Nursing - Course D - Roma Azienda Policlinico Umberto I/Aeronautica Militare

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

PASQUALE PIGNATELLI

Activity type

Interdisciplinari e cliniche

SSD

MED/26

Year

2nd year

Semester

2nd semester

CFU

1

Hours distribution

12 classroom hours

Lecturers

MATTEO BOLOGNA

Activity type

Scienze infermieristiche

SSD

MED/45

Year

2nd year

Semester

2nd semester

CFU

2

Hours distribution

24 classroom hours

Lecturers

ANTONIO SEGATORI

Activity type

Attività formative affini o integrative

SSD

MED/48

Year

2nd year

Semester

2nd semester

CFU

1

Hours distribution

12 classroom hours

Lecturers

Fabrizio Magnifica

At the end of the course, students will be able to identify and manage the main clinical conditions associated with chronic diseases and disabilities, understanding their pathophysiological, diagnostic, therapeutic, and nursing aspects.
Specifically, students will be able to:

-understand the pathophysiological and clinical mechanisms of the main chronic cardiovascular, respiratory, metabolic, renal, gastrointestinal, and bone–metabolic diseases;
-recognize chronic conditions in the elderly, with particular focus on neurodegenerative diseases and the management of pain, malnutrition, and motor agitation;
-apply nursing principles to patients with disabilities of orthopedic, neurological, or metabolic origin, adopting a bio-psycho-social approach;
-use multidimensional assessment tools and scales for the integrated management of chronic and disabled patients;
-work within a multidisciplinary team to plan nursing care and prevent complications related to reduced mobility and disability.

Basic knowledge of anatomy, physiology, general pathology, and clinical nursing is required. Familiarity with vital signs, their monitoring, and basic principles of acute patient care is recommended.

Clinical Nursing
-Holistic and person-centered approach to chronic illness and disability.
-Planning, implementation, and evaluation of nursing care using the nursing process.
-Clinical monitoring and prevention of complications in chronic conditions.
-Therapeutic education and promotion of patient self-management and autonomy.
-Nursing management of care continuity across hospital and community settings.
-Effective communication and collaboration within the multidisciplinary healthcare team.

Medicine in Chronic Diseases
-Heart
Atherosclerosis. Peripheral vascular disease.
Primary and secondary arterial hypertension.
Arterial hypotension and syncope.
Atrial fibrillation and other relevant arrhythmias.
Cardiac ischemia (angina pectoris, myocardial infarction).
Heart failure and acute pulmonary edema.
Prevention and rehabilitation in cardiology.
-Respiratory system
Pneumonia. Pleural effusion.
Pulmonary tuberculosis.
Chronic obstructive pulmonary disease (COPD) and oxygen therapy management.
Bronchial asthma.
Pulmonary embolism: causes and prevention.
-Disorders of carbohydrate metabolism
Diabetes mellitus type 1 and type 2.
Diabetic ketoacidosis and diabetic coma.
Diabetic macroangiopathy and microangiopathy.
-Gastrointestinal system
Chronic hepatitis. Liver cirrhosis.
Gastroenteritis.
Chronic inflammatory bowel disease.
Gastroesophageal reflux disease.
Diverticulosis.
Elimination disorders (constipation and diarrhea).
-Renal system
Acute and chronic renal failure.
Nephrotic syndrome. Urolithiasis.
Urinary tract infections. Urinary incontinence.
-Bone and mineral metabolism
Metabolic bone diseases. Osteoporosis.
-Chronicity in the elderly
Neurodegenerative diseases.
Management of motor agitation.
Management of malnutrition.
Pain management.

Nursing in Disability
Concept of disability and well-being.
The bio-psycho-social model and classification of disabilities.
The orthopedic and neurological patient.
Multidimensional and functional assessment: the multidisciplinary team.
Main assessment scales in disability: elderly, neurological, and orthopedic patients.
Mobility in the elderly.
Risk of immobilization syndrome: clinical signs and patient positioning.
Nursing care in disabilities for diabetic, hepatic, infectious, and chronic pain patients.
Postural changes and patient transfers.
Fall risk: predictive signs.

Neurology
Essential functional neuroanatomy (motor and sensory systems, cranial nerves).
Neuromuscular diseases.
Movement disorders (Parkinson’s disease).
Higher nervous functions and dementia (Alzheimer’s disease).
Consciousness and its disorders. Intracranial hypertension syndrome.
Head trauma. Cerebrospinal fluid and CSF circulation disorders.
Stroke and cerebrovascular diseases.
Meningitis and encephalitis.
Multiple sclerosis.
Headaches.
Epilepsy.

1.Carpenito L.J. – Piani di assistenza infermieristica e documentazione (Ed. Ambrosiana)
2. Casu G. – Assistenza infermieristica alla persona con disabilità (Piccin Editore)

Module: NURSING IN CHRONIC DISEASES
N/D
Module: NEUROLOGY
N/D
Module: CLINICAL NURSING
N/D
Module: NURSING IN DISABILITIES
N/D

The course includes lectures integrated with case discussions aimed at applying theoretical knowledge to nursing practice.
Special attention is given to the multidisciplinary approach, multidimensional assessment, and nursing management of major chronic diseases and disabilities.

Attendance is mandatory. Active participation in lectures and practical activities is essential to acquire the theoretical and practical skills required for nursing management of chronic conditions and disabilities.

Learning is assessed through a written multiple-choice test, aimed at evaluating theoretical understanding and practical application of knowledge in the field of chronic diseases and disabilities.
The test may be supplemented by an oral discussion or by practical exercises assessing nursing competencies.

Which of the following factors is most frequently associated with the development of atherosclerosis?
What is the first-line treatment for acute pulmonary edema?
Which blood pressure value defines arterial hypertension?
In which condition is long-term oxygen therapy indicated in COPD?
Which assessment scale is used to evaluate fall risk in elderly patients?
Which of the following is an early clinical sign of immobilization syndrome?

• For the class schedule, please refer to the course calendar.