Module Description s Title Code Level Credit rating Pre-requisites Cardiorespiratory Management 1 PT 341 6 20 Normal course entry requirements for MSc Rehabilitation Science Type of module Extensive over 4 weeks Aims T To develop an understanding of how cardiorespiratory pathology impacts on normal cardiorespiratory physiology and the examination and treatment of people with cardiorespiratory dysfunction. Learning outcomes/objectives By the end of the module the student will be able to: Evaluate the impact of cardiorespiratory pathologies on normal cardiorespiratory physiology Examine and assess a patient with cardiorespiratory dysfunction, then formulate an appropriate treatment plan incorporating appropriate outcome measures Demonstrate a safe and effective range of practical skills Apply problem solving and clinical reasoning in a systematic approach to the management of cardiorespiratory patients Devise and implement rehabilitation programmes for patients with cardiorespiratory conditions Discuss major cardiorespiratory pathologies and the physical, psychological and social consequences to the patient, carers and community Evaluate the research evidence and theoretical concepts that underpin the overall management of cardiorespiratory patients by the MDT Demonstrate the application of ethical and legal issues relevant to physiotherapy practice Content Indicative Topics As this is the first module, students will spend time learning about PBL and working in groups Basic science: Applied anatomy and physiology and normal values of the cardiovascular and respiratory systems; (mechanics of respiration and ventilation; oxygen and carbon dioxide transport; physiology of exercise; blood cell types) Pathology of chronic obstructive pulmonary disease; cystic fibrosis; inflammatory responses; infection Clinical features of cardiorespiratory disease Appropriate pharmacology Professional issues Quality of Life measures for respiratory patients; energy conservation; hypoxia and decreased function Transition from child to adult; concordance with treatment, nutrition Employment/retirement Smoking/cessation Best sites of intervention; MDT; community liaison services Pulmonary rehabilitation Professional and Registration Bodies Psychosocial issues Concordance and non-concordance with treatment Inequalities in health Issues of aging Physiotherapy Examination, assessment and development of appropriate outcome measures for the cardiorespiratory patient; physiotherapy for chronic lung disease (strength and endurance training, lung function tests, airways clearance, exercise tolerance tests, management of episodes of breathlessness, postural drainage) Pulmonary rehabilitation Patient education Research skills Accessing research articles, databases and web sites Research philosophy and process Research questions and hypotheses Learning will be achieved through the study of simulated physiotherapy treatment records. Examples of simulated patients could include: A male senior citizen with Chronic Obstructive Pulmonary Disease having been referred by the community team for treatment at home after a first time admission to hospital for an acute exacerbation An adolescen An adolescent boy with cystic fibrosis with an acute inf ection an infection and poor concordance with physiotherapy PBL Tutorials Resource sessions with subject specialists Skills classes with subject specialists Self-directed study Learning support Assessment tasks Module handbook Studentcentral.brighton.ac.uk Buckley J, Holmes J, Mapp G. 1999 Exercise on Prescription, Butterworth Heinemann Hough, A. 2001. Physiotherapy in respiratory care. 3rd edition. London: Chapman and Hall Kumar,P. and M. Clarke. 1998. Clinical medicine. 4th edition. London: WB Saunders Morgan, M. and S. Singh, Eds. 1997. Practical pulmonary rehabilitation. London: Chapman and Hall Tortora, G.J. and S.R. Grabowski. 2002. Principles of anatomy and physiology. 10th Edition. Harper Collins Webber, B.A. and J.Pryor, Eds. 1998. Physiotherapy for respiratory and cardiac problems. 2nd edition. Edinburgh: Churchill Livingstone West, J.B. 2000. Respiratory physiology – the essentials. 6th Edition. Williams and Wilkins. Cystic Fibrosis Trust (www.cftrust.org.uk) British Lung Foundation (www.lunguk.org) 2000 word laboratory report on a topic related to the simulated patients, to be agreed with the tutor. A 35 minute practical examination. The practical examination will include 5 minutes preparation time and 15 minutes on examination procedures and 15 minutes on treatment procedures, using the simulated patient scenarios used in the module The report and practical exam will each contribute 50% of the overall mark for the module and each part must be passed to successfully complete the module. Brief description of module This module sets out to prepare students for content and/or aims (maximum dealing with the more chronic, stable 80 words) cardiorespiratory patient in hospital inpatient, outpatient and community areas and to understand how these types of disorders may impact on patients in other clinical settings Area examination board to which Rehabilitation Science module relates Module team/authors/ Angela Glynn , Helen Fiddler, Sharon Sneddon coordinator Semester offered, where Year 1, Trimester 1 appropriate Site where delivered Eastbourne Date of first approval Date of last revision N/A Date of approval of this version Version number December 2002 1 Replacement for previous module Field for which module is acceptable and status in that field Course(s) for which module is acceptable and status in course School home External examiner N/A Compulsory for MSc Rehabilitation Science School of Health Professions Dr Brian Durward