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Module Catalogue
 Module Code: NUR2027  Module Title: REHABILITATION AND CONTINUING CARE
Module Provider: Health & Social Care Short Name: RCC Previous Short Name: RCC
Level: HE2 Module Co-ordinator: MIKLAUCICH M Ms (HSC)
Number of credits: 60 Number of ECTS credits: 30
 
Module Availability

Throughout the year and Spring Semester.
Assessment Pattern

Components of Assessment
Method(s)
Percentage weighting
Portfolio of Practice Evidence
 
 
 
This should include evidence of skill development in the context of elderly care rehabilitation and continuing care including client education, risk assessment and interdisciplinary care planning across the adult lifespan and in a range of clinical settings.                       
60%
 
 
 
Essay
 
 
 
Analysis and evaluation in relation to one of the 3 key main themes (i.e. rehabilitation, elderly care and palliative care) in which the student explores a specific issue in relation to an individual client for whom they have cared. Care study 2,500 words.
40%
 
 
 
 
Qualifying Conditions
An aggregate mark of 40% is required to pass the module
 

Module Overview

The module enables students to draw upon their clinical experience and relate their practice to one of the three main themes of care of the older person, palliative care and rehabilitation.
Prerequisites/Co-requisites

Completion of year 1 of the programme.
Module Aims

This module aims to assist in meeting the outcomes required by the NHS Plan. It seeks to prepare the student for experience in intermediate and long term care settings, recognising the specialist needs of those people and their families who use those services.

Learning Outcomes

By the end of the module the student should be able to:

Professional practice skills

  • Participate and contribute to intraprofessional, patient focused assessment and facilitates patient autonomy
  • Discuss ethical and legal dilemmas in relation to specific patient groups, e.g. those receiving palliative care or rehabilitation and older people. Consider their impact when planning care.
  • Undertake risk assessments appropriate to the patient’s needs
  • Formulate the document plans of care and plan appropriate discharge in partnership with patients, clients, carers and the intradisciplinary team
  • Implement nursing care (with support) in relation to patients’ problems such as pain, nausea and vomiting, spasticity, continence (faecal and urinary), integumentary care, oral care, sexual health
  • Demonstrate awareness of patients needs in adapting to their altered situation.
  • Participate in exercising clinical judgements regarding the evaluation of goals and care

Values and attitudes

  • Demonstrate sensitivity to the diversity of patients and their families
  • Promote the rights of patients and carers for example in relation to informed consent, confidentiality, privacy and dignity.

Knowledge and understanding

  • Consider the concept of advocacy and discuss ethical and legal dilemmas in relation to specific patient groups.
  • Discuss the impact of physiological ageing on homeostasis
  • Demonstrate an understanding of the effects of drug therapy on the ageing patient
  • Discuss educational theories in relation to patient rehabilitation

Cognitive skills

  • Demonstrate and articulate knowledge of relevant legislation and health and social care policy
  • Demonstrate knowledge and understanding of relevant theories and concepts related to rehabilitation continuing care and care of the older person.

Key skills

  • Demonstrate an awareness of ethical dilemmas, which influence clinical decision-making.
  • Develop the negotiation and debating skills required to enhance inter professional working
  • Take responsibility for their own learning and begin to develop skills to enhance learning in others
  • Utilise constructive criticism to enhance practice
Module Content

The module will be subdivided into themes of rehabilitation and care of the older person with identification of shared topics. 
Rehabilitation – Rehabilitation philosophy and concepts, such as long term care, relating to cardiac, respiratory and neuromuscular aspects. Methods of care delivery, such as care pathways and IDT working, educational theories. 
Bio/psycho/sociological aspects such as the physiological all systems approach, sociology of disability, psychological aspects: the disabling environment, facilitating adaptation through education. 
Legal and ethical issues: case study approach to ethical dilemmas, concepts of autonomy and reciprocity, the Disability Discrimination Act, Human Rights Act. 
Older people – The physiology of ageing and related activity issues. Exploration of psycho/sociological aspects of ageing, such as poverty, depression. 
Specific care issues relating to acute care problems in medical, surgical and orthopaedic situations, such as acute confusional state, multiple pathology and pharmacology incorporating the concept of self medication. 
Shared topics covering prosthetics, degenerative disorders (including sensory loss), neurological concerns related to swallowing, stroke, Parkinson’s disease, epilepsy, multiple sclerosis. The psychological adaptation to ageing and/or disability. The concept of palliative care related to cardiac, respiratory and oncology clients. Exploration of the specific care needs of ethnic minorities. Psychology and sociology of housing and employment issues related to the disabled and the older person. 
Professional care delivery issues: Overview of disability and ageing related to the activities of living, such as sexuality, sleep, washing and dressing. Increased focus on assessment and diagnostic skills, highlighting focussed oral assessment, continence assessment, nutritional assessment, pain assessment, mobility assessment and associated care needs for these aspects.
In order to help you to meet your learning outcomes, many of your practice placements have been developing a ‘menu’ of opportunities. Each placement will have variations on a theme of what is available.
 
The following are some general ideas. This list is not intended to replace that of your placement and is not exhaustive or complete.
 
Elderly care
 
Day centres
An exploration of how core services such as gas and electricity help older people
Facilities for safety in the community such as telephone alarms.
The role of the charities such as Help the aged, Age concern
Holidays for older people such as SAGA (they offer lots of other services too).
 
Palliative care
 
The role of charities such as Backup, Marie Curie
Other professionals who may be able to help such as Macmillan nurses
Cruse for bereaved people
The role of an undertaker
The legal necessities when someone dies.
 
Rehabilitation
 
Different models of rehabilitation in different places
How an interdisciplinary team works cohesively – each member’s role
 
If you can get there, the QE Foundation has an excellent mobility assessment centre at the old Queen Mary Hospital Damson Way, Carshalton. They assess driving ability and try to match the vehicle adaptations to the person. The unit serves the whole of the South East. They hold regular free open days, but you have to book. The Royal Hospital for Neurodisability at Putney also holds regular free open days. Again you have to book.
 
Most of the main charities have very good web sites and are helpful with providing information. These should not be accessed to the exclusion of accessing professional literature.
 
Local Disability Advice Centres are worth a visit to see what they offer to clients.
Methods of Teaching/Learning

Contact Time 75 hours
Directed Learning 175 hours
Practice Learning 250 hours
Enquiry Based Learning
Selected Texts/Journals

REQUIRED READING

Arthur L, Arthur T (2000) Shadow in Tiger Country Harper Collins, London
 
Bauby J-D (1998) The Diving Bell and the Butterfly Fourth Estate, New England
 
Becker R, & Gamlin R (2004) Fundemental Aspects of Palliative Care Nursing MA Healthcare Limited, Wiltshire
 
Bernard M (2000) Promoting Health in Old Age, Open University Press, Buckingham
 
Bradshaw A, Merriman C (2007) Caring for the Older Person Practical Care in Hospital, Care Home or at Home, Wiley, UK
 
Bryden C (2005) Dancing with Dementia: my story of living positively with dementia Jessica Kingsley Publishers, London
 
Burke M, Laramie J (2004) Primary Care of the Older Adult – a multidisciplinary approach, 2nd edn, Mosby, Washington DC
 
Chiva A, Stear D (eds) (2001) Promoting the Health of Older People , Open University Press, Buckingham
 
Cole J (2004) Still Lives: Narrative of Spinal Cord Injury Massachusetts Institute of Technology
 
Diamond J (1999) C: Because Cowards get Cancer Too Times Books, London
 
Ebersole P, Hess P, Schmidt Luggen A (2004) Toward Healthy Ageing : Human Needs and Nursing Response 6th edition Mosby St Louis
 
Ebersole P, Hess P, Touhy T, Jett K (2005) Gerontological Nursing and Healthy Aging , Elsevier Mosby, Missouri
 
Fall M, & O’Neill B (1998) ABC of Palliative Care BMJ Books London
 
Fawcus R (Ed) (2000) Stroke Rehabilitation: a collaborative approach, Blackwell Science, Oxford
 
Fox M J (2002) Lucky Man: A Memoir Hyperion, Los Angeles
 
Hockley J, & Clark D (2002) Palliative Care for Older People in Care Homes Buckingham, Open University Press
 
Hoeman S P (2007) Rehabilitation Nursing: Prevention, Intervention and Outcomes, 4th edn, Elsevier, London
 
Holland K (Ed) (2003) Applying the Roper, Logan, Tierney Model in Practice, Churchill Livingstone, Edinburgh
 
Kinghorn J, & Clarke D (2001) Palliative Nursing Balliere Tindall
 
Lugton J, & Kindlen M (1999) Palliative Care. The Nurse’s Role Churchill Livingstone
 
McCrum R (1998) My Year Off: Recovering Life after a Stroke Picador, London
 
Pearson A, Vaughan B, FitzGerald Nursing Models for Practice 3rd edn Butterworth Heinemann, UK
 
Picardie R (1998) Before I Say Goodbye Penguin, London
 
Reeve C (1999) Still Me Arrow Books, New England
 
Sanderson M (2003) Wrong Rooms Scribner, London
 
Twycross R (2003) Introducing Palliative Care 4th edn. Oxon Radcliff Medical Press
 
Watson L, Lucas C, Hoy A, & Black I, Oxford Handbook of Palliative Care Oxford University Press Oxford.
 
Woodrow P (ed) (2002) Ageing : Issues for physical, psychological and social health,  Whurr publishers London
Last Updated

20 August 2008

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