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PSIO2037 Managing Clinical Cases CVR and Neurological

Module Overview

This module will focus on Cardiovascular-Respiratory and Neurology and builds on the assessment, treatment and clinical reasoning skills taught in Clinical Assessment and Treatment. It will give you the opportunity to rehearse these skills, learn new management strategies, and apply them to case studies with varied and more complex conditions. As far as possible, service users (patients) will contribute to your learning, through demonstration of assessment and treatment techniques, and/or by discussing their lived experiences of their condition. You will acquire skills to support self-management strategies for patients that could be observed across primary (GP practices), secondary (Hospital) and community-based care. This module will enable you to plan and deliver contemporary high quality healthcare in order to meet the challenging and complex needs of individuals and populations. Cardiovascular-Respiratory (CVR): This component will build upon your knowledge of assessment and treatment of common presentations of respiratory disease such as: Increased Work of breathing (WOB); Decreased Lung Volume; Sputum retention; V/Q mismatch; Reduced exercise tolerance and Respiratory failure. You will develop your clinical reasoning using a problem solving approach and the WHO-ICF structure of impairment, activity and participation, based on more complex case scenarios. Neurology: This component will develop the principles of neurological physiotherapy assessment treatment and clinical reasoning using a problem solving approach and the WHO-ICF structure of impairment, activity and participation, based on more complex case scenarios. This will mainly focus on upper motor neurone such as multiple sclerosis, Parkinson's disease, motor neurone disease, and traumatic brain injury).

Aims and Objectives

Learning Outcomes

Knowledge and Understanding

Having successfully completed this module, you will be able to demonstrate knowledge and understanding of:

  • Identify and explain the essential information and important principles that need to be included in a systematic assessment of more complex cardiorespiratory and neurological case studies.
Subject Specific Intellectual and Research Skills

Having successfully completed this module you will be able to:

  • Critically analyse, and evaluate evidence based practice and identify the clinical relevance and how it contributes to the management of cardiorespiratory and neurological conditions.
Disciplinary Specific Learning Outcomes

Having successfully completed this module you will be able to:

  • Identify problems and develop appropriate management plans in partnership with patients presenting with conditions affecting the cardiorespiratory and neurological systems.
  • Demonstrate the application and modification of clinical management skills appropriate to the presentation and needs of the patient with both cardiorespiratory and neurological conditions.

Syllabus

CVR Assessment: The initial emphasis of the module will be rehearsing the systematic assessment process: the A-E method, and students will build on this knowledge to develop greater confidence in its application to various case studies, so that students can identify the patients' problems using a bio-psychosocial approach and be able to discuss the most appropriate management. Students will develop their knowledge and understanding of the assessment process further and develop analytical skills to interpret arterial blood gases ABG's and chest x rays. Relevant case studies will be used to facilitate clinical reasoning so that the students' can identify and recognise the signs of common respiratory or cardiac presentations. There will be an opportunity for students to rehearse these assessment and clinical reasoning skills using simulated learning practice and practice writing clinical records. Treatment: Students will be taught the principles of: airway management, oxygen therapy, positioning; mobilisation; ACBT, manual techniques, nebulisers and more advanced techniques such as: Intermittent positive Pressure IPPB (Bird), CPAP, BiPAP, cough assist and clinical management of a ventilated patient with manual hyperinflation and suctioning. Students will revise level 4 skills such as postioning, exercise therapy and ACBT when considering planning for discharge and long-term management of a patient with respiratory disease. Students will discuss the impact of the disability and how these changes have affected patients lifestyle and psychological well-being Medical management: commonly used drugs, medical management, goal setting, therapeutic techniques, MDT involvement, patient involvement and psychosocial factors and discharge planning. Evaluation: Critique of literature and a critical understanding of evidence base for interventions and assessment measures Neuro Content This module will develop the principles of neurological physiotherapy assessment and treatment taught in CM 1 using a problem solving approach and the WHO-ICF structure of impairment, activity and participation, based on more complex case scenarios. This will include upper motor neurone (multiple sclerosis, Parkinson's disease, motor neurone disease, traumatic brain injury and spinal cord injury) and lower motor neurone conditions (Guillain Barre Syndrome, nerve injuries, Charcot-Marie-Tooth) and other neuropathies. There will be consolidation of the assessment process and development of clinical reasoning by forming multiple hypotheses, testing hypotheses, formulating detailed problem lists and treatment plans, goal setting and use of appropriate outcome measures. Differences in physical, cognitive and behavioural symptoms, and approaches to treatment in different clinical settings, between progressive and non-progressive conditions will be discussed. As far as possible service users (patients with upper and lower motor neurone conditions) will contribute to the students' learning, through demonstration of assessment and treatment techniques, and by discussing their lived experiences of having their condition and their views on physiotherapy treatment received. Students will discuss with patients how they have coped with the impact of their disability and how these changes have affected their lifestyle and psychological well-being. Innovative and novel therapeutic approaches and techniques will be introduced and discussed, including use of rehabilitation technologies, physical training (aerobic/strength training), balance training, and patient involvement in self-management. There will be a development of critique of the literature and a critical understanding of evidence base for interventions and assessment measures This module will develop the principles of neurological physiotherapy assessment and treatment taught in CM 1 using a problem solving approach and the WHO-ICF structure of impairment, activity and participation, based on more complex case scenarios. This will include upper motor neurone (multiple sclerosis, Parkinson's disease, motor neurone disease, traumatic brain injury and spinal cord injury) and lower motor neurone conditions (Guillain Barre Syndrome, nerve injuries, Charcot-Marie-Tooth) and other neuropathies. There will be consolidation of the assessment process and development of clinical reasoning by forming multiple hypotheses, testing hypotheses, formulating detailed problem lists and treatment plans, goal setting and use of appropriate outcome measures. Differences in physical, cognitive and behavioural symptoms, and approaches to treatment in different clinical settings, between progressive and non-progressive conditions will be discussed. As far as possible service users (patients with upper and lower motor neurone conditions) will contribute to the students' learning, through demonstration of assessment and treatment techniques, and by discussing their lived experiences of having their condition and their views on physiotherapy treatment received. Students will discuss with patients how they have coped with the impact of their disability and how these changes have affected their lifestyle and psychological well-being. Innovative and novel therapeutic approaches and techniques will be introduced and discussed, including use of rehabilitation technologies, physical training (aerobic/strength training), balance training, and patient involvement in self-management. There will be a development of critique of the literature and a critical understanding of evidence base for interventions and assessment measures.

Learning and Teaching

Teaching and learning methods

This module will use a blended approach to learning including case based learning, key-note lectures, flipped classroom, practical sessions, A/V resources, and simulated practice. 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.

TypeHours
Independent Study53.5
Lecture30
Preparation for scheduled sessions10
Wider reading or practice30
Practical classes and workshops40
Follow-up work10
Seminar14
Total study time187.5

Assessment

Assessment Strategy

Objective Structured Clinical Examination - 2 OSPE Assessments must be successfully completed and each OSCE will carry a weighting of 50%. Each OSCE exam must be passed at 40% (grade D), and one component cannot compensate for any other. Those components that are retaken will be capped at 40%.

Formative

Objective Structured Practical Examination (OSPE)

Summative

MethodPercentage contribution
Objective Structured Practical Examination (OSPE)  (25 minutes) 100%

Repeat Information

Repeat type: External

Costs

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:

Other

There are no additional costs associated with this module.

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.

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