Outline

Overview

This unit of study focuses on the management of chronic conditions in the community and highlights the role that nurses play in supporting people who are living with such conditions. Central to the unit is self-management of chronic conditions and the principles and practices that support such management. The most common chronic conditions in Australia will be identified, their risk factors highlighted, and prevention strategies and management options explored. The unit recognises that chronic pain is a debilitating syndrome that many people live with and need to manage. Many people frequently manage multiple chronic conditions and at times need additional support, care and therapy. The management of common chronic co-morbidities will be covered in this unit. The unit also recognises that for effective management of chronic conditions there is a need for strategies across multiple settings from home to acute care and sometimes to residential care, and for multiple modalities including rehabilitation and complementary therapies. Strategic discharge planning is recognized as an integral component in chronic conditions management. The role of nurses in multidisciplinary teams is investigated. The provision of spiritual caring by nurses for people living with chronic conditions is included in this unit of study. A lifespan approach is taken when discussing the occurrence of chronic conditions in the community. The overall framework of the unit of study is one of a person-centred approach to the management of chronic conditions. The chronic model of care is the healthcare approach.

Unit details and rules

Unit code	NURS3010
Academic unit	Nursing and Midwifery
Credit points	6
Prohibitions ?	None
Prerequisites ?	36 Year 1 credit points including NURS2006
Corequisites ?	None
Assumed knowledge ?	None
Available to study abroad and exchange students	No

Teaching staff

Coordinator	Fung Koo, fung.koo@sydney.edu.au
Tutor(s)	Dawn Perez, dawn.perez@sydney.edu.au
Tutor(s)	Jillian Davey, jillian.davey@sydney.edu.au

Type	Description	Weight	Due	Length
Placement	Off Campus Clinical Placement Clinical logbook	0%	-	80 hrs
Outcomes assessed:
Final exam (Record+)	Written exam Short and long answer	45%	Formal exam period	2 hours
Outcomes assessed:
Skills-based evaluation	Clinical Performance Appraisal Practical skills	0%	STUVAC	n/a
Outcomes assessed:
Assignment	Individual Patient Chronic Care Management Plan Written report	40%	Week 08 Due date: 27 Sep 2020 at 23:59	2000 words
Outcomes assessed:
Assignment	Oral Health Project Electronic Resources	15%	Week 10 Due date: 18 Oct 2020 at 23:59	TBA
Outcomes assessed:
= Type B final exam ?

Assessment summary

Patient Chronic care management plan: Students will select one case scenario available on Canvas and write a chronic care management plan for their client.
Group Work: Students are required to work as a team to design and create oral health electronic resource for general audience.
Examination: This assessment will consist of case studies and is a mixture of short and long answer questions exploring knowledge related to the concepts and issues explored in this unit. The examination will assess the students’ understandings of the content of unit’s three interconnected modules. All lectures/ tutorial/clinical lab material and all essential readings for this unit are examinable.
Clinical performance Appraisal: After successfully engaging the clinical laboratory sessions, students will be able to demonstrate in a simulated environment, safe, efficient and effective performance of nursing skills associated with the unit of study.
Off-campus clinical placement: Students who complete this assessment successfully will demonstrate safe, efficient, and
effective performance of nursing practice activities associated with nursing seriously or critically ill younger and older patients located in medical, surgical and rehabilitation settings.

Detailed information for each assessment can be found on Canvas.

Assessment criteria

The University awards common result grades, set out in the Coursework Policy 2014 (Schedule 1).

As a general guide, a high distinction indicates work of an exceptional standard, a distinction a very high standard, a credit a good standard, and a pass an acceptable standard.

Result name	Mark range	Description
High distinction	85 - 100
Distinction	75 - 84
Credit	65 - 74
Pass	50 - 64
Fail	0 - 49	When you don’t meet the learning outcomes of the unit to a satisfactory standard.

For more information see sydney.edu.au/students/guide-to-grades.

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:

Where an assignment is submitted late without an approved extension, a late penalty will apply. For every calendar day up to and including ten calendar days after the due date a penalty of 5% of the maximum awardable marks will be applied to late work. For work submitted more than ten calendar days after the due date a mark of zero marks will be awarded.

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.

Weekly schedule

WK	Topic	Learning activity
Multiple weeks	Clinical placement	Clinical practice (80 hr)
Week 01	1. Introduction to chronic conditions; 2. Chronic care model and self-management principles	Lecture (2 hr)
Week 01	Administration of intravenous medication (IV bolus, burette and piggyback)	Science laboratory (2 hr)
Week 02	Chronic disease management program	Lecture (2 hr)
Week 02	Tutorial 1	Tutorial (2 hr)
Week 03	Diabetes management	Lecture (2 hr)
Week 03	1. Insertion of indwelling catheter; 2. Stoma therapy	Science laboratory (2 hr)
Week 04	Complex wound care	Lecture (2 hr)
Week 04	Tutorial 2	Tutorial (2 hr)
Week 05	Cerebro-vascular disease	Lecture (2 hr)
Week 05	1. Complex wound care; 2. Ankle Brachial Pressure Index, 3. Insulin administration	Science laboratory (2 hr)
Week 06	Chronic heart failure	Lecture (2 hr)
Week 06	Tutorial 3	Tutorial (2 hr)
Week 07	Chronic conditions and oral health	Lecture (2 hr)
Week 07	Simulation activity - fall risk assessment and management	Science laboratory (2 hr)
Week 08	Cancer care	Lecture (2 hr)
Week 08	Tutorial 4	Tutorial (2 hr)
Week 10	Musculoskeletal diseases and chronic pain	Lecture (2 hr)
Week 10	Tutorial 5	Tutorial (2 hr)
Week 11	Principles and Practice of Rehabilitation in Nursing	Lecture (2 hr)
Week 11	1. Insertion and removal of indwelling catheter; 2. Intravenous medication administration	Science laboratory (2 hr)
Week 12	Chronic conditions: children and adolescents	Lecture (2 hr)
Week 12	Tutorial 6	Tutorial (2 hr)
Week 13	Revision and conclusion	Lecture (2 hr)
Week 13	1. Skills revision; 2. Clinical performance appraisal preparation	Science laboratory (2 hr)

Attendance and class requirements

Attendance: The Sydney Nursing School Resolutions specifically outline attendance requirements. Resolution 8.2 states that if students are absent without leave for more than 10% of classes in a particular unit of study in any one semester, the Dean may call upon them to show cause why they should not be deemed to have failed that unit of study. Students must also attend 100% of all clinical simulation laboratories (CSL) and off campus clinical, which are supplemented with online and group activities. Students are required to attend 100% of all clinical hours. These clinical hours must be reported to the Nurses and Midwives Board of NSW as a requirement for registration on completion of the nursing program clinical requirements.
Referencing guide: The Sydney Nursing School has adopted the American Psychological Association (APA) Referencing style, 6th Edition, 2010 as its official referencing style. This is an author-date style of referencing.

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

Week 1

Grover, A. & Joshi, A. (2015). An Overview of Chronic Disease Models: A Systematic Literature Review, Global Journal of Health Science; 7 (2), 210-227.

Week 2

Gardy, P.A. & Gough, L.L. (2014). Self-management: a comprehensive approach to management of chronic conditions, Amercian Journal of Public Health, 104(8), e25-31. doi 10.2105/AJPH.2014.

Week 3

Boström, E., Isaksson,U., Lundman,B., Graneheim,U.H., & Hörnsten, A. (2014). Interaction between diabetes specialist nurses and patients during group sessions about self- management in type 2 diabetes. Patient Education and Counseling, 94(2),187-192. https://doi.org/10.1016/j.pec.2013.10.010

Week 4

Kapp, S. & Santamaria, N. (2015). Chronic wounds should be one of Australia’s National Health Priority Areas, Health Review, 39(5), 600-602.

Week 5

Parke, H., Epiphaniou, E., Pearce, G., Taylor, S., Sheikh, A., Griffiths, C., Greenhalgh, T., & Pinnock, H. (2015). Self-Management Support Interventions for Stroke Survivors: A Systematic Meta-Review, PloS ONE, 10(7): e0131448. doi:10.1371/journal.pone.0131448

Week 6

Bosworth, H.B., Powers, B.J., Oddone, E.Z. (2010). Patient self-management support: Noval strategies in hypertension and heart disease, Cardology Clinics, 28(40, 655-663. doi:10.1016/j.ccl.2010.07.003

Week 7

Sheiham, A., Alexander, D., Cohen, L., Marinho, V., Moysés, S., Peterson, P.E., Spencer, J., Watt, R.G., & Petersen, P.E. (2011). Global Oral Health Inequalities: Task Group— Implementation and Delivery of Oral Health Strategies. Advances in Dental Research, 23(2):259-267. doi: 10.1177/0022034511402084

Week 8

Slev, V., Pasman, R., Eeltink, C., van Uden-Kraan, C., Verdonck-de Leeuw, I., & Francke, A. (2017). Self-management support and eHealth for patients and informal caregivers confronted with advanced cancer: an online focus group study among nurses, BMC Palliative Care, 16:55, 1-12. doi10.1186/s12904-017-0238-4

Week 10

Kovačević, I., Kogler, V.M., Turković, T.M., Dunkić, L.F., Ivanec, Ž., & Petek, D. (2018). Self-care of chronic musculoskeletal pain – experiences and attitudes of patients and health care providers, 19, 76.

Week 11

Knight, A.J., & Wiese, N. (2011). Therapeutic music and nursing in post stroke rehabilitation.

Rehabilitation Nursing, 36(5), 200-215. doi: 10.1002/j.2048- 7940.2011.tb00196.x

Week 12

Kirk, S., Beatty, S., Callery, P., Gellatly, J., Milnes, L., & Pryjmachuk, S. (2013). The effectiveness of self-care support interventions for children and young people with long- term conditions: a systematic review. Child: Care, Health and Development, 39(3), 305- 324. doi: 10.1111/j.1365-2214.2012.01395.x.

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 knowledge of common chronic conditions across the lifespan, their risk factors and management including nursing care assessments and interventions
LO2. understand the principles and practices of self-management by people living with chronic conditions in the community and knowledge of how nurses may support their self-management
LO3. comprehend the impact of ageing and chronic conditions, the special needs of frail elderly persons, their specific risk factors when in care, and how to promote functional healthy ageing when living with chronic conditions
LO4. demonstrate knowledge of the mechanisms of chronic pain, and how it can impact on a person’s life and the strategies, both pharmacological and non-pharmacological, to assist people to live with chronic pain
LO5. demonstrate proficient performance of clinical nursing skills in the skills laboratory environment associated with common chronic conditions, for example diabetes assessment, education and therapy (insulin administration), review of complex wound management including wound irrigation, and insertion of indwelling urinary catheter
LO6. demonstrate integration and application of the chronic care model
LO7. perform specific nursing assessment and interventions in the clinical environment that are specific to persons living with chronic condition(s)
LO8. utilise professional language associated with a variety of common chronic conditions and communicate effectively with clients, families, colleagues, and other health professionals in a multi-disciplinary team.

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

Alignment with Competency standards

Outcomes	Competency standards
	National Standard of Competency for Architects - 1.1. Preparation & endorsement of an agreement between client and Architect. This agreement will clearly communicate terms, services to be provided, and fees appropriate for the scale and type of project. Registered Nurses Standards for Practice - 1. Standard 1: Thinks critically and analyses nursing practice 1.1. Accesses, analyses, and uses the best available evidence, that includes research findings for safe quality practice 1.2. Develops practice through reflection on experiences, knowledge, actions, feelings and beliefs to identify how these shape practice 1.3. Respects all cultures and experiences, which includes responding to the role of family and community that underpin the health of Aboriginal and Torres Strait Islander peoples and people of other cultures 1.5. Uses ethical frameworks when making decisions 2. Standard 2: Engages in therapeutic and professional relationships 2.1. Establishes, sustains and concludes relationships in a way that differentiates the boundaries between professional and personal relationships 2.2. Communicates effectively, and is respectful of a person’s dignity, culture, values, beliefs and rights 2.3. Recognises that people are the experts in the experience of their life 2.4. Provides support and directs people to resources to optimise health related decisions 2.5. Advocates on behalf of people in a manner that respects the person’s autonomy and legal capacity 2.7. Actively fosters a culture of safety and learning that includes engaging with health professionals and others, to share knowledge and practice that supports person- centered care 2.8. Participates in and/or leads collaborative practice 3. Standard 3: Maintains the capability for practice 3.1. Considers and responds in a timely manner to the health and well being of self and others in relation to the capability for practice 3.2. Provides the information and education required to enhance people’s control over health 3.3. Uses a lifelong learning approach for continuing professional development of self and others 3.4. Accepts accountability for decisions, actions, behaviours and responsibilities inherent in their role, and for the actions of others to whom they have delegated responsibilities 3.5. Seeks and responds to practice review and feedback 3.6. Actively engages with the profession 3.7. Identifies and promotes the integral role of nursing practice and the profession in influencing better health outcomes for people 4. Standard 4: Comprehensively conducts assessments 4.1. Conducts assessments that are holistic as well as culturally appropriate 4.2. Uses a range of assessment techniques to systematically collect relevant and accurate information and data to inform practice 4.3. Works in partnership to determine factors that affect, or potentially affect, the health and well being of people and populations to determine priorities for action and/or for referral 5. Standard 5: Develops a plan for nursing practice 5.1. Uses assessment data and best available evidence to develop a plan 5.2. Collaboratively constructs nursing practice plans until contingencies, options priorities, goals, actions, outcomes and timeframes are agreed with the relevant persons 5.3. Documents, evaluates and modifies plans accordingly to facilitate the agreed outcomes 5.4. Plans and negotiates how practice will be evaluated and the time frame of engagement 6. Standard 6: Provides safe, appropriate and responsive quality nursing practice 6.1. Provides comprehensive safe, quality practice to achieve agreed goals and outcomes that are responsive to the nursing needs of people 6.2. Practises within their scope of practice 6.5. Practises in accordance with relevant nursing and health guidelines, standards, regulations and legislation 6.6. Uses the appropriate processes to identify and report potential and actual risk related system issues and where practice may be below the expected standards 7. Standard 7: Evaluates outcomes to inform nursing practice 7.1. Evaluates and monitors progress towards the expected goals and outcomes 7.2. Revises the plan based on the evaluation 7.3. Determines, documents and communicates further priorities, goals and outcomes with the relevant persons

Responding to student feedback

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

changes have been made for Assessment items and Week 11-12 lecture sequence

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

Weekly schedule

Weekly schedule

Attendance and class requirements

Study commitment

Required readings

Learning outcomes

Learning outcomes

Graduate qualities

Outcome map

Alignment with Competency standards

Responding to student feedback

Responding to student feedback

Disclaimer

On this page

Useful links

Media

Student links

About us

Connect

Current students

NURS3010: Managing Chronic Conditions

Semester 2 Early, 2020 [Normal day] - Mallett Street, 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

Weekly schedule

Weekly schedule

Attendance and class requirements

Study commitment

Required readings

Learning outcomes

Learning outcomes

Graduate qualities

Outcome map

Alignment with Competency standards

Responding to student feedback

Responding to student feedback

Disclaimer

On this page

Useful links

Media

Student links

About us

Connect