Students will work as a member of a health care team and investigate the usefulness of selected therapies for individual clients in an acute health care setting. The impact of complex health problems on the individual and carers will be emphasised. Students will develop knowledge and skills in order to engage in person-centred care with individuals experiencing a range of complex acute and chronic health care issues. In the clinical setting, there will perform focused assessment and apply clinical reasoning to further develop their skills in planning and delivering care that incorporates pathophysiology principles, medical technology and discharge plans.
My assessment for this subject:
• Three week clinical placement – must complete this satisfactorily to pass the subject. My placement starts very soon on March 14th!
• 2500 word assignment worth 40%
• 2.5 hour open answer exam worth 50%
• Workshop participation (homework tasks) worth 10%
This week this is what we covered in the subject:
Lectures
• Advance Care Planning: respecting patient choices and withdrawal of treatment - this is about trying to find out what people want for themselves before it too late to ask (lose their capacity to make a decision). It takes the burden off families to make those difficult decisions. The principles of respecting patient choices are dignity, autonomy, informed consent, and prevention of suffering. Everyone has their own feelings about what make each day meaningful for them, such as spending time with loved ones, eating delicious food, mobility and able to carry out basic activities of daily living, and environment. Situations one might consider unacceptable are not being able to recognise or communicate with loved ones, not being about to eat or do basic activities of daily living independently such as toileting and bathing. Also some people like the idea of a quick death rather than a long drawn out death with lots of pain, suffering and boredom, so they have a preference that if their heart stops they do not want to be resuscitated. It's important to think about these things and tell your next of kin - partner, son/daughter, mother/father - what your wishes are. Or you could just get a tattoo.
Labs
• Emergency scenario – focused assessment
• Performing an ECG (we learnt this last year so it was just practice)
• Interpreting an ECG
• Management of underwater seal chest drains
• Management of central venous line catheters
Workshops:
• Reviewed pathophysiology of the heart
• ECG interpretation
• Patient scenario health issues and procedures:
• Transischaemic attack
• Percutaneously inserted valve
• Transesophageal echo probe
• Angioplasty
• Angiogram
• Aortic stenosis (showing up in angiogram)
No comments:
Post a Comment