Download CARDIAC CARE: HEART FAILURE ASSESSMENT AND MANAGEMENT 6KNIN644

CARDIAC CARE: HEART FAILURE
ASSESSMENT AND MANAGEMENT
6KNIN644
Level: 6
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].
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Contents
Module overview ............................................................................................................... 3
Module aim .................................................................................................................... 3
Learning outcomes ......................................................................................................... 3
Teaching arrangements .................................................................................................. 3
Timetable ....................................................................................................................... 4
Submitting coursework ...................................................................................................... 5
Assessment criteria ......................................................................................................... 5
Formative assessment ..................................................................................................... 5
Summative assessment.................................................................................................... 5
Submission date for course work: ................................................................................... 5
Results and re-submissions for course work .................................................................... 5
Re- submission date:....................................................................................................... 6
Resubmitted work available for download:..................................................................... 6
Learning resources ............................................................................................................. 6
Week 1 – Learning Outcomes ........................................................................................ 6
Week 2 – Learning Outcomes ....................................................................................... 7
Week 3 – Learning Outcomes ....................................................................................... 8
Week 4 – Learning Outcomes ........................................................................................ 8
Indicative reading ........................................................................................................... 9
Module evaluation.............................................................................................................. 11
Action from previous evaluations ....................................................................................... 11
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Module overview
This module forms part of the BSc Clinical 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 a comprehensive assessment of patients’ with heart failure. This
assessment will inform their understanding of the management of heart failure.
Learning outcomes
This course will equip practitioners to carry out comprehensive cardiac assessments and develop an in depth
knowledge of the management of patients in the hospital and community setting. Practitioners will:
1. Demonstrate a critical understanding of the theoretical and clinical basis of physical examination
and history taking for patients with heart failure.
2. Critically analyse and interpret assessment data and discriminate between normal and abnormal
findings.
3. Critically discuss differential diagnosis and how this may be applied in practice.
4. Demonstrate a broad understanding of pharmacology and therapeutics and how these are applied to
patients with heart failure
5. Discuss in depth the principles of caring for patients’ with heart failure.
6. Demonstrate an enhanced quality of therapeutic interactions with patients/clients/others
7. Undertake referral and consultation as part of professional practice
8. Accurately document clinical data and findings from patient assessments and communicate these
appropriately, in writing and verbally, with others.
Teaching arrangements
A variety of teaching strategies will be used throughout the module. This module uses a blended learning
approach. Elearning 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 session. 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.
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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
Self- directed study
09:00-09:30
09:30-11:00
11:30-13:00
14:00-16:00
16:00-17:00
CSC 10a
CSC 10a
CSC 10a
CSC 10
Amanda McNaughton
Dr Tina Day
Amanda McNaughton
Amanda /Winnie
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
Amanda
WBW 2.21
Dr Ehsan Khan
WBW 2.21
Amanda
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
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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.
Course work 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.
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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
3rd 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

Be able to demonstrate a comprehensive understanding of aetiology of heart failure

Be able to demonstrate an awareness of the challenges to providing care for this complex patient
group.
Incidence & co morbidities
By the end of the session students will be able to:

Discuss the incidence of heart failure

Critically apply the incidence and co morbidities to their local area of practice.

Discuss co morbidities that can accentuate heart failure based treatments

Apply evidence based practice to principles of heart failure
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Week 2 – Learning Outcomes
31st 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 a systematic structured history

Demonstrate an ability to analyse data enabling differential diagnosis in patients with heart
failure

Be aware of the knowledge and skills required for developing a management plan
Respiratory assessment
Elearning




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 patient’s data collected.
Respiratory assessment/ classroom

Apply the principles of clinical examination to an assessment of the respiratory system

Analyse normal /abnormal breath sounds

Analyse common respiratory signs and symptoms, applying this to taking a history

and physical assessment of a patient with heart failure

Be aware of a possible differential diagnosis for a patient presenting with heart failure

Accurately document the full respiratory assessment.
Cardiovascular Assessment
By the end of this section the student will be able to:
ELearning




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 assessment of the cardiovascular system
Analyse normal and abnormal heart sounds commonly found in heart failure
Analyse common cardiovascular signs and symptoms, applying this to taking a history and
physical assessment of the patient with heart failure
Understand the possible differential diagnosis for a patient presenting with heart failure
Accurately document the full cardiovascular assessment
Be able to recognise normal variants for patients with heart failure
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Week 3 – Learning Outcomes
14th June
Renal Dysfunction

By the end of this session the student will be able to:

Demonstrate knowledge of Chronic Kidney Dysfuntion (CKD)in patient with heart failure

Have an 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 understanding of the intricacies that challenge the provision of palliative care in
heart failure

Be able to critically discuss palliative care in heart failure

Critically evaluate currently used care modalities

Have a comprehensive understanding of relevant available services and resources.
Pharmacology
By the end of this session the student will be able to:




Critically discuss the national and international policies and guidelines related to medications in
patient with heart failure
Understand the principle drug actions related to heart failure
Have an understanding of why some medications may not be appropriate for patients with heart
failure
Critically analyse practical considerations that influence concordance with heart failure medications
and challenges faced.
Week 4 – Learning Outcomes
5 July
Electrical devices
By the end of this session the student will be able to:




Critically discuss the use of electrical devices in patients with heart failure
Have a comprehensive understanding of the implications of electrical devices to the user
Have an understanding of policies and guidelines that may impact upon electrical devices
Be able to analyse contributing factors to post implantation complications.
Pharmacology
By the end of this session the student will be able to:


Critically discuss the national and international policies and guidelines related to medications in
patient with heart failure
Understand the principle drug actions related to heart failure
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

Have an understanding of why some medications may not be appropriate for patients with heart
failure
Critically analyse practical considerations that influence concordance with heart failure medications
and challenges faced.
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.
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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.
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.
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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
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