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METHODS OF INTERVENTION IN COMMUNITY

Academic year and teacher
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Versione italiana
Academic year
2022/2023
Teacher
NADIALINA ASSUERI
Credits
4
Didactic period
Primo Semestre

Training objectives

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Modulo: 53506 - SOCIOLOGIA DELLE RETI DI COMUNITA' E ORGANIZZAZIONE DELL'ASSISTENZA PRIMARIA
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SOCIOLOGY OF COMMUNITY NETWORKS AND ORGANIZATION OF PRIMARY CARE
The module aims to use systems analysis to "read" and analyze the reasons healthcare organizations that are leading the health care system in Europe and therefore also of Italy to focus on primary health, or community as a model response to the changing health needs and social health of the community due to the epidemiological transition ( transition from infectious disease to the chronic degenerative ), the demographic transition (declining birth rates, an aging population, the increase of immigrants), and finally the social transition (contraction of households, reducing network parental precariousness of the social network)
COMMUNITY NURSING AND THERAPEUTIC EDUCATION
The module aims to describe the stages that led to the paradigm shift from biomedical model to the biopsychosocial linked to the disease that leaves room for social, psychological and behavioral related disease . In this logic will place the nursing community as an appropriate response to the health needs of nursing and community health and social
Will be presented with the community nurse with the characteristics and skills that make it recognizable in our reality related to the development of case management, taking charge early and the design of integrated care plans.
Among those skills that will be presented to develop a plan of therapeutic education is to maintain a continuity of care and to develop the ability " to self " .
ORGANIZATION OF COMMUNITY
The module examines the assistance of community by entering it into the logic of primary care with the characteristic features that define it and include the leading centers of primary care (home, family, informal and formal networks, residences houses of health, etc. ), the mode of delivery (inter- integrated networks, systems and spoke hab etc. ) and the time health and social health finally the mode of operator training to the community.
The organizational procedures related to hospitality, to take charge both at home and in PDTA, the management of chronic disease and the use of the Chronic Care Model as a guide for primary care

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Modulo: 53507 - INFERMIERISTICA DI COMUNITA' ED EDUCAZIONE TERAPEUTICA
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SOCIOLOGY OF COMMUNITY NETWORKS AND ORGANIZATION OF PRIMARY CARE
The module aims to use systems analysis to "read" and analyze the reasons healthcare organizations that are leading the health care system in Europe and therefore also of Italy to focus on primary health, or community as a model response to the changing health needs and social health of the community due to the epidemiological transition ( transition from infectious disease to the chronic degenerative ), the demographic transition (declining birth rates, an aging population, the increase of immigrants), and finally the social transition (contraction of households, reducing network parental precariousness of the social network)
COMMUNITY NURSING AND THERAPEUTIC EDUCATION
The module aims to describe the stages that led to the paradigm shift from biomedical model to the biopsychosocial linked to the disease that leaves room for social, psychological and behavioral related disease . In this logic will place the nursing community as an appropriate response to the health needs of nursing and community health and social
Will be presented with the community nurse with the characteristics and skills that make it recognizable in our reality related to the development of case management, taking charge early and the design of integrated care plans.
Among those skills that will be presented to develop a plan of therapeutic education is to maintain a continuity of care and to develop the ability " to self " .
ORGANIZATION OF COMMUNITY
The module examines the assistance of community by entering it into the logic of primary care with the characteristic features that define it and include the leading centers of primary care (home, family, informal and formal networks, residences houses of health, etc. ), the mode of delivery (inter- integrated networks, systems and spoke hab etc. ) and the time health and social health finally the mode of operator training to the community.
The organizational procedures related to hospitality, to take charge both at home and in PDTA, the management of chronic disease and the use of the Chronic Care Model as a guide for primary care

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Modulo: 53508 - ORGANIZZAZIONE DELL'ASSISTENZA DI COMUNITA'
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SOCIOLOGY OF COMMUNITY NETWORKS AND ORGANIZATION OF PRIMARY CARE
The module aims to use systems analysis to "read" and analyze the reasons healthcare organizations that are leading the health care system in Europe and therefore also of Italy to focus on primary health, or community as a model response to the changing health needs and social health of the community due to the epidemiological transition ( transition from infectious disease to the chronic degenerative ), the demographic transition (declining birth rates, an aging population, the increase of immigrants), and finally the social transition (contraction of households, reducing network parental precariousness of the social network)
COMMUNITY NURSING AND THERAPEUTIC EDUCATION
The module aims to describe the stages that led to the paradigm shift from biomedical model to the biopsychosocial linked to the disease that leaves room for social, psychological and behavioral related disease . In this logic will place the nursing community as an appropriate response to the health needs of nursing and community health and social
Will be presented with the community nurse with the characteristics and skills that make it recognizable in our reality related to the development of case management, taking charge early and the design of integrated care plans.
Among those skills that will be presented to develop a plan of therapeutic education is to maintain a continuity of care and to develop the ability " to self " .
ORGANIZATION OF COMMUNITY
The module examines the assistance of community by entering it into the logic of primary care with the characteristic features that define it and include the leading centers of primary care (home, family, informal and formal networks, residences houses of health, etc. ), the mode of delivery (inter- integrated networks, systems and spoke hab etc. ) and the time health and social health finally the mode of operator training to the community.
The organizational procedures related to hospitality, to take charge both at home and in PDTA, the management of chronic disease and the use of the Chronic Care Model as a guide for primary care

Prerequisites

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Modulo: 53506 - SOCIOLOGIA DELLE RETI DI COMUNITA' E ORGANIZZAZIONE DELL'ASSISTENZA PRIMARIA
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Knowledge of sociology of health

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Modulo: 53507 - INFERMIERISTICA DI COMUNITA' ED EDUCAZIONE TERAPEUTICA
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Knowledge of sociology of health

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Modulo: 53508 - ORGANIZZAZIONE DELL'ASSISTENZA DI COMUNITA'
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Knowledge of sociology of health

Course programme

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Modulo: 53506 - SOCIOLOGIA DELLE RETI DI COMUNITA' E ORGANIZZAZIONE DELL'ASSISTENZA PRIMARIA
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Brief notes of systemic analysis of the organization The welfare system of a country.
Primary care, and organizational models in the social health sector. Models of care in primary care. Integration starting from the legislation: the law 328/2000. Brief analysis of the legislation in force on the subject of socio-health integration.
Networking as a model for integration (institutional, professional organization) for primary or community care. The role of institutions, operators, citizens. The actors of the social health network.
The tools: plans, programs and paths, training
The role of professionals both in the social area and in the health area.
The decision-making process and taking charge
Network of services involved
Professions involved and their functions
Integration tools

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Modulo: 53507 - INFERMIERISTICA DI COMUNITA' ED EDUCAZIONE TERAPEUTICA
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SOCIOLOGY OF COMMUNITY NETWORKS AND ORGANIZATION OF PRIMARY CARE , ORGANIZATION OF COMMUNITIES , COMMUNITY NURSING AND THERAPEUTIC EDUCATION
Brief notes of organizational analysis, the work of the network as a model for integration (institutional, organizational, professional), the network of services for primary care or community, the role of institutions of operators, citizens.
Organizational analysis of some models of services. The evolution of primary Health Care Alma Ata (1978). The Department of Primary Care From primary care to primary care.
Chronic diseases and the chain of causes.
Health care and health promotion initiative as an alternative to hospitalization (Patient -centered care).
The early management and use of the networks and pathways
The Chronic Care Model .
The management of complex cases through case management, processing and design tools for therapeutic education

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Modulo: 53508 - ORGANIZZAZIONE DELL'ASSISTENZA DI COMUNITA'
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Primary care.
The complexity of care and professional integration.
The concept of equity in access to care.
The Chronic Care Model.
The National Health System (comparison with other health systems). Regulatory evolution.
The District and the Department of Primary Care.
The house of health.
Organizational models and territorial operational mechanisms.
Identification models of care complexity.
Chronic diseases and the chain of causes.
Initiative healthcare and health promotion as an alternative to hospitalization (Patient centered care).
The early taking charge and the use of networks and routes.
The management of complex cases through case management.
Phases, project and tools for therapeutic education.
Case Management/ Family Health Nurse:
organizational/welfare model and elements
constitutive, role and competences
Integrated assistance
Team work

Didactic methods

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Modulo: 53506 - SOCIOLOGIA DELLE RETI DI COMUNITA' E ORGANIZZAZIONE DELL'ASSISTENZA PRIMARIA
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Lectures, group work;case analysis

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Modulo: 53507 - INFERMIERISTICA DI COMUNITA' ED EDUCAZIONE TERAPEUTICA
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case analysis, lectures, group work

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Modulo: 53508 - ORGANIZZAZIONE DELL'ASSISTENZA DI COMUNITA'
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case analysis, lectures, group work

Learning assessment procedures

SOCIOLOGY OF COMMUNITY NETWORKS AND ORGANIZATION OF PRIMARY CARE + COMMUNITY NURSING AND PATIENT EDUCATION + ORGANIZATION OF ASSISTANCE OF COMMUNITY
The oral exam is integrated on the main contents that emerged in the three courses; each student it is also required of a welfare case solution through integrated care planning in the community. The time is about 20 minutes for each student, are evaluated accuracy of the content, capabilities to solve problems, use of scientific language and integration with other disciplines; the valuation is thirty.
THE FINAL GRADE IS A WEIGHTED AVERAGE OF THE MARKS OBTAINED IN EACH TESTS.

Reference texts

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Modulo: 53506 - SOCIOLOGIA DELLE RETI DI COMUNITA' E ORGANIZZAZIONE DELL'ASSISTENZA PRIMARIA
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Essenziale
• Dispensa di analisi organizzativa (fornita dal docente)
• AAVV costruire l’integrazione socio sanitaria Carocci editore, Roma 2005
• Alcuni capitoli dal testo: AAVV- Innovazione e governance delle professioni sanitarie - ed Ambrosiana, Milano 2015

Di approfondimento
• A. Cifalinò ( a cura di) Il governo dei servizi sanitari territoriali - F. Angeli,Milano,2007 (alcuni capitoli)
• L. Sasso, L. Gamberoni, A. Ferraresi, L. Tibaldi- L’infermiere di famiglia - Mc Graw Hill 2004 cap.1 ,2 3
• Il nuovo documento della FNOPI sulle competenze specialistiche
• Decreto Legislativo 229/9 Norme per la razionalizzazione del Servizio sanitario nazionale
• Legge 328/200
• Patto per la salute e PSR attuale

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Modulo: 53507 - INFERMIERISTICA DI COMUNITA' ED EDUCAZIONE TERAPEUTICA
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COMMUNITY NURSING AND THERAPEUTIC EDUCATION and ORGANIZATION OF COMMUNITIES -Francesco Taroni, Politiche sanitarie in Italia
-RER: Progetto Leggieri, report 2012
-PSN 2011-2013
-Piano Socio Sanitario Emilia Romagna - Rete SOLE
-Maila Mislej e Flavio Paoletti, L'infermiere di famiglia e di comunità
-Metodologia e strumenti per la gestione delle cure primarie - Maggioli editore
-Assistenza domiciliare integrata - ed. Masson
- JJ Guilbert, Guida pedagogica per operatori sanitari
-Ferraresi, R.Gaiani, M. Manfredini, Educazione terapeutica metodologia e applicazioni, Carrocci Faber Ed.
-Educare il paziente, McGraww-Hill
-Renato Piccione, Manuale di psichiatria, Bulzoni, Roma 1995
-Liliana Secchiamoli, Principi di psichiatria-manuale per i corsi di Laurea in Scienze Inferm.e per gli operatori sanitari, Carrocci Faber, Roma 2005
-Stefano Caracciolo, L'oscuro soffitto senza stelle, Aracne Ed., Roma 2007
-Ezio Sanavio, Cesare Cornoldi, Psicologia clinica, Il Mulino, Bologna 2001
-Raffaella Cattelani, Elementi di Psicologia clinica. Manuale per operatori sanitari e sociali, Carrocci Faber, Roma 2003
-Nicolino Rossi, Psicologia clinica per le professioni sanitarie, il Mulino, Bologna 2004
L.J. Carpenito, Diagnosi infermieristiche, quinta edizione

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Modulo: 53508 - ORGANIZZAZIONE DELL'ASSISTENZA DI COMUNITA'
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COMMUNITY NURSING AND THERAPEUTIC EDUCATION and ORGANIZING COMMUNITY CARE
For Community Nursing and Therapeutic Education and Community Care Organization Module:
• Scalorbi S., Preventive and community nursing, McGraw-Hill, Milan, 2012
• A. Brambilla, G. Maciocco The houses of Health in 2016, Carrocci editore
• P. Chiari, A. Santullo, The nurse case manager. From theory to practice, McGraw-Hill, 2010
• F.Auxilia M. Pontello "Hygiene and Public Health", Piccin publisher
• L. Sasso, L. Gamberoni, A. Ferraresi, L. Tibaldi "The Family Nurse", Mc Graw-Hill
• A. Ferraresi, R. Gaiani, M. Manfredini, Therapeutic education methodology and applications, Carrocci Faber, 2004
Educational material provided by the teachers