University of the West of England School of Health and Social Care




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University of the West of England

School of Health and Social Care


Module Handbook



Module Title: Essentials of Respiratory Care

Code: UZTS5J-20-3


Cohort / Course Dates: November 2009

Date Last Updated:9/22/2009 10:58:00 AM


Contents


Contact Details
Introduction
General Overview of Module Timetable
Module Specification
Module Reading Strategy
Assessment Guidelines
Guidelines on Referencing
Submissions
Re-Enrolment
Extra Preperation
Additional Information


Contact Details


Module Leader Name : MS CAIA FRANCIS


Module Leader Room : 2C05


Module Leader Telephone : 01173288631


Module Leader Email : Caia.Francis@uwe.ac.uk


Module Team :


Name

RoomNumber

Telephone

Email

Sandy Thomas

1G03

0117 3288626

sandy.thomas@uwe.ac.uk



Contributes to:



Programme Name

BSc (Hons) Professional Studies (Nursing)

BSc (Hons) Specialist Practice

BSc (Hons) Specialist Practice

BSc (Hons) Specialist Practice (2008)

BSc (Hons) Professional Studies

BSc (Hons) Specialist Practice




Introduction to module


Aims:


 

Welcome to this exciting module, on behalf of the module team and myself I am pleased to welcome you to the university and in particular this campus of Glenside.

 

Throughout the next few months we hope to challenge your thinking and involve you in discussion and reflection upon your care of patients with respiratory disease. We expect you to bring to this module your enquiring minds and be active participants in the sessions that are provided.

 

This Module is suitable for health professionals who wish to practice in respiratory care. It aims to develop respiratory assessment skills applied to patients with Asthma and Chronic Obstructive Pulmonary Disease on a sound understanding of respiratory anatomy and physiology.

You need to have 60 credits at level 2 or the equivalent and be a registered health care practitioner to join this module.

 

Learning approaches used


You will be given the opportunity to use assessment tools such as spirometry, auscultation, observing breathing patterns, arterial blood gas measurements and to consider the significance of respiratory assessment findings

 

You will be asked to apply current medical guidelines to interpretation of assessment findings for patients with Asthma and COPD. You will relate the pathological changes of COPD and Asthma to the expected clinical features and apply these to selected case studies.

You will be expected to attend the teaching sessions provided. Sessions will be based on case studies, practical workshops and discussions. You will be asked to carry out private study, reflect on your own clinical practice and share this with the group by contributing to the discussion sessions.

 

The course curriculum is based on a reflective problem solving approach which recognises the uniqueness of the individual and the importance of holistic assessment.

 

The differing educational standards of students are recognised and students are encouraged to take responsibility for their own learning and to capitalise on pre-existing knowledge and skills.

 

Active learning through questioning, discussion, participation and experiential methods is used to foster personal skills.

 

 

Handbooks


This handbook should be read in conjunction with other appropriate handbooks: Either:

OR

AND

General Overview of Module Timetable


 

Timetable.

 

All the teaching takes place on Thursdays at Glenside Campus:

 

5th November 2009

12th November 2009

19th November 2009

26th November 2009

3rd December 2009

10th December 2009

14th January 2010

21st January 2010.

 

 a detailed timetable for each day will be provided on the first day of the module teaching.

 

The teaching days commence at 09.30 and finish at 16.30, usually the last hour of each day’s teaching will be set aside for individual questions and support as required.


Module Specification


  

University of the West of England
Module Specification


Revised November 2008

 

Title

 

Essentials of Respiratory Care

New Code

 

UZTS5J-20-3

Version

 

1

Versions

 




Last Updated

 

4/20/2006 2:30:29 PM

Level

 

3

UWE Credit Rating

 

20

ECTS Credit Rating

 

10

Module Type

 

Project

Module Leader

 

FRANCIS, C

Module Leaders - Additional

 

There are no additional module leaders




Owning Faculty

 

Faculty of Health and Life Sciences, School of Health and Social Care

Faculty Committee aproval

 

HSC Quality and Standards Committee

Faculty Committee approval Date

 




Approved for Delivery by

 




Field

 

Continuing Care Adult Nursing

Field Leader

 

Susie Ventura

Valid From

 

9/1/2004 12:00:00 AM

Discontinued From

 




Pre-requisites

 

Registration with the approporiate statutory body. 60 credits at level 2 or equivalent

Co-requisites

 

None

Entry requirements:

 




Excluded combinations

 

None

Learning Outcomes


Knowledge and Understanding

  • Apply the correct appropriate knowledge of the anatomy and patho-physiology of common respiratory conditions to clinical practice.

Intellectual Skills

  • Analyse and assess the clinical needs of respiratory patients e.g. those with asthma or Chronic Obstructive Pulmonary.

  • Disease Discuss the communication and related holistic needs of respiratory patients and their carers.

Subject/Professional and Practical Skills

  • Utilise a variety of assessment tools in identifying respiratory patients' needs.

  • Discuss how clinical care could be provided to meet the identified needs of respiratory patients.

Transferable skills and other attributes

  • Work collaboratively as a member of a group.

  • Apply reflective practice to increase their skills required to care for respiratory patients and their carers.

 

Syllabus Outline


Patho- physiology of the respiratory system
The structure and function of the cardio vascular and respiratory system. Pathology of respiratory disease e.g. asthma and Chronic Obstructive Pulmonary Disease

Assessment skills 
A range of methods for assessing patients with Asthma and COPD such as chest auscultation, spirometry, arterial blood gas analysis, chest x ray interpretation, exercise testing and functional health status questionnaires.

Management approaches
A range of interventions for managing patients with Asthma and COPD including pharmacological protocols, delivery systems – inhalers, nebulisers and oxygen therapy as well as non-pharmacological approaches such as exercise prescription, smoking cessation, and management of breathlessness.

Group processes 
Underpinning theories, roles within a group

Teaching and Learning Methods
A variety of approaches will be used which may include: Practical workshops and demonstrations, seminars and discussions, directed learning, on line discussions, clinical reflection.

Reading Strategy


Reading Strategy

Students will be directed to reading which is either available electronically or provided for them in a printed study pack. They will also be expected to read more widely by identifying relevant material using the Module Handbook, the Library Catalogue and resources such as those listed below:


Assessment

Where necessary, and appropriate, an alternative medium of assessment may be negotiated.

Weighting between components A and B (standard modules only) A: % B:%

Attempt 1

First Assessment Opportunity

Component A


Element

Description

Element Weighting

1

A 3,000 word case study focussing on the assessment and management of a client or client group

100%

Second Assessment Opportunity

Attendance is not required

Component A


Element

Description

Element Weighting

1

Resubmission of a 3,000 word case study focussing on the assessment and management of a client or client group

100%

Second (or Subsequent) Attempt

Attendance is not required


Module Reading Strategy


 

References/Reading

 

Respiratory specific textbooks  (A brief guide):

 

Booker., R.,(2005) “Vital COPD: Your Essential Reference Guide for the Management of Chronic Obstructive Pulmonary Disease in Primary and Secondary care” Class Publishing.

 

Esmond, G., “Respiratory Nursing” Bailliere  Tindall

 

Francis, C., (2006) “Respiratory Care”  Oxford Blackwell Publishing.

 

Lynes, D. (2007) “The management of COPD: In Primary and Secondary care” M & K publishers.

 

Springhouse (2004) “Respiratory care Made Incredibly Easy series.” Springhouse publishers

 

 

 

Useful web addresses please use these since they provide links to the most recent clinical guidelines for oxygen therapy, asthma, COPD, and many other topics of relevance.

 

www.brit-thoracic.org.uk/

www.dh.gov.uk

www.britishlungfoundation.org/

www.asthma.org.uk/

www.gpiag.org/

http://rms.nelh.nhs.uk/respiratory/

www.csp.org.uk/effectivepractice/evidencebasedpractice/publications.cfm?id=276/

www.brit-thoracic.org.uk/copd/pubs_frameset.html/

 

 

UWE Introduction to Respiratory and Cardiovascular Physiology Website http://hsc.uwe.ac.uk/rcp/

 

Anatomy and Physiology

Tortora and Grabowski 1996 Principles of anatomy and physiology, Harper Collins

 

Respiratory Assessment

Hough A 2001 Physiotherapy in Respiratory Care – a problem solving approach (Thormes)

 

ABG’s useful refs:

 

ED4Nurses.com

Martin L. 1999 All you really need to know to interpret ABG’s

 

www.the_abg-site.com

www.ventworld.com

www.critcon.com

www.osl.u-net.com/home.htm


Assessment Guidelines


 

Module Assignment

 

  

You will be expected to:

 

Analyse and interpret the assessment (clinical findings) for one respiratory patient from clinical practice

 

Include details of the specific assessment findings of the patient in the appendix BUT DO NOT IDENTIFY THE PATIENT (see below)

 

Apply an appropriate knowledge of respiratory anatomy and physiology, supported by relevant literature, to this patient/case study

 

Discuss the implications of the assessment findings for the management of this patient’s respiratory needs

 

Reflect on your learning from this module and demonstrate how this learning has affected your management of this patient.

 

Identify any ethical/professional issues that are appropriate to this patient’s assessment/management

 

 

 

Date of commencement:                                4th November 2009

 

Date of submission of Assignment:               Monday 15th February 2010.

 

Re-submission  Date:                                           2nd August 2010.                                        

 

 

Confidentiality

The assignment should include details of a case study of a patient  with COPD or ASTHMA. The patient should be taken from your own caseload. Please ask the patient for their agreement to be used as a subject for the case study. Do not include the patents name or address or name the hospital, ward or any of the health care professionals involved. You can use a pseudonym when discussing a patients care to protect their confidentiality. You must state that you have done this (and gained their permission to discuss their case) at the start of the assignment.

If you envisage any problems with identifying a suitable case study – please discuss with Caia Francis as soon as possible.

 


 

Marking Criteria

 

Your essay should show evidence of all of the following criteria (See Faculty Undergraduate Student Handbook for further details of these criteria).

 

 

Knowledge and understanding of appropriate material, including identification of related ethical issues                 

 

Intellectual skills: analysis; synthesis of ideas and information; evaluation of relevance, significance and/or reliability of information presented; application to chosen client group             

Learning resources and communication: evidence from a range of suitable sources, with appropriate and accurate use of the Harvard referencing system. Logical structure; clear communication of ideas and arguments; written in an appropriate style.                                 

 

 

 

Presentation of assignment

 

Please present your assignment in the following way:

 

Ariel Font size 12

Either 1.5 or double line spacing

Include page numbers

Student number on each page, preferably in the header or footer

Do not put your name on the assignment

Include a word count: the word count includes any references in brackets within the text, but excludes words in headings, diagrams, charts and the reference list.

 

 

Word limit

3000 words, plus or minus 10%. DO NOT exceed 3300 words, or you will be penalized in accordance with Faculty guidelines. If you exceed the 10% word limit, the final mark will be reduced by 10% of the mark that would have been given. Work handed in 50% over the word limit will be returned unmarked and given 0.

 

 

Submission related information extenuating circumstances/field and award boards

Field board June 2010 to have provisional marks presented.

 

Please refer to the appropriate sections of the Faculty Student Handbook.


Guidelines on Referencing


The School utilises the UWE Harvard referencing system.

Link: http://iskillzone.uwe.ac.uk/


Submissions

efeedback Information


Please Note: If this is the print out please check online at http://hsc.uwe.ac.uk/handbooks/ for the most upto date handbook and efeedback guidelines.

This module uses efeedback and so assignments are submited online using the efeedback system.  No hard copies are handed in and provisional marks and comments can be seen once the marks have been released by the module leader on the efeedback website

How to e-submit

1. Login to e-submissions page at http://hsc.uwe.ac.uk/efeedback/ You will be shown the modules you are enrolled on.

2. Click on the title of the module for which you are submitting work.

3. You will be show a list of assignment dates for which you can submit work. Select the appropriate date.

IMPORTANT: SELECT THE CORRECT SUBMISSION DATE

4. Press Submit

5. Click on Browse to select the file you wish to submit. It is essential that your submission adheres to the following:

  • Your file must be a .docx, .doc file (from MS Word), or a .rtf file (rich text format).

  • Your file must be less than 4 MB in size

6. You must check that you have submitted correctly by returning to the ‘Your Assignments’ page and viewing your submitted work. If it is incorrect you must delete the existing copy and submit again as above. You can do this until the submission deadline.

Need help?


It will be classed as a non-submission if you do not submit correctly so remember to:

  • submit before the deadline

  • submit to the right module

  • submit to the correct date

  • submit in a legible format

Please refer to School Student Handbook for details of processes relating to submissions, Late Work, Extenuating Circumstances, Field and Award Board details, resubmission, and the publication of results


Re-Enrolment


Students who have completed an attempt at the module MUST contact the module leader and are required to complete a re-enrolment form.

Please refer to the HSC Undergraduate/Postgraduate Modular Programme Student Handbooks.


Extra Preparation / Submission Time for Disabled Students


Every disabled student who registers with the SHSC is invited to have his or her academic needs reviewed by a student adviser. Where a student has been assessed as having a disability the student adviser maintains a record of any additional time or support required and passes those needs onto the examinations officer and the module leader(s) concerned.

The following refers to those students who have been confirmed by a student adviser as being eligible for extra time in examinations and assessments.

1. A standard 25% extra time in any written assessment that is sat under examination conditions

2. Where information for an examination or assessment under timed conditions is given out in advance, a 25% time addition will be added to the normal advance time period - where the assessment date is 4 weeks or less from the pre-information date.

3. A standard extension of 7 days to the normal advance time period will be given where the examination date is over 4 but fewer than 8 weeks from the normal date of publication of pre-information.

4. For coursework, an extension of 25% of the time between the assessment notification date and the submission date will be given - where the submission date is 4 weeks or less from the notification date.

5. Where the submission date for coursework is over 4 but fewer than 8 weeks from the assessment notification date, a standard extension of 7 days will be given.

Further information or advice can be sought from the student advisers


Additional Information


 

The following worksheets have been written by Sandy Thomas and are expected to provide a useful guide for you to assess your level of knowledge at present and measure how it alters as you participate in this module. By the end of the module it is expected that you should have no problem filling out these work books accurately ( A copy will be provided in the first day of teaching).

 

Respiratory Objectives – Anatomy, Physiology and Assessment

By the end of this module you should be able to:

 

·         Apply the correct appropriate knowledge of the anatomy and patho-physiology to clinical practice

 

·         Use a variety of assessment tools in identifying respiratory patients’ needs.

 

·         Discuss how clinical care could be provided to meet the identified needs of respiratory patients.

 

·         Work collaboratively as a member of a group.

 

·         Reflect on practice to increase the skills needed to care for respiratory patients and their carers.

 

Respiratory anatomy

 

1          Describe the gross structure of the thoracic cage

 

2          Explain the functions of the thoracic cage

 

3          List and Describe the arrangement of the thoracic contents

 

4          Describe the gross structure of the lungs

 

5          Explain the functions of the lungs

 

6          Outline the gross structure of the upper respiratory tract

 

7          Explain the function of the upper respiratory tract

 

8          Describe the arrangement of the lower respiratory tract

 

9          Explain how the histological structure of the following relate to their function:

            Trachea

            Bronchi

            Bronchioles

            Respiratory Bronchioles

            Alveoli

 

10        Explain how the histological structure of the pleura relates to its function

 

11        Explain how the changes in thoracic dimensions result in movement of air in and out of the lungs

 

 

 

Respiratory Physiology

 

1          Define the following terms giving values for each:

            Tidal Volume

            Functional Residual Capacity

            Inspiratory Reserve Volume

            Expiratory Reserve Volume

            Inspiratory Capacity

            Residual Volume

            Total Lung Capacity

            Vital Capacity

            FEV 1

            Dead Space

            Minute Volume

 

2          Discuss the factors, which determine Vital capacity

 

3          List the partial pressures of Oxygen and Carbon Dioxide in:

            Atmospheric Air

            Alveolar Air

            Mixed Expired Air

            Arterial Blood

            Venous Blood

 

4          Explain why the differences in pressure occur in the above situations

 

5          Explain how 02 and C02 diffuse across the respiratory membrane

 

6          Explain how 02 and C02 are transported in the blood to the tissue cells

 

7          List the factors which affect the rate and depth of respiration

 

8          Explain how these factors affect the respiratory centre

 

9          Outline the cough reflex

 

10        Explain the following terms (in relation to lung function)

            Compliance

            Elasticity

            Airway Resistance

            Shunt

            Laminar Flow

            Turbulent flow

            Surface tension

            Ventilation and Perfusion Ratios

            Airway Closure

            Collateral ventilation

 

 

Respiratory Assessment skills

  

Analyse and assess the clinical needs of respiratory patients e.g. those with asthma or chronic obstructive pulmonary disease

 

 

Outlinethe structural and functional effects of chronic obstructive pulmonary disease and asthma and relate to the signs and symptoms

  Identify anatomical structures on a normal chest x ray

 Recognise significant abnormalities on the chest x ray (e.g collapse, pneumothorax, consolidation, mediastinum and heart enlargement or deviation)

 Explain the significance of FEV1 and FVC measurements and the use of Spirometry to identify obstructive and restrictive disease

 Explain the significance of altered Arterial Blood Gases and identify the indications for Non Invasive Ventilation and oxygen therapy

 Use the stethoscope to identify normal and abnormal lung sounds and explain their significance

 

 

Define the following terms:

            Consolidation

            Atelectasis

            Restrictive Lung Disease

            Obstructive Lung Disease

            Dyspnoea

            Hypoxia

            Orthopnoea

            Hypercapnia

 

  

Discuss key points in the NICE COPD guidelines and SIGN Asthma guidelines

 

 

Discuss the communication and related holistic needs of respiratory patients and their carers

 

Identify roles within an interprofessional group delivering respiratory care

 






 

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