CARDIOPULMONARY PRACTICE

SHE Level 2
SCQF Credit Points 20.00
ECTS Credit Points 10.00
Module Code M2B122675
Module Leader Kirsty Marks
School School of Health and Life Sciences
Subject Physiotherapy
Trimester
  • A (September start)-B (January start)

Pre-Requisite Knowledge

Normally successful completion of Level 1 BSc Hons Physiotherapy Modules.

Summary of Content

This module will enable the student to explore the epidemiology in relation to pathological and psychosocial changes for the cardiovascular and respiratory populations. The impact of cardiovascular and respiratory disease can have on the family and the community will be considered. Students will explore different models of care, in a variety of practice settings and therapeutic management used by the multi-professional teams at different stages of the rehabilitation process for pulmonary and cardiovascular conditions. The need for evaluation and appropriate outcome measurement of part of clinical effectiveness will be addressed.

Syllabus

This module will consider all relevant aspects of cardiovascular and respiratory care from paediatrics across the life span to older people and will include:the pathophysiology of coronary heart disease, respiratory diseases and peripheral vascular disease. Aspects of evaluation in relation to pathophysiology, biopsychosocial issues and on-going management including long term conditions. The resultant effects of medications and surgical management upon these conditions will be explored. Integral to the pathophysiology and other management will be the physiotherapy management of patients with these conditions. The biopsychosocial factors in relation to patients and significant others will be discussed including the impact on the community. Functional restoration through multiprofessional cardiovascular rehabilitation programmes will be developed. Documentation of physiotherapy assessment/ management using a SOAP note approach.

Learning Outcomes

On successful completion of this module, the student should be able to: 1. Synthesise knowledge of anatomy and biomechanics in relation to the cardiovascular and respiratory systems.2. Discuss and evaluate the course and prognosis of the compromised cardiovascular and respiratory systems.3. Explain the role of genetic and biopsychosocial factors together with other health determinants e.g. culture, ethnicity, gender, age, socioeconomic factors, which contribute to cardiovascular and respiratory dysfunction due to pathological changes.4. Relate the signs and symptoms of cardiovascular and respiratory dysfunction to the underlying pathological changes.5. Undertake an appropriate subjective and objective examination of an individual with cardiovascular and/or respiratory problems taking account of psychosocial ethical and legal issues of informed consent.6. Demonstrate an understanding of relevant clinical outcome measures and how these may be used in clinical practice.7. Utilize evidence demonstrating some critical awareness to formulate appropriate physiotherapy management for individuals with cardiovascular and/or respiratory problems.8. Select, justify and undertake techniques to meet individual patients' needs and be able to modify these appropriately incorporating safe moving and handling practice.9. Formulate, implement and evaluate appropriate programmes of aerobic conditioning as part of the secondary prevention and psychosocial health and of cardiovascular and respiratory clients.10. Identify and compare the contributions made by a variety of professions in delivery of health and social care.11. Engage in critical reflection on their clinical reasoning and learning 12. Utilise relevant methods of CPD activity to promote learning in a CPC context 13. Demonstrate the ability to document physiotherapy findings in an agreed format (SOAP) taking credence of professional and legal requirements.

Teaching / Learning Strategy

A variety of strategies will be used, with the emphasis on encouraging the students to take an active part in their knowledge and skill acquisition and to engage in critical reflection of their clinical reasoning and learning throughout the module. The module will use lectures to introduce key areas of study related to cardiovascular and respiratory systems. These will be supported by follow up tutorial and seminar sessions for which students will be expected to have undertaken independent study in preparation for classes. Tutorials and practical classes will be used to formulate physical examinations and assessment procedures and encourage student to discuss and explore relevant issues in relation to interventions. The use of case studies, patient interviews, visiting clinical specialists, videos and a reasoning and problem-solving approach will be incorporated into practical classes, giving the students a realistic approach to the management of clients of diverse ability and cultural backgrounds. Peer review and tutor feedback will be used to provide formative assessment within the module. Directed reading and discussion groups in both the classes and the clinical setting will encourage students to enhance their understanding and provide experiential learning situations which will stimulate discussion and debate. CPD related activities will be used throughout and students will be actively encouraged to engage and add to their personal development portfolio.

Indicative Reading

Essential text: -360b7 Main, E. & Denehy, L. 2015, Cardiorespiratory physiotherapy: adults and paediatrics, Elsevier. b7 Gibson, V. & Waters, D. 2017, Respiratory care. 1st ed. CRC Press LLC. b7 Hough, A. 2017 Hough's Cardiorespiratory Care: an evidence-based, problem-solving approach. 5th edition. Elsevier. b7 Thow M (ed) (2006) Exercise Leadership in Cardiac Rehabilitation? An evidence based approach Wiley, London b7 Evans J. 2015 Cardiovascular System. 4th edition. Mosby Elsevier Key text: -360b7 Broad MA, Quint M, Thomas S and Twose P 2012. Cardiorespiratory Assessment of the Adult Patient Churchill Livingstone, Edinburgh 1st Edition b7 Bott J, Blumenthal S, Buxton M, Ellum S, Falconer C, Garrod R, Harvey A, Hughes T, Lincoln M, Mikelsons C, Potter C, Pryor J, Rimmington L, Sinfield F, Thompson C, Vaughn P, White J. (2009). The Joint British Thoracic Society/ Association of Chartered Physiotherapists in Respiratory Care Guidelines for the Physiotherapy Management of the Adult, Medical, Spontaneously Breathing Thorax: Vol 64, Supplement 1. b7 Engstrom, B. & Van de Ven, C., 1999. Therapy for Amputees, 3rd ed. Edinburgh: Churchill Livingston b7 Palastanga, N. Field, D. Soames, R., 2012. Anatomy and Human Movement: Structure and Functon, 6th ed. Churchill Livingstone b7 Smith, M. & Ball, V., 1998. Cardiovascular and Respiratory Physiotherapy. Mosby Internatonal. b7 West, J.B., 2008. Respiratory physiology the essentials, 8th ed. Philadelphia: Lippincot Williams & Wilkins. -360b7 Cardiac Rehab SIGN GUIDELINES <http://www.sign.ac.uk/assets/sign150.pdf> b7 School of Health and Life Sciences: Department of Psychology and Allied Health Sciences 2012/13. Protocols for Practical Skills Procedures. b7 Health & Care Professions Council (HCPC). 2016, Guidance on Conduct and ethics for Students, HCPC, London. <http://www.hpc-uk.org/registrants/standards/students/> b7 Health & Care Professions Council (HCPC). 2016, Standards of conduct, performance and ethics, HCPC, London. <http://www.hcpc-uk.org/aboutregistration/standards/standardsofconductperformanceandethics/> b7 Health & Care Professions Council (HCPC). 2013, Standards of proficiency (SOPs) Physiotherapists, HCPC, London. <https://www.hcpc-uk.org/assets/documents/10000DBCStandards_of_Proficiency_Physiotherapists.pdf> b7 School fitness to practice document: <http://www.gcu.ac.uk/media/gcalwebv2/theuniversity/academicschools/sls/psytimetables/Final_FTP_PolicyJune_2017.pdf>

Transferrable Skills

There will be the extension of information, social and professional communication and interpersonal skills, and development and enhancement of organizational ability, analysis, evaluation, synthesis, problem-solving, decision making and clinical reasoning. Listening and interviewing skills. Moving and handling skills and concepts of risk assessment and its impact on technique application will be explored within this module. In addition, teaching of groups and individuals. Students will also develop skills in maintaining their CPD through specific activities.

Module Structure

Activity Total Hours
Practicals (FT) 48.00
Independent Learning (FT) 108.00
Lectures (FT) 24.00
Assessment (FT) 20.00

Assessment Methods

Component Duration Weighting Threshold Description
Exam (Dept) 01 0.75 50.00 35% Clinical VIVA Activity with note writing
Coursework 1 0.00 50.00 35% Coursework - 2000 words