Unit SPECIALISTIC MEDICINE AND REHABILITATION

GERIATRICS

Code	A005390
CFU	2
Teacher	Virginia Boccardi
Teachers	Virginia Boccardi
Hours	24 ore - Virginia Boccardi
Learning activities	Base
Area	Primo soccorso
Sector	MED/09
Type of study-unit	Obbligatorio (Required)
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 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

PHYSICAL MEDICINE AND REHABILITATION APPLIED TO CARDIO-VASCULAR DISEASES

Code	50363602
CFU	2
Teacher	Francesco Penza
Teachers	Francesco Penza
Hours	24 ore - Francesco Penza
Learning activities	Caratterizzante
Area	Scienze della fisioterapia
Sector	MED/34
Type of study-unit	Obbligatorio (Required)

INTERNAL MEDICINE

Code	A005389
CFU	2
Teacher	Massimo Raffaele Mannarino
Teachers	Massimo Raffaele Mannarino
Hours	24 ore - Massimo Raffaele Mannarino
Learning activities	Base
Area	Primo soccorso
Sector	MED/09
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	The course covers the main clinical conditions of internal medicine relevant to physiotherapy practice, with particular focus on the pathophysiological, diagnostic, and therapeutic aspects of cardiovascular, respiratory, metabolic, and rheumatologic diseases. It also addresses the internal medicine implications of chronic diseases and the role of the physiotherapist in the multidisciplinary management of complex patients.
Reference texts	- Harrison, Principles of Internal Medicine, McGraw-Hill, latest edition.- Kumar & Clark, Clinical Medicine, Elsevier, latest edition.- Teaching materials provided by the lecturer.
Educational objectives	At the end of the course, the student will be able to: • understand the basic pathophysiological, diagnostic, and therapeutic principles of the main internal medicine diseases relevant to rehabilitation practice; • comprehend the interactions between systemic diseases and physical activity; • recognize clinical conditions that require medical intervention; • adopt an integrated approach to patients with chronic diseases, within an interdisciplinary framework.
Prerequisites	Basic knowledge of anatomy, physiology, and general pathology. Familiarity with medical terminology and basic pharmacology concepts is recommended.
Teaching methods	Lectures supported by multimedia materials and clinical case discussions. Active student participation is encouraged through questions, practical examples, and links to rehabilitation practice.
Other information	Teaching materials (slides, articles, and clinical cases) will be made available on the course e-learning platform. Attendance is recommended for better understanding of the topics.
Learning verification modality	Written examination aimed at assessing the understanding of the main concepts of internal medicine.
Extended program	- Introduction to internal medicine and clinical reasoning; medical history, physical examination, instrumental and laboratory tests.- Cardiovascular diseases: hypertension, coronary artery disease, heart failure, arrhythmias.- Respiratory diseases: COPD, asthma, pneumonia, pulmonary embolism.- Metabolic diseases: diabetes mellitus and complications, dyslipidemias.- Rheumatologic and autoimmune diseases relevant to rehabilitation.- Chronic liver and kidney diseases.- Overview of internal medicine emergencies and management of complex patients.
Obiettivi Agenda 2030 per lo sviluppo sostenibile	• Goal 3: Ensure healthy lives and promote well-being for all at all ages. The course contributes to the training of healthcare professionals capable of promoting health and preventing chronic diseases through an interdisciplinary, patient-centered approach.

METHODS AND TECHNIQUES OF THE CARDIO-RESPIRATORY REHABILITATION

Code	50363702
CFU	2
Teacher	Flavio Feri
Teachers	Flavio Feri
Hours	24 ore - Flavio Feri
Learning activities	Caratterizzante
Area	Scienze della fisioterapia
Sector	MED/48
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	The module aims to provide the student with the concepts of clinical and instrumental evaluation of cardiorespiratory pathologies, as well as the knowledge and application of manual and instrumental techniques used in the rehabilitation of patients with cardiorespiratory pathologies and the main outcome measures
Reference texts	Lazzeri M et al, Esameclinico e valutazione in riabilitazionerespiratoria, Masson (Mi), 2006; BrivioLazzeriet al.: il ricondizionamento all’esercizio fisico del paziente con patologia respiratoria, EDRA, 2014 SmithM BallV, Riabilitazione cardiorespiratoria, Verducci ed. 2000
Educational objectives	At the end of the course, the student must be able to recognize: signs and symptoms of cardiorespiratory pathologies - the methods of clinical and instrumental evaluation and of the disabilities connected to them; setting up an adequate rehabilitation program taking into account the difference between adult and child. The student will also have to demonstrate knowledge of the pathophysiological mechanisms and the application of the main bronchial unblocking techniques both in the patient in the acute and chronic phases
Prerequisites	The student must possess the notions general principles of physiology and pathophysiology of the main cardio-respiratory pathologies of rehabilitation interest
Teaching methods	The course is organized in lectures with active and constant participation between teacher and students. Practical exercises on the main assessment tests, training methods and techniques clearing of both manual and instrumental airways .. (teaching theoretical/practical)
Other information	Nothing to declare
Learning verification modality	The exam includes an oral test lasting about 15 minutes aimed at verifying the acquisition of the knowledge and practical skills contained in the program. Furthermore, he/she must be able to present using clinical reasoning regarding programs carried out in class.
Extended program	1. Definition, indications, objectives of cardio-respiratory rehabilitation. Brief review on the concepts of anatomy, physiology and respiratory insufficiency 2. Cardio-Respiratory Rehabilitation: evaluation of the patient, hints of COPD and classification through evaluation scales and field tests 3. exercise training: endurance training and peripheral muscle training Respiratory muscle training 4. Unblocking physiopathological principles: Peripheral unblocking techniques: Forced Expiration Technique (FET) Active Cycle of Respiratory Techniques (ACBT); Slow Total Expiration with Open Glottis in Lateral Decubitus (ELTGOL); EDIC, Expiratory Positive Pressure (PEP Mask, PEP-bottle, Acappella); SpirometryIncentive. Cough assistance in the neuromuscular patient, Air-staking 5. Respiratory rehabilitation in major surgery (thoracic, cardiac and abdominal surgery) rehabilitation in the main respiratory pathologies: COPD, mucoviscidosis, bronchiectasis, asthma 6. high/low flow oxygen therapy systems, invasive and non-invasive, rehabilitation differences between adults and children, clinical cases, technical review
Obiettivi Agenda 2030 per lo sviluppo sostenibile