At the end of this training course the student will be able, for the subjects under study, to:
KNOWLEDGE AND UNDERSTANDING
• Describe the assessment actions to be carried out before carrying out assistance activities.
• Identify the safety principles for oneself and for others to be carried out during the aforementioned assistance maneuvers.
• Describe the rationale for the maneuvers to be performed.
• Describe what the risks and / or complications may be in carrying out the care activities taken into consideration.
• Describe the methods of verification and monitoring of the same.

KNOWLEDGE AND UNDERSTANDING APPLIED
• Be able to implement diagnostic and therapeutic prescriptions by activating the necessary monitoring and surveillance strategies.
• Identify suitable and adequate materials according to the different care procedures.
• To communicate in a complete and exhaustive way to the person, always according to their degree of understanding, on the assistance activities that will see them involved.
• Be able to safely perform the care procedures addressed.
• Properly dispose of the material used, respecting biological and infectious risks.
• Properly document documented nursing care.

AUTONOMY OF JUDGMENT
• Identify the most suitable aids to ensure operator safety based on the clinical situation taken into consideration.
• Activate a specialist opinion from the doctor in case the clinical situation may limit or hinder the execution of the care procedure.
• Knowing how to choose which tools and aids to use based on the clinical situation taken into consideration.
• Knowing how to evaluate any complications and know how to intervene.

COMMUNICATION SKILLS
• Use the appropriate terminology to make a valid and comprehensive nursing communication in the diagnostic and therapeutic field, depending on who the interlocutor is and on the basis of his or her knowledge.
• Recognize which are the appropriate times to transmit information and communications to clients.
• Evaluate the effectiveness of the educational interventions implemented towards the client, in relation to the procedures to be carried out.

ABILITY TO LEARN
• Identify suitable sources for professional updating on the basis of the most recent guidelines made available.
• To understand what one's own knowledge and training needs are to be deepened by evaluating the realization of further learning moments.

For a better understanding of the topics covered in this course, the student should have adequate knowledge of the anatomy and pathophysiology of the musculoskeletal, gastro-intestinal, urinary, integumentary, lymphatic, circulatory, respiratory, oropharyngeal systems.

• Nursing assistance to the person undergoing destructive surgery of the head and neck;
• Nursing assistance to the person undergoing mastectomy:
• Nursing assistance to the person undergoing hemicolectomy/intestinal resection;
• Nursing assistance to the person undergoing demolitive surgery of the urinary tract;
• Nursing assistance to the person undergoing joint prosthetic surgery;
• Nursing assistance to the person with osteo-articular fractures;
• Nursing skills and responsibilities in assisting the person undergoing diagnostic procedures;
• Endoscopic examinations: gastroscopy, colonoscopy, bronchoscopy;
• Evacuation punctures: paracentesis, thoracentesis, lumbar puncture;
• Tissue samples: liver, breast, prostate, bone marrow biopsy;
• Management of a urostomy and enterostomy and of the peristomal skin.

The course will deal with the study of the sequence of actions, as well as their rationale, with regard to the following nursing care procedures:
• Nursing assistance implemented in the pre-operative period, such as preparation of the person for surgery, (diet and fasting, shower and dressing before surgery), verification of all the necessary documentation and preparation of the bed unit.
• Nursing assistance implemented in the post-operative period (return to the ward of the person, vital parameters, evaluation of all devices, drainage management, immediate and late post-operative risks)
• The aforementioned nursing assistance will be deepened with regard to the following surgical interventions:
 Oropharynx. (laryngectomy, pharyngectomy, neck dissection and packing a tracheostomy or tracheostomy).
 Udder. (quadrantectomy and mastectomy).
 Intestinal system. (colonic resection, hemicolectomy and making a colostomy).
 Urinary system. (cystectomy with orthotopic bladder or urostomy packaging).
 Osteoarticular apparatus with placement of joint prostheses after accidental fracture or deterioration of the joint. (knee, hip, shoulder).
• Nursing skills and responsibilities in assisting the person undergoing diagnostic procedures. (legal aspect and signing of consents, preparation of instruments, positioning of the person, contrast medium, sedations, assistance to the person and to the doctor).
• Nursing assistance in performing diagnostic tests of the gastrointestinal tract. (gastroscopy, colonoscopy).
• Nursing assistance during the execution of diagnostic tests of the respiratory system. (bronchoscopy).
• Nursing assistance during the execution of evacuative punctures. (paracentesis, thoracentesis, lumbar puncture).
• Nursing assistance during tissue sampling. (liver biopsy, breast biopsy, prostate biopsy, bone marrow biopsy).
• Management of urinary and intestinal stomas and peristomal skin. Psychological aspects and lifestyle changes for ostomates. Notes on stomal and peristomal complications.

Interactive frontal lessons with the aid of projections of files in Power Point or compatible format elaborated by the teacher. Digital presentations including images and movies.

• To take the course exams, you must have completed and recorded the first-year course "Morphological and Functional Bases of the Human Body" (720ME).
• This course is a prerequisite for the "Internship and Cognitive Tutoring 2" exam.
The power point presentations relating to the teaching units are available on the moodle@units and Microsoft Teams IT platforms.

The student will be evaluated through an oral exam carried out in the classroom. In that session, more open questions lasting about 20 minutes will be asked. Through the interview, on one of the topics of the program, the student's ability to identify the main clinical manifestations of pathologies of surgical interest will be verified, as well as the knowledge and understanding of the therapeutic diagnostic procedure. The evaluation grid adopted is the following:
- Excellent (30 - 30 cum laude): excellent knowledge of the topics, excellent language skills, excellent analytical skills; the student is able to brilliantly apply theoretical knowledge to concrete cases.
- Very good (27 - 29): good knowledge of the topics, remarkable language skills, good analytical skills; the student is able to correctly apply theoretical knowledge to concrete cases.
- Good (24-26): good knowledge of the main topics, good command of the language; the student shows an adequate ability to apply theoretical knowledge to concrete cases.
- Satisfactory (21-23): the student does not show full mastery of the main subjects of the teaching, even if he/she possesses the fundamental knowledge; however, he shows satisfactory language skills and sufficient ability to apply theoretical knowledge to concrete cases.
- Sufficient (18-20): minimal knowledge of the main teaching topics and technical language, limited ability to adequately apply theoretical knowledge to concrete cases.

This course explores topics closely related to one or more goals of the United Nations 2030 Agenda for Sustainable Development (SDGs)