PSIO1020 Clinical Management 1 (Cardiorespiratory, Neurology, Neuromusculoskeletal)
This module introduces the basic assessment process and treatment of commonly occurring presentations of cardiorespiratory, neurology and NMS conditions and prepares students for placement 1. The module will refine and build on the concepts of clinical reasoning skills acquired in Principles of Physiotherapy Practice module and identify patients’ problems following key principles from the ICF framework. The module will apply the knowledge gained from Principles of Physiotherapy Practice by introducing students to the specific treatment and practical /clinical skills appropriate to the physiotherapy treatment of a selection of commonly occurring presentations of cardiorespiratory, neurological and neuromusculoskeletal conditions.
Aims and Objectives
To learn the fundamental assessment skills and basic techniques used to manage a patient with a range of straightforward cardiorespiratory and neurology conditions across the ageing population. This module builds on Principles of PT practice and is intended to prepare students for placement 1 so that they have a grounding in neuromusculoskeletal, cardiorespiratory and neurology physiotherapy within acute and community settings.
Having successfully completed this module you will be able to:
- Demonstrate an appropriate physical assessment for patients with commonly occurring presentations of neurological, cardiorespiratory and neuromusculoskeletal conditions, making clear accurate notes
- Identify and recognise signs and symptoms of common neurological, respiratory, cardiac and neuromusculoskeletal presentations and explain the underpinning patho- physiological changes and how these influence the treatment approach
- Discuss clinical reasoning and apply to simple clinical scenarios so as to identify an initial hypothesis, and form a problem list, and treatment plan with realistic goals in partnership with the patient and begin to consider both physical and psychosocial needs
- Select, and apply appropriate neurological, respiratory, and cardiac and neuromusculoskeletal therapeutic modalities and identify any precautions and contra-indications
- Demonstrate appropriate manual handling techniques applied to neurological and cardiorespiratory case scenarios. Explain therapeutic handling in this context
- Consider the current evidence base for selected therapeutic interventions
- Identify appropriate outcome measures to evaluate effectiveness of treatment
- Recognise the role of other professions in health and social care
CVR Content This module will introduce students to the three common presentations of respiratory disease: decreased lung volume, sputum retention and increased WOB from common pathologies such as COPD, Pneumonia, and common cardiac presentations such as MI and heart failure. Students will be given directed tasks on pathologies related to the cases and guidance to facilitate further self-directed learning. Students will be expected to present such topics for discussion amongst their peers Students will undertake the assessment process using A-E systematic approach by practising in practical teaching sessions on each other and by using simple simulated clinical scenarios. In the simulated learning, students will have the opportunity to rehearse and practice as if in a real clinical setting and be facilitated through the clinical process required, so that they can identify the patients’ problems, form a problem list and suggest a treatment plan with appropriate evaluation and goal setting for that scenario. Principles of cardiorespiratory treatment such as: airway management, oxygen therapy, positioning; mobilisation; ACBT, manual techniques, and where possible the evidence base to justify their application. In addition the medical management for conditions such as commonly used drugs will also be discussed. E-learning - The unit is supported by Blackboard 6. This can be accessed at http://blackboard.soton.ac.uk . Videostreaming demonstrations of cardiorespiratory assessment and treatment techniques are available through the blackboard site. Neuro Content This module will introduce students to the principles of neurological physiotherapy assessment and treatment using a problem solving approach and the WHO-ICF structure of impairment, activity and participation. The learning will be based on simple case scenarios of patients with stroke and multiple sclerosis. Students will undertake the neurological assessment process with simple case scenarios, and start to develop their clinical reasoning by forming initial hypotheses, testing hypotheses, formulating simple problem lists and treatment plans, and goal setting, taking into consideration both physical and psychosocial issues. As far as possible service users (patients with stroke or multiple sclerosis) will contribute to the students’ learning, through demonstration of assessment and treatment techniques, and by discussing their experiences of having their condition and their views on physiotherapy treatment. Students will be taught and have the opportunity to practice standard treatment techniques appropriate to the problems identified in each case scenario, such as facilitation of normal alignment and movement, active functional exercise and strengthening, passive stretching and soft tissue mobilisation. Students will be introduced to treatment adjuncts such as rehabilitation technologies. Standard outcome measures that apply to the case scenarios will be introduced. The team approach to neurological rehabilitation will be considered and the role of other members of the multidisciplinary team will be introduced. The evidence base for assessment and treatment will be considered through appropriate clinical guidelines E-learning - The unit is supported by Blackboard 6. This can be accessed at http://blackboard.soton.ac.uk . Videostreaming demonstrations of neurological assessment and treatment techniques are available through the blackboard site. Neuromusculoskeletal content Lectures will be used to introduce the scientific principles and theoretical base of the assessment techniques covered in the Principles of Physiotherapy Practice module and concentrate on the application of appropriate manual therapy, electrotherapy and exercise therapy interventions. A number of case studies will be used to further develop the students’ ability to analyse the assessment information and, using key clinical reasoning concepts, to develop management plans for the case scenarios used. Lectures and group sessions will be followed by practical sessions to develop competency in the safe and effective use of assessment and treatment techniques and manual handling procedures. The practical will include demonstrations and uses the case studies and clinical scenarios to develop reasoning and application of treatment. Students will be given directed tasks on pathologies related to the cases and guidance to facilitate further self-directed learning. Students will be expected to present such topics for discussion amongst their peers.
Students will have the opportunity to experience clinical scenarios in a simulated environment at the faculty, so that they can familiarise themselves with the assessment of common cardiorespiratory presentations, and so develop their communication and clinical reasoning skills prior to clinical placement. They will have the opportunity to reflect on their experience in a clinical debrief and repeat any psychomotor skills that they have found challenging during the scenario. In neurology, service users (patients with upper motor and lower motor neurone conditions) will be involved where possible in the teaching and learning activities. Students will have the opportunity to observe, and assess and treat where possible, common neurological symptoms in real life. This will be supplemented with observation of patients in carefully selected videos from educational video libraries.
Learning and Teaching
Teaching and learning methods
This module will use a blended approach to learning including case based learning, key -note lectures, practical sessions, A/V resources, and simulated clinical scenarios. There will be an emphasis on self-directed study activities using a range of resources such as: group discussion forums and informal presentations. It will require significant student collaboration and self directed study utilising the on-line resources available on blackboard such as discussion forums, self tests, links to other websites and articles.
|Wider reading or practice||35|
|Preparation for scheduled sessions||10|
|Practical classes and workshops||60|
|Total study time||190.5|
Resources & Reading list
Department of Health (2013). NHS Constitution.
The module has a ‘Blackboard’ site containing module information, additional relevant material, lecture notes and an extensive reference list. The skills rooms and web based materials that support skills learning will be utilised including purchased .
Murray E & Simpson J. (2000). Professional Development and Management for Therapists: An Introduction.
Bolton G (2010). Reflective Practice.
Department of Health (2012). Health & Social Care Act.
Health & Care Professions Council, (2008). Standards for Conduct, Performance and Ethics.
Bolton G (2010). Reflective Practice.
Lugon, M. and Secker-Walker, J. (1999). Clinical Governance: Making it Happen.
Department of Health (2012). Final Report of the Mid Staffordshire Foundation Trust Public Enquiry. (Francis Report).
NMC/HCPC/RCCP/Professional Bodies. Codes of professional conduct.
Dimond B. (1999). Legal Aspects of Physiotherapy.
Department of Health (2010). Equity & Excellence: Liberating the NHS (White Paper).
Dimond B. (1999). Legal Aspects of Occupational Therapy.
Dimond B. (2006). Legal Aspects of Midwifery.
Montgomery, J. (2012). Health Care Law.
Martin, V. and Henderson, E. (2001). Managing in Health & Social Care.
Contributions to debate and discussion
|Health education package||100%|
|Health education package||100%|
Repeat type: Internal & External
Costs associated with this module
Students are responsible for meeting the cost of essential textbooks, and of producing such essays, assignments, laboratory reports and dissertations as are required to fulfil the academic requirements for each programme of study.
In addition to this, students registered for this module typically also have to pay for:
Books and Stationery equipment
The costs are the purchase of key texts for this module, however most of the texts are available from the library and text books are increasingly becoming available as E-books.
Please also ensure you read the section on additional costs in the University’s Fees, Charges and Expenses Regulations in the University Calendar available at www.calendar.soton.ac.uk.