GENERAL AND CLINICAL NURSING

Course objectives

At the end of the course, students, after having achieved adequate understanding of the terminology in use, should demonstrate: · abilities in understanding ethical and social-cultural implications of professional practice in today's environment; · capability to develop a personal plan of care using the nursing process criteria, and competently adopt the specific techniques and procedures · thorough critical evaluation of criteria used to elaborate the plan of care; know the sources of qualitative and quantitative nursing research; be able to recognize a nursing research article and perform critical reading. Knowing the use of research in daily practice

Channel 1
MILENA MARCANGELO Lecturers' profile

Program - Frequency - Exams

Course program
Nature and process of research; Methodology and typology of scientific research; Introduction to nursing research; Ethical problems related to nursing research; Research planning: phases; Qualitative and quantitative research design; EBP: evidence-based practice; Areas of use of nursing research.
Books
Nursing research. Author: J.A. Fain; C. Ed .: McGraw-Hill - Nursing research methodology. Authors: G. LoBiondo-Wood; J. Haber. C. Ed: McGraw-Hill
FIORELLA GAZZELLONE Lecturers' profile

Program - Frequency - Exams

Course program
CONTENTS COMPRESSION LESIONS  Prevention and treatment of compression injuries;  Definition of compression injuries;  Formation of compression injuries;  Description of local factors: pressure, stretching or cutting forces, friction and maceration;  Description of systemic factors: age, reduction of mobility, malnutrition;  Classification of compression injuries;  Treatment of compression injury: lesion assessment, local treatment and reparative treatment;  Evaluation of the lesion: site, stage, dimensions, appearance of the fund, quantity and quality of the exudate, state of the periwound skin;  Local treatment: cleansing, debridement of necrotic tissues, antisepsis, primary dressing, secondary dressing;  Description and characteristics of specific medical devices;  Description of areas particularly at risk of compression injuries;  Risk assessment using measuring scales;  Description of the Norton scale  Prevention protocol;  Use of the nursing process in the compression injury prevention protocol;  Evaluate compression wounds and ulcers;  Technique of treatment of compression injuries;  Patient mobilization. INSURE INTESTINAL ELIMINATION  Detecting stool characters: theoretical knowledge aimed at technique, stool characteristics: color, smell, frequency, consistency and shape.  Main alterations: constipation, diarrhea, intestinal tenesmus; collection of a stool sample.  Fecaloma: definition, procedure, manual removal of a fecaloma.  Intestinal emptying / enemas: definition, purpose, effects, solutions, contraindications.  Intestinal washing: definition, purpose, material preparation, procedure; microclimate: definition, purpose, procedure.  Medicinal enemas: definition, purposes, types of medicaments, procedure. ENSURING URINARY ELIMINATION  Detect the characteristics of diuresis: definition, theoretical knowledge aimed at the technique, characteristics of the urine: quantity, specific weight, transparency, pH, color and odor.  Alterations in urination: stranguria, bladder tenesmus, nocturia, pollakiuria, enuresis, anuria, oliguria, polyuria.  Detection of diuresis: collection of a single sample, in the 24 hours, urine culture, detection of hourly diuresis.  Urinary control: urinary incontinence and urinary retention.  Bladder catheterization: theoretical foundations, classification of bladder catheters, types of bladder catheters, placement of an external catheter, placement of an extemporaneous catheter, placement of an indwelling catheter.  Continuous bladder irrigations.  Bladder instillations. Vesc Bladder rehabilitation: definition, goals, nursing management, objectives of pelvic floor rehabilitation, Kegel exercises: methods of development, alternative solutions to urinary incontinence PHARMACOLOGICAL THERAPY  Administration of drugs: theoretical foundations, definition of drug, presentation of the different names of drugs: chemical name, generic name, trade name.  Legislative aspects, preservation and maintenance of drugs, personal drugs of the patient, drugs, drug supply forms, classification of the error.  Medication dispensation systems: storage dispensation system, individual drawer dispensation system, single-dose system, trolley dispenser systems (computerized, palmtops, etc.); general rules in the administration of drugs (7G rules).  Routes of drug administration: oral: enteral, to be dissolved in the mouth, sublingual.  Administration of drugs: topical way: instillations of drugs in the ear, in the eyes and in the nose; rectal, vaginal, transdermal.  Parenteral route: intradermal, subcutaneous, intramuscular.  Effects of drugs, side effects.  Description of the drug delivery tools: Syringes and needles.  Preparation of drugs: description and presentation of vials and flasks; reconstruction of a solution, preparation of an injection.  Intramuscular injection: definition, purposes / indications, measurements of the sites of injections: deltoid muscle, posterior gluteal muscle or gluteal dorso, gluteal buttock muscle, rectus femoris muscle and vast late
Prerequisites
The knowledge and skills considered necessary for a successful learning of the subject require knowledge of the general notions relating to Human Anatomy, physiopathology, microbiology and general and basic clinical nursing.
Books
Kozer Erb, "Clinical Nursing - techniques and procedures", I volume, Edises publishing house, Naples, 2008. Lois White "Fundamentals of Nursing: General Principles of Nursing Care" Pamela Lynn "Manual of Taylor Nursing Techniques and Procedures: An Approach to the Nursing Process", 2nd edition, Piccin Publishing House, Padova, 2009. Sorensen - Luckmann's - Black - Matassarin - Jacobs, "The Complete Treatise of the Nursing" volumes 1st - 2nd - 3rd publishing house, Piccin, Padova, 1996. Sorensen -Luckmann's - V.R. Bolander, "The basic Nursing" Piccin publishing house, Padua, 1996.
Frequency
In order to take the exam relating to a specific course, it is necessary to have documented presence in the classroom equal to at least 67% of the hours foreseen by the teaching system.
Exam mode
The student must be able to master for each question the scientific aspect and the rationale according to updated evidence, the clinical aspect, the prevention and initial evaluation of complications, the nursing care aspect and the relationship with the care team that identifies specific technical, relational, educational, intellectual and managerial skills. The extension of the knowledge acquired, the understanding and the variables of application of the knowledge, the skills of analysis and argumentative synthesis, the skills of evaluation and decision-making of clinical-care situations are taken into account. The validity of the arguments and the logical process are taken into account. Interactive ongoing tests. Final interview.
  • Lesson code1004105
  • Academic year2024/2025
  • CourseNursing
  • CurriculumSingle curriculum
  • Year1st year
  • Semester2nd semester
  • SSDMED/45
  • CFU6
  • Subject areaScienze infermieristiche