RECOGNITION OF THE ACUTELY UNWELL ADULT

SHE Level 5
SCQF Credit Points 30.00
ECTS Credit Points 15.00
Module Code MMB723473
Module Leader Mark Cooper
School School of Health and Life Sciences
Subject Nursing
Trimester
  • A (September start)

Pre-Requisite Knowledge

Normally a registered nurse or healthcare professional with a minimum of six years post-registration experience. Completion of a Clinical Assessment module or equivalent. Advanced Life Support Certificate.

Summary of Content

This integrated theory and practice module combines biomedical, nursing theory and clinical practice to prepare the student working in the acute care setting to manage the acutely unwell patient through processes of clinical assessment, diagnosis, care management and evaluation.

Syllabus

Five key thematic areas will be integrated across all of the module content: a) Requesting and interpreting standard diagnostic tests e.g. ECG, arterial blood gases, X-rays b) The RCPSG 'IMPACT' course focusing on diagnosing and managing common clinical emergencies. c) Problem based scenarios around typical clinical presentations (e.g. breathlessness, falls, chest pain) requiring the location, critique and implementation of research and evidence based practice in making a differential diagnosis and formulating a care management plan. d) Advanced clinical simulation sessions to develop knowledge and specific clinical skills e) Theoretical concepts and principles underpinning professional issues and challenges e.g. clinical decision making, communication, multidisciplinary team working, autonomy & accountability.

Learning Outcomes

On successful completion of this module students should be able to:1. Identify, conceptualise and evaluate the nature and severity of a patient's presenting condition using a combination of knowledge and skills including physical examination and critical analysis of patient specific data2. Critically evaluate the evidence to formulate differential diagnoses and institute a directed treatment plan3. Via simulated practice, exercise autonomy in prioritising and initiating or delegating care when a patient's condition is life-threatening4. Via simulated practice, authorise and justify appropriate interventions such as prescribing care and medication (within scope of practice), advising and supervising colleagues or referring to other members of the multi-disciplinary team5. Synthesise patient management plans taking account of changing clinical parameters to formulate an ongoing care strategy.6. Critically review the longer-term impact of interventions, project longer-term outcomes and modify treatment plans as appropriate and/or responsibly seek guidance.7. Identify, critically appraise and integrate research findings into the clinical management of acutely unwell adults.

Teaching / Learning Strategy

A blended approach to learning and teaching that engages students in the knowledge, understanding and skills required for advanced practice will be adopted. Enquiry based learning approach will be used to underpin the approach to learning and assessment with scenarios of an increasingly challenging and complex nature (approx 6-12 people will be in an EBL group). Fixed resource sessions will provide pertinent information to assist understanding and resolution of care problems. Clinical simulation laboratory activities will provide the opportunity to learn/practice selected skills required for safe practice in the clinical area, under teacher supervision/instruction. Student led seminars will enable in-depth exploration of professional challenges and issues e.g. accountability, communication. Students will be provided with on-going feedback on performance/skill development during clinical simulation sessions, on formative written work and during case management scenarios. Additionally, under the guidance of a clinical supervisor, students will have the opportunity to engage in practice based learning activities to support their skills development. This module has been constructed to meet service requirements regarding advanced clinical practice and the care of acutely unwell patients, therefore this is reflected in the nature of the assessment strategies which underpin learning and assessment'.

Indicative Reading

Bickley, L., (2012). Bates' Guide to physical examination and history taking. 11th ed. London: Lippincott, Williams and Wilkins. Brown, E.M., Collis, W., Lueng, T. and Salmon, A.P., (2008). Heart sounds made easy (2 nd edition) Edinburgh: Churchill Livingstone. Colledge, N.R., Walker, B.R., and Ralston S.H. (Eds) (2010). Davidson's Principles and Practice of Medicine 21st Edition. Edinburgh: Churchill Livingston Elsevier. Corne, J., Carroll, M., Brown, I. and Delany, D. (2009) Chest X-Ray made easy. 3rd ed. Edinburgh: Churchill Livingstone. Corne, J. and Pointon K. (2007) 100 Chest X-ray Problems. Edinburgh: Churchill Livingstone Elsevier. Cross, S. (Ed), Rimmer, M. (Ed) And Stilwell, B. (2007). Nurse practitioner: manual of clinical skills.Edinburgh: Bailliere and Tindall. Hennessey, I.A.M. and Japp, A.G. (2007) Arterial Blood Gases Made Easy. Edinburgh: Churchill Livingstone Elsevier. Jenkins, R.D. and Gerred, S.J. (2011) ECGs by example 3rd ed. Edinburgh: Churchill Livingstone Elsevier. Nowak, T.J. And Handford, A.G. (2004). Pathophysiology: concepts and applications for health care professionals. 3rd ed. London: McGraw Hill.

Transferrable Skills

-360b7 Work in a self-directed manner, taking responsibility for own learning, personal development and practice competence. b7 Work effectively with others. b7 Underpin professional development by integration of theory and practice. b7 Development of presentation and advanced communication skills b7 Analytical thought, creativity and innovation

Module Structure

Activity Total Hours
Seminars (FT) 2.00
Assessment (FT) 30.00
Independent Learning (FT) 216.00
Tutorials (FT) 16.00
Lectures (FT) 20.00
Practicals (FT) 16.00

Assessment Methods

Component Duration Weighting Threshold Description
Exam (Dept) 02 2.50 25.00 50% Skills StationsException Case in place. Exceptions Case 190.The pass mark for this exam is 70%, the mark will then be normalised in accordance with the University's assessment regulations
Course Work 01 n/a 50.00 50% Case study 3000 words.
Exam (Dept) 01 0.75 25.00 50% OSCE 1 - Case AssessmentException in place. Exceptions Case 190The pass mark for this exam is 70%, the mark will then be normalised in accordance with the University's assessment regulations