Outline

Overview

This unit of study will introduce students to the knowledge, skills and clinical decision making processes necessary for effective assessment and treatment of patients across the age spectrum with acute and chronic respiratory and cardiac dysfunction. In particular, students will evaluate the patho-physiological and functional consequences of surgery (abdominal, thoracic and cardiac); infective, inflammatory; restrictive; and obstructive pulmonary disorders, and coronary artery disease. Additionally, this unit will develop the student's knowledge of exercise and aims to apply the principles of exercise testing, prescription and training to patients who have cardiac and pulmonary limitations and other co-morbidities to exercise. Students will learn the practical skills and develop treatment strategies to effectively manage respiratory problems.

Details

Academic unit	Movement Sciences
Unit code	PHTY2062
Unit name	PT in Respiratory and Cardiac Conditions A
Session, year ?	Semester 2, 2021
Attendance mode	Normal day
Location	Camperdown/Darlington, Sydney
Credit points	6

Enrolment rules

Prohibitions ?	None
Prerequisites ?	BIOS1170 and (EXSS1029 OR EXSS2030) and PHTY1024 and (EXSS2027 OR EXSS3061)
Corequisites ?	None
Available to study abroad and exchange students	Yes

Teaching staff and contact details

Coordinator	Tiffany Dwyer, tiffany.dwyer@sydney.edu.au
Lecturer(s)	Alison Harmer , alison.harmer@sydney.edu.au
Tutor(s)	Christina Darwell , christina.darwell@sydney.edu.au
	Tiffany Dwyer, tiffany.dwyer@sydney.edu.au
	Sonia Cheng, sonia.cheng@sydney.edu.au
	Lisa Pagano, lisa.pagano@sydney.edu.au
	Marita Dale, marita.dale@sydney.edu.au

Type	Description	Weight	Due	Length
Skills-based evaluation	Online chest x-ray quiz Online quiz (short answer and MCQ)	10%	Week 05	30 minutes
Outcomes assessed:
Skills-based evaluation	Practical viva examination (assessment skills) Oral and practical skills assessment	10%	Week 05	8 minutes
Outcomes assessed:
Assignment	Case study written assignment Written assignment	10%	Week 08 Due date: 10 Oct 2021 at 23:59	400 words
Outcomes assessed:
Final exam (Record+)	Online written exam Written exam (short answer and MCQ)	50%	Week 10 Due date: 22 Oct 2021 at 10:00	2 hours
Outcomes assessed:
Skills-based evaluation	Practical viva examination (treatment skills) Oral and practical skills assessment	20%	Week 10	8 minutes (+10 minutes reading time)
Outcomes assessed:
= Type B final exam ?

Online chest X-ray quiz: This online quiz is completed on Canvas, as an invigilated in-class assessment. There will be a series of short answer questions relating to a case study, including a short medical history and chest x-ray, plus some multiple choice questions not related to the case study.
Practical viva examination (assessment skills): Demonstration of practical assessment skills on a simulated patient with questions related to theoretical content. These skills will include observation/palpation, auscultation and spirometry.
Case study written assignment: Students are required to use clinical reasoning to interpret the assessment findings, determine the patient’s respiratory impairments, choose appropriate physiotherapy interventions, estimate the effect of those interventions, and develop a plan for future treatment.
Practical viva examination (treatment skills): Demonstration of practical treatment skills on a simulated patient with questions related to theoretical content.
Online written exam: This written exam will cover all material covered in lectures, tutorials, and essential readings as referred to in lectures and tutorials.

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.

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.

Special consideration

If you experience short-term circumstances beyond your control, such as illness, injury or misadventure or if you have essential commitments which impact your preparation or performance in an assessment, you may be eligible for special consideration or special arrangements.

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.

Weekly schedule

WK	Topic	Learning activity
Week -01	1. Assessment and clinical reasoning 1: an introduction to cardiopulmonary physiotherapy; 2. Health condition: restrictive disorders of the respiratory system	Lecture (2 hr)
	1. Health condition: obstructive disorders of the lung; 2. Assessment: measurement of lung function: spirometry and lung volumes	Lecture (2 hr)
	Assessment: observation and palpation	Tutorial (2 hr)
Week 01	1. Health condition: normal mucociliary clearance and infective disorders of the lung; 2. Health condition: suppurative disorders of the lung	Lecture (2 hr)
Week 01	Assessment: auscultation	Tutorial (2 hr)
Week 02	1. Impairment: consequences of low lung volumes on gas movement; 2. Evidence-based physiotherapy interventions: to improve gas movement	Lecture (2 hr)
Week 02	Assessment: pulmonary function tests	Tutorial (2 hr)
Week 03	1. Evidence-based physiotherapy interventions: to improve secretion movement 1; 2. Evidence-based physiotherapy interventions: to improve secretion movement 2	Lecture (2 hr)
	1. Impairment: effects of anaesthesia and surgery on lung function; 2. Clinical reasoning 2: interpretation of assessment findings and selection of interventions applied to a surgical case study	Lecture (2 hr)
	Assessment: history taking and assessment case studies	Tutorial (2 hr)
Week 04	1. Clinical reasoning 3: interpretation of assessment findings and selection of interventions applied to a medical case study; 2. Evidence-based interventions: oxygen therapy and devices	Lecture (2 hr)
Week 04	Evidence-based physiotherapy interventions: strategies to improve gas movement and treatments for difficulty clearing secretions	Tutorial (2 hr)
Week 05	Assessments skills practice and feedback	Tutorial (1 hr)
Week 06	1. Health condition: respiratory load, disordered mechanics of breathing and COPD; 2. Health condition: Dyspnoea and COPD	Lecture (2 hr)
Week 06	Evidence-based physiotherapy interventions: treatments for excessive secretions 1	Tutorial (2 hr)
Week 07	1. Impairment: pulmonary rehabilitation 1: limitations to exercise in patients with lung disease; 2. Assessment: pulmonary rehabilitation 2: assessment of exercise capacity	Lecture (2 hr)
	1. Activity: pulmonary rehabilitation 3: exercise prescription; 2. Health condition: cardiovascular disease	Lecture (2 hr)
	Evidence-based physiotherapy interventions: treatments for excessive secretions 2 (selecting and combining interventions)	Tutorial (2 hr)
	Interventions: clinical reasoning and implementation of appropriate interventions specific to a case study 1	Tutorial (2 hr)
Week 08	1. Health condition: heart failure; 2. Activity: cardiac rehabilitation: adaptations to training	Lecture (2 hr)
	Interventions: clinical reasoning and implementation of appropriate interventions specific to a case study 2	Tutorial (2 hr)
	Assessments and Interventions: exercise testing and prescription for patients with COPD	Tutorial (2 hr)
Week 09	1. Activity: exercise for cardiopulmonary patients with comorbidities 1; 2. Activity: exercise for cardiopulmonary patients with comorbidities 2	Lecture (2 hr)
	Assessments and Intervention: exercise testing and prescription for patients with cardiovascular disease	Tutorial (2 hr)
	Revision: practice of treatment skills	Tutorial (2 hr)
Week 10	Q&A Semester review	Online class (2 hr)
Week 10	Treatment skills practice and feedback	Tutorial (1 hr)

Attendance and class requirements

Attendance: Students are expected to attend a minimum 80% of online or face to face tutorials for a unit of study, unless granted exemption from the Program Director or Head of Discipline.

Additional assessment items may be set where attendance is lower than 80%. Under exceptional circumstances, swapping to alternate tutorials on one-off occasions is possible only by prior agreement with the unit of study co-ordinator. Class numbers may be limited by available tutorial capacity.

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

All readings for this unit can be accessed through the Library eReserve, available on Canvas.

Essential textbook

Main E and Denehy L (2016) Cardiorespiratory Physiotherapy: Adults and paediatrics (5th ed). Edinburgh: Elsevier.

Recommended textbook

Hough (2014) Physiotherapy in Respiratory and Cardiac Care: An evidence-based approach (4th ed). Andover: Cengage Learning.

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 sound clinical reasoning to determine patient problems (by interpretation of assessment findings), establish treatment goals, and using evidence-based practice, determine and implement safe and effective physiotherapy interventions for patients with cardiorespiratory problems
LO2. plan and implement an efficient, effective, culturally responsive, and client-centred physiotherapy assessment of a patient with a cardiorespiratory problem (including history taking, observation, palpation, auscultation, chest X-ray interpretation, and spirometry)
LO3. communicate effectively to develop trust and rapport with patients
LO4. record and effectively communicate physiotherapy assessment findings and outcomes in the medical record, to the patient and other health professionals
LO5. interpret exercise data from patients with cardiovascular or respiratory disease, prescribe evidence-based exercise training for patients with cardiovascular or respiratory disease, and explain the effects of exercise training for these patients
LO6. describe the pathophysiological and functional consequences of surgery and anaesthesia, infective, inflammatory, and restrictive respiratory conditions, and airflow limitation, on the respiratory system
LO7. describe the pathophysiology of cardiovascular disease and its related co-morbidities.

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
	Physiotherapy Practice Threshold Statements - 1.2. involve the client and relevant others in the planning and implementation of safe and effective physiotherapy using evidence-based practice to inform decision-making 2.1. comply with legal, professional, ethical and other relevant standards, codes and guidelines 2.2. make and act on informed and appropriate decisions about acceptable professional and ethical behaviours 3.1. use clear, accurate, sensitive and effective communication to support the development of trust and rapport in professional relationships with the client and relevant others 4.1. assess their practice against relevant professional benchmarks and take action to continually improve their practice 4.3. efficiently consume and effectively apply research and commit to practice informed by best available research evidence and new knowledge 5.1. engage in an inclusive, collaborative, consultative, culturally responsive and client-centred model of practice 6.1. use education to empower themselves and others
	Physiotherapy Practice Threshold Statements - 1.1. plan and implement an efficient, effective, culturally responsive and client-centred physiotherapy assessment 1.2. involve the client and relevant others in the planning and implementation of safe and effective physiotherapy using evidence-based practice to inform decision-making 2.1. comply with legal, professional, ethical and other relevant standards, codes and guidelines 3.1. use clear, accurate, sensitive and effective communication to support the development of trust and rapport in professional relationships with the client and relevant others 3.2. record and effectively communicate physiotherapy assessment findings, outcomes and decisions 4.1. assess their practice against relevant professional benchmarks and take action to continually improve their practice 6.1. use education to empower themselves and others
	Physiotherapy Practice Threshold Statements - 3.1. use clear, accurate, sensitive and effective communication to support the development of trust and rapport in professional relationships with the client and relevant others
	Physiotherapy Practice Threshold Statements - 2.1. comply with legal, professional, ethical and other relevant standards, codes and guidelines 3.1. use clear, accurate, sensitive and effective communication to support the development of trust and rapport in professional relationships with the client and relevant others 3.2. record and effectively communicate physiotherapy assessment findings, outcomes and decisions
	Physiotherapy Practice Threshold Statements - 1.1. plan and implement an efficient, effective, culturally responsive and client-centred physiotherapy assessment 1.2. involve the client and relevant others in the planning and implementation of safe and effective physiotherapy using evidence-based practice to inform decision-making 2.1. comply with legal, professional, ethical and other relevant standards, codes and guidelines 3.1. use clear, accurate, sensitive and effective communication to support the development of trust and rapport in professional relationships with the client and relevant others 3.2. record and effectively communicate physiotherapy assessment findings, outcomes and decisions 4.3. efficiently consume and effectively apply research and commit to practice informed by best available research evidence and new knowledge 5.1. engage in an inclusive, collaborative, consultative, culturally responsive and client-centred model of practice 6.1. use education to empower themselves and others
	Physiotherapy Practice Threshold Statements - 1.3. review the continuation of physiotherapy and facilitate the client’s optimal participation in their everyday life 3.2. record and effectively communicate physiotherapy assessment findings, outcomes and decisions 4.3. efficiently consume and effectively apply research and commit to practice informed by best available research evidence and new knowledge
	Physiotherapy Practice Threshold Statements - 1.3. review the continuation of physiotherapy and facilitate the client’s optimal participation in their everyday life 3.2. record and effectively communicate physiotherapy assessment findings, outcomes and decisions 4.3. efficiently consume and effectively apply research and commit to practice informed by best available research evidence and new knowledge

Physiotherapy Practice Threshold Statements -

Competency code	Taught, Practiced or Assessed	Competency standard
1.1		plan and implement an efficient, effective, culturally responsive and client-centred physiotherapy assessment
1.2		involve the client and relevant others in the planning and implementation of safe and effective physiotherapy using evidence-based practice to inform decision-making
2.1		comply with legal, professional, ethical and other relevant standards, codes and guidelines
2.2		make and act on informed and appropriate decisions about acceptable professional and ethical behaviours
2.3		recognise the need for, and implement, appropriate strategies to manage their physical and mental health and resilience
3.1		use clear, accurate, sensitive and effective communication to support the development of trust and rapport in professional relationships with the client and relevant others
3.2		record and effectively communicate physiotherapy assessment findings, outcomes and decisions
4.1		assess their practice against relevant professional benchmarks and take action to continually improve their practice
4.3		efficiently consume and effectively apply research and commit to practice informed by best available research evidence and new knowledge
5.1		engage in an inclusive, collaborative, consultative, culturally responsive and client-centred model of practice
5.2		engage in safe, effective and collaborative interprofessional practice
8.A		knowledge of relevant anatomy, physiology, pathology, other biomedical sciences relevant to human health and function, and psychosocial and other determinants of health encompassing cardiorespiratory, musculoskeletal, neurological and other body systems within the context of physiotherapy and best available research evidence
8.B		knowledge and understanding of theoretical concepts and principles relevant to physiotherapy practice including evidence-based practice
8.D		knowledge and understanding of theoretical concepts and principles relevant to physiotherapy practice across acute, rehabilitation and community practice in a range of environments and settings
8.E		competence to practise as a physiotherapist autonomously as well as a member of an interprofessional team in relevant clinical situations

Closing the loop

In response to previous student feedback, the following changes will be introduced in 2020: online lectures will be delivered as short modules with embedded quizzes and the mid-semester practical viva examination has been modified.

Additional information

Teacher consultation guidelines: Please note that correspondence will only be answered if students use their university email address. You are encouraged to divert your university email address to alternate accounts and to check it regularly. Consultation is by appointment only.

This unit of study may require you to attend a teaching activity timetabled in teaching venues installed with the University’s Clinical Recording and Observation System (CROS) in the Susan Wakil Health Building. Students should be aware of the privacy and information management implications of this system. For more information, please refer to the University’s Privacy Statement.

Canvas

Key dates
Key dates through the academic year, including teaching periods, census, payment deadlines and exams.
Student administration
Enrolment, course planning, fees, graduation, support services, student IT
Expectations of student conduct
Code of Conduct for Students, Conditions of Enrollment, University Privacy Statement, Academic Integrity
Academic appeals
Academic appeals process, special consideration, rules and guidelines, advice and support
Learning and teaching policy
Policy register, policy search
Financial support
Scholarships, interest free loans, bursaries, money management
Study resources
Learning Centre, faculty and school programs, Library, online resources
Health and support
Student Centre, counselling & psychological services, University Health Service, general health and wellbeing

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

Details

Enrolment rules

Teaching staff and contact details

Assessment

Assessment criteria

Late submission

Special consideration

Academic integrity

Weekly schedule

Attendance and class requirements

Study commitment

Required readings

Learning outcomes

Graduate qualities

Outcome map

Alignment with Competency standards

Closing the loop

Additional information

Disclaimer

On this page

Useful links

Media

Student links

About us

Connect

Current students

PHTY2062: PT in Respiratory and Cardiac Conditions A

Overview

Details

Enrolment rules

Teaching staff and contact details

Assessment

Assessment criteria

Late submission

Special consideration

Academic integrity

Weekly schedule

Attendance and class requirements

Study commitment

Required readings

Learning outcomes

Graduate qualities

Outcome map

Alignment with Competency standards

Closing the loop

Additional information

Disclaimer

On this page

Useful links

Media

Student links

About us

Connect