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CLINICAL NURSING IN SURGICAL AREA

Academic year and teacher
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Versione italiana
Academic year
2022/2023
Teacher
PAOLO CARCOFORO
Credits
8
Didactic period
Secondo Semestre

Training objectives

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Modulo: 005987 - CHIRURGIA GENERALE
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GENERAL SURGERY
To provide the necessary elements to understand the various aspects of general surgery. To underline the importance of the clinical history and the examination of the patients, of surgical physiopathology in order to formulate a differential diagnosis of the clinical conditions
LOCOMOTOR DISEASES
The course aims to provide theoretical and practical knowledge relating to the main Orthopedic (with particular reference to joint degenerative diseases) and Traumatological pathologies.
At the end of the course the student will have to be able to indicate the clinical and instrumental priorities for the purpose of a correct diagnosis through anamnesis, semeiology and instrumental diagnostics.
The student must also know the main types of treatment of these pathologies.
ANAESTHESIA
Provide the knowledge base for the management of the patient in the perioperative period relatively to:
anaesthesia in elective and emergency
management of adverse events in anaesthesia
monitoring systems and devices in anaesthesia
basics in postoperative analgesia and devices for postoperative analgesia
CLINICAL NURSING IN SURGERY + SEMINAR
On completion of the course the student is expected to be able to put into effect the nursing care process in dealing with health problems requiring surgical treatment.

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Modulo: 47784 - MALATTIE APPARATO LOCOMOTORE
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GENERAL SURGERY
To provide the necessary elements to understand the various aspects of general surgery. To underline the importance of the clinical history and the examination of the patients, of surgical physiopathology in order to formulate a differential diagnosis of the clinical conditions
LOCOMOTOR DISEASES
The course aims to provide theoretical and practical knowledge relating to the main Orthopedic (with particular reference to joint degenerative diseases) and Traumatological pathologies.
At the end of the course the student will have to be able to indicate the clinical and instrumental priorities for the purpose of a correct diagnosis through anamnesis, semeiology and instrumental diagnostics.
The student must also know the main types of treatment of these pathologies.
ANAESTHESIA
Provide the knowledge base for the management of the patient in the perioperative period relatively to:
anaesthesia in elective and emergency
management of adverse events in anaesthesia
monitoring systems and devices in anaesthesia
basics in postoperative analgesia and devices for postoperative analgesia
CLINICAL NURSING IN SURGERY + SEMINAR
On completion of the course the student is expected to be able to put into effect the nursing care process in dealing with health problems requiring surgical treatment.

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Modulo: 53428 - ANESTESIOLOGIA E TERAPIA ANTALGICA
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GENERAL SURGERY
To provide the necessary elements to understand the various aspects of general surgery. To underline the importance of the clinical history and the examination of the patients, of surgical physiopathology in order to formulate a differential diagnosis of the clinical conditions
LOCOMOTOR DISEASES
The course aims to provide theoretical and practical knowledge relating to the main Orthopedic (with particular reference to joint degenerative diseases) and Traumatological pathologies.
At the end of the course the student will have to be able to indicate the clinical and instrumental priorities for the purpose of a correct diagnosis through anamnesis, semeiology and instrumental diagnostics.
The student must also know the main types of treatment of these pathologies.
ANAESTHESIA
Provide the knowledge base for the management of the patient in the perioperative period relatively to:
anaesthesia in elective and emergency
management of adverse events in anaesthesia
monitoring systems and devices in anaesthesia
basics in postoperative analgesia and devices for postoperative analgesia
CLINICAL NURSING IN SURGERY + SEMINAR
On completion of the course the student is expected to be able to put into effect the nursing care process in dealing with health problems requiring surgical treatment.

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Modulo: 53429 - INFERMIERISTICA CLINICA CHIRURGICA
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CLINICAL NURSING IN SURGERY
On completion of the course the student is expected to be able to put into effect the nursing care process in dealing with health problems requiring surgical treatment.

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Modulo: 53430 - SEMINARIO DI INFERMIERISTICA CLINICA IN AREA CHIRURGICA
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SEMINAR OF CLINICAL NURSING IN SURGERY.
On completion of the course the student is expected to be able to put into effect the nursing care process in dealing with health problems requiring surgical treatment.

Prerequisites

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Modulo: 005987 - CHIRURGIA GENERALE
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Good knowledge of human anatomy, physiology and general pathology.
Knowledge of anatomy and physiology of the muscle- skeletal apparatus.

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Modulo: 47784 - MALATTIE APPARATO LOCOMOTORE
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Good knowledge of human anatomy, physiology and general pathology.
Knowledge of anatomy and physiology of the muscle- skeletal apparatus.

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Modulo: 53428 - ANESTESIOLOGIA E TERAPIA ANTALGICA
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Good knowledge of human anatomy, physiology and general pathology.
Knowledge of anatomy and physiology of the muscle- skeletal apparatus.

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Modulo: 53429 - INFERMIERISTICA CLINICA CHIRURGICA
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CLINICAL NURSING IN SURGERY. Knowledge of the caring process involved in the bifocal L.J. Carpenito model of clinical practice to identify and treat human response to actual and potential health problems in patients requiring surgical treatment.

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Modulo: 53430 - SEMINARIO DI INFERMIERISTICA CLINICA IN AREA CHIRURGICA
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SEMINAR OF CLINICAL NURSING IN SURGERY.
Knowledge of the caring process involved in the bifocal L.J. Carpenito model of clinical practice to identify and treat human response to actual and potential health problems in patients requiring surgical treatment.

Course programme

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Modulo: 005987 - CHIRURGIA GENERALE
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GENERAL SURGERY
Benign and functional pathology of the esophagus. Malignant pathology of the esophagus. Benign and malignant pathology os stomac,liver, biliari tract, pancreas. Colecistitis. Small intestine pathology. IBD.
Benign and malignant pathology of colon and rectum.
Benign and malignant pathology of lung, mediastinum and pleuras. Venous pathology.
Intestinal occlusion. Acute abdominal. Peritonitis and septic shock. Acute appendices. Open abdomen. Compartmental syndrome. Triage, Vital Parameters ,. ABCDE rating and monitoring. The Trauma. The Shock (Venous Accesses). Chest trauma (pneumothorax, embolism, coastal fractures, obesity, cardiac tamponade). Abdominal trauma
Basin fractures. Cranial trauma and bone marrow. Muscle-skeletal trauma. Compartmental syndrome. Pediatric trauma. Trauma in the pregnant woman. Venous system pathophysiology (venous thrombosis and pulmonary embolism).

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Modulo: 47784 - MALATTIE APPARATO LOCOMOTORE
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LOCOMOTOR DISEASES
General information on fractures: etiology, typology, classification, treatment principles; healing processes.
Complications of Fractures: Evaluation and description of immediate, early and late complications of fractures.
Joint fractures: classification, treatment principles.
Fractures of the femoral and vertebral neck: epidemiology, classifications, principles of diagnosis and treatment.
Arthritic degenerative pathology of the hip, knee, spine, shoulder: etiology, clinical and diagnostic aspects, imaging diagnostics, treatment principles.

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Modulo: 53428 - ANESTESIOLOGIA E TERAPIA ANTALGICA
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ANAESTHESIA
Nursing care in operatory room:
Structural organization and technology in surgical wards
Staff organization in operating rooms
Specific skills of nurses and anesthesia nurse in pre-, intra e postoperatory period
Preoperatory period: operations and checks on the patient
Nurse care in general anaesthesia
Nurse care in locoregional anaesthesia
Management positions of the patient on the operating table
Accidental hypothermia
Complication in immediate postoperative period
Recovery room. Management of pain

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Modulo: 53429 - INFERMIERISTICA CLINICA CHIRURGICA
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CLINICAL NURSING IN SURGERY.
Clinical nursing in pre-intra-post operative treatment.
Nursing management of the main surgical procedures (CVC, SNG, collection of drainage fluid from thoracic and abdominal cavities, FC medication). Management of stoma.
Education.
Information regarding the services involved in taking charge of patient management from diagnosis to rehabilitation.

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Modulo: 53430 - SEMINARIO DI INFERMIERISTICA CLINICA IN AREA CHIRURGICA
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SEMINAR OF CLINICAL NURSING IN SURGERY.
Main nursing diagnoses and collaborative problems. Perioperative nursing care (pre-intra-post-operative).

Didactic methods

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Modulo: 005987 - CHIRURGIA GENERALE
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method P.B.L. and lectures and/or audio lessons

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Modulo: 47784 - MALATTIE APPARATO LOCOMOTORE
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method P.B.L. and lectures and/or audio lessons

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Modulo: 53428 - ANESTESIOLOGIA E TERAPIA ANTALGICA
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method P.B.L. and lectures and/or audio lessons

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Modulo: 53429 - INFERMIERISTICA CLINICA CHIRURGICA
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Lectures and/or audio lessons

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Modulo: 53430 - SEMINARIO DI INFERMIERISTICA CLINICA IN AREA CHIRURGICA
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Lectures and case method.

Learning assessment procedures

GENERAL SURGERY
Oral exam, duration 20/30 minutes
LOCOMOTOR DISEASES
Multiple-choice test (one correct answer out of four options). There will be 15-20 test items. Only the correct answers count.
ANAESTHESIA
Multiple choice quizzes (4 replies); 30 quiz. Evaluation: 0 points for no date answer, -1 Tip for the wrong answer. Test duration 1 hour
CLINICAL NURSING IN SURGERY + SEMINAR
Written exam. With this learning test is going to test the student’s knowledge acquires in the classroom context and its ability to apply the model of care L.J.Carpenito identifying the nursing diagnoses and collaborative problems/potential complications in some surgical clinical cases. The exam is a questionnaire with 6 open questions, for each correct answer 5 point are awarded. Time 1 hour.
THE FINAL GRADE IS A WEIGHTED AVERAGE OF THE MARKS OBTAINED IN EACH TESTS.

Reference texts

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Modulo: 005987 - CHIRURGIA GENERALE
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GENERAL SURGERY
D.F. D'Amico. Manuale di Chirurgia. Ed. McGraw -Hill

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Modulo: 47784 - MALATTIE APPARATO LOCOMOTORE
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LOCOMOTOR DISEASES
Grassi F.A., Pazzaglia U.E., Pilato G., Zatti G., Manuale di Ortopedia e Traumatologia, Elsevier Ed. 2012

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Modulo: 53428 - ANESTESIOLOGIA E TERAPIA ANTALGICA
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ANAESTHESIA
Clayton Stock, Farmacologia per scienze infermieristiche (II edizione italiana), EdiSES, 2007

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Modulo: 53429 - INFERMIERISTICA CLINICA CHIRURGICA
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CLINICAL NURSING IN SURGERY
-Chirurgia per infermieri, a cura di Mario Lise, PICCIN, V edizione, 2017
-Manuale di Chirurgia, G. Pasquini, R. Campa, M. D'Ambrosio, G. Leonardo, Ed. McGraw Hill, Milano, 2012
-Chirurgica per le professioni sanitarie, V. Bresadola, EdiSES, 2011
- Infermieristica Clinica in Chirurgia, R. Alloni, A. Destrebecq, L. Gianotti, S. Poma, HOEPLI, 2005

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Modulo: 53430 - SEMINARIO DI INFERMIERISTICA CLINICA IN AREA CHIRURGICA
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SEMINAR OF SURGICAL CLINICAL NURSING.
- Lynda Juall Carpenito, Piani di assistenza, Ed. Ambrosiana, III Edizione, 2019