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Long-term Condition Care 2

Module description

Long-term conditions are becoming increasingly prevalent in the UK. Evidence shows that effective healthcare management of these conditions can reduce disease complications.

This module will develop your knowledge and skills for clinical practice with populations of patients with long-term conditions (e.g. IHD, PVD, CVE, Heart failure, AF, CKD). You will be expected to analyse and apply evidence-based resources to specific areas of your clinical practice. Expert clinical practitioners and researchers will be used on the delivery of this module.

Module aims - intentions of the module

This module will build on your knowledge of clinical practice to further understand how long-term conditions are diagnosed, monitored and managed by patients and practitioners. In addition, issues such as promotion of healthy lifestyles, adherence of medication and recognising exacerbations of conditions. Organisation of health service delivery will be considered so that you can consider population healthcare outcomes in long-term conditions. Assessment of the module is designed so that you can tailor your learning to your clinical practice.

Intended Learning Outcomes (ILOs)

ILO: Module-specific skills

On successfully completing the module you will be able to...

• 1. Apply evidence-based knowledge of long term conditions to clinical practice in terms of diagnosis, monitoring and management of long term condition care
• 2. Develop and justify the development of shared management plan (lifestyle changes, medication optimisation etc.) in long term condition care in clinical practice

ILO: Discipline-specific skills

On successfully completing the module you will be able to...

• 3. Use clinical assessment skills to identify priorities within patient consultations
• 4. Appraise health service systems and make suggestions for change

ILO: Personal and key skills

On successfully completing the module you will be able to...

• 5. Verbal and written communication skills in relation to delivering patient-centred long term condition care
• 6. Form effective working partnerships with patients

Syllabus plan

Whilst the module’s precise content may vary from year to year, an example of an overall structure is as follows:

The organisation and evaluation of long term condition care

Principles of long term condition careIschemic heart disease including angina, myocardial infarction and therapeutic optionsPeripheral vascular disease including CVEs and TIAsHeart failure – diagnosis and optimisation of treatmentAtrial fibrillation – diagnosis, risk stratification and options for treatmentChronic kidney disease – diagnosis, monitoring and managementDiabetes care – diagnosis, monitoring and management of complications.

To ensure flexibility and resilience over the coming academic year, the following changes may be made to the module if needed:

-          Face-to-face scheduled lectures may be replaced by short pre-recorded videos for each topic (15-20 minutes) and/or brief overview lectures delivered via MS Teams/Zoom, with learning consolidated by self-directed learning resources and ELE activities.

-          Small-group discussion in tutorials and seminars may be replaced by synchronous group discussion on Teams/ Zoom; or asynchronous online discussion, for example via Yammer or ELE Discussion board.

-          Workshops involving face-to-face classroom teaching may be replaced by synchronous sessions on Teams/Zoom; or Asynchronous workshop activities supported with discussion forum.

Learning activities and teaching methods (given in hours of study time)

Details of learning activities and teaching methods

Formative assessment

Summative assessment (% of credit)

Details of summative assessment

Details of re-assessment (where required by referral or deferral)

Re-assessment notes

In the event of referral, students should submit a revised version of their original submission, taking into account marker’s feedback.

Indicative learning resources - Basic reading

Relevant sections of:-

Medical sciences / edited by Jeannette Naish and Denise Syndercombe Court. ISBN: 9780702052491 Accessed via: http://encore.exeter.ac.uk/iii/encore/record/C__Rb2635081Kumar & Clark's clinical medicine edited by Parveen Kumar, Michael Clark. ISBN 0702066001 Accessed via: http://encore.exeter.ac.uk/iii/encore/record/C__Rb3510479Oxford handbook of clinical medicine / by Murray Longmore, Ian Wilkinson, Andrew Baldwin, Elizabeth Wallin. ISBN: 9781306474122 Accessed http://encore.exeter.ac.uk/iii/encore/record/C__Rb2632706

· ABC of Diabetes (ABC Series) Paperback – 25 Sep 2015 by Tim Holt

Indicative learning resources - Web based and electronic resources

National Institute for Health and Clinical Excellence (2016) Type 1 diabetes in adults: diagnosis and management. NICE guideline [CG17] 

National Institute for Health and Clinical Excellence (2017) Type 2 diabetes in adults: management. NICE guideline [NG28] 

National Institute for Health and Clinical Excellence (2014) Atrial fibrillation: management. NICE guideline [CG180] 

National Institute for Health and Clinical Excellence (2013). Myocardial infarction: cardiac rehabilitation and prevention of further cardiovascular disease. NICE guideline [CG172] 

National Institute for Health and Clinical Excellence (2012). Peripheral arterial disease: diagnosis and management. NICE guideline [CG147] 

Heart failure

https://www.nice.org.uk/guidance/conditions-and-diseases/cardiovascular-conditions/heart-failure 

Chronic Kidney disease

https://pathways.nice.org.uk/pathways/chronic-kidney-disease 

Stroke

https://pathways.nice.org.uk/pathways/stroke

Indicative learning resources - Other resources

Journals

Mishra, S. C. et al. 2017. Diabetic foot. BMJ, 359, j5064.