with the Clinical Pharmacology module.
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MM: SEMEIOTICA E FISIOPATOLOGIA
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The course introduces the student to the understanding of the basic concepts concerning the main diseases and the fundamental pathogenic processes, correlating them to the cellular alterations, of the organ function, of the homeostatic mechanisms, and to the clinical manifestations of the disease. It is also proposed to develop in the student an approach oriented to the definition of problems, to the choice of prevention and management interventions of the alterations of the various vital functions, with discussion of court cases in the classroom
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MM: INFERMIERISTICA CLINICA
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------------------------ MM: Infermieristica clinica 1 ------------------------ The course introduces the student to the basic concepts of major diseases and the fundamental pathogenetic processes correlate to cell changes, the organ function, homeostatic mechanisms, and clinical manifestations of disease. It is also proposed the study of the basic principles of pharmacology, in particular pharmacokinetic and pharmacodynamic mechanisms and introduces the student to understand and assess the benefit and risk profile of medicines. It is also proposed to develop in the student an approach oriented to the definition of the problems, the choice of prevention interventions and alterations management of respiratory function and elimination, the recognition and multidimensional assessment of pain. ------------------------ MM: Infermieristica clinica 2 ------------------------ The course introduces the student to the basic concepts of major diseases and the fundamental pathogenetic processes correlate to cell changes, the organ function, homeostatic mechanisms, and clinical manifestations of disease. It is also proposed the study of the basic principles of pharmacology, in particular pharmacokinetic and pharmacodynamic mechanisms and introduces the student to understand and assess the benefit and risk profile of medicines. It is also proposed to develop in the student an approach oriented to the definition of the problems, the choice of prevention interventions and alterations management of respiratory function and elimination, the recognition and multidimensional assessment of pain.
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MM: PATOLOGIA GENERALE
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Learning Outcomes (knowledge and skills acquired) The course introduces the student to the basic concepts of major diseases and the fundamental pathogenetic processes and allows the student to correlate them to cell changes, organ disfunction, homeostatic mechanisms, and clinical manifestations of disease.

Syllabus

General Pharmacology
Basic principles of Pharmacology. Definition of drug, active substance, pharmaceutical product, vehicle, excipient, placebo effect Evaluation of drugs efficacy: the randomized clinical trial Bioequivalent and biosimilar drugs Italian drug market. International classification of drugs. Basic principles of mechanisms of drug action. Pharmacokinetics Pharmacotherapy Risk/benefit and cost/benefit analyses of drugs. Adverse drug reactions: mechanisms and risk factors. Antibacterial drugs: general issues and characteristics of the main classes of antibacterial drugs. Non-steroidal anti-inflammatory drugs (NSAIDs): epidemiology, pharmacological mechanisms, main therapeutic uses, adverse reactions
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Semeiotic and physiopathology
Fundamental needs of cells. Anemias. Hydroelectrolyte balance of the organism. Semeiotics of hydroelectrolytic imbalances Respiratory system. Outline of semiotics of the Respiratory apparact Cardiovascular system. Semeiotics of the heart. Urinary tract. Digestive system. Outline of semiotics of the digestive system
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Clinical nursing
Urinary phaseout: the signs and symptoms more frequent in urination and major alterations.The collection of a sterile urine sample. Principles of a good sleep habit, physiologic effects of spleeping, the interventions to manage the person with sleep disorders. Breathing: general assessment and definition of the main alterations- The management of oxygen therapy. Pain: pain models, mode of assessment of chronic and acute pain: guiding principles, assess the size of the pain, for measuring instruments. Bowel elimination: the more common signs and symptoms in intestinal disorders and major alterations. Breathing: general assessment and definition of the main alterations. The management of oxygen therapy. The prevention and treatment of bedsores. Venous and capillary blood sample. Emoculture and uroculture sample.
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General Pathology
Concepts of homeostasis and functional reserve of organs. The disease: definition, causes; concept of pathogenesis. • cellular pathology: General concepts: steady state of cells and tissues and its alterations. Amendments of volumetric cells (hypertrophy, atrophy, atrophy) and their causes. General concepts: inflammation as a reaction of the body to harmful agents Types of inflammation. Chronic inflammation. The healing process of a wound: Phases of wound healing: coagulation, formation of granulation tissue scarring. Complications of the healing process. General oncology. The neoplastic cell: structural and functional aspects.The causes of cancer: epidemiological and experimental data. Overview of main carcinogens . Overview of genes involved in the determinism of cancer. Systematics of neoplasms. General Hemostasis. Deficit of hemostatic mechanisms. Thrombosis: General characteristics and pathogenesis of venous and arterial thrombosis; Consequences of thrombosis. Immunology - Immune response: natural immunity and specific immunity. Overview of immune deficiencies - Autoimmunity: causes and and examples of autoimmune diseases. Examples of the most common hypersensitivity reactions.

Assessment methods and criteria

"Physiopathology applied to nursing" learning is assessed by written examination . The test includes 65 multiple-choice questions (1 correct answer out of 4-5 ). 20 questions concerning the module of Clinical Nursing, and 15 are related to each of the 3 modules General Pharmacology, Semeiotics and Physiopathology and General Pathology . The exam is passed when the student answers correctly to at least 11 questions related to Clinical Nursing and 8 concerning each of the other 3 modules.

Reference books
Author Title Publisher Year ISBN Note
Conforti A., Cuzzolin L., Leone R., Moretti U., Pignataro G., Taglialatela M., Vanzetta M. Farmacologia per le professioni sanitarie Idelson-Gnocchi Sorbona 2015 978-88-7947-592-1
Pontieri GM Patologia e Fisiopatologia Generale per i corsi di laurea in professioni sanitarie (ristampa aggiornata) Edizioni Piccin, Padova 2007
Saiani L, Brugnolli A Trattato Cure Infermieristiche Idelson Gnocchi 2014
Marina Vanzetta Roberto Leone Maurizio Volterrani Farmaci e infermiere. Un prontuario per la somministrazione McGraw-Hill Education 2013
Rossi F., Cuomo V., Riccardi C Farmacologia per le professioni sanitarie (Edizione 1) Edizioni Minerva Medica 2014 9788877117878
G.M. Pontieri Elementi di Patologia generale per i corsi di laurea in professioni sanitarie (Edizione 3) Piccin 2012 978-88-299-2130-0




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