MAJOR ILLNESS - ASSESSMENT AND IMMEDIATE MANAGEMENT

SHE Level 4
SCQF Credit Points 40.00
ECTS Credit Points 20.00
Module Code MHB726195
Module Leader Lyndsey Fearns
School School of Health and Life Sciences
Subject Nursing
Trimesters
  • C (May start)-A (September start)
  • S-C (May start)-A (September start)

Summary of Content

This module is designed to support practitioners to meet the challenges and demands of delivering safe, effective person-centred care to for those presenting with a major illness to; emergency departments, acute medical/surgical receiving units, ambulatory care units, primary care settings and out of hour's centres. The module promotes the development of problems solving and decision making skills to support and underpin the development of this specialist clinical practice. Consequently, those undertaking this module will be supported to develop the knowledge, skills and confidence required to safely, effectively and responsibly assess and manage the care of those presenting with a major illness.

Syllabus

The immediate assessment and management of those with a major illness presenting in the unscheduled care setting in the context of: Generic components: Clinical history taking including medication histories/ Drugs in the elderly OSCE and written assignment preparation. Radiation protection/referrals/Ionising radiation medical exposure regulations (IRMER). Principles of pain management. X-Ray interpretation. Practical examination sessions. Anatomy and physiology. Local/national protocols/guidelines. Anatomy and physiology, physical examination of; respiratory, cardiovascular system, abdominal and neurological system. CVS: Chest pain, Electrocardiography (ECG), heart failure, suspected DVT, collapse Neurological: Neurological examination, stroke, collapse, falls Genitourinary: Genitourinary complaints; kidney injury Endocrine: Diabetes Respiratory: COPD; asthma; acute dyspnoea GI: Abdominal pain; upper GI conditions, biliary disease, lower GI conditions, pancreatitis Musculoskeletal: hip and femur fractures, falls, joint infection, fractures of upper and lower extremities, back pain Care of the elderly; Dementia/delirium/depression, common elderly presentations Mental health: deliberate self-harm: alcohol withdrawal syndrome Acute management of palliative patients

Learning Outcomes

On successful completion of the module the student should be able to:1. Demonstrate, as part of the assessment and immediate management of those presenting with a major illness, relevant knowledge of anatomy, physiology and pathophysiology2. Demonstrate an informed and structured approach to clinical assessment and immediate management of those presenting with major illness. 3. Critically explore and evaluate the role of those responsible for the assessment and management of major illness. 4. Critically explore and apply evidence when assessing and managing the care of those presenting with a major illness. 5. Interpret, evaluate and apply clinical data as part of the assessment and management of those presenting with a major illness. 6. Critically reflect on own knowledge and skill development when undertaking the assessment and management of those presenting with major illnesses in a variety of contexts. 7. Demonstrate critical thinking and high level decision when undertaking the assessment and management of those presenting with major illnesses in a variety of contexts. 8. Critically review and discuss contemporary approaches to the management of major illnesses in a variety of contexts including community, hospital and out of hours centres.

Teaching / Learning Strategy

This module will adopt a blended learning approach and will include; modified lectures, tutorials and practical objective structured clinical examination (OSCE) demonstrations. Online resources will be available to augment both self-directed study and face-to-face delivery of the module. Students will also access practice learning experiences in the workplace and will be supported and assessed by a nominated supervisor/assessor with the necessary experience for the supervisor/assessor role. These practice learning experiences will enable students to engage in discussion of current practises, applying theoretical learning as part of this, in a creative and responsible way. The ongoing supervision of the supervisor/assessor will ensure that students are supported to develop confidence when assessing and managing minor illness as part of engaging with this module. The completion of a clinical competency log-book is directly related to the practice learning experience. Students must complete 150 hours of practice and 1/3 of these (50 hours) must be completed under the direct supervision of the nominated supervisor/assessor.

Indicative Reading

BICKLEY, L. 2016. Bates' Pocket Guide to Physical Examination and history taking. 7th Edition. London. Lippincott CROUCH, R., CHARTERS, A., DAWOOD, M. & BENNETT, P. eds. 2016. Oxford handbook of emergency nursing. 2nd Edition. DOUGLAS, G., NICOL, F. & ROBERTSON, F. eds. 2018. Macleod's Clinical Examination. 14th Edition. Edinburgh. INNESS, J., DOVER, R. & FAIRHURST, K. eds. 2018. Macleod's Clinical Examination. 14th Edition. Edinburgh. Elsevier Churchill Livingstone. Williams & Wilkins. Nursing and Midwifery Council (2018) The Code. Professional standards of practice and behaviour for nurses, midwives and nursing associates, Nursing and Midwifery council. RAWLES, Z., GRIFFIS, B. and ALEXANDER, T. eds. 2015. Physical Examination Procedures for Advanced Practitioners and Non-Medical Prescribers: Evidence and rationale. 2nd ed. Milton: Routledge

Transferrable Skills

Development, or enhancement, of: -360b7 Independent learning skills b7 Critical thinking and decision making skills b7 Study, IT and time management skills b7 Professional and ethical values aligned with professional practice b7 Communication and team working b7 Theory and practice integration and problem solving b7 Reflection

Module Structure

Activity Total Hours
Assessment (FT) 20.00
Tutorials (FT) 15.00
Lectures (FT) 60.00
Practicals (FT) 15.00
Placement 150.00
Independent Learning (FT) 140.00

Assessment Methods

Component Duration Weighting Threshold Description
Competency Log n/a 50.00 40% Compentency Log (3000 words)Exceptions case submitted and outcome pending regarding minimum threshold and module pass markEXCEPTIONS CASES 187 AND 188 APPROVED NOV 2019
OSCE 1.00 50.00 40% OSCE (70% pass mark normalised to 40%)Exceptions case submitted and outcome pending regarding minimum threshold and module pass mark