Current Perspectives on the rehabilitation of an adult with an acquired neurological impairment




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НазваниеCurrent Perspectives on the rehabilitation of an adult with an acquired neurological impairment
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Module Description

s

Title


Current Perspectives on the rehabilitation of an adult with an acquired neurological impairment


Code

NA271


Level

Two


Credit rating

30


Pre-requisites

Entry requirements to the Professional Practice Framework apply.


In addition students should work in stroke rehabilitation and/or head injury units, nursing homes or in the community where patients require a rehabilitative/maintenance mode of care.

Normally students will have one years post-registration experience in an area where they have professional contact with an appropriate client group.


Type of module

Extensive


Aims

To deepen and broaden the student’s knowledge, understanding, and skills of the care and rehabilitation of adults with acquired neurological impairments and apply the concepts, theories and skills to clinical practice.


Learning outcomes/objectives

On successful completion of the module the student will be able to:


Demonstrate specialist knowledge and skills to contribute to the rehabilitation of clients with acquired neurological impairments.


Apply the theories and processes of rehabilitation that provides a framework for integrated patient care.


Demonstrate effective participation in interdisciplinary team working processes.


Demonstrate the application of concepts, which place the patient and carers at the centre of decision-making processes.


Discuss appropriate measurements tools, that can provide audit information and facilitate research development.


Content

Theories of rehabilitation, explored within a team framework with the patient and/or carer occupying a central position.


Integrated documentation that demonstrates inter-disciplinary team working which supports a co-ordinated and systematic treatment approach.


Normal and abnormal physiology of the nervous system

Relating in particular to cerebral vascular accidents, head injuries and other acquired neurological pathologies.


Understanding the broad parameters of ‘normal neurological processes’ will form the background for the assessment and management of individual patient problems. For example; impairments of motor function, cognition, perception, communication, swallowing, elimination and their consequences.


Psychological and affective responses to acquired neurological impairment by patients and their carers. Appropriate therapeutic interventions.


Functional analysis and maintenance of patient teaching and learning programmes which is in accord with their recovery pattern. Procedural and behavioural learning strategies.


Preparation with the patient and their carers for discharge, recognising psycho-social factors, financial support, aids and adaptations, employment and previous lifestyle and relationships.


Measurement tools that can be utilised for the assessment of patients with neurological impairments.


Health education and maintenance.

Teaching and learning strategies


Module hours = 300

Taught hours = 90

Self directed learning = 100

Clinical linked learning activities = 110


A central feature of the teaching and learning strategies will be an emphasis on the inter-disciplinary integration of clinical practice underpinned by the relevant knowledge base. The 90 hours taught component will use key-note lectures, group discussion, demonstration and role play. A multi/inter-disciplinary problem solving approach will be utilised in workshops where students will be asked to present clinical cases. Clients with specific impairments will be invited to participate in these workshops to identify inter/multi-disciplinary aspects of care management.

The majority of the module will be facilitated at the Sussex Rehabilitation Centre, Shoreham by Sea. This will enable maximum participation by the inter/multi-disciplinary team directly involved in patient care.

Clinical Practice:

Students who are employed in the Sussex Rehabilitation Centre will within their span of duty be allocated a patient who will be the subject for their case study. They will be expected to demonstrate their role in an inter/multi-disciplinary approach to their patient’s management, assessment and goal planning.

Normally external students will work for one week in the Sussex Neurological Centre. Each student will be allocated a mentor and an individual learning contract will be produced for each student that reflects his or her professional background. The emphasis will be to provide external students with the clinical experience that they maybe unable to observe in their own areas.

Learning support


Student cohorts will be encouraged to share learning opportunities.

The multidisciplinary module planning team will contribute to student support in clinical practice.


Indicative Reading:

Davis, S.M and S O’Connor S. 1999 Rehabilitation Nursing: Foundations for Practice. London : Balliere Tindall.


Edwards, S. 1998 Neurological Physiotherapy (A problem-solving approach). London : Churchill Livingstone.


Logemann, J.A. 1998 Evaluation and Treatment of Swallowing 2nd edition. Austin, Texas :Pro-Ed Inc.


Murdoch, B.E. 1997 Acquired Speech and Language Disorders. Cheltenham :Stanley Thornes.


Ponsford, J, S Sloan and P Snow 1995 Traumatic Brain Injury:Rehabilitation for Everyday Adaptive Living. Hove : Psychlogy Press


Smith, M. 1999 Rehabilitation in Adults. London : Churchill Livingstone.


Journals:

Clinical Rehabilitation. Published bi-monthly. Publisher Arnold, Hodder Headline Plc.


British Journal of Therapy & Rehabilitation. Published monthly. Publisher Mark Allen Group.


Rehabilitation Nursing Publisher Rehabilitation Nursing Association. Illinois. U.S.A. Published bimonthly.

Assessment tasks


  1. The student will submit a patient case study. This will include the following, a resume of the client and the neurological impairment(s), a critical analysis of methods of assessment and a critical appreciation of measuring tools utilised; the overall treatment programme including action and goal planning and the professional role the student has played in an inter/multi disciplinary approach. Students will be expected to review the patient’s perspective of being a central participant in the decision making regarding their own care.

3,000 words (+ 10%) = 50% of total mark

  1. The student will complete six out of the following 12 clinical linked learning activities. The total work count for the 6 activities should not exceed 3,000 words (+10%) = 50% of total marks.




  1. Compare and contrast the handling of two patients with mobility impairment and make critical notes as to why different approaches are needed.

  2. Participate in a multidisciplinary and inter-disciplinary meeting and make critical notes on the structure and process of the meetings.

  3. Conduct swallowing screening on a patient who has a swallowing impairment and make notes on suitable interventions

  4. Reflect on your own experience when attempting to relate to a patient who has a speech impairment. What strategies did you and the patient find most useful

  5. Compare and contrast the interventions used with two patients with different elimination impairments.

  6. Reflecting on your own practice, identify methods that have helped two patients through emotional distress.

  7. Compare and contrast two different assessment measurement tools which can be used for audit.

  8. Make comparative notes on two patients, one with a hemi-neglect and the other with hemianopia.

  9. Discuss with three patients their perspective of an interdisciplinary team meeting they have attended, and make notes of similarities and differences.

  10. Make critical notes on a teaching/learning programme which involved a team effort.

  11. Reflecting on your own practice, discuss nutritional screening and its use in identifying a patient’s nutritional needs

  12. Choose a patient undergoing teaching in an activity of daily living, for example, washing and dressing and discuss with the patient their perception of the difficulties involved; contrast this with your own observation.


Both elements of the assessment must be passed (minimum 40%) to achieve an overall pass for the module.


Brief description of module content and/or aims (maximum 80 words)

This module will explore the concepts and issues related to the rehabilitation of clients with acquired neurological impairment(s). Special emphasis will be placed on methods of inter/multi-disciplinary team work using a problem solving approach.


Area examination board to which module relates

Undergraduate Continuing Professional Development


Module team/authors/ coordinator

Teresa McCarthy


Semester offered, where appropriate

One and Two


Date of first approval

1994


Date of last revision

1999


Date of approval of this version

2003


Version number

3


Replacement for previous module

No


Field for which module is acceptable and status in that field

Nursing - optional/compulsory

Course(s) for which module is acceptable and status in course

BSc(Hons) in Professional Practice –optional/compulsory

BSc(Hons) in Professional Practice in Working with Older People -optional/compulsory


School home

Institute of Nursing and Midwifery


External examiner


Fiona Howson, appointed February 2001

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