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

Clinical nursing care in medical area [Matricole dispari] (2020/2021)

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 Michele Milella
MALATTIE INFETTIVE 1 MED/17-INFECTIOUS DISEASES INF VR 2° ANNO 1° SEM Zeno Bisoffi

Learning outcomes

The course focuses on care about patients with chronic medical problems during stability and instability spans (heart failure, IMA and angina, COPD and asthma). The approach considers the contents and the care ways to activate specific self-help behaviors considering that most of the patients with chronic illness live at home and the hospitalization time is very short. Patient problems will be addressed by considering their evolution, the evaluation of the patient and the choice of care interventions based on the evidence, appropriateness and patient’s needs. The instability/worsening will be approached with an assistance protocol. The disease impact and experience on patient’s and family life will be considered and the rehabilitative and palliative aspects will be explored considering the symptoms in the advanced stage (eg dyspnoea). CARDIOVASCULAR DISEASES: To provide the basis of the principal cardiovascular diseases, their clinical presentation and diagnostic methods. CLINICAL MEDICAL NURSING The module focuses on assisting patients with chronic medical problems in the process of stability and instability (heart failure, MI and angina, COPD and asthma). The approach considers the contents and modalities of assistance to activate specific self-care behaviors considering that the majority of patients with chronic disease live at home and the time of hospitalization is very short. The patient's problems will be addressed considering their evolution, the patient's evaluation and the choice of care interventions based on evidence, appropriateness and the patient's needs. Instability / exacerbation will be addressed with a welfare protocol. The impact and experience of the disease on the patient's life and on the family will be considered and the aspects of rehabilitation and palliation with respect to symptoms in the advanced stage (eg dyspnea) will be explored. This teaching is built on the knowledge of the 1st year of nursing (breath assessment, meaning and signs / symptoms of hypoxia, dyspnea, principles of O2 therapy, principles of nursing, vigilance), physiology, physiopathology and general pathology. The contents are connected to the two subsequent modules of therapeutic and nursing education of the community for the trend of early discharge and need for support at the time of discharge PNEUMOLOGY the course aims to provide the student with the knowledge of the major pathologies in the pulmonary field and the diagnostics necessary for a clinical and instrumental framework. Particular attention will be paid to the nursing aspect of the topics covered. INTERNAL MEDICINE - Acquiring the ability to recognize and describe signs and symptoms of the pathologies treated; - Knowing how to identify, in the interview with the patient, the main points that guide the diagnostic process; - Knowing how to set up a correct care plan based on anamnestic and clinical data ONCOLOGY Knowing the principles of Medical Oncology and Palliative Care, the rational bases and the operating methods of screening, diagnosis and staging of the highest incidence tumors. Knowing the goals of the treatments, and the specific strategies (principles of chemotherapy, radiotherapy, molecular target therapies, immunotherapy). Knowing the rational bases and the operational methods of interventions aimed at supporting / supporting the cancer patient (pain therapy, nutritional support, etc.). INFECTIOUS DISEASES The module focuses on assisting patients with acute or chronic infectious problems and on the main prevention measures for infections in hospitals, 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 urgency-infectious emergency, to risk factors for the acquisition of nosocomial infections and to procedures to help prevent its onset. A global, national epidemiological picture is provided of the treated pathologies and when it is possible regional and local; the essential notions on transmission modalities and pathophysiology are provided; the main symptoms and clinical signs, some laboratory tests and their advantages and limitations, and some hints of therapy are indicated The specific role and contribution of the nursing profession in terms of care, prevention and education is highlighted, especially with regard to 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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Written multiple choice

MM: MEDICINA INTERNA
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Written multiple choice
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MM: ONCOLOGIA MEDICA
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Written multiple choice
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MM: MALATTIE INFETTIVE
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Written multiple choice

Reference books
Author Title Publisher Year ISBN Note
Saiani e Brugnolli Trattato di cure infermieristiche 3° edizione (Edizione 3) Sorbona 2020 9788879477314
Brugnolli A., Saiani L. Trattato di Medicina e Infermieristica. Un approccio di cure integrate. (Edizione 1) Idelson-Gnocchi 2017 9788879476379
Fauci, Braunwald, Kasper, Houser, Longo, Jameson, Loscalzo Harrison Practice. Cardiologia McGraw-Hill Education 2012 8808185494
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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