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CARDIOLOGY NURSING/ PRINCIPLES OF CARDIAC NURSING 6KNIR302/ 6KNIR304 Level: 6 Credits: 15 credits Module leader: Tel: Email: Amanda McNaughton 020 7848 3679 [email protected] Module deputy: Tel: Email: Dr Ehsan Khan 020 7848 3509 [email protected] Academic support: Amanda McNaughton This handbook must be read in conjunction with module information provided on KEATS, the King’s ELearning And Teaching Service. You will be given access to KEATS on enrolment. Important information relating to assessment and related regulations can be found in the Undergraduate Handbook, available on KEATS and via the Student Services Centre. This handbook can also be provided in alternative formats (such as large print) upon request to [email protected]. Contents Module overview ............................................................................................................... 1 Module aims ................................................................................................................... 1 Learning outcomes ......................................................................................................... 1 Teaching arrangements .................................................................................................. 1 Timetable ....................................................................................................................... 2 Submitting coursework/exam information ......................................................................... 4 Assessment criteria ......................................................................................................... 4 Formative assessment ..................................................................................................... 4 Summative assessment.................................................................................................... 4 Witten assignment.............................................................................................................. 4 Submission date for course work: ................................................................................... 4 Results and re-submissions for course work .................................................................... 4 Re- submission date:....................................................................................................... 5 Resubmitted work available for download:..................................................................... 5 Results and re-sits for examinations ................................................................................ 5 Learning resources ............................................................................................................. 6 Oxford.Module evaluation ................................................................................................. 10 Action from previous evaluations ....................................................................................... Error! Bookmark not defined. Module overview Module aims This course aims to prepare the practitioner for their role in Cardiac Nursing. There will be opportunities to develop specialist skills and knowledge in order to deliver a high standard of care to cardiac clients. Learning outcomes At the end of the course participants will be able to: Have an in-depth and critical understanding of the anatomy and physiology of the cardio-vascular system. Have a critical understanding of the principles of electrocardiography. . Identify arrhythmias and explore appropriate actions. Critically examine cardiac risk factors. Have an in-depth understanding of patients with Acute Coronary Syndromes. Have a critical understanding of the assessment, diagnosis and treatment of ACS. Demonstrate an understanding of the process of risk stratification and the utilisation of diagnostic tools. Have a critical understanding of care and management of heart failure. Appraise the role of secondary prevention in cardiac disease management. Explore the role of palliative care in the management of chronic cardiac patients. Evaluate the roles and responsibilities of the professionals within the multi-disciplinary team. Use evidence based practice to inform care. Teaching arrangements Lectures with interactive discussion Directed reading Seminars Student presentations Guided study 1 Timetable Week Date 12/01/16 1 Time Title Lecturer(s) 1000-1030 Introduction / epidemiology Amanda McNaughton 1100-1300 Anatomy & Physiology 12/01/16 1400-1530 2 1530-1600 1000-1200 3 02/02/16 4 02/02/16 5 23/02/16 23/02/16 6 1200-1300 1400-1600 Assessment of chest pain & ACS Assignment guidelines Valvular heart disease TAVI Endocarditis Heart Failure FWB 1.65 Dr Ehsan Khan Amanda McNaughton Amanda McNaughton Amanda McNaughton Winnie Nwosu Amanda McNaughton Dr Ehsan Khan 1000-1200 1200-1300 Cardiomyopathies Principles of ECG & AF Amanda McNaughton 1400-1530 Long QT Dr Ehsan Khan 2 Room FWB 1.63 FWB 1.65 FWB 1.12 FWB 1.65 FWB 1.69 ELEARNING 08/03/16 7 08/03/16 8 1000-1300 1400-1600 Heart Sounds & Tour round Gordon museum Cardiac rehab Amanda McNaughton TBC Amanda McNaughton evaluation 3 Gordon Museum, Guys campus FWB 1.62 Submitting coursework/exam information Assessment criteria All parts of the assessment must be completed and submitted by the date below. Failure to submit assignments or attend examinations will result in a fail grade being awarded. Formative assessment Formative assessment is submission of a plan of your assignment to the course leader. Reading of draft work Lecturers are permitted to comment on a detailed plan or correct up to 250 words of a draft assignment on one occasion for each piece of work. Summative assessment Witten assignment Choose one of the subjects from the course content and critically analyse how you used the information to inform your nursing interventions using evidence based practice. This comprises of one assignment of 2,000 words and carries weighting of 100% of the total mark. Date of submission 12th April 2016 Course work submission/exam instructions are provided on the KEATS module page. It is essential that you use your candidate number on all assignments/examinations. Your candidate number, which will begin with W for the academic year 2015/16, will be available via Student Records on the King’s Intranet approximately one month after you enrol. Submission date for course work: 12th April 2016 Late submissions will be accepted for 24 hours following the submission date. All work submitted late will be marked as normal but will be capped at the pass mark for the module. If your assignment is hard copy please ensure you date stamp it and submit it to the submission room G15 JCMB. If your assignment is submitted electronically through TurnItIn, information about how to submit late will be provided on KEATS module sites under assessment information. Results and re-submissions for course work Students will receive a provisional (unratified) mark for their coursework 4 weeks following submission. According to the method of submission as detailed on your KEATS site, if your work was submitted online you will be able to download marked coursework from KEATS; alternatively, if you completed a hard-copy submission you can collect your coursework and feedback from the Student Services Centre. To collect a hard copy assignment, you must provide your candidate number. Alternatively, you may send a stamped addressed envelope to the Student Services Centre ensuring that this is large enough to accommodate your assignments and that you have applied sufficient postage. Hard copy assignments will be retained for four weeks; if you have not collected your assignment by then, it will be destroyed. 4 Feedback will include the award of a numerical grade which remains provisional until ratified by the examination boards. The dates for the examination boards are available on KEATS. Ratified marks can be viewed via Student Records on the King’s Intranet, the Monday following the relevant examination board. If you are unsuccessful, it is recommended that you contact the module leader before submitting your second attempt. This will enable the module lead to provide you with an appropriate level of support as you prepare to re-submit your work. Re- submission date: 19th July 2016 Resubmitted work available for download: Students will receive a provisional (unratified) mark for their coursework 4 weeks following submission. According to the method of submission as detailed on your KEATS site, if your work was submitted online. Results and re-sits for examinations Unratified results from exams will be available on your KEATS module site 4 weeks from the date of the examination. Re-sit dates will available on your KEATS module site. If you are unsuccessful, it is recommended that you contact the module leader before submitting your second attempt or re-sitting your examination. 5 Learning resources Week 1: Introduction & Anatomy & Physiology By the end of the session students will: Have an understanding of how the course runs. Have asked any questions they have pending the commencement of the course. Discuss an introduction to the anatomy of the heart. Briefly describe the physiology of the heart. Have an in-depth knowledge of the foundations anatomy and physiology of the heart Indicative Reading Marieb EN, (2015). Human Anatomy and Physiology 11th ed. San Francisco: Pearson Benjamin/ Cummings Publishing Company Inc. Woods SL., Froelicher ES, Motzer S. Bridges E. (2012) Cardiac Nursing. 6th ed. Philadelphia: Lippincott Williams and Wilkins Levick JR. (2009) An Introduction to Cardiovascular Physiology. 5th ed. London: Hodder Arnold. Week 1: Cardiac Assessment By the end of the session students will be able to: Assess chest pain Use different assessment tools to assess the chest pain Discuss the use of cardiac markers in the diagnosis of CHD Be able to discuss which cardiac markers might be more appropriate for patients in their area. Discuss differential diagnosis Indicative Reading Bickley LS & Szilagyi PG(2012) Bates guide to physical examination and history taking. 11th Ed. Philadelphia: Lippincott, Williams & Wilkins Week 1: Acute Coronary Syndromes By the end of the session students will be able to: Discuss the pathophysiology and treatment of ACS Discuss the disease process leading to ACS Be able to differentiate between myocardial infarction and unstable angina Be able to discuss the evidence based drugs required for patients with ACS 6 Indicative Reading Nicholls M (2006). A National Audit of Care for Myocardial Infarction. Circulation: 114; 149-152 Woods SL., Froelicher ES, Motzer S. Bridges E. (2012) Cardiac Nursing. 6th ed. Philadelphia: Lippincott Williams and Wilkins Hatchett R, Thompson DR. (2007) Cardiac Nursing: A Comprehensive Guide. 2nd ed. London: Churchill Livingstone Coronary heart disease statistics (2014). British Heart Foundation www.bhf.org.uk accessed 11/12/16 NICE Guidelines (2013). No 167 Guidelines for Myocardial infarction with ST-segment elevation: The acute management of myocardial infarction with ST-segment elevation. www.nice.org.uk. accessed 11/12/15 NICE Guidelines (2010). No 94 Unstable angina and NSTEMI: The early management of unstable angina and non-ST-segment-elevation myocardial infarction. . www.nice.org.uk. accessed 09/01/15 Weissberg PL (2000). Arthrogenisis: Current Understanding of the cause of artheroma. Heart, 83(2): 24752 NICE Technology Appraisal (2010). N0. 95.Chest pain of recent onset. www.nice.org.uk. accessed 09/01/15 Week 2: Heart Failure By the end of the session students will be able to: Discuss the causes of heart failure Discuss the care needs for patients with heart failure Discuss how nurses can facilitate living with heart failure Critically discuss how EBM impacts on HF Critically analyse the use of mechanical support for patients Indicative Reading NICE Guidelines (2014). CG187 Acute heart failure: diagnosing and managing acute heart failure in adults. www.nice.org.uk. accessed 09/01/15 NICE Guidelines (2010). Chronic heart failure management in primary and secondary care. Clinical guideline 108. www.nice.org.uk. accessed 09/01/15 Week 2: Valvular Heart Disease By the end of the session students will be able to: Discuss how valvular heart disease may affect the normal heart function. Identify causes of endocarditis and signs and symptoms. Critically discuss current practice in valvular heart disease management. 7 Indicative Reading Woods SL., Froelicher ES, Motzer S. Bridges E. (2012) Cardiac Nursing. 6th ed. Philadelphia: Lippincott Williams and Wilkins Hatchett R. Thompson DR (2007) Cardiac Nursing: 2nd Ed. A Comprehensive Guide London: Churchill Livingstone Week 2: Endocarditis By the end of the session students will be able to: Identify causes of endocarditis and signs and symptoms. Critically discuss treatment options available Indicative Reading Woods SL., Froelicher ES, Motzer S. Bridges E. (2012) Cardiac Nursing. 6th ed. Philadelphia: Lippincott Williams and Wilkins Hatchett R. Thompson DR (2007). Cardiac Nursing:2nd Ed. A Comprehensive Guide London: Churchill Livingstone NICE Guidelines (2008). No 64 Prophylaxis against infective endocarditis. www.NICE.org.uk accessed 16/08/10 Week 3: Cardiomyopathy By the end of the session students will be able to: Differentiate between the different types of cardiomyopathy Discuss the care needs for patients with cardiomyopathy Understand the use of drugs to alleviate the symptoms of cardiomyopathy Indicative Reading Towbin J (2001). Molecular genetic basis of sudden cardiac death. Cardiovascular Pathology 10: 283-295 Elliott P (2000). Diagnosis and management of dilated cardiomyopathy. Heart. 84 (1): 106-112 Corrado D, Basso C, & Theine G (2000). Arrhythmogenic right ventricular cardiomyopathy: diagnosis, prognosis and treatment. Heart: 83 (5): 588-95 McKenna W & Behr E (2002). Hypertrophic Cardiomyopathy: Management, risk stratification and prevention of sudden death. Heart. 87 (2): 169-76 Week 3: Atrial fibrillation By the end of the session students will be able to: recognise the characteristics of atrial fibrillation recognise how to manage a patient with atrial fibrillation critically discuss the implications for the patient suffering atrial fibrillation critically discuss the challenges faced by atrial fibrillation have an in depth understanding of the nurses’ role in managing the patient with atrial fibrillation 8 Indicative reading NICE (2006): Atrial Fibrillation The management of atrial fibrillation www.nice.org.uk accessed 24/03/11 Woods SL., Froelicher ES, Motzer S. Bridges E. (2012) Cardiac Nursing. 6th ed. Philadelphia: Lippincott Williams and Wilkins Hatchett R. Thompson DR (2007) Cardiac Nursing: A Comprehensive Guide 2nd Ed. London: Churchill Livingstone Khan EU (2006) The pathological origin of arrhythmias British Journal of Cardiac Nursing, Vol. 1, Iss. 9, 06 Sep pp 408 - 417 Jenkins RD, Gerred SJ. (2011) ECGs by Example 3rd Ed. London: Churchill Livingstone Week 3: Long QT syndrome By the end of this session students should be able to: Be aware of long qt syndrome and understand how it may present Understand the genetic link for either cardiomyopathy / long qt Indicative Reading Khan E: (2006) Polypharmacy and the QT interval. British Journal of Cardiac Nursing. 1 (10): 479-86. Web sites www.sads.org accessed 09/01/15 www.cardiomyopathy.org 09/01/15 Week 4 : Heart Sounds By the end of the session students will be able to: Identify normal heart sounds Identify sounds indicated by valvular heart disease Identify normal and abnormal Indicative Reading Brown et al (2008) Heart sounds made easy. 2nd ed.London: Churchill Livingston Hatchett R, Thompson DR (2007) 2nd ed. Cardiac Nursing: A Comprehensive Guide London: Churchill Livingstone Week 4: Cardiac Rehabilitation By the end of the session students will be able to: Discuss the phases of cardiac rehab Be able to identify goals for rehab patients Discuss the main concepts of cardiac rehab 9 Indicative Reading Lindsay G, Gaw A (2004). Coronary heart disease prevention: a handbook for the healthcare team .2nd ed. London: Churchill Livingston Allan R & Scheidt S. (1996). Heart and Mind: The Practice of Cardiac Psychology. USA: American Psychological Association Hatchett R, Thompson DR (2007) 2nd ed. Cardiac Nursing: A Comprehensive Guide London: Churchill Livingstone Web sites www.bhf.org.uk accessed 16/12/15 Oxford Module evaluation At the end of the module you are requested to complete the short online evaluation which will be available on your module KEATS site. Student evaluations are very important to us and are required by Health Education England and the regional London Local Education and Training Boards. 10