Master's degree in Nursing and Obstetrics (Bolzano)

Advanced methods of assessment, prevention and assistance to the family and to the communities (2018/2019)

Course code
4S007234
Credits
9
Coordinator
Luca Giuseppe Dalle Carbonare

Teaching is organised as follows:
Unit Credits Academic sector Period Academic staff
SOCIOLOGIA DELLA FAMIGLIA E DELLE RETI ASSISTENZIALI 2 SPS/08-SOCIOLOGY OF CULTURE AND COMMUNICATION LMSIO BZ 1° ANNO 1° SEMESTRE Sigrid Mairhofer
METODOLOGIE AVANZATE DI EDUCAZIONE ALLA SALUTE 2 MED/45-NURSING LMSIO BZ 1° ANNO 1° SEMESTRE Gudrun Plank
STRUMENTI DI ASSESSMENT 1 MED/45-NURSING LMSIO BZ 1° ANNO 1° SEMESTRE Gerhard Mueller
SEMEIOTICA E ASSESSMENT AVANZATO 2 MED/09-INTERNAL MEDICINE LMSIO BZ 1° ANNO 1° SEMESTRE Luca Giuseppe Dalle Carbonare
ASSESSMENT E GESTIONE DEI SINTOMI IN CURE PALLIATIVE 1 MED/06-MEDICAL ONCOLOGY LMSIO BZ 1° ANNO 1° SEMESTRE Alessandro Valle
ASSESSMENT E GESTIONE DELLA DISABILITA' E DELLO STATO COGNITIVO DELL'ANZIANO 1 MED/09-INTERNAL MEDICINE LMSIO BZ 1° ANNO 1° SEMESTRE Albert March

Learning outcomes

L’insegnamento si propone di far acquisire agli studenti conoscenze e strumenti per identificare i bisogni della comunità, riconoscere i diversi modelli di welfare e correlarli alle modificazioni sociali ed epidemiologiche. Approfondire le tematiche della promozione ed educazione alla salute. MODULO METODOLOGIE AVANZATE DI EDUCAZIONE ALLA SALUTE Obiettivi formativi:  sviluppare competenze nell’ambito dell’educazione alla salute al fine di promuovere sani stili di vita  analizzare i concetti e strategie di promozione della salute, educazione alla salute, educazione sanitaria  analizzare i modelli teorici che incidono sulla scelta degli stili di vita e sulla motivazione al cambiamento  approfondire alcune fasi di progettazione (analisi dei bisogni e pianificazione degli obiettivi) di un intervento di educazione terapeutica. MODULO SANITA’ PUBBLICA Obiettivi formativi:  individuare gli strumenti per l’analisi dei bisogni di salute della popolazione 3  analizzare i percorsi per la raccolta dei dati e gli strumenti di valutazione dei dati stessi. MODULO SOCIOLOGIA DELLA FAMIGLIA E DELLE RETI ASSISTENZIALI Obiettivi formativi: Il modulo si pone l’obiettivo di fornire conoscenze atte a ricondurre il tema della riforma dei sistemi di welfare all’interno dei più rilevanti processi di cambiamento sociale, che hanno investito la società europea e in particolare la società italiana. Il modulo si pone l’obiettivo di sviluppare la capacità di un’analisi critica dei cambiamenti intervenuti nel mercato del lavoro, nelle famiglie, nella struttura demografica della popolazione e di evidenziarne i nessi critici e i rapporti di interdipendenza, ai fini della transizione verso nuovi modelli di welfare.

Syllabus

------------------------ MM: SOCIOLOGIA DELLA FAMIGLIA E DELLE RETI ASSISTENZIALI ------------------------ 1. Introduction on family sociology and comunity sociology with a focus on support networks 2. Family in South Tyrol: a) actual data from local research projects on family Socology b) local support networks 3. Topics discussed by the students ------------------------ MM: METODOLOGIE AVANZATE DI EDUCAZIONE ALLA SALUTE ------------------------ Health promotion • health and illness as subject of scientific research • experience of health and illness • local and national surveillance systems • the health report of 2017 • health determinants, risk factors and protection factors • basics of health promotion and prevention: terminology, similarities, differences • models of health and illness • individual ressources, life skills and health literacy • life stiles: nutrition, move, mental health • addictions: alcohol, nicotin • stress • basics of efficient communication • methods of efficient knowledge transfer: teach back, show me, ask me • teach and learn for adults • learning theories: behaviouristic, cognitive and social cognitive learning theory • theories about the readiness/willingness for change • the cognitive dissonance (Festinger) • the concept of self efficacy (bandura) • the locus of control (Rotter) • the transtheoretical model Health education • developement of health education • educative settings • empowerment, compliance versus adherence • the therapeutic alliance, the role of the patient, therapist, the role of the relationsship • motivation • the power of congruence, empaty, authenticity Therapeutic education • planning and execution of therapeutic education • recognize education needs • educative diagnosis • establish education aims • selection of contents and teaching methods • execution of the intervention • evaluation, documentation • follow up, lifelong learning ------------------------ MM: STRUMENTI DI ASSESSMENT ------------------------ Definition and differentiation of nursing assessments. Relevance of nursing assessment instruments. Diagnostic process & recommendation for practical use. Development & translation of nursing assessment instruments. Psychometric properties. Use of a checklist to critical appraise studies on reliability and validity of assessment instruments. ------------------------ MM: SEMEIOTICA E ASSESSMENT AVANZATO ------------------------ Methodological approach of clinical evaluation. Cardio-respiratory assessment Vascular (venous and arterial) assessment Differential diagnosis of thoracic pain Respiratory pathological signs and murmurs Abdominal assessment and interpretation of main alterations ------------------------ MM: ASSESSMENT E GESTIONE DEI SINTOMI IN CURE PALLIATIVE ------------------------ TEACHING PLAN Pain assessment in Palliative Care Opioid titration Treatment of dyspnea in patients with advanced cancer and other non cancer conditions Pathogenesis and treatment of fatigue in Palliative Care Pathogenesis and treatment of nausea/vomiting in Palliative Care Pathogenesis and treatment of constipation in Palliative Care, in particular opioid induced constipation Pathogenesis and treatment of bowel obstruction in Palliative Care TEACHING METHODS Lessons with slides, team discussion and discussion of clinical cases in plenary BIBLIOGRAPHY Use of opioid analgesics in the treatment of cancer pain: evidence-based recommendations from the EAPC. Caraceni A, Hanks G, Kaasa S, Bennett MI, Brunelli C, Cherny N, Dale O, De Conno F, Fallon M, Hanna M, Haugen DF, Juhl G, King S, Klepstad P, Laugsand EA, Maltoni M, Mercadante S, Nabal M, Pigni A, Radbruch L, Reid C, Sjogren P, Stone PC, Tassinari D, Zeppetella G; European Palliative Care Research Collaborative (EPCRC); European Association for Palliative Care (EAPC). Lancet Oncol. 2012 Feb;13(2):e58-68. Linee guida. Terapia del dolore in Oncologia. Edizione 2016. AIOM. Treatment of dyspnoea in advanced cancer patients: ESMO Clinical Practice Guidelines. Kloke M, Cherny N; ESMO Guidelines Committee. Ann Oncol. 2015 Sep;26 Suppl 5:v169-73. Review of clinical trials of pharmacologic interventions for cancer-related fatigue: focus on psychostimulants and steroids. Yennurajalingam S, Bruera E. Cancer J. 2014 Sep-Oct;20(5):319-24. Nausea and vomiting in palliative care. Collis E, Mather H. BMJ. 2015 Dec 3;351:h6249. Recommendations for bowel obstruction with peritoneal carcinomatosis. Laval G, Marcelin-Benazech B, Guirimand F, Chauvenet L, Copel L, Durand A, Francois E, Gabolde M, Mariani P, Rebischung C, Servois V, Terrebonne E, Arvieux C; French Society for Palliative Care; French Society for Digestive Surgery; French Society for Gastroenterology; French Association for Supportive Care in Oncology; French Society for Digestive Cancer. J Pain Symptom Manage. 2014 Jul;48(1):75-91. ------------------------ MM: ASSESSMENT E GESTIONE DELLA DISABILITA' E DELLO STATO COGNITIVO DELL'ANZIANO ------------------------ Neuromotor assessment: assessment of consciousness status and assessment scales, assessment of pupils, reflexes and eye movements. Physiological and pathological reflexes. Sensitivity and motility disorders, tremors and involuntary movements, paralysis, paresis, spasticity, flaccidity, atrophy and fasciculations. Disorders of walking and walking. Early indicators of stroke both at home and intra-hospital level. Cognitive assessment: Glossary. Cognitive impairment. Memory loss. Confusional state and delirium. Assessment and management of behavioral disorders in dementia. Evaluation of delirium (hyperkinetic, hypokinetic, mixed) evaluation tools (CAM); prevention interventions. Evaluation of pain in the person with cognitive decline. DIDACTIC METHODS Classroom meetings include the use of lectures with slides, group discussions and exercises with assessment tools. The student can use the following in-depth texts: 1. Abhaya Gupta (2012). Assessmentinstrumente für alte Menschen. Bern: Verlag Hans Huber 2. Sabine Bartholomeyczik (2009). Assessmentinstrumente in der Pflege. Hannover: Schlütersche Verlagsgesellschaft. 3. Bernd Reuschenbach (2011). Pflegebezogene Assessmentinstrumente. Bern: Verlag Hans Huber 4. American Psychiatric Association (2015). Diagnostisches und Statistisches Manual Psychischer Störugen DSM 5. Göttingen: Hogrefe 5. Günther Deuschel (2006). Gerontoneurologie. Stuttgart: Georg Thieme Verlag 6. Donatella Bonaiuti (2009). Le scale di misura in riabilitazione. Roma: Società Editrice Universo

Assessment methods and criteria

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MM: SOCIOLOGIA DELLA FAMIGLIA E DELLE RETI ASSISTENZIALI
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Exam: written paper and group work presentation. A comprehensive listing of evaluation criteria will be handed outduring the course. Main points: a) Group work b) Written paper: proper content, adequate combination of theory and practice, correctness of theory and citation, form.
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MM: METODOLOGIE AVANZATE DI EDUCAZIONE ALLA SALUTE
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writing test with multiple choice and open questions
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MM: STRUMENTI DI ASSESSMENT
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Oral examination
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MM: SEMEIOTICA E ASSESSMENT AVANZATO
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Multiple choices written examination (30 questions) Practical examination for students having at least 18 correct answers.
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MM: ASSESSMENT E GESTIONE DEI SINTOMI IN CURE PALLIATIVE
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Oral examination
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MM: ASSESSMENT E GESTIONE DELLA DISABILITA' E DELLO STATO COGNITIVO DELL'ANZIANO
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The objective of the exam consists in verifying the level of achievement of the previously indicated training objectives. The exam consists of an oral exam with some open questions that require the student to apply concepts, theories and assessment scales learned during the study.

Reference books
Author Title Publisher Year ISBN Note
Amoroso A., Riggio O., Afetra A., Costantino S., Picardi A., Vettore L. Semeiotica pratica Antonio Delfino Editore 2013
Saiani-Brugnolli Trattato di medicina e infermieristica Sorbona 2017
Brugnolli A., Saiani L. Trattato di Medicina e Infermieristica. Un approccio di cure integrate. (Edizione 1) Idelson-Gnocchi 2017 9788879476379
Hill, P. B. & Kopp J. Familiensoziologie: Grundlagen und theoretische Perspektiven Vs Verlag Fur Sozialwissenschaften; 5 edizione 2013 3531183656
Saraceno Chiara L'equivoco della famiglia Laterza 2017 8858127439
Linda Ewles Gesundheit fördern Facultas Universitätsverlag 2007
Alice M. Kiger Gesundheit lehren und lernen Urban & Fischer Verlag 2006
Klaus Hurrelmann Handbuch Gesundheitserziehung Hans Huber Verlag 2009
Barbara Klug Redman Patientenedukation Hans Huber Verlag 2009
Amoroso A. & Rossi Fanelli F. Semeiotica Medica e Metodologia Clinica Antonio Delfino Editore 2013
Abhaya Gupta Assessmentinstrumente für alte Menschen (Edizione 1) HUBER 2012 978-3-456-84805-1
Sabine Bartholomeyczik Assessmentinstrumente in der Pflege (Edizione 2) Schlütersche Verlagsgesellschaft 2009 978-3-89993-224-9
American Psychiatric Association DSM5 (Edizione 1) Hogrefe 2015 978-3-8017-2599-0
Günther Deuschl Gerontoneurologie (Edizione 1) Georg Thieme 2006 978-3-13-139651-8
Donatella Bonaiuti Le scale di misura in riabilitazione (Edizione 2) Società Editrice Universo 2009 978-88-89548-74-5
Bernd Reuschenbach Pflegebezogene Assessmentinstrumente (Edizione 1) HUBER 2011 978-3-456-84498-5




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