Nursing REPLICA F-ASL ROMA 4 - CIVITAVECCHIA

COURSE SYLLABUS General and Clinical Nursing GENERAL EDUCATIONAL OBJECTIVE At the end of the course, the student will be able to know, understand, and apply the nursing care process to meet the needs of the individual and the community, with particular reference to M. Gordon’s Functional Health Patterns. The student will integrate theoretical knowledge, practical skills, clinical judgment, and communication skills in caring for patients with low to medium care complexity. EXPECTED LEARNING OUTCOMES Knowledge and Understanding At the end of the educational pathway, the student knows and understands: • The nursing care process and its phases (assessment, diagnosis, planning, implementation, evaluation) • M. Gordon’s functional and dysfunctional health patterns, in particular: ◦ Activity and exercise ◦ Nutrition and metabolism ◦ Urinary and bowel elimination ◦ Sleep and rest ◦ Cognitive–perceptual ◦ Self-concept ◦ Roles and relationships ◦ Sexuality and reproduction ◦ Coping and stress tolerance ◦ Values and beliefs • Principles of hygiene, personal care, and assistance with basic needs • Fundamentals of nursing care related to respiratory, cardiovascular, and thermoregulation problems • The main NANDA nursing diagnoses related to the health patterns addressed • The main nursing assessment scales Ability to Apply Knowledge and Understanding At the end of the educational pathway, the student is able to: • Apply the nursing process to patients with low care complexity • Perform nursing assessment using Gordon’s Functional Health Patterns • Correctly use assessment tools, including: ◦ ADL, Barthel Index ◦ MNA, food diary ◦ Urinary and bowel diary ◦ Bristol Stool Scale, CAS ◦ MMSE ◦ RSS ◦ PSS • Formulate nursing diagnoses consistent with collected data • Plan nursing interventions related to: ◦ Hygiene and personal care ◦ Nutrition, hydration, and elimination ◦ Mobilization, positioning, and physical activity ◦ Support of respiratory function ◦ Thermoregulation ◦ Psychosocial and spiritual support • Define care goals and outcome evaluation criteria Judgment Autonomy At the end of the educational pathway, the student is able to: • Distinguish objective data, subjective data, and inferences during assessment • Identify and prioritize nursing diagnoses • Recognize situations of clinical and care-related risk • Evaluate the effectiveness of nursing interventions • Adapt the care plan to changes in the patient’s condition Communication Skills At the end of the educational pathway, the student is able to: • Communicate effectively with the patient and family members • Use scientific, clear, and appropriate language • Collaborate with the multiprofessional healthcare team • Educate the patient on lifestyle, prevention, and self-care Learning Skills At the end of the educational pathway, the student is able to: • Identify and use scientific sources and clinical guidelines • Critically reflect on nursing practice • Integrate theory and clinical practice • Develop autonomous and lifelong learning skills EDUCATIONAL CONTENT Fundamentals of Nursing Care • Admission, reception, and discharge of the patient • Hospital room and patient care unit • Vital signs: measurement, normal values, and alterations • Nursing care in respiratory problems: ◦ Cough and respiratory physiotherapy ◦ Incentive spirometry ◦ Oxygen therapy and devices ◦ Pathological breathing patterns and breath sounds Activity and Exercise • Mobility and autonomy • Positioning, ambulation, and transfers • Risk of immobility and falls • Prevention of pressure injuries • Assessment scales (Barthel Index, ADL) Thermoregulation • Body temperature • Factors influencing thermoregulation • Temperature alterations and fever • Nursing procedures • Care plan Nutritional–Metabolic Pattern • Nutrition and metabolism • Types of nutrients • Fluid balance • Food pyramid and food labeling • Dysphagia • Nursing assessment and tools (MNA, food diary) • Care plan and nursing diagnoses Urinary Elimination Pattern • Characteristics of normal urine • Alterations of urinary function • Collection of urine samples • Urostomy • Urinary diary and care plan Bowel Elimination Pattern • Characteristics of stool • Bowel alterations • Enema • Colostomy and ileostomy • Assessment tools (Bristol Stool Scale, CAS) • Care plan Sleep and Rest Pattern • Physiology and characteristics of sleep • Factors influencing sleep • Sleep alterations • Nursing assessment • Care plan Cognitive–Perceptual Pattern • Sensory perception • Cognitive function • Perceptual and cognitive alterations • Nursing assessment • Assessment tools (MMSE) • Care plan Psychosocial and Spiritual Patterns • Self-concept and self-perception • Roles and relationships • Sexuality and reproduction • Coping and stress tolerance • Values and beliefs • Loss and grief Palliative Care and End-of-Life Care • Care of the dying patient • Palliative care • Law 38/2010 • Law 219/2017 • Kübler-Ross theory

To access the course, students should have basic knowledge and skills in health and scientific subjects, as well as transversal competencies useful for nursing study and practice: Basic knowledge in health sciences Human anatomy and physiology Biochemistry and cell biology Fundamentals of microbiology and hygiene Scientific and study skills Ability to understand scientific texts in healthcare Basic mathematical knowledge for dosage calculations and clinical parameters Transversal skills Ability to learn independently Communication and teamwork skills Ability to observe, collect data, and perform critical analysis Basic IT skills Use of software for clinical data management or bibliographic research Relevant prerequisite courses Completion of basic courses required by the study plan (e.g., Anatomy and Physiology) Proficiency in Italian (or the language of instruction) sufficient to understand lectures and scientific texts

REFERENCES • Craven RF, Hirnle CJ. Fundamentals of Nursing. January 2024, 7th edition. Milan: Casa Editrice Ambrosiana. • Wilkinson JM. Nursing Diagnoses with NOC and NIC, 2nd edition. Milan: Casa Editrice Ambrosiana. • Badon P, Canesi M. Nursing Procedures. 2018. Milan: Casa Editrice Ambrosiana. • Artioli G, Copelli P, Foà C, La Sala R. Nursing Assessment of the Patient: An Integrated Approach. Milan: Poletto Editore; 2016. • Bulechek GM, Butcher HK, Dochterman JM, Wagner CM. NIC Classification of Nursing Interventions. 2013 edition. Milan: Casa Editrice Ambrosiana; 2018. • Herdman TH, Kamitsuru S. Nursing Diagnoses: Definitions and Classification 2015–2017. 10th edition. Milan: Casa Editrice Ambrosiana; 2019. • Moorhead S, Johnson M, Maas ML, Swanson E. NOC Classification of Nursing Outcomes: Measurement of Health Outcomes. 2013 edition. Milan: Casa Editrice Ambrosiana; 2017.

Attendance is mandatory for 67% of the total teaching hours.

oral or written exam

Traditional lecture-based teaching