Unit CLINICAL NURSING SPECIALISTIC( SPECIALITÀ-SPECIALTY

HAEMATOLOGY

Code	50098301
CFU	1
Learning activities	Caratterizzante
Area	Interdisciplinari e cliniche
Academic discipline	MED/15
Type of study-unit	Obbligatorio (Required)

Canale A

CFU

1

Teacher

Roberta La Starza

Teachers

• Roberta La Starza

Hours

• 15 ore - Roberta La Starza

Language of instruction

Italian

Contents

Hemopoiesis (erythropoiesis, granulocytopoiesis, monocytopoiesis, plateletopoiesis,
lymphocytopoiesis).Characteristics of blood cells.
Anemias: classification and etiopathogenetic mechanisms
Chronic myeloproliferative syndromes (CML, PV, TE, MFI)
Acute leukemias
Chronic lymphoid leukemia; malignant lymphomas
Plasma cell dyscrasias
Stem cell transplantation (autologous and allo-gene)
Blood groups. A B O system, Rh system, other group -
blood

Reference texts

Corso di malattie del sangue e degli organi emolinfopoietici (S.Tura, M.
Baccarani. Esculapio Ed)
Ematologia (G.L. Castoldi, V. Liso et al. Mc Graw Hill ed)
Medicina Interna. (Capitolo 5. Malattie del sangue) (R. Masini et al. Mc
Graw Hill ed)

Educational objectives

Upon completion of the course, the student should be able to know the
clinical pictures and the care needs of the main pathologies
hematology.

Prerequisites

Knowledge of the main causes of disease and their mechanisms
etiopathogenetics. Fundamental pathophysiological mechanisms of the major
apparatuses and systems. The inflammatory process, transformation
neoplastic. Elements of pathologic anatomy, histologic and cytologic examinations.
Grading and staging of neoplasms. Nursing history and objective examination
of the
human apparatuses. recognizing
Signs and symptoms related to major diseases of medical interest

Teaching methods

Lessons

Learning verification modality

the examination in written mode consists of 15 multiple choice questions
VOTE: Arithmetic mean of grades in individual modules

Extended program

Hematopoiesis, stem cells, myeloid lineage differentiation, and lymphodies,
organs of hematopoiesis (bone marrow, liver, spleen, yolk sac)
Lymphatic apparatus; The blood: corpuscular elements, plasma.
Diseases of the red blood cell: The anemias (from iron deficiency, vit b12 and folate,
hemoglobinopathies-thalassemias, sickle cell anemia-, hemolytic from defect
intrinsic, extrinsic and mixed) and polyglobulias (secondary); fundamental parameters for the diagnostic framing of anemias; CBC,
reticulocyte count; leukopenias; plateletopenia: idiopathic purpura
thrombocytopenic purpura; thrombotic thrombocytopenic purpura; Leukemias
acute: AML, B-cell LAL, T-cell LAL: clinic and diagnostic tests;
Chronic myeloproliferative diseases: chronic myeloid leukemia,
polycythemia vera, essential thrombocythemia, idiopathic myelofibrosis,
chronic eosinophilia leukemia; Myeloid and lymphoid neoplasms with
involvement of tyrosine kinases FGFR1, PDGFRA, PDGFRB; The
chronic lymphatic leukemia; Hair cell leukemia; Indolent and aggressive B-cell and T-cell nonHodgkin lymphomas; The gammopathies
monoclonal: MGUS, smouldering and symptomatic multiple myeloma, the
solitary plasmacytoma of bone; bone marrow aplasia; The syndromes
myelodysplastic syndromes; chemotherapy and use of marrow transplantation
autologous and allogeneic: indications and principles.

Obiettivi Agenda 2030 per lo sviluppo sostenibile

3 - Health and welfare

Canale B

CFU

1

Teacher

Paolo Sportoletti

Teachers

• Paolo Sportoletti

Hours

• 15 ore - Paolo Sportoletti

Language of instruction

Italian

Contents

Blood

Hematopoiesis

Lymphocytopoiesis

Anemias and secondary erythrocytosis, leucopenia and leukocytosis;

Chronic myeloid disorders

Chronic lymphocytic leukemia

Acute myeloid leukemias and acute lymphoblastic leukemias;

Non-Hodgkin lymphomas

Hodgkin disease

Multiple myeloma

Reference texts

A. Bosi, De Stefano V, F Di Raimondo, G La Nasa. Manuale di malattie del sangue, Elsevier

materials and/or assessment methodologies consistent with the needs of disabled and/or DSA students are available

Educational objectives

Ability to understand the biology and pathophysiology of the mechanisms underlying the haematological abnormalities.

Ability to interpret laboratory tests related to hematology.

Prerequisites

To be able to understand and face the course, the student must have passed with huge success the exam preparatory described in the regulation on the degree course. knowledge, in fact, of general knowledge of anatomy, physiology and general pathology is a prerequisite for the student who wants to follow the course with profit.

Teaching methods

Face-to-face

materials and/or assessment methodologies consistent with the needs of disabled and/or DSA students are available

Other information

N/A

Learning verification modality

Written exam with multiple choice questions: 15 questions with only 1 correct answer possible each.
The mark obtained for this module will contribute to the final mark of the course represented by the arithmetic mean between the marks obtained for each module.

materials and/or assessment methodologies consistent with the needs of disabled and/or DSA students are available

Extended program

Blood

Hematopoiesis

Lymphocytopoiesis

Anemias and secondary erythrocytosis, leucopenia and leukocytosis;

Chronic myeloid disorders

Chronic lymphocytic leukemia

Acute myeloid leukemias and acute lymphoblastic leukemias;

Non-Hodgkin lymphomas

Hodgkin disease

Multiple myeloma

Obiettivi Agenda 2030 per lo sviluppo sostenibile

Salute e benessere

ONCOLOGY

Code	50097301
CFU	1
Teacher	Mario Mandala'
Teachers	Mario Mandala'
Hours	15 ore - Mario Mandala'
Learning activities	Caratterizzante
Area	Interdisciplinari e cliniche
Academic discipline	MED/06
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian Language
Contents	Basic elements of experimental oncology and tumor pathogenesis. Classification of tumors Principles of medical therapy in oncology Toxicity of oncological treatments Supportive and palliative therapy in oncology Interactive clinical cases Main emergencies in medical oncology
Reference texts	Slides shared with students AIOM Guidelines NICSO Guidelines
Educational objectives	Notions of the specific care needs of cancer patients, with particular reference to: supportive therapies; problems related to the diagnosis and treatment of the most frequent neoplasms. This course is planned and conducted with the main aim to enable students developing specific nursing care plans.
Prerequisites	Basic knowledge of the aspects of general pathology related to tumors.
Teaching methods	Frontal and interactive lessons
Other information	Interactive clinical cases Practical demonstration how to deal with nursing care devices
Learning verification modality	HOW WILL THE EXAM BE CARRIED OUT: Written answers to multiple choice questions There will be 30 questions, 1 point for each question. For each question there will be only one correct answer. The questions will focus on the program carried out METHOD OF ALLOCATION OF THE FINAL SCORE: arithmetic mean of the scores obtained in the individual disciplines (This calculation is in charge of coordinator of the integrative course).
Extended program	1) Definition of cancer; epidemiology and risk factors; primary prevention in the general population and in patients at risk; secondary prevention: screening tests 2) Tumor diagnosis and TNM staging; principles of locoregional therapy (surgery and radiotherapy); 3) general concepts of systemic anti-tumor therapy with reference to chemotherapy, hormone therapy, molecular target therapy, immunotherapy 4) Extravasation of antineoplastic drugs Main organ toxicities of systemic therapies and their management with particular reference to bone marrow toxicity, gastrointestinal toxicity, skin toxicity; autoimmune toxicity during immunotherapy 5) Pain therapy: epidemiology, classification of pain in oncology, pain assessment, principles of therapy. Interactive clinical cases 6) Oncological emergencies with reference to space-occupying syndromes (superior vena cava syndrome, spinal cord compression, brain metastases), infectious emergencies and septic shock, metabolic syndromes. Interactive clinical cases
Obiettivi Agenda 2030 per lo sviluppo sostenibile	To promote health and prevent diseases, reduce inequalities and support education

ORTHOPEDICS TRAUMATOLOGY AND ELEMENTS OF PHYSICAL REHABILITATION

Code	50502132
CFU	2
Learning activities	Affine/integrativa
Area	Attività formative affini o integrative
Academic discipline	MED/33
Type of study-unit	Obbligatorio (Required)

Canale A

CFU

2

Teacher

Auro Caraffa

Teachers

• Auro Caraffa

Hours

• 30 ore - Auro Caraffa

Language of instruction

Italian

Contents

Main concepts of orthopedics and traumatology. Epidemiology, Etiopathogenesis, pathology, diagnosis and treatment of major orthopedic disorders and traumatic injuries of the musculoskeletal system. Principles of rehabilitation and their applications.

Reference texts

Communicated by the Professor at the beginning of the course

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

To be able to understand the course, the student must get over , successly, the preparatory exams described in the regulation on the degree course. knowledge of general knowledge of anatomy, physiology and general pathology is a posiytive background for the student who wants to follow the course with profit.

Teaching methods

Frontal lessons

Other information

website http://www.med.unipg.it/infermieristica/Perugia/indexinfPG.htm

Learning verification modality

The final examination is characterized by a written/practical multiple-choice test. It concerns of the several arguments regarding the entire course. It is a 60-minutes test. In alternative, the examinations could be conducted by an oral test regarding the same arguments. It will be conducted in order to test the level of knowledge and learning, and comprehension capacity onto the specific thematic areas too. It would also test the acquisition of methodology and property of thematic exposition. The oral test generally is 15/30 minutes long.
For info regarding services for supporting students with handicaps (or DSA), please visit URL-Page : http://www.unipg.it/disabilita-e-dsa

Extended program

General concepts of orthopedics. Main tissues and organs of the musculoskeletal system: biological and biomechanical.

Orthopedic physical examination. Main instrumental and laboratory evaluations. Types of lameness.

Congenital hip dysplasia, clubfoot and congenital stiff-neck.

Perthes disease and other osteochondritis. Epiphysiolysis. Flatfoot. Hallux valgus. Metatarsalgia.

Tendinopathy: general concepts of etiology, pathology, diagnosis and treatment. Main tendon tears.

Muscle injuries: from epidemiology to diagnosis and treatment.

Necrosis of the femoral head

Osteoarthritis: general concepts. Osteoarthritis, knee arthritis, arthritis of the ankle and hand, osteoarthritis of the spine.

Disc pathology and lumbar disc herniation and cervical

Kyphosis and scoliosis

Types of traumatic injuries of the musculoskeletal system.

General information on fractures. Immediate complications, early and late complications.

Major fractures of the spine, pelvis, lower limb and upper limb

Ankle and knee ligament injuries, meniscal injuries.

Shoulder instability. Impingement syndrome of the shoulder and rotator cuff injury.

Introduction to rehabilitation. Main methods of rehabilitation of the musculoskeletal system and other organ systems.

Type of physical therapy. The physiotherapy. The role of the nurse in the rehabilitation team

Canale B

CFU

2

Teacher

Francesco Manfreda

Teachers

• Francesco Manfreda

Hours

• 30 ore - Francesco Manfreda

Language of instruction

Italian

Contents

Main concepts of orthopedics and traumatology. Epidemiology, etiopathogenesis, pathology, diagnosis and treatment of major orthopedic disorders and traumatic injuries of the musculoskeletal system. Principles of rehabilitation and their applications.

Educational objectives

- Head-foot observation to assess trauma or pressure injuries;
- assessment of the fractured limb(s) to understand any abduction or adduction movements;
- assessment of the presence of sensation, circulation and movement of the fractured limb;
- checking the surgical wound and any drainage;
- monitoring and carrying out therapeutic prescriptions and any haematochemical examinations;
- assessment of pain, monitoring of diuresis and recovery of sensibility, movement and circulation of the operated limb

UROLOGY

Code	50144001
CFU	1
Teacher	Giovanni Cochetti
Teachers	Giovanni Cochetti
Hours	15 ore - Giovanni Cochetti
Learning activities	Caratterizzante
Area	Interdisciplinari e cliniche
Academic discipline	MED/24
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	Glossary and urologic semeiotics; hematuria; urinary obstructive syndrome; malformations of the urinary system; Urinary lithiasis; benign prostatic hyperplasia; urinary infections; urologic oncology; urologic disease in the elderly; neurogenic bladder; andrology.
Reference texts	"Testo di Chirurgia Specialistica" Capitoli di Urologia Editore: Zanichelli CEA www.zanichelli.it
Educational objectives	OBJECTIVES OF KNOWLEDGE (Knowledge) To acquire the basic knowledge about the epidemiology, prevention, pathogenesis, the clinical presentation, clinical and instrumental diagnosis, pharmacologic therapy and surgical strategy of the main diseases of urinary tract and male genitalia. OBJECTIVES OF INTERACTIVE EDUCATION The interactive teaching will be carried out in order to transmit the students a methodological approach to the nursing management of the main conditions concerning urologic and andrological disease. Objective will be to develop the ability to recognize the signs and symptoms of various diseases and their clinical value in order to be able to improve nursing management of the patient. ABILITIES (skills) The following abilities are considered preliminary and acquired: • to collect accurately medical history and symptoms of the patients • to know the most common laboratory tests, to identify major alterations of biochemical profile and to understand their clinical significance • the main maneuvers of general physical examination (inspection, palpation, percussion and auscultation of the chest and abdomen). Aims of gestural skills include: -Positioning of different types of catheters -management of urostomies -nursing in diagnostic urologic exam (uroflowmetry, transrectal ultrasound, ultrasound of the urinary tract, scrotal ultrasound, urodynamic examination, urethrocystoscopy, cystography) -nursing in ESWL -nursing in patient undergoing urologic surgery For this purpose hands-on training will be organized for the management of urinary catheter and urostomy. OBJECTIVES OF RELATIONAL EDUCATION (interpersonal skills) The objectives are to transmit students the value of the relationship between nurse and patient, highlighting the ethical and psychological aspects; another aim will be to make the student able to evaluate the psychological, sociological and cultural aspects of the patient in order to adapt the language and improve the understanding of the interview. We will also provide the main tools to properly train the care-giver figure. At the end of the course students will have the theoretical and practical bases for proper nursing management of the urologic and andrological patient.
Prerequisites	Knowledge of the anatomy and physiology of the urinary and male genital system are indispensable in order to understand the topics of the lessons. Fundamentals of pharmacology and oncology seem very useful to achieve the objectives of the interdisciplinary course.
Teaching methods	Seminar lectures with audiovisual materialPresentation of clinical casesPresentations of video about the main surgical strategies - Monothematic seminars
Other information	Attendance: Mandatory. At least 60% of lessons
Learning verification modality	The assessment includes final written and oral exam. The final valutation of the student’s "knowledge" consists of a written exam with closed stimulation and closed answer, in preparation for the oral examination. The written exam consists of 15 multiple choice and has a maximum duration of 20 minutes. Each correct answer has a score of 2. Access to the oral test is allowed for scores equal to or upper than 18. The final oral exam is characterized by an open stimulation with open answer; it consists of two questions and has a duration lower than 15 minutes. The final vote is in 30/30.
Extended program	-Introduction to urological glossary -Semeiotics of Kidney, urinary tract and the male genitalia -Vesical catheter: classifications, main types of urinary catheter, clinical indications, complications. - Fundamentals of urinary tract and male reproductive malformation focusing on epidemiology, etiology, clinical features, diagnosis, therapy. -Upper and lower urinary tract obstruction: etiology, pathogenesis, clinical features, diagnosis and therapy. - Upper urinary tract disease: epidemiology, etiology, clinical features, diagnosis, pharmacologic therapy and surgery of stenosis of pelvis-ureter junction and ureteral stenosis. -Benign prostatic hyperplasia: epidemiology, etiology, molecular biology and pathogenesis, clinical presentation, diagnosis, pharmacologic therapy and surgery. -Hematuria: etiology, diagnostic and therapeutic work-up. -Prostate cancer: epidemiology, etiology, fundamentals of pathogenesis and genomics, clinical features, diagnosis, PSA and new markers, pharmacologic therapy and surgery. -Kidney cancer: epidemiology, etiology, fundamentals of pathogenesis and genomics, clinical features, diagnosis, pharmacologic therapy and surgery. -Bladder cancer: epidemiology, etiology, fundamentals of pathogenesis and genomics, clinical features, diagnosis, pharmacologic therapy and surgery. -Urinary derivations and their management -Testicular cancer: epidemiology, etiology, pathogenesis, clinical presentation, diagnosis, fundamentals of chemotherapy and surgery. -Penis cancer: epidemiology, etiology, pathogenesis, clinical presentation, diagnosis, fundamentals of surgery and radiotherapy. -Urinary Tract Infections: epidemiology, etiology, pathogenesis, diagnosis, pharmacologic therapy, management of complications. -Litiasi Urinary: epidemiology, etiology, pathogenesis, clinical features, diagnosis, pharmacologic therapy, water therapy, dietary, physical therapy and surgery. -Neuromuscolar dysfunction of bladder: main etiological factors, pathogenesis, clinical presentation, diagnosis and principles of pharmacologic therapy and rehabilitation. -Urinary incontinence: epidemiology, classification, etiology, pathogenesis, clinical presentation, diagnosis, pharmacologic therapy and surgery. -Genitourinary prolapse: epidemiology, classification, etiology, pathogenesis, clinical presentation, diagnosis, rehabilitation therapy and surgery. - Minimally invasive surgery: indications, advantages and disadvantages, applications in urology We will also present the main issues about surgical andrology concerning infertility and sexual dysfunction. The concepts of anatomy and physiology of the male genitalia will be necessary to evaluate the morphological aberrations (congenital and acquired penile curvature), functional (erectile dysfunction and priapism). Acute scrotum (testicular torsion and orchi-epididymitis), cryptorchidism, varicocele will be debated both as individual disease and as a clinical entity related to male infertility, paying particular attention to their prevention. Since 30% of population is involved by an urological or andrological disease, we will highlighted the role of these diseases in determining a worsening of the quality of life of the individual and the couple; we will emphasize the importance of suitable management of urological and andrological disease also for the significant impact on the social and financial costs.