Course Details

Advanced methods of assessment and management of the critical patient in the medical area

MS2240

Course
Advanced methods of assessment and management of the critical patient in the medical area
Code
MS2240
Academic Year
2025/2026
Curriculum Year
2024/2025
Degree Programme
NURSING AND MIDWIFERY SCIENCES
Curriculum
000 - CORSO GENERICO
Course coordinator
Credits
8
Lecture Hours
96
Scientific Disciplinary Sector (SSD)
MED/49 - Applied Dietary Sciences, MED/09 - Internal Medicine, MED/15 - Blood Diseases, MED/45 - General, Clinical and Pediatric Nursing, SPS/08 - Sociology of Culture and Communication
Course Type
Integrated learning activity
Course Delivery
OPZ - Opzionale
Year
2
Teaching period
Primo Semestre
Campus
NOVARA
Teaching language
Italian
Course Contents
The course aims to provide the student with general and tailored knowledge on the main cardiological, neurological and haematological emergencies including shock, which characterize the emergency room and resuscitation activities of the fragile hospital inpatient. Particular attention will be given to the role of the critical care nurse, including the recognition and management of hospital malnutrition and artificial nutrition. This information will then be broken down with respect to the average complexity of care, the risk of falling, advanced cardiovascular and respiratory monitoring in critically ill patients, and hematological monitoring during the transplant management.
The important regulations for the critical care nurse will be evaluated, including the management of intra- and extra-hospital transport, the donation of organs and tissues in patient exitus and the bioethical management of trials in critically ill patients.
These concepts in the acute setting will then be expressed in the theoretical-practical principles of advanced health education methodology in the context of health professions and the relationship with local networks during discharge or support.
Reference Texts
Titinalli's Emergency medicine: a comprehensive study guide McGraw-Hill, 9th ed
Book: Aritmie cardiache ed ECG. Conoscere, valutare e decidere
Authors: Ida Ginosa Silvia Scelsi Riccardo Sperlinga Editore: Edizioni Medico-Scientifiche Data di Pubblicazione: 2009 Genere: scienze mediche. medicina
Book: Manuale di segni e sintomi Ed. 4_ PICCIN

https://www.google.com/search?q=cadute+aging+project&rlz=1C1GCEU_itIT994IT1006&oq=cadute+aging+project&gs_lcrp=EgZjaHJvbWUyBggAEEUYOdIBCDc1MjdqMGoxqAIAsAIA&sourceid=chrome&ie=UTF-8
https://www.trapianti.salute.gov.it/trapianti/dettaglioFaqCnt.jsp?lingua=italiano&area=cnt&menu=cittadini&sottomenu=faq&id=209#:~:text=La%20donazione%20di%20organi%20e,dei%20modi%20previsti%20dalla%20legge.

ESPEN Guidelines

Changing unhealthy lifestyles. Short motivational counseling strategies. Stephen Rollnick, Christopher Butler, Pip Mason - Erickson (specific chapters will be - provided during class)
Healthy lifestyle empowermewent - a manual for healthcare professionals - Davide Susta (will be provided by professor)
Stages of change: history, theory and applications - trasteorical model by Di Clemente and Prochaska- Dors Regional Documentation Center for Health Promotion Piedmont Region (will be provided by professor)
Motivational Interviewing - William Miller and Stephen Rollnick - The Guilford Press (specific chapters will be - provided during class)

Bakker, I. (2007) Social Reproduction and the Constitution of a Gendered Political Economy, New Political Economy, 12 (4), pp. 541 556
Tronto, J. C. (2006) Confini morali. Un argomento politico per l'etica della cura, trad. it. N. Reggio Emilia, Edizioni Diabasis; ed. Moral Boundaries. A political Argument for an Ethic of Care, Routledge, Chapman and Hall, Inc., 1993
Ferrera, M. (2006) Le politiche sociali, Bologna, Il Mulino
FERRERA M., (1993), Modelli di solidarietà. Politica e riforme sociali nelle democrazie, Bologna, il Mulino
FERRERA M., (1996), The Southern Model of welfare in social Europe, in Journal of European Social Policy, vol. 6, n. 1, pp. 17-37
FERRERA M., (2006) Le politiche sociali. L’Italia in prospettiva comparata, Bologna, il Mulino
Vosk, Arno MD; Milofsky, Carl. The Sociology of Emergency Medicine. Emergency Medicine News 24(2):p 3,32,34-35, February 2002
Vosk, Arno MD; Milofsky, Carl PhD. The Sociology of Emergency Medicine: Gatekeeping, Protocols, and Consultants. Emergency Medicine News 24(3):p 4,42-44, March 2002
Bashir Qureshi, Transcultural Medicine: Dealing with patients from different cultures, Springer Dordrecht, 2012
Giuliani N, Olivieri A. EMATOLOGIA. Idelson-Gnocchi, 2020
Learning Outcomes
The objectives of the course are to provide the main nursing and legislative notions aimed at the complete management of acute patients in different emergency settings. This information will then be used in post-hospital care and social management in order to give a global overview of the acute patient from entry into hospital to discharge home (or management of the exitus).
Prerequisites
Basic nursing knowledge of the acute haematological, cardiological patient with respiratory failure. Basic notions of nutrition, prevention and management.
Teaching Methods
Lessons (ppt), debates, analysis of scientific articles
Additional Information
Attendance at departments where required and possible.
Reading scientific articles.
Students with physical disabilities, Learning Disabilities or Special Education Needs can request specific services and tools via the Staff Sviluppo e Coordinamento Carriere e Servizi alle Studentesse e agli Studenti, consulting the University webpage: https://www.uniupo.it/en/services/services-students-physical-or-learning-disabilities Students with disabilities, learning disabilities or special education needs, once they have contacted the University Staff, can refer to the tutor in charge of the course to define the examination modalities, concerning academic aspects.
Assessment Methods
Multiple choice questions and open questions that identify the complexity of the acute patient.
Detailed Syllabus
Lessons relating to cardiological, neurological, hematological patients, those with respiratory failure and nutritional problems in the acute context will be addressed. The legislature, the management of devices, the nursing organization in the critical area will be evaluated. We will evaluate how to carry out prevention and health education in the actute phase and during discharge with attention to the local social and nursing networks. The individual details in the each specific course.
Gender related topic: any findings will be discussed in the view of gender-related morbidity and mortality.
Expected Learning Outcomes
After the exam, the student will be able to deal with the complex and holistic management of the main emergencies and urgencies in acute and fragile patients from a nursing point of view. He/she will also be able to address the main related research topics.

Moduli

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Course year 2
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Course Advanced care processes in the medical area
Lecturers Alessandra LAZZATI
SSD MED/45
Campus NOVARA
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Course year 2
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Course Sociology of the family and care networks
Lecturers Silvia CARISTIA
SSD SPS/08
Campus NOVARA
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Course year 2
Code MS2243
Course Advanced health education methodology
Lecturers Carmela RINALDI
SSD MED/45
Campus NOVARA
Curriculum CORSO GENERICO
Credits 1
Last update:09-09-2026 00:14:31