Unit SURGICAL CLINICAL NURSING

ANATOMICAL PATHOLOGY

Code	50147501
CFU	1
Teacher	Carlo Boselli
Learning activities	Altro
Area	Altre attività quali l'informatica, attività seminariali ecc.
Academic discipline	MED/08
Type of study-unit	Obbligatorio (Required)

Canale A

CFU

1

Teacher

Rachele Del Sordo

Teachers

• Rachele Del Sordo

Hours

• 15 ore - Rachele Del Sordo

Language of instruction

Italian

Contents

Role of Pathology Anatomy in the health system. Main diseases of cardiovascular system. Characteristics and differences of benign and malignant
neoplasms
Main tumours of the colon-rectal and breast.

Reference texts

"Le basi patologiche delle malattie" di Cotran - Kumar - Robbins, Edizioni Piccin (2 volumi) o Edizioni EMSI (1 volume).

There are courses, materials and / or assessment methods consistent with the needs of students with disabilities and / or SLD ".
For information on support services for students with disabilities and / or SLD, visit the page http://www.unipg.it/disabilita-e-dsa

Educational objectives

Knowledge of main activities of Pathological Anatomy. Knowledge of risk factors and pathological bases of main deseases of cardiovascular system. Knowledge of risk factors of  colon-rectal cancer and breast cancer. The main skills will be: how send a sample to pathological anatomy and how to intepret a histology and citology report.

Prerequisites

Knowledge of human anatomy

Teaching methods

Lectures on all subjects of the program

There are courses, materials and / or assessment methods consistent with the needs of students with disabilities and / or SLD ".
For information on support services for students with disabilities and / or SLD, visit the page http://www.unipg.it/disabilita-e-dsa

Other information

For information
rachele.delsordo@unipg.it
Reception hours: Wednesday 15:00 p.m.-18:00 p.m.

Learning verification modality

Oral questions

There are courses, materials and / or assessment methods consistent with the needs of students with disabilities and / or SLD ".
For information on support services for students with disabilities and / or SLD, visit the page http://www.unipg.it/disabilita-e-dsa

Extended program

Pathologic Anatomy: role and importance in the modern medicine and biotechnology. Autopsy: legal bases and objectives. Epicrisis. the anatomical-clinical method. Biopsies and cytology: methodhs of collection, storage, fixation and sending the material. Biopsy for intraoperative diagnosis 
Atherosclerosis. Heart failure.
Ischemic heart disease.
Pulmonary embolism and infarction. Characteristics of benign and malignant
neoplasms.
Tumour of the colon-rectum. Tumour of the breast carcinoma.

Canale B

CFU

1

Teacher

Rachele Del Sordo

Teachers

• Rachele Del Sordo

Hours

• 15 ore - Rachele Del Sordo

Language of instruction

Italian

Contents

Role of Pathology Anatomy in the health system. Main diseases of cardiovascular system. Characteristics and differences of benign and malignant
neoplasms
Main tumours of the colon-rectal and breast.

Reference texts

"Le basi patologiche delle malattie" di Cotran - Kumar - Robbins, Edizioni Piccin (2 volumi) o Edizioni EMSI (1 volume).

There are courses, materials and / or assessment methods consistent with the needs of students with disabilities and / or SLD ".
For information on support services for students with disabilities and / or SLD, visit the page http://www.unipg.it/disabilita-e-dsa

Educational objectives

Knowledge of main activities of Pathological Anatomy. Knowledge of risk factors and pathological bases of main deseases of cardiovascular system. Knowledge of risk factors of  colon-rectal cancer and breast cancer. The main skills will be: how send a sample to pathological anatomy and how to intepret a histology and citology report.

Prerequisites

Knowledge of human anatomy

Teaching methods

Lectures on all subjects of the program

There are courses, materials and / or assessment methods consistent with the needs of students with disabilities and / or SLD ".
For information on support services for students with disabilities and / or SLD, visit the page http://www.unipg.it/disabilita-e-dsa

Other information

For information
rachele.delsordo@unipg.it
Reception hours: Wednesday 15:00 p.m.-18:00 p.m.

Learning verification modality

Oral questions

There are courses, materials and / or assessment methods consistent with the needs of students with disabilities and / or SLD ".
For information on support services for students with disabilities and / or SLD, visit the page http://www.unipg.it/disabilita-e-dsa

Extended program

Pathologic Anatomy: role and importance in the modern medicine and biotechnology. Autopsy: legal bases and objectives. Epicrisis. the anatomical-clinical method. Biopsies and cytology: methodhs of collection, storage, fixation and sending the material. Biopsy for intraoperative diagnosis 
Atherosclerosis. Heart failure.
Ischemic heart disease.
Pulmonary embolism and infarction. Characteristics of benign and malignant
neoplasms.
Tumour of the colon-rectum. Tumour of the breast carcinoma.

ANESTHESIOLOGY AND ANALGESICTHERAPY

Code	50147401
CFU	1
Teacher	Carlo Boselli
Learning activities	Caratterizzante
Area	Interdisciplinari e cliniche
Academic discipline	MED/41
Type of study-unit	Obbligatorio (Required)

Canale A

CFU

1

Teacher

Edoardo De Robertis

Teachers

• Edoardo De Robertis

Hours

• 15 ore - Edoardo De Robertis

Language of instruction

Italian

Contents

Reference texts

Educational objectives

- To frame anesthesia as "perioperative medicine" aimed at protecting the patient from surgical trauma.
- Run BLS-D.
- Know the strategies to stabilize vital functions and prevent post-anoxic brain damage
- Monitor the patient and manage respiratory support.
- Be able to monitor acute and chronic algic syndromes.

Prerequisites

In order to understand the contents of the lessons and the learning objectives, the student must have a solid foundation of physiology, pathophysiology and clinical pharmacology, as well as the ability to integrate information from different disciplinary sectors.

Teaching methods

Frontal lessons, exercises on dummy, attendance in the Operating Room, in Intensive Care and in the outpatient clinics of Pain Medicine.

Other information

Learning verification modality

writte/oral examination

Extended program

Pharmacological basis anesthesia (Clinical pharmacology of intravenous and inhalation anesthetics, opioids, benzodiazepines, NSAIDs, local anesthetics)
Perioperative medicine
Preoperative evaluation and preparation
General and locoregional anesthesia techniques
Anesthesia work station and intraoperative monitoring
Airway management
Management of acute postoperative and first aid pain
Cardiac arrest (BLS-D, ALS)
Respiratory insufficiencies
Oxygen therapy and respiratory support bases
Shock: possible causes and treatment
Nosocomial infections in UTI and Sepsis
Transplants and organ donation

Canale B

CFU

1

Teacher

Gianmaria Cammarota

Teachers

• Gianmaria Cammarota

Hours

• 15 ore - Gianmaria Cammarota

Language of instruction

Italian

Educational objectives

objectives:
- To frame anesthesia as "perioperative medicine" aimed at protecting the patient from surgical trauma.
- Run BLS-D.
- Know the strategies to stabilize vital functions and prevent post-anoxic brain damage
- Monitor the patient and manage respiratory support.
- Be able to monitor acute and chronic algic syndromes.

Prerequisites

In order to understand the contents of the lessons and the learning objectives, the student must have a solid foundation of physiology, pathophysiology and clinical pharmacology, as well as the ability to integrate information from different disciplinary sectors.

Teaching methods

Frontal lessons, exercises on dummy, attendance in the Operating Room, in Intensive Care and in the outpatient clinics of Pain Medicine.

Extended program

Pharmacological basis anesthesia (Clinical pharmacology of intravenous and inhalation anesthetics, opioids, benzodiazepines, NSAIDs, local anesthetics)
Perioperative medicine
Preoperative evaluation and preparation
General and locoregional anesthesia techniques
Anesthesia work station and intraoperative monitoring
Airway management
Management of acute postoperative and first aid pain
Cardiac arrest (BLS-D, ALS)
Respiratory insufficiencies
Oxygen therapy and respiratory support bases
Shock: possible causes and treatment
Nosocomial infections in UTI and Sepsis
Transplants and organ donation

GENERAL SURGERY - I

Code	50157401
CFU	1
Teacher	Carlo Boselli
Learning activities	Caratterizzante
Area	Scienze medico-chirurgiche
Academic discipline	MED/18
Type of study-unit	Obbligatorio (Required)

Canale A

CFU

1

Teacher

Francesco Barberini

Teachers

• Francesco Barberini

Hours

• 15 ore - Francesco Barberini

Language of instruction

Italian

Contents

ESOPHAGEAL DIVERTICLES
- ACALASIA
- DIAPHRAMMATIC HERNIAS
- MRGE
- ESOPHAGE CANCER
- PEPTIC ULCER
- STOMACH CANCER (EGC)
- BILIARY LITHIASIS
- ACUTE PANCREATITIS
- CANCER HEAD OF PANCREAS
- ENDOCRINE PANCREAS TUMORS
- CHRON'S DISEASE
- RCU
- COLORECTAL CANCER
- APPENDICITES
- MEKEL FUN
- PERITONITES
- INTESTINAL OCCLUSIONS
- HERNIAS AND LAPAROCELI
- PROCTOLOGY
- PORTAL HYPERTENSION

Reference texts

R. Dionigi: Chirurgia. Basi teoriche e chirurgia generale-Chirurgia specialistica: 1-2 (ed. 2017)

Educational objectives

Students will acquire basic knowledge on pathophysiology, on the most frequent pathologies and on the essential principles of their professionalizing training activity. In particular, the nurse-patient relationship and their new professional identity (complementary and substitute)

Prerequisites

Anatomical, pathophysiological and technological notes.

Teaching methods

lectures

Learning verification modality

oral test

Extended program

Etiology, clinical aspects and therapy of the most common diseases of surgical interest of the chest, breast, thyroid, gastrointestinal tract and bile ducts. Inflammation. Shock.

Canale B

CFU

1

Teacher

Francesco Barberini

Teachers

• Francesco Barberini

Hours

• 15 ore - Francesco Barberini

Language of instruction

Italian

Contents

ESOPHAGEAL DIVERTICLES
- ACALASIA
- DIAPHRAMMATIC HERNIAS
- MRGE
- ESOPHAGE CANCER
- PEPTIC ULCER
- STOMACH CANCER (EGC)
- BILIARY LITHIASIS
- ACUTE PANCREATITIS
- CANCER HEAD OF PANCREAS
- ENDOCRINE PANCREAS TUMORS
- CHRON'S DISEASE
- RCU
- COLORECTAL CANCER
- APPENDICITES
- MEKEL FUN
- PERITONITES
- INTESTINAL OCCLUSIONS
- HERNIAS AND LAPAROCELI
- PROCTOLOGY
- PORTAL HYPERTENSION

Reference texts

R. Dionigi: Chirurgia. Basi teoriche e chirurgia generale-Chirurgia specialistica: 1-2 (ed. 2017)

Educational objectives

Students will acquire basic knowledge on pathophysiology, on the most frequent pathologies and on the essential principles of their professionalizing training activity. In particular, the nurse-patient relationship and their new professional identity (complementary and substitute)

Prerequisites

Anatomical, pathophysiological and technological notes.

Teaching methods

lectures

Learning verification modality

oral test

Extended program

Etiology, clinical aspects and therapy of the most common diseases of surgical interest of the chest, breast, thyroid, gastrointestinal tract and bile ducts. Inflammation. Shock.

GENERAL SURGERY - II

Code	50157501
CFU	1
Teacher	Carlo Boselli
Learning activities	Caratterizzante
Area	Interdisciplinari e cliniche
Academic discipline	MED/18
Type of study-unit	Obbligatorio (Required)

Canale A

CFU

1

Teacher

Carlo Boselli

Teachers

• Carlo Boselli

Hours

• 15 ore - Carlo Boselli

Language of instruction

Italian

Contents

- Inflammatory bowel diseases: Crohn's disease, ulcerative ulceros- Proctology: hemorrhoids, fistulas, fissures, pilonidal cyst
- Abdomen: acute abdomen, blunt trauma, acute diffuse peritonitis, localized peritonitis, intestinal obstruction, diseases of the abdominal wall

- Breast: Clinical and instrumental semiotics, fibrocystic disease, benign and malignant neoplasms

- Venous vessels: semiotics and instrumental esamim, varices, thrombo embolic disease (thrombophlebitis and venous thrombosis)

- Arterial vessels: semiotics and instrumental tests, emboli, aneurysms, arterial leg

- Endocrine system: thyroid gland (thyroiditis, hyperthyroidism, goiter, tumors), adrenal (of surgical diseases), the parathyroid glands (hyperparathyroidism)

- Chest: trauma, benign and malignant diseases tracheobronchial broncho-pulmonary, diseases of the mediastinum, pneumothorax, pleural empyema and payments

- Notes on the short-stay surgery: day surgery, outpatient surgery and weekend surgery

Reference texts

Lois White, Gena Duncan, Wendy Baumle
Fondamenti di Infermieristica
EfiSES

Educational objectives

preparazione dello Studente alle principali diagnosi infermieristiche in Chirurgia

Prerequisites

nobody

Teaching methods

Lezione frontale

Learning verification modality

Colloquio e/o quiz a risposta multipla

Extended program

- Inflammatory bowel diseases: Crohn's disease, ulcerative ulceros- Proctology: hemorrhoids, fistulas, fissures, pilonidal cyst

- Abdomen: acute abdomen, blunt trauma, acute diffuse peritonitis, localized peritonitis, intestinal obstruction, diseases of the abdominal wall

- Breast: Clinical and instrumental semiotics, fibrocystic disease, benign and malignant neoplasms

- Venous vessels: semiotics and instrumental esamim, varices, thrombo embolic disease (thrombophlebitis and venous thrombosis)

- Arterial vessels: semiotics and instrumental tests, emboli, aneurysms, arterial leg

- Endocrine system: thyroid gland (thyroiditis, hyperthyroidism, goiter, tumors), adrenal (of surgical diseases), the parathyroid glands (hyperparathyroidism)

- Chest: trauma, benign and malignant diseases tracheobronchial broncho-pulmonary, diseases of the mediastinum, pneumothorax, pleural empyema and payments
- Notes on the short-stay surgery: day surgery, outpatient surgery and weekend surgery

Canale B

CFU

1

Teacher

Carlo Boselli

Teachers

• Carlo Boselli

Hours

• 15 ore - Carlo Boselli

Language of instruction

Italian

Contents

- Inflammatory bowel diseases: Crohn's disease, ulcerative ulceros- Proctology: hemorrhoids, fistulas, fissures, pilonidal cyst
- Abdomen: acute abdomen, blunt trauma, acute diffuse peritonitis, localized peritonitis, intestinal obstruction, diseases of the abdominal wall

- Breast: Clinical and instrumental semiotics, fibrocystic disease, benign and malignant neoplasms

- Venous vessels: semiotics and instrumental esamim, varices, thrombo embolic disease (thrombophlebitis and venous thrombosis)

- Arterial vessels: semiotics and instrumental tests, emboli, aneurysms, arterial leg

- Endocrine system: thyroid gland (thyroiditis, hyperthyroidism, goiter, tumors), adrenal (of surgical diseases), the parathyroid glands (hyperparathyroidism)

- Chest: trauma, benign and malignant diseases tracheobronchial broncho-pulmonary, diseases of the mediastinum, pneumothorax, pleural empyema and payments

- Notes on the short-stay surgery: day surgery, outpatient surgery and weekend surgery

Reference texts

Lois White, Gena Duncan, Wendy Baumle
Fondamenti di Infermieristica
EfiSES

Educational objectives

preparazione dello Studente alle principali diagnosi infermieristiche in Chirurgia

Prerequisites

nobody

Teaching methods

Lezione frontale

Learning verification modality

Colloquio e/o quiz a risposta multipla

Extended program

- Inflammatory bowel diseases: Crohn's disease, ulcerative ulceros- Proctology: hemorrhoids, fistulas, fissures, pilonidal cyst

- Abdomen: acute abdomen, blunt trauma, acute diffuse peritonitis, localized peritonitis, intestinal obstruction, diseases of the abdominal wall

- Breast: Clinical and instrumental semiotics, fibrocystic disease, benign and malignant neoplasms

- Venous vessels: semiotics and instrumental esamim, varices, thrombo embolic disease (thrombophlebitis and venous thrombosis)

- Arterial vessels: semiotics and instrumental tests, emboli, aneurysms, arterial leg

- Endocrine system: thyroid gland (thyroiditis, hyperthyroidism, goiter, tumors), adrenal (of surgical diseases), the parathyroid glands (hyperparathyroidism)

- Chest: trauma, benign and malignant diseases tracheobronchial broncho-pulmonary, diseases of the mediastinum, pneumothorax, pleural empyema and payments
- Notes on the short-stay surgery: day surgery, outpatient surgery and weekend surgery

SURGICAL CLINICAL NURSING

Code	50157503
CFU	3
Teacher	Carlo Boselli
Learning activities	Caratterizzante
Area	Scienze infermieristiche
Academic discipline	MED/45
Type of study-unit	Obbligatorio (Required)

Canale A

CFU

3

Teacher

Stefania Naglieri

Teachers

• Stefania Naglieri

Hours

• 45 ore - Stefania Naglieri

Language of instruction

ITALIAN

Contents

General features of surgical nursing care.
Aims and classification of surgical interventions. Highlight of the most important moments of nursing care in the 3 phases of preoperative period. Planning the nursing interventions and preparing the caring plans for the person undergoing the surgical intervention. recognizing postoperative complications and explaining nursing interventions to prevent them. Nursing activities and organization of the surgical block.

Reference texts

Procedure infermieristiche
P . Badon, M. Canesi, A. Monterosso, F. Pellegatta. Casa Editrice Ambrosiana
Trattato di cure infermieristiche
L. Salani, A. Brugnolli. Trattato di cure infermieristiche - Idelson-Gnocchi Infermieristica medico-chirurgica 2 Volume Brunner Suddarth - Casa Editrice Ambrosiana
Piani di assistenza infermieristica:
«Diagnosi infermieristiche, risultati di salute ed interventi infermieristi» Meg Gulanick - Judith L. Myers - Casa Editrice Ambrosiana.
Infermieristica medico-chirurgica
Barbara K. Timby e Nancy E. Smith. Mc Graw Hill Education

Educational objectives

LEARNING OBJECTIVES

At the end of the course the student will be able to:
Know the organizational, structural and technological sides of a surgery block;
Elaborate nursing care plans for the person undergoing a general and specialized surgical intervention;
Warrant the correct preoperative pathway of the surgical patient;
Know and correctly perform the procedures applied to the person undergoing a surgical intervention.
Manage correctly the main devices used for the surgical patient.
Warrant the safety of the patient by preventing the major surgical complications.
Warranty the safety of the patient in preventing surgical care-related infections.
Train the person in correct management of colonoscopy/ileostomy/urostomy

Prerequisites

PREREQUISITES

Good knowledge of:
• basic nursing,
• anatomy,
• physiology
• and general pathology.

Teaching methods

TEACHING METHODS

Frontal and interactive lessons with students;
Small-group exercitations

Other information

Contact: Stefania.naglieri@unipg.it

Learning verification modality

METHOD OF EXAMINATION

Oral examination:
Check of the knowledge of the topics treated during the lessons, the surgical patient's pathway. and related procedures. Description and building of nursing care plan for the standard and specific surgical patient.

Extended program

EXTENDED PROGRAM
Elective and urgent surgical patient pathway: organizational models.
Phases of preoperative care and building of a care plane for the surgical patient (investigations, nursing diagnoses, interventions, results)
1. Preoperative phase surgical techniques
2. Intraoperative phase manual of operating room safety, objectives and checklist
3. Postoperative phase surveillance and postoperative complications.
Structural technological organization of the surgical block, habits in the operating room, specific competences of the anesthesia nurse, of the circulating nurse, of the scrub nurse.
Surgical wound dressing, preparation of the sterile field, drains.
Surgical instruments and sutures.
management and reconditioning of surgical instruments.
Caring plans for patient who underwent surgical intervention of:
- abdominal aorta aneurysm
gastroesophageal disease
bowel disease (patients with stomy)
- lung and thyroid disease
- breast disease
- cardiac surgical disease
- orthopedic disease patient with fracture of the femur
Urinary tract diseases and urostomy.
Main procedures in surgery.
1. NG tube insertion
2. urine catheter
3. Chest drain management
4. Application of anti-embolism stockings
5. Assistance during bronchoscopy
6. Enema administration
7. Colostomy and ileostomy irrigation
8. Management of jejunostomy and gastrostomy tube
9. Enteral nutrition administration
10. Administration of drugs through enteral route
11. Ileostomy/colostomy care
12. Care of trans-abdominal nutrition device
13. Insertion and removal of nasogastric tube.
14. Care of urostomy
15. Wound care and dressing
16. Management of dehiscence and evisceration of surgical wound.
17. Intermittent pneumatic compression

Canale B

CFU

3

Teacher

Stefania Naglieri

Teachers

• Stefania Naglieri

Hours

• 45 ore - Stefania Naglieri

Language of instruction

ITALIAN

Contents

General features of surgical nursing care.
Aims and classification of surgical interventions. Highlight of the most important moments of nursing care in the 3 phases of preoperative period. Planning the nursing interventions and preparing the caring plans for the person undergoing the surgical intervention. recognizing postoperative complications and explaining nursing interventions to prevent them. Nursing activities and organization of the surgical block.

Reference texts

Procedure infermieristiche
P . Badon, M. Canesi, A. Monterosso, F. Pellegatta. Casa Editrice Ambrosiana
Trattato di cure infermieristiche
L. Salani, A. Brugnolli. Trattato di cure infermieristiche - Idelson-Gnocchi Infermieristica medico-chirurgica 2 Volume Brunner Suddarth - Casa Editrice Ambrosiana
Piani di assistenza infermieristica:
«Diagnosi infermieristiche, risultati di salute ed interventi infermieristi» Meg Gulanick - Judith L. Myers - Casa Editrice Ambrosiana.
Infermieristica medico-chirurgica
Barbara K. Timby e Nancy E. Smith. Mc Graw Hill Education

Educational objectives

LEARNING OBJECTIVES

At the end of the course the student will be able to:
Know the organizational, structural and technological sides of a surgery block;
Elaborate nursing care plans for the person undergoing a general and specialized surgical intervention;
Warrant the correct preoperative pathway of the surgical patient;
Know and correctly perform the procedures applied to the person undergoing a surgical intervention.
Manage correctly the main devices used for the surgical patient.
Warrant the safety of the patient by preventing the major surgical complications.
Warranty the safety of the patient in preventing surgical care-related infections.
Train the person in correct management of colonoscopy/ileostomy/urostomy

Prerequisites

PREREQUISITES

Good knowledge of:
• basic nursing,
• anatomy,
• physiology
• and general pathology.

Teaching methods

TEACHING METHODS

Frontal and interactive lessons with students;
Small-group exercitations

Other information

Contact: stefania.naglieri@unipg.it

Learning verification modality

METHOD OF EXAMINATION

Oral examination:
Check of the knowledge of the topics treated during the lessons, the surgical patient's pathway. and related procedures. Description and building of nursing care plan for the standard and specific surgical patient.

Extended program

EXTENDED PROGRAM
Elective and urgent surgical patient pathway: organizational models.
Phases of preoperative care and building of a care plane for the surgical patient (investigations, nursing diagnoses, interventions, results)
1. Preoperative phase surgical techniques
2. Intraoperative phase manual of operating room safety, objectives and checklist
3. Postoperative phase surveillance and postoperative complications.
Structural technological organization of the surgical block, habits in the operating room, specific competences of the anesthesia nurse, of the circulating nurse, of the scrub nurse.
Surgical wound dressing, preparation of the sterile field, drains.
Surgical instruments and sutures.
management and reconditioning of surgical instruments.
Caring plans for patient who underwent surgical intervention of:
- abdominal aorta aneurysm
gastroesophageal disease
bowel disease (patients with stomy)
- lung and thyroid disease
- breast disease
- cardiac surgical disease
- orthopedic disease patient with fracture of the femur
Urinary tract diseases and urostomy.
Main procedures in surgery.
1. NG tube insertion
2. urine catheter
3. Chest drain management
4. Application of anti-embolism stockings
5. Assistance during bronchoscopy
6. Enema administration
7. Colostomy and ileostomy irrigation
8. Management of jejunostomy and gastrostomy tube
9. Enteral nutrition administration
10. Administration of drugs through enteral route
11. Ileostomy/colostomy care
12. Care of trans-abdominal nutrition device
13. Insertion and removal of nasogastric tube.
14. Care of urostomy
15. Wound care and dressing
16. Management of dehiscence and evisceration of surgical wound.
17. Intermittent pneumatic compression