Teaching code

4S000109

Credits

8

Coordinatore

Stefania Colombo

Language

Italian

Moodle Seminars

The teaching is organized as follows:

Learning objectives

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.

Prerequisites and basic notions

Principles of taking care of the person with chronic degenerative disease: - to promote the autonomy of the patient and reduce the risk of disability - to promote the self-management of the disease - to guarantee continuity of care: transitions, discharge, reconciliation of treatments - effects of hospitalization in chronicity and strategies to avoid the "hospitalization syndrome" - understanding the trajectory of the disease Cognitive processes and management of the main cognitive alterations: The assessment and management of the main cognitive alterations: - Memory - Language (fluent and non-fluent aphasia) - perception (Agnosia and spatial and personal engligence) - The acute confusional state (Delirium) The person with Deliriun or acute confusional state alteration - Precipitating factors and predisposing factors - Diagnostic criteria (DSM V manual) - Evaluation CAM method - Interventions for symptom management, preventives - The restraint The person suffering from Al zheimer - cognitive deficits: evaluation with MMSE tool and management (rehabilitation methods) - Non-cognitive behavioral disorders: evaluation of the DICE method and management of aggression, wandering and hallucination behavior - Functional deficits: evaluation with scales for BADL , IADL, AADL and management - Specific assessment scale from both a Functional and cognitive point of view BANSS The person with Parkinson's disease - Motor and non-motor Parkinson disease symptoms - The assessment with the Wearing OFF scale (Predictable fluctuations) - The assessment progression of the disease (MDS-UPDRS scale) - Welfare interventions: management of drug therapy (Levodopa), nutrition. - Problem management: motor function, dysphagia and sialorrhea The person with type I and type II diabetes mellitus. The management of the "welfare and educational" path of the person suffering from diabetes mellitus. - Acute complications: Assessment of non-ketoacidosic hyperosmolar hyperglycemia, diabetic keto acidosis and hypoglycemia. Management: Preventive and curative interventions - Chronic complications: Evaluation of the risk of diabetic foot and classification of lesions Management Preventive and curative interventions - Diabetes self-management The management of the "care and educational" path of the person affected by stroke in the acute and post-acute phase. - Acute pre and intra hospital phase: telephone evaluation by the 118 service personnel; assessment by home ambulance staff. Cincinnati CPSS and Glasgow scales. - Acute intra-hospital phase: admission to Stroke Unit. Assessment of deficit with NIHSS scale. - Interventions: Administration of thrombolytic therapy (t-PA); Continuous monitoring of vital signs, neurological status; Thermoregulation, Glyecmia, ECG, E / U balance, posture from hemiparesis - Assessment and care management and rehabilitative nursing of stroke-related problems:: Personal hematoglicence or Neglet, spatial hemineglicence, apraxia, aphasia, dysphagia, impairment of the degree of autonomy, pain acute shoulder and bladder dysfunction. Pain in the elderly Assessment of pain in the elderly unable to communicate: assessment tools that assess behavioral disorders The risk of falls Risk factors and assessment tools Physical restraint  Definition  Reasons for use  Effects  Interventions

Bibliography

Criteria for the composition of the final grade

Written exam with multiple choice questions; divided into 2 blocks: Block A: Endocrinology; Geriatrics, Chronic Nursing, Neurology. Block B: Internal Medicine, Rehabilitation Medicine, Clinical Nursing in Medicine and Palliative Care. Note: Students can take the blocks separately and the individual blocks passed, they will remain valid until the last exam in January 2024.