ID:
503753
Duration (hours):
45
CFU:
3
SSD:
SCIENZE INFERMIERISTICHE GENERALI, CLINICHE E PEDIATRICHE
Located in:
IRCCS ISTITUTI CLINICI SCIENTIFICI MAUGERI
VIGEVANO
Year:
2025
Overview
Date/time interval
Primo Semestre (01/10/2025 - 30/01/2026)
Syllabus
Course Objectives
The course is aimed at analyzing the care aspects relating to the adult / elderly person who must undergo surgery. The disease and surgery significantly and specifically modify people's autonomy and vital abilities. Nursing care, considering the person at the center of a particular care situation, has the aim of restoring health or the highest possible degree of health and autonomy through health promotion and maintenance care and remedial care (treatments) in response to the needs examined by V. Henderson. The organization of the contents will be implemented by referring to the nursing skills identified by the Tuning Educational Structures in Europe Project which in the 2nd year of the course provide the ability to know and apply problem solving and decision making. In particular, the course provides the student with the contents that contribute, together with those of the other nursing courses, to achieve the skills required for the 2nd year of the course. The communicative-relational and ethical-deontological aspects will be transversally declined within the care. At the end of the course, the student will be able to acquire the knowledge necessary for the promotion, maintenance and recovery of vital autonomy and the best possible level of health in clinical situations made complex by the disease.
Course Prerequisites
The knowledge required and recommended at the entrance refers to the contents of the following disciplines characterizing the 1st year: General nursing and nursing theories and relational educational foundations; Clinical Nursing I and Clinical Nursing II; ethics and deontology; professional organization. Basic knowledge of the 1st year disciplines is also required. relating to anatomy and physiology, general and clinical pathology, microbiology, immunology.
Teaching Methods
Frontal and interactive lessons with the support of slides, analysis of classroom care situations, which reproduce the main clinical pictures in the surgical area, in order to develop the clinical reasoning necessary to plan nursing care
Assessment Methods
The final evaluation includes two written tests: - the first test will focus on the evaluation of theoretical knowledge and will be made up of 15 multiple choice questions (2 points will be assigned for each correct answer). The maximum achievable rating is 30/30 and the minimum rating is 18.00/30. Passing this test will allow access to the second written test - second written test: it will focus on the evaluation of clinical reasoning applied to a surgical care situation, relating to the clinical care frameworks addressed in the classroom. It will be composed of a variable number of multiple choices, fill-in-the-blank, true or false questions (each correct answer will be assigned a variable score ranging from 0.5 to 2 points). The maximum achievable rating is 30L/30 and the minimum rating is 18.00/30. The final grade will be the arithmetic mean of the two tests. The maximum achievable rating is 30L/30 and the minimum rating is 18.00/30. In case of a negative outcome of the second test, the student will also have to take the first test again. Students with DSA certified and recognized by the UNIPV SAISD Center will be able to take advantage of the compensatory measures recognized to them. Overcoming the C.I. of Clinical Medical Surgical Nursing together with passing the C.I. of Research and Quality of Nursing Care and Professionalizing Internship, will allow the student to access the Internship exam and access the following year.
Texts
Saiani L, Brugnolli A (2022) Trattato di chirurgia e infermieristica. IdelsonGnocchi: Napoli
Saiani L, Brugnolli A (2021) Trattato di cure infermieristiche. vol.I e vol.II. IdelsonGnocchi: Napoli
Hinkle JL, Chveer K (2017) Brunner, Suddarth Infermieristica medico-chirurgica. Casa editrice ambrosiana
Lecture notes
Saiani L, Brugnolli A (2021) Trattato di cure infermieristiche. vol.I e vol.II. IdelsonGnocchi: Napoli
Hinkle JL, Chveer K (2017) Brunner, Suddarth Infermieristica medico-chirurgica. Casa editrice ambrosiana
Lecture notes
Contents
The entire program – structured on the basis of the alterations of needs examined by V. Henderson – was guided by the Enhanced Recovery After Surgery (ERAS) principles. During the lessons, particular pathologies of great importance on an epidemiological level (cholecystectomy , acute abdomen, colorectal cancer, lung cancer, breast cancer, orthopedic surgery) will act as a starting point for declining the alteration of needs, specifically:
INTRODUCTION: • Surgery as a complex event and as a condition that significantly and specifically changes the autonomy and vital abilities of the person. • The peri-operative path of the person, with reference to the accompanying nursing function in the phases: preoperative, intraoperative and postoperative. • Surgical intervention: definition and purposes • Classification of surgical interventions on the basis of complexity • The path of the person who is to undergo surgery • Inpatient regimes • Classification of the intervention on the basis of urgency • Surgery as a complex event: surgical aggression and anesthesia • Surgical and anesthetic risk assessment • Notes on anesthesia: purposes and types • ASA classification • Path of the person within the operating department • Nurse functions within the operating department • Surgical stress
VITAL NEED: SAFETY
The changes that elective and urgent surgery operates on the need for safety in the adult person and in the elderly with surgical and / or concomitant pathology; the prevailing clinical problems, maintenance and remedial care, in relation to the following aspects: • Identification of the person; • Surgical site identification and prevention of surgical site errors • The risk of falling in the person during the perioperative period • The risk of accidental injuries, pressure injuries, burns from electrosurgical units, tear injuries, dislocations of jewelry, removable prostheses, invasive medical surgical devices and their prevention in the person in the perioperative period; • Informed consent to the surgical and anesthetic medical act: nursing role • Surgical site infection risk and prevention • Simple surgical wound dressing, drainage management • Nosocomial infections in surgery • Postoperative delirium • Pre and post-operative pain • Tests on preoperative biological material samples (blood and urine) • ECG • Radiological investigations, endoscopic investigations and ultrasound investigations: preparation of the person, assistance during and after the investigation • Dressing of the complex surgical wound and the point of emergence of the drains • The relapses of malnutrition in the perioperative period • Application of the doctor's diagnostic and therapeutic prescriptions • Nasogastric survey • Management of digestive ostomies for nutritional purposes: PEG • Management of abdominal drainage
VITAL NEED: ELIMINATION FOR ALL THE EMUNTORIES
The changes that elective and urgent surgery operates on the need for intestinal elimination in adults and the elderly with surgical and / or concomitant pathology; the prevailing clinical problems, maintenance and remedial care, in relation to the following aspects: • Intestinal elimination in the perioperative period • Management of elimination through intestinal ostomy (with elements of nutrition / hydration in the person with intestinal ostomies in the post-operative period) • Preoperative mechanical bowel preparation • Urinary elimination in the perioperative period • Acute retention of post-operative urine and bladder globe • Bladder catheterization • Management of elimination through urostomy
VITAL NEED: BREATHING NORMALLY
The changes that elective and urgent surgery operates on the need to breathe in the adult person and in the elderly with surgical and / or concomitant pathology; the prevailing clinical problems, maintenance and remedial care, in relation to the following aspects: • Management of chest drainage
VITAL NEED TO COMMUNICATE WITH OTHERS AND LEARN
The changes that elective and urgent surgery operates on the need to communicate with others and learn in the adult person and in the elderly with surgical and / or concomitant pathology; the prevailing clinical problems, maintenance and remedial care, in relation to the following aspects: • Reception of the person in the phases of the perioperative process • Pre-operative nursing information - intra and post-operative and at discharge • Factors that interfere with the learning process: anxiety • Teaching the person with permanent surgical outcomes
VITAL NEED TO MOVE AND MAINTAIN AN ADEQUATE POSITION
The modifications that the elective and urgent surgical intervention operates on the need to move and maintain an adequate position in the adult person and in the elderly with surgical and / or concomitant pathology; the prevailing clinical problems, maintenance and remedial care, in relation to the following aspects: • Early postoperative mobilization and walking: definition, purposes, indications • Prevention of thromboembolic complications • Active and passive body exercises • Application of graduated compression stockings • Administration of low molecular weight heparin
VITAL NEED: KEEP THE TEMPERATURE WITHIN THE LIMITS OF THE STANDARD
The changes that elective and urgent surgery operates on the need to maintain body temperature within normal limits in the adult person and in the elderly with surgical and / or concomitant pathology; the prevailing clinical problems, maintenance and remedial care, in relation to the following aspects: • Accidental perioperative hypothermia • Fever in the perioperative period
VITAL NEED TO SLEEP AND REST
The changes that elective and urgent surgery operates on the need to sleep and rest in adults and the elderly with surgical and / or concomitant pathology; the prevailing clinical problems, maintenance and remedial care, in relation to the following aspects: • Sleep in the perioperative period and during hospitalization with particular reference to modifications and relationships with drugs, nausea and vomiting, postoperative pain, postoperative delirium
VITAL NEED TO PROVIDE HYGIENE AND PROTECT THE INTEGUMENTS CHOOSE THE SUITABLE CLOTHING
The changes that elective and urgent surgery operates on the need for hygiene, to protect the integuments and to choose the appropriate clothing for adults and the elderly with surgical and / or concomitant pathology; the prevailing clinical problems, maintenance and remedial care, in relation to the following aspects: • Criteria for choosing clothing for the person with intestinal and urinary ostomies • Skin hygiene considering the presence of dressings and drains • Hygiene of SNG and bladder catheter • Hygiene and maintenance of skin integrity in people with intestinal ostomies
INTRODUCTION: • Surgery as a complex event and as a condition that significantly and specifically changes the autonomy and vital abilities of the person. • The peri-operative path of the person, with reference to the accompanying nursing function in the phases: preoperative, intraoperative and postoperative. • Surgical intervention: definition and purposes • Classification of surgical interventions on the basis of complexity • The path of the person who is to undergo surgery • Inpatient regimes • Classification of the intervention on the basis of urgency • Surgery as a complex event: surgical aggression and anesthesia • Surgical and anesthetic risk assessment • Notes on anesthesia: purposes and types • ASA classification • Path of the person within the operating department • Nurse functions within the operating department • Surgical stress
VITAL NEED: SAFETY
The changes that elective and urgent surgery operates on the need for safety in the adult person and in the elderly with surgical and / or concomitant pathology; the prevailing clinical problems, maintenance and remedial care, in relation to the following aspects: • Identification of the person; • Surgical site identification and prevention of surgical site errors • The risk of falling in the person during the perioperative period • The risk of accidental injuries, pressure injuries, burns from electrosurgical units, tear injuries, dislocations of jewelry, removable prostheses, invasive medical surgical devices and their prevention in the person in the perioperative period; • Informed consent to the surgical and anesthetic medical act: nursing role • Surgical site infection risk and prevention • Simple surgical wound dressing, drainage management • Nosocomial infections in surgery • Postoperative delirium • Pre and post-operative pain • Tests on preoperative biological material samples (blood and urine) • ECG • Radiological investigations, endoscopic investigations and ultrasound investigations: preparation of the person, assistance during and after the investigation • Dressing of the complex surgical wound and the point of emergence of the drains • The relapses of malnutrition in the perioperative period • Application of the doctor's diagnostic and therapeutic prescriptions • Nasogastric survey • Management of digestive ostomies for nutritional purposes: PEG • Management of abdominal drainage
VITAL NEED: ELIMINATION FOR ALL THE EMUNTORIES
The changes that elective and urgent surgery operates on the need for intestinal elimination in adults and the elderly with surgical and / or concomitant pathology; the prevailing clinical problems, maintenance and remedial care, in relation to the following aspects: • Intestinal elimination in the perioperative period • Management of elimination through intestinal ostomy (with elements of nutrition / hydration in the person with intestinal ostomies in the post-operative period) • Preoperative mechanical bowel preparation • Urinary elimination in the perioperative period • Acute retention of post-operative urine and bladder globe • Bladder catheterization • Management of elimination through urostomy
VITAL NEED: BREATHING NORMALLY
The changes that elective and urgent surgery operates on the need to breathe in the adult person and in the elderly with surgical and / or concomitant pathology; the prevailing clinical problems, maintenance and remedial care, in relation to the following aspects: • Management of chest drainage
VITAL NEED TO COMMUNICATE WITH OTHERS AND LEARN
The changes that elective and urgent surgery operates on the need to communicate with others and learn in the adult person and in the elderly with surgical and / or concomitant pathology; the prevailing clinical problems, maintenance and remedial care, in relation to the following aspects: • Reception of the person in the phases of the perioperative process • Pre-operative nursing information - intra and post-operative and at discharge • Factors that interfere with the learning process: anxiety • Teaching the person with permanent surgical outcomes
VITAL NEED TO MOVE AND MAINTAIN AN ADEQUATE POSITION
The modifications that the elective and urgent surgical intervention operates on the need to move and maintain an adequate position in the adult person and in the elderly with surgical and / or concomitant pathology; the prevailing clinical problems, maintenance and remedial care, in relation to the following aspects: • Early postoperative mobilization and walking: definition, purposes, indications • Prevention of thromboembolic complications • Active and passive body exercises • Application of graduated compression stockings • Administration of low molecular weight heparin
VITAL NEED: KEEP THE TEMPERATURE WITHIN THE LIMITS OF THE STANDARD
The changes that elective and urgent surgery operates on the need to maintain body temperature within normal limits in the adult person and in the elderly with surgical and / or concomitant pathology; the prevailing clinical problems, maintenance and remedial care, in relation to the following aspects: • Accidental perioperative hypothermia • Fever in the perioperative period
VITAL NEED TO SLEEP AND REST
The changes that elective and urgent surgery operates on the need to sleep and rest in adults and the elderly with surgical and / or concomitant pathology; the prevailing clinical problems, maintenance and remedial care, in relation to the following aspects: • Sleep in the perioperative period and during hospitalization with particular reference to modifications and relationships with drugs, nausea and vomiting, postoperative pain, postoperative delirium
VITAL NEED TO PROVIDE HYGIENE AND PROTECT THE INTEGUMENTS CHOOSE THE SUITABLE CLOTHING
The changes that elective and urgent surgery operates on the need for hygiene, to protect the integuments and to choose the appropriate clothing for adults and the elderly with surgical and / or concomitant pathology; the prevailing clinical problems, maintenance and remedial care, in relation to the following aspects: • Criteria for choosing clothing for the person with intestinal and urinary ostomies • Skin hygiene considering the presence of dressings and drains • Hygiene of SNG and bladder catheter • Hygiene and maintenance of skin integrity in people with intestinal ostomies
Course Language
Italian
More information
Teacher email address luca.guardamagna@unipv.it
luca.volpi@unipv.it
gabrielecarmelo.palermo@unipv.it
luca.volpi@unipv.it
gabrielecarmelo.palermo@unipv.it
Degrees
Degrees
Nursing
Bachelor’s Degree
3 years
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