DETERIORATING ADULT PATIENT

SHE Level 4
SCQF Credit Points 20.00
ECTS Credit Points 10.00
Module Code MHB726203
Module Leader Deborah Rickards-Hill
School School of Health and Life Sciences
Subject Nursing
Trimesters
  • A (September start)
  • B (January start)
  • C (May start)

Summary of Content

The aim of this module is to 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. Students will be supported to explore the evidence and to develop own practice through engagement with the module syllabus and supervised learning in the workplace. This learning and skill acquisition will enable students to develop the confidence and responsibility required of those who care for deteriorating adult patients.

Syllabus

-360b7 Recognising the deteriorating adult patient, immediate treatment, structured response/escalation and communication tools (NEWS/NEWS2) b7 Cardiac: cardio-vascular patho-physiology, ECG rhythm recognition, heart failure, acute coronary syndromes, sepsis, shock b7 Respiratory: respiratory patho-physiology, respiratory failure, interpretation of arterial blood gases, non-invasive ventilation, tracheostomy care, chest drain management, b7 Renal: renal patho-physiology, acute kidney Injury, fluid management, electrolyte management b7 Gastro-intestinal: acute liver failure, pancreatitis, GI bleeding, nutrition, blood sugar control b7 Cerebro-spinal: neurological assessment, spinal injury, stroke b7 General: reflective practice, assignment guidance, literature searching, quality improvement science, end of life care/DNACPR, challenging conversations, pain management, haemo-dynamic monitoring, delirium, addictions and substance withdrawal

Learning Outcomes

On successful completion of the module the student should be able to:1. Critically explore the patho-physiological processes in relation to the deteriorating adult patient2. Demonstrate a person-centered approach to shared decision making in the context of the adult patient at risk of deterioration3. Critically reflect on the wider issues of acute care nursing which demonstrates professional accountability and its relationship to professional practice4. Critically appraise and reflect on evidence based research and its applicability to clinical practice in the context of the deteriorating adult patient5. Apply in-depth knowledge and skills to support recognition and management of the deteriorating adult patient6. Demonstrate clinical assessment and monitoring skills in the management of the deteriorating adult patient

Teaching / Learning Strategy

A variety of teaching and learning strategies will be utilised. This will be a combination of modified lectures, interactive discussions, workshops and directed and self-directed learning and group presentation. Students will have opportunity for face to face contact time with the module team during classroom based study days, excluding individual academic support which will be offered following discussions with the module leader. The fundamental aim of the teaching and learning strategy, irrespective of delivery mode, is to enable to synthesis and apply knowledge delivered within the module that supports the development of autonomous, independent, critical thinking, problem solving and decision making skills of practitioners within the parameters of their professional competence, role and employers agreed vicarious liability (or equivalent).

Indicative Reading

HEALTH IMPROVEMENT SCOTLAND, 2019 Risk reduction and management of delirium (SIGN 157) [online] Health Improvement Scotland. [viewed 6 th June 2019]. Available from <https://www.sign.ac.uk/sign-157-delirium.html> HEALTH IMPROVEMENT SCOTLAND, 2014 Care of deteriorating patients (SIGN 139) [online] Health Improvement Scotland. [viewed 6 th June 2019]. Available from <https://www.sign.ac.uk/sign-139-care-of-deteriorating-patients.html> NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE, 2014 Acute coronary syndromes in adults (QS68) [online] National Institute for Health and Care Excellence. [viewed 6 th June 2019]. Available from <https://www.nice.org.uk/guidance/QS68> SOCIETY OF CRITICAL CARE MEDICINE, 2002 Surviving Sepsis Campaign [online] Society of Critical Care Medicine. [viewed 6 th June 2019]. Available from <http://www.survivingsepsis.org/Pages/default.aspx> ROYAL COLLEGE OF PHYSICIANS, 2017 National Early Warning Score (NEWS2) [online] Royal College of Physicians. [viewed 6 th June 2019]. Available from <https://www.rcplondon.ac.uk/projects/outputs/national-early-warning-score-news-2> THIBODEAU, G.A. & PATTON, K.T., 2007 Anatomy and Physiology. 6th ed. St. Louis: Mosby. TORTORA, G.J. & DERRICKSON, B. 2013 Essentials of anatomy and physiology . 9th ed., International student version. Hoboken, N.J.?: Chichester: Wiley?; John Wiley [distributor].

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
Tutorials (FT) 10.00
Independent Learning (FT) 118.00
Assessment (FT) 30.00
Lectures (FT) 42.00

Assessment Methods

Component Duration Weighting Threshold Description
Course Work 01 n/a 100.00 40% Essay (4000 words)