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PSIO6042 Managing Clinical Cases (MSc) (NMS/SCG/CVR/Neuro)

Module Overview

This module builds on the assessment, treatment and clinical reasoning skills taught in Clinical Assessment and Treatment (MSc). It will give you the opportunity to rehearse these skills, learn new management strategies and apply them to new case studies with varied and more complex conditions. You will further develop your knowledge and understanding of respiratory, cardiac, neurological, and musculoskeletal pathologies. In the special client group component, the principles of assessment and treatment will be applied to conditions involved in specialist areas of practice. These conditions are those that affect client populations across the life-span e.g. paediatrics and elderly care. You will further develop and refine your critical evaluation of the effectiveness of practice, to enable you to manage more complex cases and develop your clinical reasoning. 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 would 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.

Aims and Objectives

Module Aims

To build on skills developed in the Clinical Assessment and Treatment (MSc) module; to expand your approach to undertake a comprehensive biopsychosocial assessment, develop your clinical reasoning and learn new physiotherapy management techniques by using more complex musculoskeletal, cardiorespiratory and neurological case studies. You will also learn how to modify these concepts with special client groups. To develop and refine your critical evaluation of the evidence base underpinning physiotherapy practice to support the development of your profession specific knowledge.

Learning Outcomes

Knowledge and Understanding

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

  • Select and explain how you collate and interpret the essential information in a systematic assessment for more complex musculoskeletal, cardiorespiratory, special client groups and neurological case studies.
Subject Specific Intellectual and Research Skills

Having successfully completed this module you will be able to:

  • Critically analyse, evaluate and make informed judgments of EBP and identify the relevance of how it contributes to the management of the patient.
  • Critically evaluate methodologies and methods so as to interpret EBP and apply to the management of more complex case studies.
Disciplinary Specific Learning Outcomes

Having successfully completed this module you will be able to:

  • Identify, select and demonstrate the application and modification of clinical management skills appropriate to the presentation and needs of more complex musculoskeletal, cardiorespiratory, neurological and special client groups case studies.

Syllabus

This module will use the following content to meet your learning outcomes: Application of the clinical sciences to more complex and varied clinical case studies; development and refinement of assessment procedures to incorporate more diverse patient groups; development of clinical reasoning skills and the exercise of informed clinical judgement; use and application of a range of physiotherapeutic treatment and rehabilitation modalities/strategies; practice writing clinical records; communication skills across the spectrum of patient care in a variety of settings developing greater awareness of psychosocial factors that influence the management of the patient; and reflecting on prior learning to develop self-awareness and future learning needs.

Special Features

Students will share the BSc teaching which will enable the students to experience real patient interviews as part of the neurological module, and the use of simulated patients as part of the cardiorespiratory module. The combination of the taught and self-directed learning will enable the students to begin to synthesise their knowledge from both learning opportunities and develop their ability to think about their treatment approach across a wider spectrum of patients to further develop their skills of professional judgement.

Learning and Teaching

Teaching and learning methods

You will attend lectures and practical teaching sessions shared with the BSc students for the specific subject areas: neurological, musculoskeletal, cardiorespiratory and special client groups. This module will use a blended approach to learning including case based learning, key-note lectures, flipped classroom, taught and facilitated practical sessions, group work, video resources, patient demonstrations and simulated practice. In addition, using the guided discovery learning approach, you will work independently in small groups on additional case studies of more complex patients that present with a combination of problems. These case studies will have separate masters level learning outcomes and will be used to facilitate student debate of the ‘best management’ approach for these patients and will support your ongoing development in critiquing the literature so that they can justify their treatment approach with the current evidence base. You will present your work to the rest of the group in plenary sessions and the materials produced by your cohort will become a shared resource for the group. Examples of such cases used at this level to guide the learning might include: • Janet Brown is a 45 year-old woman with recent whiplash associated disorder who is suing the other driver and has a history of litigious behaviour. • John Hammond is a 12 year-old child athlete who has exercise induced asthma with a dominant parent. • Michael Scott is a 60 year-old who is facing problems at work following his recent diagnosis of Parkinson’s disease • Tessa Frampton has come for a total hip replacement because her head of femur became necrosed following her fall. She developed sciatica following her surgery. • Dave Hart is now 59 years old. He is admitted with a myocardial infarct. He has to make many lifestyle changes to improve his health

TypeHours
Practical100
Lecture50
Preparation for scheduled sessions100
Revision55
Tutorial12
Wider reading or practice40
Seminar18
Total study time375

Resources & Reading list

Low J & Reed A (1999). Electrotherapy Explained. 

Hengeveld, E and Banks, K. (2013). Maitlands Peripheral Manipulation. 

Edwards S (Ed.) (2002). Neurological Physiotherapy: a problem solving approach. 

Higgs J., Jones M., Loftus S., and Christensen N. (2008).  Clinical reasoning in the health professions. 

Stokes M Stack E (Ed.) (2013). Physical Management for Neurological Conditions [Formerly Physical Management in Neurological Rehabilitation]. 

Chest X rays Made Easy. 

Harden, B. (Ed) (2004). Emergency Physiotherapy. An on-call survival guide. 

Carr J & Shepherd R (2010). Neurological Rehabilitation: Optimizing motor performance. 

Lennon S & Stokes M (Eds.) (2008). Pocketbook of Neurological Physiotherapy. 

Shumway-Cook A and Woollacott MH (2012). Motor control : translating research into clinical practice. 

Sim J (1997). â€˜Ethics and Moral decision making’ in French S ed (1997) Physiotherapy: a psychosocial approach. 

Hengeveld, E and Banks, K. (2013). Maitlands Vertebral Manipulation. 

Hough, A (2014). Physiotherapy in Respiratory Care: An evidence based approach to respiratory and cardiac management. 

Petty, N.J. and Moore, A.P. (2001). Neuromusculoskeletal Examination & Assessment. 

Mary Anne Broad, Mathew Quint, Sandy Thomas, Paul Twose (2012). Cardiorespiratory Assessment of the Adult Patient, A clinicians guide. 

Aehlert , B. (2002). ECG’s made easy, pocket reference. 

Sue Raine, Linzi Meadows, Mary Lynch-Ellerington (Editors) (2009). Bobath Concept: Theory and Clinical Practice in Neurological Rehabilitation. 

Assessment

Assessment Strategy

There are three assessments for this module: Objective Structured Clinical Examination - 3 OSCE assessments (MSk, Neuro, CVR) must passed at 40% (grade D); a presentation and viva on a critical reflection of clinical reasoning with reference to literature; and a case study report based on an SCG case. All components (including all 3 OSCE’s) must be passed; no component can compensate for any other.

Formative

Mock exam

Summative

MethodPercentage contribution
Case study report  (2500 words) 50%
Objective Structured Clinical Examination  (30 minutes) %
Presentation & Viva  (30 minutes) 50%

Referral

MethodPercentage contribution
Case study report  (2500 words) 50%
Objective Structured Clinical Examination %
Presentation & Viva  (30 minutes) 50%

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 the 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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