neuroscience nursing - 6knic308 · session 6: e-learning – cranial nerves by the end of the...
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Neuroscience Nursing - 6KNIC308 Level: 6
Credits: 30
Module leader: Ann-Marie Mestecky
Tel: 020 7848 3015
Email: [email protected]
Module deputy: Sue Woodward
Tel: 020 7848 3469
Email: [email protected]
____________________________________________________________________
This handbook must be read in conjunction with module information provided on KEATS, the King’s E-Learning And Teaching Service. You will be given access to KEATS on enrolment. Important information relating to assessment and related regulations can be found in the relevant programme handbook. This handbook can also be provided in alternative formats (such as large print) upon request to [email protected].
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Contents
Module overview .............................................................................................................. 4
Module aim ................................................................................................................... 4
Learning outcomes ....................................................................................................... 4
Teaching arrangements ............................................................................................... 4
Summative assessment ................................................................................................ 5
Formative Assessment ................................................................................................. 5
Dates for examinations .................................................................................................... 5
Results and resits for examinations ............................................................................ 5
Learning resources & indicative reading ........................................................................ 7
Week 1 ............................................................................................................................... 7
Session 1: Welcome ...................................................................................................... 7
Session 2 & 3: Introduction to Neurophysiology & Functional Anatomy of the Brain 7
Session 4: Neurological Assessment ........................................................................... 8
Session 5: Altered Consciousness ............................................................................... 8
Session 6: E-Learning – Cranial Nerves ..................................................................... 8
Week 2 .............................................................................................................................. 9
Session 1: Physiology of ICP & Cerebral Perfusion .................................................... 9
Session 2: Management of Raised ICP ....................................................................... 9
Session 3: Brain Tumours ............................................................................................ 10
Session 4: Pituitary Lesions ......................................................................................... 10
Week 3 .............................................................................................................................. 11
Session 1: Brain Stem Death ........................................................................................ 11
Session 2: Head Injuries .............................................................................................. 11
Session 3: Stroke .......................................................................................................... 11
Week 4 .............................................................................................................................. 12
Session 1 & 2: Cerebral Circulation & Subarachnoid Haemorrhage......................... 12
Session 3: Motor Neurone Disease ............................................................................. 12
Week 5............................................................................................................................... 13
Session 1: Acoustic Neuroma....................................................................................... 13
Session 2: CNS Infections ............................................................................................ 13
Session 3: Hydrocephalus & EVDs ............................................................................. 13
Session 4: Promotion of Continence & Management of Incontinence ..................... 14
Week 6 .............................................................................................................................. 15
Session 1: Spinal Anatomy & Physiology .................................................................... 15
Session 2: Acute Management of Spinal Injuries ...................................................... 15
Session 3: Elective Spinal Surgery .............................................................................. 15
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Week 7 ............................................................................................................................... 16
Session 1: Autonomic Nervous System ....................................................................... 16
Session 2: Myasthenia Gravis ...................................................................................... 16
Session 3: Guillain-Barre Syndrome ........................................................................... 16
Session 4: Care & Management of Patients with Epilepsy ........................................ 17
Session 5: Cognitive Assessment & Management ...................................................... 17
Week 8 .............................................................................................................................. 18
Session 1: Respiratory & Tracheostomy Management .............................................. 18
Session 2: Parkinson’s Disease .................................................................................... 18
Session 3: Neuroethics ................................................................................................. 18
Module evaluation ........................................................................................................... 19
Action from previous evaluations ............................................................................... 19
Timetable – 6KNIC308 ................................................................................................... 20
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Module overview
This module forms part of the BSc Nursing Practice. The module contributes to your programme of study by developing your clinical knowledge and decision making for patients with neurological disease and post trauma.
The module can also be taken as a freestanding module.
Module aim
To critically analyse and evaluate the practice of neuroscience nursing.
To develop and evaluate specialist skills.
To critically analyse contextual issues and policy drivers for neuroscience nursing practice.
To evaluate current research, enabling evaluation and synthesis in practice.
Learning outcomes
At the end of the course you will be able to: 1. Select and critically evaluate relevant research in order to promote evidence-based practice. 2. Demonstrate proficiency in the assessment, planning and evaluation of care for the
neuroscience patient. 3. Critically analyse the therapeutic interventions for neuroscience patients. 4. Appraise local, national health promotion strategies and evaluate the factors which influence
the health care of patients with neurological problems. 5. Evaluate strategies to minimise the impact of chronic illness on patients and families. 6. Critically evaluate the evolving role of the neuroscience nurse within multi-disciplinary care
provision. 7. Reflect and evaluate the professional role of self in caring for neuroscience patients within
the context of NMC guidelines 8. Critically examine the professional, ethical and legal issues related to the management of
neuroscience patient.
Teaching arrangements
An adult learning approach to learning aims to build on your experience as a qualified practitioner. You will have access to the course leader for personal tutorial time. You are invited to discuss any aspects of the course and to receive guidance and support with your academic development and assessed course work. We aim to help you to relate your course work to your clinical practice throughout the programme. A variety of teaching strategies will be employed:
Lectures with interactive discussion
Patient scenarios
Group work
Personal and group tutorials
Directed reading/guided study
Quizzes
Electronic learning packages
Independent study (150 hours)
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Summative assessment
Unseen written examination.
You are required to sit a two-hour unseen written examination. The examination will comprise five questions, 4 of which will be scenario-based and the other one will be a neuroscience nursing topic covered on the module.
You will be required to:
Choose three out of five questions
Answer both parts of the question
Evaluate clinical data
Discuss and critically analyse the evidence base for practice
Demonstrate an in-depth knowledge of physiological and psychosocial aspects of neuroscience nursing
There will be opportunity to undertake and discuss practice scenarios within the module timetable.
Formative Assessment
On the penultimate day of the module you will answer a scenario-based question under exam conditions. This is to preparation for the unseen summative exam. The module leader will provide written feedback by the final day of the module.
Dates for examinations You will be notified of dates for examination on the Student Records section of the King’s Intranet. Information on your candidate number will be available on the KEATS site. Examination dates: Exam week is Monday 6-11 January 2020, date of the exam will be published the first week in December.
Results and resits for examinations Unratified results from exams will be available on your KEATS module site 4 weeks from the date of the examination. Information for handbooks with a paper-based examination: Faculties are required to make examination scripts available to any student who makes a request, free of charge. Any requests for examination scripts are managed in accordance with the EU General Data Protection Regulation (updates Data Protection Act 1998) and associated UK data protection legislation. Students may request access to their exam paper at any time (after the Assessment Sub Board meeting) during their programme of study. This policy applies to all summative, unseen, written examinations. MCQs and OSCEs are exempt from this process.
Re-sit dates will be available on your KEATS module site. If you are unsuccessful, it is recommended that you contact the module leader before submitting your second attempt or re-sitting your examination.
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The university and its Examination Boards in the ten Faculties (Institutes/Schools, King's Learning Institute and the Association of King's College (AKC), work with over 500 external examiners to ensure the quality and standard of our taught awards. Find the latest report on the External Examiners Report page, navigate to the Faculty’s section. Examination resit dates: TBC on module KEATS page. Exam week:
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Learning resources & indicative reading
Week 1
Session 1: Welcome
By the end of the session students will:
Have an understanding of the course learning outcomes, content, teaching strategies and methods of assessment
Have introduced themselves to other course members. Indicative reading
Course handbook.
Post-qualification Undergraduate Handbook.
Session 2 & 3: Introduction to Neurophysiology & Functional Anatomy of the Brain
By the end of the session students will be able to:
Identify the function of different cells within the nervous system
Discuss the process for generation of an action potential
Discuss the process of neurotransmission and the role of the synapse
Analyse the role of neurotransmitters in health and illness
Discuss the functional anatomy of specific areas of the brain and identify the deficits that ensue following injury/disease.
Indicative reading
Hickey, J.V. (2013). Clinical Practice of Neurological and Neurosurgical Nursing. (7th ed.). Philadelphia: Lippincott Williams and Wilkins.
Marieb, E., & Hoehn, K. (2015). Human Anatomy & Physiology. (10th ed.). San Francisco: Pearson.
Tortora, J.G., & Grabowski, J.R. (2009). Principles of Anatomy and Physiology. (12th ed.). New York: Harper.
Woodward, S., & Mestecky A., (2011). Neuroscience Nursing Evidence-Based Nursing. Oxford: Wiley-Blackwell.
Please also see electronic reading list.
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Session 4: Neurological Assessment
By the end of the session students will be able to:
Discuss the evidence base for neurological assessment using the Glasgow coma scale
Critically analyse neurological assessment findings and correctly interpret such data. Indicative reading
Brunker, C. (2006). Assessment of sedated head-injured patients using the Glasgow Coma Scale: An audit, British Journal of Neuroscience Nursing 2(6), 276-281.
Brunker, C. & Harris, R. (2015). How accurate is the AVPU scale in detecting neurological impairment when used by general ward nurses? An evaluation study using simulation and a questionnaire. Intensive and Critical Care Nursing 31(2), 69-75.
Anonymous (2015). Interview with Professor Sir Graham Teasdale: part 2. British Journal of Neuroscience Nursing, 11(1), 30–31.
Mavin, C. (2008). Does underpinning evidence influence the frequency of neurological observations? British Journal of Neuroscience Nursing 5(10), 456-459.
Waterhouse, C. (2009). The use of painful stimulus in relation to Glasgow Coma Scale Observations, British Journal of Neuroscience Nursing 5(5), 209-215.
Please see electronic reading list.
Session 5: Altered Consciousness
By the end of the session students will be able to:
Discuss the causes and pathogenesis of altered consciousness
Identify the different clinical states of altered consciousness. Indicative reading
Noirhomme, Q., Schnakers, C., & Laureys, S. (2008). A twitch of consciousness: defining the boundaries of vegetative and minimally conscious states. Journal of Neurology, Neurosurgery & Psychiatry 79(7), 741-2.
Session 6: E-Learning – Cranial Nerves
By the end of the session students will be able to:
Demonstrates knowledge of the function of the cranial nerves
Discuss the syndromes related to cranial nerve dysfunction.
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Week 2
Session 1: Physiology of ICP & Cerebral Perfusion
By the end of the session students will be able to:
Discuss the concepts of intracranial physiology
Critically analyse the physiological impact of raised intracranial pressure and brain herniation syndromes.
Indicative reading
Hickey, J.V. (2013). Clinical practice of Neurological and Neurosurgical Nursing. (7th ed.). Philadelphia: Lippincott Williams and Wilkins.
Woodward, S., & Mestecky, A. (2011). Neuroscience Nursing Evidence-Based Nursing. Oxford: Wiley-Blackwell.
Please also see electronic reading list for more recent papers.
Session 2: Management of Raised ICP
By the end of the session students will be able to:
Differentiate between the different waveforms and understand their significance
Critically analyse the nursing care of a patient with raised ICP. Indicative reading
Mcleod, A. (2006). Mechanical ventilation for raised intracranial pressure in the patient with cerebral insult. British Journal of Neuroscience Nursing 2(7), 338-345.
Mestecky, A., Brunker, C., Connor, J., & Hanley, C. (2007). Understanding the monitoring of intracranial pressure: a benchmark for better practice. British Journal of Neuroscience Nursing, 3(6), 276-282.
McNett, M.M., & Olson, D.M. (2013). Evidence to Guide Nursing Interventions for Critically Ill Neurologically Impaired Patients with ICP Monitoring. Journal of Neuroscience Nursing, 45(3), 120-123.
Woodward, S., & Mestecky, A. (2011). Neuroscience Nursing Evidence-Based Nursing. Oxford: Wiley-Blackwell.
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Session 3: Brain Tumours
By the end of the session students will be able to:
Demonstrate knowledge of the pathophysiology of brain tumours
Identify the role of steroids in the management of brain tumours
Discuss the medical and surgical options for treatment of brain tumours
Analyse the care of patients undergoing radiotherapy/chemotherapy. Indicative reading:
Hickey, J.V. (2013). Clinical practice of neurological and neurosurgical Nursing. (7th ed.). Philadelphia: Lippincott Williams and Wilkins.
Lucas, M.R. (2013). What Brain Tumour Patients and Their Families Have Taught Me. Journal of Neuroscience Nursing, 45(3), 171–175.
Townsley, E. (2011). Management of Brain Tumours. In S. Woodward & A. Mestecky (2011). Neuroscience Nursing Evidence-Based Nursing. Oxford: Wiley-Blackwell.
Please also see electronic reading list for more recent papers.
Session 4: Pituitary Lesions
By the end of the session students will be able to:
Demonstrate knowledge of the hormones released by the pituitary and their principal actions
Explain the different types of pituitary tumour
Analyse the nursing care for a patient pre- and post-excision of a pituitary tumour Indicative reading
Mestecky, A. (2010). The management of primary pituitary tumours, British Journal of Neuroscience Nursing 6(5), 222-226.
Waterhouse, C. (2013). Post traumatic hypopituitarism (PTHP): an underdiagnosed complication. British Journal of Neuroscience Nursing 8(4), 184-189.
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Week 3
Session 1: Brain Stem Death
By the end of the session students will be able to:
Discuss brain stem death
Discuss the criteria to diagnose brain death
Critically discuss the nurse’s role in the management and care of the patient and their loved ones.
Session 2: Head Injuries
By the end of the session students will be able to:
Discuss the pathophysiology of primary & secondary brain injury
Appraise the current treatment options for raised ICP
Critically analyse the nursing management of a patient with raised ICP with reference to recent studies
Explore the long-term physical, psychological and social impact of head injury for the patient and family.
Indicative reading
NICE (2014). Head Injury: Triage, assessment, investigation and early management of head injury in infants, children and adults.
Mestecky, A. (2007). Management of the severe traumatic brain injury: the need for the knowledgeable nurse. British Journal of Neuroscience Nursing 3(1), 7-13.
Mestecky, A. (2006). metabolic responses after severe head injury and how to optimise nutrition: A literature review. British Journal of Neuroscience Nursing 2(2), 73-79.
Woodward, S., & Mestecky, A. (2011). Neuroscience Nursing Evidence-Based Nursing. Oxford: Wiley-Blackwell.
Whitehurst, E. (2009). The importance of nutrition support in the head injured patient, British Journal of Neuroscience Nursing 5(1), 8-12.
Please also see electronic reading list for more recent papers.
Session 3: Stroke
By the end of the session students will be able to:
Identify the aetiology and epidemiology of stroke
Discuss the physical, cognitive and emotional problems that may occur as a result of stroke
Identify current medical management of acute stroke
Discuss the nursing care and positioning for patients following stroke. Indicative reading
Birns, J., & Fitzpatrick, M. (2005). Secondary prevention of stroke. Brit Journal of Neuroscience Nursing 1(1), 32-38.
Fitzpatrick, M. (2013). Hyper-acute stroke care provision in London: the journey to improvement. British Journal of Neuroscience Nursing 9(3), 120-125.
Fitzpatrick, M. & Birns, J. (2004) Thrombolysis for acute ischaemic stroke and the role of the nurse. British Journal of Nursing 13(20), 1170.
Please also see the electronic reading list.
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Week 4
Session 1 & 2: Cerebral Circulation & Subarachnoid Haemorrhage
By the end of the session students will be able to:
Review the anatomy and physiology of cerebral circulation
Appraise the nursing management of a patient with SAH
Discuss the pathophysiology of vasospasm
Examine the potential management strategies and nursing interventions for a patient with vasospasm
Discuss the possible causes of neurological deterioration in a patient with SAH and the appropriate nursing management.
Indicative reading
Berggren, E. et al (2010). Constructing meaning after subarachnoid haemorrhage, British Journal of Neuroscience Nursing 6(2), 86-90.
McLeod, A., & Salmons, G. (2014). Subarachnoid Haemorrhage: a critical care case study. British Journal of Neuroscience Nursing 10(4), 171-177.
Mestecky, A. (2005). modes of treatment for cerebral vasospasm following aneurysmal subarachnoid haemorrhage, British Journal of Neuroscience Nursing 1(1), 20-28.
Mestecky, A.M. (2014). Brain Arteriovenous Malformations. British Journal of Neuroscience Nursing 10(4), 166-168.
Mestecky, A. (2011). Management of patients with intracranial aneurysms and arteriovenous malformations. In S. Woodward & A Mestecky (eds) Neuroscience Nursing Evidence-Based Practice. Oxford: Wiley Blackwell.
Nobel, A.J., & Schenk, T. (2009). Psychosocial Outcomes following subarachnoid Haemorrhage: An under-researched problem. British Journal of Neuroscience Nursing 5(8), 372-380.
Please also see electronic reading list for more recent papers.
Session 3: Motor Neurone Disease
By the end of the session students will be able to:
Demonstrates knowledge of motor pathways and pathophysiology of MND
Discuss the care needs of patients with MND
Critically discuss the management of respiratory and nutritional problems
Demonstrate knowledge of common symptoms and the pharmacological management of these
Critically discuss the roles of the neurology service and palliative care service. Indicative reading
O’Brien, M. (2011). Motor Neuron Disease. In S. Woodward & A. Mestecky, Neuroscience Nursing Evidence-Based Nursing. Oxford: Wiley-Blackwell.
Rio, A., Ampong, M.A., et al (2005). Nutritional care of patients with motor neurone disease. British Journal of Neuroscience Nursing 1(1), 38-43.
Sutton, L. (2008). Addressing palliative and end-of-life care needs in Neurology, 4(5), 235-238.
Turner-Stokes, L., Sykes, N., & Silber, E. (2007). Life-long Care for Patients with Long Term Neurological Conditions: Concise Guidance at the Interface between Neurology, Rehabilitation and Palliative Care. Royal College of Physicians, London.
Please also see electronic reading list.
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Week 5
Session 1: Acoustic Neuroma
By the end of the session students will be able to:
Demonstrate knowledge of the functional deficits that ensue following damage to each cranial nerve
Analyse the nursing care for patients with acoustic neuroma before and after surgery
Demonstrate knowledge of the possible surgical approaches for excising an acoustic neuroma
Explore the psychological and social impact of facial nerve palsy for the patient and family. Indicative reading
Townsley, E. (2011). Management of Brain tumours. In S. Woodward & A. Mestecky, Neuroscience Nursing Evidence-Based Nursing, Oxford: Wiley-Blackwell.
Session 2: CNS Infections
By the end of the session students will be able to:
Demonstrates knowledge of the pathophysiology of meningitis, encephalitis, cerebral abscess and other CNS infections
Analyse the care of a patient with a CNS infection. Indicative reading
Easton et al (2011). Management of Patients with Central Nervous System Infections. In S. Woodward & A. Mestecky, Neuroscience Nursing Evidence-Based Nursing, Oxford: Wiley-Blackwell.
Session 3: Hydrocephalus & EVDs
By the end of the session students will be able to:
Discuss the evidence base for the management of a patient with an EVD. Indicative reading
Woodward, S., Addison, C., Shah, S., Brennan, F., MacLeod, A., & Clements, M. (2002). Benchmarking best practice for external ventricular drainage. British Journal of Nursing 11(1), 47-53.
Hibbins, S. (2011). Management of Hydrocephalus. In S. Woodward & A. Mestecky, Neuroscience Nursing Evidence-Based Nursing, Oxford: Wiley-Blackwell.
Warren, D. (2011). The most effective surgical treatment option for congenital hydrocephalus: a review, British Journal of Neuroscience Nursing 7(5), 639-644.
Please also see electronic reading list for more recent papers.
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Session 4: Promotion of Continence & Management of Incontinence
By the end of the session students will be able to:
Differentiate between different types of urinary incontinence
Analyse the care for patients with different types of urinary incontinence Indicative reading
Ayers, T., & Wells, M. (2007). Incontinence after stroke: Guidance to overcome shortcomings in management. British Journal of Neuroscience Nursing, 3(10), 468-472.
Woodward, S. (2004) Current management of neurogenic bladder in patients with MS. British Journal of Nursing 13(7), 362-370.
Woodward, S. (2006). Development of a valid and reliable tool for the assessment of urinary incontinence in people with neurological problems. British Journal of Neuroscience Nursing 2(5), 247-252.
Session 5: Multiple Sclerosis
By the end of the session students will be able to:
Demonstrates knowledge of the pathophysiology of MS in the CNS
Discuss the key problems experienced by patients with MS
Analyse evidence-based interventions for this client group. Indicative reading
Burgess, M. (2010). Reviewing the pathogenesis of MS. British Journal of Neuroscience Nursing 6(2), 60-64.
Barker, N. (2014). The challenges that clinicians and patients face when selecting first line treatments for MS. Brit Journal of Neuroscience Nursing 9(6), 267- 271.
Embery, N. (2008). Exploring the lived experience of palliative care for people with MS 1: A literature review, British Journal of Neuroscience Nursing 4(1), 9-16.
Fitzpatrick, B., & Cook, N. (2011). Empowering decision-making in cannabis use in multiple sclerosis. British Journal of Neuroscience Nursing 7(6), 707.
Porter, B. (2005). Care for people with multiple sclerosis: guidance from the national institute for clinical excellence. Brit Journal of Neuroscience Nursing 1(1), 14-19.
Maclean (2006). Fatigue in multiple sclerosis: A common hidden symptom requiring regular assessment. British Journal of Neuroscience Nursing 2(2), 66-70.
Please also see electronic reading list.
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Week 6
Session 1: Spinal Anatomy & Physiology
By the end of the session students will be able to:
Demonstrates knowledge of the various spinal tracts
Discuss the syndromes related to spinal cord injury. Indicative reading
Marieb, E. (2013). Human Anatomy & Physiology. (10th ed.). San Francisco: Pearson.
Tortora, J.G., & Grabowski, J.R. (2009). Principles of Anatomy and Physiology. (12th ed.). New York: Harper Collins.
Session 2: Acute Management of Spinal Injuries
By the end of the session students will be able to:
Discuss the pathophysiology of primary & secondary spinal injury
Differentiate between spinal and neurogenic shock
Identify appropriate interventions required for a patient with neurogenic and spinal shock
Critically examine the management strategies for patients with spinal injury. Indicative reading
Harrison, P., & Ash, D. (2011). Management of Patients with Spinal Injuries. In S. Woodward & A. Mestecky, Neuroscience Nursing Evidence-Based Nursing, Oxford: Wiley-Blackwell.
Sarahan, F. et al (2103) An overview of traumatic spinal cord injury: part 2. Acute Management. British Journal of Neuroscience Nursing, 9(3), 138-143.
Saif D. et al (2013). An overview of traumatic spinal cord injury: part 3. Rehabilitation. British Journal of Neuroscience Nursing, 9(4), 187-192.
See electronic reading list.
Session 3: Elective Spinal Surgery
By the end of the session students will be able to:
Critically discuss the per-operative and post-operative care of patients undergoing elective spinal surgery.
Indicative reading
Pellatt, G. (2008). Nontraumatic spinal cord injury, part 4: Degenerative disorders of the spine. British Journal of Neuroscience Nursing 4(12), 588-59.
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Week 7
Session 1: Autonomic Nervous System
By the end of the session students will be able to:
Discuss the physiological activities controlled by the sympathetic and parasympathetic nervous system.
Indicative reading
Marieb, E. (2013). Human Anatomy & Physiology. (10th ed.). San Francisco: Pearson.
Tortora, J.G., & Grabowski, J.R. (2009). Principles of Anatomy and Physiology. (12th ed.). New York: Harper Collins.
Session 2: Myasthenia Gravis
By the end of the session students will be able to:
Revise the physiology of nerve conduction
Explain the pathophysiology of myasthenia gravis
Demonstrate knowledge of the medical treatment
Differentiate between cholinergic and myastheniac crisis
Analyse the nursing care of a patient with myasthenia gravis. Indicative reading
Viegas, S., Jacob, S., & Hilton-Jones, D. (2007). The pathogenesis of myasthenic syndromes: A practical guide to diagnosis and management. British Journal of Neuroscience Nursing 3(4), 152 157.
Mestecky, A.M. (2013). Myasthenia Gravis. British Journal of Neuroscience Nursing 9(3), 110-112.
Saiju, J. (2011). Management of Patients with Myasthenia Gravis. In S. Woodward & A. Mestecky, Neuroscience Nursing Evidence-Based Nursing, Oxford: Wiley-Blackwell.
See electronic reading list.
Session 3: Guillain-Barre Syndrome
By the end of the session students will be able to:
Identify the pathophysiology of Guillain-Barre Syndrome
Discuss approaches to medical management in the acute and rehabilitative phases of the disease
Discuss the key nursing issues for caring for these patients. Indicative reading
Hughes, R.A.C. et al (2005). Intraveneous Immunoglobulin for Guillain Barre Syndrome. Oxford: The Cochrane Library.
Woodward, S. (2011). Management of Patients with Guillain Barre Syndrome (2011). in S. Woodward & A. Mestecky, Neuroscience Nursing Evidence-Based Nursing, Oxford: Wiley-Blackwell.
Woodward, S. (2013). Guillain Barre Syndrome. British Journal of Neuroscience Nursing, 9(2), 59-61.
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Session 4: Care & Management of Patients with Epilepsy
By the end of the session students will be able to:
Differentiate between different seizure types
Critically analyse the role of the nurse in maintaining safety of a patient undergoing seizure activity.
Evaluate the evidence base for care of patients with epilepsy. Indicative reading
Epilepsy Action (2009). Epilepsy in England: Time for change. A study of epilepsy service provision in England by Epilepsy Action. Jan, Retrieved 21 August 2019 from www.epilepsy.org.uk/timeforchange
NICE. (2004). The diagnosis and management of the epilepsies in adults and children in primary and secondary care. Retrieved 28 August from https://www.nice.org.uk/guidance/cg20
Queally, C. & Lailey, S. (2013). Care of the person with epilepsy in the hospital environment – getting it right. British Journal of Neuroscience Nursing 8(1), 14-20.
Session 5: Cognitive Assessment & Management
By the end of the session students will be able to:
Discuss the assessment tools that may be used to assess cognitive function
Discuss the implications of the most common cognitive impairments for the individual and strategies that can be used to manage each.
Indicative reading
Braine, M. (2005). The management of challenging behaviour and cognitive impairment. British Journal of Neuroscience Nursing 1(2), 67-74.
Hickey, J.V. (2009). Clinical Practice of Neurological and Neurosurgical Nursing. (6th ed.). Philadelphia: Lippincott Williams and Wilkins.
Braine, M. (2011). Assessment and Management of Challenging Behaviour. In S. Woodward & A. Mestecky, Neuroscience Nursing Evidence-Based Nursing, Oxford: Wiley-Blackwell.
Gallagher M. et al (2014). Hemispatial Neglect: Clinical Features, assessment and treatment. British Journal of Neuroscience 9(6), 273-277.
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Week 8
Session 1: Respiratory & Tracheostomy Management
By the end of the session students will be able to:
Demonstrate knowledge of the anatomy and physiology of the upper respiratory tract
Discuss the indication for a tracheostomy and the impact on respiratory function
Critically analyse the evidence base for nursing management of a patient with a tracheostomy.
Indicative reading
National Tracheostomy Safety Project (2016). Retrieved 21 August 2019 from http://www.tracheostomy.org.uk/
Session 2: Parkinson’s Disease
By the end of the session students will be able to:
Demonstrate knowledge of the functional anatomy of the basal ganglia
Discuss the pathophysiology of Parkinson’s Disease and related disorders
Explain the current opinions in medical and surgical management of patients with PD
Analyse the role of the nurse in caring for patients with PD. Indicative reading
Breen, K. & Heisters, D. (2007). A guide to deep brain stimulation surgery: A treatment for Parkinson’s disease, British Journal of Neuroscience Nursing 3(12), 554-560.
Heisters, D. (2007). What do patients want to know when they are diagnosed with Parkinson’s disease. British Journal of Neuroscience Nursing 3(5), 205-209.
Martin, A. & Mills, J. (2013). Parkinson’s Disease Nurse Specialists and the King’s College Hospital Model of Care. British Journal of Neuroscience Nursing 9(1), 22-29.
Magennis, B., & Corry, M. (2014). Parkinson’s Disease: making the diagnosis and monitoring progression. British Journal of Neuroscience Nursing 9(4), 167-171.
Magennis, B., & Corry, M. (2014). Current trends in the medical management of Parkinson’s Disease: implications and practice. British Journal of Neuroscience Nursing 10(2), 67-74.
Rudkins, H. (2006). The importance of early consideration of palliative care in Parkinson’s Disease. British Journal of Neuroscience Nursing 2(1), 10-15.
Session 3: Neuroethics
By the end of the session students will be able to:
Critically discuss ethical dilemmas in neuroscience nursing.
Indicative reading
McLeod, A. (2014). Nurses’ views of the causes of ethical dilemmas during treatment cessation in the ICU: a qualitative study. British Journal of Neuroscience Nursing, 10(3), 131–137.
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Module evaluation As part of the university’s Student Voice Strategy, King’s uses an electronic module evaluation system known as EvaSys. This provides an opportunity for you to feedback on different aspects of the module through a series of pre-set questions and qualitative comments. At the end of the module you will receive an automated invitation via your KCL email account to complete your evaluation online.
Please take the time to complete as your feedback is important. It informs ongoing developments to individual modules to ensure that the learning needs and expectations of the Faculty’s student community are met to a high standard.
To strengthen the feedback cycle, a report summarizing the quantitative results for the module as a whole and the module lead’s reflections on your feedback will be sent to you after the online evaluation survey has closed.
Action from previous evaluations No recommendations for improvements were suggested by students last term. In response to evaluations in term 1 we have increased the number of articles and papers available on the KEATS reading list.
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Timetable – 6KNIC308 The most up-to-date timetable can be found online here: https://timetables.kcl.ac.uk/ Please login using your k-number and password.
Teaching mode
Date Type of session Title Time Group Room Lecturer
University based Study
26 Sept
Thursday
Introduction Introduction to KEATS and the module 10:00-11:00
All groups TBC AM Mestecky
Lecture 1 Neurophysiology 11:00-12:00
Lecture 2 Functional Anatomy of the Brain
12:00-13.00
Lecture 2 cont 14:00-15:00
Seminar Neurological Assessment and Altered States of Consciousness
15:00-17:00
Directed Study E-Learning - Cranial Nerves
University based Study
3 Oct
Thursday
Lecture 1 Intracranial Physiology 10:00-11:00
All groups TBC AM Mestecky
Group work Management of Raised ICP 11:00-13:00
Lecture 2 Brain Tumours 14:00-15:45 TBC External Speaker
Lecture 3 Pituitary Tumours 16:00-17:00 308 & P49
TBC AM Mestecky
Directed Study E-Learning - ICP
University based Study
17 Oct
Thursday
Lecture 1 Brain Stem Death 10:00-11:00 308 & P49
TBC
AM Mestecky
Lecture 2 Head Injury 11:00-13:00
Lecture 3 Stroke 14:00-16:00 308 TBC
Seminar Psychosocial Effects on the patient and family 16:00-17:00
Directed Study E-Learning – Epilepsy
21
University based Study
24 Oct
Thursday
Cerebral Circulation 10:00-11:00 308 & P49
TBC
AM Mestecky Lecture 2 SAH 11:00-13:00
Lecture 3 Parkinson’s Disease 14:00-16:00 308 M Parry
Seminar Exam Preparation 16:00-17:00 AM Mestecky
Directed Study E-Learning - Parkinson’s Disease
University based Study
7 Nov
Thursday
Lecture 1 Acoustic Neuroma 10:00-11:00
308 & P49
TBC
AM Mestecky Lecture 2 Hydrocephalus and Management of EVDs 11:00-12:00
Lecture 3 CNS Infections 12:00-13.00
Urinary and faecal incontinence 14:00-15:45 308 Sue Woodward
Lecture 4 MS 16:00-17:00
Directed Study E-Learning – Neurogenic Bowel
University based Study
14 Nov
Thursday
Lecture 1 A&P Spinal cord and vertebral column 10:00-11:00
308 & P49 FWB G80 AM Mestecky Group work Acute management of SCI 11:00-13:00
Lecture 2 Acute management of SCI 14:00-15:15
Lecture 3 Elective Spinal Surgery 15:30-16:30
Directed Study E-Learning - Neuropharmacology
University based Study
21 Nov
Thursday
Lecture 1 Autonomic Nervous system 10:00-11:00
308 & P49 TBC AM Mestecky Lecture 2 Myasthenia Gravis 11:00-12:00
Seminar 1 Guillain Barre Syndrome 12:00-13:00
Lecture Epilepsy 14:00-15:30 308 TBC Cathy Queally
Lecture 4 Cognitive Assessment and Management 15:45-17:00
Directed Study E-Learning - Parkinson’s Disease
22
University based Study
4 Dec Thursday
Group Tutorial Exam Preparation 10:00-11:00
308
TBC AM Mestecky Lecture 1 Respiratory and tracheostomy care 11:00-13:00
Lecture 2 Motor Neuron Disease 14:00-15:30
TBC Adrian Broughton Lecture 3 Ethical decisions in Neuroscience Nursing 15:45-17:00
Key:
FWB – Franklin-Wilkins building; Waterloo campus
JCMB – James Clerk Maxwell building; Waterloo campus