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REHABILITATION APPLIED TO THE AREAS OF NEUROLOGY, GERIATRICS, CHILD NEUROPSYCHIATRY

Academic year and teacher
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Versione italiana
Academic year
2021/2022
Teacher
RAFFAELLA FAGGIOLI
Credits
8
Didactic period
Primo Semestre

Training objectives

MODULE NEUROLOGY – NEUROGERIATRICS: On completion of the course the student is expected to have acquired an understanding of :
- the neuroanatomical and neurophysiological basis of neuropsychological and cognitive functions, emotions, and behaviour.
-the major pathological syndromes and diseases affecting the above functions.
-the major neurological functions and their alterations.
-the neurological side effects of psychotropic drugs.
-the main bio-psycho-social changes in aging (adaptation/disadaptation, normal and abnormal aging.
-the main assessment tools in geriatrics.
Knowledge of pharmacological and non-pharmacological therapies in old age.
MODULE GERIATRICS: On completion of the course the student is expected to have acquired an understanding of :
-the concept of aging, current demography, age-related changes in organs and systems.
-work methodology in geriatrics.
-the main syndromes in old age(falls, being bedbound, delirium) and important pathologies of old age (dementia, depression) –network of geriatric services
MODULE GENERAL AND SPECIALISED PEDIATRICS: On completion of the course the student is expected to have acquired an understanding of :
-the physiological aspects of developmental ages (aspects of growth and neurodevelopment).
- the main pediatric diseases that are associated with a constant neurological /psychiatric component
MODULE CHILD NEUROPSYCHIATRY: On completion of the course the student is expected to have acquired an understanding of :
- observation criteria and methodology used to obtain a diagnosis.
-basics of planning therapy- rehabilitation for minors with psychiatric and physical disorders.
-methodology of planning
MODULE NURSING CLINICAL AND GERIATRICS NEUROPSYCHIATRY: The course aims to provide students with essential skills to be able to approach the subject in the geriatric age. The student will learn the methods of intervention for geriatric patients who have verbal and physical aggression and the disorders that characterize this age group, namely Dementia. Particular attention will be given to Alzheimer's disease by investigating methods of intervention and strategies for maintaining cognitive functions.
MODULE CLINICAL NURSING AND CHILD NEUROPSYCHIATRY: Acquire knowledge on the functioning, paths and main intervention models of the autism spectrum disorder and psychotic onset. Acquire the basic skills to set up a rehabilitative therapeutic project in Child Neuropsychiatry.

Prerequisites

Basic knowledge of neuroanatomy and neurophysiology. Know the stages of the child's psychomotor, cognitive, communicative, linguistic and emotional relational development.
CLINICAL NURSING AND GERIATRIC NEUROPSYCHIATRY MODULE: Skills regarding the psychological aspect of the elderly person and their needs.

Course programme

MODULE NEUROLOGY – NEUROGERIATRICS: Dementia and major causes of dementia and cognitive decline. Motor functions and their major disorders. Neurodegenerative disorders. Major disorders of associative functions. Stroke. Epilepsy and antiepileptic drugs. Neurological side effects of neuroleptics and other neuropsychiatric drugs. Pain and pain treatment
General concepts of aging (models, theories, etc). Intervening causes into the aging adaptation/disadaptation process. Changes of cognitive and affective functions in aging. Attitude towards loss, illness and death. The most important affective and cognitive diseases in aging.
Assessment in geriatrics. Clinical scales and functional scales. Drug and non-drug therapies in the elderly.
MODULE GERIATRICS: Introduction to aging populations in the Western world in general and Italy in particular. The concept of aging; aging of various organs and systems. Basic concepts and practical aspects of methodology of work in geriatrics: Geriatric Multimedia Assessment. Specific medical aspects of the geriatric patient. Falls in the elderly: intrinsic and extrinsic risk factors, consequences, prevention. Bedbound patients; definition, physiopathological and clinical aspects of some of the systems affected. Pressure sores in the bedbound patient; pathogenetic mechanisms, prevention, treatment. Dementia in the elderly patient: definition of dementia, classification, physiopathology, clinical aspects, diagnosis and therapy. Depression in the elderly patient; definition, specific features in the elderly patient , relationship between dementia and depression. Malnutrition in the elderly patient, definition, risk factors, basic concepts of nutrition and body mass, methods for diagnosis of malnutrition. Organisation of geriatric services; geriatric assessment, domiciliary visits, nursing homes, hospital services; the network of services.
MODULE GENERAL AND SPECIALISED PEDIATRICS: General concepts of stature and weight growth, pubertal development. Psychomotor development. General concepts on the main neurological diseases of childhood. Chromosomal pathologies (trisomy 21, FRAX, Klinefelter Syndrome). General concepts on cerebral palsy’s etiology and development. Main concepts on childhood maltreatment. Adolescence and attempted suicide.
MODULE CHILD NEUROPSYCHIATRY: Most common psychiatric disorders in childhood: autism, mental retardation, attention disorders and hyperactivity, eating disorders, learning disabilities, mood swings and their onset in childhood or adolescence. Rehabilitation.
MODULE CLINICAL NURSING AND GERIATRICS NEUROPSYCHIATRY: Cognitive interventions in geriatric subjects. The subject with Alzheimer's disease: methods of intervention and application of ecological material and software to avoid the decay of cognitive functions.
MODULE CLINICAL NURSING AND CHILD NEUROPSYCHIATRY: Psychotic onset: main characteristics and intervention paths according to PANSM and the Emilia Romagna Region.
Autism spectrum disorders: characteristics of functioning, evaluation, intervention models and intervention planning. Treatment paths in the Ferrara AUSL.

Didactic methods

Frontal lessons- analysis of clinical cases
For MODULE CHILD NEUROPSYCHIATRY: Frontal lesson (in presence / in direct streeming), interactive.
CLINICAL NURSING AND GERIATRIC NEUROPSYCHIATRY MODULE: Lectures (face to face / live streeming), analysis of clinical cases, viewing of films dealing with topics related to Alzheimer's disease and methods of intervention.




Learning assessment procedures

MODULE NEUROLOGY: oral exam
MODULE NEUROGERIATRICS: oral examination lasting about 15 minutes. You will be asked 2 questions. To pass the exam you need to acquire a minimum of 18/30 points. The evaluation will take into account the quality of the frequency, of the knowledge acquired, the language of relevance and capacity for analysis and correlation
MODULE GERIATRICS: WRITTEN EXAMINATION. THE EXAMINATION CONSISTS IN A MULTIPLE CHOICE QUESTIONARIE COMPOSED BY 28 QUESTIONS. EACH CORRECT ANSWER SCORES 1.0 POINT, WHILE EACH WRONG OR MISSING ANSWER SCORES 0 POINTS. THE TIME AVAILABLE FOR THE WTITTEN EXAMINATION IS 1 HOUR.
MODULE GENERAL AND SPECIALISED PEDIATRICS: One oral section (about 20 minutes) where will be propose almost two questions. To pass the exam it is necessary to get at least 18 point out of 30. The evaluation will consider of acquired knowledge, pertinence of the language and the capacity of correlation between signs and children disease.
MODULE CHILD NEUROPSYCHIATRY: Classroom presentation of a group work on a topic of programme and oral examination. Oral exam duration: 15-20 minutes, with at least two questions. Evaluation criteria are: mastery, linguistic relevance, clarity of exposition and the ability of clinical correlations and practices.
CLINICAL NURSING AND GERIATRIC NEUROPSYCHIATRY MODULE: Exam
oral, divided into 2 questions regarding the concepts provided during the lessons and the ability to apply them in clinical practice, lasting 15-20 minutes per student.
MODULE NURSING CLINICAL AND CHILD NEUROPSYCHIATRY: Oral exam divided into 3 questions on topics addressed during the lessons. Average time required per student 20 minutes.
THE FINAL GRADE IS A WEIGHTED AVERAGE OF THE MARKS OBTAINED IN EACH TESTS.

Reference texts

MODULE NEUROLOGY – NEUROGERIATRICS: Paolo Pazzaglia, Clinica Neurologica, Soc Ed. Esculapio Bologna
AAVV. Manuale di Neuropsichiatria Geriatrica, CIC Edizioni Internazionali, Roma , 2001
MODULE GERIATRICS: Materials provided by the teacher.
MODULE GENERAL AND SPECIALISED PEDIATRICS: Materials provided by the teacher
MODULE CHILD NEUROPSYCHIATRY: Glauco Mastrangelo, Manuale di Neuropsichiatria dell'Età evolutiva, Il Pensiero Scientifico Editore
CLINICAL NURSING AND GERIATRIC NEUROPSYCHIATRY MODULE: Didactic material provided by the teacher.
MODULE NURSING CLINICAL AND CHILD NEUROPSYCHIATRY: Caponi B., Clama L., Developing concentration and self-regulation, Vol.3 °, Ed. Erickson, Trento, 2009
Cornoldi C., Gardinale M., Masi A., Pettinò L., Impulsivity and self-control, Ed. Erickson Trento 1996
Di Pietro M., The ABC of my emotions, Ed. Erickson Trento 1999
Di Pietro M, Bassi E., Filoramo G., The hyperactive pupil in class, Ed. Erickson Trento 2001
Ianes D., Cramerotti S.,, ADHD at school, Erickson Study Center, Trento, 2013
Vio C., Marzocchi G.M. ,Offedi F., The child with attention deficit / hyperactivity, Ed. Erickson Trento 1999
Jordan R., Powell S., Autism and educational intervention, Ed. Erickson Trento 2004
Watson L. R. et al., Spontaneous communication in autism, Ed. Erickson, Trento 2004
Hodgdon L., Visual Strategies for Communication ”- Ed. Vannini Brescia 2006
Cafiero J.M., Augmentative and alternative communication, Ed. Erickson, Trento 2009