Pediatric Sciences 3

A.Y. 2023/2024
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.
Single course

This course can be attended as a single course.

Course syllabus and organization

Single session

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.
Assessment methods and Criteria
The assessment of the learning is carried out by means of an oral exam.
In oral exam the main criteria to be considered in the assessment of the answer are completeness and correctness of the contents, the ability to link knowledge and clarity of exposition
General and subspecialty paediatrics
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
Course provides frontal presentations
Teaching Resources
· 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.
Nursing sciences: general, clinical and paediatric
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
· 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
· 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

· Context analysis and models of community nursing care
· Social and health services network: hospital-territory continuity, protected discharge project, concept of discharge from hospitalization and acceptance at home, the meaning of continuity of assistance, home care.
· Actors and recipients of nursing care: the relationship between nurses and family members in hospital and at home, the multi-professional team
Teaching methods
The course includes lectures
Teaching Resources
· Slides didattiche
· Badon Pierluigi - Cesaro Simone "Assistenza infermieristica in pediatria", seconda edizione ed. CEA 2015
· Pierluigi Badon - Procedure Infermieristiche in area pediatrica, seconda edizione CEA 2021
· Judith M. Wilkinson - Processo Infermieristico e pensiero critico, ed. CEA 2013
· Marjory Gordon - Diagnosi Infermieristiche Processo e applicazioni, ed. CEA 2009
· Sito International Classification for Nursing Practice (ICNP) https://www.icn.ch/what-we-do/projects/ehealth-icnptm/icnp-browser
· Gianni Bona, Roberto Miniero et al.: "Pediatria Pratica", Edizioni Minerva Medica, X Edizione 2019
· G.V. Zuccotti "Manuale di Pediatria - La Pratica Clinica", Società editrice Esculapio, Ed. 2016
General and subspecialty paediatrics
MED/38 - PAEDIATRICS - University credits: 2
Lessons: 30 hours
Nursing sciences: general, clinical and paediatric
MED/45 - NURSING - University credits: 2
Lessons: 30 hours