Pediatric Sciences 3
A.Y. 2024/2025
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
- 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.
- 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: First 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
Responsible
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.
- 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
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
Pediatric thyroid pathology
Methodology of hormone assays
Physiology and Pathology of Puberty
Adrenal Pathology in Pediatric Age
Diabetes Mellitus: etiologic classification, diagnosis, and treatment
In addition, I ask if you can include in the upcoming lectures:
HIV infection: maternal-fetal and horizontal transmission.
SARS-CoV- 2 infection: epidemiology in pediatric age. Characteristics and differences in the clinic compared to the adult patient
CYSTIC FIBROSIS
Epidemiology
Pathophysiology
Genetics
Neonatal screening
Diagnostic tests
Clinical pictures of disease
Therapy
Hepatology notes
Pediatric Nephrological Semeiotics.
Laboratory tests of pediatric nephrologic interest.
Major childhood nephropathies
Acute renal failure
Congenital nephro-uropathies
Urinary tract infections
The nephrotic syndrome
The glomerulonephritis
Chronic renal failure
Renal function replacement treatments in pediatrics
Extracorporeal Dialysis
Peritoneal Dialysis
Renal transplantation
Dehydration rehydration and dyselectrolyteemia
Hypertension in pediatric age
- symptoms and signs in gastroenterology of infancy and childhood
- colic and reflux
- assessment and markers of growth and nutritional status
chronic inflammatory bowel disease and other enteropathies
Framework on pediatric hepatopathologies
METABOLIC DISEASES
The child with metabolic disease: how to recognize it at birth (newborn screening: usefulness, diagnostic-therapeutic approach, limitations) and how to recognize it later (neonatal metabolic urgency: presenting signs and symptoms, diagnostic-therapeutic approaches and nursing management; late onset of metabolic disease).
The role of the nurse in the management of the child with metabolic disease; the example of phenylketonuria. Clinical and laboratory tools for follow-up of the affected child. The importance of diet therapy: modalities and indications for integrated dietitian-nurse-physician management for the most appropriate physical and neurobehavioral development of the patient.
Tools of knowledge for suspecting, diagnosing, and managing the child with storage pathology (Gaucher's Disease): the role of the nurse in supporting and assisting the specialist in this complex diagnostic-therapeutic pathway. Hepatitis B prevention-maternal-fetal transmission.
Methodology of hormone assays
Physiology and Pathology of Puberty
Adrenal Pathology in Pediatric Age
Diabetes Mellitus: etiologic classification, diagnosis, and treatment
In addition, I ask if you can include in the upcoming lectures:
HIV infection: maternal-fetal and horizontal transmission.
SARS-CoV- 2 infection: epidemiology in pediatric age. Characteristics and differences in the clinic compared to the adult patient
CYSTIC FIBROSIS
Epidemiology
Pathophysiology
Genetics
Neonatal screening
Diagnostic tests
Clinical pictures of disease
Therapy
Hepatology notes
Pediatric Nephrological Semeiotics.
Laboratory tests of pediatric nephrologic interest.
Major childhood nephropathies
Acute renal failure
Congenital nephro-uropathies
Urinary tract infections
The nephrotic syndrome
The glomerulonephritis
Chronic renal failure
Renal function replacement treatments in pediatrics
Extracorporeal Dialysis
Peritoneal Dialysis
Renal transplantation
Dehydration rehydration and dyselectrolyteemia
Hypertension in pediatric age
- symptoms and signs in gastroenterology of infancy and childhood
- colic and reflux
- assessment and markers of growth and nutritional status
chronic inflammatory bowel disease and other enteropathies
Framework on pediatric hepatopathologies
METABOLIC DISEASES
The child with metabolic disease: how to recognize it at birth (newborn screening: usefulness, diagnostic-therapeutic approach, limitations) and how to recognize it later (neonatal metabolic urgency: presenting signs and symptoms, diagnostic-therapeutic approaches and nursing management; late onset of metabolic disease).
The role of the nurse in the management of the child with metabolic disease; the example of phenylketonuria. Clinical and laboratory tools for follow-up of the affected child. The importance of diet therapy: modalities and indications for integrated dietitian-nurse-physician management for the most appropriate physical and neurobehavioral development of the patient.
Tools of knowledge for suspecting, diagnosing, and managing the child with storage pathology (Gaucher's Disease): the role of the nurse in supporting and assisting the specialist in this complex diagnostic-therapeutic pathway. Hepatitis B prevention-maternal-fetal transmission.
Teaching methods
Course provides frontal presentations
Teaching Resources
· Slides
· 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
· 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
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
· 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
· Badon Pierluigi - Cesaro Simone "Assistenza infermieristica in pediatria", seconda edizione ed. CEA 2015
· 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
· Badon Pierluigi - Cesaro Simone "Assistenza infermieristica in pediatria", seconda edizione ed. CEA 2015
General and subspecialty paediatrics
MED/38 - PAEDIATRICS - University credits: 2
Lessons: 30 hours
Professors:
Agostoni Carlo Virginio, Colombo Carla, Giacomet Vania, Montini Giovanni, Verduci Elvira
Nursing sciences: general, clinical and paediatric
MED/45 - NURSING - University credits: 2
Lessons: 30 hours
Professors:
Battaglia Anna Maria, Rampini Serena
Educational website(s)