Adult Chronic Conditions
Run by School of Health Sciences
20 Credits or 10 ECTS Credits
Semester 1 & 2
Organiser: Mrs Kay Plumpton
Overall aims and purpose
This module will develop the students’ knowledge of the care and treatment of adults with common chronic conditions. The biopsychosocial impact of chronic conditions on an individual will be critically evaluated as will the role of the adult nurse in providing safe structured holistic care through shared decision making and working in partnership supported by best evidence. The skills and knowledge that will be acquired will prepare pre-registration nurses to provide and critically evaluate evidenced- based nursing care and particular emphasis on supporting a co-productive partnership with individuals and their family and promoting self-management strategies.
The course content includes:
NICE guidelines for evidence-based practice in chronic conditions, models /pathways/ frameworks for the management of common chronic conditions; endocrine; auto-immune conditions; respiratory conditions; vascular, stroke and cardiac conditions; neurological chronic conditions; muscular-skeletal conditions.
On-going patient assessment using appropriate monitoring techniques/tools
Patients life style factors and self - management programmes
Global health perspective of chronic conditions and health promotion
Disease management – shared decision-making
Identifying the precursors for ill-health e.g. life style choices, hereditary, culture and social deprivation
Obesity & impact as a chronic condition
Managing acute and chronic pain
On-going patient assessment using appropriate monitoring techniques
Patient life-style factors and self-management programmes to include technology to support independent living
Management of chronic disease in hard to reach populations e.g. veteran, prisoner’s health, homelessness & those living in rural areas
Management of chronic conditions and/or co-morbidities for those with dementia, the ageing population, those with a learning disability or mental health concern Link between chronic conditions and coping strategies, depression and anxiety Awareness of common mental health issues e.g. depression/anxiety Managing social isolation and the correlation between mental health and physical well-being in chronic conditions.
50% C- to C+ Grade :To achieve a ‘good pass’ on the module, students will be required to demonstrate good understanding and some critical application of evidence-based practice in the provision of care of patients who have chronic conditions. This will need to be supported by appropriate literature.
60% B- to B+ Grade: To achieve this grade the student will need to demonstrate a very good understanding and critical application of evidence-based practice in the provision of care of patients with chronic condition/s. This will need to be supported by a broad range of appropriate literature.
70>% A* - A- Grade: To achieve an ‘excellent pass’ on the module, students will be required to demonstrate a comprehensive understanding and critical application of evidence-based practice in the provision of care of patients with chronic condition/s. This will need to be supported by a comprehensive range of appropriate literature.
Critically evaluate the role of the registered nurse in the care of those with chronic conditions including: holistic structured approaches to the assessment, planning and evaluation of care.
Critically analyse and evaluate evidence based interventions in relation to self-management and co-productive relationships with patients and other appropriate services.
Recognise and critically evaluate presenting clinical features of common chronic conditions and potential acute exacerbations/deteriorations and actions to be taken.
Critically appraise and apply current standards, frameworks, pathways, national and local guidelines relevant to the delivery of care for people with chronic conditions
|CASE STUDY||Case Study Chronic Conditions||
The case study will develop the students’ knowledge of the care and treatment of adults with common chronic conditions. The biopsychosocial impact of chronic conditions on an individual will be critically evaluated as will the role of the adult nurse in providing safe structured holistic care through shared decision making and working in partnership supported by best evidence. The skills and knowledge that will be acquired will prepare pre-registration nurses to provide and critically evaluate evidenced- based nursing care.
|INDIVIDUAL PRESENTATION||Presentation self-management and co-production||
The presentation will develop the students’ knowledge of evidence based interventions in relation to self management and co-productive relationships with patients and other appropriate services. Critical analysis of these interventions will develop an appreciation of their use and effectiveness.
Teaching and Learning Strategy
Assessment workshop = 2 hour assignment workshop for assessment preparation.
|Practical classes and workshops||
Practical clinical activity sessions 2 x 5 hour practical session days during sememter 2.
Lead lectures = 10 x 2 hour lectures for 10 weeks.
EBL group work directed study = 5 x 3 hours during the 10 module weeks.
Seminar for EBL presentations - 1 hour seminars facilitated on alternate weeks over the 10 weeks of the module delivery.
Assingment supervision tutorials - 3 x 1 hour sessions during semester 2.
Personal study time for reading, assignment preparation and writing.
- Literacy - Proficiency in reading and writing through a variety of media
- Computer Literacy - Proficiency in using a varied range of computer software
- Self-Management - Able to work unsupervised in an efficient, punctual and structured manner. To examine the outcomes of tasks and events, and judge levels of quality and importance
- Exploring - Able to investigate, research and consider alternatives
- Information retrieval - Able to access different and multiple sources of information
- Inter-personal - Able to question, actively listen, examine given answers and interact sensitevely with others
- Critical analysis & Problem Solving - Able to deconstruct and analyse problems or complex situations. To find solutions to problems through analyses and exploration of all possibilities using appropriate methods, rescources and creativity.
- Safety-Consciousness - Having an awareness of your immediate environment, and confidence in adhering to health and safety regulations
- Presentation - Able to clearly present information and explanations to an audience. Through the written or oral mode of communication accurately and concisely.
- Teamwork - Able to constructively cooperate with others on a common task, and/or be part of a day-to-day working team
- Mentoring - Able to support, help, guide, inspire and/or coach others
- Caring - Showing concern for others; caring for children, people with disabilities and/or the elderly
- Management - Able to utilise, coordinate and control resources (human, physical and/or financial)
- Argument - Able to put forward, debate and justify an opinion or a course of action, with an individual or in a wider group setting
- Self-awareness & Reflectivity - Having an awareness of your own strengths, weaknesses, aims and objectives. Able to regularly review, evaluate and reflect upon the performance of yourself and others
- Leadership - Able to lead and manage, develop action plans and objectives, offer guidance and direction to others, and cope with the related pressures such authority can result in
Resource implications for students
1. Purchase of text books, pens and paper. 2. Photocopying and printing 3. Subscription to internet provider to access BU on-line catalogues, Blackboard and online learning platforms from home residence.
Carrier, J. (2015). Managing Long-term Conditions and Chronic Illness in Primary Care. Wolverhampton: Routledge.
Drennan, D, & Goodman, C. (Eds) (2014). Oxford Handbook of Primary Care and Community Nursing (2nd ed) Oxford: Oxford University Press.
McEvoy, P. (2014). Chronic Disease Management: A New Paradigm for Care. London: CRC Press.
Nicole , J. (2015 ). Nursing Adults with Long Term Conditions, London: Sage Publications.
Rendell, S. & Ford, H. (Eds) (2011). A Textbook of Long Term Conditions: A guide for nurses and healthcare professionals. London: Wiley -Blackwell
http://www.ngc.ac.uk/About/ National Clinical Guideline Centre
NICE National Collaborating Centre for Chronic Conditions
Social care institute for Excellence.
http://gov.wales/topics/health/nhswales/healthservice/chronic-conditions/?lang=en Chronic conditions Wales