99218 - Infermieristica nella cronicità (IMOLA)

Learning outcomes

At the end of the module the student possesses knowledge relating to the methodology, organizational and clinical care models for taking charge, management and continuity of care in chronic and fragile situations. Develops knowledge related to therapeutic education. Recognizes and values the resources of the family, the community and the service network.

Course contents

1. PRINCIPLES OF CARING FOR PERSONS WITH CHRONIC ILLNESS

Evolution of health needs connected to new "fragility" and chronicity
The care paradigm: from "to cure" to "to care" Meaning of taking charge ("taking care")
The components and models of taking charge of priority health problems

Taking charge in practice: health and social aspects with particular reference to the importance of involving the person, the caregiver and the family (significant people for the patient) and organizational aspects.

2 CARE SETTINGS AND MODELS FOR CHRONIC CARE

The importance of teamwork in taking charge within a service network.
The characteristics of the interventions and the organization of services as a network
Notes on organizational structures and regulatory aspects of reference
The transitional care model and intermediate care
The chronic care model
Chronic care settings (clinics, home, intermediate care, health/community homes)
The nurse in the area: skills in different settings for assisting patients with chronic pathologies

Palliative care network (outline)


3. TOOLS, FIGURES FOR TAKING CHARGE

The management of the sick person in the team in taking charge: the necessary tools for personalized assistance

The tools for assessment and taking charge, the PAI, the rating scales


4. CARE MANAGEMENT

Prevalent chronic diseases, diagnostic therapeutic care pathways, therapeutic education, self care and therapeutic alliance

examples: Patient care management with

heart failure

Liver cirrhosis

Dementia

diabetes

COPD

chronic kidney disease and CKD

oncological pathology

Readings/Bibliography

Scalorbi S., Longobucco Y., Trentin A., INFERMIERISTICA PREVENTIVA, DI FAMIGLIA E DI COMUNITÀ
McGraw-Hill, Milano, 2022 Seconda edizione ISBN 8838655642

Brugnoli A. & Saiani L. (2017) Trattato di Medicina e Infermieristica, un approccio di cure integrate. Idelson-Gnocchi, III ed. Napoli.

Saiani L. & Brugnolli A. (2020) Trattato di Cure Infermieristiche. Idelson-Gnocchi, III ed. Napoli.

Amaducci G., Artioli G., Narrare la malattia, Nuovi strumenti per la professione infermieristica, Edit.Carocci Faber, Roma, 2007

Giuseppe D'Imperio, L' organizzazione come rete di relazione, Edit.Libreria Univ. Benedetti, 2010

A.Dalponte, F.Olivetti Manoukian, “ Lavorare con la cronicità” Edit.Carrocci Faber, 2004

G.Cavazza, C.Malvi, La fragilità degli anziani, Strategie, progetti, strumenti per invecchiare bene, Maggioli Editore, 2014.

G. Maciocco, Malattie croniche: nuovi modelli assistenziali,

Teaching methods

Interactive frontal lesson

Group work/exercises

Team Based Learning

Assessment methods

oral questions

case discussion

Teaching tools

Books, activity sheets and cases prepared by the teacher for the application of the contents learned

Office hours

See the website of Michele Castellaro