Outline

Overview

The unit will develop knowledge, clinical decision making and practical skills for the assessment, design and delivery of physical activity for target conditions in the cardiopulmonary, metabolic and kidney disease AEP pathology domains. Clinical scenarios will be used to develop understanding of the pathological and pathophysiolgical bases for disease, diagnostic procedures, medical and allied health management, including medications. This will require the student to integrate prior knowledge, skills and experiences with new learning in the context of metabolic, cardiopulmonary and kidney disease management. Students will develop the capacity for appropriate assessment, monitoring, prescription and implementation of physical activity for cardiopulmonary and metabolic disease clientele including those with chronic kidney disease, to ultimately design and deliver safe and effective physical activity management plans that are individualised and evidence-based.

Unit details and rules

Unit code	EXSS5103
Academic unit	Movement Sciences
Credit points	6
Prohibitions ?	None
Prerequisites ?	None
Corequisites ?	EXSS5102
Assumed knowledge ?	None
Available to study abroad and exchange students	No

Teaching staff

Coordinator	Nathan Johnson, nathan.johnson@sydney.edu.au
Lecturer(s)	Yorgi Mavrou, yorgi.mavros@sydney.edu.au
	Nathan Johnson, nathan.johnson@sydney.edu.au
	James Banks, james.banks@sydney.edu.au
	Troy Cross, troy.cross@sydney.edu.au
	Caoimhe Scales, caoimhe.scales@sydney.edu.au
Tutor(s)	Maria Fiatarone Singh, maria.fiataronesingh@sydney.edu.au

Type	Description	Weight	Due	Length
Skills-based evaluation	Cardiovascular Domain, Respiratory/Pulmonary Domain and Pharmacology Written case-based scenario assessment	40%	Formal exam period	2 hours
Outcomes assessed:
Online task	Fundamental CV Physiology Assessment Online small test	5%	Week 01 Due date: 23 Feb 2024 at 18:00	20 mins
Outcomes assessed:
Skills-based evaluation	Kidney Domain Practical Online skills-based evaluation	5%	Week 06 Due date: 28 Mar 2024 at 18:00	15 mins
Outcomes assessed:
Skills-based evaluation	Metabolic and Kidney Domain Assessment Written case-based scenario assessment	40%	Week 07 Due date: 12 Apr 2024 at 18:00	2 hours
Outcomes assessed:
Skills-based evaluation	Pulmonary/Respiratory Domain Practical In-class skills-based evaluation	10%	Week 13	15 mins
Outcomes assessed:

Assessment summary

Cardiovascular Physiology Quiz: Online assessment of fundamental cardiovascular physiology.

Kidney Domain Practical: Online assessment to demonstrate monitoring of blood pressure “in a patient with CKD” at rest and during exercise

Metabolic and Kidney Domain Assessment: Assessment using case-based scenarios relating to metabolic and kidney diseases.

Pulmonary/Respiratory Practical: In-class assessment of respiratory and pulmonary function; hygiene protocols; respiratory reliever medication delivery.

Cardiovascular, Pulmonary/Respiratory and Pharmacology: Assessment using case-based scenarios relating to cardiovascular, pulmonary/respiratory disease and pharmacology.

Assessment criteria

Result name	Mark range	Description
High distinction	85 - 100	Exceptional knowledge of exercise for cardiometabolic diseases
Distinction	75 - 84	High level of knowledge of exercise for cardiometabolic diseases
Credit	65 - 74	Good level of knowledge of exercise for cardiometabolic diseases
Pass	50 - 64	Basic level of knowledge of exercise for cardiometabolic diseases
Fail	0 - 49	Learning outcomes of the unit are not met to a satisfactory standard. There is a risk of harm to patients with the lack of knowledge and skill demonstrated

For more information see guide to grades.

Late submission

In accordance with University policy, these penalties apply when written work is submitted after 11:59pm on the due date:

Deduction of 5% of the maximum mark for each calendar day after the due date.
After ten calendar days late, a mark of zero will be awarded.

This unit has an exception to the standard University policy or supplementary information has been provided by the unit coordinator. This information is displayed below:

The Assessment Procedures 2011 provide that any written work submitted after 11:59pm on the due date will be penalised by 5% of the maximum awardable mark for each calendar day after the due date. If the assessment is submitted more than ten calendar days late, a mark of zero will be awarded. However, a unit of study may prohibit late submission or exclude late penalties only if expressly stated below.

Academic integrity

The Current Student website provides information on academic integrity and the resources available to all students. The University expects students and staff to act ethically and honestly and will treat all allegations of academic integrity breaches seriously.

We use similarity detection software to detect potential instances of plagiarism or other forms of academic integrity breach. If such matches indicate evidence of plagiarism or other forms of academic integrity breaches, your teacher is required to report your work for further investigation.

You may only use artificial intelligence and writing assistance tools in assessment tasks if you are permitted to by your unit coordinator, and if you do use them, you must also acknowledge this in your work, either in a footnote or an acknowledgement section.

Studiosity is permitted for postgraduate units unless otherwise indicated by the unit coordinator. The use of this service must be acknowledged in your submission.

Learning support

Simple extensions

If you encounter a problem submitting your work on time, you may be able to apply for an extension of five calendar days through a simple extension.  The application process will be different depending on the type of assessment and extensions cannot be granted for some assessment types like exams.

Special consideration

If exceptional circumstances mean you can’t complete an assessment, you need consideration for a longer period of time, or if you have essential commitments which impact your performance in an assessment, you may be eligible for special consideration or special arrangements.

Special consideration applications will not be affected by a simple extension application.

Using AI responsibly

Co-created with students, AI in Education includes lots of helpful examples of how students use generative AI tools to support their learning. It explains how generative AI works, the different tools available and how to use them responsibly and productively.

Support for students

The Support for Students Policy 2023 reflects the University’s commitment to supporting students in their academic journey and making the University safe for students. It is important that you read and understand this policy so that you are familiar with the range of support services available to you and understand how to engage with them.

The University uses email as its primary source of communication with students who need support under the Support for Students Policy 2023. Make sure you check your University email regularly and respond to any communications received from the University.

Learning resources and detailed information about weekly assessment and learning activities can be accessed via Canvas. It is essential that you visit your unit of study Canvas site to ensure you are up to date with all of your tasks.

If you are having difficulties completing your studies, or are feeling unsure about your progress, we are here to help. You can access the support services offered by the University at any time:

Support and Services (including health and wellbeing services, financial support and learning support)
Course planning and administration
Meet with an Academic Adviser

Weekly schedule

WK	Topic	Learning activity
Week 01	Introduction to pharmacology: principles of pharmacology (pharmacokinetics/dynamics); effect of exercise and disease on pharmacology	Lecture (2 hr)
Week 01	Pharmacology: relationship between physiology and pharmacology; consideration of the interaction between exercise and medications.	Tutorial (2 hr)
Week 02	Overweight/obesity, dyslipidaemia and sleep apnoea: advanced glucose/fat metabolism; revisiting identification/diagnosis; pathophysiology; consequences; medical and multidisciplinary care; advanced assessment/measurement tools for assessing clinical and functional status and appropriate therapeutic targets for AEPs; evidence-base for physical activity/exercise therapy including volume and other FIIT issues.	Lecture (2 hr)
Week 03	Overweight/obesity, dyslipidaemia and sleep apnoea: ExRx and implementation including: choosing and applying guidelines and evidence, stratification and management of exercise risk, medication interactions, monitoring, management of clinical status and changes, evaluation and reporting, and special considerations (e.g. morbid obesity, bariatric surgery, elderly, mobility limitations).	Lecture (2 hr)
	Managing metabolic disease: case studies including therapeutic targets (fat loss and beyond); referrals, multidisciplinary management; exercise plans, intro to increasing complexity and comorbidities; communication.	Tutorial (2 hr)
	Insulin resistance, PCOS & Diabetes: prevalence & burden; identification/diagnosis; pathophysiology T2D, T1D, PCOS, GDM/HIP; consequences (including micro & macrovascular, DKA, symptoms); medical and multidisciplinary care; assessment/measurement tools for assessing clinical and functional status and appropriate therapeutic targets for AEPs.	Independent study (2 hr)
Week 04	Kidney Disease: identification/diagnosis; pathophysiology of CKD; consequences and comorbidities; medical and multidisciplinary care including transplant and dialysis; advanced assessment/measurement tools for assessing clinical, functional status and mobility, and appropriate therapeutic targets for AEPs.	Lecture (2 hr)
Week 04	Diabetes: exercise session in diabetes: conduct an exercise session (involving AEx & RXT) for a mock client; including risk stratification, warm-up, cool-down, instruction, monitoring and identification and management of clinical status before during and after exercise, symptom and finger-prick lipid and glucose monitoring and response to ‘adverse’ signs/symptoms (including glycaemic responses)	Practical (2 hr)
Week 05	Diabetes: Evidence-base for physical activity/exercise therapy, ExRx and implementation including: choosing and applying guidelines and evidence, stratification and management of exercise risk, medication interactions, monitoring, management of clinical status and changes, evaluation and reporting, and special considerations including comorbid cardiovascular risk. Case studies in T1D and conditions of insulin resistance including T2D and “Diabesity”. (case-based focussed)	Lecture (2 hr)
Week 05	Practical: Cardiometabolic Disease (lived experience client interaction): including demonstrate monitoring of blood pressure in a patient with consideration of psychosocial impact of disease and practical exercise implementation	Practical (2 hr)
Week 06	Kidney Disease: Evidence-base for physical activity/exercise therapy, physical assessment, ExRx and implementation including: choosing and applying guidelines and evidence, stratification and management of exercise risk, absolute and relative contraindications (BP and dialysis), monitoring, management of clinical status and changes, evaluation and reporting, and special considerations including transplants and dialysis and monitoring during dialysis and in exercise. (case-based focussed)	Lecture (2 hr)
Week 07	Cardiovascular disease including hypertension: revisiting identification/diagnosis; pathophysiology of CVD and hypertension; consequences (including symptoms, CHF, comorbidities related to inactivity spiral such as T2D); medical and multidisciplinary care; advanced assessment/measurement tools for assessing clinical and functional status and appropriate therapeutic targets for AEPs.	Lecture (2 hr)
Week 08	Coronary artery disease including angina and PAD: Evidence-base for physical activity/exercise therapy, physical assessment, ExRx and implementation including: choosing and applying guidelines and evidence, stratification and management of exercise risk, medication interactions, monitoring, management of clinical status and changes, evaluation and reporting, and special considerations including comorbid metabolic disease and respiratory disease risk. Case studies.	Lecture (2 hr)
Week 09	CHF, MI and cardiac rehabilitation: Evidence-base for physical activity/exercise therapy, physical assessment, ExRx and implementation including: choosing and applying guidelines and evidence, stratification and management of exercise risk, medication interactions, monitoring, management of clinical status and changes, evaluation and reporting, and special considerations including comorbid metabolic disease and respiratory disease risk. Phases, aims and the role of an AEP. Case Studies.	Lecture (2 hr)
Week 09	Cardiovascular diseases: clinical case studies including exercise implications and ensuring exercise safety.	Tutorial (2 hr)
Week 10	Respiratory Disease 1: identification/diagnosis; pathophysiology asthma, COPD, CF; consequences; medical and multidisciplinary care; tools for assessing clinical and functional status, therapeutic targets for AEPs. EBP for exercise therapy, physical assessment, ExRx and implementation including: choosing and applying guidelines and evidence, stratification and risk, medication interactions, monitoring, clinical status changes, reporting, and special considerations including minors, reliever meds	Lecture (2 hr)
Week 10	Pulmonary/respiratory management: demonstrate conduct and interpretation of methods to assess respiratory and pulmonary function; demonstrate personal and equipment hygiene protocols; demonstrate appropriate management of client interaction for respiratory reliever medication delivery.	Practical (2 hr)
Week 12	Respiratory Disease 2 (COPD and CF): EBP, ExRx and implementation including: choosing and applying guidelines and evidence, stratification and management of exercise risk, medication interactions, monitoring, management of clinical status and changes, evaluation and reporting, and special considerations including supplemental oxygen use, reliever medication, comorbid CVD, metabolic disease and other respiratory disease risk. Case studies.	Lecture (2 hr)
	Pharmacology for metabolic, cardiovascular, kidney and pulmonary diseases: mechanism of action, side-effects and implications for clinical status, exercise interactions and ensuring exercise safety.	Lecture (2 hr)
	Pharmacology for cardiopulmonary and metabolic diseases: clinical case studies including exercise implications and ensuring exercise safety.	Tutorial (2 hr)
Week 13	Pulmonary/respiratory management: demonstrate conduct and interpretation of methods to assess respiratory and pulmonary function; demonstrate personal and equipment hygiene protocols; demonstrate appropriate management of client interaction for respiratory reliever medication delivery (Assessment 4)	Practical (2 hr)

Attendance and class requirements

Attendance at practical and tutorial classes is not compulsory in 2024 due to covid-19 and compliance with RPAH requirements. Attendance is strongly recommended for all practical and tutorial work where appropriate.

Study commitment

Typically, there is a minimum expectation of 1.5-2 hours of student effort per week per credit point for units of study offered over a full semester. For a 6 credit point unit, this equates to roughly 120-150 hours of student effort in total.

Required readings

ESSA Position Statements

Learning outcomes

Learning outcomes are what students know, understand and are able to do on completion of a unit of study. They are aligned with the University's graduate qualities and are assessed as part of the curriculum.

At the completion of this unit, you should be able to:

LO1. Demonstrate professional conduct and clinical practice in case management, delivery of physical activity interventions and reporting, which is consistent with the Scope of Practice of an AEP and appropriate for a multidisciplinary care environment.
LO2. Demonstrate advanced knowledge and understanding of the pathophysiological bases for disease for conditions in the AEP metabolic, cardiovascular, kidney and respiratory/pulmonary domains.
LO3. Design and deliver safe and effective assessments and physical activity interventions for people across the AEP metabolic, cardiovascular, kidney and respiratory/pulmonary domains. This includes applying evidence-based practice and clinical practice principles in combination with consideration of client goals and history (including medications, medical and allied health treatments/management, and other influencing factors).
LO4. Appropriately monitor, evaluate and modify physical activity interventions for people across the AEP metabolic, cardiovascular, kidney and respiratory/pulmonary domains. This includes recognising and responding appropriately to changes in clinical status and adverse signs and symptoms at rest, during and post exercise.
LO5. Use effective and appropriate communication, including verbal and written with clients, referrer and other relevant stakeholders to deliver safe and effective client-centred care. This includes the reporting of assessment outcomes, changes in clinical status, and referrals.

Graduate qualities

The graduate qualities are the qualities and skills that all University of Sydney graduates must demonstrate on successful completion of an award course. As a future Sydney graduate, the set of qualities have been designed to equip you for the contemporary world.

GQ1	Depth of disciplinary expertise Deep disciplinary expertise is the ability to integrate and rigorously apply knowledge, understanding and skills of a recognised discipline defined by scholarly activity, as well as familiarity with evolving practice of the discipline.
GQ2	Critical thinking and problem solving Critical thinking and problem solving are the questioning of ideas, evidence and assumptions in order to propose and evaluate hypotheses or alternative arguments before formulating a conclusion or a solution to an identified problem.
GQ3	Oral and written communication Effective communication, in both oral and written form, is the clear exchange of meaning in a manner that is appropriate to audience and context.
GQ4	Information and digital literacy Information and digital literacy is the ability to locate, interpret, evaluate, manage, adapt, integrate, create and convey information using appropriate resources, tools and strategies.
GQ5	Inventiveness Generating novel ideas and solutions.
GQ6	Cultural competence Cultural Competence is the ability to actively, ethically, respectfully, and successfully engage across and between cultures. In the Australian context, this includes and celebrates Aboriginal and Torres Strait Islander cultures, knowledge systems, and a mature understanding of contemporary issues.
GQ7	Interdisciplinary effectiveness Interdisciplinary effectiveness is the integration and synthesis of multiple viewpoints and practices, working effectively across disciplinary boundaries.
GQ8	Integrated professional, ethical, and personal identity An integrated professional, ethical and personal identity is understanding the interaction between one’s personal and professional selves in an ethical context.
GQ9	Influence Engaging others in a process, idea or vision.

Outcome map

Learning outcomes	Graduate qualities
Learning outcomes

Accredited Exercise Physiologist Professional Standards (2023) -

Competency code	Taught, Practiced or Assessed	Competency standard
1.2.4		Develop effective, concise, respectful, and informative clinical documentation, including case notes and reports, and apply appropriate record keeping practices.
2.2.1		Integrate knowledge of anatomy, physiology, pathophysiology, and other determinants of health and function and apply these to inform safe and effective movement, physical activity, and exercise-based interventions for individuals and population groups throughout all stages of their life.
2.2.3		Evaluate physiological responses and adaptations to acute and chronic exercise for clients across the full health spectrum.
2.2.4		Evaluate the effect of commonly prescribed medications, diagnostic procedures, medical, surgical, and other interventions on both resting and exercise-related physiological responses across the full health spectrum.
2.2.5		Evaluate research findings and apply exercise prescription principles to develop recommendations and interventions, including targeted exercise prescription for the purposes of optimising health status, function, recovery, independence, and participation.
2.2.6		Apply clinical, ethical, and evidence-based decision-making to formulate appropriate interventions and recommendations and communicate the expected outcomes.
3.2.1		Formulate appropriate screening processes to evaluate and stratify risk for participation in assessments and interventions, including consideration of appropriate service modalities for clients.
3.2.3		Formulate appropriate assessments and outcome measures relevant to treatment and client goals, and evaluate health status, function, capacity, and progress, to inform clinical reasoning and to monitor the delivery and outcomes of interventions.
3.2.4		Distinguish, record, report, and appropriately action changing risk factors and adverse signs and symptoms that may arise before, during, and after assessments and interventions.
3.2.5		Evaluate and record assessment outcomes in a timely and accurate manner to inform practice and communicate outcomes and relevance to goals effectively to clients and relevant others.
3.2.7		Distinguish when client needs are outside of scope or competence and take appropriate, timely actions including engaging effectively with other professionals.
3.2.8		Choose and use relevant technology and equipment efficiently, effectively, and safely.
4.2.1		Formulate evidence-based exercise prescription, interventions, and recommendations that address health and treatment related client needs, preferences, goals, and abilities, assessment findings, and social and cultural determinants of health.
4.2.2		Design, prescribe, deliver, and monitor safe and effective movement, physical activity, and exercise-based interventions for clients with complex presentations, including those with acute and chronic health conditions and multiple comorbidities.
4.2.3		Formulate and apply strategies to manage risks, evaluate progress, and adapt recommendations and interventions in partnership with clients based on needs and measured outcomes.
4.2.4		Create and apply inclusive, respectful, and effective communication strategies to educate and engage clients in informed decision-making about purpose, benefits, risks, options, and costs for proposed interventions, expected outcomes, and strategies for future prevention.
4.2.6		Formulate strategies during treatment to empower clients to undertake safe and effective self-management during and following discharge from interventions.
4.2.7		Communicate effectively and respectfully with clients and relevant others about progress and outcomes of interventions, including appropriate reporting.
4.2.8		Evaluate effectiveness of interventions and their outcomes including the selection, interpretation, and reporting of outcome measures to inform future practice.

Responding to student feedback

This section outlines changes made to this unit following staff and student reviews.

Based on great feedback from 2023, the specialist cardiac rehab AEP will deliver that content. We will also aim to incorporate an early opportunity to engage with a patient to better understand the lived experience of cardiometabolic diseases, and inform your emerging clinical practice. The respiratory content will remain earlier to allow more time to prepare for the hands-on respiratory assessment.

Additional information

Work, health and safety

WHS Compliance Checklist must be completed in Week 4 if not previously undertaken for EXSS5102.

Disclaimer

The University reserves the right to amend units of study or no longer offer certain units, including where there are low enrolment numbers.

To help you understand common terms that we use at the University, we offer an online glossary.

Current students

Overview

Overview

Unit details and rules

Teaching staff

Assessment

Assessment

Assessment summary

Assessment criteria

Late submission

Academic integrity

Learning support

Learning support

Simple extensions

Special consideration

Using AI responsibly

Support for students

Weekly schedule

Weekly schedule

Attendance and class requirements

Study commitment

Required readings

Learning outcomes

Learning outcomes

Graduate qualities

Outcome map

Responding to student feedback

Responding to student feedback

Additional information

Additional information

Work, health and safety

Disclaimer

On this page

Useful links

Media

Student links

About us

Connect

Current students

EXSS5103: Exercise in Cardiometabolic Diseases

Semester 1, 2024 [Normal day] - Camperdown/Darlington, Sydney

Overview

Overview

Unit details and rules

Teaching staff

Assessment

Assessment

Assessment summary

Assessment criteria

Late submission

Academic integrity

Learning support

Learning support

Simple extensions

Special consideration

Using AI responsibly

Support for students

Weekly schedule

Weekly schedule

Attendance and class requirements

Study commitment

Required readings

Learning outcomes

Learning outcomes

Graduate qualities

Outcome map

Responding to student feedback

Responding to student feedback

Additional information

Additional information

Work, health and safety

Disclaimer

On this page

Useful links

Media

Student links

About us

Connect