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	Obbligatorio (Required)

Canale A

CFU

1

Teacher

Cinzia Venturi

Teachers

• Cinzia Venturi

Hours

• 15 ore - Cinzia Venturi

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	Obbligatorio (Required)

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

Obiettivi Agenda 2030 per lo sviluppo sostenibile

Quality education

Canale B

CFU

1

Teacher

Virginia Boccardi

Teachers

• Virginia Boccardi

Hours

• 15 ore - Virginia Boccardi

Language of instruction

Italian

Contents

Demography of Aging. Principles of Aging Biology and Physiology. Older Patient and Geriatric Patient. Major Geriatric Syndromes. Recurrent Clinical Issues in Geriatric Medicine. Care Aspects in the Older Persons.

Reference texts

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

Educational objectives

The course aims to introduce students to the following concepts: • Principles and methodology of multidimensional assessment. • Professional tools necessary to adequately manage older patients in various healthcare settings. • The importance of understanding the unique aspects of older patients, the complexity of approaching and managing frail patients, geriatric syndromes, and common geriatric diseases. • The need for a multidisciplinary approach for effective management. In light of this knowledge, students will be able to: • Identify and report elements suggesting clinical and care complexity. • Implement strategies to reduce the risk of adverse events within personalized care plans.

Prerequisites

Basic knowledge of internal medicine pathophysiology

Teaching methods

Interactive classroom lectures.

Other information

The schedule of educational activities will be published on the Nursing Degree Course website. I am available to meet students for any needs by appointment.

Learning verification modality

The exam will aim to assess the student's ability to understand the structure and organization of the geriatric field, both within the hospital and in the community context. Additionally, the knowledge of specific tasks and activities will be evaluated. The student will need to demonstrate the capability to thoroughly discuss the most common and frequent geriatric syndromes, as well as the skill in interpreting and comprehending management planning in the geriatric context

Extended program

• Demography and epidemiology of aging • Biology and physiology of aging • Older patient and geriatric patient • Chronic diseases, comorbidity, and disability; concept of healthspan and diseasespan •Multidimensional geriatric assessment and care network for frail geriatric individuals • Geriatric syndromes •Polypharmacotherapy, pharmacological review, and the concept of deprescribing in the elderly • Delirium • Depression • Cognitive decline • Nutritional issues in the older population • Fluids and electrolytes • Management of older diabetic patients and oldest diabetic patients • Functional decline, immobility, and immobilization syndrome • Urinary incontinence • End-of-life care

Obiettivi Agenda 2030 per lo sviluppo sostenibile

Quality education

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	Obbligatorio (Required)

Canale B

CFU

2

Teacher

Giovanna Gori

Teachers

• Giovanna Gori

Hours

• 30 ore - Giovanna Gori

Canale A

CFU

2

Teacher

Giovanna Gori

Teachers

• Giovanna Gori

Hours

• 30 ore - Giovanna Gori

NEUROLOGY

Code	50099301
CFU	1
Teacher	Paola Sarchielli
Teachers	Paola Sarchielli
Hours	15 ore - Paola Sarchielli
Learning activities	Caratterizzante
Area	Interdisciplinari e cliniche
Academic discipline	MED/26
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	Epidemiologia, eziologia, clinica, diagnosi differenziale e terapia delle principali malattie neurologiche; Semeiotica neurologica (l'esame obiettivo neurologico) relativo al programma svolto
Reference texts	J. Cambier, M. Masson - Neurologia - Ed. Elsevier-Masson A. Padovani - B. Borroni - M. S. Cotelli Neurologia per le Professioni Sanitarie Casa editrice Piccin P. Bertora. Neurologia per le lauree triennali Casa editrice Piccin A. Federico, C. Angelini, P. Franza. Neurologia e assistenza infermieristica. Manuale per professioni sanitarieCasa Editrice Edises.
Educational objectives	Riconoscimento delle principali malattie neurologiche ed inquadramento diagnostico-terapeutico In particolare il modulo di Neurologia intende fornire allo studente le conoscenze necessarie ad assistere pazienti con problematiche neurologiche croniche e invalidanti, attivare e sostenere le capacità residue per promuovere l’adattamento alle limitazioni. Lo studente sarà in grado di: - Descrivere le basi teorie dell’esame obbiettivo neurologico e dei problemi relativi all’invecchiamento cerebrale, fisiologico e patologico, conoscendo la frequenza epidemiologica, i meccanismi fisiopatologici e le correlazioni sistemiche con altri organi ed apparati. - Descrivere le modalità patogenetiche, le manifestazioni cliniche e le strategie assistenziali nel paziente con problemi neurologici (stroke, malattie demielinizzanti, demenze, epilessia). - Indicare la classificazione delle malattie neurologiche a maggiore diffusione epidemiologica e ad elevata esigenza assistenziale. - Attuare la valutazione mono e multidimensionale del malato con problemi neurologici, riconoscendo i principali segni e sintomi ed i percorsi diagnostici/ strumentali. - Valutare l’impatto farmacologico, i criteri di monitoraggio e di valutazione continua dell’evoluzione del problema neurologico nelle sue manifestazioni locali e sistemiche. - Riconoscere i principali problemi del paziente neurologico con disabilità/cronicità (rischio di caduta, perdita delle abilità nelle attività di vita quotidiane e della funzionalità motoria; declino cognitivo, confusione mentale) e le strategie per un’efficace gestione infermieristica.
Prerequisites	Al fine della comprensione degli argomenti trattati, lo studente dovrà disporre di conoscenze approfondite di anatomia, fisiologia e farmacologia del sistema nervoso centrale.
Teaching methods	Lezioni frontali che si avvalgono dell’utilizzo di diapositive
Other information	Frequenza raccomandata. Al termine di tale modulo lo studente sarà in grado di effettuare valutazione neurologica sulla base dei segni clinici, nonché di formulare alcuni sospetti diagnostici
Learning verification modality	La valutazione verrà effettuata mediante una prova scritta della durata di circa una ora nella quale saranno verificate le conoscenze dello studente relativamente alla semeiotica neurologica, nonché alle principali patologie neurologiche (eziologia, epidemiologia, clinica, diagnosi differenziale, approfondimenti diagnostici, indicazioni terapeutiche).
Extended program	· Fisiopatologia del SNC e SNP: SISTEMA MOTORIO PIRAMIDALE ED EXTRAPIRAMIDALE, SENSIBILITÁ SUPERFICIALE TATTILE DOLORIFICA E SENSIBILITÀ PROFONDA NERVI CRANICI E SENSIBILITÁ SPECIALE. CERVELLETTO, TRONCO CEREBRALE, TALAMO, IPOTALAMO · Circolazione cerebrale e liquorale · inquadramento delle principali sindromi neurologiche. · Semeiologia neurologica: elementi clinici di base per l’eo neurologico · Sindromi corticali · Afasia, agnosia, aprassia memoria Sonno · Patologia degenerativa del sistema nervoso: fisiopatologia, clinica e terapie del Parkinson, delle Demenze e della Sclerosi Laterale Amiotrofica. · Patologia cerebrovascolare: fisiopatologia, clinica e terapia dell’ictus cerebrale ischemico, emorragico. La terapia fibrinolitica per l’ictus ischemico e l’organizzazione della Stroke Unit. · Epilessia: fisiopatologia, clinica, diagnosi e terapia. · Cefalee ed algie facciali Malattie demielinizzanti con particolare riguardo alla sclerosi multipla · Disturbi del movimento con particolare riguardo alla malattia di Parkinson e corea di Huntington · Patologia infiammatoria/disimmune del sistema nervoso: fisiopatologia, clinica e terapie delle meningo-encefaliti, della Sclerosi Multipla, delle 15. malattie neuromuscolari: miopatie, distrofie muscolari, miastenia gravis · Traumi cranio-encefalici · Patologie midollari · Neuropatie · Tumori Cerebrali: cenni di diagnosi, clinica e terapia · Percorsi e Procedure in ambito ospedaliero
Obiettivi Agenda 2030 per lo sviluppo sostenibile	.