Teaching code

4S01557

Credits

5

Coordinator

Monica Masiero

Language

Italian

Moodle Seminars 0

The teaching is organized as follows:

Learning outcomes

The course is focused on the fundamentals of general and clinical nursing in relation to the concepts of care and caring for the person and family, to the deontological principles that inspire and guide nursing practice. It provides conceptual and methodological bases for identifying nursing care needs, planning interventions and assessing outcomes. The students will develop skills in data collection through observation, interview and physical examination, in the analysis and understanding of the events reported by patients; will acquire the methodological basis for the assessment of problems or risks also through the use of assessment scales or tools to make decisions and propose prevention, treatment and monitoring interventions with respect to the needs and problems of the person. FUNDAMENTALS OF NURSING: The course introduces the student to the basic fundamentals of general and clinical nursing in relation to the concepts of health, illness, care and caring for the person and the family, to the deontological principles that inspire and guide the practice of care. NURSING CLINICAL METHODOLOGY The course aims to provide knowledge and skills related to the clinical methodology for identifying and managing nursing care needs, with particular reference to the use of assessment and monitoring methods and tools, the planning of interventions and the assessment of outcomes. Students will acquire these skills with regard to: nutritional status and alterations (obesity, cachexia, malnutrition); walking, exercise and mobility deficits; vital parameters, thermoregulation and changes in body temperature (fever and hypothermia); body care (body and oral hygiene) and self-care deficits. BASIC OF NURSING IN SURGICAL CARE: the course is aimed at learning the clinical method and the contents of preoperative surgical care, such as preoperative information and consent to the intervention, evaluation of the operative and infectious risk and physical preparation for the different types of intervention. The fundamental aspects of caring in the immediate post-operative phase will be treated, such as surveillance and monitoring, wound and drainage management, recovery of nutrition, ileus and early mobilization

Program

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MM: INFERMIERISTICA GENERALE
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Professional and competence standards, the professional profile. Environments and perspectives for the development of nursing and nursing. Guiding and deontological principles guiding professional action: Code of Ethics, Professional Profile, Study plan Order. Illness and disease. The trajectory of chronic illness and emotional and social impact on the person and family. The principles of the National Health Service and places of care. The centrality of the patient and family, presence, vigilance/supervision, comfort, self-care, self-determination, continuity of care, intimacy and touch, confidentiality in patient care. The role of the family as a resource for health and support for the person being cared for. The care process from assessment to evaluation of expected outcomes. Methods of assessment.
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MM: METODOLOGIA CLINICA INFERMIERISTICA
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Food - Nutrition Nutritional assessment: eating habits, anthropometric data, laboratory tests, capacity for action, Nutritional alterations: obesity, overweight and malnutrition Assessment with global evaluation of swallowing and dysphagia Multimodal interventions for dysphagia management Rest-sleep Principles of good sleep hygiene and the physiological effects of sleep Assessment of rest-sleep, environmental factors and major disorders (restless legs, sleep apnoea) Effects of sleep interruptions on personal health Educational and preventive interventions With lecturer in Physiology: Physiology of sleep, health benefits of sleep. Circadian rhythms/sleep-wake rhythm and brain functions Principles of healthy mobility, exercise. Movement disorders Lifestyle: exercise and physical activity and effects of sedentariness Assessment of the person's motor system Meaning of bed rest immobilisation, physical deconditioning, confinement in bed Early mobilisation and outcomes and bed rest: effects and timing, physiopathological effects on musculoskeletal, cardio-respiratory, urinary, gastro-intestinal and cognitive systems of disuse and early mobilisation Motor deficits: assessment, degree and causes of deficits and rehabilitative and supportive care interventions for the person with mobility deficits, falls. Elements of body ergonomics: prevention of risk from manual handling of loads Rehabilitation nursing for the maintenance of ADLs and to reduce disability risk ADL, IADL and disability The concept of self-care related to ADLs Use of devices and aids to favour the autonomy of the person Assessment, Barthel scale and assistive-rehabilitative interventions Immobilisation syndrome Definition, psycho-social and physical consequences of bed restraint. [the rationale of the syndrome is addressed and not the individual problems which are covered in other modules]. Vital signs Respiratory rate, blood pressure, heart rate, pulse oximetry and body temperature. Methods of measurement, range of normality and definition of alterations in adults and children Indicators to define monitoring times of vital signs in personal care and use of NEWS2 in acute and home care contexts to define criticality, stability and monitoring timing
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MM: ASSISTENZA CHIRURGICA GENERALE
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Terminologies of the surgical field (fastrack, ERAS, incisions, -tomy, -scopy) ERAS program,: meaning, phases, principles, history Surgical stress and neuroendocrine response to stress and its consequences on outcomes Pre-admission: Information and couselling, Consent and information, Preoperative assessment, Smoking and alcohol cessation, Optimizing nutrition and prehabilitation Preoperative nursing care: Expected outcomes, Preoperative showering and skin preparation, Oral hygiene and nasal decontamination; Bowel preparation: arguments for and against, Limiting fasting: preoperative nutrition, Antibiotic prophylaxis, Preventing thromboembolic complications, Controlling nausea and vomiting, Attention to space and intimacy Postoperative nursing care: Expected outcomes Reception in the ward Surveillance in the immediate postoperative period Vital signs monitoring (NEWS 2 timing criteria), Urinary retention (evaluation of urinary retention, management,... in clinical nursing, the peculiarities of the surgical area are addressed) Hypotension, The surgical wound: assessment, principles of management Early active mobilization Interventions to promote patient adherence to the mobilization program

Bibliography

Examination Methods

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MM: INFERMIERISTICA GENERALE
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Written format. Open questions with short answers. Closed questions with multiple answers. Questions linked to short scenarios with closed or short open answers.
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MM: METODOLOGIA CLINICA INFERMIERISTICA
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Written Modality. Open questions with short answers. Closed questions with multiple-choice answers. Questions related to short scenarios with closed or short open-ended answers.
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MM: ASSISTENZA CHIRURGICA GENERALE
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The general surgical nursing exam will consist of applied open-ended knowledge or application questions corellated to clinical nursing situations. Answers will provide for the integration of preparatory knowledge of physiology, pathophysiology (covered in the classroom), biochemistry and anatomy with surgical nursing. An examination that achieves 18/30-yes will be considered successful.