Unit CLINICAL NURSING SPECIALISTIC( SPECIALITÀ-SPECIALTY

HAEMATOLOGY

Code	50098301
CFU	1
Teacher	Claudio Fiorelli
Teachers	Claudio Fiorelli
Hours	15 ore - Claudio Fiorelli
Learning activities	Caratterizzante
Area	Interdisciplinari e cliniche
Academic discipline	MED/15
Type of study-unit	Obbligatorio (Required)

ONCOLOGY

Code	50097301
CFU	1
Teacher	Sergio Bracarda
Teachers	Sergio Bracarda
Hours	15 ore - Sergio Bracarda
Learning activities	Caratterizzante
Area	Interdisciplinari e cliniche
Academic discipline	MED/06
Type of study-unit	Obbligatorio (Required)

ORTHOPEDICS TRAUMATOLOGY AND ELEMENTS OF PHYSICAL REHABILITATION

Code	50502132
CFU	2
Teacher	Giuseppe Rinonapoli
Teachers	Giuseppe Rinonapoli
Hours	30 ore - Giuseppe Rinonapoli
Learning activities	Affine/integrativa
Area	Attività formative affini o integrative
Academic discipline	MED/33
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	General concepts of Orthopaedics and Traumatology, finalized to the management of the patient in a hospital
Reference texts	Slides Dressing, Tratton, Engelen: "Apparecchi gessati, tutori e bendaggi", ed EDRA.
Educational objectives	Acquisition of the skills necessary for the management of nurse problems in a workplace for which skills in orthopaedics or physiotherapy are requested.
Prerequisites	See study plan
Teaching methods	Frontal lessons
Other information	www.unipgit
Learning verification modality	At the end of the lessons, there will be a multiple choices written exam. Who will not take or will not go through this exam, will be able to take the exam orally in the following sessions
Extended program	1) OSTEOARTHRITIS • Definition and general concepts • Knee osteoarthritis • Hip osteoarthritis • Vertebral osteoarthritis 2) OSTEOPOROSIS • General concepts • The entity of the problem • Hip fragility fractures • Vertebral fragility fractures • Prevention 3) THE SHOULDER • Functional anatomy and physiopathology • Impingement syndrome • Rotator cuff tear • Shoulder instability: TUBS, AMBRII e AIOS • Adhesive capsulitis • Calcific tendinopathy 4) PATHOLOGY OF THE ELBOW • Functional anatomy and physiology • Laterale and medial epicondylitis • Elbow injuries in the athlete 5) PATHOLOGY OF THE HAND • Carpal tunnel syndrome • Snapping finger • Dupuytren's disease 6) THE KNEE • Functional anatomy and physiopathology • Knee traumas and their consequences • Ligamentous lesions • Meniscal lesions • Overuse syndromes • Patello-femoral syndrome 7) THE SPINE • Functional anatomy and physiopathology • Low back pain, sciatica, cruralgia • Vertebral stenosis • Spondilolysis and spondilolystesis • Scoliosis • Kifosis 8) THE FOOT AND THE ANKLE • Ankle traumas • Foot pathologies depending of the site • Hallux valgus • Plantare fascitis 9) TENDINOPATHIES OF THE INFERIOR LIMB • General concepts • Achilles tendonitis • Sever-Blenke disease • Tendonitis of the tibialis posterior • Patellar tendon pathology • Osgood-Schlatter disease • Sinding-Larsen-Johansson disease • Pubalgia • Peroneal tendons pathology 10) PEDIATRICS • Congenital dysplasia of the hip • Torticollis • Club foot • Epiphysiolysis • Legg-Calvé-Perthes disease • Osteocondrosis: Scheuermann disease 11) AVASCULAR NECROSIS OF THE FEMORAL HEAD 12) METABOLIC AND INFECTIOUS OSTEOPATHIES • Osteomyelitis • Septic srthritis • Paget disease 13) TRAUMATOLOGY • General concepts • Classificazion of the fractures • Complications of the fractures • Consolidation of the fractures • Hip fractures • Vertebral fractures 14) MUSCOLAR LESIONS • General concepts • Classificazions • Diagnosis • Treatment • Return to sport

UROLOGY

Code	50144001
CFU	1
Teacher	Ettore Mearini
Teachers	Ettore Mearini
Hours	15 ore - Ettore Mearini
Learning activities	Caratterizzante
Area	Interdisciplinari e cliniche
Academic discipline	MED/24
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	Glossary and urologic semeiotics; hematuria; urinary obstructive syndrome; malformations of the urinary system; Urinary lithiasis; benign prostatic hyperplasia; urinary infections; urologic oncology; urologic disease in the elderly; neurogenic bladder; andrology.
Reference texts	"Testo di Chirurgia Specialistica" Capitoli di Urologia Editore: Zanichelli CEA www.zanichelli.it
Educational objectives	OBJECTIVES OF KNOWLEDGE (Knowledge) To acquire the basic knowledge about the epidemiology, prevention, pathogenesis, the clinical presentation, clinical and instrumental diagnosis, pharmacologic therapy and surgical strategy of the main diseases of urinary tract and male genitalia. OBJECTIVES OF INTERACTIVE EDUCATION The interactive teaching will be carried out in order to transmit the students a methodological approach to the nursing management of the main conditions concerning urologic and andrological disease. Objective will be to develop the ability to recognize the signs and symptoms of various diseases and their clinical value in order to be able to improve nursing management of the patient. ABILITIES (skills) The following abilities are considered preliminary and acquired: • to collect accurately medical history and symptoms of the patients • to know the most common laboratory tests, to identify major alterations of biochemical profile and to understand their clinical significance • the main maneuvers of general physical examination (inspection, palpation, percussion and auscultation of the chest and abdomen). Aims of gestural skills include: -Positioning of different types of catheters -management of urostomies -nursing in diagnostic urologic exam (uroflowmetry, transrectal ultrasound, ultrasound of the urinary tract, scrotal ultrasound, urodynamic examination, urethrocystoscopy, cystography) -nursing in ESWL -nursing in patient undergoing urologic surgery For this purpose hands-on training will be organized for the management of urinary catheter and urostomy. OBJECTIVES OF RELATIONAL EDUCATION (interpersonal skills) The objectives are to transmit students the value of the relationship between nurse and patient, highlighting the ethical and psychological aspects; another aim will be to make the student able to evaluate the psychological, sociological and cultural aspects of the patient in order to adapt the language and improve the understanding of the interview. We will also provide the main tools to properly train the care-giver figure. At the end of the course students will have the theoretical and practical bases for proper nursing management of the urologic and andrological patient.
Prerequisites	Knowledge of the anatomy and physiology of the urinary and male genital system are indispensable in order to understand the topics of the lessons. Fundamentals of pharmacology and oncology seem very useful to achieve the objectives of the interdisciplinary course.
Teaching methods	Knowledge of the anatomy and physiology of the urinary and male genital system are indispensable in order to understand the topics of the lessons. Fundamentals of pharmacology and oncology seem very useful to achieve the objectives of the interdisciplinary course.
Other information	Attendance Mandatory. At least 60% of lessons
Learning verification modality	HOW THE UROLOGY EXAM IS CONDUCTED: During the course, the ongoing test agreed with the students is carried out. The test is carried out in a closed written form including 15 multiple choice questions. The result is evaluated during the final exam. Oral test lasting approximately 15 minutes divided into two questions, one of which relating to Uro-Oncology and one to Functional Urology. The possible discussion of a clinical case on diagnostic material is expected during the exam. VERIFICATION OF THE SKILLS ACQUIRED DURING THE INTERNSHIP: description of the internship as follows: one day dedicated to morphological diagnostics, one day dedicated to endoscopy, one day dedicated to functional diagnostics, one day reserved for clinical activity in the ward and one day of access to the theater Operation. METHOD OF ALLOCATION OF THE FINAL MARK: arithmetic mean of the marks obtained in the individual disciplines.
Extended program	-Introduction to urological glossary -Semeiotics of Kidney, urinary tract and the male genitalia -Vesical catheter: classifications, main types of urinary catheter, clinical indications, complications. - Fundamentals of urinary tract and male reproductive malformation focusing on epidemiology, etiology, clinical features, diagnosis, therapy. -Upper and lower urinary tract obstruction: etiology, pathogenesis, clinical features, diagnosis and therapy. - Upper urinary tract disease: epidemiology, etiology, clinical features, diagnosis, pharmacologic therapy and surgery of stenosis of pelvis-ureter junction and ureteral stenosis. -Benign prostatic hyperplasia: epidemiology, etiology, molecular biology and pathogenesis, clinical presentation, diagnosis, pharmacologic therapy and surgery. -Hematuria: etiology, diagnostic and therapeutic work-up. -Prostate cancer: epidemiology, etiology, fundamentals of pathogenesis and genomics, clinical features, diagnosis, PSA and new markers, pharmacologic therapy and surgery. -Kidney cancer: epidemiology, etiology, fundamentals of pathogenesis and genomics, clinical features, diagnosis, pharmacologic therapy and surgery. -Bladder cancer: epidemiology, etiology, fundamentals of pathogenesis and genomics, clinical features, diagnosis, pharmacologic therapy and surgery. -Urinary derivations and their management -Testicular cancer: epidemiology, etiology, pathogenesis, clinical presentation, diagnosis, fundamentals of chemotherapy and surgery. -Penis cancer: epidemiology, etiology, pathogenesis, clinical presentation, diagnosis, fundamentals of surgery and radiotherapy. -Urinary Tract Infections: epidemiology, etiology, pathogenesis, diagnosis, pharmacologic therapy, management of complications. -Litiasi Urinary: epidemiology, etiology, pathogenesis, clinical features, diagnosis, pharmacologic therapy, water therapy, dietary, physical therapy and surgery. -Neuromuscolar dysfunction of bladder: main etiological factors, pathogenesis, clinical presentation, diagnosis and principles of pharmacologic therapy and rehabilitation. -Urinary incontinence: epidemiology, classification, etiology, pathogenesis, clinical presentation, diagnosis, pharmacologic therapy and surgery. -Genitourinary prolapse: epidemiology, classification, etiology, pathogenesis, clinical presentation, diagnosis, rehabilitation therapy and surgery. - Minimally invasive surgery: indications, advantages and disadvantages, applications in urology We will also present the main issues about surgical andrology concerning infertility and sexual dysfunction. The concepts of anatomy and physiology of the male genitalia will be necessary to evaluate the morphological aberrations (congenital and acquired penile curvature), functional (erectile dysfunction and priapism). Acute scrotum (testicular torsion and orchi-epididymitis), cryptorchidism, varicocele will be debated both as individual disease and as a clinical entity related to male infertility, paying particular attention to their prevention. Since 30% of population is involved by an urological or andrological disease, we will highlighted the role of these diseases in determining a worsening of the quality of life of the individual and the couple; we will emphasize the importance of suitable management of urological and andrological disease also for the significant impact on the social and financial costs.
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