Teaching code

4S000106

Teacher

Franco Mantovan

Credits

2

Language

Italian

Scientific Disciplinary Sector (SSD)

MED/45 - NURSING

Period

2 SEMESTRE PROFESSIONI SANITARIE dal Jan 10, 2022 al Sep 30, 2022.

Lessons timetable Moodle Seminars

To show the organization of the course that includes this module, follow this link:  Course organization

Learning outcomes

The teaching of surgery and orthopaedics will address clinical pictures of surgical treatment with an ERAS/FAST TRACK approach selected for their epidemiological relevance, explore the risk and prognostic factors and necessary diagnostic modalities, the surgical technique emphasizing innovative approaches, the prevalence of both early and late complications with their recognition signs and symptoms developing them with an integrated surgical and care approach. Patient problems requiring surgical treatment will be addressed from the point of view of care taking in their evolution from the acute phase to discharge and rehabilitation, through the in-depth study of evidence-based monitoring, treatment, rehabilitation and educational interventions. This course builds on the knowledge of surgical nursing, surveillance, pathophysiology and general pathology covered in Year 1.

Program

Preoperative care:
Management of drug therapy and phytotherapies
Day of surgery and intraoperative
The patient's needs on the day of surgery
Reception of the person in the operating room
Safety of the person in the operating theatre
Positioning of the patient on the operating bed: key principles
Monitoring during surgery; Maintenance of perioperative normothermia;
The awakening phase and criteria for discharge from the recovery room

Postoperative nursing care:
Surveillance in the immediate postoperative period: Cognitive disturbances and postoperative delirium
Resumption of peristalsis and resolution of ileus Meaning of the term postoperative ileus, Pathophysiological mechanisms and etiopathogenesis of postoperative ileus, Establishment of resolution of ileus and nursing interventions
Resumption of feeding
Fluid management and early removal of devices
Fluid management in the perioperative period
Early removal of devices
Postoperative pain management
Discharge of the operated person: information on surgical wound healing, postoperative shower and dressing

- Specificity of postoperative nursing care Nursing care in the postoperative course of the gastrectomy operation, related to Resumption of feeding and education to avoid early and late dumping syndrome, the needs and management of long-term symptoms of gastrectomy operation
- Nursing care in the postoperative course of the colon-rectal resection operation, related to: Discharge and long-term nutrition education in colon surgery: management of tenesmus in lower rectum surgery; educating the person with ileus and colon stoma
- Nursing care in the postoperative course of pancreas surgery, related to the surveillance of early complications: pancreatic fistula (leakage of liquid of any entity from the third postoperative day with amylase content three times higher than serum), delayed gastric emptying, biliary leak (continuous solution of the biliary-digestive anastomosis with leakage of bile into the abdominal cavity)
- Discharge education: nutrition, symptom burden (secondary diabetes, indicate that there is a need for education but the contents are taken from the medical area)
- Nursing care in the postoperative course of a mastectomy operation, related to the surveillance of early complications: seroma, rehabilitation of shoulder joint movement and instruction in the prevention of lymphoedema: which patients due to the characteristics of the operation need this intervention, in which postoperative period it can occur, alteration of the body image: meaning, manifestations, assistance interventions
- nursing care in the postoperative course of hip arthroplasty surgery, relating to prevention and surveillance of early complications, early mobilisation plan and education in the use of aids

Bibliography

Examination Methods

Multiple choice written exam for teaching in anesthesia-analgesia (10 items), orthopedics (10 items) and surgery (20 items).
Open-ended written exam (7-10 items) for the teaching of Nursing.
There is no preliminary preparation between the clinical part and the nursing part. The examination of the clinical part is done on separate days from the nursing part to offer the student more time for preparation.
In the event that the teacher verifies the student's difficulty in passing the written test in Nursing, he reserves the right to examine the student at one of the subsequent sessions by means of an oral test.
Final result: total sum of the results for each clinical module divided by 3 + the nursing part divided by 2
(total weight 50% (clinical part) + 50% (nursing part).
The final result is to be considered positive when a minimum of 18 / 30.