|To complete the module students must achieve a pass in both the Clinical Practice Log (ungraded) and in the written assignment (graded). Both parts are compulsory for this module.
Practice Based Assessment
A Clinical Practice Log of patient documentation (minimum 10 minor ailments of different presentations) which must be audited by the supervisor as safe to achieve a pass. These should demonstrate competent examination, appropriate clinical decision-making and safe practice in the workplace with evidence of skills development, to the satisfaction of the supervisor who has witnessed the examinations.
Critically evaluate two minor ailment presentations. Compare and contrast the presentations and analyse the evidence base which informed the clinical decision making.
1) patient presentation including history taking, examination and investigations
2) interpretation and analysis of findings
3) the rationale used to support clinical decision-making and diagnostic reasoning for each presentation
4) critical review of each management plan
|Working within specialist clinical area relevant to minor ailment presentations
Clinical Supervisor with appropriate experience and knowledge within the specialist area
|The aim of this module is to provide a clear framework for the management of minor ailments, which can be transferred into clinical practice.
The module will enable health care professional to assess, differentially diagnose and manage patients with minor presentations, whilst identifying personal limitations within their professional practice setting. The student will develop an understanding of autonomous practice and clinical decision making within the context of managing minor ailment presentations.
|On completion of the module, the student should be able to:
Subject Knowledge and Understanding
• Demonstrate knowledge of generic consultation skills and theoretical frameworks
• Recognise professional boundaries and conduct, accountability of the practitioner, alongside issues of patient consent and dignity
• Demonstrate a comprehensive understanding of a range of assessment tools, referral pathways and safe practice
• Extend and apply knowledge of professional judgement/decisions from an ethical perspective
• Demonstrate understanding of the legal aspects of policy regulation.
• Critically analyse physical signs in the context of minor ailment presentations, and the probable significance of such signs
• Synthesise physical signs into a patient history and understand the significance of such signs
• Evaluate physical and psychosocial evidence to support diagnostic theories
• Identify problems within clinical practice and apply knowledge of various assessment tools to formulate clinical decisions.
• Apply complex skills of systematic and holistic assessment of undifferentiated minor presentations to make accurate and safe differential diagnoses, management and appropriate referral
• Identify, analyse and interpret common minor ailment presentations
• Demonstrate a system-based physical / psychological examination in the practice setting
• Act autonomously using skills learnt within guidelines of supervision.
• Draw on research evidence to support clinical judgements
• Use information from physical and psychological assessment in context of clinical problem-solving
• Show effective communication with patients in practice setting
• Apply an holistic approach to care delivery by encouraging user involvement
|Anatomy & physiology specific to minor ailment presentations
Upper Respiratory presentations
Treatment options and management plan
Documentation & recording findings
Legal & ethical aspects
Accountability issues related to autonomous practice
|Methods of Teaching/Learning
42 hours taught
108 hours work-based learning/Self-directed learning
Bickley L, (2007) Bates Guide to Physical Examination and History Taking ninth edition Lippincott Williams & Wilkins
Cross S, Rimmer M, (2002) Nurse Practitioner Manuel of Clinical Skills Bailliere Tindall
Thompson C, Dowding D, (2002) Clinical decision making and judgement in nursing Churchill Livingston, London
Marieb E, Hoehn K, (2007) Human Anatomy & Physiology seventh edition Pearson Benjamin Cummings
Silverman J, Draper J, Kurtz S (2004) Skills for communicating with patients Radcliffe Publishing, Oxford
Usherwood T, (1999) Understanding the Consultation: Evidence, Theory, and Practice. Open University Press, Buckingham
Walsh M, (2006) Nurse Practitioners Clinical skills and professional issues Butterworth Heinemann London
This is reading that will inform the content. You should endeavour to read some of the following:-
Journal of Advanced Nursing
University of Surrey www.surrey.ac.uk/library
Department of Health www.doh.gov.uk
British Medical Journal www.bmj.com
|3RD AUGUST 2010