|A 3500 word academic assignment–
An analytical care study of a respiratory case that demonstrates a depth of assessment and critical appraisal of an evidenced approach to intervention (s).
Reflexive learning will need to demonstrate how new knowledge and skill(s) have changed your practice. 100%
You will be expected to complete a clinical log of 6 ‘Observational Visits’ to achieve the overall module outcomes
|The aim of this module is to support flexible learning opportunities in order to develop independent learners who are able to address the complexities of modern health and social care policy and provision in an innovative manner.
The aim of this module is to enhance the practitioner’s knowledge and understanding of acute and chronic respiratory disease(s) and to enable quality assessment and management of the respiratory patient across the different care boundaries.
The module provides a framework for registered health-care practitioners from a range of disciplines across primary and secondary care settings to achieve understanding, and develop competencies and work based skills related to the management of respiratory patients. It will assist in underpinning the delivery of high quality effective care in line with current evidence and national policy.
The Theory/Practice approach incorporates patient centred care and a multiprofessional approach to learning. It offers the practitioner the flexibility of achieving their learning needs through both self-directed learning and taught module content delivered at various venues across the different localities. Taught concepts include altered pathophysiology of acute and chronic respiratory diseases, assessment strategies, respiratory diagnostics, pharmological and non – pharmological management, and Pulmonary Rehabilitation.
The learner will further have the opportunity to maximise their specific learning needs by attending clinical sessions relevant to their specific area of practice and as negotiated by their trust/organisation’s specialist clinical lead.
|On completing this module the student should be able to:
Subject Knowledge and Understanding
• Identify learning needs and formulate an individualised, self-directed program of learning through the use of a personal development plan.
• Evaluate and develop their professional knowledge through ongoing reflection in and on practice relevant to the chosen area.
• Critically discuss the validity of the chosen topic area in relation to their professional practice.
• Demonstrate the ability to link theory to practice in relation to the chosen topic area in order to demonstrate an understanding of evidence based practice.
Key transferable skills
• Critically analyse the socio-political climate impacting on the chosen area of study
SPECIFIC LEARNING OUTCOMES
To demonstrate knowledge and understanding of respiratory physiology and pathophysiology in relation to both acute and chronic respiratory diseases
To demonstrate knowledge and understanding of assessments and simple respiratory diagnostic tests, and interpret the altered physiological variables in relation to the patient’s presenting symptoms.
To demonstrate knowledge and understanding of assessments and simple respiratory diagnostics and interpret the altered physiological variables in relation to the patients presenting symptoms.
To be able to critically appraise and evaluate interventions in relation to the evidence base, in particular from local, national and international guidelines in the relevant clinical setting in relation to the following; Pharmological/Nonpharmological management; Oxygen Therapy; Spirometry; Non- Invasive Ventilation; Tracheostomy Care and Pulmonary Rehabilitation
|The academic content of the module concentrates on integrating theoretical and practical knowledge in order to enable the student to study an area of healthcare relevant to their professional role. Key themes to be covered in relation to the specific subject are:
1 Assessment: Principles of assessment related to altered physiology and path physiology of chronic respiratory diseases process. Evaluation of assessment tools in monitoring respiratory disease (s)
2. Interventions: Development of skills in relation to appropriate and evidence based respiratory care interventions in the primary and acute care settings.
3. Rehabilitation: Principals of patient rehabilitation and journey of the respiratory care patient across primary and secondary care and understanding the roles of different health care professionals.
4. Evaluation: Reflection of the practitioner’s role and evidence of contribution to development of skills for practice
• Introduction to the module and assessment of learning needs
• Altered lung mechanics and pathophysiological processes in acute and chronic Respiratory Diseases and differential diagnosis
• Epidemiology chronic respiratory diseases
• Respiratory history assessment and examination techniques
• Respiratory Diagnostics: ABG’s/CXR interpretation/Spirometry
• Respiratory Interventions: National Oxygen Guidelines (acute and home use) /Inhaler Techniques/Non-Invasive Ventilation/Tracheostomy Care
• Physical rehabilitation concepts related to patient positioning/nutrition/chest clearance
• Rehabilitation of the Respiratory patient
• The patient journey; facilitating seamless care pathways across primary and secondary care and understanding the roles of different health care professionals involved
• Accountability, legal and professional approaches
|Methods of Teaching/Learning
|Overall Student Workload – 200 hours total: 90 contact hours, 110 self-directed
In order to demonstrate achievement of learning for each module within the programme, it is expected that each student will attend the taught component relevant to their area of practice and as negotiated by their Trusts/organization specialist clinical lead(s).Therefore the minimum attendance required will be 80% of the overall taught component of each module. This includes allowing for Annual leave. Any absence should be discussed in advance, with the module organiser. Any students failing to meet the attendance criteria for a module will be unable to submit their assessment.
|This is reading that is useful for your understanding of issues/concepts that will be covered by the module content.
Bates, B (2005) Guide to Physical Examination and History Taking. Lippincott Williams and Wilkins; 9 Rev Ed edition,
Bott J. The role of Pulmonary Rehabilitation in severe asthma and COPD. The Asthma Journal 2002
Bott J, Blumenthal S, Buxton M et al. Physiotherapy management of the adult, spontaneously breathing, medical patient. Thorax 2009;64 (suppl1-i1- i51). http://thorax.bmj.com/content/vol64/issuesuppl1 or
British Thoracic Society / National Institute of Clinical Excellence (NICE) 2004 National Clinical Guidelines on Management of Chronic Obstructive Pulmonary Disease in Adults in Primary and Secondary Care Thorax 59 (SI): 131-159.
British Thoracic Society. British Guideline on the Management of Asthma.Thorax 2008;63 (Suppl IV): iv1-iv121.doi:10.1136/thx.2008.097741
Chapman. S, Robinson. G, Stradling. J, West. S, (2005) Oxford Handbook of Respiratory Medicine. Oxford University Press.
Dechman G, Wilson CR. Evidence Underlying Breathing Retraining in People With Stable Chronic Obstructive Pulmonary Disease. Phys Ther 2004;84:1189-1197.
Field D 1997 Every breath you take Nursing Times 93 (26): 28 - 30.
R. Gosselink, J. Bott, M. Johnson, E. Dean, S. Nava, M. Norrenberg, B. Schönhofer, K. Stiller, H. Leur, J. L. Vincent Physiotherapy for adult patients with critical illness: recommendations of the European Respiratory Society and European Society of Intensive Care Medicine Task Force on Physiotherapy for Critically Ill Patients. Intensive Care Med. 2008; 34, 7: 1188 – 1199
Green,M, Moxham,J. Respiratory Muscles. In: Fenley DC, Petty TL, eds. Recent Advances in Respiratory Medicine. Edinburgh: Churchill Livingstone 1983:1-20.
Halpin D. NICE guidance for COPD. Thorax 2004;59:181-182.
Hubbard, R. The Burden of Lung Disease. Thorax 2006; 61: 557 – 558
Marieb E N Student Access Kit My A& P for Human Anatomy and Physiology Course Compass, ISBN: 0-8053 - 5510 - 3
National Institute of Clinical Excellence (NICE) 2004 Management of chronic obstructive pulmonary disease in adults in primary and secondary care Clinical Guideline 12 NICE
Nici L, Donner C, Wouters E et al. American Thoracic Society/European Respiratory Society statement on pulmonary rehabilitation. Am J Respir Crit Care Med 2006;173:1390-1413.
Puhan MA, Scharplatz M, Troosters T et al. Respiratory rehabilitation after acute exacerbation of COPD may reduce risk for readmission and mortality -- a systematic review. Respir Res 2005;6:54.
Ries AL, Bauldoff GS, Carlin BW et al. Pulmonary Rehabilitation: Joint ACCP/AACVPR Evidence-Based Clinical Practice Guidelines. Chest 2007;131:Suppl-42S.
Rochester, D, F1991 Effects of COPD on the respiratory muscles, in Chronic Obstructive Pulmonary Disease (ed N S Cherniack), WB Saunders Company, Philadelphia, PA, p 134-157
Sackett DL, Rosenberg WMC, Gray JAM, et al 1996. Evidence based medicine: what it is and what it isn’t. British Medical Journal 312:71-2
Simonds AK 2001 Non-Invasive Respiratory Support 2nd Ed. Arnold
Thomas M, McKinley RK, Mellor S et al. Breathing exercises for asthma: a randomised controlled trial. Thorax 2008
Tortora G, Grabowski S 1996 Principals of Anatomy and Physiology Harper Collins, New York
West, JB Respiratory Physiology – the essentials
West, JB Pulmonary Pathophysiology – the essentials
European Respiratory Journal.
Accident and Emergency Nursing
Journal of Advanced Nursing
Journal of Mental Health
Intensive and Critical Care nursing
Care of the Critically Ill
Critical Care Nursing Clinic of North
Journal of Pain and Symptom Management
Health and Social Care in the Community
International Journal of Nursing Studies
University of Surrey www.surrey.ac.uk/library
National Centre for Reviews www.york.ac.uk/inst/ord
Centre for Innovation in Primary Care www.innovate.org.uk
Department of Health www.doh.gov.uk
Centre for Health Evidence www.cche.net
NELH for Clinical Guidelines
National Institute for Clinical Excellence www.nice.org.uk
|30TH JULY 2010