Corso di Laurea in Infermieristica - A.O.U. Città della Salute e della Scienza di Torino

At the end of the course each student will be able, with regard to medical pathologies to:

• Describe patho-physiological processes, clinical, diagnostic, and therapeutic elements , assistance problems, medical and nursing management with related interventions based on scientific evidence and appropriateness. Considering, also, rehabilitation and/or palliative aspects regarding to the symptoms of the advanced stage of disease.
• Define characteristics of the main categories of medication, as well as therapeutic, collateral and toxic effects and the  methods of nursing management. 

Results of learning outcomes

Knowledge and understanding

Each student should be able to outline the definition, etiopathogenesis, symptomatology, methods of diagnosis, treatment, problems and nursing interventions, based on scientific evidence, compared to the pathological processes of the medical area treated in the teaching, also in relation to the impact and the experience of illness of the assisted person and the family members/caregivers

Applying knowlwdge and understanding

At the end of the course, for the pathological processes of medical area treated, each student will have to demonstrate, for simulated clinical cases, to integrate the contents of the various disciplines to provide safe assistance in relation to scientific evidence, therefore:

     Conduct the complete and systematic assessment of individual care needs:

Collect data accurately, in relation to the main health problems of the patients, using appropriate techniques and tools.

Analyze and interpret the identified data

Defining nursing care problems    

     Plan supplies for nursing care in collaboration with users and the inter-disciplinary nursing care team

   Provide the main interventions of a technical, relational and educational nature.
 Assessing the outcome of treatment

Making judgments

• In the course of simulated clinical situations, at the end of the course, each student must be able to:
• Clinical decision making
• Decide on priority and personalised assistance interventions
• Deciding caring priorities for groups of patients
• Critically evaluate the results of assistance decisions

Communication skills

At the end of the course, each student must, in relation to the profile of the persons considered in clinical simulations, define communication strategies in relation to age, culture, context in verbal and/or written form.

Learning skills

Each student must:

• Develop skills and autonomy in finding useful information
• Develop skills of independent learning
• Continually questioning clinical practice by developing doubt and critical thinking from simulated situations
• Demonstrate the ability of self-evaluation of its competencies and outline its development and learning needs
• Demonstrating proactivity in seeking educational resources and opportunities

CARDIOLOGY

Cardiovascular system with specific reference to heart failure, major valvular diseases, congenital heart disease, hypertension, and hydroelectrolyte imbalances

Indications and management of hematochemical tests (cardiac enzymes, clotting times, troponin...)

Fundamentals of ECG, major arrhythmias, pacemaker principles

INTERNAL MEDICINE

Recognition and interpretation of symptoms and signs ( nausea, vomiting, diarrhea, jaundice, pain, fever, dyspnea, dysuria, pollakiuria, asthenia...)

Indications and management of EGA

Respiratory system with specific reference to obstructive diseases: asthma, chronic bronchitis, emphysema and respiratory tract infections:viral, bacterial and tuberculosis

Urinary system with specific reference to acute and chronic renal disease and glomerulo nephritis

Anemias

Metabolic diseases

Diabetes, dyslipidemias

Gastrointestinal system with specific reference to: liver cirrhosis, hepatitis, peptic disease, gastro esophageal reflux disease, pancreatitis, inflammatory bowel disease, and malabsorption syndromes

ENDOCRINOLOGY

Hypothalamic pituitary pathologies

Rheumatic diseases with specific reference to polymyalgia rheumatica, fibromyalgia, major connectivitis, rheumatoid arthritis

Hypothyroidism and thyrotoxicosis, thyroiditis, Plummer's and Basedow's disease

Hyper- and hypocalcemias

Hypercorticosurrenalism; Addison's disease

Malnutrition by excess (obesity) and by defect (slimming)

Acute and chronic complications of diabetes mellitus

CLINICAL MEDICAL NURSING

The management of infusion therapy and parenteral nutrition

The management of central and peripheral venous accesses

Standard care plans:

Liver cirrhosis, pancreatitis, hepatitis, gastric ulcer

BPCO, PNEUMONIA, TBC

Acute and chronic kidney disease

Heart failure, unstable angina, atrial fibrillation

Diabetes (hypoglycemia, hyperglycemia)

PHARMACOLOGY

Antibiotic and antiviral chemotherapy

Cancer chemotherapy

Drug management:

Cardiovascular

Diuretics

Antiinflammatory drugs

Anti-TNF for rheumatic diseases

Respiratory system

Gastroprotectants, antiemetics, laxatives

Antiplatelet, anticoagulants and fibrinolytics

Anti-diabetics

Hormones

CNS and ANS active

Description of the different phases of clinical trials of drugs

Course delivery

• Frontal lecture
• Analysis of care cases in plenary and small groups
• Practical workshops in small groups

Learning Assesment Methods

Module: clinical medical nursing
Teacher: Garza Cristina
Type of test: written with open questions and clinical cases
Number of questions: variable
Score attribution: varies depending on the type of question, no penalty for wrong answer
Oral: if a score of 17 is achieved in the written test, it is possible to take the oral test to obtain a passing grade

Module: internal medicine
Teacher: Emanuele Pivetta
Type of test: written with closed-ended questions
Number of questions: 30
Score attribution: 1 point for each correct answer, no penalty for wrong answer
Oral: if a score of 17 is achieved in the written test, it is possible to take the oral test to obtain a passing grade

Module: pharmacology
Teacher: Cusato Jessica
Type of test: written with closed-ended questions
Number of questions: 30
Score attribution: 1 point for each correct answer, no penalty for wrong answer wrong
Oral: if you reach a score of 17 in the written test, you can take the oral exam to obtain a passing grade

Module: cardiology
Teacher: Anselmino Matteo
Type of test: written with closed-ended questions
Number of questions: 30
Score attribution: 1 point for each correct answer, no penalty for an incorrect answer
Oral: if you reach a score of 17 in the written test, you can take the oral exam to obtain a passing grade

Module: endocrinology
Teacher: Grottoli Silvia
Type of test: written with open-ended questions
Number of questions: 3
Score attribution: 10 points for each correct answer, no penalty for an incorrect answer
Oral: if you reach a score of 17 in the written test, you can take the oral exam to obtain a passing grade

Oral examination in which the following are tested:
clinical reasoning skills
the connections between the contents of the different modules
the appropriateness of scientific language
the ability of exposition

Saiani L, Brugnolli A, Treatise on nursing care. Naples: Sorbonne, 2010. (Chapters 17,18, 24, 28).

Smeltzer SC, Bare Brenda G, Hinkle JL. Brunner Suddarth Medical surgical nursing. Milan: Ambrosian Publishing House, 2010. (ch.13, 16, 22, 24, 33,34,36, 39, 41,44).

Carpenito-Moyet LJ.Nursing care plans and documentation.Milan: Casa Editrice Ambrosiana, 2000.

Furlanut M. Pharmacology: Principles and applications. Padua: Piccin, 2005.

Clayton SP, Stock G. Fundamentals of Pharmacology for Nurses. Naples: EdiSES, 2007.