In this module you will build on your previous learning so that you can prioritise and respond to the changing levels of support that people require when their health status changes. You will develop your ability to manage and evaluate care across healthcare settings to promote, restore and stabilise health status.
This module contains a defined strand of 60 hours learning which will focus on development of your clinical assessment skills.
Aims and Objectives
Having successfully completed this module you will be able to:
- Explore how the nurse may identify, prioritise and respond to risk factors that may lead to deterioration in health status
- Apply knowledge of human anatomy, physiology and pathophysiology in the context of undertaking a bio-psycho-social assessment.
- Critically discuss the knowledge and skills necessary to undertake a prioritised assessment of people who are experiencing an acute change in health status
- Analyse how clinical judgement and decision making skills inform the management of nursing care
- Evaluate the evidence base which supports nursing responses to acute changes in health status
Content for ALL Fields:
Clinical judgement & decision making
Responding to mental and emotional distress including agitation, aggression and challenging behaviour
Responding to self-harm and or suicidal ideation
Recognising and responding to acute deterioration in physical health status (e.g. sepsis)
Breaking significant news
Sudden and / or traumatic death
Ethical and legal issues in acute care: DNACPR, DOLS
Managing risks to vulnerable groups with acute health care needs (e.g. Learning Disability)
Human Factors: Safety culture, Debriefing
Medicines Management: Safe medicine use. (e.g. drug interactions / reactions including anaphylaxis; recreational drugs; using technology to improve medicines safety; forms of prescribing including PGD)
ADULT Specific Content:
Interviewing skills and assessment frameworks for bio-psychosocial assessment (history taking)
Theoretical and practical knowledge about structured physical assessment (inspection, auscultation, palpation) of key body systems.
Assessment and referral pathways for people presenting with mental / psychological distress
Normal and abnormal findings on assessment and applied anatomy, pathophysiology and physiology in relation to key body systems (Neurological, respiratory, cardiovascular, immune endocrine, abdomen and gastrointestinal, renal, musculoskeletal, skin systems).
Medicines management: Assessing medicine use
MANAGING ACUTE CHANGES IN HEALTH
Assessing, recognising and responding to acute and critical physical illness
Respiratory Care and Support: Respiratory failure, NIV, Chest Drain, ABG Interpretation
Referral pathways and escalation of care (e.g. role of EWS; Outreach; communication frameworks)
Managing symptoms and distress in acute care (to include pain, agitation, psychological distress in critical illness, nausea)
Surgical and post-operative care.
Pharmacology related to commonly encountered drugs in acute conditions.
Assessment, interventions and related pathophysiology in relation to acute changes in:
Shock and Fluid balance disorders
Neurological function (to include acute neurological deterioration,
Genito-urinary function (including UTI, AKI)
Endocrine function (e.g. diabetes and DKA)
Therapeutic Communication skills
Airway skills and supporting the at risk patient
BLS Year 2 update
Responding to physiological deterioration
Taking a structured history
Physical assessment skills.
Venepuncture and cannulation
mental health assessment
Learning and Teaching
Teaching and learning methods
Directed study activities
Technology enhanced learning
|Preparation for scheduled sessions||60|
|Practical classes and workshops||25|
|Total study time||254|
Resources & Reading list
Douw G, Schoohoven L, Holwerda T, Huisman-de-Waal G, van Zanten ARH, van Acterberg Tand van der Hoeven JG (2015). Nurses’ worry or concern and early recognition of deteriorating patients on general wards in acute care hospitals: a systematic review.. Critical Care, 19(1).
Jarvis C (2012). Physical examination & health assessment. Philadelphia / London: Saunders.
Tait D, James J, Williams C and Barton D (2015). Acute and Critical Care in Adult Nursing. London: Sage.
Peate I and Dutton H (2012). Acute Nursing Care: Recognising and Responding to Medical Emergencies. Abingdon: Routledge.
Barber P (2013). Medicine management for nurses. Maidenhead: McGraw Hill Education Open University Press.
Woodrow P (2016). Nursing Acutely Ill Adults. Abingdon: Routledge.
Barber P (2012). Further essentials of pharmacology for nurses. Maidenhead: McGraw-Hill/Open University Press.
This is how we’ll give you feedback as you are learning. It is not a formal test or exam.Seminar Participation
This is how we’ll formally assess what you have learned in this module.
This is how we’ll assess you if you don’t meet the criteria to pass this module.
Repeat type: External