DETERIORATING ADULT PATIENT

SHE Level 4
SCQF Credit Points 30.00
ECTS Credit Points 15.00
Module Code MHB723002
Module Leader Lynne Robertson
School School of Health and Life Sciences
Subject Nursing
Trimesters
  • A (September start)
  • B (January start)
  • C (May start)

Pre-Requisite Knowledge

Registered general nurse or AHP who has been working within an acute care area for at least 6 months, has completed IV medicines administration and has demonstrated study at level 9 or equivalent

Summary of Content

The aim of this module is to enable practitioners in Acute Care areas to develop the ability to integrate, apply, critically analyse and evaluate knowledge from Nursing and Allied Health professional backgrounds. This will develop an individual who is able to analyse and evaluate nursing practice in the care and management of the Deteriorating Adult Patient with emphasis on the wider context of care and knowledge of research-based and reflective practice.

Syllabus

Recognising the deteriorating patient, treatment/escalation plans and use of communication tools Blood science - interpretation of common blood results. Cardiac: Cardiovascular Patho-physiology ECG rhythm recognition; haemodynamic monitoring & associated vascular access devices; Heart Failure; Shock, Sepsis Respiratory: Respiratory Patho- physiology, Respiratory Failure; Interpretation of arterial blood gases; Airway Management, Physiotherapy - chest clearance, Non- invasive ventilation, tracheostomy care. Renal: Patho-physiology of Acute Renal Failure; Fluid & electrolyte balance, General: Nutrition, Liver Pancreatitis, Management of medical emergencies Pastoral Care, Revitalising Care, Neuro -observations, reflective practice, assigment guidance, literature searching and knowledge network. Immediate Life Support day

Learning Outcomes

On successful completion of this module the student should be able to:1. Analyse the patho-physiological conditions in the practitioner's area of care in order to recognise significant changes in a patient's condition.2. Evaluate the diagnostic and invasive monitoring adjuncts employed in the care of the Deteriorating Adult Patient 3. Critically appraise legislation, sources of information, advice and decision support to demonstrate evidence based management for the deteriorating adult patient.4. Critically appraise the wider issues of acute care nursing which demonstrates professional accountability and its relationship to clinical practice.5. Demonstrate a person centred approach to shared decision making in the context of the patient at risk of deterioration.6. Formulate a learning log to evidence clinical and educational activity.

Teaching / Learning Strategy

This module offers only a blended delivery. A combination of lectures, seminars, tutorials, interactive discussions, workshops, directed and self-directed study will be utilised. The student will always obtain the equivalent of 36 hours of contact time with the module team, excluding individual academic support. The fundamental aim of the teaching and learning strategies, irrespective of delivery mode is to support the development of autonomous, independent problem solving and decision making within the parameters of their profession competence, role and employers agreed vicarious liability (or equivalent). The teaching and learning strategy will enable the students to synthesise and apply knowledge gained from study of the topics within the module. The teaching and learning will follow a blended approach to ensure flexibility for students. Teaching methods will include lectures, seminars, group work, guided reading and online learning. Tutorials will provide opportunities to consider and explore actual and potential evaluation strategies relevant to independent practice.

Indicative Reading

Department of Health (2009) Competencies for Recognising and Responding to Acutely Ill Patients in Hospital Dellinger R Vincent J (2005) the surviving sepsis campaign sepsis change bundles and clinical practice. Critical Care Vol 9 pp 653 - 654 National Institute of Clinical Excellence (2007) Acutely ill patients in hospital Recognition of and response to acute illness in adults in hospital Royal College of Physicians. National Early Warning Score (NEWS): Standardising the assessment of acute illness severity in the NHS. Report of a working party. London: RCP, 2012. Surviving Sepsis website : <http://www.survivingsepsis.org/About-SSC/Pages/default.aspx> Scottish intensive Care Society: http://www.scottishintensivecare.org.uk/ Tait, D. (2012) Acute and Critical Care in Adult Nursing. London. Sage Waugh, A, <http://www.amazon.co.uk/s/ref=ntt_athr_dp_sr_1?_encoding=UTF8&field-author=Anne%20Waugh%20BSc%28Hons%29%20%20MSc%20%20CertEd%20%20SRN%20%20RNT%20%20FHEA&search-alias=books-uk&sort=relevancerank> Grant A ( 2014) Ross and Wilson Anatomy and Physiology in Health and Illness, 12ed Churchhill Livingstone London

Transferrable Skills

Develop independent learning by working in a self-directed manner Develop study and IT skills to underpin effective learning Develop critical thinking, decision making and communication skills Work effectively with others Underpin professional practice through reflection and the integration of theory and practice Appreciate the need for a high level of ethical and professional conduct

Module Structure

Activity Total Hours
Lectures (PT) 30.00
Tutorials (PT) 12.00
Assessment (PT) 30.00
Practicals (PT) 6.00
Seminars (PT) 6.00
Independent Learning (PT) 216.00

Assessment Methods

Component Duration Weighting Threshold Description
Coursework 1 n/a 100.00 40% Clinical Learning Portfolio (6000 words)