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2010/1 Module Catalogue
 Module Code: NUR3121 Module Title: STROKE
Module Provider: Health & Social Care Short Name: NUR3121
Level: HE3 Module Co-ordinator: MOORE CR Mrs (HSC)
Number of credits: 20 Number of ECTS credits: 10
 
Module Availability
Semester 2
Assessment Pattern
A structured reflective portfolio of evidence demonstrating the specialist learning outcomes: 3000 words
The reflective aspects must comprise of one 1500 word reflection specific to the students own discipline, and one 1500 word reflection focused on the students own aspect of choice plus a structured reflection of 300 words on each of the visits in order to demonstrate deeper understanding of all aspects of stroke.
Module Overview
Prerequisites/Co-requisites
Module Aims
The aim of this module is to enable students to recognise the individuality of people who have had a stroke and empower them to maximise their potential for recovery.
Learning Outcomes

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
• Critically evaluate the need for multidisciplinary assessment and multidisciplinary team work.
• Demonstrate knowledge and understanding of the underlying epidemiology, pathology and aetiology of a stroke diagnosis
• Demonstrate an understanding of the importance of the patient’s diagnosis and cognitive effects of a stroke
• Demonstrate an understanding of government and trust policies that influence the provision of stroke services.

Cognitive/intellectual skills
• Evaluate and develop their professional knowledge through ongoing reflection in and on practice
• Critically discuss the validity of knowledge of care of people who have had a stroke in relation to their own professional practice
• Demonstrate an understanding of, and the ability to, undertake an intradiciplinary patient centered goal planning process
• Utilise current evidence based knowledge to undertake secondary prevention and health promotion for patients and relevant others.

Practical Skills
• Demonstrate the ability to link theory to practice in relation to the care of those who have had a stroke in order to demonstrate an understanding of evidence based practice
• Critically appraise own delivery of evidence based practice

Key transferable skills
• Critically analyse the socio-political climate impacting on care of those who have had a stroke
• Critically evaluate own effectiveness in including patients and carers in the process of adapting to life after a stroke


Module Content
The academic content of the module concentrates on integrating theoretical and practical knowledge regarding care of people who have had a stroke.

Introduction to the module and assessment of learning needs
Aetiology, pathology and epidemiology of stroke
Assessment tools and risk assessment
Interdisciplinary assessment and goal setting
Management of patient/client care, safety and comfort
Effective patient communication skills
Carer involvement and experience
Palliative care measures
Life adaptations
Methods of Teaching/Learning
Overall Student Workload – 200 hours total: 42 contact hours, 158 self-directed
Selected Texts/Journals
This reading list will enhance understanding of concepts/issues in the field of stroke.


Personal experience of stroke:

• My Year Off, 2008 Robert McCrum Picador london
• The diving bell and the butterfly,1997, Jean-Domininique Bauby HarperPerennial (or cheat and get the film out on DVD)!
• After Stroke, 2000 Hinds David M, Thorsons

Think a bit more about our wonderful Brains

• The Private Life of the Brain Susan Greenfield 2002 Penguin Books Ltd
• The Man Who Mistook His Wife for a Hat Oliver Sacks 1986 Picador

Advice on Stroke;

• Stroke: your questions answered, Churchill Livingstone; 2 edition (8 Dec 2006), Graeme J. Hankey
• Stroke at your fingertips: the comprehensive and medically accurate manual about stroke and how to deal with it, Antony Rudd and Penny Irwin 2000 Class Publishing
• The Stroke and Aphasia Handbook Parr S. Connect Press (Jul 2004)

Anatomy and Physiology

• Essentials of Human Anatomy and Physiology 2008 by Elaine N. Marieb 9th ed Pearson Education
• Principles of Anatomy and Physiology Gerard J. Tortora John Wiley & Sons; 12th International student edition edition (20 Jun 2008)
• The Anatomy Coloring Book Wynn Kapit Benjamin Cummings; 3 edition (20 Jul 2001)
• http://science.nhmccd.edu/biol/ap1int.htm#brain list of brain related educational websites



Stroke Text books

• Stroke: Practical Management 2008 Charles Warlow (Author), Peter Sandercock (Author), Graeme Hankey (Author), Jan Van Gijn (Author), Martin Dennis (Author), John Bamford (Author), Joanne Wardlaw (Author), Cathie Sudlow (Author), Gabriel Rinkel (Author), Peter Rothwell Blackwell Publishing; 3Rev Ed edition (31 Jan 2008)
• Stroke Care: A Practical Manual (Oxford Care Manuals) OUP Oxford (21 April 2005) Rowan Harwood (Author), Farhad Huwez (Author), Dawn Good
• Stroke Units: An Evidence Based Approach WileyBlackwell (1 May 1998) Peter Langhorne (Editor), Martin Dennis (Editor)
• Managing strokes and TIA’s in practice, 2003 Ronald S. MacWater et al. Springer; 1 edition (10 Dec 2007)
• Neurological Rehabilitation of Stroke (Queen Square Neurological Rehabilitation) Nick Losseff (Editor) Informa Healthcare; 1 edition (1 Jul 2004)



Stroke guidelines

• National Stroke Strategy, DoH 2007 www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_081062
• Reducing brain damage: faster access to better stroke care, 2005 Department of health, www.nao.org.uk
• National clinical guidelines for stroke, 3rd edn, 2008 Royal College of Physicians London. http://www.rcplondon.ac.uk/pubs/brochure.aspx?e=250
• The diagnosis and acute management of stroke and transient ischaemic attacks. NICE 2008 http://www.nice.org.uk/Guidance/CG68
• NSF for Older People Chapter 5 Stroke. www.dh.gov.uk/en/SocialCare/Deliveringadultsocialcare/Olderpeople/OlderpeoplesNSFstandards/DH_4002292

Websites

• www.dh.gov.uk/en/Healthcare/NationalServiceFrameworks/Stroke/index.htmMain Dept of Health web page for stroke
• www.improvement.nhs.uk/stroke New stroke improvement website
• www.stroke.org.uk Stroke Association


Psychology

• 'Head Injury: A Practical Guide' by Trevor Powell
• 'Traumatic Brain Injury - Rehabilitation for Everyday Adaptive Living' by Jennie Ponsford.

Physical Rehabilitation

• S. Edwards 'Neurological Physiotherapy- a problem solving approach' Churchill Livingstone 200

• M.Stokes 'neurological Physiotherapy' Mosby

• Carr & Shepherd 'Neurological rehabilitation - optimising motor performance'

• Carr & Shepherd ' Stroke Rehabilitation'

Nutrition:
• Salah Gariballa. Nutrition & Stroke - prevention and treatment. Blackwell publishing, 2004

Speech and Language:

• The Aphasia Handbook. 2004 (2nd Ed) Parr, S; Pound, C and Byng, S. Available from Connect / local SLT dept.
• Bamford, J et al. (1991) “Is it a stroke and what sort of stroke is it?” Lancet 1991; 337 : 1521-6
• Talking about Aphasia: living with loss of language after stroke. Parr, S; Byng, S; Gilpin, S; and Ireland, C. (1997) Open University Press.
• Lennard-Jones, J.R. (1998) Ethical and Legal Aspects of Nutrition and Hydration. Nursing Standard, Volume 13, No. 2. 33. Based on report for British Association for Parenteral and Enteral Nutrition.
• Langmore, S., Terpenning, M., Schork, A., Chen, Y., Lopatin, D. and Loesche, W. (1998). Predictors of Aspiration Pneumonia: How Important is Dysphagia? Dysphagia 13: 69 - 81


Occupational Therapy.

• Occupational therapy and stroke, Judi Edmans 2001. WileyBlackwell

• Vision, Perception, and Cognition: A Manual for the Evaluation and Treatment of the Adult with Acquired Brain Injury (4th Revised edition edition (2007) SLACK Incorporated

Last Updated
30TH JULY 2010