Co-ordinating Long-Term Care in Partnership (Dual Field)

Learning Outcomes

Learning Outcomes

Having successfully completed this module you will be able to:

• Debate strategies that may be used to coordinate the care of people with long-term care needs across different settings
• Reflect the lived experience of the person living with long term care needs, and analyse how a nurse may respond
• Explain how nurses work in partnership with people to empower, support and promote the health and well-being of individuals with a long-term condition.
• Analyse strategies employed by nurses to manage risk and promote a safe and effective health care environment.

In this module you should build on your knowledge and understanding of delivering nursing care to individuals and start to develop your ability to manage the care of groups of people. You will consider the process of clinical decision making and study the management of long term conditions and cancer care. Management of teams and care environments will be key topics in this module.

Core Content for ALL fields:

Collaborative / shared decision making.

Positive risk taking and living with risk.

Supported self management (including use of digital technologies in promoting self-management and sustaining supportive networks).

Technological dependency.

Integrated care, multidisciplinary and multiagency team working.

Monitoring and co-ordinating care (including use of technology and data).

Categorical and non-categorical approaches to the care of individuals with a long-term conditions and disabilities.

Health economics and long-term partnership care

Medicines Management: (Auditing and monitoring medicines management; storage; legal and professional issues in medicines management practice; Concordance)

ADULT Field Specific Content:

The following will be explored in more depth in relation to the person with a long-term condition:

The experience of living with a long-term condition.

Co-ordinating care of people with single LTC and multi-comorbidities.

Clinical decision-making – theory and relation to practice.

Risk management – living with risk and adapting to changing health.

The use of digital technologies including tele monitoring and home ventilation

Role of family, carers and the importance of supportive networks (incl. assisted based community development).

Discharge – legal and ethical issues (e.g. DNR)

MENTAL HEALTH Field Specific Content:

The person with dementia (i.e. Behavioural and Psychological Symptoms of Dementia - BPSD)

The person with bi-polar disorder

Functional mental health disorders in old age

Physical health care of people with mental health problems

Medicines management

Working with families and carers

Promoting mental health wellbeing

Cognitive behavioural (CBT) competence framework for depression and anxiety

Self-management strategies (i.e. Wellness Recovery Action Planning - WRAP)

CHILD Field Specific Content:

Co-ordinating community children’s nursing

Technological dependence in childhood

Preadmission and discharge planning: transitioning for children between settings.

Lost childhoods: Chronic sorrow living with disability and illness

Oncology conditions of childhood

Living with and surviving cancer in childhood

Mental wellbeing for children living with illness

Living with congenital and genetic conditions in childhood

Living with long term conditions a body systems approach

Skills:

Catheterisation

Managing difficult conversations

Digital rectal examination

Care after death

De-escalation and safe restraint

End of Year 2 Simulation

Lectures

Field/DF specific seminars

Skills sessions

Online/blended learning

Formative

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

Individual Presentation

• Assessment Type: Formative
• Feedback: Peer and seminar lead feedback
• Final Assessment: No
• Group Work: Yes

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.