Pediatric sciences 3

A.Y. 2019/2020
4
Max ECTS
60
Overall hours
SSD
MED/38 MED/45
Language
Italian
Learning objectives
- To acquire an adequate knowledge of the main developmental age physical diseases in the context of a unitary and global human pathology vision and their therapeutic approach;
- To acquire the ability to recognize main behavior alterations and subjective experiences;
- To acquire the knowledge of main psychiatric developmental age pathologies and their therapeutic approach;
- To acquire knowledge and methods to manage nursing care, from data collection to the assessment of evidence based practice and of result, to the child with family involvement, which presents biophysiological, physiopathological, psychological and socio-cultural manifestations and signs related to disease states with greater incidence and prevalence in the territory;
- To know and apply tools clinical conditions assessing of the child diversified by age group (eg pain);
- To know and apply therapeutic and diagnostic procedures' methods of use, according to planned interventions and actions based on standards and scientific evidence;
- To acquire the ability to apply data collection methods to identify nursing care needs related to acute and chronic disease status of the child's medical relevance and to plan assistance
Expected learning outcomes
Knowledge and understanding:
- general and clinical nursing issues for the understanding of pediatric nursing's fields of intervention, clinical method leading to effective clinical approach intervention techniques and evidence supporting the decision making and the delivery of the pediatric nursing care;

Ability to apply knowledge and understanding:
- integrate the knowledge and skills stemming from the nursing discipline, from biomedical, psychological, socio-cultural and humanistic features to recognize the care needs of the newborn, children , adolescents and the family and provide appropriate, effective and evidence-based pediatric nursing care;
- apply the nursing care on the basis of the reference disciplinary theoretical models to assess and diagnose health status and care needs in their physical, psychological and socio-cultural dimensions, plan goals, implement and evaluate the care provided and outcomes achieved;
- conduct a complete and systematic evaluation of data relating to the care needs of the newborn, children , adolescents to facilitate growth, development and adaptation in health promotion, maintenance and recovery;
- analyze and accurately interpret the data collected through clinical reasoning;
- interpret and apply the results of research to nursing practice and link research paths to the theoretical development of the nursing discipline;
- provide nursing care in different care settings, both in- and out- of-hospital settings.
Course syllabus and organization

Unique edition

Prerequisites for admission
In order to ensure a balanced career progression consistent with professional training, to obtain enrollment in second year the student must have passed at least three exams related to the teaching courses, of which:
- Human anatomy e physiology
- Maternal and infant care basics
To obtain enrollment in third year, the student must have passed at least eight exams, of which, in addition to necessary exams to obtain enrollment in second year:
- Pharmacology and anaesthesiology
- Pediatric sciences 2
- Neonatology 1
Passing the annual internship exam is a necessary and mandatory condition for enrollment the following year.
Assessement methods and criteria
Written and oral exam. The written exam consists of a multiple choice test with only one correct answer
In the oral test the main criteria to be considered in the assessment of the answer are the completeness and correctness of the contents, the ability to link knowledge and clarity of exposition
Pediatria generale e specialistica
Course syllabus
ENDOCRINOLOGY
Physiology and Pathology of Growth
Thyroid pathology in pediatric age
Hormonal dosage methodology
Physiology and Pathology of Puberty
Adrenal pathology in pediatric age
Diabetes Mellitus: etiological classification, diagnosis and therapy
CYSTIC FIBROSIS
Epidemiology
Pathophysiology
Genetics
Neonatal screening
Diagnostic tests
Clinical disease pictures
Therapy
Hepatology notes

NEFROLOGIA
Pediatric Nephrological Semeiotics
Laboratory tests of pediatric nephrology
The main childhood nephropathies
Acute renal failure
Congenital nephro-neuropathy
Urinary tract infections
Nephrotic syndrome
Glomerulonephritis
Chronic renal failure
Substitutive treatments of renal function in pediatrics
Extracorporeal dialysis
Peritoneal dialysis
Kidney Transplantation
Dehydration, rehydration and electrolytes
Hypertension in pediatric age

GASTROENTEROLOGY
- symptoms and signs in childhood and child gastroenterology
- colic and reflux
- celiac disease and malabsorption syndromes
- gastroenteritis
- gastroenterological symptoms of intolerance and allergy
- chronic intestinal inflammatory diseases
- obesity
- hepatic steatosis and metabolic syndrome

METABOLIC DISEASES
The child with metabolic disease: how to recognize it at birth (neonatal screening: utility, diagnostic-therapeutic approach, limits) and how to recognize it later (the neonatal metabolic urgency: signs and symptoms of presentation, diagnostic-therapeutic approaches and nursing management; late onset of metabolic disease).
The role of the nurse in managing the child with metabolic disease; the example of phenylketonuria. Clinical and laboratory tools for the follow-up of the affected child. The importance of diet therapy: methods and indications for an integrated dietitian-nurse-medical management for a patient's physical and neuro-behavioral development that is as adequate as possible.
Knowledge tools to suspect, diagnose and manage the child with accumulation pathology (Gaucher disease): the role of the nurse in supporting and assisting the specialist in this articulated diagnostic-therapeutic pathway.
Teaching methods
lectures
Bibliography
· Slides didattiche
· P.Careddu,M.A.Castello,L.Giuffrè, N.Principi et all. Pediatria generale e specialistica Casa editrice Ambrosiana 2008
· G.C.Colombraro ABC di pediatria per infermieri: l'essenziale per l'assistenza Ed. Piccin 2000
· G.Bona,R.Miniero Pediatria Pratica VII edizione Edizioni Minerva Medica 2007
· G.V. Zuccotti - Manuale di pediatria. La Pratica Clinica . Ed. Esculapio Medicina II ed. 2016
· Pediatria generale e specialistica , a cura di N. Principi e A. Rubino, seconda edizione, Casa Editrice Ambrosiana 2017
· Manuale di Nefrologia Pediatrica a cura di A. Edefonti, M.Picca e E.Verrina, Società Editrice Esculapio, 2015
Scienze infermieristiche generali cliniche e pediatriche
Course syllabus
NURSING CARE OF A CHILD WITH ALTERATIONS OF GASTROINTESTINAL'S TRACT
· To acquire the ability to carry out a targeted anamnestic evaluation
· To recognize main symptoms related to gastrointestinal tract's alterations
· To acquire the ability to identify nursing care needs and define related interventions
· Nursing Care Plan for a child with Crohn disease and ulcerative colitis

NURSING CARE OF A CHILD WITH RHEUMATIC DISEASE
· To acquire the ability to carry out a targeted anamnestic evaluation
· To recognize main symptoms related to rheumatic disease
· To acquire the ability to identify nursing care needs and define related interventions
· Distinctive elements of rheumatic diseases: Kawasaki disease, Henoch-Schonlein purpura, Systemic Lupus Erythematosus
· Nursing Care Plan for a child with Juvenile Idiopathic Arthritis

NURSING CARE OF A CHILD WITH COAGULOPATHY
· To acquire the ability to carry out a targeted anamnestic evaluation
· To recognize main symptoms related to Coagulopathy
· To acquire the ability to identify nursing care needs and define related interventions

NURSING CARE OF A CHILD WITH ENDOCRINE SYSTEM ALTERATIONS
· To acquire the ability to carry out a targeted anamnestic evaluation
· To recognize main symptoms related to endocrine system alterations
· To acquire the ability to identify nursing care needs and define related interventions
· Nursing Care Plan for a child with Diabetes Mellitus Type 1
· Nursing Care Plan for a obese child

NURSING CARE OF A CHILD WITH CYSTIC FIBROSIS
· To acquire the ability to carry out a targeted anamnestic evaluation
· To know infection control strategies for cystic fibrosis patients
· To know possible complications of cystic fibrosis patients
· Nursing Care Plan for a child with cystic fibrosis

NURSING CARE OF A CHILDSUBJECT TO DIAGNOSTIC INVESTIGATION
· Arthrocentesis: To know the technique for correct execution of diagnostic examination and the appropriate nursing management before, after and during the procedure
· Electrocardiogram: to acquire knowledge to correctly perform the diagnostic examination; to recognize path abnormalities and to distinguish the pathophysiological meanings of main electrocardiographic changes; to acquire the ability to define corrective actions.
Teaching methods
The course includes lectures
Bibliography
· Badon Pierluigi - Cesaro Simone "Assistenza infermieristica in pediatria", seconda edizione ed. CEA 2015
· Badon Pierluigi - Zampieron Alessandra "Procedure infermieristiche pediatriche", ed. CEA 2010 Marisa Cantarelli "Il modello delle prestazioni infermieristiche", ed. Zanichelli 2018
· Gianni Bona, Roberto Miniero et al.: "Pediatria Pratica", Edizioni Minerva Medica, IX Edizione 2013
· G.V. Zuccotti "Manuale di Pediatria - La Pratica Clinica", Società editrice Esculapio, Ed. 2016 (non so se vale la pena segnalare anche questo o sostituire l'altro)
· Barsotti - Cremonese - Trevi Elettrocardiografia pratica Cesi 1992
Pediatria generale e specialistica
MED/38 - PAEDIATRICS - University credits: 2
Lessons: 30 hours
Scienze infermieristiche generali cliniche e pediatriche
MED/45 - NURSING - University credits: 2
Lessons: 30 hours
Professor: Rampini Serena