Managing Acute Changes in Health Status ( Adult field GEN)

Learning Outcomes

Learning Outcomes

Having successfully completed this module you will be able to:

• Evaluate the evidence base which supports nursing responses to acute changes in health status
• Explore how the nurse may identify, prioritise and respond to risk factors that may lead to deterioration in health status
• Apply knowledge of human anatomy, physiology and pathophysiology in the context of undertaking a bio-psycho-social assessment.
• Analyse how clinical judgement and decision making skills inform the management of nursing care
• Critically discuss the knowledge and skills necessary to undertake a prioritised assessment of people who are experiencing an acute change in health status

Content for ALL Fields: Clinical judgement & decision making Responding to mental and emotional distress including agitation, aggression and challenging behaviour Responding to self-harm and or suicidal ideation Recognising and responding to acute deterioration in physical health status (e.g. sepsis) Breaking significant news Sudden and / or traumatic death Ethical and legal issues in acute care: DNACPR, DOLS Managing risks to vulnerable groups with acute health care needs (e.g. Learning Disability) Human Factors: Safety culture, Debriefing Medicines Management: Safe medicine use. (e.g. drug interactions / reactions including anaphylaxis; recreational drugs; using technology to improve medicines safety; forms of prescribing including PGD) ADULT Specific Content: ASSESSMENT SKILLS Interviewing skills and assessment frameworks for bio-psychosocial assessment (history taking) Theoretical and practical knowledge about structured physical assessment (inspection, auscultation, palpation) of key body systems. Assessment and referral pathways for people presenting with mental / psychological distress Normal and abnormal findings on assessment and applied anatomy, pathophysiology and physiology in relation to key body systems (Neurological, respiratory, cardiovascular, immune endocrine, abdomen and gastrointestinal, renal, musculoskeletal, skin systems). Medicines management: Assessing medicine use MANAGING ACUTE CHANGES IN HEALTH Assessing, recognising and responding to acute and critical physical illness Respiratory Care and Support: Respiratory failure, NIV, Chest Drain, ABG Interpretation Referral pathways and escalation of care (e.g. role of EWS; Outreach; communication frameworks) Managing symptoms and distress in acute care (to include pain, agitation, psychological distress in critical illness, nausea) Surgical and post-operative care. Pharmacology related to commonly encountered drugs in acute conditions. Assessment, interventions and related pathophysiology in relation to acute changes in: Respiratory function Cardiovascular function Shock and Fluid balance disorders Neurological function (to include acute neurological deterioration, delirium, epilepsy) Genito-urinary function (including UTI, AKI) Endocrine function (e.g. diabetes and DKA) Skills: Airway skills and supporting the at risk patient BLS Year 2 update Responding to physiological deterioration NG Insertion Taking a structured history Physical assessment skills. Venepuncture and cannulation

Lectures Seminars Directed study activities Self-directed Study Technology enhanced learning

Formative

This is how we’ll give you feedback as you are learning. It is not a formal test or exam.

Seminar Participation

• Assessment Type: Formative
• Feedback: Peer & seminar lead feedback.
• Final Assessment: No
• Group Work: No

Summative

This is how we’ll formally assess what you have learned in this module.

Referral

This is how we’ll assess you if you don’t meet the criteria to pass this module.