Download CARDIAC CARE: HEART FAILURE ASSESSMENT AND MANAGEMENT 7KNIM749

CARDIAC CARE: HEART FAILURE
ASSESSMENT AND MANAGEMENT
7KNIM749
Level: 7
Credits: 15 credits
Module leader: Amanda McNaughton
Tel: 020 7848 3679
Email: [email protected]
Module deputy: Dr Ehsan Khan
Tel: 020 7848 3509
Email: [email protected]
Academic support is offered by the module leader and teaching team.
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 Programme 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].
1
Contents
Module overview ............................................................................................................... 5
Module aim .................................................................................................................... 5
Learning outcomes ......................................................................................................... 5
Teaching arrangements .................................................................................................. 5
Timetable ....................................................................................................................... 6
Submitting coursework ...................................................................................................... 7
Assessment criteria ......................................................................................................... 7
Formative assessment ..................................................................................................... 7
Summative assessment.................................................................................................... 7
Submission date for course work: ................................................................................... 7
Results and re-submissions for course work .................................................................... 7
Re-submission date:........................................................................................................ 8
Resubmitted work available for download:..................................................................... 8
Learning resources ............................................................................................................. 8
Week 1 – Learning Outcomes ........................................................................................ 8
Week 2 – Learning Outcomes ........................................................................................ 9
Week 3 – Learning Outcomes ........................................................................................ 10
Week 4 – Learning Outcomes ........................................................................................ 10
Indicative reading ........................................................................................................... 11
Module evaluation.............................................................................................................. 13
Action from previous evaluations ....................................................................................... 13
4
Module overview
This module forms part of the MSc Advanced Practice. The module contributes to your programme of
study.
The module can also be taken as a freestanding module.
Module aim
This module will enable students to perform an expert assessment of patients with heart failure. This
assessment will inform their understanding of the advanced management of heart failure.
Learning outcomes
This course will equip practitioners to carry out advanced cardiac assessments and develop an expert
knowledge of the management of patients in the hospital and community setting. Practitioners will:
1. Demonstrate an advanced understanding of the theoretical and clinical basis of physical examination
and history taking for heart failure patients
2. Demonstrate an expert ability to analyse and interpret complex assessment data and to discriminate
between normal and abnormal findings in heart failure.
3. Critically apply diagnostic reasoning to differential diagnosis and clinical decision making
4. Demonstrate an advanced understanding of pharmacology and therapeutics as they relate to
patients with heart failure
5. To have an expert understanding of the principles of clinical management as they apply to patients
at different stages of heart failure
Teaching arrangements
A variety of teaching strategies will be used throughout the module. This module uses a blended learning
approach. E-learning will incorporate pathophysiology, systematic, structured history taking and will also
include areas to build on for the taught classroom sessions. Included are:

Lectures

Directed reading

Student presentations

Guided study

E-learning
The taught sessions will include a systematic and structured approach to physical examination e.g.
inspection, palpation, percussion and auscultation. You will be expected to examine each other during the
supervised practice sessions.
Throughout the module lecturers will provide supervision and advice.
In your own clinical setting you will be required to undertake and document histories and clinical
examinations of clients/ patients for each system. An appropriate clinical supervisor will be required.
(Details around this can be found on the module website – assessors guide, or ask the module leader)
5
Timetable
Term 3 Timetable: Cardiac Heart: Failure Assessment and Management (6KNIN644)
Teaching
Mode
University
based Study
University
based study
Date
03/05/16
31/05/2016
Type of
session
Lecture 1
Lecture 2
Title
Time
Room
Lecturer
Introduction to the module and heart failure.
Heart failure
09:00-09:30
09:30-10:30
FWB G75
Amanda McNaughton/
Winnie Nwosu
Lecture 3
Lecture 3
Heart failure
Comorbidities
Self-directed study
10:30-12:00
13:00-16:00
16:00-17:00
FWB G75
WBW 2.21
Dr Ehsan Khan
Frances Szuminska
Szuminska
Lecture 1
Lecture 2
Lecture 3
Lecture 4
Principles of Assessment
Respiratory Assessment
Cardiac Assessment
Practical assessment
09:00-09:30
09:30-11:00
11:30-13:00
14:00-16:00
CSC 10a
CSC 10a
CSC 10a
CSC 10
Amanda McNaughton
Dr Tina Day
Amanda McNaughton
Amanda /Winnie/
Geraldine Smith
Self- directed study
16:00-17:00
University
based Study
16/06/2016
Lecture 1
Lecture 2
Heart Failure and Renal disease
Palliative care
Self- directed study
09:00-12:00
13:00-16:00
16:00-17:00
FWB G75
WBW 2.21
University
based Study
05/07/16
Lecture 1
Lecture
Lecture
2
1
Lecture 3
Lecture
2
Lecture 3
Student formative presentations
Electrical devices
09:00-10:30
Amanda
10:30-12:00
McNaughton
13:00-15:30
1030-1200
13:00-15:30
16:00-17:00
15.30-1600
FWB G75
FWB G75
Amanda McNaughton
WBW 2.21
Dr Ehsan Khan
WBW 2.21
Amanda McNaughton
Pharmacology
Evaluation
Self- directed study
Key: FWB – Franklin-Wilkins Building; Waterloo Campus
WBW – Waterloo Bridge Wing; Waterloo Campus
CSC – Chantler SaIL Centre, Guy’s Campus
6
TBC
Joanna De Souza
Submitting coursework
Portfolio of learning.
All parts of the assessment must be completed and submitted. Failure to submit assignments will result in a
fail grade being awarded.
For this module you are assessed by Amanda McNaughton/Dr Ehsan Khan.
Assessment criteria
Portfolio of learning.
Formative assessment
Part A-The assessment will comprise of a portfolio demonstrating 1 assessment of a patient with heart
failure.
Summative assessment
Part B-Based on your assessment critically analyse how you used the information to inform your nursing
assessment and management using evidence. (2000 words).
In your portfolio you should also submit your formative exercise.
Coursework submission 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.
If you are unable to submit your work by the deadline please refer to the information in your programme
handbook on “mitigating circumstances”.
Submission date for course work:
19 July 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.
The external examiner for this module is Colin Slattery. Students are not to make direct contact with external
examiners, in particular regarding their individual performance in assessments
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.
7
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.
The marking criteria by which your work is judged are provided in full in your programme handbook.
Please also refer to the section in your programme handbook on plagiarism and how to avoid it. If you have a
query about how to refer to a specific piece of work please ask your module leader, your group leader or a
member of library staff for guidance.
The feedback you receive on your assignment will guide you towards how to do better next time or how to
maintain your existing high standard!
If you do not understand your mark or the feedback you receive please contact Amanda McNaughton.
If you are unsuccessful, it is recommended that you contact the module leader before submitting your
second attempt. This will enable the module leader to provide you with an appropriate level of support as
you prepare to re-submit your work.
Re-submission date:
18 October 2016
Resubmitted work available for download:
15 November 2016
Learning resources
Week 1 – Learning Outcomes
3 May
Defining Heart failure
By the end of the session students will:

Have a critical understanding of definitions of heart failure

Have an understanding of the presentations of heart failure and be able to apply expert reasoning

Be able to demonstrate an expert knowledge of the aetiology of heart failure

Be able to demonstrate an advanced awareness of the challenges to providing care for this complex
patient group.
Incidence and co morbidities
By the end of the session students will be able to:

Critically discuss the incidence of heart failure and demonstrate an advanced understanding

Expertly apply the incidence and co morbidities to their local area of practice.

Demonstrate an advanced understanding of co morbidities that can accentuate heart failure based
treatments

Apply evidence based practice to the evaluation of heart failure management
8
Week 2 – Learning Outcomes
31 May
Principles of assessment
By the end of the session students will be able to:
 Critically analyse the interpersonal skills required to conduct a patient assessment
 Understand and have practiced the skills required to undertake An expert systematic structured
history
 Demonstrate an advanced knowledge when analysing data enabling differential diagnosis in patients
with heart failure
 Be aware of the knowledge and skills required for developing an expert management plan
Respiratory assessment
E-learning
 Understand the principles of history taking focussing on respiratory assessment in heart failure
 Understand the principles of documenting a respiratory assessment
 Undertake a written history of a patient presenting with a respiratory problem related to heart
failure
 Apply relevant pathophysiology to the patients data collected
Respiratory assessment/classroom
 Apply the principles of advanced clinical examination to an assessment of the respiratory system
 Demonstrate an expert knowledge of normal /abnormal breath sounds
 Critically apply and advanced understanding of common respiratory signs and symptoms, applying
this to taking a history and physical assessment of a patient with heart failure
 Critically apply differential diagnosis for a patient presenting with heart failure
 Accurately document an advanced respiratory assessment
Cardiovascular Assessment
By the end of this section the student will be able to:
E-learning
 Understand the principles of history taking focused on the cardiovascular system
 Understand the principles of documenting a cardiovascular assessment
 Undertake a written history of a patient presenting with heart failure
 Apply relevant pathophysiology to the patients data collected
Classroom
 Apply the principles of clinical examination to an advanced assessment of the cardiovascular system
 Demonstrate an expert knowledge of normal and abnormal heart sounds commonly found in heart
failure
 Critically apply an advanced understanding of common cardiovascular signs and symptoms,
applying this to taking a history and physical assessment of the patient with heart failure
 Critically apply differential diagnosis for a patient presenting with heart failure
 Accurately document an advanced cardiovascular assessment
 Have an expert understanding of normal variants for patients with heart failure
9
Week 3 – Learning Outcomes
14 June
Renal Dysfunction
By the end of this session the student will be able to:
 Demonstrate an advanced knowledge of Chronic Kidney Dysfuntion (CKD)in patient with heart
failure
 Have an advanced understanding of the aetiology of CKD related to heart failure
 To understand the both the pathological and clinical relationship between heart failure and kidney
disease
 To examine all 5 stages of the cardiorenal syndrome
 To identify and discuss the management of cardiorenal syndrome with the assistance of case studies.
Palliative care
By the end of this session the student will be able to:
 Demonstrate an advanced understanding of the intricacies that challenge the provision of palliative
care in heart failure
 Demonstrate an expert knowledge of palliative care in heart failure
 Critically evaluate currently used care modalities
 Have an expert understanding of relevant available services and resources
Week 4 – Learning Outcomes
5 July
Electrical devices
By the end of this session the student will be able to:




Have an expert understanding of the use of electrical devices in patients with heart failure
Have an advanced understanding of the implications of electrical devices to the user
Have an expert understanding of policies and guidelines that may impact upon
electrical devices
Demonstrate an expert knowledge of contributing factors to post implantation complications
Pharmacology
By the end of this session the student will be able to:




Demonstrate an advanced knowledge of national and international policies and guidelines related to
medications in patient with heart failure
Have an advanced understanding of the principle drug actions related to heart failure
Have an expert understanding of why some medications may not be appropriate for patients with
heart failure
Demonstrate an expert knowledge of the practical considerations that influence concordance with
heart failure medications and challenges faced
10
Indicative reading
Blann A. (2006) Routine blood results explained: A guide for nurses and allied health professionals. M&K.
Cumbria.
Bickley L.S. & Szilagyi P.G. (2007) Bates guide to physical examination and history taking.
(10th Ed). Philadelphia: Lippincott, Williams & Wilkins.
Brown et al (2008) Heart Sounds Made Easy. (2nd ed). London: Churchill Livingston.
Corne et al (2009) Chest X-ray Made Easy. (3rd ed). London: Churchill Livingston.
Cox C. (2004) Physical Assessment for Nurses. Oxford: Blackwell Publishing.
Cross S. (2002) Nurse Practitioner Manual of Clinical Skills. London: Bailliere Tindall in association with
RCN.
Dimond B. (2005) Legal Aspects of Nursing. (5th ed). Harlow: Pearson Longman.
Douglas G., Nicol F., Robertson C. (2009) Macleod’s Clinical Examination (12th ed). London.
Churchill Livingstone Elsevier.
Ellenbogen K., Wood M. (2008) Cardiac pacing & ICDs. (5th ed). Oxford. Blackwell publishing.
Epstein O., Perkin D.G., de Bono D.P. and Cookson J. (2008) Clinical Examination (4th ed).
London. Churchill Livingstone Elsevier.
Gill D. & O’Brien N. (2002) Paediatric Clinical Examination Made Easy. (4th ed). Edinburgh. Churchill
Livingstone.
Gray D. & Toghill P. (2001) An Introduction to Symptoms and Signs in Clinical Medicine. London. Arnold.
Hopcroft K. (2003) Symptom Sorter. (2nd ed). Oxon. Radcliffe Medical.
Jarvis C. (2008) Physical Examination and Health Assessment. (4th ed). Philadelphia. Saunders.
Jevon P. (2009) Clinical Examination Skills. Oxford. Wiley Blackwell.
Johnson G. (2000) The Minor Illness Manual (2nd ed). Oxon. Radcliffe Press.
Lloyd M. & Bor R. (2004) Communication Skills for Medicine. (2nd ed). London. Harcourt.
Levick, J.R. (2009) An Introduction to Cardiovascular Physiology. (5th ed). London: Hodder Arnold.
Marieb E.N., Hoehn K. (2007) Human Anatomy and Physiology. (7th ed). San Francisco. Pearson Benjamin
Cummings.
McCance K.L. & Huether S.E. (2006) Pathophysiology: the biological basis for disease in adults and children.
(5th ed). St Louis. Elsevier Mosby.
Murray S.E. & White B.S.(1999) Critical Care Assessment Handbook. Philadelphia. Saunders.
NICE Guidelines (2010) Chronic heart failure management in primary and secondary care. Clinical
guideline 108. www.nice.org.uk accessed (15/08/11).
Rafferty A.T. & Lim E. (2005) Churchill’s Pocket Book of Differential Diagnosis. (2nd ed). Edinburgh. Elsevier
Churchill Livingstone.
11
Rawles Z., Griffiths B., Alexander T. (2010) Physical Examination Procedures for Advanced Nurse and
Independent Prescribers: Evidence and rationale. London. Hodder Arnold.
Rushforth H. (2009) Assessment Made Incredibly Easy. UK edition. London. Lippincott Williams and
Wilkins.
Skinner, S. (2005) Understanding Clinical Investigations: A Quick Reference Manual. (2nd ed). London.
Bailliere Tindall.
Tortora G.J., Derrickson B. (2006) Principles of Anatomy and Physiology. (11th ed). New York. John Wiley
Weber J. (2005) Nurses’ Handbook of Health Assessment. (5th ed). Philaelphia. Lippincott Williams &
Wilkins.
Woods, S.L., Sivarajan Froelicher, E.S., Underhill Motzer, S. (2009) Cardiac Nursing. (5th ed).
Philadelphia: Lippincott.
12
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.
Action from previous evaluations
1. Less assessment ACTION: This has been implemented for 2015-16
13