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

Chronic clinical nursing care (2018/2019)

Course code
4S000109
Credits
8
Coordinator
Giulia Randon

Teaching is organised as follows:
Unit Credits Academic sector Period Academic staff
GERIATRIA 1 MED/09-INTERNAL MEDICINE INF VI - 2° anno 2° sem Francesco Fantin
MEDICINA RIABILITATIVA 1 MED/34-PHYSICAL AND REHABILITATION MEDICINE INF VI - 2° anno 2° sem Luigi Perdon
INFERMIERISTICA CLINICA NELLA CRONICITA' 2 MED/45-NURSING INF VI - 2° anno 2° sem Giulia Randon
INFERMIERISTICA CLINICA IN MEDICINA E CURE PALLIATIVE 1 MED/45-NURSING INF VI - 2° anno 2° sem Federica Bresciani
ENDOCRINOLOGIA 1 MED/13-ENDOCRINOLOGY AND METABOLISM INF VI - 2° anno 2° sem Maddalena Trombetta
MEDICINA INTERNA 1 MED/09-INTERNAL MEDICINE INF VI - 2° anno 2° sem Nicola Martinelli
NEUROLOGIA 1 MED/26-NEUROLOGY INF VI - 2° anno 2° sem Stefano Tamburin

Learning outcomes

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MM: GERIATRIA
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The teaching aims is to analyze some physiopathologic , clinical and helpful aspects related to priority health problems of the elderly, selected for their epidemiological importance, in a clinical instability’s situation and in a chronic disease/disability. It considers the changes due to ageing and to the chronic-degenerative disease’s problems increasing. The approach focuses on management and identification of existing and possible problems’, considering various helpful contests and self-care abilities’ promotion and development
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MM: MEDICINA RIABILITATIVA
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MM: INFERMIERISTICA CLINICA NELLA CRONICITA'
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The course of Clinical Nursing in Chronic conditions aims to provide student Knowledge in order to analyze and understand the problems of care and the areas of vigilance connected to the main chronic degenerative diseases, in different stages of trajectory of the disease, with particular reference to chronic phase. Describe and analyze interventions aimed at the management of these problems and the development of self-care skills with a view to continuity in the different care settings and in the different phases of the disease.
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MM: INFERMIERISTICA CLINICA IN MEDICINA E CURE PALLIATIVE
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MM: ENDOCRINOLOGIA
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Upon completion of this activity students will be able to: -identify and diagnose alterations of glucose homeostasis (type 1 and type 2 diabetes, gestational diabetes) -know the main clinical characteristics of diabetes and the related acute and chronic complications -have information about the treatment of diabetes particularly about new technology -know the role of elderly on degenerative chronic diseases
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MM: MEDICINA INTERNA
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As regards the diseases discussed during the lessons, the student - according to the knowledge of pathophysiology and of the major diagnostic-therapeutic approaches - should: i) recognize the main signs and symptoms of such diseases and ii) acquire expertise and some fundamental grounds of the therapeutic management.
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MM: NEUROLOGIA
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Offer knowledge on the main neurological diseases and on the issues related to their nursing.

Syllabus

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MM: GERIATRIA
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Ageing physiologic process’ aspects Multidimensional geriatric assessment Confusional state (delirium, anxiety, aggressive behaviour) phisiopatology and pharmacological tretatment Dementia Proetin-Caloric Malnutrition Syncope and Falls
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MM: MEDICINA RIABILITATIVA
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MM: INFERMIERISTICA CLINICA NELLA CRONICITA'
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Caring people with chronic-degenerative disease (trajectories of disease in organ failure, in oncological diseases and in neurodegenerative diseases, self-care skills in patient and care-giver, prevention of disability). Caring and education of people with malnutrition: nutritional status assessment in the frail elderly, nutritional supplements and fortified diets, care management of eating behavior disorders in dementia, screening and management of dysphagia. Cognitive functions and main related disorders: assessment and management of the memory disorders, methods of reactivation and cognitive rehabilitation; assessment and management of language disorders: classification of fluent and non-fluent aphasia; alternative augmentative communication techniques and tools; eminegligence assessment and management: personal, peripersonal and extra-personal neglect, principle of ecological assessment, help neglect peolple to compensate the deficit and guarantee safety confusional state and delirium: hyperactive and hypoactive delirium, predisposing and precipitating factors, prevention and management of delirium. Prevention and management of falls. Caring patient with stroke in the first 24 hours and in the post-acute phase: assessment and monitoring of the neurological status and of the vital functions (methods, timing, alteration management), fibrinolytic therapy: criteria inclusion for treatment, complications and monitoring; prevention of immobility damage. Caring person with diabetes mellitus. Management of the diabetic diet, indications and benefits of physical activity, glycemic self-monitoring and self-management of therapy (insulin and oral hypoglycaemic), prevention of diabetic foot. Caring person with Parkinson's disease. Management of L-dopa therapy and diet indications. Strategies for the management of motor symptoms. Caring person with Alzheimer's disease. The prosthetic approach in the prevention, assessment and management of psychological and behavioral disorders associated with dementia.
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MM: INFERMIERISTICA CLINICA IN MEDICINA E CURE PALLIATIVE
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MM: ENDOCRINOLOGIA
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-Insulin Biosynthesis, Secretion, Structure and Action -Diabetes mellitus: definition, description, classification, epidemiology and treatment -Diabetes management in elderly, in hosptital, during illness -Thyroid Hormone Synthesis, Secretion and Action -Hyperthyroidism and hypothyroidism, thyroid nodules
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MM: MEDICINA INTERNA
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1. Gastro-intestinal diseases: constipation and diarrhea (etiology and therapy). Chronic inflammatory bowel disease: Crohn's disease and ulcerative colitis. 2. Gastro-esophageal pathology: gastro-esophageal reflux disease (GERD), dysphagia, gastric and duodenal ulcers. Gallbladder and biliary tract diseases: gallstones, biliary colic, acute cholecystitis, and choledocholithiasis. Acute and chronic pancreatitis. 3. Acute and chronic liver diseases and clinical management of liver cirrhosis (clinical manifestations and complications: variceal bleeding, ascites, hepatic encephalopathy, hepatorenal syndrome. 4. Pneumonia: symptoms, causes, and treatments. 5. Fever and fever of unknown origin (diagnostic and therapeutic approaches). Systemic lupus erythematosus as paradigmatic example of autoimmune disease
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MM: NEUROLOGIA
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Basic functional anatomy of the central and peripheral nervous system. Basic neurological semeiotics. Consciousness disorders: signs, causes and monitoring. Physiopathology, clinics and treatment of main neurological diseases that cause disability: - Ischemic and hemorrhagic stroke: physiopathology, clinics, diagnosis. Acute stroke treatment: thrombolysis. - Parkinson's disease: pathophysiology, clinics, differential diagnosis. Motor fluctuations and long-term treatment syndrome. - Multiple sclerosis - Epilepsy

Assessment methods and criteria

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MM: GERIATRIA
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Writing test
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MM: MEDICINA RIABILITATIVA
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MM: INFERMIERISTICA CLINICA NELLA CRONICITA'
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Written exam with closed questions with multiple choice answers, or open short answers and oral exam. The written test will consist of 15 questions that will cover all the contents of the program, the questions will be constructed mainly with mini-cases / situations in order to assess the level of acquisition of the theoretical content and the student's ability to apply such content to situations of clinical practice, e.g. decision-making, problem-solving, ... The written exam is considered outdated if the student correctly answers 10 out of 15 questions. Access to the oral exam is limited to passing the written test. The oral exam will assess the student's argumentative ability to present in a clear and logical way one of the topics of the program and the capacity for clinical reasoning applied to situations of clinical practice referred to the topics of the program.
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MM: INFERMIERISTICA CLINICA IN MEDICINA E CURE PALLIATIVE
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MM: ENDOCRINOLOGIA
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written test
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MM: MEDICINA INTERNA
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Written test
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MM: NEUROLOGIA
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Written test

Reference books
Author Title Publisher Year ISBN Note
Ottavio Bosello, Mauro Zamboni Manuale di Gerontologia e Geriatria (Edizione 1) 978-88-299-2094-5 2011
Senin Paziente anziano e paziente geriatrico EdiSes, Napoli, ultima ed.  
Brunner Suddarth Infermieristica medico-chirurgica Ambrosiana 2017
Saiani-Brugnolli Trattato di medicina e infermieristica Sorbona 2017




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