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

Clinical nursing care in medical area [Matricole dispari] (2017/2018)

Course code
4S000100
Credits
8
Coordinator
Elena Anselmi

Teaching is organised as follows:
Unit Credits Academic sector Period Academic staff
MALATTIE CARDIOVASCOLARI 1 MED/11-CARDIOVASCULAR DISEASES INF VR - 2° anno 1° sem Flavio Luciano Ribichini
INFERMIERISTICA CLINICA MEDICA 2 MED/45-NURSING INF VR - 2° anno 1° sem Elena Anselmi
PNEUMOLOGIA 1 MED/10-RESPIRATORY DISEASES INF VR - 2° anno 1° sem Diego Giongo
MEDICINA INTERNA 2 MED/09-INTERNAL MEDICINE INF VR - 2° anno 1° sem Luca Giuseppe Dalle Carbonare
ONCOLOGIA MEDICA 1 MED/06-MEDICAL ONCOLOGY INF VR - 2° anno 1° sem Giampaolo Tortora
MALATTIE INFETTIVE 1 MED/17-INFECTIOUS DISEASES INF VR - 2° anno 1° sem Zeno Bisoffi

Learning outcomes

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MM: MALATTIE CARDIOVASCOLARI
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To provide the basis of the principal cardiovascular diseases, their clinical presentation and diagnostic methods.
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MM: INFERMIERISTICA CLINICA MEDICA
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The teaching focuses on chronical diseased patient’s caring, in stability and instability phases (hearth deficit, IMA and angina, BPCO and asthma). The approach considers caring contents and modalities aiming at activate particular self-caring behaviors, considering that most of chronical diseased patients live in a residence and they stay in hospitals for very short time. Patient’s problems will be token on considering their evolution, the patient’s rational evaluation and the choice of helpful caring based on evidences, pertinence and patient’s needs. Instability/worsen again will be token on with a caring protocol. The patient’s disease’ impact and past lived will be considered; the rehabilitation and palliative aspects concerning symptom’s advanced stages (dyspnea) will be explored. This teaching is based on 1st year’s caring (breath evaluation, hypoxia’s symptoms and meanings, dyspnea, O2 therapy’s precepts, nursing precepts, surveillance), physiology, physiopathology and general pathology knowledges. Contents are connected with the next two modules: therapeutic education and community nursing aim to manage with praecox demission’s trend and the demission’s moment’s necessity.
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MM: PNEUMOLOGIA
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The course objective is to provide the student with a strong knowledge basis on the main pathologies in the pulmonary field, as well as concepts on diagnostics for clinical and instrumental assessment. Particular attention will be given to the nursing aspects fo the topics addressed by the course.
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MM: MEDICINA INTERNA
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Main educational objectives: - learning the capacity of recognizing and describing the main signs and symptoms of the diseases object of the course - being able to highlight in the interrelationship with the patient, the major points necessary to orient the diagnostic iter It is explected by the student at the end of the teaching cours to be able to design an appropriate flow-chart for diagnostic and therapeutic procedures on the basis of an appropriate anamnestic, etiopathogenetic, clinical and diagnostic approach to define the therapeutic strategies and prognostic expenctancies.
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MM: ONCOLOGIA MEDICA
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Four main learning outcomes will be pursued, as follows: • To know and critically put in the context the principles of Medical Oncology and Palliative Care. • Know the main symptoms of organ tumors and related diagnostic procedures. • Knowing the goals of treatment, and specific strategies (principles of chemotherapy, radiotherapy, targeted therapies). • Learn about the support network and be able to refer the patient in the most suitable location. The teaching focuses on chronical diseased patient’s caring, in stability and instability phases (hearth deficit, IMA and angina, BPCO and asthma). The approach considers caring contents and modalities aiming at activate particular self-caring behaviors, considering that most of chronical diseased patients live in a residence and they stay in hospitals for very short time. Patient’s problems will be token on considering their evolution, the patient’s rational evaluation and the choice of helpful caring based on evidences, pertinence and patient’s needs. Instability/worsen again will be token on with a caring protocol. The patient’s disease’ impact and past lived will be considered; the rehabilitation and palliative aspects concerning symptom’s advanced stages (dyspnea) will be explored. This teaching is based on 1st year’s caring (breath evaluation, hypoxia’s symptoms and meanings, dyspnea, O2 therapy’s precepts, nursing precepts, surveillance), physiology, physiopathology and general pathology knowledges. Contents are connected with the next two modules: therapeutic education and community nursing aim to manage with praecox demission’s trend and the demission’s moment’s necessity.
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MM: MALATTIE INFETTIVE
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The teaching is focused on the assistance to patients with acute or chronic infectious problems and on the main measures for the prevention of infections in the hospital environment, in particular those in which nurses play an essential role. Particular emphasis is given to the recognition of symptoms, signs and vital signs that can configure an infectious emergency, risk factors for the acquisition of nosocomial infections and procedures to prevent their onset. Of the pathologies treated, a global and national epidemiological picture, and whenever possible a regional and local one, are provided and so are the essential notions on the modalities of transmission and on the pathophysiology; the main symptoms and clinical signs are indicated, as well as key laboratory tests and respective advantages and limitations, and some hints of therapy. The specific role and contribution of the nursing profession (as refers to assistance, prevention and education) is highlighted, especially considering high-risk patients.

Syllabus

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MM: MALATTIE CARDIOVASCOLARI
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Course table of contents Chapter 1 Anatomy of the heart and vessels Chapter 2 Cardiovascular physiology, and bases of hemodynamics The cardiac cycle Bases of electrocardiography Pulmonary gas exchange Tissue perfusion Chapter 3 Diagnostic techniques based on physiopathology Electrocardiogram, stress test and Holter-loop recorder Chest X-ray and CT scan Echocardiogram SPECT Chapter 4 Ischemic heart disease Epidemiology and risk factors Atherosclerosis and chronic coronary artery disease Acute coronary syndromes Acute myocardial infarction Myocardial revascularization techniques Chapter 5 Basis of electrocardiography Syncope and arrhythmias Syncope Brady and tachy arrhythmias Chapter 6 Heart failure, heart valve disease and cardiomyopathies Cardiac dyspnea Right and left heart failure Cardiomyopathies Valve heart disease Chapter 7 Invasive Cardiology
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MM: INFERMIERISTICA CLINICA MEDICA
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Night support and sounds’ evaluation Main problems’ supporting management or cardiovascular and respiratory diseases’ surveillance
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MM: PNEUMOLOGIA
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The course in Pulmonology for the academic year 2017/18 will be focused on the following topics: 1) Introduction to respiratory apparatus pathologies and diagnosis; 2) Acute respiratory insufficiency and nurse's role; 3) Chronic respiratory insufficiency and long-term oxygen-therapy; 4) Chronic Obstructive Bronchopneumopathy and OSAS; 5) Bronchial asthma; 6) Non-invasive ventilation support; 7) Community pneumonia and antibiotic therapy.
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MM: MEDICINA INTERNA
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Cardiovascular risk factors: arterial hypertension, dyslipidemias, obesity: physiopathology and clinical features of major clinical manifestations of diseases Arterisclerosis: physiopathology and clinical features Chronic heart failure: physiopathology and clinical features Anemias: classifications, physiopathology and clinical features of anemias due to nutritional deficiencies, hemolytic anemias, anemia of chromic diseases Oncohematologic diseases: leukemias and lymphomas, multiple myeloma, mielodysplastic syndromes Thrombotic and hemorragic diseases: physiopathology and clinical features Rheumatologic diseases: lupus erythematosus, rheumatoid arthritis, scleroderma, gout and septic arthritits and major diseases of connective tissue: physiopathology and clinical features.
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MM: ONCOLOGIA MEDICA
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Tumour growth and markers Targeted therapies Colon cancer Lung cancer Breast cancer
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MM: MALATTIE INFETTIVE
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Hospital infections: the most frequent, their epidemiological impact, how to prevent them, how to help prevent complications, which patients are at greatest risk. The importance of hand washing as a shared culture. Sepsis: correct definition of SIRS, bacteremia, sepsis andseptic shock; etiology; global and local epidemiological aspects and main risk factors; main pathogenic mechanisms; clinical aspects and principles of supportive and specific therapy. Meaning of the main laboratory markers, indication and interpretation of blood cultures. Meningitis: definition, classification and etiology of bacterial versus aseptic meningitis, epidemiology and its modifications by vaccination, main symptoms and clinical signs, diagnosis, hints of therapy, identification of isolation needs, vaccination and prophylaxis and their indications. Tuberculosis: global, national, regional and local epidemiology also in relation to the nationality and influence of HIV; epidemiology of multi-resistant TB; pathophysiology; distinction between latent infection and disease and respective measures; isolation, individual protection and their indications; outline of therapy and importance of ensuring compliance. Malaria: global, national, regional and local epidemiology also in relation to nationality; classical transmission versus cryptic malaria; biological cycle of plasmodium in the human host; the phenomenon of recrudescence; hints of pathophysiology and clinical picture with particular reference to complicated malaria; diagnosis; hints of therapy and chemoprophylaxis. HIV - AIDS: global and national epidemiological aspects and their modifications over time; main modes of transmission; screening and confirmatory diagnosis; outline of immunology and pathogenesis; main clinical aspects including opportunistic infections; HIV and TB; other coinfections; HIV and tumors; hints of antiretroviral therapy and treatment of opportunistic infections; main preventive measures and principles of post-exposure prophylaxis.

Assessment methods and criteria

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MM: MALATTIE CARDIOVASCOLARI
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Written multiple choice
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MM: INFERMIERISTICA CLINICA MEDICA
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Writing test
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MM: PNEUMOLOGIA
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The final examination consists of a written test comprising 15 multiple-choice queries (at lease 1 query per topic addressed during the course)
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MM: MEDICINA INTERNA
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Multiple choice written test.
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MM: ONCOLOGIA MEDICA
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Multiple choice written test
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MM: MALATTIE INFETTIVE
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Written exam

Reference books
Author Title Publisher Year ISBN Note
Saiani, L., Brugnolli, A. Trattato di cure infermieristiche (Edizione 2) Idelson-Gnocchi 2014 978-88-7947-576-1
Brugnolli A., Saiani L. Trattato di Medicina e Infermieristica. Un approccio di cure integrate. (Edizione 1) Idelson-Gnocchi 2017 9788879476379
Catanzariti Dispense di cardiologia 2017
A. Brugnolli, L. Saiani Trattato di Medicina e Infermieristica "Un approccio di cure Integrate" (Edizione 1) SORBONA 2017 9788879476379
Antonelli Incalzi Raffaele Medicina Interna perScienze infermieristiche PICCIN 2012 978-88-299-2114-0
Angelo Raffaele Bianco, Sabino De Placido, Giampaolo Tortora e Pierfranco Conte Oncologia Clinica 2/ed (Edizione 2) McGraw-Hill Education (Italy) srl 2016 9788838639845




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