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On successful completion of the module, students will be able to:
1 Explain pathophysiological conditions related to organ systems studied, with a critical awareness of symptoms, investigations, interpreting results, and signs of the deteriorating patient.
2 Apply knowledge of values and communications skills required for cultural competence and effective interprofessional working to support and overcome barriers in providing effective integrated person-centred care.
3 Recognise and apply policy, legislation and ethical principles that support risk assessment and positive risk management in the development of person-centred care planning.
4 Apply knowledge of the determinants, characteristics, and experiences of a range of learning disabilities to accurately assess, plan, manage and evaluate holistic person-centred care.
5 Describe the general principles of pharmacodynamics and pharmacokinetics, and accurately recognise responses to administered medication including therapeutic and adverse effects to medicines encountered in practice.
6 Demonstrate safe and effective clinical judgement when performing a range of nursing proficiencies from Annex A and B.
7 Demonstrate competency in mandatory training requirements for clinical practice.
This module will enable you to develop competence in the provision and delivery of integrated person-centred nursing care for people with learning disabilities, their carer’s, and families across the lifespan including the management of commonly encountered and long-term conditions.
At Level 5 this module is divided into seven subject themes:
Theme 1 – Anatomy, Physiology and Pathophysiology
You will study the anatomy and physiology of the following organ systems digestive, endocrine, integumentary, innate immunity and inflammatory responses, and reproductive (female and male) and the pathology and aetiology of common associated diseases and conditions including cardiovascular, respiratory, diabetes, neurological, liver, and renal with a focus on the signs and symptoms of the deteriorating patient, sepsis, and shock. You will understand concepts of fluid and electrolyte balance, acid-base balance, perfusion and gas exchange, nerve impulse transmission, blood groups and blood component transfusion. Finally, you will identify routine investigations and how to interpret these, knowing when to take prompt action, the need for further investigations or when to escalate to others.
Theme 2 - Values, Responsibility and Interprofessional Working:
You will continue to develop the values required for culturally competent nursing care enabling you to work with diverse populations across the lifespan. You will develop knowledge, skills and values required for effective interprofessional practice in a range of health care settings including collective decision-making, communication, teamwork, cooperation, assertiveness, autonomy, and mutual trust and respect for the role of other disciplines and allied health professionals. You will examine principles and frameworks for integrated care i.e., The House of Care, Care Pathways, and Case Management Plans as ways of transforming how care is provided for people in enabling them to live healthy, fulfilling, independent lives. You will also identify barriers to integrated care and interprofessional working and strategies to overcome these.
Theme 3 - Policy, Legislation and Ethics:
You will discuss policy, legislation and evidence-based practice guidelines relating to clinical risk assessment and monitoring understanding the difference between risk aversion and positive risk management, the need to accept and manage uncertainty and the roles and responsibilities of the MDT in relation to risk assessment and management. You will discuss how to work with service users and carers to devise personal safety plans identifying person-centred and individualised coping strategies and details of where to go and who to contact when in distress. Equality and diversity, mental capacity and anti-discriminatory practice will be considered in relation to risk, and you be introduced to the principles of due regard and least restrictive practice. The Mental Health Act (2007), Mental Capacity Act (2005) Community Treatment Orders, Mental Health Tribunals and Liberty Protection Safeguards will be discussed in relation to risk assessment and risk management, and you will extend your knowledge of safeguarding vulnerable people across the lifespan. Finally, you will discuss different ethical standpoints consequentialism, deontology, virtue ethics and ethical principlism and their application to the healthcare context within a legal and professional standards framework.
Theme 4 – Pharmacology, medicines management and optimisation:
You will develop your knowledge of the principles of pharmacology, pharmacodynamics, pharmacokinetics, and pharma-therapeutics of commonly occurring medicines used for children, adults, and older adults with long-term physical, mental health and learning disabilities needs and how doses are determined by dynamics and systems of the body. You will understand principles of STOMP – Stopping the over medication of people with a learning disability, autism or both and STAMP – Supporting treatment and appropriate medication in paediatrics. You will develop your competence in the administration and monitoring of medicines via a variety of routes, including IM injection and depot medication.
You will understand administration and monitoring of controlled drugs, and pain management, recognising the effects of medication, allergies, drug sensitivities, side effects, contraindications, and the impact of polypharmacy. You will examine the legal and ethical frameworks relating to administration and prescribing, different types of prescribing, methods of supply, consent, confidentiality, accountability, and professional standards.
Theme 5 - Numeracy, Literacy, information and Digital Technology:
You will continue to enhance your numeracy, literacy, information and digital technology skills. Literacy skills development will include sessions on academic writing and enhanced expectations at Level 5 including critical thinking, editing, proofreading, and improving your own work using information effectively. Research at Level 5 will extend beyond the reading list with increased focus on finding and evaluating health information. You will have access to safeMedicate an online platform where you can practice your body weight and body surface area, injectable medicines, and healthcare numeracy skills during directed study time. You will also develop knowledge and skills in relation to digital health technologies and how these can empower people to manage their own health conditions and enhance opportunities for independent living and delivering virtual health care online, via digital apps, health infographics and chatbots will also be explored.
Theme 6 - Clinical Skills and Mandatory Training:
Clinical skills practical session will support linking theory to practice in relation to Theme 1 and Theme 4. Specific Annex B skills will include the symptoms and signs of sepsis and identifying and responding to these signs. Managing and interpreting cardiac monitors, infusion pumps, blood glucose monitors; measuring and interpreting blood glucose levels. Responding to and interpreting neurological observations and assessments. Using appropriate positioning and pressure-relieving techniques; using contemporary approaches to the assessment of skin integrity and using appropriate products to prevent or manage skin breakdown; identifying and managing skin irritations and rashes. Using aseptic, non-touch techniques when undertaking wound care including dressings, pressure bandaging, suture removal, vacuum closures and drainage processes and using standard precautions protocols and implementing isolation procedures. Observing, assessing and optimising nutrition and hydration status and determining the need for intervention and support; using contemporary nutritional assessment tools; inserting, managing and removing oral/nasal/gastric tubes; managing artificial nutrition and hydration using oral, enteral and parenteral routes. Observing and using evidence-based risk assessment tools to determine the need for support and intervention to optimise mobility and safety, and to identify and manage risk of falls using best practice risk assessment approaches. Observing and assessing the need for intervention and responding to restlessness, agitation and breathlessness using appropriate interventions; managing the administration of oxygen using a range of routes and best practice approaches; taking and interpreting peak flow and oximetry measurements; undertaking chest auscultation and interpreting findings. You will also complete the required mandatory training as it is mandated by law (see module handbook for full schedule of mandatory training at Level 5) and complete e-learning packages and practical sessions for moving and handling, basic life support and breakaway techniques.
Theme 7 – Assessing, planning, managing, and evaluating person centred care
You will be able to differentiate between learning disability, learning difficulty, autism spectrum disorders and neurodiversity and be able to recognise and identify the determinants, characteristics, and experiences (physical, mental, cognitive, sensory, behavioural, and emotional) of a range of learning disabilities across the lifespan including genetic causes and conditions such as Down’s syndrome, William’s syndrome, fragile X, and cerebral palsy. Pregnancy and birth complications such as foetal alcohol spectrum disorder, global developmental delay due to premature birth or injury/trauma during delivery. Childhood illness such as communicable diseases e.g., measles and meningitis, accidents resulting in traumatic brain injury (TBI), environmental factors including neglect and abuse and exposure to toxins and pollutants. Profound and multiple learning disabilities (PMLD) will be discussed in relation to person-centred care provision. You will also consider the additional requirements of care provision for people with learning disabilities who experience commonly encountered health problems or who have long-term conditions, considering issues such as diagnostic overshadowing. You will develop the knowledge and skills needed for accurate assessment, planning, managing, evaluating, and adjusting agreed goals in the formulation of person-centred care plans for people of all ages with learning disabilities in a range of settings including home, educational facilities, community, hospital, primary, social and hospice care. You will understand the Hospital Transfer Pathway – Red Bag Scheme, to ensure everyone involved in care has the necessary information from transition between inpatient hospital settings and community or care home settings for adults with social care needs. You will be able to apply principles of shared decision making, partnership working and strengths-based approaches valuing the capacity, skills, knowledge, connections and potential in individuals and communities, acting as an advocate to supporting care and treatment preferences.
Themes 1 – 6 Key lectures will be delivered to all fields together and seminars will be a combination of mixed field groups and some field specific groups where content and discussion has a specialised focus for a particular field of nursing expertise, allowing you to benefit from both others individual experiences and perspectives and that of your core field specific group. Technical skills will be integrated across all fields enabling you to demonstrate proficiencies that may not be common in your chosen field of nursing practice. Theme 7 will be taught in field specific groups allowing you to develop competence in assessing, planning, managing, and evaluating care for people with learning disabilities, and the provision of person-centred care for long-term conditions. Research informed key lectures will introduce the weekly content of the module identifying theories/principles/concepts enabling you to develop your knowledge and skills. This will be supported by blended learning pre and post session activities on Moodle and you will be expected to engage with a range of activities including pre-reading to prepare you for lectures and follow-on activities to enable ongoing self and tutor assessment of your progress and application of knowledge and skills. The lecture content will be supported by seminars enabling smaller group discussion where you will consolidate your knowledge and critically engage with best evidence to support your professional development and to apply your learning to clinical practice, activities will include role play, problem-based learning, and practice-based scenario exploration. Practical session will enable you to develop nursing proficiencies in Annex A and B of the FNS (NMC, 2018) and mandatory training skills required for practice placements. These will be delivered in the Health Facilities Building and you will be required to wear nursing uniform for these sessions. Access to online learning platforms including safeMedicate, Clinicalskills.net and the NHS Learning HUB will support the directed study element of this module. Where appropriate specialist practitioners and service users and carers will be invited to contribute to sessions to increase the authenticity of lived experience of the module content and highlight employability links. Learning styles will be supported by a variety of resources including videos, reading material, discussion and debate, e-learning modules, problem solving and practical tasks. You will be expected to utilise appropriate digital technologies and study skills to engage with additional resources and in independently directing your own learning.
Lectures
Hours: 42
Intended Group Size: 100
Seminars
Hours: 42
Intended Group Size: 25
Practical
Hours: 35
Intended Group Size: 25
Directed Study
Hours: 21
Intended Group Size: 1
Guided independent study
Hours: 260
Further details relating to assessment
Post session activities submitted through Moodle will facilitate ongoing formative assessment opportunities via lecturer or peer feedback, these may include responses to case studies, quizzes, forum posts or blogs and self-assessment. One draft opportunity will be offered for the case study and care pathway with feedback provided at least one week prior to summative submission. Formative assessment of body weight and body surface area and injectable medicines and health numeracy skills will be facilitated via safeMedicate practice tests. Clinical skills proficiency will be formatively assessed via completion of self-assessment tasks using Clinicalskills.net. Formative assessment for the seen exam will be provided via weekly post session online quizzes on Moodle. Mock OSCE opportunity will also be provided.
(1). Online Seen Exam: You will undertake a 1-hour online seen exam to test your knowledge of anatomy, physiology and pathology concepts covered in Theme 1 of the module. The paper will be a mix of short and long answers, the paper will be released one week prior to the exam date.
(2). OSCE: You will undertake stations to objectively assess aspects of nursing proficiencies and medications management covered in Theme 4 and Theme 6 of the module.
(3). Portfolio: Your portfolio will comprise of the following parts (a) 500-word case scenario based upon a service user you have encountered in practice (b) a 1000-word person-centred care plan demonstrating nursing assessment, planning, management and evaluation of needs and application of shared decision making and strengths based approaches (c) a 1000-word care pathway flow chart OR care pathway infographic outlining the roles and responsibilities of each discipline and how interprofessional team working supports the integrated, safe and effective delivery of care to improve health and wellbeing outcomes.
(4). Mandatory Training: You must pass the refresher practical sessions for moving & handling, basic life support and breakaway training and submit your certificates of achievement for the specified online NHS Learning HUB e-learning packages to Turnitin. All elements of this assessment must be passed prior to going on Practice 3. Please note you will have 1 hours per week direct study timetabled into the week to complete the required e-learning packages for this statutory element.
The assessments will allow you to demonstrate your developing competency in the provision of safe, effective, and compassionate nursing care.
Note that compensation is not permitted. Each assessment component must be passed at a minimum of 40% (NMC regulations), unless otherwise stipulated.
001 Online Seen Exam; 1 Hour; 30%; Assessment Wk Block 1 30%
002 OSCE; 15 Mins; 30%; Assessment Wk Block 1 30%
003 Portfolio; 2500 words; 40%; End Block 1 40%
004 Mandatory Training; Mandatory Training Schedule Level 5; Pass/Fail; End Block 1 %
Module Coordinator - PRS_CODE=
Level - 5
Credit Value - 30
Pre-Requisites - NONE
Semester(s) Offered - 5NUR1