Nursing - Roma Azienda Ospedaliera Sant’Andrea

Activity type

Interdisciplinari e cliniche

SSD

MED/09

Year

2nd year

Semester

1st semester

CFU

1

Hours distribution

12 classroom hours

Lecturers

CARMINE SAVOIA

Activity type

Interdisciplinari e cliniche

SSD

MED/11

Year

2nd year

Semester

1st semester

CFU

1

Hours distribution

12 classroom hours

Lecturers

GIACOMO TINI MELATO

Activity type

Interdisciplinari e cliniche

SSD

MED/10

Year

2nd year

Semester

1st semester

CFU

1

Hours distribution

12 classroom hours

Lecturers

ALBERTO RICCI

Activity type

Interdisciplinari e cliniche

SSD

MED/12

Year

2nd year

Semester

1st semester

CFU

1

Hours distribution

12 classroom hours

Lecturers

EDITH LAHNER

Activity type

Interdisciplinari e cliniche

SSD

MED/15

Year

2nd year

Semester

1st semester

CFU

1

Hours distribution

12 classroom hours

Lecturers

MARIA ROSARIA RICCIARDI

Activity type

Interdisciplinari e cliniche

SSD

MED/13

Year

2nd year

Semester

1st semester

CFU

1

Hours distribution

12 classroom hours

Lecturers

ANTONGIULIO FAGGIANO

Activity type

Scienze infermieristiche

SSD

MED/45

Year

2nd year

Semester

1st semester

CFU

1

Hours distribution

12 classroom hours

Lecturers

Eleonora Moraca

Activity type

Scienze medico - chirurgiche

SSD

MED/17

Year

2nd year

Semester

1st semester

CFU

1

Hours distribution

12 classroom hours

Lecturers

MIRIAM LICHTNER

Activity type

Interdisciplinari e cliniche

SSD

MED/14

Year

2nd year

Semester

1st semester

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
Clinical semiotics of respiratory diseases: medical history, clinical signs and symptoms (cough, dyspnea, chest pain, hemoptysis, cyanosis), physical examination of the chest, and major clinical findings.
Diagnostic evaluation of respiratory diseases: arterial blood gas analysis, spirometry and pulmonary function tests, pulse oximetry, chest X-ray, computed tomography (CT), bronchoscopy, and basic microbiological investigations.
Major respiratory diseases: chronic obstructive pulmonary disease (COPD), bronchial asthma, pneumonia, respiratory failure, interstitial lung diseases, and lung cancer.



Module: GastroIntestinal diseases
Introduction to the physiopathology of digestive disease
Main symptoms and diseases of:
- esophagus
- stomach
- intestine and colon
- liver and pancreas


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 hematologic diseases. The course also aims to provide students with knowledge about the principles of treatment of the onco-hematological patients.



Module: Endocrinology
Major endocrine disorders: pathophysiology, clinical presentation, diagnosis, and principles of treatment of thyroid disorders (hypothyroidism and hyperthyroidism), adrenal disorders (adrenal insufficiency and Cushing's syndrome), pituitary disorders (hypopituitarism and hyperprolactinemia), and parathyroid disorders (hyperparathyroidism and hypoparathyroidism).
Diabetes mellitus: classification, pathophysiology, diagnostic criteria, pharmacological and non-pharmacological management, glucose monitoring, acute complications (hypoglycemia, diabetic ketoacidosis, hyperosmolar hyperglycemic state), chronic complications (microvascular and macrovascular disease, neuropathy, and diabetic foot), with emphasis on the nurse's role in patient education and complication prevention.
Obesity: epidemiology, pathophysiology, clinical assessment, metabolic and cardiovascular complications, prevention and treatment strategies (lifestyle interventions, pharmacological therapy, and bariatric surgery), with particular focus on nursing care and promotion of therapeutic adherence.


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
General concepts on infectious diseases: transmission routes and protective barriers
HIV infection: epidemiology, diagnosis, clinic, therapy, prevention
Hepatitis syndromes
Infectious brain syndromes: meningitis and neurasitis
Healthcare-associated infections: prevention and treatment
Septic syndromes: sepsis, septic shock and endocarditis
Infectious respiratory syndromes: pneumonia and TB
Mononucleosis syndromes: CMV, infectious mononucleosis, VZV, HSV1/2
Vector-borne infectious syndromes: malaria, arbovirus


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.
Basic elements of kidney and urinary tract semeiotics.
Evaluation of renal function: glomerular filtrate and renal clearance.
Urinalysis and its abnormalities 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.
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
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
Digestive Disease 2022-2025 edition (english version) ISBN 9788821456350 editor EDRA


Module: Kidney and Urinary tract diseases
Ematologia di Mandelli- Avvisati et al, second edition (2019) ISBN: 978-88-299-2307-6; Piccin.
Compendio di Medicina Interna (Capitolo 7) - Amoroso A, Afeltra A, Rossi FanelliF - Antonio Delfino Editore.
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
- Manuale di Malattie Infettive, autori: Mauro Moroni, Spinello Antinori, Claudio Mastroianni.,
Ed. 2020, Casa Editrice Edra
- Materiale dato dal docente e discusso in aula


Module: Onco-Hematological diseases
-Laura Willis: Lippincott Certification Review: Medical-Surgical Nursing. Lippincott Williams &
Wilkins
-Review: Imaging and treating chronic kidney disease - February 9, 2015
https://www.nursingtimes.net/clinical-archive/long-term-conditions/managing-and-treating-
chronic-kidney-disease/5081921.article#

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
N/D
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

• Principles
  of cardiovascular physiopathology


• Principles
  of ECG


• Cardiovascular
  risk


• Chest pain
  and ischaemic heart disease


• Heart failure

• Frontal lessons according to the program
  • Books: See "testi" section

• Frontal lessons according to the program
  • 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.

• Frontal lessons according to the program
  • Books: See "testi" section

• Frontal lessons according to the program
  • Books: See "testi" section

• English lessons according to the program
  • Books: See "testi" section

• Frontal classess according to the program
  • Books: See "testi" section