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Module Description Template
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Title
Code
Level
Credit rating
Pre-requisites
Type of module
Aims
Learning
outcomes/objectives
Content
Heart failure Level 6
NH318
6
10 credits
Health care professionals working with heart failure patients, with
normally 1 years’ post-registration experience
Extensive
This module aims to critically review the pathophysiology of heart
failure and to utilise evidence-based research to explore the clinical
assessment, presentation and management of patients with heart
failure. Students will critically discuss the impact of national policy
guidelines and evidence-based practice on the evolving
multidisciplinary management of clients with heart failure.
By the end of the module the student should be able to:
 Discuss the pathological causes and physiological and
psychological responses to heart failure
 Critically interpret the cardio-respiratory assessment of the
patient in relation to evidence-based recommendations for
practice
 To suggest medically appropriate management for heart failure
in line with NSF and NICE guidelines and interpret these
guidelines within the context of the nurses’ role.
 Demonstrate development of advanced skills and knowledge in
the multidisciplinary role in managing end-of-life issues with
patients and their families in primary and acute care facilities.
 Explore the psychosocial aspects of living with heart failure for
the patient and their carers.
 Cardiac anatomy, physiology and epidemiology, national and
local initiatives
 Pathology of heart failure and contributory causes
 Physiological responses to heart failure including left ventricular
dysfunction, right heart dysfunction and biventricular failure
 Clinical assessment, differential diagnosis and symptom
management
 Evidence-based treatments including: medical and surgical
interventions
 Role of the multidisciplinary team and the heart failure nurse in
supporting the patient and his family and managing end of life
issues
 Psychosocial aspects of living with heart failure National policy
guidelines – National Service Framework (NSF) and the
National Institute for Clinical Excellence (NICE)
Teaching and learning
strategies
Lectures will be provided by faculty staff and invited multidisciplinary clinical staff
Taught as shared delivery with level 5
Lectures, case scenarios, group work
All students will have a named clinical mentor who will supervise
development of practice in the clinical area
 30 hours taught
 35 hours independent study
 35 hours clinical skills
100 hours total
Learning support
Indicative reading:
Cleland JGF 2002 Contemporary management of heart failure in
clinical trials Heart 88 (Suppl 11) ii5-ii8
Cowie MR 2002 Best practice: evidence from the clinical trials Heart
88 (Suppl 11) ii2-ii4
Department of Health 2000 National Service Framework for CHD
Stationary Office London
Gibbs CR, Gibbs M, Davies MK, Lip GYL (Eds) 2000 ABC of Heart
Failure BMJ: London
Hatchett R and Thompson D 2002 Cardiac Nursing Churchill
Livingstone Edinburgh
Hobbs FDR 2002 Unmet need for diagnosis of heart failure: the view
from primary care Heart 88 (Suppl 11) ii9-ii11
Jaarsma T 2002 End-of-life issues in cardiac patients and their
families European Journal of Cardiovascular Nursing 1: 223-225
Jowett N and Thompson D 2003 Comprehensive Coronary Care
Third edition Balliere Tindall Edinburgh
McMurray J & Pfeffer MA 2002 New therapeutic options in
congestive heart failure Parts 1 & 11 Circulation 105: 2099-2106,
2223-2228
National Institute for Clinical Excellence 2003 Chronic heart failure:
Management of chronic heart failure in adults in primary and
secondary care Clinical guideline 5 London: NICE
Nordgren L & Sorensen S 2003 Symptoms experienced in the last
six months of life in patients with end-stage heart failure European
Journal of Cardiovascular Nursing 2 (3) 213-218
Opie LH and Gersh BJ 2001 Drugs for the heart Fifth edition WB
Saunders Philadelphia
Ryder M, Travers BB, Ledwidge M & McDonald K 2003
Multidisciplinary care of heart failure: what have we learned and
where can we improve? European Journal of Cardiovascular
Nursing 2 (4) 247-249
Stewart S & McMurray JJV 2001 Older and more complicated heart
failure patients: an increasing challenge to the health care system!
Coronary Health Care 5: 121-125
www.doh.gov.uk/nsf/coronary
www.bcs.com
www.bhf.org.uk
www.eurheartj.com
www.healthpro.org.uk
Assessment tasks
Practice 50%
Skills Inventory – these skills assess the student’s ability to apply
theory to the clinical setting
- 3 specified skills (from a choice) will be assessed in practice by
the student’s mentor and assessor or course tutor
Theory 50%
Case Study
Written presentation of a patient using a case study approach with
specific emphasis on the aetiology and presentation of the patient.
There should be a critical review of the assessment findings and
treatment strategies and a discussion of the impact of national policy
on the patient’s care pathway. 2500 words
NB. A 40% pass must be achieved in each assessment part.
Failure to achieve 40% at first attempt in any part will result in a
referral for the module and a maximum final mark of 40%.
Word limit may be exceeded by up to 10% where that is
exceeded, the examiner reserves the right to reduce the result
by 10 %
Brief description of module Heart failure is a common and distressing problem. Whilst mortality
content and/or aims
from coronary heart disease (CHD) in the Western world appears to
(maximum 80 words)
be declining, hospital admission rates for heart failure continue to
rise. This module explores the epidemiology, causes response to
and management of heart failure and considers the important role of
the multidisciplinary team in managing the patient in both acute and
primary care settings.
Area examination board to Critical care area examination board, INAM
which module relates
Module team/authors/
Chrissie Spiers/Carolyn Kenny/Ann Gibbins
coordinator
Semester offered, where
Second semester
appropriate
Site where delivered
Date of first approval
Date of last revision
Date of approval of this
June 2004
version
Version number
1
Replacement for previous
No
module
Field for which module is
Post registration health professionals
acceptable and status in
that field
Course(s) for which
Optional Cardiology Pathway L3
module is acceptable and
Optional Cardiac Surgery Pathway L3
status in course
Optional BSc (Hons) Professional Clinical Practice
Optional BSc (Hons) Professional Practice
School home
INAM – Faculty of Health
External examiner
Jill Riley
Senior Lecturer
Thames Valley University