Unit CLINICAL NURSING IN THE MEDICAL AREA

SPECIAL PHARMACOLOGY

Code	50150802
Location	FOLIGNO
CFU	2
Teacher	Domenico Vittorio Delfino
Teachers	Domenico Vittorio Delfino
Hours	30 ore - Domenico Vittorio Delfino
Learning activities	Caratterizzante
Area	Scienze medico-chirurgiche
Academic discipline	BIO/14
Type of study-unit	Obbligatorio (Required)

MEDICAL CLINICAL NURSING

Code	50150803
Location	FOLIGNO
CFU	3
Teacher	Roberta Amodeo
Teachers	Roberta Amodeo
Hours	45 ore - Roberta Amodeo
Learning activities	Caratterizzante
Area	Scienze infermieristiche
Academic discipline	MED/45
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	Planning of assistance and use of diagnostic-therapeutic procedures of the main diseases in the medical area. Treatment management and drug administration.
Reference texts	The complete treatise on Nursing - Ed.Piccin Nursing care plans - guidelines for personalized care - Ed.Minerva Medica NANDA Nursing Diagnosis, Definitions and Classifications 2018/2020 Nursing Diagnosis with NOC and NIC - Judith M. Wilkinson- Laurie Barcus
Educational objectives	Manage nursing care for adult and elderly patients with problems related to the case history of priority health problems such as: acute and chronic respiratory problems, neurological, oncological. infectious.
Prerequisites	The student must have acquired knowledge on: Anatomic-physiological bases of diseases - Physiopathological bases of the human body - Nursing pharmacology and semiotics
Teaching methods	Frontal theoretical lessons and practical exercises Tutorial teaching activity: the "PBL" - Problem Based Learning
Other information	Reception hours are on Mondays and Thursdays after 15.00 at the headquarters of the CdS
Learning verification modality	Oral examination
Extended program	Nursing documentation: nursing record The patient's nursing care plan: with respiratory problems with cardio-circulatory problems with diabetic problems with problems of renal failure with neurological problems Nursing care for the sick with oncological problems Safety handling and administration of antiblastic drugs Artificial nutrition Procedures, operating instructions relating to the aforementioned clinical pictures; drug maintenance, operational indications - Narcotics registry management - Safety measures for administration: general rules, dosage calculation and administration times Management of therapy, administration and conservation errors in some particular situations The initial and continuous assessment as a strategy to monitor adverse therapeutic effects: observation, nursing history, physiological factors, psychosocial factors. The development of self-handling skills: education in the autonomous management of prescribed drugs: compliance, therapeutic adherence and ineffective adhesion to the therapeutic regime.

INFECTIOUS DISEASES

Code	50147801
Location	FOLIGNO
CFU	1
Teacher	Maria Bruna Pasticci
Teachers	Maria Bruna Pasticci
Hours	15 ore - Maria Bruna Pasticci
Learning activities	Caratterizzante
Area	Scienze medico-chirurgiche
Academic discipline	MED/17
Type of study-unit	Obbligatorio (Required)
Language of instruction	italian
Contents	Clinical and epidemiologic features of some infecious disease pathologies
Reference texts	Medicina Interna, Renato Massini, MAC GRAW HILL
Educational objectives	Acquire knowledge of the main infectious syndromes, including hospital acquired and health-care associated infections
Prerequisites	For a better understanding of the course, it is mandatory to have a basic knowledge of microbiology, immunology, pharmacology and infection control
Teaching methods	Frontal lectures with slide presentation
Other information	See University site for lectures and examinations dates Lectures frequency is compulsory
Learning verification modality	Multiple chice examination Correct answers superior or equal 60%, oral discussion if required
Extended program	Viral hepatitis HIV infection Occupational risks, parenteral transmitted diseases - prevention Isolation Healthcare associated infections (urinary tract infections, venous catheter infections, pneumonia) Diagnosis of infectious diseases Meningitis Tuberculosis Sepsis, endocarditis Respiratory infections

INTERNAL MEDICINE - I

Code	50147701
Location	FOLIGNO
CFU	1
Teacher	Donatella Siepi
Teachers	Donatella Siepi
Hours	15 ore - Donatella Siepi
Learning activities	Caratterizzante
Area	Scienze medico-chirurgiche
Academic discipline	MED/09
Type of study-unit	Obbligatorio (Required)
Language of instruction	ITALIAN
Contents	Concept of illness and the main manifestations of illness. The clinical approach to the internist patient. Cardiovascular diseases and renal diseases.
Reference texts	MEDICINA INTERNA - Massini R. , Longhi C, Marchetti P., Passerete F., Recine U. - McGrow-Hill Editore
Educational objectives	The course aims to provide elements of knowledge related to the main symptomatic, diagnostic and therapeutic aspects. At the end of the course the student must have the knowledge of the main medical diseases and diagnostic methods and therapies in the field of internal medicine, related to the aspects of nursing care.
Prerequisites	In order to understand and use the concepts described in the teaching it requires knowledge of basic elements of molecular and cellular mechanisms, of Anatomy and Physiology.
Teaching methods	Frontal Lessons: Classroom lessons on all the topics of the module.
Learning verification modality	The exam includes an oral exam consisting of a collegial discussion, with the presence of the teachers of the various modules, of about 20-30 minutes aimed at ascertaining the level of knowledge and understanding achieved by the student in the topics presented in class and reported in the program of the various modules. The oral test will also allow the student's communication skills, his interaction with the patient, his language property, the ability to apply the acquired skills and to develop solutions in autonomy of judgment. For information on support services for students with disabilities and / or DSA visit http://www.unipg.it/disabilita-e-dsa.
Extended program	Clinical approach to the internist patient: Anamnesis (familial, physiological, pathological, remote and proximal) - Objective examination (general and individual organs and system) - Laboratory tests (clinical significance and normality values ¿¿of main parameters) - Instrumental investigations (indication and usefulness of chest X-ray, endoscopy, CT scan, etc.). Cardiac disorders: - General aspects of the cardiac system - anatomy and physiology Ischemic cardiomyopathy: risk factors, clinical pictures, ECG diagnosis - (St sopradislivellato and ST non sopradislivellato). - Unstable angina and A. stable - Atrial fibrillation - Atrioventricular blocks - Syncope - Management of the patient from the first aid to the UTIC, with reference to non invasive and invasive instrumental investigations Cardiac rhythm disorders, Clinical classification of arrhythmias: symptomatology and clinical pictures, with indication of medical and electrical therapy (Pace Maker and Defibrillators) - Overview of pathophysiology of heart failure, clinical pictures and principles of care to the patient with heart failure: right and left - Chest pain, dyspnoea - Acute pulmonary edema - Cardiac asthma Kidney disorders: Recalls of anatomy and renal physiology Hematuria - Uremia - Edema - acute retention of urine Renal failure: types, manifestations, signs of prevention and conservative therapy Main symptoms of kidney disease Urinary tract infections Urine examination and other laboratory investigations in kidney disease Overview of diagnostic imaging and renal biopsy Glomerular pathology: glomerulonephritis, nephrotic syndrome, diabetic nephropathy Arterial hypertension and nefroangiosclerosis Renal vascular pathology: nephrovascular hypertension, ischemic nephropathy Tubulointerstitial pathology: pyelonephritis, interstitial nephritis Cystic kidney disease: polycystic kidneys - Dialysis therapy: extracorporeal dialysis and peritoneal dialysis - Overview on renal transplantation

INTERNAL MEDICINE - II

Code	50147601
Location	FOLIGNO
CFU	1
Teacher	Donatella Siepi
Teachers	Donatella Siepi
Hours	15 ore - Donatella Siepi
Learning activities	Caratterizzante
Area	Interdisciplinari e cliniche
Academic discipline	MED/09
Type of study-unit	Obbligatorio (Required)
Language of instruction	ITALIEN
Contents	Concept of illness and the main manifestations of illness. The clinical approach to the internist patient. Diseases of the digestive tract and respiratory system. Metabolic diseases. Endocrine diseases. Autoimmune diseases.
Reference texts	MEDICINA INTERNA - Massini R. , Longhi C, Marchetti P., Passerete F., Recine U. - McGrow-Hill Editore
Educational objectives	The course aims to provide elements of knowledge related to the main symptomatic, diagnostic and therapeutic aspects. At the end of the course the student must have the knowledge of the main medical diseases and diagnostic methods and therapies in the field of internal medicine, related to the aspects of nursing care.
Prerequisites	In order to understand and use the concepts described in the teaching it requires knowledge of basic elements of molecular and cellular mechanisms, of Anatomy and Physiology.
Teaching methods	Frontal Lessons: Classroom lessons on all the topics of the module.
Learning verification modality	The exam includes an oral exam consisting of a collegial discussion, with the presence of the teachers of the various modules, of about 20-30 minutes aimed at ascertaining the level of knowledge and understanding achieved by the student in the topics presented in class and reported in the program of the various modules. The oral test will also allow the student's communication skills, his interaction with the patient, his language property, the ability to apply the acquired skills and to develop solutions in autonomy of judgment. For information on support services for students with disabilities and / or DSA visit http://www.unipg.it/disabilita-e-dsa.
Extended program	Digestive system disorders Gastroesophageal reflux - Gastritis Gastric and duodenal peptic ulcer - Jaundice and cholestasis Gastrointestinal bleeding pancreatitis - Crohn's disease - Ulcerative colitis - Diverticular colon disease - Enterorrhagia Respiratory disorders: Introduction to pulmonary pathology from the pathophysiological point of view: clinical-functional consequences of the involvement of the various structures of the Respiratory Apparatus Morphological and functional evaluation: Blood Gas Analysis, Respiratory Function Tests, Imaging in the main pulmonary pathologies - Main clinical aspects, Gold-Standard diagnostics and fundamental treatments of the most widespread respiratory diseases: COPD, bronchial asthma. Pneumonia and complications, Diseases of the Pleura, Interstitial lung diseases (outline), Pulmonary thromboembolism (outline), Respiratory Insufficiency (Acute and Acute sub Chronic) main aspects of hospitalized patient management Management of the acute respiratory patient: differential diagnosis, assistance, therapeutic interventions in cases of dyspnoea, chest pain, hemoptysis, cyanosis, hematemesis, hemoftoe, cough. Chronic pulmonary heart - TVP of the lower limbs - Hypertension - Atherosclerosis, natural history: atherosclerosis risk factors, clinical complications - Peripheral obliterative arteriopathy - Ischemia critical lower limbs - Autoimmune diseases - Lupus - Rheumatoid arthritis - Rheumatic polymyalgia