GENERAL CLINICAL NURSING
Academic year and teacher
If you can't find the course description that you're looking for in the above list,
please see the following instructions >>
- Versione italiana
- Academic year
- 2022/2023
- Teacher
- MASSIMO BONORA
- Credits
- 8
- Didactic period
- Secondo Semestre
Training objectives
- ------------------------------------------------------------
Modulo: 011498 - FARMACOLOGIA GENERALE
------------------------------------------------------------
To know the principles of pharmacodynamics and pharmacokinetics which characterize the pharmacological profile of drugs necessary for understanding the rationale behind the therapy, to ensure accurate information and a professional dispensing of medicines.
------------------------------------------------------------
Modulo: 015187/1 - PATOLOGIA GENERALE
------------------------------------------------------------
GENERAL PATHOLOGY
Understanding the main causes and mechanisms of disease, and the protective and/or pathogenetic role of the defense mechanisms of the organism (immune system, inflammation).
CLINICAL PATHOLOGY
To give basic physiopathologic knowledge about most common pathologies. To give principal informations about most common hematochemical tests. To give methods for their request and lastly to address towards the possible diagnosis.
To give basic knowledge on the immune system and the defense against pathogens; deepening: phagocytosis, antibody response, the complement, self-non self recognition, transplant rejection, pathologies due to malfunctional immune system.
GENERAL PHARMACOLOGY
To know the principles of pharmacodynamics and pharmacokinetics which characterize the pharmacological profile of drugs necessary for understanding the rationale behind the therapy, to ensure accurate information and a professional dispensing of medicines.
METHODOLOGY CLINICAL NURSING/SEMINAR
To apply the bifocal clinical practice of L. Carpenito-Moyet to identify and treat human responses to actual or potential health problems.
To identify nursing responsibilities in drug administration.
------------------------------------------------------------
Modulo: 015304/3 - PATOLOGIA CLINICA
------------------------------------------------------------
GENERAL PATHOLOGY
Understanding the main causes and mechanisms of disease, and the protective and/or pathogenetic role of the defense mechanisms of the organism (immune system, inflammation).
CLINICAL PATHOLOGY
To give basic physiopathologic knowledge about most common pathologies. To give principal informations about most common hematochemical tests. To give methods for their request and lastly to address towards the possible diagnosis.
To give basic knowledge on the immune system and the defense against pathogens; deepening: phagocytosis, antibody response, the complement, self-non self recognition, transplant rejection, pathologies due to malfunctional immune system.
GENERAL PHARMACOLOGY
To know the principles of pharmacodynamics and pharmacokinetics which characterize the pharmacological profile of drugs necessary for understanding the rationale behind the therapy, to ensure accurate information and a professional dispensing of medicines.
METHODOLOGY CLINICAL NURSING/SEMINAR
To apply the bifocal clinical practice of L. Carpenito-Moyet to identify and treat human responses to actual or potential health problems.
To identify nursing responsibilities in drug administration.
------------------------------------------------------------
Modulo: 53369 - METODOLOGIA CLINICA INFERMIERISTICA
------------------------------------------------------------
GENERAL PATHOLOGY
Understanding the main causes and mechanisms of disease, and the protective and/or pathogenetic role of the defense mechanisms of the organism (immune system, inflammation).
CLINICAL PATHOLOGY
To give basic physiopathologic knowledge about most common pathologies. To give principal informations about most common hematochemical tests. To give methods for their request and lastly to address towards the possible diagnosis.
To give basic knowledge on the immune system and the defense against pathogens; deepening: phagocytosis, antibody response, the complement, self-non self recognition, transplant rejection, pathologies due to malfunctional immune system.
GENERAL PHARMACOLOGY
To know the principles of pharmacodynamics and pharmacokinetics which characterize the pharmacological profile of drugs necessary for understanding the rationale behind the therapy, to ensure accurate information and a professional dispensing of medicines.
METHODOLOGY CLINICAL NURSING/SEMINAR
To apply the bifocal clinical practice of L. Carpenito-Moyet to identify and treat human responses to actual or potential health problems.
To identify nursing responsibilities in drug administration.
------------------------------------------------------------
Modulo: 53370 - SEMINARIO DI INFERMIERISTICA CLINICA GENERALE
------------------------------------------------------------
- Student will be able to recognize the characteristics and functions of the various medical devices inherent in the whole of the drugs, starting from the teaching material provided by the teacher;
- Student will be able to present briefly, the elements of national context inherent in the sum of the drugs, starting from the teaching material provided by the teacher;
- Student will be able to explain briefly, the operating procedures inherent in the various nursing services of some drugs. Prerequisites
- ------------------------------------------------------------
Modulo: 011498 - FARMACOLOGIA GENERALE
------------------------------------------------------------
Biology and genetics, chemistry, biochemistry, anatomy and physiology.
------------------------------------------------------------
Modulo: 015187/1 - PATOLOGIA GENERALE
------------------------------------------------------------
Biology and genetics, chemistry, biochemistry. Basic notions of anatomy, physiology and:
-Nursing Process
-The physiological models of health (M. Gordon)
-The bifocal model of nursing care (L.J Carpenito-Moyet)
------------------------------------------------------------
Modulo: 015304/3 - PATOLOGIA CLINICA
------------------------------------------------------------
Biology and genetics, chemistry, biochemistry. Basic notions of anatomy, physiology and:
-Nursing Process
-The physiological models of health (M. Gordon)
-The bifocal model of nursing care (L.J Carpenito-Moyet)
------------------------------------------------------------
Modulo: 53369 - METODOLOGIA CLINICA INFERMIERISTICA
------------------------------------------------------------
Nursing Contents:
- The nursing care process
- Physiological models of health (M. Gordon)
- The bifocal model of nursing care (L.J. Carpenito)
- The scientific method and diagnostic reasoning.
- The nursing care process and its phases.
Biology and genetics, general chemistry, biochemistry
Notions of anatomy and physiology
------------------------------------------------------------
Modulo: 53370 - SEMINARIO DI INFERMIERISTICA CLINICA GENERALE
------------------------------------------------------------
Knowledge of the anatomy and physiology of the human body;
Knowledge of the contents of the module of "General Pharmacology" of the 1st year ii someone sem cdl in Nursing;
Knowledge of the notions on: PPE, hand washing, disinfectants, waste disposal (Seminar "Prevention of infectious risk in contexts and assistance processes");
Knowledge of:
The four traditional arithmetic operations with rational real numbers: integers and fractions (decimals and periodicals);
The linear equations (or 1
The proportions and percentages;
Unit conversions: capacity and weight in the metric system. Course programme
- ------------------------------------------------------------
Modulo: 011498 - FARMACOLOGIA GENERALE
------------------------------------------------------------
The fundamental principles of pharmacokinetics will be analyzed through the study of absorption and routes of administration, distribution, metabolism and elimination of drugs. Furthermore, the pharmacodynamics will be investigated with particular attention to the safety and toxicity of drugs, to the mechanisms of action and to the interaction with receptors. Finally, the main gender differences in pharmacology will be presented both in the context of pharmacokinetics and pharmacodynamics.
------------------------------------------------------------
Modulo: 015187/1 - PATOLOGIA GENERALE
------------------------------------------------------------
GENERAL PATHOLOGY
Introduction to General Pathology
Cellular pathology:
(a) cellular adaptations: hypertrophy, hyperplasia, atrophy, involution, metaplasia
b) cellular damage: pathogenesis, radical damage, ischemia
c) cell death: apoptosis, necrosis
Inflammation. Pro-inflammatory mediators. Vascular phase. Cellular phase
Tumors: epidemiology of tumors; etiology of tumors (multifactorial disease). Nomenclature and classification oncogenes and oncosuppressors.
Environmental pathology:
a) physical agents,
b) nutritional disorders
------------------------------------------------------------
Modulo: 015304/3 - PATOLOGIA CLINICA
------------------------------------------------------------
CLINICAL PATHOLOGY
Blood composition and function. Haemochromo and formula. Blood groups: typing and meaning. - Anemia (classification). Hemolitic anemia neonatal. Main test ematochemical. Hepatitis .Itteri. Urinary infection .Acquired immunodeficient syndrome.
Immune cells: B and T lymphocytes, monocytes, macrophages, dendritic cells, natural killer. Innate immunity, chemical-physical barriers, PAMPs receptors and opsonins, phagocytosis. The antibody mediated response, immunoglobulins, B cell receptor. The complement system, T cell receptor and MHC complex. Immediate, antibody, immunocomplex and cell mediated hypesensitivity.
------------------------------------------------------------
Modulo: 53369 - METODOLOGIA CLINICA INFERMIERISTICA
------------------------------------------------------------
CLINICAL NURSING METHODOLOGY
Main concepts related to the different functional models of Gordon:
- Nutritional models - Metabolic
Care for the person with: Impaired swallowing, impaired skin / tissue integrity, pressure ulcer, risk of compromised oral mucosal integrity, hyperthermia / hypothermia, unbalanced nutrition below / above needs, risk of infection, risk of allergic reaction, risk of temperature unbalanced body / ineffective thermoregulation, Risk of unbalanced fluid volume / excessive and insufficient fluid volume
Assistance to the person at risk of complication from sepsis
- Elimination model
Assistance to the person with: Diarrhea, Constipation and perceived constipation, Impaired urinary elimination (urinary stress, functional, regurgitation, urgency, reflex, total urinary incontinence) Faecal incontinence.
Assistance to the person with acute urinary retention
- Business and exercise model
Assistance to the person with: Self-care deficiency syndrome and individual diagnoses; Immobilization syndrome, Impaired mobility, in a wheelchair (hints), in bed, transfers, walking, impaired standing and sitting position, ineffective clearance of the airways, intolerance to physical activity
-Rest and sleep pattern
Assistance to the person with: disturbed sleep pattern and insomnia
-Cognitive-perceptual model
Care for the person with impaired well-being, acute / chronic pain, acute and chronic mental confusion, Nausea, Aspiration risk
- Health perception-management model
Assistance to the person at risk of injury / falls
Assistance to the person with ineffective health management / maintenance
-Self-perception model and self-concept
Assistance to the person with: Anxiety, Self-concept disorder, Body image disorder, Fatigue
-Role and relationship model
Assistance to the person with: Impaired (verbal) communication, Mourning
-Model of coping and stress intolerance
Assistance to the person at risk of ineffective coping
------------------------------------------------------------
Modulo: 53370 - SEMINARIO DI INFERMIERISTICA CLINICA GENERALE
------------------------------------------------------------
° Pharmacological risk in risk management and the role of nursing;
• Prescription: characteristics and types;
• Articles of the CC and of the CP concerning nursing and medical responsibilities in the process of combining medicines;
• FALA drugs and LASA drugs
• Nursing process management and risk reduction strategies;
• The Incident reporting system;
• OSS and/or caregiver in the process of somm.ne: nursing responsibilities;
• Patient self-management in the process;
• Continuity of care and medication;
• Research for a drug on the company’s pharmaceutical directory;
• Definitions: C.U.F., F.U. of the Italian Republic, A.I.F.A, A.I.C.;
• The pharmacovigilance system: actors and nursing responsibilities;
• The ADR card;
• The names of medicinal products;
• Classification of medicinal products by type;
• Classification for supply: s/prescription requirement, equivalents, galenic, innovative, for compassionate use, vaccines, "orphans";
• Drugs samples: procurement, detention, storage and somm.ne;
• Labelling of the medicinal product and package leaflets;
• Complementary and unconventional medicines;
• Classification of medicinal products for granting by the Italian SSN;
• The traceability system of a drug;
• Outline of pharmacoeconomics;
• The counterfeiting of medicines in Italy;
• The prescription and the recipe: their anomalies (conditioned, telephone, oral, according to protocol, off-label) and problems: e.g. must include a drug prescribed for a different dose route than the one/s contained in the package leaflet (therefore also different from its data sheet);
• Pharmaceutical formulations and care issues;
• Units of measurement in therapy;
• The somm.ne pathways for topical/systemic effects: enteral (oral, through SNG/PEG), transdermal, rectal, vaginal, ophthalmic, otological, nasal, parenteral (i.d., s.c., i.m., no e.v., no epidural);
• Advantages and disadvantages of parenteral therapy;
• Preparation technique and accompanying precautions;
• Syringes: size and calibration;
• The choice of needle;
• Aspiration of the drug from the vial and dilution;
• The management of multi-dose bottles;
• Intradermal injections: sites and technique;
• Subcutaneous injections: locations and technique;
• Intramuscular injections: sites and technique (zeta technique and Lesser maneuver);
• Side effects for different locations;
• Clinical recommendations on injections. Didactic methods
- ------------------------------------------------------------
Modulo: 011498 - FARMACOLOGIA GENERALE
------------------------------------------------------------
Frontal lectures on the course's topics through power point presentation.
------------------------------------------------------------
Modulo: 015187/1 - PATOLOGIA GENERALE
------------------------------------------------------------
Lectures.
------------------------------------------------------------
Modulo: 015304/3 - PATOLOGIA CLINICA
------------------------------------------------------------
Lectures.
------------------------------------------------------------
Modulo: 53369 - METODOLOGIA CLINICA INFERMIERISTICA
------------------------------------------------------------
- Frontal lesson.
-E-learning FAD (on the Sea Unife platform);
- Case Analysis
------------------------------------------------------------
Modulo: 53370 - SEMINARIO DI INFERMIERISTICA CLINICA GENERALE
------------------------------------------------------------
Teaching in presence and/or synchronous and asynchronous DAD. Learning assessment procedures
- GENERAL PATHOLOGY:
Written test: 31 multiple-choice quizzes. Each correct answer is equal to 1 point while incorrect answers are not penalized. Students who correctly answer a minimum of 18 questions pass the exam. The time available is 30 minutes.
CLINICAL PATHOLOGY
Written exam with open questions36 multiple choice quizzes (4 possible answers, only 1 correct) of which 18 related for the first part of the course and 18 forst second part. Each correct answers correspond to 1 point , there is no penalty for uncorrect answers. To pass the exam the students need to respond correctly to at list 9 quiz per subject. Examination time 60 mins.
GENERAL PHARMACOLOGY: written exam with 16 multiple choice quizzes lasting 20 mins.
METHODOLOGY CLINICAL NURSING/ SEMINAR
The exam consists of short answer open questions and multiple choice questions. The duration is an hour and 30 minutes. It will focus on all the topics covered in the lectures, seminars and workshops relating to the module.
THE FINAL GRADE IS A WEIGHTED AVERAGE OF THE MARKS OBTAINED IN EACH TESTS. Reference texts
- ------------------------------------------------------------
Modulo: 011498 - FARMACOLOGIA GENERALE
------------------------------------------------------------
- Rossi, Cuomo, Riccardi, Farmacologia, Ed. Minerva Medica
------------------------------------------------------------
Modulo: 015187/1 - PATOLOGIA GENERALE
------------------------------------------------------------
GENERAL PATHOLOGY
Rubin. Patologia. Publisher: Ambrosiana
Pontieri Russo Frati. Patologia Generale. Publisher:Piccin
Robbins e Cotran. Le basi patologiche delle malattie. Publisher: Elsevier
------------------------------------------------------------
Modulo: 015304/3 - PATOLOGIA CLINICA
------------------------------------------------------------
CLINICAL PATHOLOGY
Handouts and materials provided by the teacher.
Doan et al., Le basi dell'immunologia, con approfondimenti clinici, Zanichelli
Regueiro Gonzalez et al., Immunologia. Biologia e Patologia del sistema immunitario, Piccin.
------------------------------------------------------------
Modulo: 53369 - METODOLOGIA CLINICA INFERMIERISTICA
------------------------------------------------------------
METHODOLOGY CLINICAL NURSING
L.J.Carpenito- Moyet, Diagnosi Infermieristiche. Applicazione alla pratica clinica, 7° Ed. Ambrosiana - Milano 2020
B. K. Timby, Fondamenti di assistenza infermieristica. Concetti ed abilità cliniche di base, Mc Graw Hill 2011
Articles and site links provided by teachers
For deephening:
L. Benci, La prescrizione e la somministrazione dei farmaci, McGraw-Hill, 1° ed. 2014
------------------------------------------------------------
Modulo: 53370 - SEMINARIO DI INFERMIERISTICA CLINICA GENERALE
------------------------------------------------------------
1. L.Benci “La prescrizione e la somministrazione dei farmaci, responsabilità giuridica e deontologica” 2° ed. McGraw-Hill, 2014;
2. B.K.Timby, N.E.Smith “Infermieristica medico chirurgica” cap. 9 (pp.101- 113) McGraw-Hill, 2014;
3. B.K.Timby “Fondamenti di assistenza infermieristica- Concetti e abilità cliniche di base” cap. 33-34-35 pp. 759- 805 McGraw-Hill, 2011;
4. AA.VV. “Farmacologia generale e speciale per le lauree sanitarie” Piccin 2010.
5. G. Ledonne, S. Tolomeo “Calcoli e dosaggi farmacologici- La responsabilità dell'infermiere“ CEA 2009;
6. M.Vanzetta “Farmaci e vie di somministrazione- una guida operativa” McGraw-Hill , 1° ed. 2008;
7. Memo, De Ponti e Enaudi “Farmacologia generale e applicata” Monduzzi Editore 1° ed. sett. 2008;
8. C.Stock “Fondamenti di farmacologia per infermieri” EdiSES, 2007;
9. M. Vanzetta, M. Volterrani “Farmaci e infermiere 3/ed - un prontuario per la somministrazione” McGrow-Hill Maggio 2007.
