Unit CLINICAL NURSING IN THE CHRONICITY AND DISABILITY

NURSING END OF LIFE CARE

Code	50146701
CFU	1
Teacher	Paola Sarchielli
Learning activities	Caratterizzante
Area	Scienze infermieristiche
Academic discipline	MED/45
Type of study-unit	Opzionale (Optional)

Canale A

CFU

1

Teacher

Lorella Bacci

Teachers

• Lorella Bacci

Hours

• 15 ore - Lorella Bacci

Language of instruction

Italiano

Contents

Reference texts

Educational objectives

Prerequisites

Teaching methods

Other information

Learning verification modality

Extended program

Canale B

CFU

1

Teacher

Cinzia Venturi

Teachers

• Cinzia Venturi

Hours

• 15 ore - Cinzia Venturi

GERIATRICS

Code	50014001
CFU	1
Teacher	Paola Sarchielli
Learning activities	Caratterizzante
Area	Interdisciplinari e cliniche
Academic discipline	MED/09
Type of study-unit	Opzionale (Optional)

Canale A

CFU

1

Teacher

Carmelinda Ruggiero

Teachers

• Carmelinda Ruggiero

Hours

• 15 ore - Carmelinda Ruggiero

Language of instruction

Italian

Contents

Demography of aging. Principles of biology and physiology of aging. Elderly patients and geriatric patients. Main geriatric syndromes. Recurring clinical issues in geriatric medicine. Aspects of physical therapy and assistance in the elderly. Ethical controversies in geriatric medicine

Reference texts

- Paziente anziano. Paziente geriatrico. Medicina della complessità. Fondamenti di Gerontologia e Geriatria. Senin Umberto, Polidori Maria Cristina, Cherubini Antonio, Mecocci Patrizia, 4th Edition EdiSes Napoli (Italy), 2020.

Educational objectives

The course aims to acquaint the student with the principles of Gerontology and Geriatrics, a completely autonomous discipline, with its own cultural and professional area. Discussed topics should bring to light the originality of the elderly patient, which differs from the adult in terms of anatomy, physiology, pathology, and clinical care; the relationship between evidence-based medicine, medical complexity and geriatric medicine; the frail elderly; the geriatric syndromes; the main recurrent diseases in geriatrics; behavioral principles in geriatric medicine. Upon this knowledge the student must be able to recognize the unique aspects of aging, atypical presentation of many systemic and organic diseases and the complexity of multimorbidity, interactions between psychic and organic conditions able to amend the prognosis of diseases, the risks associated with polypharmacy, the value of multidimensional geriatric assessment in different health care settings.

Prerequisites

Basic Knowledge of Pysiology of Nervous and Muscular Systems.

Teaching methods

Frontal lessons

Other information

Calendar of educational activities:
Available at http://www.med.unipg.it/infermieristica//Perugia/indexinfPG.htm

Learning verification modality

The exam includes a written test consisting of an open answer elaborate to two questions on neurological diseases treated in the course. The test lasts for an hour and a half and is designed to verify the knowledge of the main clinical aspects of the neurological diseases object of the questions as well as their nursing management in the different stages of severity

Extended program

- Aging: demographics in Italy, in Europe and outside Europe: implications in clinical practice
- Principles of Biology and Physiology of aging
- Chronic diseases, polypathology and disability; concept pertaining to active life
- The concept of geriatric syndrome, atypical presentation of diseases in the elderly
- “Frail Elderly”
- Multidimensional geriatric rating: concepts, methods and instruments;
- Brain aging, cognitive disorders in the elderly, dementia in elderly; delirium
- Heart failure in the elderly
- Postural instability, dizziness, sarcopenia, osteoporosis, falls and fractures in the elderly
- Nutritional problems in the elderly
- Immobilization; bedsores
- Urinary Incontinence
- Geriatric medicine as medicine of complexity
- Principles of geriatric treatment. Risk of iatrogenic disease in peculiar conditions (elderly, polypharmacy, drug abuse, etc.)
- Depression in the elderly
- Sensory deficits and related clinical and practical complications
- The role of physical activity and lifestyle changes in the treatment and prevention of diseases
- Ethical controversies in geriatric medicine

Canale B

CFU

1

Teacher

Carmelinda Ruggiero

Teachers

• Carmelinda Ruggiero

Hours

• 15 ore - Carmelinda Ruggiero

Language of instruction

Italian

Contents

Demography of aging. Principles of biology and physiology of aging. Elderly patients and geriatric patients. Main geriatric syndromes. Recurring clinical issues in geriatric medicine. Aspects of physical therapy and assistance in the elderly. Ethical controversies in geriatric medicine

Reference texts

- Paziente anziano. Paziente geriatrico. Medicina della complessità. Fondamenti di Gerontologia e Geriatria. Senin Umberto, Polidori Maria Cristina, Cherubini Antonio, Mecocci Patrizia, 4th Edition EdiSes Napoli (Italy), 2020.

Educational objectives

The course aims to acquaint the student with the principles of Gerontology and Geriatrics, a completely autonomous discipline, with its own cultural and professional area. Discussed topics should bring to light the originality of the elderly patient, which differs from the adult in terms of anatomy, physiology, pathology, and clinical care; the relationship between evidence-based medicine, medical complexity and geriatric medicine; the frail elderly; the geriatric syndromes; the main recurrent diseases in geriatrics; behavioral principles in geriatric medicine. Upon this knowledge the student must be able to recognize the unique aspects of aging, atypical presentation of many systemic and organic diseases and the complexity of multimorbidity, interactions between psychic and organic conditions able to amend the prognosis of diseases, the risks associated with polypharmacy, the value of multidimensional geriatric assessment in different health care settings.

Prerequisites

Basic Knowledge of Pysiology of Nervous and Muscular Systems.

Teaching methods

Frontal lessons

Other information

Calendar of educational activities:
Available at http://www.med.unipg.it/infermieristica//Perugia/indexinfPG.htm

Learning verification modality

The exam includes a written test consisting of an open answer elaborate to two questions on neurological diseases treated in the course. The test lasts for an hour and a half and is designed to verify the knowledge of the main clinical aspects of the neurological diseases object of the questions as well as their nursing management in the different stages of severity

Extended program

- Aging: demographics in Italy, in Europe and outside Europe: implications in clinical practice
- Principles of Biology and Physiology of aging
- Chronic diseases, polypathology and disability; concept pertaining to active life
- The concept of geriatric syndrome, atypical presentation of diseases in the elderly
- “Frail Elderly”
- Multidimensional geriatric rating: concepts, methods and instruments;
- Brain aging, cognitive disorders in the elderly, dementia in elderly; delirium
- Heart failure in the elderly
- Postural instability, dizziness, sarcopenia, osteoporosis, falls and fractures in the elderly
- Nutritional problems in the elderly
- Immobilization; bedsores
- Urinary Incontinence
- Geriatric medicine as medicine of complexity
- Principles of geriatric treatment. Risk of iatrogenic disease in peculiar conditions (elderly, polypharmacy, drug abuse, etc.)
- Depression in the elderly
- Sensory deficits and related clinical and practical complications
- The role of physical activity and lifestyle changes in the treatment and prevention of diseases
- Ethical controversies in geriatric medicine

CLINICAL AND REHABILITATIVE NURSING IN THE CHRONICITY AND DISABILITY

Code	50363402
CFU	2
Teacher	Paola Sarchielli
Learning activities	Caratterizzante
Area	Scienze infermieristiche
Academic discipline	MED/45
Type of study-unit	Opzionale (Optional)

Canale A

CFU

2

Teacher

Giovanna Gori

Teachers

• Giovanna Gori

Hours

• 30 ore - Giovanna Gori

Language of instruction

Italian

Contents

approach to the person suffering from chronic pathology and disability

Reference texts

Principi fondamentali dell'assistenza infermieristica
di Ruth F. Craven
Mappe concettuali per l'assistenza infermieristica.Casi clinici per migliorare la comunicazione, la collaborazione e l'assistenza
di Barbara L. Yoost
Piani di assistenza infermieristica. Diagnosi infermieristiche, risultati di salute e interventi infermieristici
di Meg Gulanick

Educational objectives

Acquire technical, relational and educational competence in order to promote the maximum possible autonomy of the chronic or disabled patient and his caregivers through the implementation of therapeutic education interventions, self-care training and rehabilitation for an improvement in the quality of life.

Teaching methods

frontal lessons

Learning verification modality

multiple choice questionnaire

Extended program

1. Definitions, epidemiology and characteristics of disability., International Classification of the Functioning of Disability and Health (ICF).
2. Definition of chronicity: the objectives of health 21 for the xxi century, the national plan of chronicity.

5. The management of the "assistance and educational" path of the person suffering from stroke in the post-acute phase.
6. The management of the "welfare and educational" path of the person with COPD

Canale B

CFU

2

Teacher

Giovanna Gori

Teachers

• Giovanna Gori

Hours

• 30 ore - Giovanna Gori

Language of instruction

Italian

Contents

Approach to the elderly person or affected by chronic diseases and with disabilities.
Peculiar aspects of assistance / organizational inherent both to chronic diseases and their rehabilitation possibilities, and to any preventive interventions.

Reference texts

Suggested text:
Giorgio Nebuloni: Nursing care for the elderly person paths for health promotion, education and assistance Ambrosiana publishing house second edition

Educational objectives

Develop the ability of students to assess the needs of the elderly and provide adequate care responses in the various intervention sites (hospital - territory-domicile)¿
Describe how to take charge of the person suffering from chronic -degenerative diseases (cognitive disorders, Parkinson's disease, Stroke ...) in the specific aspects of the clinical, welfare and educational aspects related to chronic nursing¿
Describe the specific rehabilitation nursing interventions treated for the course¿
Acquire knowledge and skills related to the methodology and the organizational and clinical-care models for the care and management of the person with chronic problems and permanent disabilities¿
Plan and manage care processes in multidisciplinary teams, from the assessment phase of the need to the definition of the therapeutic project in the pathways of chronicity, disability, based on evidence of effectiveness and using quality improvement methodologies¿
To develop, in the logic of a multidimensional approach, the continuity of care among the different welfare contexts. care planning in chronicity.¿

Teaching methods

Interactive frontal lessons
• Problem based learning
• Narration of clinical cases
• Use of information tools for drawing up assistance plans,

Learning verification modality

Written test to ascertain the acquisition of theoretical knowledge

Extended program

Extended program:

• • The service network and regional legislation in the geriatric field, nursing assistance in the Hospital - Healthcare Residences - protected residences and integrated home care
• Models of care in chronic and disability, the enhancement of families and care givers, a multidisciplinary approach
• paradigm of waiting medicine and of initiative medicine
• organizational models: self management, disease management e
• case management, chronical care model
• concept of empowerment and modality of promotion and assistance
• Nurse and therapeutic education
• Care continuity for the elderly: assistance documentation, protected resignation
¿ Care, rehabilitative and educational aspects of patient care with acute and post-acute stroke
• Care, rehabilitation and educational aspects of patient care with Parkinson's
• Dysphagia: care aspects Management of urinary and faecal incontinence
• Dehydration in the elderly
• Patient assistance with dementia (assessment and management of cognitive problems, Alzhaimer ..)
• Patient assistance with delirium Fall prevention and management
• Femoral fractures in the elderly
• Restriction in geriatrics: alternative methods
•
Teaching support 9 hours
• ¿ Rehabilitation, autonomy and recovery, concepts of impairment, disability, disability
• Safeguarding self-sufficiency, strengthening residual capacities and preventing geriatric disabilities.
• The development of self-help skills in geriatrics: education for the autonomous management of prescribed drugs, therapeutic adherence and ineffective adherence to the therapeutic regimen
• The Elderly Need Assessment Organizations: Multidimensional Evaluation Unit, the Assessment Scale of the Dependency Index (ADL, IADL etc)

NEUROLOGY

Code	50099301
CFU	1
Teacher	Paola Sarchielli
Learning activities	Caratterizzante
Area	Interdisciplinari e cliniche
Academic discipline	MED/26
Type of study-unit	Opzionale (Optional)

Canale A

CFU

1

Teacher

Paola Sarchielli

Teachers

• Paola Sarchielli

Hours

• 15 ore - Paola Sarchielli

Canale B

CFU

1

Teacher

Paola Sarchielli

Teachers

• Paola Sarchielli

Hours

• 15 ore - Paola Sarchielli