Nursing - Roma Azienda Ospedaliera Sant’Andrea

Activity type

Interdisciplinari e cliniche

SSD

MED/09

Year

N/D

Semester

N/D

CFU

1

Hours distribution

12 classroom hours

Lecturers

CARMINE SAVOIA

Activity type

Interdisciplinari e cliniche

SSD

MED/11

Year

N/D

Semester

N/D

CFU

1

Hours distribution

12 classroom hours

Lecturers

GIACOMO TINI MELATO

Activity type

Interdisciplinari e cliniche

SSD

MED/10

Year

N/D

Semester

N/D

CFU

1

Hours distribution

12 classroom hours

Lecturers

ALBERTO RICCI

Activity type

Interdisciplinari e cliniche

SSD

MED/12

Year

N/D

Semester

N/D

CFU

1

Hours distribution

12 classroom hours

Lecturers

EDITH LAHNER

Activity type

Interdisciplinari e cliniche

SSD

MED/15

Year

N/D

Semester

N/D

CFU

1

Hours distribution

12 classroom hours

Lecturers

MARIA ROSARIA RICCIARDI

Activity type

Interdisciplinari e cliniche

SSD

MED/13

Year

N/D

Semester

N/D

CFU

1

Hours distribution

12 classroom hours

Lecturers

ANTONGIULIO FAGGIANO

Activity type

Scienze infermieristiche

SSD

MED/45

Year

N/D

Semester

N/D

CFU

1

Hours distribution

12 classroom hours

Lecturers

Eleonora Moraca

Activity type

Scienze medico - chirurgiche

SSD

MED/17

Year

N/D

Semester

N/D

CFU

1

Hours distribution

12 classroom hours

Lecturers

MIRIAM LICHTNER

Activity type

Interdisciplinari e cliniche

SSD

MED/14

Year

N/D

Semester

N/D

CFU

1

Hours distribution

12 classroom hours

Lecturers

FRANCESCA TINTI

General Learning Objectives
The Integrated Course in Internal Medicine and Geriatrics aims to provide students with fundamental theoretical and practical knowledge to develop the ability to analyze and address clinical problems in internal medicine and geriatrics.
Students will learn to evaluate the balance between benefits, risks, and costs of clinical decisions in accordance with the principles of evidence-based medicine and nursing care.
The course promotes the development of clinical reasoning and critical thinking in the management of the most common and relevant conditions affecting adult and elderly patients. It also fosters understanding of epidemiological data and its application to health promotion and disease prevention in individuals and communities.
Students will develop the ability to integrate specialized issues into a holistic view of the patient’s overall health and well-being, considering preventive, diagnostic, therapeutic, rehabilitative, and gender-related aspects.
Specific Learning Objectives
Knowledge and Understanding
Upon successful completion of the course, students will be able to recognize and analyze the main clinical problems in internal medicine and geriatrics, assess benefits, risks, and costs of care interventions, and understand the principles of evidence-based practice.
They will also acquire theoretical knowledge related to nursing management of patients in medical and geriatric settings.
Applying Knowledge and Understanding
Students will be able to apply clinical reasoning to analyze and manage the most common and significant medical and geriatric conditions, and to plan and implement nursing care interventions in internal medicine.
They will also learn to promote health and prevent disease in individuals and communities, in accordance with European and national guidelines.
Making Judgements
Students will develop the ability to interpret clinical, functional, and structural changes in a comprehensive manner, integrating multidisciplinary and nursing perspectives. They will be able to place specific health problems within the broader context of the patient’s overall condition, adopting an evidence-based and person-centered approach.
Communication Skills
Students will acquire the ability to communicate effectively with patients, families, and members of the healthcare team, using appropriate language and relational skills. They will understand the basic principles of the physician–nurse–patient–family communication model and their role in interprofessional collaboration.
Learning Skills
The course aims to strengthen students’ ability to learn and apply the logic of differential diagnosis and nursing assessment, to develop critical thinking, and to continuously update their knowledge and skills in internal medicine and geriatrics.

Students are expected to have acquired:
Foundational knowledge of anatomy, physiology, pathology, and pharmacology relevant to medical-surgical conditions;
Basic understanding of microbiology, immunology, and hygiene principles related to infection prevention and control;
Knowledge of the nursing process (assessment, diagnosis, planning, implementation, and evaluation);
Competence in fundamental nursing techniques and patient safety principles;
Communication and relational skills for effective interaction with patients and the healthcare team;
Ability to apply ethical and deontological principles in clinical decision-making.
These prerequisites ensure that students can effectively integrate theoretical knowledge and practical skills in the management of adult patients with medical diseases.

Module: Internal Medicine and Geriatric Diseases
Core Curriculum Internal Medicine:
-Atherosclerosis and atherosclerotic disease
-Heart failure
-Pulmonary embolism
-Arterial hypertension in the young and elderly
-The frail elderly


Module: Cardiovascular Diseases
Principles of cardiovascular physiopathology
Principles of ECG
Cardiovascular risk
Chest pain and ischaemic heart disease
Heart failure



Module: Lung Diseases
Semeiotics and diagnostics in diseases of the respiratory system


Module: GastroIntestinal diseases
-Introduction to the digestive system: anatomy and physiology, nutrients absorption and gastrointestinal microbiota
-Main symtoms, signs and disorders of the upper gastrointestinal tract
-Main symtoms, signs and disorders of the lower gastrointestinal tract
-Main symtoms and disorders of the liver and the biliary system




Module: Kidney and Urinary tract diseases
Hematopoiesis.
Diagnostic tests in hematology: peripheral blood and bone marrow.
Anemias: classification
Platelet and coagulation disorders.
Onco-hematology
- Definition of neoplasia. General features of the neoplastic cell.
- Integrated diagnostic pathway in onco-hematology:
 Morphological examination
 Flow cytometry
 Cytogenetics and molecular genetics
 Molecular investigations
- Definition and classification:
 Acute myeloid and lymphoid leukemia
 Chronic myeloproliferative neoplasms
 Chronic lymphatic leukemia
 Hodgkin's lymphoma, non-Hodgkin's lymphomas,
 Monoclonal Gammopathies and Multiple Myeloma
Stem cell transplantation: autologous and allogeneic.

The objective of the module is the classification of the main haematologic diseases. The course also aims to provide students with knowledge about the principles of treatment of the onco-haematological patients.



Module: Endocrinology
Endocrine dysfunctions: clinical presentation and therapy
Diabetes mellitus and related complications
Obesity


Module: Clinical Nursing in Medical Area
Nursing care for patients with cardiovascular conditions

Nursing care for patients with respiratory conditions

Nursing care for patients with diabetes

Nursing care for patients with neurological disorders

Nursing care for patients with urinary system disorders





Module: Infective diseases
Clinica aspects in infectious disease
HIV infection
Sexual Trasmitted Infection
Health care associate infections
Respiratory infection and tuberculosis
exanthematous diseases
Urinary tract infections
Arbovirosis and malaria
ENDOCARDITIS
ANtibiotics use


Module: Onco-Hematological diseases
Anatomical overview of the kidney and urinary tract; elements of renal physiology.The nurse–hospitalized patient relationship in the context of renal diseases: assessment of vital signs related to renal function; evaluation of fluid balance; management of abdominal and pelvic drains, and stomas. Nursing diagnosis.Glomerular filtrate, general concept and evaluation of clearance.Basic elements of kidney and urinary tract semeiotics.Oliguria, anuria, polyuria, and dysuric symptoms. Nocturia.Urinalysis and its abnormalities (hematuria, leukocyturia, cylindruria, urinary retention). Urine culture.Overview of instrumental diagnostics. Renal biopsy.Main nephrological conditions of nursing interest: urinary tract infections, acute and chronic renal failure, nephritic and nephrotic syndromes, brief overview of glomerulonephritis and polycystic kidney disease. Main risk factors for kidney diseases.Indications and management of renal replacement therapy: hemodialysis, peritoneal dialysis, kidney transplantation. Vascular and peritoneal access.

Module: Internal Medicine and Geriatric Diseases
Woods SL, Sivarajan Froelicher ES, Motzer SA, Bridges EJ; Cardiac Naursing; Wolter Kluwers/Lippincott
Renato Massini; Medicina Interna; McGrawHill
Marco Di Muzio. Manuale di procedure infermieristiche basate sulle evidenze. Edises. 2021. Seconda edizione
Joseph Loscalzo, J. Larry Jameson, Anthony Fauci, Dennis Kasper, Stephen Hauser, Dan Longo. Harrison's Principles of Internal Medicine (Vol. 1-2), 22nd Edition. McGraw-Hill Education 2025
Scientific review articles on the topics covered, suggested during the lectures.


Module: Cardiovascular Diseases

Course’s lessons
Manuale cardionursing. Uno strumento per l'assistenza infermieristica di Domenico Miceli, Quinto Tozzi, Paola Di Giulio, Lucia Sabbadin


Module: Lung Diseases
Manuale di pneumologia di E. M. Clini, G. Pelaia - Edises
Malattie dell'apparato respiratorio
di Pierachille Santus, Dejan Radovanovic - Idelson-Gnocchi
Harrison. Principi di medicina interna. Con e-book (prodotto in più parti di diverso formato)
di J. Larry Jameson, Anthony S. Fauci, Dennis L. Kasper - CEA – 2021



Module: GastroIntestinal diseases
Woods SL, Sivarajan Froelicher ES, Motzer SA, Bridges EJ; Cardiac Naursing; Wolter Kluwers/Lippincott
Renato Massini; Medicina Interna; McGrawHill
Marco Di Muzio. Manuale di procedure infermieristiche basate sulle evidenze. Edises. 2021. Seconda edizione
Joseph Loscalzo, J. Larry Jameson, Anthony Fauci, Dennis Kasper, Stephen Hauser, Dan Longo. Harrison's Principles of Internal Medicine (Vol. 1-2), 22nd Edition. McGraw-Hill Education 2025
Slides are made available by mail upon request


Module: Kidney and Urinary tract diseases
Ematologia di Mandelli- Avvisati et al, second edition (2019) ISBN: 978-88-299-2307-6; Piccin.
Any other recently published hematology textbook can be used.




Module: Endocrinology
Woods SL, Sivarajan Froelicher ES, Motzer SA, Bridges EJ; Cardiac Naursing; Wolter Kluwers/Lippincott
Renato Massini; Medicina Interna; McGrawHill
Marco Di Muzio. Manuale di procedure infermieristiche basate sulle evidenze. Edises. 2021. Seconda edizione
Joseph Loscalzo, J. Larry Jameson, Anthony Fauci, Dennis Kasper, Stephen Hauser, Dan Longo. Harrison's Principles of Internal Medicine (Vol. 1-2), 22nd Edition. McGraw-Hill Education 2025


Module: Clinical Nursing in Medical Area
Brady AM et al Fundamentals of medical and surgical nursing 2014 Wiley
Brunner & Suddarth’s Textbook of Medical-Surgical Nursing 12th edition
Audrey T. Berman, Shirlee J. Snyder, e Geralyn Frandsen. Kozier & Erb's Fundamentals of Nursing, 11th edition


Module: Infective diseases
Woods SL, Sivarajan Froelicher ES, Motzer SA, Bridges EJ; Cardiac Naursing; Wolter Kluwers/Lippincott
Renato Massini; Medicina Interna; McGrawHill
Marco Di Muzio. Manuale di procedure infermieristiche basate sulle evidenze. Edises. 2021. Seconda edizione
Joseph Loscalzo, J. Larry Jameson, Anthony Fauci, Dennis Kasper, Stephen Hauser, Dan Longo. Harrison's Principles of Internal Medicine (Vol. 1-2), 22nd Edition. McGraw-Hill Education 2025


Module: Onco-Hematological diseases
- Materials provided by the lecturer during the lessons- Renato Massini – Internal Medicine – Nursing Degree. McGraw Hill Education- Raffaele Antonelli Incalzi – Internal Medicine. For Nursing Sciences. Piccin-Nuova Libraria

Module: Internal Medicine and Geriatric Diseases
Scientific articles related to topics included in the program will be recommended as a study tool for integrative purposes to frontal lessons and adopted text.


Module: Cardiovascular Diseases
N/D
Module: Lung Diseases
N/D
Module: GastroIntestinal diseases
N/D
Module: Kidney and Urinary tract diseases
Recent bibliography indicated during the lessons.


Module: Endocrinology
N/D
Module: Clinical Nursing in Medical Area
N/D
Module: Infective diseases
N/D
Module: Onco-Hematological diseases
N/D

Mandatory In-class instruction according to the syllabus and the CFU credits of the individual modules

Mandatory in-person attendance

The student must answer 10 multiple-choice questions for each module (9 modules in total) within a maximum time of 1 hour.
The exam will be considered passed if the student correctly answers at least 6 out of 10 questions in each module.
The final grade will be expressed on a 30-point scale, based on the average of the modules.

Atrial fibrillation is characterized by a typical electrocardiographic picture, which one?:
1) Absence of P waves and irregular RR intervals
2) Absence of P waves and regular RR intervals
3) P waves of variable morphology with regular RR intervals
4) Presence of evident P waves and irregular RR intervals

Module: Internal Medicine and Geriatric Diseases

• Frontal classes according to the program (1CFU)
  • Books: see "testi" section

• Frontal Classess according to the program (1CFU)
  • Books: See "testi"section

• Frontal classes according to the program (1CFU)
  • Books: See "testi" section

• Hematopoiesis. Hematopoietic progenitors and stem cells. Diagnostic tests in hematology: peripheral blood and bone marrow.Oncohematology- Definition of neoplasm. General characteristics of the neoplastic cell. Integrated diagnostic workup in oncohematology• Morphological examination• Immunophenotype• Cytogenetics and molecular genetics• Molecular investigations


• Oncohematology- Classification:• Acute myeloid and lymphoid leukemias• Chronic myeloproliferative neoplasms• Chronic lymphocytic leukemia• 


• Hodgkin's lymphoma, non-Hodgkin's lymphomas• Monoclonal gammopathies and multiple myeloma


• Anemias: classification Platelet and coagulation disorders. Hematopoietic Stem cell transplantation: autologous and allogeneic.

• Endocrine dysfunctions: clinical presentation and therapy
  • Books: slides


• Diabetes mellitus and related complications
  • Books: slides


• Obesity 
  • Books: slides

• Frontal classess according to the program (1CFU)
  • Books: See "testi" section

• Anatomical overview of the kidney and urinary tract; elements of renal physiology.The nurse–hospitalized patient relationship in the context of renal diseases: assessment of vital signs related to renal function; evaluation of fluid balance; management of abdominal and pelvic drains, and stomas. Nursing diagnosis.Glomerular filtrate, general concept and evaluation of clearance.Basic elements of kidney and urinary tract semeiotics.Oliguria, anuria, polyuria, and dysuric symptoms. Nocturia.Urinalysis and its abnormalities (hematuria, leukocyturia, cylindruria, urinary retention). Urine culture.Overview of instrumental diagnostics. Renal biopsy.Main nephrological conditions of nursing interest: urinary tract infections, acute and chronic renal failure, nephritic and nephrotic syndromes, brief overview of glomerulonephritis and polycystic kidney disease. Main risk factors for kidney diseases.Indications and management of renal replacement therapy: hemodialysis, peritoneal dialysis, kidney transplantation. Vascular and peritoneal access.
  • Books: - Materials provided by the lecturer during the lessons- Renato Massini – Internal Medicine – Nursing Degree. McGraw Hill Education- Raffaele Antonelli Incalzi – Internal Medicine. For Nursing Sciences. Piccin-Nuova Libraria