Degree Course: Nursing Syllabus for A.Y. 2022/2023

Short summary of basic concepts of inorganic and organic chemistry - Chemical bonds, osmotic pressure, pH, buffers. The constituents of biological macromolecules: carbohydrates, lipids, purines, pyrimidines, nucleosides, nucleotides, amino acids. Proteins structure and function. Hemoproteins and gas transport (O2, CO2). Coenzymes and vitamins. Enzymes. Introduction to metabolism. Catabolism and anabolism. Glucose catabolism: glycolysis and the Kreb’s cycle. Catabolism of fatty acids. The mitochondrion as the power plant of the cell: oxidative phosphorylation. Hormonal control of glucose metabolism. Insulin and glucagon: glycogenolysis, glycogen synthesis, gluconeogenesis and lipolysis. Fasting, diabetes and ketogenesis. Biosynthesis of fatty acids and phospholipids. Cholesterol metabolism. Amino acid metabolism and urea cycle in brief.

The indicated textbook is just a reference. Students are allowed to adopt the book/books of their choice. Additional material will be provided by the instructor.

Ashok Kumar, J. (2011). Textbook of biochemestry. I K International Publishing House

Short summary of basic concepts of inorganic and organic chemistry - Chemical bonds, osmotic pressure, pH, buffers. The constituents of biological macromolecules: carbohydrates, lipids, purines, pyrimidines, nucleosides, nucleotides, amino acids. Proteins structure and function. Hemoproteins and gas transport (O2, CO2). Coenzymes and vitamins. Enzymes. Introduction to metabolism. Catabolism and anabolism. Glucose catabolism: glycolysis and the Kreb’s cycle. Catabolism of fatty acids. The mitochondrion as the power plant of the cell: oxidative phosphorylation. Hormonal control of glucose metabolism. Insulin and glucagon: glycogenolysis, glycogen synthesis, gluconeogenesis and lipolysis. Fasting, diabetes and ketogenesis. Biosynthesis of fatty acids and phospholipids. Cholesterol metabolism. Amino acid metabolism and urea cycle in brief.

The indicated textbook is just a reference. Students are allowed to adopt the book/books of their choice. Additional material will be provided by the instructor.

Ashok Kumar, J. (2011). Textbook of biochemestry. I K International Publishing House

• Basic Genetics: Definitions of Key Terms: gene, locus, allele, genotype, phenotype, haplotype, homozygous, heterozygous, haploid, diploid, dominance, recessivity, mutation, polymorphism.
• Principles of Genetic Transmission: Segregation in Human Pedigrees.
• Monogenic Inheritance Models: Autosomal inheritance, Autosomal recessive inheritance, X-linked inheritance
• Genetic Risk calculation and pedigrees
• Chromosomes: Structure and Analysis, Chromosomes Pathologies
• Genomic Imprinting
• X-chromosome inactivation
• Mitochondrial inheritance: mitochondrial DNA, pattern of inheritance
• Multifactorial inheritance: polymorphisms, susceptibility genes, gene-environment interaction, association studies
• Pharmacogenomics and Personalised Medicine
• Genetic tests and Counselling

“Medical Genetics” by Lynn Jorde John Carey Michael Bamshad. Edited by Elsevier

APPLIED BIOLOGY
Characteristics of living organisms, levels of organization and classification principles.
Macromolecules structure, shape and function: carbohydrates, lipids, proteins and nucleic acids.
The cell as the basic unit of life, Cell Theory. Prokaryotic and eukaryotic cells.
Structure and function of the eukaryotic cell: plasma membrane, cytoplasm, ribosomes, smooth and rough endoplasmic reticulum, Golgi apparatus, lysosomes, peroxisomes, cytoskeleton.
Relationship between energy conversion processes and cellular structures, mitochondria and chloroplasts (notes).
Nucleus. Nuclear envelope, nucleoli, chromatin and chromosomes.
Molecular bases of hereditary information. DNA structure and function.
Gene expression: transcription and maturation of transcripts.
Genetic code and translation. Main post-translational modifications and post-synthetic fate of proteins.
Endomembranes and vesicular trafficking. Exocytosis and Endocytosis.
Cell cycle, Mitosis and meiosis.

APPLIED PHYSICS
- Fundamental and derived physical quantities
- Dimensional equations
- Scientific Notation
- Orders of Greatness
- Scalar and vector quantities
- Vectors
Mechanics
- Kinematics
- Uniform rectilinear motion
- Rectilinear motion uniformly accelerated
- Graphic representation of the motions
- Uniform circular motion
Dynamics
- Fundamental forces
- Principles of dynamics: Newton's I, II, III law
- Translational equilibrium
- Inertial and non-inertial reference systems
- Inertial mass concept
- Gravitational force
- Strength weight
- Normal force to the supporting surface
- Tension of a rope
- Frictional force
- Centripetal Force / Centrifugal Force
- Electrostatic force
- Elastic force
- Work of a force
- Power
- Kinetic and potential energy
- Kinetic energy theorem
- Potential energy theorem
- Conservative and non-conservative forces
- Principle of conservation of mechanical energy
- Definition of yield
Static
- Moment of a force with respect to a point
- Rotational balance
- Stable, unstable, indifferent equilibrium
- Simple machines: levers and pulleys
CALORIMETRY
- Physical quantities that characterize a thermodynamic system: pressure, volume, temperature
- Thermometric scales
- Heat
- Phase transitions
- Ideal gas law
- Thermal expansion
- Latent heat
- Heat transfer
FLUIDS
- Hydrostatic
- Pressure
- Pascal's principle
- Stevino's law
- Archimedes' principle
Hydrodynamics
- Law of continuity
- Bernoulli's theorem
- Venturi effect
- Poiseuille equation
ELECTROSTATICS
- Coulomb's force
- Electric field
- Electric potential
- Electric current
- Ohm's Laws
- Elementary electrical circuit: resistors in series and in parallel

BIOCHEMISTRY
- Short summary of basic concepts of inorganic and organic chemistry - Chemical bonds, osmotic pressure, pH, buffers. The constituents of biological macromolecules: carbohydrates, lipids, purines, pyrimidines, nucleosides, nucleotides, amino acids. Proteins structure and function. Hemoproteins and gas transport (O2, CO2). Coenzymes and vitamins. Enzymes. Introduction to metabolism. Catabolism and anabolism. Glucose catabolism: glycolysis and the Kreb’s cycle. Catabolism of fatty acids. The mitochondrion as the power plant of the cell: oxidative phosphorylation. Hormonal control of glucose metabolism. Insulin and glucagon: glycogenolysis, glycogen synthesis, gluconeogenesis and lipolysis. Fasting, diabetes and ketogenesis. Biosynthesis of fatty acids and phospholipids. Cholesterol metabolism. Amino acid metabolism and urea cycle in brief.

MEDICAL GENETICS
Basic Genetics: Definitions of Key Terms: gene, locus, allele, genotype, phenotype, haplotype, homozygous, heterozygous, haploid, diploid, dominance, recessivity, mutation, polymorphism.
Principles of Genetic Transmission: Segregation in Human Pedigrees.
Monogenic Inheritance Models: Autosomal inheritance, Autosomal recessive inheritance, X-linked inheritance
Genetic Risk calculation and pedigrees
Chromosomes: Structure and Analysis, Chromosomes Pathologies
Genomic Imprinting
X-chromosome inactivation
Mitochondrial inheritance: mitochondrial DNA, pattern of inheritance
Multifactorial inheritance: polymorphisms, susceptibility genes, gene-environment interaction, association studies
Pharmacogenomics and Personalised Medicine
Genetic tests and Counselling

• Douglas C. Giancoli “PHYSICS: Principles with Applications” Seventh edition or subsequent, Pearson Education. Inc
• Ashok Kumar J. “Textbook of Biochemistry for Nurses” II edition – 2012. I K International Publishing House
• “Medical Genetics” by Lynn Jorde John Carey Michael Bamshad. Edited by Elsevier
• Sadava, Hillis, Heller, Hacker. Elementi di Biologia e Genetica Zanichelli editore, V ed.
• Curtis, Barnes, Schnek, Massarini. Elementi di Biologia. Zanichelli editore I ed.
• Raven,Johnson, Mason, Losos, Singer. Elementi di Biologia e Genetica Piccin editore II ed.

The indicated textbook is just a reference. Students are allowed to adopt the book/books of their choice. Additional material will be provided by the instructor.

• Introduction to physiology and homeostasis concepts.
• Cellular physiology. Transport of solutes and water across the cell membrane. Resting membrane potential. Genesis and propagation of action potential. Synaptic transmission.
• Muscle Physiology. Functional properties of skeletal, smooth and cardiac muscle. Excitation and contraction of skeletal muscle. Neuromuscular junction and excitation-contraction coupling. Motor unit.
• Nervous System. Functional organization of central and peripheral nervous system. Overview of autonomic nervous system. Functional organization of sensory systems. Coding and processing of sensory information. The motor system: organization of movement: reflexes, voluntary and automatic movements; posture and balance. Control of voluntary movements. The cerebellum: general features and functions. The basal ganglia: organization and functional role.
• Cardiovascular system. Organization of cardiovascular system. Cardiac electrophysiology: pacemaker activity and specialized conductive system of the heart. ECG. The cardiac muscle and cardiac cycle. Cardiac output and its regulation. Hemodynamics: blood flow, pressure, vascular resistance and their regulation. Principles of blood pressure measurement. Microcirculation: capillary exchange of solutes and water.
• The Respiratory System. Organization of respiratory system. Mechanics of ventilation. Gas exchange in the lungs: diffusion of O2 and CO2 across the respiratory membrane. Transport of O2 and CO2 in blood and body fluids. Regulation of breathing: general principles. Regulation of acid-base balance: general principles.
• The urinary system. Functional organization of the urinary system. Function of the nephron. Glomerular filtration: general principles. Elaboration of glomerular filtrate: resorption and tubular secretion. Homeostatic functions of the kidney. Control of osmolality and volume of extracellular fluid: general principles.
• endocrine system. Definition and classification of hormones. General characteristics of the endocrine glands and the function of their hormones
• digestive SYSTEM organization of the digestive system. Motility and gastrointestinal secretions. General principles of digestion and absorption of nutrients.

Koeppen, B. M., & Stanton, B. A. (2017). Berne and levy physiology (7 edition). Elsevier Health Sciences
Martini, F. H., & Nath, J. L. (2009). Fundamentals of Anatomy & Physiology (8 uppl.)
Sherwood, L. (2015). Human physiology: from cells to systems. Cengage learning.
Guyton, A. C., & Hall, J. E. (2021). Textbook of medical physiology (14 edition). Philadelphia: Saunders

LOCOMOTOR SYSTEM. Skeleton: skull, vertebral column and main bones of the trunk, superior limb, inferior limb, pectoral and girdle and pelvis. Joints structure and classification, movements. Joints: Temporo-mandibular joint, shoulder joint, intervertebral joints, sterno-clavicular joint, elbow joint, radioulnar joints, wrist and hand joints. Hip joint, joint of the knee, ankle. Skeletal Muscular System: masticatory muscles (masseter, temporal, pterygoid). Motor muscles of the humerus (rotator cuff muscles, deltoid, teres major, pectoralis major, latissimus dorsi, brachial, coracobrachial), flexor and extensor muscles of the elbow (biceps brachialis, brachioradialis, triceps brachialis, anconus). Respiratory muscles (diaphragm, intercostal muscles, sternocleidomastoid, serratus posterior and anterior muscles, pectoralis minor, scalene, quadratus lumborum, external / internal oblique muscle, transversus abdominus, rectus of the abdomen).
 
CARDIOVASCULAR SYSTEM. Heart, thoracic aorta, aortic arch, abdominal aorta. The Willi’s polygon. Coronary circulation. Main arteries of superior and inferior limbs. Venous system. Superior vena cava, inferior vena cava and their main branches in the thorax and abdomen. Main veins of the superior and inferior limbs. Portal circulation. Foetal circulation. Generalities on the lymphatic system.
SPLANCHNOLOGY. Systemic and microscopy anatomy of digestive, respiratory, urinary, reproductive and endocrine Systems.
NEUROANATOMY. Spinal cord: segmental and internal organization: gray matter, ascending and discending tracts. Spinals nerves, plexuses and reflex arcs. Brainstem (Medulla oblungata, Pons, Mesencephalon): internal and external structure. Cranial nerves: nuclei and innervation. Diencephalon (Thalamus, Hypothalamus, Epithalamus): internal and external structure. Thalamic nuclei. Telencephanlon: internal and external structure. Anatomical and functional organization of cerebral cortex. Allocortex. Basal Ganglia. Cerebellum: internal and external structure. Ventricular system. Meninges. Brain blood vessels and dural sinuses. Sensory system: spinothalamic, tacts, fasciculus gracilis and fasciculus cuneatus tracts, spinocerebellar tracts. Pain conduction. Visual, auditory, gustatory, olfactor and limbic system. Motor system: pyramidal and extrapyramidal tracts. Motor nuclei. Autonomic nervous system: sympathetic and parasympathetic system. Enteric nervous system.

• Martini, Timmons, Tallitsch: Human Anatomy,
• Tortora: Human Anatomy

Students are encouraged to use a Human Anatomy Atlas

Preparation of tissues for histological analysis. Microscopy, preservation of biological structures, stainings.
Epithelial tissue. General characteristics of epithelia, junctions, polarity of epithelial cells, surface specializations, basal lamina, classification of epithelia, endothelium, absorbent epithelium, pseudostratified epithelium, transitional epithelium, epidermis, glandular epithelia (exocrine and endocrine glands).
Connective tissue. Histological organization: extracellular matrix (macromolecules of the ground substance, collagen and elastic fibers) and connective cells (fibroblasts, adipocytes, macrophages, plasma cells and mast cells). The different types of connective proper: loose and dense (irregular and regular). The white and brown adipose tissue. Supportive connective tissues: cartilage (cells and extracellular matrix, hyaline, elastic and fibrous cartilage, growth and repair) and bone (cells and extracellular matrix, compact and spongy bone, osteogenesis, growth and repair). Blood: plasma and serum, cells (red blood cells, neutrophils, eosinophils, basophils, monocytes and lymphocytes), platelets, hematopoiesis. Outline of the lymphatic system.
Muscle tissue. Skeletal muscle: organization of muscle fibers, myofibrils and myofilaments, sarcomere, sarcoplasmic reticulum, neuromuscular junction, contraction mechanism, regeneration. Cardiac muscle: structure of cardiomyocytes (intercalated discs, sarcoplasmic reticulum, myofilaments), Purkinje fibers, regeneration. Smooth muscle: structure of smooth muscle cells, contractile apparatus, regeneration.
Nervous tissue. The neuron. Myelinated and unmyelinated nerve fibers. General structure of the nerves. Synapses. Glial cells.

• Bloom and Fawcett's Concise Histology”, Don W. Fawcett, Ronald P. Jensh, William Bloom – 2nd Edition - Hodder Arnold.

Patient-physician relationship; Medical geography; Medicine of Ancient Greece; Hellenistic-Roman Medicine; Pythagoras; Alcmaeon; Hippocrates; Rational medicine; Theory of humors; Aristotle; Empirical School of Alexandria; Methodical School of Alexandria; Galen; Schola Medica Salernitana; Dissection; Andreas Vesalius; Scientific Revolution; William Harvey; Ignaz Semmelweis; Edward Jenner; Vaccine; Alexander Fleming.

Lecture slides and scientific articles. Audiovisual materials and case studies
Belloni, L. (1990). Per la storia della medicina. Forni.
Porter, R. (2011). The Cambridge History of Medicine. Cambridge University Press

Basics of communication, Introduction to the THYME and SAGE models. Introduction to the study of Pedagogy’s foundations. History of Pedagogy, teaching methods, theoretical and practical aspects of the subject.

• Lecture slides and scientific articles. Audiovisual materials and case studies
• Griffiths, J. (2017). Person-centred communication for emotional support in district nursing: SAGE and THYME model. British Journal of Community Nursing, 22(12), 593-597.
• Hartley, S., Raphael, J., Lovell, K., & Berry, K. (2020). Effective nurse–patient relationships in mental health care: A systematic review of interventions to improve the therapeutic alliance. International Journal of Nursing Studies, 102, 103490.

Introduction to Social and Cultural Anthropology; Introduction to Medical Anthropology; Illness, disease and its narration; Complex health systems and Biomedicine; social suffering and health as social product; body and embodiment; audiovisual supports and case studies; slides and collection of scientific papers.

Donald Joralemon, Exploring Medical Anthropology, Pearson Education 2010
Antonio Damasio,, The strange order of Things, Pantheon Books 2018
Jane Griffiths, Person-centred communication for emotional support in district nursing: SAGE and THYME model, in British Journal of Community Nursing December 2017 Vol 22, No 12

EQUIPMENT:
Physical foundations, equipment technicians and main clinical indications: Ultrasound (US); analogic/digital radiology (RX); Computerized Bone Mineralometry (CBM); Mammography (MX); Computed Tomography (CT); Magnetic Resonance (MR); Nuclear Medicine (NM); Hybrid equipment (PET/CT); Interventional Radiology (IR); Radiotherapy (RT).
- RADIATIONS:
Natural and artificial sources of radiation. Non-Ionizing Radiation (NIR) and Ionizing Radiation (IR). Radioactivity and radioactive decay.
- RADIOBIOLOGY:
biological effects of ionizing radiation on the human species; Tissue Radiosensitivity Scale; stochastic, deterministic and genetic effects; Acute irradiation syndrome.
- RADIATION PROTECTION:
Historical and legislative premises; National and international organizations for radiation protection; The Ethical Principles of Radioprotection; Dosimetric quantities and Dosimetry; Physical Surveillance; Medical Surveillance; General and specific norms of Radioprotection; Devices for Protection against Ionizing Radiation (individual, collective, environmental); Irradiation, Contamination and Decontamination. Disposal of Radioactive Waste.
- RADIATION PROTECTION IN FERTILE AGE AND IN PREGNANCY:
Normative; Effects on the product of conception.
- HOSPITAL INFORMATIC SYSTEMS AND TELERADIOLOGY.
- ROLE OF NURSE IN INTERVENTIONAL RADIOLOGY-REFERENCES OF LEGISLATION OF RADIOPROTEZIONISTIC INTEREST:
Presidential Decree n. 185/1964; Legislative Decree 19/9/1994, n. 626; Legislative Decree 17/3/1995, 230; Legislative Decree 26/5/2000, n.187; Legislative Decree 9/4/2008, n. 81; Directive 2013/59 / EURATOM.

The slides of the lessons will be given to the students by the teacher.

• Module 1: Introduction to the Course : Course Overview ; Objectives and didactic tools of the course; Assessment method and teaching materials ; Contact Information
• Module 2: Sociology: basics : Why studying Sociology? How was it born? What is the Sociology? What does it deal with (key Theories, Paradigms)? Why the Sociologist in the Health sector?
• Module 3: From Digital Transformation to Digital Cultural Transformation: Digital Transformation and Digital Culture ; Cultural & Mindset Transformation and the Three Paradoxes of Change; An unpredictable era at the time of Covid-19; The Digital Transformation Social Mindset
• Module 4: Exploring the Digital Ecosystem via the ‘Four models’ : 1st model: From Top-down to Bottom-up (in particular); 2nd model: Connecting Dots (overview); 3rd model: Horizontality (overview) ; 4th model: Sharing (overview) ; Conclusion of the Course, Rehearsal.

Padua D., Digital Cultural Transformation. Building Strategic Mindsets via Digital Sociology. Springer Nature, 2021.
• Students who partecipated in more than 70% of written interactions in the classroom: Part 1, Chapter 2, Chapter 5; The material posted by the teacher on Webapp (Slides)
• Students who partecipated in less than 70% of written interactions in the classroom): Part 1: Chapter 1, 2, 3; Part 2: Chapter 5, 6, 7; The material posted by the teacher on Webapp (Slides)

ORGANIZATION AND PLANNING IN HEALTH:
principles and aims of health organization; organization models of health service; levels of assistance; organization of the hospital; social and health integration; local services; health planning at national and regional level; international health planning.

Material provided by the teacher.

• GENERAL PRINCIPLES OF PSYCHOLOGY
What is psychology? History of psychology
Research in Psychology
• NEUROSCIENTIFIC FOUNDATION OF PSYCHOLOGY
The brain: principles of anatomy and of physiology.
Functions, emotions and behaviors
• HIGHER MENTAL FUNCTION Higher mental functions
Thinking
Language
Intelligence
Consciousness
Learning
Memory
• LIFESPAN DEVELOPMENT
Prenatal psychology
Developmental psychology
Childhood Psychology
Adulthood Psychology
Death psychology
• PERSONALITY THEORIES
• PSYCHOPATHOLOGICAL DISORDERS
Anxiety disorders
Mood disorders
Psychotic disorders
- THE NURSE-PATIENT RELATIONSHIP

• General Psychology: Briefer Course Editore: Kessinger Pub Co Lingua: Inglese
• General Psychology: An Introduction; Tori Kearns, Deborah Lee, NOBA, 2015.

Research in Psychology
• NEUROSCIENTIFIC FOUNDATION OF PSYCHOLOGY
The brain: principles of anatomy and of physiology.
Functions, emotions and behaviors
• HIGHER MENTAL FUNCTION Higher mental functions
Thinking
Language
Intelligence
Consciousness
Learning
Memory
• LIFESPAN DEVELOPMENT
• GENERAL PRINCIPLES OF PSYCHOLOGY
What is psychology? History of psychology
Prenatal psychology
Developmental psychology
Childhood Psychology
Adulthood Psychology
Death psychology
• PERSONALITY THEORIES
• PSYCHOPATHOLOGICAL DISORDERS
Anxiety disorders
Mood disorders
Psychotic disorders
- THE NURSE-PATIENT RELATIONSHIP

• General Psychology: Briefer Course Editore: Kessinger Pub Co Lingua: Inglese
• General Psychology: An Introduction; Tori Kearns, Deborah Lee, NOBA, 2015.

Nursing perspective
- Domain of nursing knowledge
- Definition of nursing
- Health and Illness
- Caring in Nursing
- Critical thinking in Nursing Practice
- Communication

• Slides. Students must study the slides provided that should be integrated with the textbook,
• Potter & Perry (2017). Fundamentals of Nursing (9th Ed.) St. Louis, Missouri:
• The Italian Nurses' Deontological Code (2019)
• The Italian Nurses’ professional profile (Ministerial Decree No. 739. September 14, 1994)

Nursing perspective
- Domain of nursing knowledge
- Definition of nursing
- Health and Illness
- Caring in Nursing
- Critical thinking in Nursing Practice
- Communication

• Slides. Students must study the slides provided that should be integrated with the textbook,
• Potter & Perry (2017). Fundamentals of Nursing (9th Ed.) St. Louis, Missouri:
• The Italian Nurses' Deontological Code (2019)
• The Italian Nurses’ professional profile (Ministerial Decree No. 739. September 14, 1994)

• Concepts of wellness, illness, and prevention
• Nursing assessment and plan of care
• Vital signs
• Asepsis, disinfection, sterilization, hand washing
• Personal Protective Equipment (PPE)
• Patient mobilization (transfers, positioning) and safety need (fall prevention)
• Patient hygiene need
• Pressure ulcer
• Patient elimination need
• Patient nutrition need
• Patient rest and comfort need

• Potter & Perry (2017). Fundamentals of Nursing (9th Ed.) St. Louis, Missouri: Elsevier.
• Slides.

Elements of a theory
- Type of theories: grand theories, middle range theories, situation specific theories
- Florence Nightingale’s legacy of caring and its applications
- Early conceptualizations about Nursing, Virginia Henderson
- Nurse-patient relationship theory, Hildegard Peplau
- Dorothea Orem’s self-care deficit
- Middle range and situation specific theories and application in nursing practice and research
- Nursing diagnosis, clinical reasoning and the nursing process
- Nursing documentation

- Potter & Perry (2017). Fundamentals of Nursing (9th Ed.) St. Louis, Missouri: Elsevier.
- Slides
- Nursing theories and nursing practice, 4th edition, Philadelphia Davis Company (2015). Parker M.E.
- Nursing diagnosis handbook: An evidence-based guide to planning care, 12th edition, Elsevier (2019). Ackley et al.
Articoli suggeriti:
- Henderson V. (1964). The nature of nursing. The American Journal of Nursing; 64(8): 62-68.
- Riegel B., Dickson V.V. (2008). A situation-specific theory of heart failure self-care. Journal of Cardiovascular Nursing; 23(3):190-6.
- Riegel B., Jaarsma T. & Strömberg A. (2012). A Middle-Range Theory of Self-Care of Chronic Illness. Advances in Nursing Science; (35)3: 194-204.

• Excretory functions
• diuresis and diuresis disorders; urine alteration. Urine tests: urine collection for chemical and cultural examination and 24-hour urine collection, urine test strip
• temporary and permanent bladder catheterization, bladder lavage, bladder irrigation.
• bowel evacuation disorders, stool analysis, enema, manual evacuation. Stool tests: rectal swab, stool culture, fecal occult blood test
• sputum: description and interpretation. Positioning for postural drainage.
• perspiration: description and interpretation, nursing care for diaphoretic patient
• vomiting: pathophysiology, pathogenesis, observation of vomiting, nursing care for vomiting patient
• disinfectants and antiseptics
• drugs and controlled substances: types of drugs, pharmacological preparations and absorption methods, nurse's responsibility in the preparation, administration and evaluation of pharmacological therapy. Routes of administration: intravenous, intramuscular, intradermal, subcutaneous, oral, sublingual, topical, anal, vaginal, mucous.
• nursing responsibilities in drug storage and control
• pain: assessment, pain management

• Potter, P. A., Perry, A. G. E., Hall, A. E., & Stockert, P. A. (2009). Fundamentals of nursing. Elsevier mosby
• Slides.

• Excretory functions
• diuresis and diuresis disorders; urine alteration. Urine tests: urine collection for chemical and cultural examination and 24-hour urine collection, urine test strip
• temporary and permanent bladder catheterization, bladder lavage, bladder irrigation.
• bowel evacuation disorders, stool analysis, enema, manual evacuation. Stool tests: rectal swab, stool culture, fecal occult blood test
• sputum: description and interpretation. Positioning for postural drainage.
• perspiration: description and interpretation, nursing care for diaphoretic patient
• vomiting: pathophysiology, pathogenesis, observation of vomiting, nursing care for vomiting patient
• disinfectants and antiseptics
• drugs and controlled substances: types of drugs, pharmacological preparations and absorption methods, nurse's responsibility in the preparation, administration and evaluation of pharmacological therapy. Routes of administration: intravenous, intramuscular, intradermal, subcutaneous, oral, sublingual, topical, anal, vaginal, mucous.
• nursing responsibilities in drug storage and control
• pain: assessment, pain management

• Potter, P. A., Perry, A. G. E., Hall, A. E., & Stockert, P. A. (2009). Fundamentals of nursing. Elsevier mosby
• Slides.

• Blood collection, fractionation, and storage
• Complete blood count (CBC)
• The immune response: characteristics and cellular or molecular effectors
• Lymphocytes subtyping
• Use of antibodies in diagnostics
• Immunopathologies and their diagnosis
• Immunohematology and blood groups
• Inflammation biomarkers
• Evaluation of haemostatic capabilities
• Haemoglobin and anaemias
• Bilirubin and jaundice
• Clinical enzymology
• Plasma lipids
• Urine analysis
• Tumour markers.

• Damjanov, I., Perry, A. M., & Perry, K. (2021). Pathology for the Health Professions-E-Book. Elsevier Health Sciences
• Kee, R.N., LeFever, J. (2017). Laboratory and Diagnostic Tests with Nursing implications. (10th Edition). PEARSON Editor
• Slides and materials delivered by the teacher.

- Aetiology and cellular pathology: health and disease concepts, aetiology and pathogenesis. Diseased caused by chemical physical or biological agents: Molecular mechanisms of pathogenicity.
• Cellular adaptations of growth and differentiation: hyperplasia, hypertrophy, atrophy, metaplasia. Cellular damage: reversible and irreversible. Cell death: necrosis, apoptosis.
• Inflammation: Definition of inflammation. Acute inflammation. Chemical mediators of inflammation. Cells involved in inflammation. Chemotaxis and phagocytosis. Exudation: different types of exudate. Distinctive features between acute and chronic inflammation. Chronic inflammation. Granulomas. Distinctive features between acute and chronic inflammation. End of inflammation.
• Tissue renewal and repair. Regeneration, healing, and fibrosis.
• Changes in thermogenesis: The organism's general response to heat and cold. Causes of fever. Course and types of fever.
• Oncology: Nomenclature of tumors. Biology of tumor growth: benign and malignant neoplasms. Molecular basis of cancer. Metastasis.
• - Concept of Hemostasis disorders. Hemodynamic disorders. Thrombosis, embolism. Infarction. Shock. Hypertension, atherosclerosis. Red blood cells disorders.
• - Concept of physiopathology of the liver: causes of acute and chronic inflammations; hepatitis; cirrhosis and ascites formation; liver failure.
• - Concept of kidney physiopathology: causes of acute and chronic inflammations; glomerulonephritis and kidney failure.
• - Concept of lung physiopathology: causes of acute and chronic inflammations; bronchitis, pneumonia, tuberculosis.

Pathology for the Health Professions, 4th Edition, Ivan Damjanov MD PhD. Elsevier.

Aetiology and cellular pathology: health and disease concepts, aetiology and pathogenesis. Diseased caused by chemical physical or biological agents: Molecular mechanisms of pathogenicity.
• Cellular adaptations of growth and differentiation: hyperplasia, hypertrophy, atrophy, metaplasia. Cellular damage: reversible and irreversible. Cell death: necrosis, apoptosis.
• Inflammation: Definition of inflammation. Acute inflammation. Chemical mediators of inflammation. Cells involved in inflammation. Chemotaxis and phagocytosis. Exudation: different types of exudate. Distinctive features between acute and chronic inflammation. Chronic inflammation. Granulomas. Distinctive features between acute and chronic inflammation. End of inflammation.
• Tissue renewal and repair. Regeneration, healing, and fibrosis.
• Changes in thermogenesis: The organism's general response to heat and cold. Causes of fever. Course and types of fever.
• Oncology: Nomenclature of tumors. Biology of tumor growth: benign and malignant neoplasms. Molecular basis of cancer. Metastasis.
• - Concept of Hemostasis disorders. Hemodynamic disorders. Thrombosis, embolism. Infarction. Shock. Hypertension, atherosclerosis. Red blood cells disorders.
• - Concept of physiopathology of the liver: causes of acute and chronic inflammations; hepatitis; cirrhosis and ascites formation; liver failure.
• - Concept of kidney physiopathology: causes of acute and chronic inflammations; glomerulonephritis and kidney failure.
• - Concept of lung physiopathology: causes of acute and chronic inflammations; bronchitis, pneumonia, tuberculosis.

Pathology for the Health Professions, 4th Edition, Ivan Damjanov MD PhD. Elsevier.

• Characteristics of the main infection agents. Vital associations: commensalism, mutualism, parasitism. Associated microbial flora. Generalities on infection diseases: infectious ratio, infection and disease, endogenous infection, exogenous infections, opportunistic infections.
• Concept of innate immunity and acquired immunity. Role of the immune response in different infections. Survival of infection agents to immunity mechanisms. Principles of microbiological diagnostics.
• The bacterial cell: structure and essential functions. Gram negative and Gram positive. The bacterial spore. Cultivation of bacteria: growth and development of bacterial populations. Elements of bacterial genetics: mutations and mechanisms of genetic recombination. Principles of pathogenicity and virulence. Bacterial toxins: exotoxins and endotoxins. Mode of action of the main antibacterial drugs. Resistance to chemotherapy and antibiotics. Examples of bacteria of medical interest and associated diseases.
• Nature, methods of study and classification of viruses. Composition and architecture of the viral particle. Cultivation of viruses. Virus-cell relationship: productive infection, transforming infection. Virus-to-host relationships: acute, persistent, latent, slow infections. Pathogenic mechanisms in viral infections. Vaccines and basis of antiviral chemotherapy. Examples of viruses of medical interest and associated diseases.
• Habitat and morphology of fungi (yeasts, mycelial fungi). Fungal cell structure. Examples of fungi of medical interest and associated diseases.
• The protozoa cell: morphology and structure. Main characteristics of Helminths and Arthropods. Examples of parasites of medical interest and associated pathologies.

The basics of Microbiology
Authors: Richard A. Harvey, Pamela C. Champe Bruce D. Fisher

The module will consider the following topics:
1.  Taking a history
2. Vital signs
3.  Pain
4.  Explaining diagnosis and management
5.  Discussing treatment with patients
6.  The hospital
7.  Pre-operative patient assessment
8.  Post-operative patient assessment
9. Patient discharge
10.  Breathing problems
11.  Communicating
12.  Personal care
13.  Elimination 
14.  Eating and drinking
15.  Mobility
16.  Wound care
17.  Sexuality and gynaecology
18.  Medical imaging
19.  Heart problems
20.  Diabetes care
21.  Intravenous infusions
22.  Cancer treatment
Students will also be given the chance to practise the language of both telephone conversations and oral presentations.

• Rotatori, A. (2020). Parlare e comprendere l’inglese contemporaneo della medicina e infermieristica. EdiSES Università
• Wells, J. (2008). Longman Pronunciation Dictionary (3rd edition). Longman
• Further materials will be made available as handouts before lectures.

• history of ancient and modern pharmacology
• basic principles of clinical pharmacology
• pharmacokinetics and pharmacodynamics and absorption mechanisms
• classification of the active substances according to their composition and specificity of action
• mechanisms of action, efficacy and adverse reactions of the main classes of drugs, in particular, anti-inflammatories and analgesics, antibiotics, antiparasitics, antifungals, antivirals.
• pharmacokinetic and pharmacodynamic basic principles of antiviral agents and specific treatment for COVID-19 patients

Pharmacoloy book as Goodman & Gilman's The Pharmacological Basis of Therapeutics
Textbook by Alfred G. Gilman, Alfred Gilman Sr., and Louis S. Goodman, slide sets and original articles from selected international journals

• Monitoring in Intensive Care Unit
• Organ failure. Physiopathology and treatment
• Mechanical Ventilation
• Extracorporeal removal techniques
• The patient in shock
• Stupor and coma

• Adam, S. K., & Osborne, S. (2005). Critical care nursing: science and practice. Oxford University Press.
• Bersten, A.D., Soni, N., Oh, T.E. (2004). Oh : manuale di terapia intensiva. Elservier
• Burns, S. M., & Delgado, S. A. (2019). AACN essentials of critical care nursing. McGraw Hill Education..
• Giusti, G. D., & Benetton, M. (2015). Guida al monitoraggio in area critica. Maggioli Editore
• Torri, G., Molzo, E. (2022). Assistenza infermieristica in anestesia. Antonio Delfino Editore, 2 Ed.
• slide e articoli orginali

MANAGEMENT OF THE SURGICAL PATIENT
SHOCK
ACUTE ABDOMEN
SURGICAL WOUNDS
DEEP VENOUS THROMBOSIS
SURGICAL DRAINAGE
SURGICAL INFECTIONS
COMPLEX TRAUMAS
BREAST DISEASES

COMPENDIO DI CHIRURGIA per le professioni sanitarie (Giuseppe Sica – Universitalia)
OXFORD HANDBOOK OF SURGICAL NURSING (Alison Smith)

• Fever
• Headache
• Asthenia
• Arthralgias
• Cough
• Dyspnoea
• Nausea, Vomiting
• Jaundice
• Disorders of alvo
• Disorders of diuresis
• Hypertension
• Arrythmias

• Jameson et al. (2019). Harrison’s Manual of Medicine, McGraw Hill 20th Ed.
• Loscalzo, J. (2022). Harrison’s Principles of Internal Medicine, McGraw Hill, 22nd Ed.
The less recent editions of the textbook are accepted.

• Nursing care plan for patients with respiratory tract diseases: pneumonia, bronchiectasis, chronic obstructive pulmonary disease
• Nursing care plan for patients with heart disease: angina pectoris, myocardial infarction, pacemaker, heart failure
• Nursing care plan for patients with hematological diseases: hematological disorders, leukemia, hemophilia, bone marrow transplant
• Nursing care plan for patients with gastric and duodenal diseases: gastritis, peptic ulcer, stomach neoplasia, diverticulitis, chronic inflammatory bowel disease
• Nursing care plan for patients with metabolic and endocrine disorders: liver cirrhosis, with diabetes, Cushing's syndrome, acute pancreatitis
• Nursing care plan for patients with pathology of renal and urinary function: lower urinary tract infections, kidney stones, nephrotic syndrome, kidney failure
• Nursing care plan for patients with pathology of the immunological function: AIDS, rheumatic pathology
• Nursing care plan for patients with skin disease: psoriasis, malignant melanoma, Kaposi's sarcoma
• Nursing care plan for patients with sensory and neurological system dysfunctions: neurological disorders, stroke, multiple sclerosis, Parkinson's disease, epilepsy, head injury, spinal cord injury, paraplegia, Guillain-Barrè syndrome
• Nursing care plan for patients with infectious diseases and sexually transmitted diseases

• Doenges, Moorhouse & Morr (2014). Nursing Care Plans: Guidelines for Individualizing Client Care Across the Life Span (9th Ed.) Philadelphia: F. A. Davis Company
• Slides. Students must study the slides provided that should be integrated with the textbook,

• acceptance of the patient in the surgical unit and compilation of the nursing documentation for election treatment and urgency procedure
• pre - operative care plan: preparation of the patient during the pre-anesthesia phase, safety transport to the operating room  
• plan of assistance in post-operative phase, assistance during the recovery phase, pain management, vital signs monitoring and central venous pressure  
• preparation of the surgical bed-unit, control of the vital signs, control of the drainages (by gravity and by suction) 
• treatment of the surgical wound, wound dressing protocols of aseptic and septic injuries  
• gastric and duodenal probing for diagnostic and therapeutic purposes; emergency treatment for esophageal varices hemorrhage: Sengstaken-Blakemore probe  
• assistance to the patient with bleeding; shock, blood transfusion, blood products and autotransfusion: transport, storage and preparation; assistance during blood transfusion  
• nutrition through: nasogastric tube, gastrostomy; continuous enteral feeding; total parenteral nutrition  
• assistance to the patient with ostomy  

• Alloni, R., Destrebecq, A., Gianotti, L., & Poma, S. (2005). Infermieristica clinica in chirurgia. Ulrico Hoepli.
• Brunner, L. S. (2010). Brunner & Suddarth's textbook of medical-surgical nursing (Vol. 1 e 2). Lippincott Williams & Wilkins.
• Doenges, Moorhouse & Morr (2014). Nursing Care Plans: Guidelines for Individualizing Client Care Across the Life Span (9th Ed.) Philadelphia: F. A. Davis Company.
• Potter & Perry (2017). Fundamentals of Nursing (9th Ed.) St. Louis, Missouri: Elsevier.
• Slides. Students should study the delivered slides and supplement them with the textbook.

• Nursing care plan for patients with respiratory tract diseases: pneumonia, bronchiectasis, chronic obstructive pulmonary disease
• Nursing care plan for patients with heart disease: angina pectoris, myocardial infarction, pacemaker, heart failure
• Nursing care plan for patients with hematological diseases: hematological disorders, leukemia, hemophilia, bone marrow transplant
• Nursing care plan for patients with gastric and duodenal diseases: gastritis, peptic ulcer, stomach neoplasia, diverticulitis, chronic inflammatory bowel disease
• Nursing care plan for patients with metabolic and endocrine disorders: liver cirrhosis, with diabetes, Cushing's syndrome, acute pancreatitis
• Nursing care plan for patients with pathology of renal and urinary function: lower urinary tract infections, kidney stones, nephrotic syndrome, kidney failure
• Nursing care plan for patients with pathology of the immunological function: AIDS, rheumatic pathology
• Nursing care plan for patients with skin disease: psoriasis, malignant melanoma, Kaposi's sarcoma
• Nursing care plan for patients with sensory and neurological system dysfunctions: neurological disorders, stroke, multiple sclerosis, Parkinson's disease, epilepsy, head injury, spinal cord injury, paraplegia, Guillain-Barrè syndrome
• Nursing care plan for patients with infectious diseases and sexually transmitted diseases

• Doenges, Moorhouse & Morr (2014). Nursing Care Plans: Guidelines for Individualizing Client Care Across the Life Span (9th Ed.) Philadelphia: F. A. Davis Company
• Slides. Students must study the slides provided that should be integrated with the textbook,

Assistance plan for the patient with pathologies of the respiratory tract subjected to surgery: laryngectomy, chest surgery  
Assistance plan for patients with heart pathological conditions subjected to surgery: cardiac surgery, cardiac transplantation, surgery of large vessels (Aneurysms), general vascular surgery, principles of wound care  
Assistance plan for the patient with pathologies of the digestive tract subjected to surgery: oral cavity, ligation of esophageal varices, duodenocephalus pancreasectomy, esophageal reconstruction on caustic burns, gastric surgery, colonstomy or ileostomy  
Assistance plan for the patient with metabolic and endocrine disorders subjected to surgery: liver transplant, cholecystectomy, removal of the spleen, thyroidectomy, mastectomy  
Assistance plan for the patient with pathology of renal and urinary function subjected to intervention of: kidney stones, urinary derivation (nephrostomy / urostomy), renal transplant  
Patient care plan with dysfunctions of the central neurological system subjected to surgery: endocranial, cervical surgery
Assistance plan for patients with dermatological diseases of surgical interest   
Assistance plan for burn patients  

Brunner, L. S. (2010). Brunner & Suddarth's textbook of medical-surgical nursing (Vol. 1 e 2). Lippincott Williams & Wilkins.
Dougherty, L. (Ed.). (2015). The Royal Marsden manual of clinical nursing procedures. John Wiley & Sons.

Introduction to statistics
Reality observation: clinical observation and epidemiological observation
Descriptive statistics and inferential statistics
Quantitative and qualitative variables
Absolute, relative and percentage frequency
Tables, diagrams and graphs
Statistical indices: measures of central tendency and dispersion
Central limit theorem
The normal curve (Gaussian) and its properties
Statistical inference: null hypothesis and alternative hypothesis, the value of p, the statistical association
Association and causality
Hypothesis testing and introduction to statistical significance tests
Correlation

Essential Biostatistics: A Nonmathematical Approach" di Harvey Motulsky, di Oxford Press

• definition and purpose of epidemiology;
• notes on demography and health statistics;
• epidemiological methodology: rates, mortality and morbidity measures, prevalence and incidence, association measures;
• descriptive, analytical and investigative epidemiology, transversal, retrospective and prospective investigations;
• experimental and general epidemiology of infectious diseases and non-infectious diseases;
• global health and health determinants.

Fairchild, A. L., Dawson, A., Bayer, R., & Selgelid, M. J. (2017). The world health organization, public health ethics, and surveillance: Essential architecture for social well-being. American journal of public health, 107(10), 1596-1598.

• identification and definition of the research problem
• ethical problems in research;
• formulation of research hypotheses and questions;
• theory and research;
• selection of the research design: quantitative and qualitative;
• sample selection;
• measurement principles;
• validity and reliability of measuring instruments
• methods of data collection;
• data analysis;
• interpretation and dissemination of results;
• criticism of quantitative and qualitative research;
• phenomenological research;
• use of research in practice.
• EBN evidence-based nursing, protocol and procedure processing

Polit & Beck (2017). Essentials of Nursing Research: appraising evidence for nursing practice (9th Ed.). Wolters Kluver; Phila, Pa.

• The concept of health and its determinants.
• International documents on which public health is based on: declaration of Alma-Ata (1978) and Ottawa Charter for Health Promotion (1986).
• Definition of public health.
• Definition and identification of public health systems.
• The ten essential public health services.
• The definitions and characteristics of essential public health functions, with a special focus on the prevention function of diseases in general population and promotion health function.
• The role of ethics in public health: WHO ethical guidelines in the context of public health surveillance and ethical decision-making.
• The role of nursing and of nurse in public health: objectives, public health nursing model.
• The role of family nurse.
• The role of nursing and nurses during a pandemic.
• Planning process and implementation of public health interventions: identification of needs, risk factors and interventions with public health nursing interventions model.
• The concept of public health education: purpose according to WHO and characteristics.
• Prochaska e Di Clemente (1972) model for changing dysfunctional behaviors.
• Design of an educational plan: objectives, strategies, methods and tools.

Bettcher, D. W., Sapirie, S., & Goon, E. H. (1998). Essential public health functions: results of the international Delphi study. World Health Stat Q, 51(1), 44-54.
Centers of Disease Control and Prevention. (2018). The Public Health System & the 10 Essential Public Health Services. Retrieved 17/09/2019, 2019, from https://www.cdc.gov/publichealthgateway/publichealthservices/essentialhealthservices.html
Fairchild, A. L., Dawson, A., Bayer, R., & Selgelid, M. J. (2017). The World Health Organization, Public Health Ethics, and Surveillance: Essential Architecture for Social Well-Being. Am J Public Health, 107(10), 1596-1598. doi: 10.2105/ajph.2017.304019
Keller, L. O., Strohschein, S., Lia-Hoagberg, B., & Schaffer, M. (1998). Population-based public health nursing interventions: a model from practice. Public Health Nurs, 15(3), 207-215.
Kuss, T., Proulx-Girouard, L., Lovitt, S., Katz, C. B., & Kennelly, P. (1997). A public health nursing model. Public Health Nurs, 14(2), 81-91.
Martin-Moreno, J. M., Harris, M., Jakubowski, E., & Kluge, H. (2016). Defining and Assessing Public Health Functions: A Global Analysis. Annu Rev Public Health, 37, 335-355. doi: 10.1146/annurev-publhealth-032315-021429
Merrick, J. (2013). Public health in a global context. Frontiers in public health, 1, 9.
Stanhope, M., & Lancaster, J. (2015). Public health nursing-e-book: Population-centered health care in the community: Elsevier Health Sciences.

Binary system and information codification, input and output, boolean operators.
Computer architecture, CPU, memories;
Software: operating systems, application software;
Word processor (Microsoft Word), including bibliography, citations and references;
Spreadsheet (Microsoft excel);
Computer networks, Internet, e-mail, World Wide Web;
Academic databases and search engines;

Joos, D. Wolf, R. Nelson, “Introduction to Computers for Healthcare Professionals” seventh edition, 2019, Jones & Bartlett Learning, ISBN 978-1284194708

• Epidemiology of cancer and prevention
• Prognostic and predictive risk factors
• Carcinogenesis, cancer growth and proliferation, cancer immune tolerance
• Assessment and investigations of patients with cancer, including history, physical examination, laboratory and imaging techniques. Performance Status Evaluation (Karnofsky and ECOG scores)
• Tumour staging
• Principles of therapy of oncological diseases and clinical effects of therapeutic approaches used: Surgery, radiotherapy, cytotoxic approach (neoajuvant, adjuvant, metastatic and palliatives approaches), target therapy and immune anti-cancer agents. Drug resistance
• Management of medical emergencies and complications resulting from cancer or its treatment.

• Oncology Nursing Society (ONS), Brant, J.M. (2019). Core Curriculum for Oncology Nursing-E-Book. Saunders; 6th edition
Scientific articles published in international journals on the topics will be made available from time to time.

Introduction to the pathophysiology of the main internist pathologies:
Acute and chronic heart failure, distirodism,
Acute and chronic respiratory failure, cardiac implantable devices. The pathophysiological aspects of each pathology will be treated with particular interest in clinical, instrumental and laboratory diagnostic pathways for each pathology. Finally, the pharmacological and interventional therapeutic process will be evaluated for each pathology treated, and the function of the nurse in the path of care of the affected patient.

Dennis L. Kasper, Anthony S. Fauci, Dan L. Longo. "Harrison. Principles of Internal Medicine. "Ambrosiana Publishing House. Distribution Zanichelli, 19th edition, 2016.

• Bases of anatomy of the urogenital apparatus and physiology of urination.
• Semeiotic bases of the urogenital system
• Symptoms and dysfunctions of the low urinary tract (retention and urinary incontinence)
• Complicated and uncomplicated urinary infections
• Urinary calculi, hydronephrosis.
• Main characteristics of tumors of the urogenital system
• Urological urgencies
• Bladder catheterization and other urinary drainages
• Urostomies: management and complications.

• Bassi, P. (2008). Urologia. Cortina Padova Libreria Internazionale
• Carrieri, G. (2010). Manuale di Urologia ed Andrologia. Pacini Editore.
• Lajiness, M., Quallich, S. (2016). The nurse practitioner in urology. Springer; 1st ed.
• Scientific articles published in international journals on the topics will be made available from time to time.

• Surgical Basic Principles
• Shock
• Metabolism in surgical patients
• Wound Healing
• Inflammatory Response

• Preoperative Surgery
• Principles of Preoperative and Operative Surgery
• Surgical Infections and choice of antibiotics
• Surgical complications
• Anesthesiology principles, pain management
• Minimally invasive surgery

• Trauma and Critical care
• Management of acute trauma

• Transplantation
◦ Transplantation and Immunology
◦ Transplantation of solid organs
• Head and Neck
◦ Thyroid
◦ Parathyroid

• Breast
◦ Diseases of the breast
◦ breast tumors

• Endocrine Surgery
◦ Endocrine pancreas
◦ Adrenal glands
◦ MEN

• Esophagus
◦ Hiatal Hernia and GERD
◦ Esophageal motility Disorders
◦ Esophageal neoplasms

• Abdomen
◦ Hernias
◦ Stomach
◦ Small Intestine
◦ Acute Intestinal Hemorrhages
◦ Acute Abdomen
◦ Appendix
◦ Colon and Rectum
◦ Anus
◦ The Liver
◦ Biliary Tract
◦ Exocrine pancreas
◦ Spleen

-
• The Chest
◦ Lung
◦ Lung neoplasms

• Gynecology Surgery
• Vascular Surgery
• Pediatric surgery

1. SABISTN TEXTBOOK OF SURGERY The biological basis of modern surgical practice. Elsevier Saunders. 20TH EDITION
2. The Washington Manual of Surgery 2016. Lippincott Williams & Wilkins

1. Review of anatomy, physiology and immunity of gastrointestinal system


2. Critical approach to patients with symptoms and signs
a. abdominal pain
b. dysphagia and other esophageal symptoms
c. dyspesia
d. nausea and vomiting
e. diarrhea
f. intestinal gas
g. fecal incontinence
h. constipation
i. gastrointestinal bleeding
j. jaundice

3. Esophagus
a. gastroesophageal reflux and its complications
b. esophageal disorders caused by infection

4. Stomach and duodedum
a. gastritis and peptic ulcer
b helicobacter pylori
c. tumors of the stomach

5. Pancreas
a. acute and chronic pancreatitis
b. tumors of the pancreas
Biliary Tract
a. gallstones disease
b. sclerosing cholangitis and pyogenic cholangitis
c. endoscopic and radiologic treatment of biliary disease (seminar)

7. Liver
a. biochemical liver tests
b. infections of the liver
c. alcoholic liver disease
d. non-alcoholic liver disease
e. drug-induced liver disease
f. cirrhosis and complications
g. liver tumors
h. liver transplantation
i. liver biopsy and diagnosis of fibrosis (seminar)


8. Small and Large Intestine
a. gut microbiota
b. infectious diarrhea and intestinal protozoa
c. celiac disease
d. inflammatory bowel diseases
e. tumors of large intestine
f. gastrointestinal endoscopy procedure (seminar)
9. Psycosocial Factors in gastrointestinal disease

Malattie dell’Apparato Digerente edizione 2019-2022 UNIGASTRO
For further details, to consult:
Sleisenger & Fordtran’s Gastrointestinal and Liver Disease Ed. Saunders

• General aspects on Infectious Diseases
• Infection and infectious disease
• The chain of transmission
• The body's defenses against infectious diseases
• Diagnostic procedure and guiding concepts of therapy, types of isolation
• Globalization and infectious diseases
• The Infectious syndromes (epidemiology, etiology, clinical, diagnostic and diagnostic and therapeutic aspects)
• Sepsis and endocarditis
• SIRS, sepsis, septic shock
• Acute respiratory syndrome
• Acute neurological syndrome
• Meningitis and infectious encephalitis
• Diarrheal syndrome
• Acute jaundice syndrome
• Febrile exanthematous syndromes
• Feverish syndromes returning from the tropics
• HIV infection / AIDS
• Viral hepatitis

WHO-EU. Infections and infectious diseases A manual for nurses and midwives in the WHO EuropeanRegion. WHO 2001 Disponibile gratis all’indirizzo: http://www.euro.who.int/__data/assets/pdf_file/0013/102316/e79822.pdf
Scientific papers published by international journals on the topics covered will be made available.

• Physiology of pregnancy:
• diagnosis of pregnancy
• main physiological modifications
• clinical care to ensure the well-being and evolution of pregnancy.
• Main pregnancy's pathology:
• definition, symptoms and care required for:
• causes of bleeding (abruptio placenta, placenta praevia and other causes)
• cases of preterm labor and delivery (cervical incontinence and premature rupture of membranes)
• pre-eclampsia and eclampsia
• gestational diabetes
• Labor and delivery:
• diagnosis of labor
• phase of labor - delivery and proper care
• cardiotocography
• main emergency during labor and delivery (shoulder dystocia, cord prolapse, uterine atony and post-partum hemorrhage)
• Physiological newborn and first care
• Puerperium and feeding:
• definition and care
• Miscarriage:
• Definition
• classification and nursing care of the woman during hospitalization
• Respiratory diseases: Adenoid hypertrophy, pharyngitis, laryngitis and epiglottis, bronchiolitis, asthma, pneumonia, cystic fibrosis.
• Digestive diseases:Gastro-esophageal reflux, gastroenteritis, celiac disease, inflammatory bowel diseases

• Macdonald, S., & Johnson, G. (Eds.). (2017). Mayes' Midwifery E-Book. Elsevier Health Sciences
• Perricone, C., & Shoenfeld, Y. (Eds.). (2019). Mosaic of autoimmunity: the novel factors of autoimmune diseases. Academic Press

• Normal and pathologic newborn; care of the newborn at birth;
• main pediatric diseases of the respiratory system: bronchial asthma, bronchiolitis, acute otitis,
• major pediatric diseases of the digestive tract: infant colic, acute gastroenteritis, celiac disease, chronic inflammatory diseases;
• major pediatric urinary tract diseases: urinary tract infection, glomerulus post- streptococcal nephritis;
• pediatric fever, meningitis, and febrile convulsion;
• childhood infectious exanthems, and vaccinations;
• major heart malformations;
• major rheumatological diseases of the pediatric age;
• basic skills of pediatric oncohematology;
• main syndromic condition of pediatric age; physiological and pathological puberty.

• Abzug, M.J., Myron, J.L., Deterding, R.R., Hav, W.W. (2016). Current Diagnosis & Treatment. McGraw-Hill Professional.
• Dusenbery, S. M., & White, A. (Eds.). (2016). The Washington manual of pediatrics. Lippincott Williams & Wilkins
• Marcdante, K., & Kliegman, R. M. (2019). Nelson essentials of pediatrics e-book. Elsevier Health Sciences
• Zuccotti, G.V. (2017). Elementi essencialio di pediatria per corsi di laurea triennali. Esculapio.

• Anatomy of the female genital apparatus
• Biological bases of reproductive function, ovarian and menstrual cycle
• Gynecological, clinical and instrumental diagnostics (gynecological objective examination, oncological cytodiagnostics,
• colposcopy, gynecological ultrasound, radiological examinations in gynecology, hysteroscopy, gynecological laparoscopy)
• Menstrual changes; anovulation; dysmenorrhea
• Puberty and menopause
• Amenorrhea, hirsutism and polycystic ovary syndrome
• Contraception (hormonal; intrauterine devices; sterilization)
• Phlogosis of the female genital system (vaginitis, pelvic inflammatory disease)
• Pelvic floor disease (urinary incontinence, uterine-vaginal prolapse)
• Sexually transmitted diseases
• Endometriosis
• fibroids
• Diagnosis and therapies of infertility. Assisted reproduction techniques
• Screening of cervicocarcinoma; HPV, Pap smear, dysplastic lesions
• Carcinoma of the uterine cervix: diagnosis, staging and therapy
• Benign pathology of the endometrium (polyps, hyperplasia)
• Carcinoma of the endometrium and uterine sarcoma
• Ovarian cysts
• Ovarian tumors (benign, borderline and malignant)
• Vulvar dystrophic lesions and carcinoma of the vulva
• Trophoblastic neoplasms (hydatiform mole, choriocarcinoma)
• Trophoblast and autoimmune related diseases
• Main gynecological interventions (myomectomy, hysterectomy, appendix interventions, laparoscopy)
• Fertilization and planting
• Surveillance protocol of physiological pregnancy
• Ultrasound in pregnancy: basic principles and notions in obstetric ultrasound diagnostics
• Assessment of fetal well-being: cardiotocography; fetal biophysical profile; Doppler velocimetry
• Labor and delivery
• Physiology of the puerperium
• Prenatal diagnosis: diagnostic techniques (amniocentesis, villocentesis, cordocentesis) and screening.
• Puerperium and breastfeeding
• Infections in pregnancy: viral infections (cytomegalovirus, rubella, parvovirus, HIV), toxoplasmosis, syphilis
• Diabetes in pregnancy
• Hypertension in pregnancy
• Thyroid disease in pregnancy
• Multiple pregnancy
• Preterm birth
• Post-term pregnancy
• Extrauterine pregnancy
• Abortion
• Law 194
• Placenta previa and placental detachment
• Amniotic fluid disorders (oligohydramnios, polydramnios)
• Alloimmunization Rh, ABO isoimmunization

Macdonald, S., & Johnson, G. (Eds.). (2017). Mayes' Midwifery E-Book. Elsevier Health Sciences

• Role of nurse in caring the newborn, child and the family
• Assessment of the newborn and infant
• Normal term newborn
• Neonatal screening
• Infant hygiene
• Newborn infant unit
• Vital parameters, venous and capillary blood draw
• Mother/baby care for breastfeeding and artificial feeding
• Newborn care in the first hours after birth: primary resuscitation, umbilical vein catheterization
• The neonatal intensive care unit (NICU)
• Systems assessment and management of disorders
• Care to premature infants, phototherapy, neonatal exchange transfusion, infectious diseases
• Vascular access
• Baby Cooling

Di Carole K (2014). Comprehensive Neonatal Nursing Care (5th Ed.). New York: Springer Publishing Company.
Nicki L. Potts, Barbara L Mandleco (2012). Pediatric Nursing: Caring for Children and Their Families (3rd Ed.) New York: Delmar Cengage Learning.

• Historical and epistemological foundations of psychology
• Developmental psychology in the life cycle/Evolutionary psychopathology
• Psychopathology and cognitive-behavioral clinical psychology
• Integrated psychophysiology of human behavior
• Applied neuropsychology
• Genetics, neuropsychopharmacology and clinical psychiatry
• Social and communication psychology
• Psychology of rehabilitation and psychosocial interventions

Blaney P. et al. Oxford Textbook in Clinical Psychology, 2014

• Elements of the history of psychiatry: the laws of psychiatric care, the organization of assistance from the asylum to the Department of Mental Health
• Organization of services and legislation in psychiatry, law 180/78, compulsory health procedure - TSO
• Theoretical guidelines in the psychiatric field and models of mental illness.
• Prevention in the area of mental health, the culture of "healing" and resilience.
• Defence mechanisms and psychological reactions to the disease
• Psychosomatics and the biopsychosocial model of disease
• The main psychopathological frameworks
• Pharmacological therapies - drugs and their expected and undesirable effects - cardiometabolic risk
• Psychotherapeutic approaches (different settings and methodologies)
• Pathological dependencies and comobility - principles of nursing care - rehabilitation in the field of mental health - models of intervention The reception and the first contact with the patient in the different structures of the DSM , hospital psychiatric wards "open door" and "no restraint")
• The patient's take-up in the multi-professional team, case management, care planning, home intervention, integrated profile of care
• The relationship with the patient and his family
• Counseling and psychotherapy
• Basic Communication Skills and Help Report: Definition and Psychological Concepts of Reference
• Therapeutic Education to the Psychiatric Patient and His Family; Medication administration (relational aspects, adverse effects management)

• Keltner, N.L., Steele, D. (2018). Psychiatric Nursing. Mosby, 8 edizione.
• Teaching materials provided by the lecturer

• Introduction to psychiatry
• Notes on history of psychiatry
• Elements of psychopathology
• The main psychiatric disorders:
• Schizophrenia
• Mood disorders
• Anxiety disorders
• Obsessive Compulsive Disorder
• Disorders associated with traumatic or stressful events
• Personality disorders
• Hysteria and disorders with somatic symptoms
• Eating disorders
• Substance Use Disorder and Behavioral Addictions
• Treatments in psychiatry:
• Principles of psychopharmacology
• Main psychotherapeutic guidelines
• Legislation and organization of territorial psychiatric assistance

• Ahuja, N. (2011). A short textbook of psychiatry : 20th year edition. Jaypee Brothers Medical Pub; 7° edizione
• Teaching materials provided by the lecturer

Use of anesthetics. Management of preanesthesia phase in surgical specialties. Techniques for peripheral and central venous catheterization. Organ failure. Physiopathology and treatment. Mechanical Ventilation. Extracorporeal removal techniques. The patient in shock. Stupor and coma. Brain death.

Anesthesiology textbooks, professor’s notes

Lipothymia and syncope. Shock. Heart failure. Arrythmias. Acute abdomen. Stroke. Bleeding. Poisonings. Traumas. Epidemics and pandemics. Disaster Medicine.

• Bersten, A. D., Soni, N. (2015). Oh. Manuale di terapia intensiva (6° ed.). Elsevier Masson.
• Tintinalli, J. E., Ma, O. J., Yealy, D. M., Meckler, G. D., Stapczynski, J. S., Cline, D. M., Thomas, S. H., (2019). Tintinalli's Emergency Medicine: A Comprehensive Study Guide (9° ed.). McGraw-Hill Education.

FUNDAMENTAL CONCEPTS
Overview of critical care nursing: Definition of critical care nursing, Evolution of critical care, Professional organizations, Critical care nurse characteristics, Nursing care models in critical care settings, Primary Nursing in the intensive care unit (ICU).
Patient and family response to the critical care experience: The critical care environment, The critically ill patient, Family members of the critically ill patient, Transfer of the critically ill patient.
TOOLS FOR THE CRITICAL CARE NURSE
The use of Early Warning Scores (EWS) for the identification of clinical deterioration
Comfort and Sedation in critical care: Assessment of pain and anxiety, Pain measurement tool, Anxiety and sedation Measurement tools, Continuous monitoring of sedation, Management of pain and anxiety, Substance abuse.
The risk of falls in the ICU
Management of enteral nutrition in critical care: Nursing assessment of Nutritional Status, Enteral Nutrition and enteral access devices, Administering a tube feeding, Drug-Nutrient Interactions, Complications of Nutritional Support.
Management of fluid in critical care: Composition and regulating of body fluid, Intravenous solutions, Intravenous catheters (peripheral and central catheters), Management of venous catheters’ exit site, Intravenous infusion equipment, Devices to control infusions, Adverse events from infusion catheters.
Hemodynamic Monitoring: Hemodynamic monitoring modalities (invasive, non invasive), Direct arterial pressure monitoring. Central venous pressure monitoring.
Ventilatory Assistance in critical care: Physiology of breathing and respiratory mechanics, Nursing respiratory assessment, Arterial blood gas test and its interpretation, Oxygen administration, Oxygen delivery devices, Airway management, Endotracheal intubation, Tracheostomy, Endotracheal suctioning, Mechanical ventilation, Positive-pressure ventilation, Noninvasive positive-pressure ventilation, Respiratory monitoring during mechanical ventilation, Complications of mechanical ventilation, Nursing care during mechanical ventilation, Communication during mechanical ventilation, Weaning patients from mechanical ventilation, Extubation.
Rapid response teams and clinical emergency management: Rapid response teams, Basic life support, Advanced cardiac life support, Recognition and treatment of dysrhythmias, Electrical therapy, Pharmacological interventions during an emergency, Documentation of nursing in the critical care setting (PAI – Professional Assessment Instrument).
NURSING CARE DURING SPECIFIC CRITICAL SITUATIONS
The nursing role in the Covid-19 ICU, Chest trauma and nursing management of pleural drainage.

Sole, M. L., Klein, D. G., & Moseley, M. J. (2013). Introduction to Critical Care Nursing (6th ed.). St. Louis, Mo: Elsevier/Saunders.
Berman, A., Snyder, S. J., & Frandsen, G. (2016). Kozier & Erb’s fundamentals of nursing: concepts, process, and practice (10th ed.). Boston: Pearson.

Use of anesthetics. Management of preanesthesia phase in surgical specialties. Techniques for peripheral and central venous catheterization. Organ failure. Physiopathology and treatment. Mechanical Ventilation. Extracorporeal removal techniques. The patient in shock. Stupor and coma. Brain death.

Anesthesiology textbooks, professor’s notes

- SHOCK
- DIGESTIVE HEMORRHAGE
- ACUTE ABDOMEN
- THORACIC-ABDOMINAL TRAUMA
- NURSING FRAMEWORK OF EMERGENCY SURGUICAL PATIENTS

• Oh. Manuale di terapia Intensiva Bersten AD, Soni NElsevier Masson Editore
• Compendio di Chirurgia per le professioni sanitarie. ESDD – A. Divizia C. Fiorani G. Maggi F. Romano

• General concepts of orthopedics and traumatology.
• Anamnesis, clinical examination and instrumental examinations.
• Arthrosis.
• Congenital malformations. Alterations of growth.
• Endocrine and metabolic alterations.
• General anomalies of skeletal development.
• Main traumatic injuries of the musculoskeletal system: bruises, fractures, dislocations, sprains and wounds.
• Main pathologies and traumatic injuries of the lower limb, the upper limb of the rachis and the pelvis.

ORTHOPEDIC CLINIC. C.Morlacchi, A.Mancini

The clinical method and the clinical history in neurology; principal issues in neurological examination: consciousness, cognitive functions, motor functions, sensory functions, cranial nerves, vegetative functions. Diagnostic testing in neurology: Ecodoppler, MRI, CT scan, Nuclear medicine imaging, Electroencephalography, Evoked potentials, Electromiography, Neuropsychological tests, Lumbar puncture and cerebrospinal fluid examination.

Emergencies in Neurology (i.e., faints, functional disorders).
Iatrogenic impairments in Neurology.
Neurological diseases: Cerebrovascular disorders, Trauma, Infective and inflammatory disorders (including SARS-2-related), Demyelinate disorders (Multiple sclerosis) ,Neurodegenerative disorders (Parkinsonism and dementias), Toxic and metabolic disorders, Headaches, Endocranial hypertension and hypotension, epilepsies, tumours, spinal disorders, peripheral neuropathies, myastenic syndromes and myopathies.

Neurologia per le professioni sanitarie (Italiano) PICCIN 2017. A. Padovani, B. Borroni , M. S. Cotelli
Neuroscience Nursing: Scope and Standards of Practice, 3rd Edition by American association of neuroscience nursing (advanced)

• Main rules in the field of rehabilitation, the NHS and regional indications in the assistance to people with severe congenital and acquired disability
• Elaboration of care plans for patients undergoing rehabilitation with respect to the rehabilitation project defined with the team
• Nursing responsibility in defining the workload: use of interpretation of the main assessment and ADL scales
• Nursing process aimed at the psycho-physical recovery of the patient, the maintenance of residual capacities and / or the development of new skills
• Specific rehabilitation nursing interventions for people with: cardiac and respiratory diseases with a high level of disability, polytrauma and / or severe brain and spinal cord injuries, neurological bladder, congenital and / or chronic disability
• Notions on the management of pressure injuries in the rehabilitation and home environment

1. Code of ethics of the nursing professions: https://www.fnopi.it/archivio_news/attualita/2688/codice%20deontologico_2019.pdf
2. Didactic material provided by the teacher

• General concepts of Rehabilitation
• The motor program
• The instrumental program (physic means)
• The pharmacological program
• The integrative program
• Orhtesis and apparatus therapy
• Orthopedic rehabilitation
• Rheumatological rehabilitation
• Neurological rehabilitation
• Respiratory rehabilitation
• Cardiological rehabilitation
• urogynecological rehabilitation
• Rehabilitation in the developmental age
• Aesthetic physiatry

• Frontera, W. R., Silver, J. K., & Rizzo, T. D. (2018). Essentials of physical medicine and rehabilitation e-book. Elsevier Health Sciences
• Teaching materials provided by the lecturer

Markets, preferences, utility, demand and supply
Pareto-efficiency and market failures: asymmetric information, externalities, moral hazard and adverse selection
Agency
Relationships between economic growth and health
Welfare systems
Demand and supply of healthcare
The economic analysis of healthcare
Cost effectiveness, cost utility and cost benefit analyses

Wondeling, Gruen, Black. Introduction to health economics. Understanding Public Health. 1st edition.

• What is a company and its distinctive characteristics. The classification of the companies. Company circuits. The existing legal structures for the exercise of the company activity. The budget and its basic elements: a first interpretative reading. Cost classifications and configurations.
• Brief index of topics
• Healthcare management
• Leadership
• Management and motivation
• Organizational Behaviour
• Strategic planning
• Healthcare marketing and marketing
• Quality
• Communication and information
• Financing health care and health insurance
• Cost and revenue management
• Management of healthcare professionals
• Strategic human resource management
• Teamwork
• Addressing health care disparities: cultural competency
• Ethics and Law
• Risk management in healthcare organizations

• Buchbinder, S. B., Shanks, N. H., & Kite, B. J. (2019). Introduction to health care management. Jones & Bartlett Learning.
• Readings provided by the lecturer as well as all materials used during the lectures.

The meaning of ethics
• Differences among, ethics, applied ethics and deontology
• The meaning of ethics for health professions
• The ethics of care
• Nursing ethics
• The relationship as the ontological basis of the nurse-patient interaction
• Relational ethics
• The meaning of the ethical codes for health professions
• Main nursing ethical codes

Grace Pamela (2018). Nursing Ethics and Professional Responsibility in Advanced Practice 3rd Edition. Jones and Bartlett Learning. MA (USA).

• Fields of interest of legal medicine, methodology.
• FORENSIC PATHOLOGY: Principles of Thanatology, injuries from firearms, injuries from cutting weapons, injuries from blunt force, Asphysiology.
• DEONTOLOGY: Referto, Professional secrecy, L.219/2017 and informed consent, code of ethics.
• PROFESSIONAL LIABILITY: Civil and criminal liability, Guidelines and Law 24/2017.

• Di Luca, N. M., Cecchi, R., & Feola, T. (2017). Manuale di Medicina legale. Minerva medica
• Readings provided by the lecturer as well as all materials used during the lectures.

- Evidence Based Nursing (EBN), development of protocols and procedures
- methods for assessing care outcomes, as an element for organizational change
- application of the results of research in the nursing field as a tool for improving performance and evaluating outcomes and redefining the objectives to be achieved with the patient / family / community
- The measurement of patient outcomes as direct responsibility of the health care professional
- The efficacy tests regarding the relationship between nursing care and the results of nursing processes such as the patient's daily life activities, management of self care, and pain as a symptomatic outcome
- The definition of the concept of adverse outcome for the patient; relationships between structural variables of nursing care and negative outcomes in patients
- examination for professional qualification and exercise of the nursing profession
- the profession carried out as freelance, in the public health service, in private accredited hospitals: differences in comparison

Implementing the Evidence-Based Practice (EBP) Competencies in Healthcare: A Practical Guide for Improving Quality, Safety, and Outcomes by Melnyk Bernadette Mazurek, Gallagher-Ford Lynn, Fineout-overholt Ellen. Sigma Theta Tau Intl Eds. (30 giugno 2019)

• How to search for the most appropriate websites and how to read the guidelines
• What internal procedures are and how they are written
• What are quality indicators, how are they identified and how they are evaluated
• What is clinical risk, with what methods is the assessment done

• Ronda G. Hughes (2008). Patient Safety and Quality: An Evidence-Based Handbook for Nurses. AHRQ Publication. Rockville, USA.
• Definitions for Health Care Quality Indicators-OECD 2016-2017 HCQI Data Collection.
• Caroline De Brún (2013). Finding the Evidence- A key step in the information production process. The Information Standard Guide.

• How to search for the most appropriate websites and how to read the guidelines
• What internal procedures are and how they are written
• What are quality indicators, how are they identified and how they are evaluated
• What is clinical risk, with what methods is the assessment done

• Ronda G. Hughes (2008). Patient Safety and Quality: An Evidence-Based Handbook for Nurses. AHRQ Publication. Rockville, USA.
• Definitions for Health Care Quality Indicators-OECD 2016-2017 HCQI Data Collection.
• Caroline De Brún (2013). Finding the Evidence- A key step in the information production process. The Information Standard Guide.

• How to search for the most appropriate websites and how to read the guidelines
• What internal procedures are and how they are written
• What are quality indicators, how are they identified and how they are evaluated
• What is clinical risk, with what methods is the assessment done

• Ronda G. Hughes (2008). Patient Safety and Quality: An Evidence-Based Handbook for Nurses. AHRQ Publication. Rockville, USA.
• Definitions for Health Care Quality Indicators-OECD 2016-2017 HCQI Data Collection.
• Caroline De Brún (2013). Finding the Evidence- A key step in the information production process. The Information Standard Guide.