Nursing

Activity type

Interdisciplinari e cliniche, Scienze medico - chirurgiche

SSD

MED/09, MED/09

Year

2nd year

Semester

2nd semester

CFU

2

Hours distribution

24 classroom hours

Lecturers

EVARISTO ETTORRE

Activity type

Interdisciplinari e cliniche

SSD

MED/26

Year

2nd year

Semester

2nd semester

CFU

1

Hours distribution

12 classroom hours

Lecturers

LAURA LIBONATI

Activity type

Scienze infermieristiche

SSD

MED/45

Year

2nd year

Semester

2nd semester

CFU

2

Hours distribution

24 classroom hours

Lecturers

EMANUELA CIONCO

Activity type

Attività formative affini o integrative

SSD

MED/48

Year

2nd year

Semester

2nd semester

CFU

1

Hours distribution

12 classroom hours

Lecturers

MARCO CALEVI

Module:
The course is intended to deepen the basic physiological preparation relating to healthy aging and disorders associated with aging, integrating biological, physiological and cognitive points of view related to senescence. It intends to stimulate reflection on specific methods and techniques of nursing care and to support dialogue between different professional figures such as doctors and social and health personnel. The course constantly focuses on the concept of care load and on the figure and role of the nurse in different care settings: hospital, acute department, clinic, local territorial structures dedicated to the rehabilitation and therapeutic care setting.
Illustration of the service networks aimed at chronic, comorbid and multi-morbid patients.
From this perspective, chronic pathologies are addressed: from the concept and pathophysiology of chronicity to the description of the main syndromic conditions: congestive heart failure, COPD and cardinal pathologies, diabetes mellitus and related pathologies, malnutrition and deficiency syndrome, concepts of clinical fragility.
Methodological specificity of multidimensional assessment and geriatric multidimensional assessment from a nursing point of view.


Module:
At the end of the course, students will be able to:
Recognize the main clinical presentations of the most relevant neurological diseases in nursing practice.
Describe the approach to the neurological patient and the principles of the neurological physical examination.
Understand the pathophysiological basis of major neurological disorders, including cerebrovascular diseases, dementias, movement disorders, motor neuron diseases, neuromuscular junction disorders, disorders of consciousness, central nervous system infections, and multiple sclerosis.
Apply acquired knowledge to effectively interact with the healthcare team in the care pathway of neurological patients.
Communicate clearly and appropriately with patients and their families regarding neurological disorders, demonstrating awareness of the associated cognitive and behavioral issues.
Develop independent learning skills for continuous education in the neurological field.



Module:
positive evaluation


Module:
N/D

Module:
It is considered absolutely necessary that the student has knowledge of anatomy and physiology of the main organs and systems, in particular knowledge and mastery of topics addressed in the first semester such as pharmacology with reference to the mechanisms of drugs and adverse reactions, elements of gerontology and basic geriatrics with the mechanisms of aging, have acquired professionalizing experiences and practices in practical internships.


Module:
A basic knowledge of the anatomy and physiology of the nervous system is useful. It is important to have acquired general clinical semeiotics and the fundamentals of general pathology.


Module:
stop infostud


Module:
N/D

Module:
CORE CURRICULUM:
Acquisition of a global vision of the patient suffering from chronic pathologies: use of integrated topics such as the internal-geriatric approach, with particular attention to nursing topics and the care load.
Biology and Pathophysiology of Aging; Fragile Patient, Disabled Patient.
Chronic pathologies with the greatest healthcare impact: cerebrovascular, cardiovascular, respiratory, hematological, osteoarticular, gastrointestinal, urogenital and neurological
EDUCATIONAL PROGRAMMING:
Cerebrovascular and Neurodegenerative Diseases
Arterial hypertension and main cardiovascular diseases
Chronic Obstructive Pulmonary Disease and Respiratory Failure
Hematological Diseases: Anemias, Myeloproliferative and Lymphoproliferative Syndromes
Osteoarticular diseases: Rheumatic diseases and Osteoporosis
Gastrointestinal Diseases: Chronic inflammatory diseases, Constipation, Diverticulosis
Urinary incontinence
Diabetes mellitus


Module:
Introduction to the neurological approach (1 hour): medical history collection, mental status assessment, neurological physical examination.

Cerebrovascular diseases (2 hours): ischemic and hemorrhagic stroke, TIA, concepts of neurological emergency.

Dementias (1.5 hours): Alzheimer's disease, vascular dementias, overview of other forms (frontotemporal, Lewy body).

Movement disorders (1.5 hours): Parkinson's disease, parkinsonisms, tremors, chorea.

Motor neuron diseases (1 hour): ALS, overview of other degenerative conditions.

Neuromuscular junction disorders (1 hour): myasthenia gravis, LEMS, diagnosis and treatment.

Disorders of consciousness (1 hour): coma, vegetative state, minimally conscious state.

Central nervous system infections (1 hour): meningitis, encephalitis, neurotropic sepsis.

Multiple sclerosis (1 hour): clinical forms, diagnosis, main symptoms, and the nurse’s role.




Module:
Medium target

At the end of the course, the student must demonstrate that he has acquired:
 the knowledge necessary for the application of the nursing process in diagnostic-therapeutic procedures for the assisted person;
 techniques relating to the implementation of the care process in relation to diagnostic diagnostic procedures for the assisted person;
 techniques related to the recovery and maintenance of the autonomy and social integration of the assisted person.


Methodology

Frontal lessons;
Classroom exercise;
laboratory simulation;
Video clips


Target
Students of the Course of Nursing Studies II year, II semester.



Contents
 Disability;
 Physical functional assessment scales: Barthel, I.A.D.L. ;
 Community integration assessment scale: C.I.Q ​​.;
 Scale of assessment of the degree of disability: D.R.S;
 Evaluation scale related to the recovery of conscience and communication after the coma: L.C.F .;
 Supervision scale: S.R.S .;
 Overview of the legislative evolution of the nurse (DM 739/94, law 42/99, DM 251/2000 and the Deontological Code);
 Nursing process applied to procedures:
or Thoracentesis;
or Pericardiocentesis;
or Lumbar puncture;
or paracentesis;
o Medullary aspirate;
o Introduction, management and removal
 of the S.N.G .;
 of the Sengstaken-Blakemore probe;
 of the enteral tube for feeding;
or gastric lavage;
o Bladder catheterization;
o Wounds: nursing nursing activity;
o Treatment of decubitus lesions, advanced dressings;


Module:
N/D

Module:
Recommended texts:
Raffaele Antonelli Incalzi: Internal Medicine for Nursing Sciences – II edition
Piccin Editore


Module:
A. Padovani, B. Borroni, M.S. Cotelli, Neurologia per le professioni sanitarie, Piccin 2017, 978-88-299-2831-6
L.C. Bressan Neurologia per i professionisti dell'area socio-sanitaria e gli osteopati, Edizioni Libreria Cortina Milano, 2019, 978-8870432176



Module:
S.M. Nettina, “Il manuale dell’Infermiere”, 7 ed. volumi 1 e 2, Piccin, 2001, Padova.

A.Berman, S. Snyder, C. Jackson, “ Nursing Clinico: Tecniche e procedure di Kozier”, II Edizione, EdiSES, 2011, Napoli.

R. Craven, C. Hirnel, S. Jensen, “Principi fondamentali dell’Assistenza Infermieristica”, Quinta Edizione, Casa Editrice Ambrosiana, settembre 2013, Milano, vol. 1 e 2



Module:
N/D

Module:
N/D
Module:
“Neurological Disorders: Public Health Challenges” – World Health Organization (WHO)
“Multiple Sclerosis: Diagnosis and Differential Diagnosis” – The Lancet Neurology
“Parkinson’s Disease: Pathogenesis and Clinical Aspects” – Frontiers in Neurology
“Amyotrophic Lateral Sclerosis: Pathophysiology and Clinical Management” – Nature Reviews Neurology
“Neuroinfection: A Practical Approach” – BMJ Neurology Open
“Approach to the Comatose Patient” – New England Journal of Medicine
“Dementia: A Clinical Approach” – JAMA Neurology
“Neuromuscular Junction Disorders” – Practical Neurology
“Neurological Examination: A Structured Approach” – Clinical Medicine (RCPL)

https://www.neuro.it –
https://www.aan.com –
https://www.who.int
https://www.ninds.nih.gov
https://www.msdmanuals.com/it
https://www.orpha.net
https://pubmed.ncbi.nlm.nih.gov



Module:
N/D
Module:
N/D

Module:
Lectures are held with audiovisual support, slide presentations and clinical cases which interactively stimulate students' attention and reflections.
Case by case, handouts with updates and insights are distributed on particular topics of specific interest.


Module:
The course was delivered entirely through face-to-face lectures, supported by multimedia presentations and clinical case discussions. The teaching methods aim to develop theoretical knowledge, analytical skills, and clinical application in line with the expected learning outcomes.


Module:
classroom lesson


Module:
N/D

Module:
N/D
Module:
Attendance is mandatory to ensure a better understanding of the topics covered and active interaction with the lecturer through discussion of illustrative clinical cases.


Module:
obligatory


Module:
N/D

Module:
The test will be in person and with an oral interview


Module:
The final exam is written and consists of multiple-choice questions. The test aims to assess whether the expected learning outcomes have been achieved, particularly understanding of major clinical presentations and the approach to the neurological patient.
A score of at least 60% correct answers is required to pass. The final grade will be expressed out of thirty.


Module:
the exam will be oral / interview


Module:
N/D

Module:
Chronic and acute disease concept
chronic syndromes
Heart failure and nursing care burden
BPCO and healthcare burden
Immobilization syndrome
Malnutrition
The network of services for chronic and comorbid patients
Principles of nursing assessment of chronic diseases


Module:
What is the most common presenting symptom of multiple sclerosis?
Which of the following is a typical feature of Parkinson's disease?
What is the main clinical sign of acute ischemic stroke?
Which of the following conditions is typically associated with the presence of fasciculations?
In which disease is Lhermitte’s sign typically observed?
Which neurotransmitter is primarily involved in myasthenia gravis?
In dementia with Lewy bodies, which symptoms are most frequent besides cognitive decline?
Which of the following conditions is most commonly associated with a reversible coma?
What is the distinguishing feature of bacterial meningitis compared to viral meningitis?



Module:
questions present in the program


Module:
N/D

Module:
N/D
Module:
N/D
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N/D
Module:
N/D