Teaching code

4S000109

Credits

8

Coordinator

Simonetta Friso

Language

Italian

Moodle Seminars 0

The teaching is organized as follows:

Learning outcomes

The course aims to investigate physio pathological, clinical and care aspects of some important health problems selected considering their epidemiological relevance and feature in situation of clinical instability but above all in chronicity/disability. The course considers changes deriving from aging and from chronic degenerative problems increase. The approach focuses on the recognition and management of current and potential problems with a view to continuity in different care settings and on development of competencies and self-care skills. GERIATRICS: The course aims to deepen the physiopathological, clinical and care aspects of some priority health problems selected based on their relevance epidemiological and exemplary both in the situation of clinical instability but above all in the chronicity / disability. Consider the resulting changes aging population and the increase in chronic degenerative problems. The approach focuses on the recognition and management of problems current and potential in a perspective of continuity in different care contexts and on the promotion and development of skills and s+J32elf-care skills. CLINICAL NURSING IN MEDICINE AND PALLIATIVE CARE: Knowing how to describe the sphere of palliative care and identifying objectives and methods of taking charge of the people involved and their families Identify the most approp+J32riate approaches to the individual phases of the disease pathway. NURSING IN CHRONIC DISEASE The module aims to deepen the physiopathological, clinical and care aspects of some priority health problems selected based on their epidemiological relevance and exemplarity both in the situation of clinical instability but above all in the chronicity / disability. Consider the changes resulting from the aging of the population and the increase in chronic degenerative problems. The approach focuses on the recognition and management of current and potential problems in a perspective of continuity in different care contexts and on the promotion and development of skills and self-care skills. INTERNAL MEDICINE The module aims to provide knowledge on the physiopathological processes and the main diagnostic-therapeutic pathways of the main clinical pictures such as liver cirrhosis, pneumonia and bronchopulmonary foci, gastritis and gastric ulcers, chronic inflammatory bowel diseases, acute and chronic renal failure . With reference to the illnesses treated, the student, on the basis of knowledge, must be able to: a) recognize the main signs and symptoms of the diseases treated and b) acquire some basic hints for therapeutic management. REHABILITATION MEDICINE to acquire knowledge about concepts of disablement,disability and handicap, neuro-Motor rehabilitation Bladder’s neurologic rehabilitation and rehabilitation of patients with hip and knee’s prosthesis NEUROLOGY: To acquire the basic knowledge of the anatomy and physiology of the central and peripheral nervous system, of the etiopathogenesis, of the physiopathology of the main neurological syndromes, the principles of treatment and the type of supportive care ENDOCRINOLOGY: Nursing knowledge and skills in the diagnosis, management and treatment of diabetes mellitus and other major endocrine diseases.

Program

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MM: GERIATRIA
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Demographics and Epidemiology of Aging. Geriatrics as a medicine of complexity. Multidimensional Geriatric Assessment. Changes in body composition with aging: Sarcopenia. Malnutrition in the elderly. Obesity in the elderly. Geriatric syndromes. The falls. Syncope. Cognitive impairment and delirium. The immobilization syndrome.
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MM: MEDICINA RIABILITATIVA
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The course will cover the following topics: - Concepts of impairment, disability, handicap. - International Classification of the Functioning of Disability and Health (ICF). - Rehabilitation: intervention strategies and prevention. - Prosthetics, orthoses and aids. - Neuromotor rehabilitation of patient with stroke and brain injury. - Rehabilitation of neurological bladder - Rehabilitation of hip and knee arthroplasty DIDACTIC METHODS Lectures with slides.
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MM: INFERMIERISTICA CLINICA NELLA CRONICITA'
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Principles of taking charge of the person with chronic degenerative disease: - advance patient autonomy and independence and reduce the risk of disability - advance self-management of the disease - ensure continuity of care: transitions, resignations, treatment reconciliation - realize the disease trajectory Effects of hospitalization in chronicity and strategies to avoid "hospitalization syndrome". Problems of the elderly person and / or with chronic degenerative pathologies: - dysphagia: evaluation and management - risk of falling: risk factors and prevention measures - cognitive state and cognitive disorders: evaluation and management of memory deficit, language deficit, perception deficit - confusional state and delirium - caregiving and burden of the caregiver - communication with the elderly without and with cognitive impairment: ageism, elderspeak Stroke Assessment and protocol in the first 24 hours Assessment and rehabilitation-educational approach in the post-acute phase with particular attention to early mobilization, outcomes related to disability and family needs Diabetes mellitus - the educational triad: drug-insulin treatment, diet and nutrition and physical activity - self-care behaviors of acute complications: hypoglycaemia and hyperglycaemia - acute situations requiring integrated intervention - interventions for the prevention of chronic complications Parkinson and Alzheimer - assessment, definition and expressions of the main clinical manifestations - problems and clusters of symptoms in the trajectory of disease from the pre-clinical phase to the advanced phase of the disease - educational-care / rehabilitation and palliative approach in the various stages of illness - family needs and caregiving
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MM: INFERMIERISTICA CLINICA IN MEDICINA E CURE PALLIATIVE
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Palliative care - Palliative care and simultaneous care - The person in terminal phase: identification and holistic assistance - The evolutionary trajectories of diseases - The outcomes: quality of life and prognosis - The care settings and the palliative care network - The nurse in palliative care The assistance in palliative care - Symptoms in the person with advanced and/or end of life chronic-degenerative disease - Pain in the advanced stage of disease - End-of-life care needs - Emergencies in palliative care - Pharmacological therapy in palliative care - Cirrhosis: clinical care management in the compensation phase and in the advanced stage of disease - The accompaniment of the person and the family at the end of life - Terminal sedation
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MM: ENDOCRINOLOGIA
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The program will address the disorders of the following systems: - basic endocrinology, mechanisms of hormonal regulation, anterior pituitary, diabetes insipidus - Thyroid gland - Adrenal cortex - Diabetes Mellitus The final exam will be mainly based on the notes taken during the lessons. As reference, the text suggested is: Rugarli. Medicina Interna sistematica, Estratto: Malattie del sistema endocrino e del metabolismo
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MM: MEDICINA INTERNA
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- Anaemias including erythrocytopathies and hemoglobinopathies, lymphomas and acute and chronic leukemias - gastrointestinal diseases and in particular, acute and chronic gastritis, gastroesophageal reflux disease, peptic ulcer - acute and chronic renal insufficiency - chronic pancreatitis . malabsorption and malnutrition
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MM: NEUROLOGIA
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Bibliography

Examination Methods

The final evaluation will be performed be a multiple choices test in which the number of questions is defined as proportional to the number of hours of each single module of the integrated teaching course. The final score will refer to the integrated course as a whole.