Pediatric Surgical Sciences
A.Y. 2023/2024
Learning objectives
- To Know the main surgical pathologies of the pediatric age and their therapeutic approach;
- To Know the most relevant pathologies in orthopedics in the developmental age and their therapeutic approach;
- To Acquire the knowledge and methods to manage nursing care, from data collection to the evaluation of evidence based actions and the 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 area of surgical interest;
- To Know and to apply the methods of use of therapeutic and diagnostic procedures, according to planned interventions and actions based on standards and scientific evidence;
- To Acquire the ability to apply data collection methods for the identification of nursing care needs related to illness states of the child's surgical relevance and to plan nursing care, documenting it according to the theoretical reference model and evaluating expected actions and results
- To Know the most relevant pathologies in orthopedics in the developmental age and their therapeutic approach;
- To Acquire the knowledge and methods to manage nursing care, from data collection to the evaluation of evidence based actions and the 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 area of surgical interest;
- To Know and to apply the methods of use of therapeutic and diagnostic procedures, according to planned interventions and actions based on standards and scientific evidence;
- To Acquire the ability to apply data collection methods for the identification of nursing care needs related to illness states of the child's surgical relevance and to plan nursing care, documenting it according to the theoretical reference model and evaluating expected actions and results
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.
- 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.
Lesson period: Second semester
Assessment methods: Esame
Assessment result: voto verbalizzato in trentesimi
Single course
This course can be attended as a single course.
Course syllabus and organization
Single session
Prerequisites for admission
To obtain enrollment in the second year, the student must have passed at least three exams related to teaching courses, of which: - Human anatomy and physiology, Fundamentals of maternal and child care. Passing the annual internship exam is a necessary and mandatory condition to obtain registration for the following year
Assessment methods and Criteria
The written exam consists of a test with multiple choice answers and is considered passed if all the modules are sufficient. 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
Paediatric surgery
Course syllabus
Surgery of the liver in paediatric age
Paediatric Urology, Pathology of the scrotum and ventral hernia
Paediatric gastroenterology of surgical interest, Abdominal pain, endoscopy
Thoracic solid tumors
Paediatric Urology, Pathology of the scrotum and ventral hernia
Paediatric gastroenterology of surgical interest, Abdominal pain, endoscopy
Thoracic solid tumors
Teaching methods
15 lectures on frontal teaching.
In case of suspension of teaching activities in presence, the lessons will be held on the microsoft teams platform
In case of suspension of teaching activities in presence, the lessons will be held on the microsoft teams platform
Teaching Resources
"Pediatric Surgery" J.L. Grosfeld, J.A.O'Neill , E.W.Fonkalsrud and A.G. Coran - Mosby Ed. -Sixth Edition - 2006
Musculoskeletal system diseases
Course syllabus
Anatomo physiology of bone and cartilage
Bone metabolism and its main alterations
The spine: scoliosis and kyphosis
Dysplasia and congenital dislocation of the hip
The stiff neck
The intra-articular pathology of the knee
The pronated-flat foot, the hollow foot, the clubfoot and the consequent pathology
The knee is launched and the knee is valid
Skeletal traumatology
Bone metabolism and its main alterations
The spine: scoliosis and kyphosis
Dysplasia and congenital dislocation of the hip
The stiff neck
The intra-articular pathology of the knee
The pronated-flat foot, the hollow foot, the clubfoot and the consequent pathology
The knee is launched and the knee is valid
Skeletal traumatology
Teaching methods
15 lectures on frontal teaching
Teaching Resources
"Ortopedia Infermieristica " di M.M.Parrini , Ed. La Dotta, 2015
Nursing sciences: general, clinical and paediatric
Course syllabus
o ORGANIZATION OF A PEDIATRIC SURGERY UNIT:
pre admission - planned hospitalization - urgent hospitalization - day surgeryIL PRE- OPERATORIO
o PRE OPERATIVE:
Interventions on the child (trichotomy, fasting, positioning of devices)
NURSING NEEDS OF THE CHILD SUBJECT TO SURGERY:
URGENT ABDOMINAL SURGERY : acute abdomen, appendicitis, peritonitis, intestinal obstruction
ELECTIVE ABDOMINAL SURGERY : hirschsprung disease, hernias, pyloric stenosis, ARM, Bowel management
Positioning and management of the SNG
OTOLARYNGOLOGY, OPHTHALMOLOGY, DENTISTRY, MAXILLOFACIAL
PLASTIC SURGERY: cleft lip / palate, giant nevi, post-traumatic
ORTHOPEDICS: fractures, bandages, immobilizations. Hemarthrosis and hemophilic child treatment in preparation for surgery
o NURSING NEEDS OF THE CHILD CARRIER OF:
PEG- JPEG
ENTEROSTOMIE
TRANSVERSAL RISKS IN PEDIATRIC SURGERY: Surgical Site Related Infection, Hypovolemia and shock, pain
THORACIC SURGERY: management of the child undergoing thoracic surgery; congenital pulmonary pathologies; positioning and management of thoracic drainage and thoracentesis
UROLOGICAL SURGERY: management of the child undergoing urological surgery for the main pathologies affecting the genitourinary system
LIVER SURGERY: management of the child undergoing liver surgery, especially for biliary tract atresia and choledochus cysts
LIVER AND KIDNEY TRANSPLANT: post-operative nursing care
NEUROSURGERY
THE WORKSHOPS:
dressing of the surgical wound and CVC exit site
positioning of the nasogastric tube in children
placement and management of the urinary catheters
management of thoracic drainage
Nursing care in the operating room
Preparation room: Sign In phase (verifies the patient's identity, the surgical indication and the site of the intervention, presence and correct compilation of the consents to the surgical intervention, to the anesthesia and to the possible transfusion, administration of premedication and cannulation of peripheral vein)
Operating room: Time Out phase (transport and positioning of the patient on the operating table, monitoring of vital parameters: PA, FC, SpO2), Induction Phase, Sign Out Phase (verbal confirmation of the recorded procedure, final counting of gauze, scalpels, needles and other surgical instruments, checking that any surgical samples (biopsies, biological liquids, etc.) have been labeled without errors and sent to the reference laboratory)
Post Anesthesia Awakening Area: ARPA (monitoring: PA, CF, diuresis, status of any drainage and intensity of post-operative pain)
Transport of the child from the operating room and return to the parents
Nurse role in operating room:
· Role of the room nurse
· Role of the nurse under anesthesia
· Role of the instrumental nurse
pre admission - planned hospitalization - urgent hospitalization - day surgeryIL PRE- OPERATORIO
o PRE OPERATIVE:
Interventions on the child (trichotomy, fasting, positioning of devices)
NURSING NEEDS OF THE CHILD SUBJECT TO SURGERY:
URGENT ABDOMINAL SURGERY : acute abdomen, appendicitis, peritonitis, intestinal obstruction
ELECTIVE ABDOMINAL SURGERY : hirschsprung disease, hernias, pyloric stenosis, ARM, Bowel management
Positioning and management of the SNG
OTOLARYNGOLOGY, OPHTHALMOLOGY, DENTISTRY, MAXILLOFACIAL
PLASTIC SURGERY: cleft lip / palate, giant nevi, post-traumatic
ORTHOPEDICS: fractures, bandages, immobilizations. Hemarthrosis and hemophilic child treatment in preparation for surgery
o NURSING NEEDS OF THE CHILD CARRIER OF:
PEG- JPEG
ENTEROSTOMIE
TRANSVERSAL RISKS IN PEDIATRIC SURGERY: Surgical Site Related Infection, Hypovolemia and shock, pain
THORACIC SURGERY: management of the child undergoing thoracic surgery; congenital pulmonary pathologies; positioning and management of thoracic drainage and thoracentesis
UROLOGICAL SURGERY: management of the child undergoing urological surgery for the main pathologies affecting the genitourinary system
LIVER SURGERY: management of the child undergoing liver surgery, especially for biliary tract atresia and choledochus cysts
LIVER AND KIDNEY TRANSPLANT: post-operative nursing care
NEUROSURGERY
THE WORKSHOPS:
dressing of the surgical wound and CVC exit site
positioning of the nasogastric tube in children
placement and management of the urinary catheters
management of thoracic drainage
Nursing care in the operating room
Preparation room: Sign In phase (verifies the patient's identity, the surgical indication and the site of the intervention, presence and correct compilation of the consents to the surgical intervention, to the anesthesia and to the possible transfusion, administration of premedication and cannulation of peripheral vein)
Operating room: Time Out phase (transport and positioning of the patient on the operating table, monitoring of vital parameters: PA, FC, SpO2), Induction Phase, Sign Out Phase (verbal confirmation of the recorded procedure, final counting of gauze, scalpels, needles and other surgical instruments, checking that any surgical samples (biopsies, biological liquids, etc.) have been labeled without errors and sent to the reference laboratory)
Post Anesthesia Awakening Area: ARPA (monitoring: PA, CF, diuresis, status of any drainage and intensity of post-operative pain)
Transport of the child from the operating room and return to the parents
Nurse role in operating room:
· Role of the room nurse
· Role of the nurse under anesthesia
· Role of the instrumental nurse
Teaching methods
Lessons in presence and practical and interactive activities
Teaching Resources
Slides didattiche
Parigi G.B. Chirurgia Pediatrica: approccio e gestione del bambino con problemi chirurgici. Masson 2005
Hay W. Current Diagnosis and Treatment Pediatrics (Lange) Mc. Graw Hill Medical 2011
Careddu P. Pediatria generale e specialistica Casa Editrice Ambrosiana 2006
Bettex M. Precis de chirurgie infantile Masson 1978
Encyclopedie Medico-Chirurgicale Tecniques chirurgicales, Appareil Digestif Editions Tecniques 2013
Parigi GB. Chirurgia pediatrica: approccio e gestione del bambino con problemi chirurgici. Milano: Masson; 2005.
Pierluigi Badon - Procedure Infermieristiche in area pediatrica, seconda edizione CEA 2021.
Gordon M. Diagnosi infermieristiche- processo e applicazione, Casa Editrice Ambrosiana; 2009
N. Tkacz Browne et al , NURSING CARE OF THE PEDIATRIC SURGICAL PATIENT, Jones and Bartlett learning, Burlington; 2013
Parigi G.B. Chirurgia Pediatrica: approccio e gestione del bambino con problemi chirurgici. Masson 2005
Hay W. Current Diagnosis and Treatment Pediatrics (Lange) Mc. Graw Hill Medical 2011
Careddu P. Pediatria generale e specialistica Casa Editrice Ambrosiana 2006
Bettex M. Precis de chirurgie infantile Masson 1978
Encyclopedie Medico-Chirurgicale Tecniques chirurgicales, Appareil Digestif Editions Tecniques 2013
Parigi GB. Chirurgia pediatrica: approccio e gestione del bambino con problemi chirurgici. Milano: Masson; 2005.
Pierluigi Badon - Procedure Infermieristiche in area pediatrica, seconda edizione CEA 2021.
Gordon M. Diagnosi infermieristiche- processo e applicazione, Casa Editrice Ambrosiana; 2009
N. Tkacz Browne et al , NURSING CARE OF THE PEDIATRIC SURGICAL PATIENT, Jones and Bartlett learning, Burlington; 2013
Musculoskeletal system diseases
MED/33 - ORTHOPAEDICS - University credits: 1
Lessons: 15 hours
Professor:
Portinaro Nicola Marcello Agostino
Nursing sciences: general, clinical and paediatric
MED/45 - NURSING - University credits: 4
Lessons: 60 hours
Paediatric surgery
MED/20 - PAEDIATRIC SURGERY - University credits: 1
Lessons: 15 hours
Professors:
Leva Ernesto, Pelizzo Gloria