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The University of Southampton

NPCG2037 Co-ordinating Long-Term Care in Partnership (Dual Field)

Module Overview

In this module you will build on your prior learning to gain further knowledge and skills in working in partnership with people. You will continue to develop clinical decision making in relation to the management of long term, multiple and / or complex conditions. Key topics in this module will be integrated care and co-ordinating teams in and across different care environments.

Aims and Objectives

Learning Outcomes

Learning Outcomes

Having successfully completed this module you will be able to:

  • Reflect the lived experience of the person living with long term care needs, and analyse how a nurse may respond
  • Debate strategies that may be used to coordinate the care of people with long-term care needs across different settings
  • Explain how nurses work in partnership with people to empower, support and promote the health and well-being of individuals with a long-term condition.
  • Analyse strategies employed by nurses to manage risk and promote a safe and effective health care environment.


In this module you should build on your knowledge and understanding of delivering nursing care to individuals and start to develop your ability to manage the care of groups of people. You will consider the process of clinical decision making and study the management of long term conditions and cancer care. Management of teams and care environments will be key topics in this module. Core Content for ALL fields: Collaborative / shared decision making. Positive risk taking and living with risk. Supported self management (including use of digital technologies in promoting self-management and sustaining supportive networks). Technological dependency. Integrated care, multidisciplinary and multiagency team working. Monitoring and co-ordinating care (including use of technology and data). Categorical and non-categorical approaches to the care of individuals with a long-term conditions and disabilities. Health economics and long-term partnership care Medicines Management: (Auditing and monitoring medicines management; storage; legal and professional issues in medicines management practice; Concordance) ADULT Field Specific Content: The following will be explored in more depth in relation to the person with a long-term condition: The experience of living with a long-term condition. Co-ordinating care of people with single LTC and multi-comorbidities. Clinical decision-making – theory and relation to practice. Risk management – living with risk and adapting to changing health. The use of digital technologies including tele monitoring and home ventilation Role of family, carers and the importance of supportive networks (incl. assisted based community development). Discharge – legal and ethical issues (e.g. DNR) MENTAL HEALTH Field Specific Content: The person with dementia (i.e. Behavioural and Psychological Symptoms of Dementia - BPSD) The person with bi-polar disorder Functional mental health disorders in old age Physical health care of people with mental health problems Medicines management Working with families and carers Promoting mental health wellbeing Cognitive behavioural (CBT) competence framework for depression and anxiety Self-management strategies (i.e. Wellness Recovery Action Planning - WRAP) CHILD Field Specific Content: Co-ordinating community children’s nursing Technological dependence in childhood Preadmission and discharge planning: transitioning for children between settings. Lost childhoods: Chronic sorrow living with disability and illness Oncology conditions of childhood Living with and surviving cancer in childhood Mental wellbeing for children living with illness Living with congenital and genetic conditions in childhood Living with long term conditions a body systems approach Skills: Managing difficult conversations Nasogastric tubes and Enteral nutrition Catheterisation and catheter management Care after death Syringe Drivers De-escalation, safe holding and restraint

Learning and Teaching

Teaching and learning methods

Lectures Field/DF specific seminars Skills sessions Online/blended learning

Independent Study96.5
Practical classes and workshops15
Clinical Practice34
Total study time187.5

Resources & Reading list

Glasper EA & Richardson J (2010). A textbook of children's and young people's nursing. 

Goodman B & Clemow R (2010). Nursing and Collaborative Practice. 

Nicol J (2015). Nursing adults with long term conditions. 

Norman I & Ryrie I (2018). The Art and Science of Mental Health Nursing. 


Assessment Strategy

This assessment package will develop the skills in interviewing the person to identify a specific care need building on some of the skills you have developed in Global Health and Organising Person Centred Care modules. The summative assessment will build on your skills in using the evidence base to consider how an identified care need can be met exploring risk, safety and quality of care.


Individual Presentation


MethodPercentage contribution
Essay  (2500 words) 100%

Repeat Information

Repeat type: External

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