| Module Code: NUR3044 |
Module Title: ASSESSMENT IN ACUTE AND CRITICAL CARE |
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Module Provider: Health & Social Care
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Short Name: NUR3044
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Level: HE3
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Module Co-ordinator: CURTIS K Ms (HSC)
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Number of credits: 20
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Number of ECTS credits: 10
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| Module Availability |
| Semester 1 |
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| Assessment Pattern |
Assignment:
'Critically explore how your knowledge base has changed and developed during this module in relation to an aspect of your assessment practice'
3000 words
This written assignment should be structured so that you:
• discuss your prior understanding (or lack of understanding) of an aspect of assessment practice within your area of clinical practice (the use of first person and reflection on your own experience is expected)
• critically appraise the new knowledge you have gained through your own exploration of the evidence for assessment practice during the module (using references to published evidence for practice and local/national guidance where appropriate)
• and then explain how this new knowledge will help you to develop your assessment practice to improve client/patient assessment in the future
Students should ensure their work does not breach confidentiality.
Further advice on the expectations of this assignment will be provided during the module and within pathway tutorial time.
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| Module Overview |
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| Prerequisites/Co-requisites |
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| Module Aims |
It is intended that the module will provide the practitioner with the necessary knowledge, skills and expertise to make safe and competent assessment decisions, which are informed by an evidence-based assessment process and practice within the acute and critical care environment. The specific learning needs of practitioners from the following pathways will be met within the module content: Acute Care, Cancer Care, Emergency and Urgent Care and Intensive Care.
The aims of this module are:
• To enable the student to make a comprehensive assessment of a patient within the Acute and Critical Care environment
• To gain and exercise higher levels of judgement in assessment practice
• To empower healthcare professionals to undertake high quality assessment that is evidence based and appropriate to the acute and critically ill patients in their care
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| Learning Outcomes |
Acute Care Pathway
On completing this module the student should be able to:
Subject knowledge and understanding
• demonstrate knowledge of approaches to consultation and history taking in the acute care setting
• demonstrate the underpinning knowledge related to systematic patient assessment, including prioritisation, within the Acute Care setting.
• use knowledge of pathophysiology to make accurate interpretation of physical assessment data in the Acute Care setting
• demonstrate knowledge that enables an assessment of the psychological and social needs of patients in the Acute Care setting
• show an understanding of user involvement, choice and advocacy, legal and ethical issues, and conflict of interest in the assessment of the Acute Care patient
• show an understanding of a range of assessment tools and choice of referral pathways used in the Acute Care setting
Cognitive skills
• analyse the significance of physical, psychological and social signs in the context of assessment in acute illness
• synthesise the physical, psychological and social assessment findings into the context of the patient’s presentation in the acute care setting
• critically evaluate the evidence base in relation to patient assessment and subsequent interpretation, in order to plan care
• demonstrate the critical thinking and reflexive approaches required for reassessment of the acute care patient
Practical skills
• demonstrate a systems based approach to the physical assessment of patients in the Acute Care setting, incorporating related psychological and social assessment
• demonstrate the application of appropriate evidenced based tools of assessment in the context of the Acute Care setting
• act autonomously within the scope of practice in the Acute Care setting to make assessment decisions based on best available evidence in line with (Trust / National) guidelines
• evaluate the choice of selected therapeutic interventions based on the tools of assessment in the acute care practice setting
• create an environment in which the practice of patient assessment is developed, evaluated and disseminated
Cancer Care Pathway
On completing this module the student should be able to:
Subject knowledge and understanding
• demonstrate the underpinning knowledge related to systematic patient assessment within the cancer care setting
• demonstrate knowledge and understanding of the pathopysiology leading to a cancer diagnosis and the physical, psychological and social aspects of patient assessment within cancer care
• show an understanding of user involvement, choice and advocacy, legal and ethical issues, and conflict of interest in the assessment of cancer patients and their significant others
Cognitive skills
• critically evaluate the evidence and research base of approaches to patient assessment
• analyse and evaluate contemporary issues in cancer patient assessment using an appropriate evidence base
• demonstrate the critical thinking and reflective ability essential for effective assessment
Practical skills
• appraise approaches to patient assessment used within cancer care practice
• use appropriate and relevant evidence in appraising assessment tools used in cancer care practice
• make judgements and decisions based on best available evidence and best assessment practice within cancer care
• effectively utilise assessment skills related to specific toxicity monitoring in relation to anti cancer treatments
• demonstrate understanding of the communication issues that impact upon patient assessment in cancer care
• utilise patient risk assessment to maintain patient safety
• develop insight into the occupational risks associated with anti cancer treatment in order to ensure a safe environment
• create an environment in which the practice of patient assessment is developed, evaluated and disseminated
Emergency and Urgent Care Pathway
On completing this module the student should be able to:
Subject knowledge and understanding
• demonstrate the underpinning knowledge related to systematic patient assessment within the emergency and urgent care setting across the life span
• demonstrate knowledge and understanding of the pathopysiology resulting in major and minor injury and illness, and the physical, psychological and social aspects of patient assessment within an Emergency and Urgent care setting across the lifespan
• show an understanding of user involvement, choice and advocacy, legal and ethical issues, and conflict of interest in the assessment of Emergency and Urgent care and vulnerable individuals across the life span
Cognitive skills
• critically evaluate the evidence and research base of approaches to patient assessment
• analyse and evaluate contemporary issues in Emergency and Urgent Care assessment using an appropriate evidence base
• demonstrate the critical thinking and reflective ability essential for effective assessment
Practical skills
• appraise approaches to patient assessment used within Emergency and Urgent Care practice
• use appropriate and relevant evidence in appraising assessment tools used in Emergency and Urgent Care practice
• make judgements and decisions based on best available evidence and best assessment practice within Emergency and Urgent Care
• effectively utilise assessment skills related to the choice and implementation of selected therapeutic interventions used within Emergency and Urgent Care practice
• demonstrate understanding of the communication issues that impact upon patient assessment in Emergency and Urgent Care
Intensive Care Pathway
On completing this module the student should be able to:
Subject knowledge and understanding
• demonstrate the underpinning knowledge that enables a systematic patient assessment, including prioritisation, within Intensive Care
• use knowledge of pathophysiology to make accurate interpretation of physical assessment data
• demonstrate knowledge that enables an assessment of the psychological and social needs of patients in Intensive Care
• demonstrate the value of a collaborative approach (multi-disciplinary, family and patient) in the assessment process
• show an understanding of how choice and advocacy, legal and ethical issues, and conflict of interest impact on the assessment of critically ill and vulnerable individuals
Cognitive skills
• critically evaluate the evidence and research base of approaches to patient assessment
• analyse and evaluate contemporary issues in Intensive Care assessment using an appropriate evidence base
• demonstrate the critical thinking and reflective ability essential for effective assessment
Practical skills
• appraise approaches to patient assessment used within Intensive Care practice
• use appropriate and relevant evidence in appraising assessment tools used in Intensive Care practice
• make assessment judgements and decisions based on best available evidence and best assessment practice within Intensive Care
• effectively utilise assessment skills related to the choice and implementation of selected therapeutic interventions used within Intensive Care practice
• demonstrate understanding of the communication issues that impact upon patient assessment in Intensive Care
• utilise patient risk assessment to maintain patient safety
• create an environment in which the practice of patient assessment is developed, evaluated and disseminated
All pathways
Key / transferable skills
• engage in effective communication within a multi-professional care team during and following the assessment process
• effectively manage information gained through the assessment process
• evaluate and develop professional knowledge and skills through ongoing reflection both on and in practice
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| Module Content |
Assessment:
Principles, models and theories, systematic assessment and information gathering, holistic needs assessment, and risk assessment within acute and critical care practice
Evidence base:
pathophysiology perspective, legal and ethical frameworks, national and local sources of information and guidance, research and audit
Skills development:
Systematic assessment including patient history, leading to interpretation of assessment data and appropriate care or management planning
Evaluation:
Outcome, impact and process, case evaluation, stakeholder impact of policies, effectiveness of assessment strategies
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| Methods of Teaching/Learning |
Taught: 60 hours
Work-based learning: 140 hours
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| Selected Texts/Journals |
This is reading that will increase your understanding of the module content.
A. Recommended Text – general
Andris, D A (2005) Assessment Made Incredibly Easy, 3rd ed. Lippincott Williams and Wilkins, Philidelphia.
Benner, P (2001) From Novice to Expert: Excellence and Power in Clinical Nursing Practice, Commemorative Ed. Prentice Hall, US.
Bickley, L (2003) Bates’ Guide To Physical Examination and History Taking, 8th Ed Lippincott, Philadelphia
Bowling, A (2001) Measuring Disease, 2nd Ed. Open University Press, Buckingham.
Burns, S. Bulman, C (2000) Reflective Practice in Nursing: the growth of the Professional Practitioner 2nd Ed Blackwell Science Oxford
Dimond, B (2005) Legal Aspects of Nursing, 4th Ed. Pearson Education, London
Green,C (2000) Critical Thinking in Nursing: case studies across the curriculum. Prentice Hall, US
Wilkinson,J (2001) Nursing Process and Critical Thinking, 3rd Ed. Prentice Hall, US
Recommended Text - Intensive Care pathway
Adams, S.K. & Osborne, S (2005) Critical Care Nursing: Science and Practice. Oxford University Press, Oxford.
Dale, D (2005) Quick and Accurate 12 Lead ECG Interpretation, 4th Ed. Lippincott, Philadelphia.
Hatchett, R, Thompson, D (2002) Cardiac Nursing; A Comprehensive Guide Churchill Livingstone, London
Marini,, J,Wheeler, A (2006) Critical Care Medicine, 3rd Ed. Lippincott Williams and Wilkins, Philadelphia.
Morton, P. Fontaine, D, Hudak, C, Gallo, M (2005) Critical Care Nursing: a Holistic Approach, 8th Ed. Lippincott Williams and Wilkins, Philadelphia.
Oh T (1998) Intensive Care Manual, 4th Ed. Butterworth-Heineman, Oxford.
Urden L et al (2002) Critical Care Nursing; Diagnosis & Management 4th Ed Mosby, USA
Recommended Text - Acute Care pathway
Ahern, J. Philpot, P (2002) Assessing Acutely Ill Patients on General Wards Nursing Standard 16 (47); 47-54
Anderson, I (1999) Care of the Critically Ill Surgical Patient Arnold London
Bone, R.C., Balk, R.A., Cerra, F B (1992) Definition of Sepsis and Organ Failure and guidelines for the use of innovative therapies in sepsis. The ASSP/SCCM Consensus Conference Committee, American College of Chest Physicians/Society of Critical Care Medicine Chest 101 (6); 1644-1655
Department of Health (DH) (2007) Management of the Acutely Ill Patient, HMSO, London
Dellinger, RP (2004) Surviving Sepsis Campaign guidelines for management of severe sepsis and septic shock Critical Care Medicine 32 (3); 11-15
Douglas, G., Nicol, F., Robertson, C eds (2005) Macleod’s Clinical Examination 11th edn. Elsiver Churchill Livingstone, Edinburgh
Epstein, O. Perkin, D.G. (2003) Clinical Examination 3rd edn. Mosby, Edinburgh
Goa, F., Melody, T., Daniels., D., Giles, S., Fox S (2005) The Impact of Compliance with 6 hour and 24 hour sepsis care bundles on hospital mortality in patients with severe sepsis : a prospective observational study Critical Care 9 (6); 764-770
Goldhill D (2000) Medical Emergency Teams Care of Critically Ill 16 (6), 209-211
Marieb E (2004) Human Anatomy and Physiology 6th edn Pearson Benjamin Cummins, London
McArthur- Rouse (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., Woodrow, P (2004) High Dependency Nursing Care, Observation, Intervention and Support, Taylor Francis Group
Sheppard, M., Wright,. M (2005) Principals and Practice of High Dependency Care 2nd edn Balliere Tindall
Smith, G.B., Osgood, V.M., Crane, S (2002) Acute Life Threatening Emergency Medical Treatment (ALERT) – a multi-professional training course in the care of the acutely Ill adult patient Resuscitation 52 281-268
Recommended Text - Cancer Care pathway
Allwood M, Stanley A, Wright P (eds) (2001) The Cytotoxic Handbook 4th ed Radcliffe Medical Press
Almeida CA and Barry S (2010) Cancer – basic science and clinical aspects. Wiley-Blackwell
Burke C(ed) (2009) Psychosocial Dimensions of Oncology Nursing Care (Second Edition). Oncology Nursing Society. Elsevier Churchill Livingstone
Chernecky C and Murphy K (2009) Acute Care Oncology Nursing 2nd ed Saunders Elsevier
Department of Health (2004) Manual of Cancer Standards HMSO London
Department of Health (2007) The Cancer Reform Strategy. HMSO London
Department of Health (2009) Chemotherapy Services in England: Ensuring quality and Safety
http://www.dh.gov.uk
Department of Health (2010) National Cancer Survivorship Initiative (NCSI) vision
http://www.dh.gov.uk
Dougherty L and Lister S (eds) (2008) The Royal Marsden Hospital Manual of Clinical Nursing Procedures 7th edn Wiley-Blackwell
Kearney N and Richardson A (2005) Nursing Patients with Cancer: Principles and Practice Churchill Livingstone Edinburgh
King RJB and Robins MW (2006) Cancer Biology 3rd edn Pearson Prentice Hall
Lamb J and Dougherty L (2008) Intravenous Therapy in Nursing Practice(2nded) Elsevier Churchill Livingstone
Neal AJ and Hoskin PJ (2009) Clinical Oncology – Basic Principles and Practice (4th ed). Hodder Arnold
Tadman M and Roberts D (2009) Oxford Handbook of Cancer Nursing OUP Oxford
Tobias J and Hochhauser D (2010) Cancer and its management (6th ed). Prentice Hall
Wilkes GM (2010) Targeted Cancer Therapy Jones & Bartlett
Yabro CH, Gobel BH and Wujcik D 2010 Cancer Nursing Principles and Practice (7th ed) Jones & Bartlett
Recommended Text – Emergency and Urgent Care pathway
Dolan, B. Holt. L. (2000) Accident and Emergency Theory into Practice. Bailliere Tindall
Jones.G. Endacott.R. Crouch. R (2002) Emergency Nursing Care Principles and Practice. Greenwich Medical Media
Wright. B (1999) Sudden Death A Research Base for Practice. Churchill Livingstone
Sheehy.s.Blansfield. J Danis D Gervasini (1999) Manual of Clinical Trauma Care 3rd ed Mosby
Zimmerman, P Herr. R (2006) Triage Nursing Secrets. Mosby
Greaves, I. Porter, K. Hodgetts, T.Woollard. M (2006) Emergency Care A Textbook for Paramedics 2nd ed Saunders
C. Background Reading
A pathophysiology book related to the student’s area of practice, such as:
Marieb E, Hoehn K (2007) Human Anatomy and Physiology, 7th ed. Pearson Education, San Francisco.
The National Service Frameworks relevant to your clinical practice.
Journals – General and pathway
American Journal of Critical Care
British Journal of Nursing
Heart and Lung
Journal of Advanced Nursing
Journal of Clinical Nursing
Journal of Emergency Nursing
Emergency Nurse
Journal of Holistic Nursing
Journal of Intensive and Critical Care Nursing
Nursing in Critical Care
Professional Nurse
Cancer Nursing
Cancer Nursing Practice
European Journal of Oncology Nursing
Oncology Nursing Forum
Specialist tutors will advise students on further reading required for their area of practice and additional reading lists may be provided.
USEFUL WEBSITES
Useful web sites – general and pathway
http://www.dh.gov.uk/Home/fs/en
http://www.baccn.org.uk/
http://www.jr2.ox.ac.uk/bandolier/
http://www.bnf.org/bnf/
http://www.clinicalevidence.com/ceweb/conditions/index.jsp
http://www.connectpublishing.com/index.asp
http://www.criticalcareinfo.org/
http://www.publications.parliament.uk/pa/cm200405/cmselect/cmhealth/99/99.pdf
http://www.skillstat.com/6sECG_rdm.html
http://emc.medicines.org.uk/
http://www.esicm.org/
http://learninglab.co.uk/headstart/
http://www.ncchta.org/
http://www.nelh.nhs.uk/nsf/
http://www.nice.org.uk/
http://www.nmc-uk.org/aDefault.aspx
http://www.ics.ac.uk/
http://www.merck.com/mmpe/index.html
http://www.esicm.org/
http://www.phru.nhs.uk/casp/critical_appraisal_tools.htm
http://www.traumacare.com/
http://www.trauma.org/
http://www.ccforum.com/weblinks/
http://www.library.nhs.uk/specialistlibrarysearch/download.ASPX?resID+36833
http://www.dh.gov/policyandguidance/organisation/policy/emergencycare/fs/en
http://www.policyhub.gov/news_item/a&e
http://www.cancerresearchuk.co.uk
http://www.macmillan.org.uk
http://www.breastcancercare.org.uk
http://www.rcn.org.uk/development/communities/rcn_forum_communities/cancer
http://www.ukons.org/
http://www.cancernurse.eu/index.php
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| Last Updated |
| 29TH JULY 2010 |
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