KNOWLEDGE AND UNDERSTANDING: acquire a solid theoretical knowledge in plastic and reconstructive surgery, tracheostomy management, orthopedics and traumatology, as well as the main nursing care procedures in clinical settings. Deepen the biomedical terminology necessary for accurate professional communication.
APPLYING KNOWLEDGE AND UNDERSTANDING: be able to apply the acquired knowledge in the different areas of the course, using it as a foundation to understand the main techniques in plastic surgery, tracheostomy management, and orthopedic and trauma care. Be capable of correctly performing specific nursing procedures within the clinical environment.
INDEPENDENT JUDGMENT: develop critical thinking skills, recognizing and differentiating between pathologies and clinical situations related to plastic surgery, tracheostomy management, and orthopedic trauma. Be able to assess and make care decisions based on clinical evidence.
COMMUNICATION SKILLS: acquire the ability to communicate effectively with colleagues, patients, and other healthcare professionals, using appropriate biomedical terminology specific to the disciplines covered. Develop skills to interact clearly and professionally in multidisciplinary clinical contexts.
LEARNING SKILLS: encourage continuous learning with a particular focus on plastic surgery, orthopedics and traumatology, and managing nursing care complications in clinical settings. Promote the deepening of knowledge in these fields to prepare students for advanced studies or specializations.

Plastic Surgery:
To attend this course, with advantages, the student must have the basic knowledge of histology, anatomy, physiology and pathology.
Otolaryngology:
Knowledge of airway anatomy
Clinical Nursing Care Procedures 3:
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.
Orthopedics and Traumatology:
Knowledge of musculoskeletal anatomy and peripheral nervous and vascular systems, Physics, Physiology, General Pathology, knowledge of the disciplines of Microbiology and Pathophysiology

Plastic: Surgery:
- Wound healing
- Difficult wounds
- Advance dressing
- Cancer (skin, vaginal, vulvar)
- Breast reconstruction
- Types of recontruction (grafts, flaps, dermal substitutes)
Otorinolaryngology:
The student will acquire both theoretical and practical notions on the management of the patient with a tracheostomy tube
Clinical Nursing Nursing Procedures 3:
• 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;
• Peculiar aspects in the preanalytical management of biological samples (histological, cytological and culture examination).
• Notes on the management of a urostomy and enterostomy and of the peristomal skin.
Orthopedics and Traumatology:
Principles of bone histology and physiology. Trauma. Developmental disorders. Principles of Bone tumors. Osteopathies. Arthropaties. Intervertebral disc herniation. Muscle and tendon pathologies.

Plastic: Surgery:
Manuale di Chirurgia Plastica, Ricostruttiva ed Estetica – Scuderi, Rubino – 2014 – Piccin
Otorinolaryngology:
Notes provided by the teacher
Clinical Nursing Nursing Procedures 3:
• “Piani di Assistenza in Medicina e Chirurgia” Nancy M. Holloway; edizione italiana a cura di: A. Brugnolli; L. Saiani Sorbona Idelson/Gnocchi 2008
• “Trattato di Cure Infermieristiche” L. Saian; A. Brugnolli; III edizione Sorbona Idelson/Gnocchi 2020
• “infermieristica Competenza e Assistenza” I. Peate; K. Wild; M. Nair; edizione italiana a cura di: J. Sansoni Edi-Ermes 2018
• “Infermieristica Medico-Chirurgica” B. K. Timby; N. E. Smith McGraw 2013
• “Infermieristica Medico-Chirurgica” Vol. 1 Brunner – Suddarth; Casa Editrice Ambrosiana 2010
• “Infermieristica Medico-Chirurgica” Vol. 2 Brunner – Suddarth; Casa Editrice Ambrosiana 2010
Orthopedics and Traumatology:
Grassi F, Pazzaglia U, Pilato G, Zatti G., Manuale di Ortopedia e Traumatologia, Ed. Elsevier Masson.
Slides presented at frontal lessons, disposable at the end of the course on Teams

Plastic Surgery:
- Wound healing
- Difficult wounds
- Advance dressing
- Cancer (skin)
- Breast reconstruction
- Types of recontruction (grafts, flaps, dermal substitutes)

Otolaryngology:
Airway anatomy and physiology
Oncological pathology of the larynx
Indications for tracheostomy and tracheostomy
Tracheostomy / tracheostomy surgery
Voice rehabilitation methods in the laryngectomized patient
Types of tracheostomy tubes
Management of the cannula and tracheostoma

Clinical Nursing Care Procedures 3:
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).
Breast. (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).
• Nursing skills and responsibilities in the pre-analytical management of biological samples for histological, cytological and culture examinations. (including wrapping, packaging and transport to the laboratory, as well as storage of the sample in case it is not immediately transported to the analysis laboratory).

Orthopedics and Traumatology:
1. Principles of bone histology and physiology
2. Trauma
3. Developmental disorders
4. Bone tumors
5. Osteopatie
6. Arthropaties
7. Intervertebral disc herniation
8. Muscle and tendon pathologies
9. Hand surgery

Lectures, cases discussions, supplemented with slides and videos and small didactic laboratory

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The examination is structured in 4 separate partial examinations of which:
- Plastic and reconstructive surgery (oral exam)
- Otolaryngology (multiple-choice written exam)
- Orthopedics and traumatology (multiple-choice written exam)
- Clinical nursing: nursing procedures 3 (oral exam)
The Plastic Surgery exam is taken only when the others forming part of the integrated course are passed, and the final grade calculated by weighted average is recorded here.

Plastic Surgery:
The teaching course goal achievement will be assessed through an oral examination. The topics of the teaching will be orally tested in order to verify their correct understanding and their clinical application

Otolaryngology:
The student assessment includes a final written exam consisting of 31 multiple-choice questions (with only one correct answer). The exam score is given on a scale of thirty. Each correct answer is awarded 1 point. For each incorrect answer, -0.25 points are deducted. If no answer is provided, 0 points are awarded. To pass the exam (18/30), the student must demonstrate sufficient knowledge of the topics covered in class and accumulate at least 18 points. To achieve the highest score (30/30 with honors), the student must demonstrate excellent knowledge of the topics covered in class and answer all questions correctly.

Clinical Nursing Care Procedures 3:
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.

Orthopedics and Traumatology:
Written exam consisting of 32 multiple choice questions of which only one correct answer. Time available before the end of the exam 45 minutes.
Questions are drafted with different levels of difficulty to verify the level of completeness and adequacy of learning on all the topics covered. Each correct answer is worth 1 point and each wrong or missing answer is worth 0 points. The final mark is the result of the sum of the correct answers, from 0 to 30 cum laude (corresponding to 31 or 32 correct answers)

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