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The course aims to provide the contents and methods for:
- assist the person with chronic medical problems in the phase of stability and instability (heart failure, IMA and angina, COPD and asthma).
- promote specific self-help behaviors in the patient, considering that most of the patients with chronic illness live at home and the hospitalization time is very short.
The problems of the person will be addressed considering their evolution, the evaluation of the patient reasoned and the choice of care interventions based on evidence, appropriateness and needs of the patient. The instability / exacerbation will be addressed with a welfare protocol. The impact and the experience of the disease on the life of the patient and on the family will be considered and the aspects of rehabilitation and palliative will be explored with respect to the symptoms in the advanced stage (eg dyspnoea).
This teaching is built on the knowledge of the 1st year of "General Nursing and Applied Methodology" and "Fisiopatology applied to nursing" (assessment of breath, meaning and signs / symptoms of hypoxia, dyspnea, principles of O2 therapy, principles of caring and supervision). The contents are linked to the modules of "Therapeutic Education" and "Community Nursing" for the trend of early discharge and need for support at the time of discharge.
The teaching also integrates with the professional laboratories scheduled for the 2nd year of the course (Making decisions for the management of the patient with heart failure in the stabilized phase; Developing self-care skills in a person with COPD).
Nocturnal assistance and noise: peculiarities in the evaluation and observation of patients during the night, surveillance, problems that more easily occur during the night.
The care management of the main problems connected to cardiovascular situations (ischemic heart disease and heart failure) and respiratory (COPD and bronchial asthma):
- Self-help contents: recognition of instability, diet, weight control, medication intake, physical activity and interventions to reduce fatigue and intolerance to physical activity.
- Acute and chronic hypoxia.
- Acute and chronic dyspnea and obstruction / bronchial stasis (management of terminal dyspnea will be addressed in the module "Clinical nursing in medicine and palliative care").
- Assist and train the person with long-term OTLT.
- Rest in bed as a therapeutic prescription.
- Balance of liquids and indicators.
- Parameters of the standard water balance and significance with respect to the different clinical situations.
- Care management of clinical instability (surveillance and care).
Evaluation and first approach to chest pain.
Cases and "welfare and educational" assistance situations in people with heart failure, angina and heart attack, COPD and asthma.
|Saiani L, Brugnolli A||Trattato Cure Infermieristiche (Edizione 3)||Idelson Gnocchi||2020|
|Brugnolli Anna e Saiani Luisa||Trattato di Medicina e Infermieristica - Un approccio di cure integrate||Sorbona||2017|
Test written with short answer question and multiple choice questions