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This module aims to increase both depth and breadth of the student's ability to manage pro-actively acute respiratory deterioration and the complications of critical illness. This is done through learning activities based around the development of advanced problem solving skills in the assessment and management of respiratory problems. This will be facilitated by workshops in the use of mechanical support, case based learning in small groups and an emphasis on wider reading of the literature to support choices.
The module is structured around two main topics:
1. The management of acute respiratory deterioration of patients (on call) [two days] is also available for CPD only opportunity. It aims to give students understanding and confidence to manage on call scenarios.
2. The management of patients requiring invasive or non-invasive ventilation including rehabilitation [two days] is also available for CPD only. It aims to give students understanding and confidence to manage ventilated patient scenarios.
16/17 October 2018 and 23/24 October 2018
Exam within the dates 28-29 November 2018
Core module for MSc physiotherapy (cardio-respiratory) [modular], MSc Physiotherapy (full-time)
Programme elective for MSc Physiotherapy (part-time), MSc Neurological Rehabilitation, MSc Neuromusculoskeletal Healthcare, MSc Pain Science and Management
The module aims to enhance the student's evidence based knowledge in:
1. assessing and planning, delivering and evaluating the care of acute respiratory deterioration giving students understanding and confidence in ‘on call’ situations.
2. assessing and planning, delivering and evaluating the care of patients requiring invasive and non-invasive ventilation including rehabilitation, giving students understanding and confidence in critical care.
Module Learning Outcomes/Objectives
Formulate and communicate/discuss a reasoned clinical diagnosis of the primary cause and contributing factors of acute deterioration of the cardio-respiratory system and/or complications of critical illness will be achieved by assessments.
Critically evaluate and synthesise current evidence to support clinical decisions and management choices in the application of cardio-respiratory physiotherapy will be achieved by assessments.
Evaluate assistive and apply technologies in the management of acute respiratory deterioration and critical illness will be achieved by assessments.
Select and evaluate appropriate outcome measures for cardio-respiratory problems will be achieved by assessments.
Create a programme of rehabilitation to facilitate function, activity and participation following critical illness will be achieved by assessments.
Evaluated and apply advanced practical skills in the management of acute respiratory deterioration and/or complications of critical illness will be achieved by assessments.
Physiotherapy degree at 2:2 and above and relevant clinical experience.
Learning activities will be based around the development of the student's problem-solving skills in the assessment and management of acute respiratory deterioration or critical illness.
Management of acute respiratory deterioration in hospital setting (on call), including: role and responsibilities of the physiotherapist working out of hours and alone; assessment and management of acute deterioration; advanced respiratory management skills including suction, manual hyperinflation and insufflation/exsufflation
Management of acute on chronic respiratory deterioration including: pathophysiology of AECOPD; assessment and application of non-invasive ventilation; end of life care.
Management of critical illness including respiratory management in critical illness; management and prevention of ICU acquired weakness; recent advances in invasive ventilation
The module will be facilitated by case learning and simulation mannequins in small groups and there will be an emphasis on wide reading of the literature to support choices.
Block sessions: Lecturers, seminars, discussion sessions, practical sessions and tutorials.
30 minute oral examination in conjunction with a set of predetermined criteria, based on a case study (provided by the module team 6 weeks in advance); 10 days before the examination, students will be required to submit 1000 word account of the clinical reasoning underpinning their diagnosis of the cardio-respiratory problem(s) in the case. The oral examination will explore each student's depth of analysis of the case, clinical reasoning and diagnosis, evaluation of management strategies including assistive technologies and/or complex contexts (e.g. critical care unit or patient's home), and critically evaluate outcome measures appropriate for the case.