Unit ADVANCED CARE PATHWAYS IN CLINICAL AREA 1

INTERNAL MEDICINE INSIGHTS

Code	50A00032
CFU	2
Teacher	Gaetano Vaudo
Teachers	Gaetano Vaudo Giacomo Pucci (Codocenza)
Hours	9 ore - Gaetano Vaudo 9 ore (Codocenza) - Giacomo Pucci
Learning activities	Caratterizzante
Area	Scienze biologiche, mediche e chirurgiche
Academic discipline	MED/09
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	Clinical medicine. Signs and symptoms of diseases. Pain. Fever. Cardiovascular and respiratory pathophysiology. Kidney pathophysiology. Geriatric, oncologic, infectious diseases and their practical assistance organization.
Reference texts	VAUDO G., ZUCCONI M., CARLUCCIO E., MANDALA' M., RUGGERO C., MALINCARNE L.: dispense delle lezioni.
Educational objectives	The candidates will have to pass the six tests (one for each module) and the final vote will be the weighted average of the votes obtained in the various tests. The aim of the evaluation will be to determine whether or not have been achieved the capacities for which the teaching was set up, especially regarding the candidate's organization skills and knowledge.
Prerequisites	In order to understand and know how to apply most of the information and knowledge provided by teaching in order to acquire an advanced level of study and critical analysis of clinical methodology for Government infermieristica and assistance, requires that the student has clinical and diagnostic knowledge in the areas of internal medicine, infectious diseases, oncology, cardiovascular and geriatrics. All this because the lessons will be given care paths and methods of nursing based approach and are often a practical application of the knowledge gained in these areas. The aim is to be able to coordinate projects aimed at the prevention of diseases, to be able to implement the knowledge about the characteristics of diagnostic therapeutic care and gain knowledge about different models for taking charge of the person and his family both at the territorial hospital based on integration between different professionals in order to ensure continuity of care and appropriate responses with respect to major health problems.
Teaching methods	Face-to-face lessons
Learning verification modality	EXAM CONDUCTION METHOD: Written test lasting approximately 60 minutes divided into 30 multiple choice questions. with 4 answers of which only 1 is correct. The questions will focus on aspects of pathophysiology and internal diagnostics, with particular reference to the role played by the nurse, also in the organizational and management field. TESTING OF CLINICAL SKILLS: some of the questions will focus on the interpretation of diagnostic and blood chemistry tests. SKILLS ACQUIRED DURING THE INTERNSHIP: there is a section specifically dedicated to this aspect. METHOD FOR ALLOCATION OF THE FINAL MARK: weighted average of the marks obtained in the individual disciplines.
Extended program	Assistance and organization for the patient with pain, abdominal pain, Headache, alterations in Body Temperature, Fever and Fever of Unknown Origin, alterations in respiratory Functions, dyspnea, edema, cough, hemoptysis, shock, pneumonia, Chronic Obstructive Pulmonary Disease, Asthma, Pulmonary Embolism, Alterations in Renal and Urinary Tract Function - Azotemia and Urinary Abnormalities, Acute and Chronic Renal Failure. Oncologic, infectious, geriatric disease and practical organization.
Obiettivi Agenda 2030 per lo sviluppo sostenibile	3,4,8

GERIATRICS INSIGHTS

Code	50A00033
CFU	1
Teacher	Gaetano Vaudo
Teachers	Carmelinda Ruggiero (Codocenza)
Hours	9 ore (Codocenza) - Carmelinda Ruggiero
Learning activities	Caratterizzante
Area	Scienze biologiche, mediche e chirurgiche
Academic discipline	MED/09
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	The frail elderly patient: recognizing and adapting care paths and processes. The orthogeriatric patient: peculiarities of the treatment path in the pre-operative, intra-operative, post-operative and hospital-territory integration phase.
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 Physiology 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	- Demographic aspects of aging in Italy, in Europe and in non-European countries: implications in the clinical field and for healthcare service - 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
Obiettivi Agenda 2030 per lo sviluppo sostenibile	Quality education

INFECTIOUS DISEASES INSIGHTS

Code	50A00034
CFU	1
Teacher	Lisa Malincarne
Teachers	Lisa Malincarne
Hours	9 ore - Lisa Malincarne
Learning activities	Caratterizzante
Area	Scienze biologiche, mediche e chirurgiche
Academic discipline	MED/17
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	Analysis of biologic risk, hospital acquired infections, occupational exposure to parenteral pathogens, tuberculosis, emerging infections
Reference texts	Slides of the lessons provided by the teacher
Educational objectives	Knowledges of clinical, epidemiological aspects and diagnostic process of selected infectious diseases.
Prerequisites	To have passed microbiology and virology examinations
Teaching methods	Frontal lectures. In necessary, on line lectures
Other information	lisa.malincarne@unipg.it See web site http://www.med.unipg.it 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 examination, multiple choice. One open question
Extended program	Occupationale parenteral exposure, tuberculosis, health care associated infections

ONCOLOGY AND PALLIATIVE CARE INSIGHTS

Code	50A00035
CFU	1
Teacher	Gaetano Vaudo
Teachers	Mario Mandala' (Codocenza)
Hours	9 ore (Codocenza) - Mario Mandala'
Learning activities	Caratterizzante
Area	Scienze biologiche, mediche e chirurgiche
Academic discipline	MED/06
Type of study-unit	Obbligatorio (Required)

CARDIOVASCULAR DISEASES INSIGHTS

Code	50A00036
CFU	1
Teacher	Gaetano Vaudo
Teachers	Erberto Carluccio (Codocenza)
Hours	9 ore (Codocenza) - Erberto Carluccio
Learning activities	Caratterizzante
Area	Scienze biologiche, mediche e chirurgiche
Academic discipline	MED/11
Type of study-unit	Obbligatorio (Required)

SPECIALIZED ASSISTANCE IN NURSING I

Code	50A00037
CFU	2
Teacher	Marco Zucconi
Teachers	Marco Zucconi
Hours	18 ore - Marco Zucconi
Learning activities	Caratterizzante
Area	* scienze infermieristiche
Academic discipline	MED/45
Type of study-unit	Obbligatorio (Required)