|Teaching is organised as follows:|
|Unit||Credits||Academic sector||Period||Academic staff|
|MALATTIE CARDIOVASCOLARI||1||MED/11-CARDIOVASCULAR DISEASES||INF TN 2° ANNO 1° SEM||
|INFERMIERISTICA CLINICA MEDICA||2||MED/45-NURSING||INF TN 2° ANNO 1° SEM||
|PNEUMOLOGIA||1||MED/10-RESPIRATORY DISEASES||INF TN 2° ANNO 1° SEM||
|MEDICINA INTERNA||2||MED/09-INTERNAL MEDICINE||INF TN 2° ANNO 1° SEM||
|ONCOLOGIA MEDICA||1||MED/06-MEDICAL ONCOLOGY||INF TN 2° ANNO 1° SEM||
|MALATTIE INFETTIVE||1||MED/17-INFECTIOUS DISEASES||INF TN 2° ANNO 1° SEM||
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.
Internal Medicine - MED / 09
High blood pressure: risk factors, treatment, early complications e late.
Chronic heart failure: signs and symptoms, clinical situations and evolution, drug treatment, diet and physical activity. Complications and factors of severity e prognostics.
Anemias, lymphomas and leukemias.
Rheumatological diseases: main pictures and symptoms
Hemorrhagic and thrombotic diseases: main clinical situations and hints of therapy.
Cardiovascular Diseases - MED / 11
Risk factors for cardiovascular disease, dyslipidemia with a gender perspective
Ischemic heart disease: Angina and acute myocardial infarction (AMI).
Manifestations and diagnoses with particular attention to population, sex and gender differences
Interventional cardiology for acute coronary syndrome.
Major cardiac arrhythmias.
Main pharmacological treatments in the cardiology field (antiplatelet agents, oral anticoagulants, β-blockers, antianginal, thrombolytic, digitalis, antiarrhythmic).
Pneumology - MED / 10
COPD (chronic bronchitis and emphysema): prevention, symptoms and severity indices, management of exacerbations and respiratory rehabilitation.
Long-term oxygen therapy (OTLT) and non-invasive ventilatory support.
Medical Oncology - MED / 06
Cancer biology: main theories / knowledge on the nature and etiology of cancer and risk factors.
Staging and prognostic factors: significance of staging and prognosis of the neoplastic disease and implications in the approach to the patient.
Principles of cancer therapy: therapeutic integration strategies.
Medical cancer therapy: chemotherapy drugs, hormone therapy, biological response modifiers (immunotherapy) new drugs and new therapeutic modalities.
Infectious Diseases - MED / 17
Sepsis, HIV infection, Viral hepatitis, meningitis, tuberculosis.
Infections transmitted by air.
Nosocomial infections and their prevention.
The prevention and post-exposure prophylaxis of infections transmitted by blood and air (in particular HIV, hepatitis, TB).
Clinical Medical Nursing - MED / 45
Night care and noise: peculiarities in the evaluation and observation of patients during the night, surveillance, problems that more easily manifest themselves during the night.
Care management of the patient with ischemic heart disease and heart failure, COPD and bronchial asthma
Patient and family assessment
Interventions to develop self-care behaviors and prevention of exacerbations
Territorial care management of the main problems in the initial stages of exacerbation
Acute event severity indicators and management protocol Rehabilitation and early mobilization
Impact and burden of the cluster of symptoms in the advanced stages of the disease / end of life
The family and network of local services that can be activated in the care pathway
Complex interventions related to the priority situations / problems treated
Assist and train the person with long-term OTLT.
- bed rest as a therapeutic prescription and early mobilization
- fluid balance, weight, impedance: validity, reliability and clinical significance
- assessment and first approach to chest pain
- use of the plan chart
Integrated written exam
|Saiani, L., Brugnolli, A.||Trattato di cure infermieristiche (Edizione 2)||Idelson-Gnocchi||2014||978-88-7947-576-1|
|Brugnolli A., Saiani L.||Trattato di Medicina e Infermieristica. Un approccio di cure integrate. (Edizione 1)||Idelson-Gnocchi||2017||9788879476379|
|Dr Roberto Bonmassari||Materiale didattico prodotto per le lezioni.||2017|
|Antonaci, De Arcangelis, Paggi||Medicina Clinica||Masson, Milano||2002|
|Forbes-Jackson||Medicina Clinica. Testo atlante||Casa Editrice Ambrosiana, Milano||1999|
|Anna Brugnolli, Luisa Saiani||Medicina e infermieristica un approccio di cure integrate (Edizione 1)||Idelson Gnocchi||2017||9788879476379|
|Anna Brugnolli, Luisa Saiani||Trattato di medicina infermieristica||Sorbona||2017||9788879476379|