Learning objectives
The course aims to allow the student to know and understand the care models in the surgical field, to implement care interventions using critical thinking and ethical decision-making, defining responsibilities, ensuring the application of diagnostic prescriptions and therapeutic, in compliance with scientific principles. By applying the knowledge, the student must be able, through the synergistic cooperation of all the professionals involved, to identify the care problems related to the surgical pathology, prepare a care plan in compliance with the centrality of the patient, contribute to the prevention of complications and increase compliance and l empowerment of the patient
Prerequisites
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Course unit content
-the responsibility and culture of risk management;
- general mechanisms and modes of action of drugs, absorption concept, legal and ethical constraints in the administration of therapy;
- the psychological, relational aspects in the relationship between the caregiver and the patient,
- the meaning that the individual has the surgical intervention, regardless of the complexity, the pathophysiological phenomena that are the basis of events related to the surgical intervention; the most frequent complications and the main risk factors; operating room safety recommendations and surveillance protocols; taking care of the patient as part of the care path, increasing compliance and empowerment
Full programme
- clinical risk in the care sector, risk factors and errors;
- notes on the meaning of drug and drug therapy, general mechanisms and modalities of action of drugs, absorption, routes of administration, side effects, tolerance and dependence, interaction, synergistic reaction, pharmaceutical preparations;
- supply and storage of medicines;
- nursing pharmacological assessment, special considerations relating to aging and pediatric age;
- safe handling of antiblastic chemotherapy drugs, acute and terdive side effects, management of extravasation;
- radiation therapy, acute and terdive effects;
- drug management, legislative references;
- analysis of collaborative problems and macroscopic diagnostic groupings;
- 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 psychopharmacological therapy;
- pharmacotherapy i pediatric and senile age;
- patient restraint: reasons for the appeal, negative effects, limitations on use, alternatives to restraint in compliance with evidence-based practice;
- Primary nursing in surgery;
- organization of pre-operative nursing care;
- safety in the operating room, ministerial provisions;
- transfer of the patient from the recovery room to the hospital ward, assessment, care planning aimed at preventing complications;
- special considerations relating to pediatric age, aging, disability, bariatric patients and the emergency-urgency situation;
- main post-operative complications;
- surgical wound: factors that can delay the healing process, main complications, surveillance of surgical site infections;
- colorectal ca: taking care of the person with colostomy;
- post-operative pain as an unpleasant sensory and emotional experience, evaluation and measurement of pain through evaluation scales.
Bibliography
Brunner Medical-Surgical Nursing - Suddarth Suzanne C. Smeltezer, B. G. Bare, J. L. Hinkle, K.H. Cheever Ambrosiana publishing house fourth edition (January 2010)
Nursing care plans and nursing diagnosis documentation and collaborative problems Lynda Juall Carpenito publishing house Ambrosiana Milan
Legal aspects of the nursing profession, elements of health legislation L. Benci Mcgraw-Hill Milan, 2008
Prescription and drug administration - legal and deontological responsibility L. Benci McGraw-Hill publishing house Milan, 2007
. Documents taken from: - Ministry of Health, Department of Quality Directorate-General for Health Planning, assistance levels and ethical system principles. Patient safety and clinical risk management; Regional health agency - Emilia Romagna region, experimental protocols for monitoring sentinel events
Teaching methods
frontal lessons, Problem based learning
Assessment methods and criteria
the assessment of the achievement of the objectives set by the course includes an oral exam. through questions regarding the course contents it will be ascertained whether the student has achieved the objective of knowledge and understanding of the contents. By means of questions regarding prevention strategies and care planning, it will be ascertained whether the student has achieved the objective of applying the knowledge acquired.
Other information
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