Learning objectives
The course of Nursing in Surgery is part of the Teaching or Interactive Course of Surgery Clinic.
The course aims at enabling the student to know and understand the surgical care models, the essential elements of etiology, pathogenesis, symptomatology, diagnostics and care of the major pathologic situations of general surgical interest, in order to allow the student Ability to use the knowledge and understanding acquired in identifying the patient's problems related to the condition of a person suffering from general-pathology and planning an adequate care plan.
At the end of the course, the student should be able to carry out planned interventions in the field of surgery, using critical thinking and ethical decision-making, defining responsibilities, ensuring the application of diagnostic and therapeutic prescriptions, respecting principles Scientific, using the knowledge of anatomy, biology, physiology, general pathology and psychology already acquired.
It will also have to demonstrate knowledge and understanding about:
- Responsibility and the culture of Risk Management
- general mechanisms and modes of action of drugs, concept of absorption
- legal and ethical constraints in the administration of therapy
- the psychological and relational aspects of the relationship between a curator and a patient
- the meaning that the individual has for surgery, regardless of complexity
- the physiopathological phenomena that are the basis of events associated with surgery
- the most frequent complications that the surgical patient may encounter and the main risk factors for postoperative complications
- the recommendations for safety in the operating room and the protocols are monitoring the infections of the surgical site
- Taking the Primary Nurse patient into the care path
By applying the acquired knowledge and understanding, the student should be able, through synergy cooperation of all involved professionals, to:
- Identify the relief problems associated with surgical pathology
- Provide adequate care planning in accordance with the centrality of the patient
- contribute to the prevention of complications the patient suffering from surgical pathology may encounter
- increase patient compliance and empowerment
Prerequisites
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Course unit content
• Clinical risk in risk management and risk factors
• Drug and Drug Therapeutics, General Mechanisms and Methods of Drug Use, Absorption, Route of Administration, Side Effects, Tolerance and Addiction, Interaction, Synergistic Reaction, Major Pharmaceutical Preparations
• procurement and preservation of medicines
• nursing pharmacological assessment
• safe handling of antiblastic drugs, acute and late side effects, stevaso event management
• Radiant therapy, acute and late effects
• corticosteroid and anticoagulant drugs
• Administering narcotics, statutory holding and formatting reference
• blood and blood transfusion: legislative references, control and management of undesirable reactions
• analysis of collaborative and macroscopic diagnostic grouping problems
• Individualization of a teaching plan aimed at improving the patient's adaptation to therapy
• Essential components of a pharmaceutical prescription
• psychological and relational aspects of psycho-pharmacological therapy
• pediatric and senile pharmacotherapy
• patient restraint: reasons of recourse, direct and indirect negative effects, restrictions on use, alternatives to evidence-based restraint for practice
• Primary Nursing in Surgery
• organization of preoperative nursing: preparation for surgery (informed consent, assessment of health factors affecting the pre-operative, special situations), preoperative (educational, psychosocial and physical) nursing interventions, interventions Nursing in the immediate preoperative phase
• Operational section: structure and characteristics, expected professional figures and responsibilities, patient entry into the operating room
• Transferring the patient from the wake-up room to the hospital ward, assessment and care planning to prevent complications
• immediate, early and late post-operative complications
• Surgery wound: factors that may delay the healing process, major complications, surgeon surveillance site (Protocol "SICh-ER" Emilia-Romagna Region)
Post-operative pain as unpleasant sensory and emotional experience: painless ministerial hospital project, patient education and preoperative evaluation, assessment and measurement of pain through one-dimensional and multidimensional subjective methods and objective physiological and behavioral methods
Full programme
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Bibliography
Infermieristica medico-chirurgica Brunner – Suddarth Suzanne C. Smeltezer, B. G. Bare, J. L. Hinkle, K. H. Cheever Casa Editrice Ambrosiana quarta edizione (gennaio 2010)
Manuale di tecniche e procedure infermieristiche di Taylor un approccio al Processo del Nursing – Pamela Lynn Casa editrice Piccin II edizione, 2010
Piani di assistenza infermieristica e documentazione diagnosi infermieristiche e problemi collaborativi Lynda Juall carpenito Casa Editrice Ambrosiana Milano
Le basi farmacologiche della pratica infermieristica E.Palummeri – E.Molina – M. Cattabiani Casa editrice Ambrosiana Milano, 2009
Principi fondamentali dell’assistenza infermieristica R.F. Crafen – C.J. Hirnle Casa Editrice Ambrosiana Milano, 2007
Aspetti giuridici della professione infermieristica, elementi di legislazione sanitaria L.Benci Mcgraw-hill, 2008
La prescrizione e la somministrazione dei farmaci – responsabilità giuridica e deontologica L. Benci Casa editrice McGraw-Hill Milano, 2007
Farmaci e infermiere un prontuario per la somministrazione M. vanzetta – M. Volterrani casa editrice McGraw-Hill Milano, 2004
Consultazione del manuale Saperne di più per sentirsi meglio, guida pratica per il paziente sottoposto a chemioterapia Giorgio Vittorio Scagliotti Milano, 1997
Documenti allegati tratti da:
- Ministero della Salute, Dipartimento della qualità Direzione Generale della programmazione sanitaria, dei livelli assistenziali di assistenza e dei principi etici di sistema. Sicurezza dei pazienti e gestione del rischio clinico: manuale per la formazione degli operatori sanitari, 2007
Agenzia Sanitaria regionale – regione Emilia Romagna, protocolli sperimentali di monitoraggio degli eventi sentinella
- Ministero del Lavoro, della salute e delle Politiche sociali. Dipartimento della qualità Direzione generale della programmazione sanitaria, dei livelli di assistenza e dei principi etici di sistema. Osservatorio nazionale sugli eventi sentinella, 2009
Teaching methods
Lectures, Problem Based Learning
Assessment methods and criteria
L'accertamento del raggiungimento degli obiettivi previsti dal corso prevede un'esame orale. Mediante domande riguardanti i contenuti del corso sarà accertato se lo studente ha raggiunto l'obiettivo della conoscenza e della comprensione del contenuto. Mediante domande riguardanti strategie di prevenzione e di pianificazione assistenziale verranno accertate se lo studente ha raggiunto l'obiettivo di applicare le conoscenze acquisite.
Other information
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