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

Application of diagnostic and therapeutic processes (2020/2021)

Course code
4S000098
Credits
6
Coordinator
Laura Cuzzolin

Teaching is organised as follows:
Unit Credits Academic sector Period Academic staff
SCIENZE DIETETICHE 1 MED/49-FOOD AND DIETETIC SCIENCES INF LE 2° ANNO 1° SEM Angelo Pietrobelli
FARMACOLOGIA CLINICA 2 BIO/14-PHARMACOLOGY INF LE 2° ANNO 1° SEM Laura Cuzzolin
INFERMIERISTICA APPLICATA AI PERCORSI DIAGNOSTICI E TERAPEUTICI 2 MED/45-NURSING INF LE 2° ANNO 1° SEM Dania Gobbetti
DIAGNOSTICA PER IMMAGINI E RADIOPROTEZIONE 1 MED/36-IMAGING AND RADIOTHERAPY INF LE 2° ANNO 1° SEM Giulio Cesaro

Learning outcomes

The course consists of four teaching modules, Clinical Pharmacology, Nursing, Dietary Sciences, Imaging Diagnostics and Radioprotection, which integrate themselves to allow a thorough theoretical-practical knowledge of the main diagnostic and therapeutic processes that characterize nursing care. This teaching is based on the principles of safety and efficacy of care to achieve health outcomes or a compensated state of care and to evaluate the progress of care in collaboration with the multidisciplinary team. The approach considers the application methods of the prescribed diagnostic and therapeutic processes as well as the effects surveillance strategies. DIAGNOSTIC FORM FOR IMAGES AND RADIOPROTECTION: Conferring notions on the principles of image formation in diagnostic imaging, on radiation protection, on how to prepare and carry out investigations. Learning the notions concerning radiation protection. Teaching the required preparations and techniques of administration of contrast media. Informing about adverse reactions to contrast media. CLINICAL PHARMACOLOGY: The aim of the module is to provide the student with notions of clinical pharmacology necessary for the profession of nurse, useful in the control and management of drug therapies, with particular reference to the recognition and prevention of the most important adverse events for each category of drugs studied. It is equally important to have the necessary knowledge to be able to carry out an effective pharmacological education towards patients. DIAGNOSTIC AND THERAPEUTIC PROCESSES APPLIED NURSING: The module focuses on the management and application of diagnostic and therapeutic processes that are required to provide nursing care to patients in hospital, territorial and residential care settings. This module is based on the principles of safety and efficacy of care to achieve health outcomes or a compensated state of care and to evaluate the progress of care in collaboration with the interdisciplinary team. The approach considers the application methods of the prescribed diagnostic and therapeutic processes as well as the effects surveillance strategies. DIETARY SCIENCES: - Give students the necessary tools to learn about nutrition. - Integrate nutritional knowledge into daily work in the wards. - Provide food nutrients and complications related to incorrect nutrition

Syllabus

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MM: SCIENZE DIETETICHE
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- Nutrients - Neonate Nutrition. - Breast feeding – Bottle feeding – wainin. Nutritional elements in the first year of age. - Adult Nutrition - Nutrition in Elderly – Correct Nutritional Apport – Supplementation. Carenze - Supplementazioni - Food Nutritional evaluation - Different diets - Nutrition and sport - Specific Nutritional support. Nutrition and cardio-vascular diseases. - Micronutrients - Clinical complication related to bad nutritional habits.
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MM: FARMACOLOGIA CLINICA
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At the end of the Course the student will be able to describe the most important characteristics, the main therapeutic uses, the mechanism of action, the pharmacokinetics, the cautions, the contraindications, the problems related to the management of the therapy and the most common and serious adverse effects of the following therapeutic classes: -Glucocorticoids -Respiratory drugs (antiasthmatics, cough suppressants, decongestants, mucolytics and expectorants) -Gastrointestinal drugs (antisecretives and antiacids, prokinetics, antiemetics, laxatives) -Cardiovascular drugs: antihypertensives (diuretics, ACE-inhibitors and sartans, beta-blockers, calcium-antagonists), nitrovasodilators, antiarrhythmics, cardiac glycosides, hypocolesterolemics -Anticoagulant, antiplatelet and thrombolytic agents -Central Nervous System drugs: opioid analgesics, anxyolitics/hypnotics (benzodiazepines), antidepressants.
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MM: INFERMIERISTICA APPLICATA AI PERCORSI DIAGNOSTICI E TERAPEUTICI
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Safe administration of therapies (enteral, parenteral and topical). Drug therapy related to meals and food (full and empty stomach). Drug management in pre-postoperative and during diagnostic tests. Crushing and pulverizing of drugs (in the dysphagic person and with a probe for enteral nutrition) Calculation exercises applied to infusional and oral therapy. Management of peripheral and central vascular catheters and major complications (phlebitis, occlusion, infiltration and extravasation). Venous and arterial sampling by radial arterial blood gas analysis, capillary sampling. Collection of samples for blood culture, co-culture, sputum, complete urine test and 24-hour urine collection. Preparation and assistance for instrumental / diagnostic examinations for the person undergoing colonoscopy and bronchoscopy or for exams requiring contrast; resumption of feeding after gastroscopy or bronchoscopy. Enteral nutrition (NE) via gastric nose tube (SNG) and percutaneous endoscopy gastrostomy (PEG) and total parenteral nutrition (NPT). Educate the patient in therapy with oral anticoagulants.
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MM: DIAGNOSTICA PER IMMAGINI E RADIOPROTEZIONE
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Syllabus Radioprotection’s precepts for various medical examination: Echography, biopsy, TAC, RSM, angiography For Gastrointestinal and urinary apparatus RADIOLOGICAL EXAMINATION: • Indication, anatomical and physiological structure examined by the diagnostic procedure • Patient’s Specific preparation (full bladder, other examination) • Giving right instruction and information before and during the examination for an optimal examination • Contrast means’ placement and application • Possible complication or disease (contrast means adverse reaction)

Assessment methods and criteria

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MM: SCIENZE DIETETICHE
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Written test with quiz with pre-order answers.
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MM: FARMACOLOGIA CLINICA
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Learning evaluation is made inside the written exam of "Application of diagnostic and therapeutic processes": 25 questions referred to Clinical Pharmacology are provided through a multiple choice test (2 correct between 5) or semi-structured answers.
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MM: INFERMIERISTICA APPLICATA AI PERCORSI DIAGNOSTICI E TERAPEUTICI
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Written exam with closed questions with multiple choice answers and/or open questions with short answer. The exam may include an oral interview to supplement the written test.
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MM: DIAGNOSTICA PER IMMAGINI E RADIOPROTEZIONE
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Writing test with closed questions, possible oral

Reference books
Author Title Publisher Year ISBN Note
Marina Vanzetta Roberto Leone Maurizio Volterrani Farmaci e infermiere. Un prontuario per la somministrazione McGraw-Hill Education 2013
Taglialatela Conforti Cuzzolin Leone Mattioli Moretti Pignataro Vanzetta Farmacologia per le lauree triennali e magistrali II Edizione (Edizione 2) Sorbona 2019
Clark M.A., Finkel R., Rey J.A., Whalen K. Le basi della farmacologia Zanichelli 2013 978-88-08-18864-9
A. Brugnolli, L. Saiani Trattato di Medicina e Infermieristica "Un approccio di cure Integrate" (Edizione 1) SORBONA 2017 9788879476379




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