Unit BASIS OF CLINICAL SEMEIOTICS

Course
Nursing
Study-unit Code
GP001707
Curriculum
In all curricula
CFU
5
Course Regulation
Coorte 2022
Offered
2022/23
Type of study-unit
Obbligatorio (Required)
Type of learning activities
Attività formativa integrata

GENERAL PHARMACOLOGY (MODULE 1)

Code GP001729
CFU 1
Learning activities Base
Area Primo soccorso
Academic discipline BIO/14
Type of study-unit Obbligatorio (Required)

Canale A

CFU
1
Teacher
Paolo Puccetti
Teachers
  • Paolo Puccetti
Hours
  • 15 ore - Paolo Puccetti
Language of instruction
Italian
Contents
General principles of Pharmacology. Pharmacokinetics: disposition and metabolisms of drugs. Drug development, evaluation of new drugs and principles of therapeutics. Pharmacology for special patient populations.
Reference texts
Clayton StockFondamenti di farmacologia per infermieriEdiSES srl Napoli
Educational objectives
The general pharmacology is the study of the fundamentals of drug action that evaluates the relationship between body and drug, and analyzes the general mechanisms of interaction between the two systems. All the drugs share some general principles that are independent of the nature of the effect and which are common to all. The main knowledge gained will be related to: 1) absorption, distribution, metabolism and elimination of drugs 2) routes of administration of the drugs 3) bioavailability and bioequivalence. The knowledge gained will enable the student to achieve the following skills: 1) be able to calculate the correct dosage of a drug 2) avoid toxic effects 3) rational use of medicines and achieve maximum efficacy with minimal toxicity
Prerequisites
The student must have knowledge of anatomy,physiology and chemistry
in order to learn the general pharmacology
Teaching methods
The course consists of classroom lectures on all topics of the course.
Other information
compulsory
Learning verification modality
The exam includes a written test (multiple choice questions)
at the end of the course
Extended program
GENERAL PHARMACOLOGY. General pharmacokinetics: passages of drugs across cell membranes; routes of administration and absorption; bioavailability; distribution of drugs in the body; volume of distribution, binding to plasma proteins; drug metabolism; excretion; time-course of drug plasmatic contents (after single or repeated administration).

Canale B

CFU
1
Teacher
Paolo Puccetti
Teachers
  • Paolo Puccetti
Hours
  • 15 ore - Paolo Puccetti
Language of instruction
Italian
Contents

Pharmacokinetics
Reference texts

notes from lessons
Educational objectives

Pharmacokinetic basis of general pharmacology
Prerequisites

Biology and phisiology knowledge
Teaching methods

Theoric lessons
Other information
Frequency suggested
Learning verification modality

Oral exam
Extended program

Administration routes; absorption, distribution, metabolism of drugs. Dosing planning and optimization

GENERAL PHARMACOLOGY (MODULE 2)

Code GP001730
CFU 1
Learning activities Caratterizzante
Area Scienze medico-chirurgiche
Academic discipline BIO/14
Type of study-unit Obbligatorio (Required)

Canale A

CFU
1
Teacher
Francesca Fallarino
Teachers
  • Francesca Fallarino
Hours
  • 15 ore - Francesca Fallarino
Language of instruction
Italian
Contents
Pharmacodynamics: drug receptors and receptors/mechanisms.
Reference texts
Fondamenti di farmacologia per infermieriClayton, StockEdises srl Napoli
Educational objectives
The general pharmacology is the study of the fundamentals of drug action that evaluates the relationship between body and drug, and analyzes the general mechanisms of interaction between the two systems. All the drugs share some general principles that are independent of the nature of the effect and which are common to all. The main knowledge gained will be related to: 1) Receptors and theories of receptor activation 2) mechanisms of drug action and signal transduction pathways. The knowledge gained will enable the student to achieve the following skill: 1) rational use of medicines and achieve maximum efficacy with minimal toxicity
Prerequisites
the student must have knowledge of anatomy,physiology and chemistry
in order to learn the general pharmacology
Teaching methods
The course consists of classroom lectures on all topics of the course.
Other information
Student reception after appointment by email.
Learning verification modality
The exam includes a written test (multiple choice questions)
at the end of the course
Extended program
GENERAL PHARMACOLOGY. General pharmacodynamics: targets and mechanisms of drug action; receptors, classification of membrane receptors, intracellular receptors, dose-response curve; agonists, partial agonists, antagonists; General toxicity: side-effects, overdose, idiosyncratic and allergic reactions; teratogenesis and foetal toxicity; carcinogenesis; drug dependency. Clinical evaluation. Pharmacosurveillance

Canale B

CFU
1
Teacher
Claudia Volpi
Teachers
  • Claudia Volpi
Hours
  • 15 ore - Claudia Volpi
Language of instruction
Italian
Contents
Drug-receptor interactions and pharmacodinamic
Reference texts
notes from lesson
Educational objectives
Knowledge of the mechanisms of action of the drugs
Prerequisites
Biology and phisiology knowledge
Teaching methods
Theoric lessons
Other information
Frequency suggested
Learning verification modality
Oral exam
Extended program
Signal transduction; dose-response relations; intrinsic activity; receptors features

NURSING METHODOLOGY II

Code GP001731
CFU 2
Learning activities Caratterizzante
Area Management sanitario
Academic discipline MED/45
Type of study-unit Obbligatorio (Required)

Canale A

CFU
2
Teacher
Jacopo Bartoccini
Teachers
  • Jacopo Bartoccini
Hours
  • 30 ore - Jacopo Bartoccini
Language of instruction
Italian
Contents
1. Introduction to nursing assessment
2. Vital signs
3. Nursing assessment of pain and nutritional status
4. Oxygenation and respiratory function
5. Main alterations of the gastrointestinal system
6. Urinary elimination: urination, characteristics of normal urine
7. Movement and posture
8. Sleep and rest
Reference texts
Testi di riferimento TESTI_RIF Sì Herdmand TH, Kamitsuru S, Lopes CT, Diagnosi Infermieristiche. Definizioni e classificazione 2021-2023. 12a Ed. Rozzano (MI): CEA - Casa Editrice Ambrosiana, 2021.
Saiani L, Brugnolli A. (a cura di) Trattato di cure Infermieristiche. 3a Ed. Napoli: Edizioni Idelson-Gnocchi, 2021 (In particolare alcuni estratti dal Tomo I: Capitoli 6, 7, 13, 15, 16 e Tomo II: Capitoli 17, 18, 20, 21, 22, 23, 24)
Badon PL, Canesi M, Monterosso A, Pelegatta F. (a cura di). Procedure Infermieristiche. Rozzano (MI): CEA - Casa Editrice Ambrosiana, 2018 (in particolare alcuni estratti dai Capitoli 4 e 5, e Schede: da 29 a 35, 40, 41, 43, 44, 45, 107, 117, 125, 140 e Appendici da A2 ad A7
Gordon M. Capitolo 5 Modelli funzionali della salute: una struttura per l’accertamento. In Gordon M. Diagnosi infermieristiche. Processo e applicazioni. Rozzano (MI): CEA - Casa Editrice Ambrosiana, 2009.
Dispense a cura dei docenti. Herdmand TH, Kamitsuru S, Lopes CT, Diagnosi Infermieristiche. Definizioni e classificazione 2021-2023. 12a Ed. Rozzano (MI): CEA - Casa Editrice Ambrosiana, 2021.
Saiani L, Brugnolli A. (a cura di) Trattato di cure Infermieristiche. 3a Ed. Napoli: Edizioni Idelson-Gnocchi, 2021 (In particolare alcuni estratti dal Tomo I: Capitoli 6, 7, 13, 15, 16 e Tomo II: Capitoli 17, 18, 20, 21, 22, 23, 24)
Badon PL, Canesi M, Monterosso A, Pelegatta F. (a cura di). Procedure Infermieristiche. Rozzano (MI): CEA - Casa Editrice Ambrosiana, 2018 (in particolare alcuni estratti dai Capitoli 4 e 5, e Schede: da 29 a 35, 40, 41, 43, 44, 45, 107, 117, 125, 140 e Appendici da A2 ad A7
Gordon M. Capitolo 5 Modelli funzionali della salute: una struttura per l’accertamento. In Gordon M. Diagnosi infermieristiche. Processo e applicazioni. Rozzano (MI): CEA - Casa Editrice Ambrosiana, 2009.
Handouts by teachers.
Educational objectives
Know the main nursing assessment methodologies and nursing semeiotics according to M. Gordon's Functional Health Patterns Model
Prerequisites
Knowledge of the 5-Step Nursing Process
Teaching methods
Frontal lessons
Simulation
Other information
---
Learning verification modality
Test with closed questions
Extended program
1. Introduction to nursing assessment
2. Vital signs
3. Nursing assessment of pain and nutritional status
4. Oxygenation and respiratory function
5. Main alterations of the gastrointestinal system
6. Urinary elimination: urination, characteristics of normal urine
7. Movement and posture
8. Sleep and rest

Canale B

CFU
2
Teacher
Giancarlo Marcheggiani
Teachers
  • Giancarlo Marcheggiani
Hours
  • 30 ore - Giancarlo Marcheggiani
Language of instruction
Italian
Contents
Introduction to assessment methods: observation, interview, structural tools, scales, questionnaires, objective examination.
2. The vital signs
3. Thermoregulation:
Nursing process applied to ineffective thermoregulation problems
4. Notes on the assessment of pain and nutritional status
5. Oxygenation and respiratory function:
Nursing process applied to respiratory problems
6. Main alterations of the gastrointestinal system:
More frequent signs and symptoms affecting the upper tract
Vomiting: types, characteristics, complications, care interventions
Intestinal elimination:
Nursing process applied to intestinal problems
7. Urinary elimination:
Nursing process applied to urinary elimination problems
8. Moving and maintaining adequate posture:
Reference texts
Herdmand TH, Kamitsuru S, Lopes CT, Diagnosi Infermieristiche. Definizioni e classificazione 2021-2023. 12a Ed. Rozzano (MI): CEA - Casa Editrice Ambrosiana, 2021.
Saiani L, Brugnolli A. (a cura di) Trattato di cure Infermieristiche. 3a Ed. Napoli: Edizioni Idelson-Gnocchi, 2021 (In particolare alcuni estratti dal Tomo I: Capitoli 6, 7, 13, 15, 16 e Tomo II: Capitoli 17, 18, 20, 21, 22, 23, 24)
Badon PL, Canesi M, Monterosso A, Pelegatta F. (a cura di). Procedure Infermieristiche. Rozzano (MI): CEA - Casa Editrice Ambrosiana, 2018 (in particolare alcuni estratti dai Capitoli 4 e 5, e Schede: da 29 a 35, 40, 41, 43, 44, 45, 107, 117, 125, 140 e Appendici da A2 ad A7
Gordon M. Capitolo 5 Modelli funzionali della salute: una struttura per l’accertamento. In Gordon M. Diagnosi infermieristiche. Processo e applicazioni. Rozzano (MI): CEA - Casa Editrice Ambrosiana, 2009.
Dispense a cura dei docenti.
Educational objectives
At the end of the course the student will be able to: conduct and organize targeted data collection of nursing interest; collect and interpret data relevant to nursing care based on the signs and symptoms detected; it will identify and carry out nursing interventions aimed at satisfying the person's needs.
Teaching methods
Lectures and clinical case exercises
Other information
giancarlo.marcheggiani@unipg.it
Learning verification modality
Prova scritta
Extended program
1. Introduction to assessment methods: observation, interview, structural tools, scales, questionnaires, objective examination.

2. The vital signs: Definition and purpose of the detection of the vital signs; signs and symptoms of alteration.
General principles in the detection of parameters in hospital and home settings; pulse assessment, blood pressure assessment, respiratory rate assessment.
Thermoregulation:
Factors affecting body temperature,
Changes in body temperature,
Nursing process applied to ineffective thermoregulation problems: diagnosis and nursing interventions.

3. Outline of nursing assessment of pain and nutritional status;

4. Oxygenation and respiratory function:
Characteristics of normal breathing in relation to: sex, age, physical and mental state;
Factors affecting respiratory function;
Definition of the main manifestations of impaired respiratory function: signs and symptoms.
Breath characters and main alterations.
Measurement of oxygen saturation.
Abnormal breaths.
Nursing process applied to respiratory problems: diagnosis and nursing interventions

5. Main alterations of the gastrointestinal system.
More frequent signs and symptoms affecting the upper tract
Vomiting: types, characteristics, complications, care interventions
Intestinal elimination: factors that affect intestinal elimination.
Alteration of intestinal function.
More frequent signs and symptoms in intestinal disorders.
Nursing process applied to intestinal problems: diagnosis and nursing interventions.


6. Urinary elimination: urination, characteristics of normal urine.
Factors that affect urinary elimination.
Changes in urinary function: signs and symptoms
Nursing process applied to urinary elimination problems: diagnosis and nursing interventions.

7. Moving and maintaining adequate posture.
Normal mobility.
Factors affecting mobility.
Mobility impairment and its manifestations: signs and symptoms
Systemic and psychosocial effects of immobility.
Nursing process applied to mobility problems: diagnosis and nursing interventions.

8. Sleeping and resting
Factors that affect sleep and rest.
Disturbances in sleep and rest: signs and symptoms.
Nursing process applied to sleep / rest problems: diagnosis and nursing interventions.

NUTRITIONAL SCIENCES

Code GP001732
CFU 1
Learning activities Caratterizzante
Area Prevenzione servizi sanitari e radioprotezione
Academic discipline MED/49
Type of study-unit Obbligatorio (Required)

Canale A

CFU
1
Teacher
Natascia Capitini
Teachers
  • Natascia Capitini
Hours
  • 15 ore - Natascia Capitini
Language of instruction
Italian
Contents
Key concepts in dietetics and human nutrition. Definition of nutritional
and health-promoting properties of food groups, and their use in dietary
prescriptions. Strategies of primary and secondary prevention of age- and
food-related diseases.
Reference texts
Nutrizione applicata (Riccardi et al. - Idelson Gnocchi Ed.)
- notes by the teacher
Educational objectives
The course is designed to build knowledge and skilling on dietetics and nutritional management of adult and pediatric patients in clinical centers, as well as on strategies and
tools to implement and deliver to individuals and communities the
concept of “healthy diet and life style” (health promotion activity).
Students will gain a background on nutritional requirements in different
physiological conditions such as pregnancy, lactation and weaning,
infancy and adolescence, adulthood and aging, as well as on health
effects of food groups and dietary prevention of age- and food-dependent
diseases (including obesity, malnutrition, and food toxicology and
environmental threats).
Prerequisites
The student should have a solid background in medical biochemistry, physiology and human nutrition.
Teaching methods
frontal teaching
Other information
none
Learning verification modality
Profit evaluation will consist of written examination by multiple choice of true/false questions (quizzes); tests will be performed in one
session and will take about 30 minutes.
Extended program
Energy metabolism – nutrients – vitamins – mineral salts – water - guidelines for proper nutrition Italian – pyramid of foods, concept of portion, food groups, Body composition and nutritional status assessment, Power at different ages and physiological conditions, diet therapy of major diseases, hospital catering and food safety - Protein energy malnutrition: definition, evaluation, risk factors and consequences; hospital malnutrition - anthropometric measurements (weight, height, circumferences) - artificial nutrition

Canale B

CFU
1
Teacher
Laura Cerquiglini
Teachers
  • Laura Cerquiglini
Hours
  • 15 ore - Laura Cerquiglini
Language of instruction
Italian
Contents
hospedal nutrion artificial nutritione
Reference texts
R.F. Craven, C.J Hirnle, PRINCIPI FONDAMENTALI DELL’ASSISTENZA INFERMIERISTICA, III ED.- Casa ED. Ambrosiana
Educational objectives
The student after the course should know to observe the state of nutrition and detect the body weight, in any physiological or pathological condition, in addition to being able to give support to the patient, knowing the basic principles of healthy dietary habits
Teaching methods
face-to-face
Other information
Wednesday 15.00-16.00
Learning verification modality
Multiple choice with open answer questions written exam
Extended program
Energy metabolism – nutrients – vitamins – mineral salts – water - guidelines for proper nutrition Italian – pyramid of foods, concept of portion, food groups, Body composition and nutritional status assessment, Power at different ages and physiological conditions, diet therapy of major diseases, hospital catering and food safety - Protein energy malnutrition: definition, evaluation, risk factors and consequences; hospital malnutrition - anthropometric measurements (weight, height, circumferences) - artificial nutrition
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