| Module Code: NUR2059 |
Module Title: IMMEDIATE AND CONTINUING CARE |
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Module Provider: Health & Social Care
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Short Name: NUR2059
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Level: HE2
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Module Co-ordinator: MWEU P Ms (HSC)
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Number of credits: 30
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Number of ECTS credits: 15
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| Module Availability |
| Throughout the year |
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| Assessment Pattern |
A reflective account of the systematic assessment of a patient/client you have cared for in practice. Your work should identify the biological, social, and psychological needs of the individual, demonstrating sensitivity to the ethical, moral and spiritual aspects of care. (2000 words) 70%
An unseen pharmacology exam, 1 hour 30%
Preparation for this assessment:
Will take the form of participation with all learning strategies, skills sessions, and group discussions
Both parts of the assessment must be passed.
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| Module Overview |
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| Prerequisites/Co-requisites |
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| Module Aims |
The module aims to develop the knowledge and skills required by the student to undertake the role of the adult nurse within inter-professional and inter-agency teams, in the context of a variety of care settings, recognising the specific needs of users and their families/carers.
The module will encourage an examination of the relevant theoretical bases to nursing care and interventions, and a review of contemporary developments. The module will provide the knowledge and develop the skills required for holistic assessment of patients/clients, including a basic understanding of physical assessment.
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| Learning Outcomes |
By the end of the module the student should be able to:
Knowledge and understanding
1. demonstrate a sound understanding of social, psychological and pathophysiological changes leading to ill health and the appropriate assessment strategies on which to plan immediate and continuing care
2. appraise assessment and monitoring tools used in practice and demonstrate knowledge of the principles of physical assessment.
3. explain the role of the nurse in ensuring patient/client safety and the importance of adhering to local and national guidance to enhance safety
4. demonstrate an understanding of how to formulate plans of care and plan for discharge or transfer, in partnership with patients/clients, their carers, and the inter-professional and inter-agency teams
5. demonstrate an awareness of patient/clients’ needs, including those who are highly dependent, in order to help them adapt to altered situations and rehabilitate
6. consider the importance of evaluating care and developing the evidence base for care
7. outline the stages involved in the research process, creating evidence for practice
8. demonstrate an understanding of medication therapy for a variety of physical conditions, including the principles of safe medicine administration and drug calculation
9. discuss the legal and ethical principles that underpin nursing care
Professional practice skills
1. identify the links between nursing theory and the practice experienced within the practice module
2. demonstrate the ability to learn through reflection on practice and appraisal of the evidence for practice
Values and attitudes
1. discuss the concept of advocacy and compare/contrast the legal and ethical implications of caring for a diverse group of adults of all ages, such as those receiving acute or critical care, palliative care, those who are vulnerable, and the nurse’s role in child protection
2. consider the diversity of adults and promote the rights of patients/clients, their families and carers, to informed consent, confidentiality, privacy and dignity
3. demonstrate empathetic understanding of the possible psychosocial impact of acute and chronic illness to a patient/client and their family or carers
Cognitive skills
1. begin to employ analysis and reflective appraisal in relation to healthcare practice
2. demonstrate a sound ability to evaluate contemporary research findings and integrate theory and practice
3. understand the impact of clinical decisions throughout the patient/client journey
4. integrate national standards and guidelines into the planning of care, such as NICE guidelines and NPSA recommendations
Key skills
1. collect/access data related to patient/client care and interpret it using a problem solving approach
2. effectively give, receive and store information in a variety of modalities
3. numeracy in relation to medicine calculations, fluid balance and other clinical applications
4. develop the reflective negotiation and debating skills required to enhance team working
use a questioning approach to extending one’s own knowledge
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| Module Content |
Further study skills such as use of online database, negotiation, debating
Systems pathology, physical, psychological, and social assessment in ill health, leading to care planning for immediate and continuing care
Holistic and systematic assessment of patients/clients and the use of assessment tools
Introduction to clinical decision making
Patient safety and public protection
The role of the user in care planning
Inter-professional and inter-agency team working
The evidence base for nursing care and interventions
National Guidelines for care and interventions, NICE
The research process, including reliability and validity
Medicines used in adult health, polypharmacy and the special needs of the older adult
Ethical dilemmas in adult nursing such as, vulnerable children and adults, advocacy, withdrawal of treatment and palliation
Emphatic skills in adult nursing
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| Methods of Teaching/Learning |
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| Selected Texts/Journals |
ESSENTIAL READING
Becker R, & Gamlin R (2004) Fundemental Aspects of Palliative Care Nursing MA Healthcare Limited, Wiltshire
Downie G, Mackenzie J, Williams A (eds.) 2003 Pharmacology and Medicine Management for Nurses 3rd Edition London, Churchill Livingstone
Gatford JD, Phillips N 2006 Nursing Calculations 7th Edition. Churchill Livingstone
Hoeman S P (2007) Rehabilitation Nursing: Prevention, Intervention and Outcomes, 4th edn, Elsevier, London
Kinghorn J, & Clarke D (2001) Palliative Nursing Balliere Tindall
Sheppard M, Wright M (eds.) 2005 Principles and Practice of High Dependency Nursing 2nd Edition. Bailliere Tindall, London
BACKGROUND READING
Burke M, Laramie J (2004) Primary Care of the Older Adult – a multidisciplinary approach, 2nd edn, Mosby, Washington DC
Department of Health 2000 Comprehensive Critical Care: A review of adult critical care services Department of Health, London
Fawcus R (Ed) (2000) Stroke Rehabilitation: a collaborative approach, Blackwell Science, Oxford
Harrison R and Daly L 2006 Acute Medical Emergencies: A Nursing Guide 2nd Edition Churchill Livingstone, Edinburgh
Hatfield A and Tronson M 2001 The Complete Recovery Room Book 3rd Ed Oxford University Press, Oxford
Hawort K (ed.) 2004 Critical Care Nursing Made Incredibly Easy! Lippincott Williams and Wilkins, Philadelphia
Lippincott Williams and Wilkins 2005 ECG interpretation Made Incredibly Easy 3rd edn. Lippincott
Johns C, Freshwater D (eds.) 1998 Transforming Nursing Through Reflective Practice Blackwell Science, Oxford
Jowett N I, Thompson D R (eds.) 2003 Comprehensive Coronary Care Baillier Tindall, London
McCane K L, Huether S E 2006 Pathophysiology: The Biological Basis for Disease in Adults and Children 5th edn. Elsevier Mosby, St Louis
Pudner R (ed.) 2005 Nursing the Surgical Patient 2nd edn. Elsevier Science Limited
Skinner S 2005 Understanding Clinical Investigations: A quick reference manual 2nd edn. Elsevier Limited
Twycross R (2003) Introducing Palliative Care 4th edn. Oxon Radcliff Medical Press
Walsh M (ed.) 2001 Accident and Emergency Nursing 4th Edition Butterworth-Heinnemann, Oxford
Woodrow P (ed) (2002) Ageing : Issues for physical, psychological and social health, Whurr publishers London
JOURNAL ARTICLES
Ahern J, Philpot P 2002 Assessing acutely ill patients on general wards. Nursing Standard 47 (16): 47 – 54
Barr W, Leitner M, Thomas J 2005 Psychosocial assessment of patients who attend an accident and emergency department with self-harm Journal of Psychiatric and Mental Health Nursing 12: 130-138
Bateman N T, Leach R M 1998 ABC of oxygen: acute oxygen therapy. British Medical Journal 317: 798 – 801
Bennett C 2003 Nursing the breathless patient Nursing Standard 17 (17): 45–51
Cole E 2004 Assessment and management of the trauma patient. Nursing Standard 18 (41): 45-51
Docherty B 2002 Cardiorespiratory physical assessment for the acutely ill: 1 British Journal of Nursing 11 (11): 750 – 758
Docherty B 2002 Cardiorespiratory physical assessment for the acutely ill: 2 British Journal of Nursing 11 (12): 800-807
Eastwick – Field P 1996 The laryngeal mask: an essential part of emergency airway management. Accident and Emergency Nursing 4 (2): 17
Eastwick Z, Grant A 2004 Emotional rescue: deliberate self-harmers and A&E Department of Mental Health Practice 7 (9):12–15
Elmquist L 1992 Decision making for extubation of the post-anaesthetic patient. Critical care Nursing 15 (1): 82-86
Gray A, Howell C, Pirie E 2005 Improving blood transfusion: a patient-centred approach Nursing Standard 19 (26): 38-42
Griffiths H, Gallimore D 2005 Positioning critically ill patients in hospital. Nursing Standard 19 (42): 56-64
Griggs A 1998 Tracheostomy, suctioning and humidification Nursing Standard 13 (2): 49–56
Holtzclaw B J 2004 Shivering in Acutely Ill Vulnerable Populations AACN Clinical Issues 15 (2): 267-279
Inwood H 1998 Advanced airway management Professional Nurse 13 (8): 509–513
Kahn E 2004 Clinical skills: the physiological basis and interpretation of the ECG British Journal of Nursing 13 (8): 440-446
Kent H, McDowell J 2004 Sudden bereavement in acute care settings Nursing Standard 19 (6): 38-42
McArthur-Rouse F 2001 Critical care outreach services and early warning scoring systems: a review of the literature Journal of Advanced Nursing 36 (5): 696-704
Moore T 2003 Suctioning techniques for the removal of respiratory secretions Nursing Standard 18 (9): 47–53
National Institute for Clinical Excellence (NICE) 2004 Self –harm: The short-term physical and psychological management and secondary prevention of self-harm in primary and secondary care. Clinical Guideline 16 [online] NICE, London
http://www.nice.org.uk/pdf/CG016NICEguideline.pdf
[Accessed 30 Jan 2006]
Oakey M 2004 Airway management in Recovery. British Journal of Anaesthetic and Recovery Nursing 5 (1): 5–8
Simpson H 2006 Respiratory Assessment British Journal of Nursing 15 (9): 484-488
Smith G B, Osgood V M, Crane S 2002 ALERT – a multiprofessional training course in the care of the acutely ill adult patient Resuscitation 52: 281 – 286
Waterhouse C 2005 The Glasgow Coma Scale and other neurological observations Nursing Standard 19 (33): 56-64
Watson D 2006 The impact of accurate patient assessment on quality care Nursing Times 102 (6): 34 – 37
Way J, Back A, Curtis JR 2002 Withdrawing life support and resolution of conflict with families British Medical Journal 325: 1342-1345
Wilson J 1996 The use of the laryngeal mask airway in recovery Nursing Standard 11 (7): 47 – 50
Woodrow P 2004 Arterial blood gas analysis. Nursing Standard 18 (21): 45-52
USEFUL WEBSITES
www.afpp.org.uk/index.cfm (Association for Perioperative Practice)
www.baccn.org.uk (British Association of Critical care Nurses)
www.bcs.com (British Cardiovascular Society)
www.doh.gov.uk (Department of Health)
www.ics.ac.uk (The Intensive Care Society)
www.nice.org.uk (National Institute for Health and Clinical Excellence)
www.resus.org.uk (Resuscitation Council UK)
www.rcoa.ac.uk (The Royal College of Anaesthetists)
www.portsmouth.ac.uk/special/alert (details of the ALERT course)
www.trauma.org (Includes interactive scenarios)
JOURNAL TITLES
Accident and Emergency Nursing
British Journal of Nursing
British Journal of Theatre Nursing / British Journal of Perioperative Nursing
British Medical Journal
Clinical Effectiveness in Nursing
Evidence-Based Nursing
Intensive and Critical Care Nursing
Journal of Advanced Nursing
Journal of Pain and Symptom Management
Nursing Research
Nursing Standard
Research in Nursing and Health
Resuscitation
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| Last Updated |
| 28TH JULY 2010 |
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