59209 - Applied Nursing Methodology (RN)

Learning outcomes

Skills and knowledges to accomplish

At the end of the module the student will have the total comprehension of the Health Functional Models and will know the nursing methodology to progressively deal with all the diverse aid complexity levels that the individual/family/community display.

Programmes/Contents

The student must be able to apply the aid process stages in the damaged needs areas of the assisted individual.

Didactic methods

The student must be able to analyse the major need areas of the assisted individual:
- through a focused data collection,
- deducing real or potential problems of the assisted individual to apply all the nursing interventions in support of diagnostic-therapeutic treatments.
- recognise and understand the scientific rational, ethical implications and those related to the professional responsibility.

Course contents

PROGRAM/COURSEWORK

Process of the nursing care

the relationship in the care process

- The communicative process

- The types of communication

- The nurse-patient relationship of help

- Acquisition of communicative competence in

the nursing field ( information to the user)

- Admission and discharge of the patient

- The medical examination

Measurement of vital signs.

Deepen the methods and tools for evaluating hemodynamic parameters

- arterial pulse

- blood pressure

- body temperature

- breath frequency

- blood sample

body care and hygiene.

Learn the knowledge to apply nursing care to the person with self-care deficit

- social and cultural meaning of body care

- alterations in personal care

- care treatment of self care deficit

- guiding principles in body care activities

- hygiene and body care in the bathroom

- oral and dental hygiene

Exercise, mobility and treatment of its alterations

Deepen the methods and tools to evaluate physical exercise, tolerance and intolerance to physical activity. Learning the correct procedures for the mobilization of the person with impaired physical function.

Definitions of concepts: physical activity, physical exercise and functional status, intolerance to activity / physical exercise

- Assessment of tolerance to activity /physical

exercize

- Mobility and motor skills: its alterations

- The caring treatment of the main problems of

mobility

- Walking with aids: walking frame, stick and

crutches

- Positions in bed of the person permanently

lying down, aids and grasps

- Procedures: of positioning and transfer

- Assistance treatment of immobilization or

hypokinetic syndrome

Respiration and treatment of alterations. Deepen the methods and tools to evaluate an altered breathing

- preparatory elements for breathing

- pathological breaths

- care treatment of the main alterations in

breathing

Rest, Sleep and night-time nursing assistance.

Learning the knowledge to apply assistance to a person with impaired rest and sleep

- neuroregulation of sleep / wake, physiology of

circadian rhythm

- main sleep disorders: insomnia, disturbances

of the circadian rhythm of sleep

- sleep assessment, care treatment of the main

sleep disorders

- problems of sleep in the elderly, noise in care

settings, night-time assistance

Hydro-electrolytic balance, feeding and treatment of alterations

deepen the methods and tools to evaluate compromised hydration and nutrition.

- alterations in hydro-electrolyte balance:

dehydration and hypovolemia, excess volume

of liquid, fluid overload

- assessment of the patient's hydration status:

the water balance

- the factors influencing nutrition: assessment

and evaluation of nutritional status

- alteration of nutritional status: malnutrition,

obesity and overweight, anorexia syndrome

and neoplastic cachexia dysphagia

- feeding of the non self-sufficient patient

- Nutrition as a therapy

- the change in the way of feeding: enteral

feeding with SNE, SND, PEG, PEJ.

Intestinal elimination treatment of alterations. Deepening of the methods and the tools to evaluate impaired intestinal elimination.

- the main alterations of intestinal function: signs

and symptoms more frequent in intestinal

disorders

- constipation and diarrhea

- fecal incontinence

- hemorrhoids

Assessment and treatment of constipation, diarrhea, faecal incontinence

- Procedures: the enema or evacuative

enteroclysis

- procedure: manual removal of faeces and a

fecaloma

Urinary elimination and treatment of alterations.

deepening of the methods and tools for assessing compromised urinary elimination

- the main alterations of urinary function: signs

and symptoms more frequent in urinary

disorders.

- urinary tract infections

- urinary incontinence

- urinary retention

Assessment and treatment of urinary tract infections, urinary incontinence, acute and chronic urinary retention

- Urinary tract infections associated with bladder

catheterization: epidemiology and prevention

strategies

procedure: application of external catheter

(condom).

- procedure: insertion of short and long-term

bladder catheter and closed-circuit system

- procedures: collection of sterile urine

samples

Body temperature and treatment of alterations

- preparatory elements of physiology of

thermoregulation

- alteration of body temperature

- care treatment of the person with

temperature alteration

Treatment of acute and chronic pain

- preparatory elements of physiology of pain

- pain models: acute and chronic

- care treatment of the person with acute and

care treatment of the person with acute and

chronic pain

Treatment of end of life: accompaniment of the person and the family

- hints of end of life care

- nursing assistance of the patient in the

terminal phase

- il decesso e la cura della salma

Learning of the fundamental concepts and procedures to guarantee the correct application of therapeutic prescriptions

- drug and pharmaceutical forms, naming,

classification and sources of drug information

- responsibility of the nurse in the therapy

process

- the pharmacological prescription

- distribution and storage systems:

administration and monitoring of drugs

- administration of drugs through the most

commonly used routes: oral way with SNG,

injective, intravenous, intramuscular,

subcutaneous, intradermal and other ways

of administration

- monitoring of the expected therapeutic

effects, calculation skills necessary for the

dosage

- drugs and psychotropic substances.

- clinical risk related to therapy and

pharmacovigilance (the checking behaviour

of a certain treatment).

Surgical patient:


Identification of the needs of the person in the pre-operative phase

- nursing diagnosis in the preoperative phase

- pre-operative interventions (in preparation of

the post-operative phase)

- physical preparation for the intervention

- reception and admission into the operating

theatre

- role and responsibility of the different nursing

figures operating in the operating room:

instrumentalist, hall nurse

- the clothing and surgical washing of the

hands

- the surgical instrument

- the awakening phase

- the planning of nursing care in the post-

operative phase

Readings/Bibliography

 Saiani L., Brugnolli A.,

Trattato di cure infermieristiche. Sorbona, Napoli, 2010

Craven R.F.,Hirnle C.J.,

Principi fondamentali dell’assistenza infermieristica, 4° edizione Ambrosiana, Milano, 2011

Judith M. Wilkinson, Processo infermieristico e pensiero critico , CEA, Milano,2009

Brunner-Suddart,

infermieristica medico chirurgica, vol. 1, Ambrosiana, Milano, 2017

Daniels R., Grendell R.N.,

Wilkins F.R., Basi dell’assistenza infermieristica, Piccin, Padova, 2014

Barbara K Timby., Fondamenti di assistenza infermieristica concetti e abilità cliniche di base, Mc

Graw Hill, Milano, 2013

L.Sasso, C.Gagliano, AM.

Bagnasco., Scienze infermieristiche generali e cliniche, 3° edizione, McGraw Hill, Milano, 2013

Teaching methods

Interactive frontal teaching methodology

(Classroom lessons)

Assessment methods

the assessment of the knowledge acquired by the student is carried out on 2 tests:

written test (preparatory to the oral exam): 29 multiple choice questions (4 options) + 1 closed question

Oral exam

Teaching tools

Personal computer. Video projector. Flipchart.

Office hours

See the website of Costanza Mele