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

Course Unit Page


This teaching activity contributes to the achievement of the Sustainable Development Goals of the UN 2030 Agenda.

Good health and well-being

Academic Year 2021/2022

Learning outcomes

At the end of the module, the student possesses the knowledge relating to the methodology, organizational and clinical assistance models for taking charge, management and continuity of assistance in chronic situations. Develop knowledge related to therapeutic education. Knows the resources of the family and the community.

Course contents

1. Principles of taking charge of the person with chronic disease
a) demographic aspects
b) concepts of chronicity, frailty, comorbidity, disability, non self-sufficiency
c) healthy aging: disease trajectory
d) caregiver

2. Models of management and care settings of the person with chronic disease
a) transitional care, continuity of care, planned discharge and nursing home care
b) Chronic Care Model
c) theory of individual and family self-management

3. Nursing care planning for the patient with chronic disease
a) hypertension
b) heart failure
c) arrhythmias
d) hydroelectrolytic disorders: volume depletion, fluid overload, hypo-hypernatremia, hypo-hyperkalaemia
e) chronic kidney disease
f) cirrhosis of the liver
g) dementia
h) Parkinson's disease
i) hyperthyroidism and hypothyroidism
l) rheumatic diseases.



1) Brugnoli A. & Saiani L. (2017) Trattato di Medicina e Infermieristica, un approccio di cure integrate. Idelson-Gnocchi, III ed. Napoli.

2) Saiani L. & Brugnolli A. (2020) Trattato di Cure Infermieristiche. Idelson-Gnocchi, III ed. Napoli.

3) NANDA International. (2021) Diagnosi infermieristiche - definizione e classificazione 2021/2023. CEA. Milano.

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

Teaching methods

Frontal and interactive lesson with exercises and case analyzes.

Assessment methods

Written + Oral

Written: planning on a clinical case with identification of a Nursing Diagnosis and a Collaborative Problem, with related objectives and interventions.

Oral: open questions.

Teaching tools

Slides, books, concept maps, clinical cases.

Office hours

See the website of Claudia Camedda