Managing Acute Changes in Health Status ( Adult field GEN)

Learning Outcomes

Learning Outcomes

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
• Critically discuss the knowledge and skills necessary to undertake a prioritised assessment of people who are experiencing an acute change in health status
• Apply knowledge of human anatomy, physiology and pathophysiology in the context of undertaking a bio-psycho-social assessment.
• Evaluate the evidence base which supports nursing responses to acute changes in health status
• Analyse how clinical judgement and decision making skills inform the management of nursing care

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:

ASSESSMENT SKILLS

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:

Respiratory function

Cardiovascular function

Shock and Fluid balance disorders

Neurological function (to include acute neurological deterioration,

delirium, epilepsy)

Genito-urinary function (including UTI, AKI)

Endocrine function (e.g. diabetes and DKA)

Skills:

Airway skills and supporting the at risk patient

BLS Year 2 update

Responding to physiological deterioration

NG Insertion

Taking a structured history

Physical assessment skills.

Venepuncture and cannulation

Teaching and learning methods

Lectures

Seminars

Directed study activities

Self-directed Study

Technology enhanced learning

Resources & Reading list

Internet Resources

Managing the Deteriorating Patient.

Journal Articles

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).

Textbooks

Woodrow P (2016). Nursing Acutely Ill Adults. Abingdon: Routledge.

Tait D, James J, Williams C and Barton D (2015). Acute and Critical Care in Adult Nursing. London: Sage.

Barber P (2013). Medicine management for nurses. Maidenhead: McGraw Hill Education Open University Press.

Jarvis C (2012). Physical examination & health assessment. Philadelphia / London: Saunders.

Barber P (2012). Further essentials of pharmacology for nurses. Maidenhead: McGraw-Hill/Open University Press.

Peate I and Dutton H (2012). Acute Nursing Care: Recognising and Responding to Medical Emergencies. Abingdon: Routledge.

Formative

This is how we’ll give you feedback as you are learning. It is not a formal test or exam.

Summative

This is how we’ll formally assess what you have learned in this module.

Referral

This is how we’ll assess you if you don’t meet the criteria to pass this module.

Repeat Information

Repeat type: External