39277 - Clinical Nursing and Rehabilitation in Chronic Disease (BO1)

Academic Year 2018/2019

  • Docente: Luisa Sist
  • Credits: 2
  • Language: Italian
  • Teaching Mode: Traditional lectures
  • Campus: Bologna
  • Corso: First cycle degree programme (L) in Nursing (cod. 8473)

Learning outcomes

At the end of the module, the student possesses the knowledge about methodology, organizational and clinical models for the care, management and continuity of the assistance in chronicity situations. Develops knowledge about therapeutic education. He knows family and community resources.

Course contents

1. PRINCIPLES OF THE SOCKET IN CHARGE OF THE PERSON WITH CHRONIC DISEASE

a) Adopting a "person and family center" approach

b) Caregiver

b) Promote patient autonomy and independence and reduce the risk of disability

d) Promote self-management of the disease

Approach: Theory of individual and family self-management

e) Understanding the trajectory of illness (fragility)

g) Ensure palliative care for non-cancer patients and simultaneous palliative care

2. THE ASSISTANCE SETTINGS AND CHRONICITY MODELS

a) Primary care

d) Nursing home care: characteristics.

f) Ensuring continuity of care

- Continuity of information

-Continuity in care management

-Continuity in the relationship and cooperation

g) Plan discharge

3. INSTRUMENTS, FIGURES FOR LOADING

a) Integration between the figures

c) Assessment tools, PAI, assessment scales

4. CHRONIC DISEASES

The prevalent chronic diseases, the diagnostic therapeutic care pathways, the therapeutic education, self care and therapeutic alliance.

The cardinal principles of the treatment and self-treatment of hypertension
Heart failure:

The care management of the patient with unstable heart failure

The weight of the symptoms and the palliative approach to the patient with advanced heart failure

The main information for the patient on diagnostic investigations
Hepatic cirrhosis: Clinical care management of the person with compensated cirrhosis

Complications of advanced cirrhosis and pathophysiological mechanisms

Clinical care management of the person with advanced cirrhosis and complications

The burden of symptoms and experiences of patients with advanced disease cirrhosis

Screening and educational interventions for people with alcoholic consumption at risk
Dementia:

Assistance management of the person suffering from Dementia

Dementia and end-of-life care

The most frequently used assessment tools for the person with dementia
Parkinson's disease:

Care management of patients with Parkinson's disease

Instrument for the assessment of symptoms and their progression in Parkinson's disease

Rheumatic diseases:

Care management of the person with rheumatoid arthritis
Endocrinological diseases:

Care management of the person with endocrinological diseases (hypothyroidism, hyperthyroidism)

Readings/Bibliography

Brugnolli A., Saiani L.(2017) Trattato di Medicina e Infermieristica un approccio di cure integrate Volume 3, Sorbona, Edizioni Idelson Gnocchi

S.C. Smeltzer, B.G. Bare, J.L. Hinkle, K.H Cheever(2017)Brunner- Suddarth “Infermieristica medico-chirurgico” Edizione 5, Casa Editrice Ambrosiana.

Mongardi M. (2012) L'assistenza all'anziano. Ospedale, domicilio, territorio, Milano, The Mc Graw-Hill Companies.

Scalorbi S,(2012) Infermieristica preventiva e di comunità ,Milano, McGraw-Hill.

G.Cavazza, C.Malvi, (2014) La fragilità degli anziani, Strategie, progetti, strumenti per invecchiare bene, Maggioli Editore.

P.Chiari, A.Santullo,(2011) L'infermiere case manager : dalla teoria alla prassi, seconda ed., Mc Graw Hill

A.Brambilla, G.Maciocco, (2016) Le Case della Salute , Innovazione e buone pratiche. Carocci Faber editore

Delibera Regione Emilia Romagna 2016 - Case sella Salute: indicazioni regionali per il coordinamento e lo sviluppo delle comunità di professionisti e della medicina di iniziativa

Delibera Regione Emilia Romagna n.124 del 1999 - Assistenza Domiciliare Integrata

-OMS ICF Classificazione Internazionale del Funzionamento, delle disabilità e della salute Casa Editrice Erickson

Teaching methods

Frontal lessons Exercises Presentation and discussion of cases

Assessment methods

Written tests: short answer question and resolution of a case on patient management and oral examination

Teaching tools

Tutorials, Conceptual Maps, Books, Articles.

Office hours

See the website of Luisa Sist