Unit CLINICAL NURSING IN THE MEDICAL AREA

Course
Nursing
Study-unit Code
50157508
Curriculum
In all curricula
Teacher
Ciriana Orabona
CFU
8
Course Regulation
Coorte 2021
Offered
2022/23
Type of study-unit
Obbligatorio (Required)
Type of learning activities
Attività formativa integrata

SPECIAL PHARMACOLOGY

Code 50150801
CFU 1
Teacher Ciriana Orabona
Learning activities Caratterizzante
Area Scienze medico-chirurgiche
Academic discipline BIO/14
Type of study-unit Obbligatorio (Required)

Canale A

CFU
1
Teacher
Ciriana Orabona
Teachers
  • Ciriana Orabona
Hours
  • 15 ore - Ciriana Orabona
Language of instruction
Italian
Contents
SAIDs and NSAIDs; therapy of main chronic inflammatory diseases
Reference texts
Goodman & Gilman. "The pharmacological basis of therapy" the handbook (Zanichelli)
Educational objectives
At the end of the course, the student will acquire the basis for a correct
use of anti-inflammatory drugs and will be able to plan the antiinflammatory
therapy at all stages
Prerequisites
Having passed the exam of General Pharmacology
Teaching methods
Face-to-face theoretical lessons
Other information
For information on support services for students with disabilities and / or SLD
visit the page http://www.unipg.it/disabilita-e-dsa
Learning verification modality
Written exam with open answers
Extended program
Pharmacology of inflammation; steroidal and nonsteroidal antiinflammatory
drugs; principles of therapy of main chronic inflammatory
diseases (asthma)

Canale B

CFU
1
Teacher
Ciriana Orabona
Teachers
  • Ciriana Orabona
Hours
  • 15 ore - Ciriana Orabona
Language of instruction
Italian
Contents
SAIDs and NSAIDs; therapy of main chronic inflammatory diseases
Reference texts
Goodman & Gilman. "The pharmacological basis of therapy" the handbook (Zanichelli)
Educational objectives
At the end of the course, the student will acquire the basis for a correct
use of anti-inflammatory drugs and will be able to plan the antiinflammatory
therapy at all stages
Prerequisites
Having passed the exam of General Pharmacology
Teaching methods
Face-to-face theoretical lessons
Other information
For information on support services for students with disabilities and / or SLD
visit the page http://www.unipg.it/disabilita-e-dsa
Learning verification modality
Written exam with open answers
Extended program
Pharmacology of inflammation; steroidal and nonsteroidal antiinflammatory
drugs; principles of therapy of main chronic inflammatory
diseases (asthma)

SPECIAL PHARMACOLOGY

Code 50905001
CFU 1
Teacher Ciriana Orabona
Learning activities Caratterizzante
Area Scienze medico-chirurgiche
Academic discipline BIO/14
Type of study-unit Obbligatorio (Required)

Canale A

CFU
1
Teacher
Ciriana Orabona
Teachers
  • Ciriana Orabona
Hours
  • 15 ore - Ciriana Orabona
Language of instruction
Italian
Contents
Cardiovascular pharmacology (anti-ipertensive drugs)
Pharmacology of the central nervous system (ipnotic-sedative and
ansiolytic drugs; opioid drugs
Reference texts
Goodman & Gilman. "The pharmacological basis of therapy" the handbook (Zanichelli)
Educational objectives
At the end of the course, the student will acquire the basis for a correct
use of anti-ipertensive, ipnotic-sedative, ansiolytic and opioid drugs
Prerequisites
Having passed the exam comprising the module of General Pharmacology
Teaching methods
Face-to-face theoretical lessons
Other information
For information on support services for students with disabilities and / or SLD
visit the page http://www.unipg.it/disabilita-e-dsa
Learning verification modality
Written exam with open answers
Extended program
Introduction to Pharmacoterapy
Principles of cardiovascular pharmacology and control of blood pressure
(beta-blockers; ACE inhibitors; vasodilators; diuretics)
Principles of pharmacology of the central nervous system
(benziodazepins and similar drugs; opioid drugs.

Canale B

CFU
1
Teacher
Ciriana Orabona
Teachers
  • Ciriana Orabona
Hours
  • 15 ore - Ciriana Orabona
Language of instruction
Italian
Contents
Cardiovascular pharmacology (anti-ipertensive drugs)
Pharmacology of the central nervous system (ipnotic-sedative and
ansiolytic drugs; opioid drugs
Reference texts
Goodman & Gilman. "The pharmacological basis of therapy" the handbook (Zanichelli)
Educational objectives
At the end of the course, the student will acquire the basis for a correct
use of anti-ipertensive, ipnotic-sedative, ansiolytic and opioid drugs
Prerequisites
Having passed the exam comprising the module of General Pharmacology
Teaching methods
Face-to-face theoretical lessons
Other information
For information on support services for students with disabilities and / or SLD
visit the page http://www.unipg.it/disabilita-e-dsa
Learning verification modality
Written exam with open answers
Extended program
Introduction to Pharmacoterapy
Principles of cardiovascular pharmacology and control of blood pressure
(beta-blockers; ACE inhibitors; vasodilators; diuretics)
Principles of pharmacology of the central nervous system
(benziodazepins and similar drugs; opioid drugs.

MEDICAL CLINICAL NURSING

Code 50150803
CFU 3
Teacher Ciriana Orabona
Learning activities Caratterizzante
Area Scienze infermieristiche
Academic discipline MED/45
Type of study-unit Obbligatorio (Required)

Canale A

CFU
3
Teacher
Michela Sereni
Teachers
  • Michela Sereni
Hours
  • 45 ore - Michela Sereni
Language of instruction
Italian
Contents
Nursing assistance to the person with problems: respiratory, onco-hematology, cardiovascular, gastrointestinal, endocrinological, urinary and infectious function
Reference texts
no
Educational objectives
- Identify nursing phenomena / problems related to the main pathologies of medical interest
- Use the care planning applied to the person with internal medicine problems
- Know the operating procedures for the application of the main diagnostic-therapeutic procedures in the medical area
Prerequisites
compulsory class attendance
Teaching methods
frontal lessons and group work on care plans
Learning verification modality
multiple choice test
Extended program
Assistance to the person with respiratory problems
- Personal care plans with Chronic Obstructive Pulmonary Disease (COPD) and Bronchial Asthma
- Application of the most recurrent diagnostic procedures: sputum examination, blood gas analysis, pulse oximetry, respiratory function tests
- Application of the most recurrent therapeutic procedures: oxygen therapy, long-term oxygen therapy, bronchodilator therapy
- Ineffective airway cleaning related to accumulation of secretions
- Respiratory rehabilitation interventions.
Assistance to the person with oncological problems
- Nursing care in oncology
- Application of the most recurrent diagnostic procedures
- Assistance to the person subjected to antiblastic therapy: preservation and preparation of drugs, administration, prevention and treatment of extravasation accidents, treatment of side effects, operator safety during handling
- Management of peripheral and central venous accesses (external and totally implantable).
Assistance to the person with cardiovascular problems
- Standard and effort ECG: meaning and technique of exam execution
- Ischemic heart disease: prevention and health education
- Angina pectoris: data collection and assistance plan
- Heart failure and cariogenic shock: data collection and assistance plan
- Assistance to the person with deep vein thrombosis
Assistance to the person with gastrointestinal problems
- Plan of assistance to the person suffering from liver cirrhosis
- Assistance to people with gastrointestinal diseases
- Total parenteral nutrition
Assistance to the person with endocrinological problems
- Assistance plan for the person suffering from diabetes mellitus
Assistance to the person with lower urinary tract infection
- Plan of assistance to the person with chronic renal failure
Assistance to the person with infectious diseases
- Plan of assistance to the person suffering from AIDS

Canale B

CFU
3
Teacher
Graziella Mancuso
Teachers
  • Graziella Mancuso
Hours
  • 45 ore - Graziella Mancuso
Language of instruction
Italian
Contents
- Nursing care for the person with vascular accesses

- Nursing care for the person with respiratory diseases

- Nursing care for the person with neoplastic disease

- Nursing care for the person with cardiovascular disease

- Nursing care for the person with gastrointestinal disease

- Nursing care for the person with endocrine disease

- Nursing care for the person with urinary tract problems

- Nursing care for the person with infectious diseases
Reference texts
- L. Saiani, A. Brugnolli, "Trattato di cure infermieristiche" - Terza edizione, Casa Editrice Sorbona, 2021.

- P. Badon, M. Canesi, A. Monterosso, F. Pellegatta, "Procedure Infermieristiche" - Casa Editrice Ambrosiana, 2021

-T. H. Herdman, S. Kamitsuru, C. T. Lopes, "NANDA International - Diagnosi Infermieristiche; Definizioni e classificazioni 2021-2023 - Dodicesima Edizione" Casa Editrice Ambrosiana, 2021

- M. Gulanick, J. L. Myers, "Piani di assistenza infermieristica: Diagnosi infermieristiche, risultati di salute e interventi infermieristici" Casa Editrice Ambrosiana, 2022

-Brunner, Suddarth, "Infermieristica medico-chirurgica" - Quinta edizione, Casa Editrice Ambrosiana, Milano, 2017.
Educational objectives
Upon completion of this course, the students should be able to:
•Identify the nursing problems related to the most important diseases in the field of internal medicine
•Plan the nursing care for the person suffering from a medical disease
•Know how the most important diagnostic and therapeutic procedures in the field of internal medicine are carried out
Prerequisites
Basic knowledge of the concepts of anatomy and physiology of the main organs and systems is required
Teaching methods
Frontal lessons with slides and short films.
Other information
The lessons will be placed at Educational Center, Sant'andrea delle Fratte, San Sisto (PG) - Room A4

Attendance: 25% absence maximum
Learning verification modality
Exam to be agreed with the teacher during the course of study
Extended program
Nursing care for the person with vascular access
- Vascular accesses: peripheral venous catheters and central venous catheters
- Peripheral venous catheters (CVP): aids, positioning, management, use
- Central venous catheters (CVC): aids, insertion techniques, management, use
- Infusions: types and aids
- Venous sampling from venipuncture: execution and aids
- Blood cultures: indication, aids, execution
- Arterial catheter: positioning, management, use, monitoring
- Arterial sampling
- Total parenteral nutrition: indications, types, administration
- Assistance plans

Assistance to the person with respiratory problems
- Outline of anatomy and physiology: main respiratory alterations
- Chronic Obstructive Pulmonary Disease BOCO and Asthma: nursing care
- Recurring diagnostic procedures: sputum examination, pulse oximetry, respiratory function tests - nursing interventions
- Recurrent therapeutic interventions: oxygen therapy, long-term oxygen therapy, bronchodilators
- Respiratory rehabilitation nursing interventions
- Procedures and plans for nursing care for the person with respiratory problems

Assistance to the person with cancer problems
- Tumor pathology: classification and nursing problems
-Application of recurrent diagnostic procedures in oncology
- Assistance to the person undergoing therapy: surgery, radiotherapy and chemotherapy
- Nursing management of antiblastic therapy: preparation and storage of drugs, administration, prevention and treatment of extravasation
- Antiblastic therapy: nursing assistance in the management of side effects
- Antiblastic therapy: personal protective equipment, operator safety during handling
- Nursing assistance to the person undergoing transfusion therapy: blood components and blood products - indications, procedures and complications
- Procedures and plans for nursing care for the person with cancer problems

Assistance to the person with cardiovascular problems
- Acute Coronary Syndrome (ACS): instrumental investigations, laboratory tests, myocardial scintigraphy - nursing assistance to the person
- Standard and exercise electrocardiogram (ECG): procedure and assistance to the person
- Deep Vein Thrombosis (DVT): nursing assistance to the person
- Procedures and plans for nursing care for the person with cardiovascular problems

Assistance to the person with gastrointestinal problems
- Cirrhosis of the liver: nursing care
- Execution and assistance in recurrent diagnostic procedures: chemical-physical and parasitological examination of feces, abdominal ultrasound, fibroscan, liver biopsy, esophagogastroduodenoscopy (EGDS)
- Esophageal varices: Sengstaken-Blakmore probe - nursing skills
- Hepatic encephalopathy: enema, paracentesis - nursing skills
- Procedures and plans for nursing care for the person with gastrointestinal problems

Assistance to the person with endocrinological problems
- Diabetes mellitus: nursing skills
- Procedures and plans for nursing care for the person with diabetes mellitus

Assistance to the person with urunary problems
- Chronic renal failure: drug treatment and diet
- Urinary tract infections: standard urine test, urine culture, Combur urine test, ultrasound of the urinary tract, cystoscopy
- Nursing procedures and plans for the person with urinary problems

Assistance to the person with infectious diseases
- Nursing assistance to the person with AIDS: diagnosis and treatment
- Procedures and plans for nursing care for the person with AIDS

INFECTIOUS DISEASES

Code 50147801
CFU 1
Teacher Ciriana Orabona
Learning activities Caratterizzante
Area Scienze medico-chirurgiche
Academic discipline MED/17
Type of study-unit Obbligatorio (Required)

Canale A

CFU
1
Teacher
Elisabetta Schiaroli
Teachers
  • Elisabetta Schiaroli
Hours
  • 15 ore - Elisabetta Schiaroli
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 choice 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

Canale B

CFU
1
Teacher
Elisabetta Schiaroli
Teachers
  • Elisabetta Schiaroli
Hours
  • 15 ore - Elisabetta Schiaroli
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 choice 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
CFU 1
Teacher Ciriana Orabona
Learning activities Caratterizzante
Area Scienze medico-chirurgiche
Academic discipline MED/09
Type of study-unit Obbligatorio (Required)

Canale A

CFU
1
Teacher
Giacomo Pucci
Teachers
  • Giacomo Pucci
Hours
  • 15 ore - Giacomo Pucci
Language of instruction
Italian
Contents
Disease concept, main manifestations of disease. Cardiovascular, respiratory and urinary tract diseases
Reference texts
MEDICINA INTERNA per Scienze Infermieristiche. R. Antonelli Incalzi, Piccin Editore
Educational objectives
The main objective is to improve the student's skills in terms of recognition of the internal pathology in itself and of the work that must be performed by the nurse in the related pathology.
Prerequisites
Knowledge of anatomy, biochemistry and physics.
Teaching methods
The course is organized into lectures aimed at treating the main pathologies with which nursing staff can have contact during internships and especially in the workplace, once the training cycle is completed. During lectures, the most frequently encountered pathologies in the internist department are addressed interactively in order to improve the knowledge of these pathologies by learners. In particular, the pathologies of the cardiovascular, respiratory and renal systems will be treated
Other information
For information on support services for students with disabilities and / or DSA visit the page http://www.unipg.it/disabilita-e-dsa
Learning verification modality
Written exam (multiple response questions)
Extended program
Introduction to the concept of disease and identification of internal and external causes. Clinical approach to the patient: anamnesis, physical examination, laboratory tests, instrumental examinations. Main manifestations of disease: pain and fever, definition, clinical aspects and decision-making implications. Cardiovascular system: outline of anatomy and physiology of the heart and vessels. Cardiovascular semeiotics. Ischemic heart disease: angina pectoris, myocardial infarction with and without S-T elevation. Heart failure. Rheumatic fever. Bacterial endocarditis. Pericarditis. Obliterating arteriopathy of the lower limbs. Abdominal aortic aneurysm. Respiratory system: respiratory pathophysiology. Respiratory insufficiency: definition, classification, clinical pictures. COPD, bronchial asthma. Pneumonia. Pulmonary embolism and deep vein thrombosis. Urinary system: anatomy and physiology. Chronic renal failure, uremic syndrome; acute pre-renal, renal and post-renal failure.

Canale B

CFU
1
Teacher
Leonella Pasqualini
Teachers
  • Leonella Pasqualini
Hours
  • 15 ore - Leonella Pasqualini
Language of instruction
Italian
Contents
Concept of disease, the main manifestations of the disease. Cardiovascular, respiratory, hematologic, metabolic, and urinary tract.
Reference texts
INCALZI: MEDICINA INTERNA PER SCIENZE INFERMIERISTICHE, ed PICCIN
CECIL L’ESSENZIALE, ed PICCIN
Educational objectives
The learning outcomes are consistent with those described in the didactic of the degree course. As published in the website http://www.med.unipg.it/infermieristica/Perugia/indexinfPG.htm
Prerequisites
The student must have knowledge of cardiovascular, pulmonary, endocrine, renal and osteo-articular pathophysiology, and general pharmacology.
Teaching methods
Frontal lessons
Learning verification modality
Written test with three open questions to be completed in an hour and half. The test is passed if the candidate responds adequately to all three questions
Extended program
Introduction to the concept of disease and identification of internal and external causes. Clinical approach to the patient: history, physical examination, laboratory tests, imaging studies. Main manifestations of disease: pain and fever, definition, clinical aspects and implications of decision making. Cardiovascular system: fundamentals of anatomy and physiology of the heart and blood vessels. Semiotics cardiovascular. Ischemic heart disease: angina pectoris, myocardial infarction with and without ST sovraslivellamento. Heart failure. Rheumatic fever. Bacterial endocarditis. Pericarditis. Arterial disease of the lower limbs. Aneurysm of the abdominal aorta. Respiratory system: respiratory pathophysiology. Respiratory failure: definition, classification, clinical pictures. COPD, bronchial asthma. Pneumonia. Pulmonary embolism and deep vein thrombosis. Urinary system: anatomy and physiology. Chronic renal failure, uremic syndrome, acute renal failure pre-renal, renal and post-renal.

INTERNAL MEDICINE - II

Code 50147601
CFU 1
Teacher Ciriana Orabona
Learning activities Caratterizzante
Area Interdisciplinari e cliniche
Academic discipline MED/09
Type of study-unit Obbligatorio (Required)

Canale A

CFU
1
Teacher
Giacomo Pucci
Teachers
  • Giacomo Pucci
Hours
  • 15 ore - Giacomo Pucci
Language of instruction
Italian
Contents
Blood and hematopoietic organ diseases, glucidic, lipid and purine metabolism, endocrine and dysreactive diseases. Diseases of the gastro-enteric tract
Reference texts
MEDICINA INTERNA per Scienze Infermieristiche. R. Antonelli Incalzi, Piccin Editore
Educational objectives
The main objective is to improve the student's skills in terms of recognition of the internal pathology in itself and of the work that must be performed by the nurse in the related pathology.
Prerequisites
Knowledge of anatomy, biochemistry and physics.
Teaching methods
The course is organized into lectures aimed at treating the main pathologies with which nursing staff can have contact during internships and especially in the workplace, once the training cycle is completed. During lectures, the most frequently encountered pathologies in the internist department are addressed interactively in order to improve the knowledge of these pathologies by learners. In particular, the pathologies of the cardiovascular, respiratory and renal systems will be treated
Other information
For information on support services for students with disabilities and / or DSA visit the page http://www.unipg.it/disabilita-e-dsa
Learning verification modality
Written exam (multipe response questionnaire)
Extended program
Blood and hematopoietic organs: anemias. Thalassemias and hemolytic anemias. Myeloid and lymphoid leukemias, acute and chronic. Lymphomas: Hodgkin and Non-Hodgkin. Thrombocytopenia. Metabolism: definition, types of anabolic and catabolic reactions, metabolites and enzymes. Carbohydrate metabolism; diabetes mellitus: definition, types, etiology, clinical pictures and complications. Metabolic syndrome. Lipid metabolism: dyslipidaemias, types, classification, clinical and laboratory pictures. Adipose tissue: obesity, classification and clinical implications. Gout: classification, clinical and laboratory pictures. Endocrine diseases: hyper- and hypothyroidism, adrenal hypercorticism. Reactive diseases: SLE, rheumatoid arthritis, scleroderma. Oesophagitis. Gastritis. Liver failure and jaundice. Intestinal inflammatory diseases. Ischemic colitis. enteropathy with loss of proteins

Canale B

CFU
1
Teacher
Leonella Pasqualini
Teachers
  • Leonella Pasqualini
Hours
  • 15 ore - Leonella Pasqualini
Language of instruction
Italian
Contents
Diseases of the urinary tract, blood and blood-forming organs, glucose metabolism, lipid and purine, endocrine diseases and direattive.
Reference texts
Cecil: Medicina Interna: l'essenziale. Piccin editore
Incalzi: Medicina interna per scienze infermieristiche. Piccin Editore
Educational objectives
The learning outcomes are consistent with those described in the didactic of the degree course. As published in the website http://www.med.unipg.it/infermieristica/Perugia/indexinfPG.htm
Prerequisites
See first part
Teaching methods
Frontal lessons
Learning verification modality
See first part
Extended program
Urinary system: acute tubular necrosis, interstitial nephritis, nephrotic syndrome, urinary tract infections. Blood and blood-forming organs: anemia. Thalassemia, and hemolytic anemias. Myeloid and lymphoid leukemia, acute and chronic. Lymphomas: Hodgkin's and Non-Hodgkin's lymphoma. Thrombocytopenia. Metabolism: definizone, types of anabolic and catabolic reactions, metabolites and enzymes. Carbohydrate metabolism, diabetes mellitus: definition, types, etiology, clinical features and complications. Metabolic syndrome. Lipid Metabolism: dyslipidemia, types, classification, clinical and laboratory features. Adipose tissue: obesity, classification and clinical implications. Gout: classification, clinical and laboratory features. Endocrine disorders: hyper-and hypo-thyroidism, hyperadrenocorticism. Direattive diseases: SLE, rheumatoid arthritis, scleroderma.
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