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

Clinical nursing care in surgical area - INFERMIERISTICA CLINICA CHIRURGICA

Course code
Name of lecturer
Anna Missaglia
Number of ECTS credits allocated
Academic sector
Language of instruction
INF LEG - 2° anno 2° sem dal Apr 15, 2020 al Jun 30, 2020.

To show the organization of the course that includes this module, follow this link * Course organization

Lesson timetable

Go to lesson schedule

Learning outcomes

The student at the end of the course will be able to identify the clinical manifestations of the main complications of the intra and postoperative phase, recognizing the prevention criteria and specific post-operative care interventions and will recognize the assistance interventions and the peculiarities of the care pathways to the person subjected to surgery gastro-intestinal, hip prosthesis and mastectomy.


Intraoperative assistance:
- Distinguish and motivate interventions aimed at ensuring patient safety
- Analyze the different types of positioning and their characteristics in relation to surgery.

Post-operative assistance:
- Distinguish and motivate the methods of surveillance of the patient undergoing surgery.
- Recognize the main postoperative complications (nausea and vomiting, PONV, acute postoperative pain, urinary retention, ileus, alteration of fluid balance) and identify the main prevention and treatment interventions.
- Motivate the guidelines aimed at early mobilization, early re-feeding and post-operative fluid management.
- Analyze the characteristics of post-operative and procedural pain and interventions aimed at prevention and treatment.

Assistance to the person subjected to gastrectomy:
- Recognize the post-operative problems of the person undergoing gastrectomy surgery and recognize short-term management interventions.
- Plan assistance interventions aimed at managing possible long-term complications.
Assistance to the stoma patient:
- Recognize the post-operative problems of the person subjected to intestinal resection with ostomy packaging.
- Analyze the interventions related to the management of ileostomy and colostomy in the post-operative period: care of the stoma and peristomal skin, choice of principals ..
- Distinguish possible complications related to the ostomy and treatment modalities.
- Design a discharge plan for a patient with an ostomy.
- Design an educational program for a patient with an intestinal / urinary derivation to promote self-management of their disease.

Assistance the woman undergoing mastectomy:
- Recognize post-operative interventions aimed at maintaining limb mobility.
- Distinguish the characteristics of post-operative seroma from those of lymphedema.
- Train the woman to perform exercises aimed at preventing lymphatic stasis.
- Designing a discharge plan to help the woman take care of the limb, manage lymphatic drainage, recognize the onset of lymphedema.

Personal assistance with hip prosthesis and plaster cast
- Recognize the care problems of the person with limb immobilized by plaster cast.
- Design an educational plan for the person subjected to hip replacement surgery.

Reference books
Author Title Publisher Year ISBN Note
Lise M. Chirurgia per infermieri, quinta edizione (2017) Ed Piccin. Padova 2017
Saiani, Brugnolli Trattato di cure infermieristiche  

Assessment methods and criteria

Integrated written test

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