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

Chronic clinical nursing care (2019/2020)

Course code
4S000109
Credits
8
Coordinator
Lorenza Fedrozzi

Teaching is organised as follows:
Unit Credits Academic sector Period Academic staff
GERIATRIA 1 MED/09-INTERNAL MEDICINE INF TN - 2° anno 2° sem Renato Turco
MEDICINA RIABILITATIVA 1 MED/34-PHYSICAL AND REHABILITATION MEDICINE INF TN - 2° anno 2° sem Monica Morandi
INFERMIERISTICA CLINICA NELLA CRONICITA' 2 MED/45-NURSING INF TN - 2° anno 2° sem Maria Giovanna Grisenti
INFERMIERISTICA CLINICA IN MEDICINA E CURE PALLIATIVE 1 MED/45-NURSING INF TN - 2° anno 2° sem Lorenza Fedrozzi
ENDOCRINOLOGIA 1 MED/13-ENDOCRINOLOGY AND METABOLISM INF TN - 2° anno 2° sem Alessandro Mantovani
MEDICINA INTERNA 1 MED/09-INTERNAL MEDICINE INF TN - 2° anno 2° sem Chiara Mozzini
NEUROLOGIA 1 MED/26-NEUROLOGY INF TN - 2° anno 2° sem Maria Chiara Malaguti

Learning outcomes

The course aims to investigate physio pathological, clinical and care aspects of some important health problems selected considering their epidemiological relevance and feature in situation of clinical instability but above all in chronicity/disability. The course considers changes deriving from aging and increase of chronic degenerative problems. The approach focuses on the recognition and management of current and potential problems with a view to continuity in different care settings and on development of competencies and self-care skills.

Syllabus

------------------------
MM: GERIATRIA
------------------------
Concepts of the physiological process of aging. The multidimensional geriatric assessment and the network of services. Confusional state (delirium and agitation, aggressive behavior). States of impaired cognitive ability (dementia). Specificity of malnutrition in the elderly. Polypharmacotherapy in the elderly
------------------------
MM: MEDICINA RIABILITATIVA
------------------------
Concepts of imparement, disability and handicap and • Neuro-Motor rehabilitation in Stroke • Bladder’s neurologic rehabilitation • Rehabilitation of patients with hip and knee’s prosthesis and in post-amputaion patient • Rehabilitation of parkinson's desease
------------------------
MM: INFERMIERISTICA CLINICA NELLA CRONICITA'
------------------------
Chronicity concept and taking care principles of person with chronic degenerative disease considering the trajectories of illness, developing and sustaining skills of self-care, preventing disability. Approach to chronicity by analyzing the management WHO chronic model of care. The management of falls: the assessment of the risk of falling in the elderly person and the preventive interventions of the fall and those short term in the event of a fall. Evaluation and management of the person with dysphagia: screening of dysphagia and operative strategies to ensure functional swallowing, in particular the meal approach, the modified diet and the swallowing facilitating postures . Prevention of complications such as ab-ingestis, malnutrition and dehydration Approach to the person with cognitive deficits, with preventive and rehabilitative perspective, in particular: the evaluation and management of memory deficit, language deficit (classification of aphasias and alternative communication modes), of neglet and of the person with confused state and delirium. Specifically, considering the person with delirium there will be some specific assistance features to be implemented to prevent restraints. Assistance and educational path to a person affected by stroke from the first twenty-four hours to the post-acute period: asssessing the socio-psycho-social care problems of the patient with stroke and designing a care plan both in the acute and rehabilitative phase with multiprofessional assistance approach based on scientific evidence . Assistance and educational path for a person suffering from diabetes mellitus. In particular, assistential peculiarities in the management of diet, activity and physical exercise and glycemic self-monitoring and insulin therapy. Preventive aspects of the diabetic foot. We also discuss some of the caring characteristics of the person affected by Parkinson's disease, such as the management of diet and therapy and physical exercise and Alzheimer's disease, such as strategies for the containment of behavioral disorders through a prothesic approach.
------------------------
MM: INFERMIERISTICA CLINICA IN MEDICINA E CURE PALLIATIVE
------------------------
Syllabus • Pain and pain’s management in adult with chronic disease • Management of Oncologic patient’s symptoms • End-of-life entourage and grief • Nursing care and educative process’ management in hepatic cirrhotic patient’s caring
------------------------
MM: ENDOCRINOLOGIA
------------------------

Nursing knowledge and skills in the diagnosis, management and therapy of diabetes mellitus and other main endocrine diseases: 1. Diabetes mellitus -Epidemiology and diagnostic criteria of diabetes mellitus -Epidemiology of the main acute complications of diabetes mellitus -Epidemiology of the main chronic complications of diabetes mellitus - Principles of medical and nursing management of diabetes mellitus and its complications - Principles of glycemic monitoring and home glycemic self - management 2. Thyroid pathology - Epidemiology and diagnostic criteria of hyperthyroidism and hypothyroidism - Principles of medical - nursing management of the patient with pathology thyroid 3. Endocrinological pathology of the pituitary - Epidemiology and diagnostic criteria of the main endocrine pathologies of the pituitary - Principles of medical and nursing management of the patient with endocrine pituitary pathology 4. Endocrinological pathology of the adrenal gland - Epidemiology and diagnostic criteria hyperfunction and hypofunction of the adrenal glands - Principles of medical and nursing management of the patient with adrenal endocrine pathology
------------------------
MM: MEDICINA INTERNA
------------------------
Pneumonia classification and clinical features cirrosis kidney failure (acute and chronic) bowel inflammatory diseases ulcer/gastritis
------------------------
MM: NEUROLOGIA
------------------------
Cerebrovascular disease: basic notions, neurological scales, therapy, complications. Parkinson disease: diagnostic criteria, non motor symtpoms semeiology, therapy ,

Assessment methods and criteria

Writing Test

Reference books
Author Title Publisher Year ISBN Note
Kasper Gl, et al. Harrison's Principles of Internal Medicine, 19th Edition, Mc Graw Hill, 2018
Anna Brugnolli, Luisa Saiani Medicina e infermieristica un approccio di cure integrate (Edizione 1) Idelson Gnocchi 2017 9788879476379
Saiani L., Brugnolli A. Trattato Cure Infermieristiche Idelson Gnocchi 2020
Brugnolli Anna e Saiani Luisa Trattato di Medicina e Infermieristica - Un approccio di cure integrate Sorbona 2017
Shlomo Melmed, Ronald Koenig, Clifford Rosen, Richard Auchus, Allison Goldfine Williams Textbook of Endocrinology (Edizione 14) Elsevier 2019 9780323555968
Saiani L, Brugnolli A Trattato Cure Infermieristiche (Edizione 3) Idelson Gnocchi 2020
Prandi Cesarina Infermieristica in cure palliative Edra S.p.A. Milano 2016
Jameson J - Loscalzo J - Fauci A - Kasper D - Hauser S - Longo D Harrison's Principles of Internal Medicine (Edizione 20) McGraw-Hill Education 2018 9781259644030


© 2002 - 2021  Verona University
Via dell'Artigliere 8, 37129 Verona  |  P. I.V.A. 01541040232  |  C. FISCALE 93009870234