Teaching code

4S000148

Credits

6

Coordinatore

Floriana Ciaghi

Moodle Seminars

The teaching is organized as follows:

Learning outcomes

------------------------
MM: UROLOGIA
------------------------
The goal of this course is to provide to the students the basis of anatomy and physiology of urinary tract and of pelvic floor, to plan a diagnostic and therapeutic pathway to cure or improve with conservative and rehabilitative approach the main dysfunctions of the miction and continence. A matter of peculiar interest will be the diagnosis and treatment of lower urinary tract dysfunction due to neurologic diseases or to static pelvic floor dysfunctions that cause female and male urinary incontinence and genital prolapse.
------------------------
MM: ONCOLOGIA
------------------------
Acquisition of the fundamentals of cancer oncology pathology with particular reference to the definition of the biological aspects , the clinical evaluation, principles of staging, prognosis and notes on treatment of the main tumors related and complications to the disease and related therapies. Definition of the rehabilitative pathways of the cancer patient within the NHS
------------------------
MM: GERIATRIA
------------------------
Learning of basic notions about the peculiarity of frail patient end ill elderly people in different settings. Knowledge of some of the main syndromes and diseases most frequently found in advanced age.
------------------------
MM: METODOLOGIA DELLA FISIOTERAPIA ONCOLOGICA
------------------------
Learn physiotherapy's topic and treatment approach with cancer patients: settings, ethics and history into the oncological rehabilitation, common complications and local complications due to cancer or cancer treatments ( in particular in breast cancer, head and neck cancer, bone cancer)
------------------------
MM: METODOLOGIA DELLA FISIOTERAPIA GERIATRICA
------------------------
- Understand and plan a physiotherapeutic intervention in the geriatric field in a multi-professional team - Learn the tools for evaluating the gait and the risk of falling into the elderly - Evaluate the elderly with dementia, plan and perform a specific physiotherapeutic treatment - Knowing the skills to propose therapeutic exercise in the elderly patient and with dementia - Assess dysphagia and plan a specific physiotherapeutic treatment, also identifying compensatory interventions to be proposed to the assistance team - Plan and perform a physiotherapy treatment in elderly patients with a femoral fracture - Know the risks and problems related to immobilization syndrome and know the tools to prevent it - Understand the meaning of the containment, know the modalities of application or not application, plan and share the operational choice within the team. - Know and choose the walking aids
------------------------
MM: METODOLOGIA DELLA FISIOTERAPIA UROGINECOLOGICA
------------------------
To know the pelvic floors dysfunction and physiotherapy treatment present in the guidelines; To know the assessment procedures and the exam execution for pelvic floor disorders; To identify problems and objectives; To plan the rehabilitation intervention and select the appropriate exercises.

Program

------------------------
MM: UROLOGIA
------------------------
MICTURITION AND URINARY CONTINENCE  Anatomy and Physiology of the Male and Female Bladder and Urethra  Male and Female Sphinter system  Anatomy and Physiology of pelvic floor  Central and Peripheral Innervation of lower urinary tract FEMALE URINARY INCONTINENCE  Definition  Epidemiology  Clinical Classification  Phatophysiology of incontinence in women  Medilcal History and Physical Examination  Imaging and urodynamics studies  Treatment of urinary incontinence (Pharmacological treatment, rehabilitation and surgical treatment PELVIC ORGAN PROLAPSE  Definition  Epidemiology  Clinical Classification  Phatophysiology of Pelvic Organ Prolapse  Medilcal History and Physical Examination  Imaging and urodynamics studies  Treatment of Pelvic Orgasn Prolapse (Rehabilitation and surgical treatment) MALE URINARY INCONTINENCE  Definition  Phatophysiology of Male urinary incontinence  Surgical and nonsurgical treatment of male urinary incontinence NEUROGENIC LOWER URINARY TRACT DISFUNCTIONS  Definition  Anatomy and physiology of Central and Peripheral Nervous System  Clinical neuro examination  Levels of lesion  Initial and specialized manegment in neurological patients
------------------------
MM: ONCOLOGIA
------------------------
Biology of tumors. Tumorigenesis. Oncogenes and oncosuppressors. Hints of prevention. Early diagnosis. The main screening. Risk factors. Diagnosis and staging: diagnostic and staging procedures. The TNM system Drugs in oncology: chemotherapy, hormone therapy, biological therapies, therapies target, supportive therapies. Therapeutic strategies and integrated therapies: integrated surgical and radiochemotherapy treatments. Conservative treatments. Adjuvant and neoadjuvant therapies. Evaluation of the answer. Overview of rehabilitation in cancer patients
------------------------
MM: GERIATRIA
------------------------
Notions of aging demography Frail and ill patient (peculiarities and features) The network services for elderly people The Diabetes Mellitus and its complications The diabetic foot The amputations The peculiarities of malnutrition in elderly people The cerebral senescence and the Dementias The Delirium
------------------------
MM: METODOLOGIA DELLA FISIOTERAPIA ONCOLOGICA
------------------------
Cancer patient's description, common complications: fatigue, dyspnea, pain, cachexia. Relevant tests and measures for functional status and to document symptoms that increase disability. Palliative care and physiotherapist's role: types of exercise. Aged cancer patients: theirs vulnerability and weakness. Breast cancer: characteristic of surgery and functional complications, the exercise program after surgery and postmastectomy lymphedema (psychic and physical problems). Head and neck cancer: characteristic of surgery, functional complications and physiotherapy treatment (breath complications, swallowing , speaking, difficulties in shoulder joint mobility). The characteristics of pipes. Bone cancer: physiotherapy in osteosarcoma and multiple myeloma.
------------------------
MM: METODOLOGIA DELLA FISIOTERAPIA GERIATRICA
------------------------
- The physiotherapist in the geriatric field: specificity and characteristics - Characteristics of team work and skills transversality - Cognitive decay and dementia: Assessment and proposals for physiotherapy treatment - Gait and risk of falling: evaluation and physiotherapy treatment - Assessment of dysphagia, physiotherapy treatment and compensatory interventions - Immobilization syndrome: assessment and prevention strategies - Contention: regulatory framework, appropriateness and possible alternative choices - Gait aids: assessment and choice
------------------------
MM: METODOLOGIA DELLA FISIOTERAPIA UROGINECOLOGICA
------------------------
Clinical documentation: History and assessment, planning of physical examination and evaluation of the pelvic floor Physical therapy treatment: - Biofeedback and electrotherapy - Pelvic floor muscles training (PFMT) - Voiding diary and "bladder retraining" - Vaginal cones - Education and Lifestyles Pregnancy and childbirth - Physiological changes during pregnancy and postural adaptations - Childbirth - Nutation and contronutation concept - Perineal injury and prevention - Disorders in post partum - Interventions: therapeutic education, prevention, rehabilitation Practical session of pelvic floor muscles training, with some considerations on principles and progression of the exercises. Esame scritto a crocette e discussione di un caso clinico Multiple choice and discussion of a clinical case

Bibliography

Examination Methods

------------------------
MM: UROLOGIA
------------------------
Multiple choice quiz and discussion of clinical case
------------------------
MM: ONCOLOGIA
------------------------
oral examination
------------------------
MM: GERIATRIA
------------------------
Oral examination
------------------------
MM: METODOLOGIA DELLA FISIOTERAPIA ONCOLOGICA
------------------------
verbal exam
------------------------
MM: METODOLOGIA DELLA FISIOTERAPIA GERIATRICA
------------------------
Oral examination
------------------------
MM: METODOLOGIA DELLA FISIOTERAPIA UROGINECOLOGICA
------------------------
Multiple choice and discussion of a clinical case