49726 - Nursing Methodology (FA)

Learning outcomes

At the end of the module the student knows the nursing methodology to respond to the care problems of the person / family / community and the preventive, curative, rehabilitative and palliative nursing activities pertinent to nursing assistance.

Course contents

• Functional models according to the Gordon-Carpenito methodology applied to the nursing care process.

With reference to each functional model, the following are dealt with:

• the factors that influence it, the characteristics and the alterations;

• useful data for the targeted assessment;

• nursing diagnoses according to the NANDA taxonomy and collaborative problems;

• the welfare objectives;

• educational, preventive, curative and rehabilitative interventions that can be planned;

• nursing techniques applicable to health problems.

• ACTIVITY AND PHYSICAL EXERCISE:

o Personal care and hygiene:

•  Illustrate the importance of personal care and personal hygiene in health and illness
• Identify factors that may affect your self-care

• Identify the subjective and objective factors important for the nursing assessment regarding the personalized care plan
• Formulate related nursing diagnoses

•  Identify care goals
• Identify relevant interventions

o Mechanical and body mobility

• Identify the normals of the musculoskeletal system and the characteristics of physiological movements
• Identify the factors that can compromise or alter mobility, exposing specific considerations on the stages of life
• Describe the impact of immobility on physiological and psychological function

• Describe the subjective and objective data to be collected to evaluate the state of mobility
• Formulate related nursing diagnoses
• Identify care goals
• Identify relevant interventions

o Oxygenation and respiratory function

• Identify the normal functions of the tissue oxygenation system and related characteristics
• Identify the factors that can hinder effective tissue oxygenation

• Identify the changes in respiratory function that occur at various stages of life

•  Describe the signs and symptoms of respiratory dysfunction and define the elements important for the assessment of pulmonary function

• Describe methods of administering oxygen therapy

• Describe the influence of respiratory dysfunction on activities of daily living

• Formulate related nursing diagnoses

• Identify care goals

•  Identify relevant interventions

o Oxygenation and cardiovascular function

• Identify normal functions of the cardiovascular system and normal tissue perfusion

• Identify changes in cardiovascular function that occur across life stages

• Describe the causes of impaired cardiovascular function

•  Describe the effects of impaired cardiovascular function on normal activities of daily living

• Describe the subjective and objective data for the nursing assessment

• Formulate related nursing diagnoses

• Identify care goals

•  Identify relevant interventions

• NUTRITION AND METABOLISM:

o Fluid and electrolyte and acid-base balance

• Identify the physiological system and the hydroelectrolyte and acid-base homeostasis

•  Describe the physiological factors that influence the fluid and electrolyte and acid-base systems

• Explain the impact of age on fluid and electrolyte status

•  Describe the subjective and objective data for the nursing assessment of people with potential and/or real fluid and electrolyte imbalances

• Formulate related nursing diagnoses

•  Identify care goals

•  Identify relevant interventions or Nutrition

•  Identify essential nutrients and appropriate diet for life of the individual

• Describe the physiological system of digestion, absorption and metabolism of food

• Describe nutritional considerations with respect to life stages

• Describe the factors that can influence dietary patterns and manifestations of impaired nutrition

• Describe signs and symptoms of impaired nutrition

• Formulate related nursing diagnoses

• Identify care goals
• Identify relevant interventions

o Skin integrity and wound healing

•  Describe normal integumentary function

•  Describe the factors that influence normal integumentary function
• Identify manifestations of impaired integumentary function
• Describe normal wound healing and the factors influencing it
• Describe the signs and symptoms for the nursing assessment of skin integrity
• Formulate the related diagnoses in nursing
• Identify care goals
• Identify relevant interventions

o Body defenses against infections

• List the major components of the body's normal resistance to infection
• Describe the factors affecting resistance to infections
• Identify alterations in resistance to infections
• Recognize signs and symptoms of infection
• Formulate related nursing diagnoses
• Identify care goals
• Identify relevant interventions

• ELIMINATION

urinary

• Describe the normal structure and function of the urinary system

• Describe the factors that influence the normal functioning of the urinary system

• Identify influencing factors with respect to life stages
• Describe the alterations of the urinary system
• Describe signs and symptoms for the nursing assessment of urinary function
• Formulate related nursing diagnoses
• Identify care goals
• Identify relevant interventions

or intestinal

• Describe the normal process of defecation
• Describe the factors that influence the normal process of defecation
• Identify influencing factors with respect to life stages
• Describe the alterations of the defecation process
• Describe signs and symptoms for the nursing assessment of bowel function
• Formulate related nursing diagnoses
• Identify care goals
• Identify relevant interventions

• SEXUALITY AND REPRODUCTION

•  Describe the anatomy and functional male and female reproductive system

• Describe the alterations of the functional reproductive system and the influencing factors

• Describe signs and symptoms of functional reproductive system impairment

• Formulate related nursing diagnoses
• Identify care goals
• Identify relevant interventions

DRUG ADMINISTRATION Nursing responsibilities and ways to ensure the correct application of therapeutic prescriptions.

Readings/Bibliography

- Ruth F. Craven – Costance J. Hinrle "Fundamental principles of nursing care" Casa Editrice Ambrosiana, Milan; 2019 sixth edition (RECOMMENDED TEXT)

• L.J. Carpenito "Nursing diagnoses" II edition Ambrosiana Publishing House, Milan, 2004

• L. J. Carpenito-Moyet, "Pocket Manual of Nursing Diagnoses", Casa Editrice Ambrosiana, 4th Edition, 2009.

• NANDA International, "Nursing diagnoses, definitions and classification, 2012-2014", CEA, 2013.

• L.Benci, "The prescription and administration of drugs", McGraw-Hill, 2007.

• Albinelli P., Cottafavi K., Ferri P., "The nurse between theory and practice, a manual for clinical laboratory teaching", Athena, 2008.

• M. Vanzetta, M. Volterrani, "Drugs and nurses", McGraw-Hill, 2001

• Cell. Di Giulio, Gorio, Scaglione "General and special pharmacology" Piccin 2010

Teaching methods

frontal lessons

exercises / simulations

Assessment methods

oral and written exam

Office hours

See the website of Sara Saccomandi