Outline

Overview

This unit 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 pathophysiological and functional consequences of surgery (abdominal, thoracic and cardiac), infective, inflammatory, restrictive and obstructive pulmonary disorders and cardiac artery disease. Students will learn the practical skills and develop treatment strategies to effectively manage respiratory problems. 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. The unit will provide students with an opportunity to apply, integrate and extend knowledge at a postgraduate level based on their previous degree.

Unit details and rules

Academic unit	Movement Sciences
Credit points	6
Prerequisites ?	None
Corequisites ?	None
Prohibitions ?	None
Assumed knowledge ?	Bachelor's Degree Level study in Human Anatomy; Human Physiology; Neuroscience; Psychology; and Exercise Physiology is essential
Available to study abroad and exchange students	No

Teaching staff

Coordinator	Marita Dale, marita.dale@sydney.edu.au
Tutor(s)	Tiffany Dwyer, tiffany.dwyer@sydney.edu.au
	Christina Darwell, christina.darwell@sydney.edu.au
	Marita Dale, marita.dale@sydney.edu.au
	Sonia Cheng, sonia.cheng@sydney.edu.au

Type	Description	Weight	Due	Length
Supervised exam ?	Written exam Written examination	35%	Formal exam period	2 hours
Outcomes assessed:
Skills-based evaluation	Practical viva examination (treatment skills) Oral and practical skills assessment	25%	Formal exam period	8 minutes (plus 10 minutes reading time)
Outcomes assessed:
Skills-based evaluation	Introductory Interprofessional Learning (IPL) module Pre-work, 3 activity stations in workshop, post-workshop peer evaluation	0%	Multiple weeks	2 hours
Outcomes assessed:
Skills-based evaluation	Online chest x-ray quiz Online quiz	10%	Week 06 Due date: 30 Mar 2023 at 09:00	30 minutes
Outcomes assessed:
Skills-based evaluation	Practical viva examination (assessment skills) Oral and practical skills assessment	15%	Week 07	8 minutes
Outcomes assessed:
Assignment	Case study written assignment Case study paired assignment	15%	Week 11 Due date: 14 May 2023 at 23:59	400 words
Outcomes assessed:
= hurdle task ? = group assignment ?

Assessment summary

Introductory Interprofessional Learning (IPL) module: Consists of three compulsory components (see the IPL Canvas site): a) preparatory pre-workshop activities on hand hygiene, patient safety culture, team work and communication; b) participation in the 2hr workshop on roles of healthcare professionals, teamwork and communication; c) completion of peer evaluation task following the workshop to reflect on your own performance within the team and to provide anonymous feedback to your team members.
Online chest x-ray quiz: 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 these practical skills. These skills will include observation/palpation, auscultation and spirometry.
Case study written assignment: This is a paired (group) assignment. A case study will be released on Canvas, including the patient medical record, and subjective and objective assessment findings. 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. The written, submitted assignment is in the format of medical notes, as included in a patient’s medical record.
Practical viva examination (treatment skills): Demonstration of practical treatment skills on a simulated patient with questions related to theoretical content.
Written exam: Covers all material covered in lectures, tutorials, and essential readings as referred to in lectures and tutorials. This exam comprises multiple-choice and short-answer questions.

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 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.

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.

Use of generative artificial intelligence (AI) and automated writing tools

You may only use generative AI and automated writing tools in assessment tasks if you are permitted to by your unit coordinator. If you do use these tools, you must acknowledge this in your work, either in a footnote or an acknowledgement section. The assessment instructions or unit outline will give guidance of the types of tools that are permitted and how the tools should be used.

Your final submitted work must be your own, original work. You must acknowledge any use of generative AI tools that have been used in the assessment, and any material that forms part of your submission must be appropriately referenced. For guidance on how to acknowledge the use of AI, please refer to the AI in Education Canvas site.

The unapproved use of these tools or unacknowledged use will be considered a breach of the Academic Integrity Policy and penalties may apply.

Studiosity is permitted unless otherwise indicated by the unit coordinator. The use of this service must be acknowledged in your submission as detailed on the Learning Hub’s Canvas page.

Outside assessment tasks, generative AI tools may be used to support your learning. The AI in Education Canvas site contains a number of productive ways that students are using AI to improve their learning.

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
Week 01	1. Assessment and clinical reasoning: introduction to cardiopulmonary physiotherapy 2. Restrictive disorders of the respiratory system	Lecture (2 hr)
Week 01	Observation and palpation	Tutorial (2 hr)
Week 02	1. Obstructive disorders of the lung; 2. Measurement of lung function: spirometry and lung volumes	Lecture (2 hr)
Week 02	Auscultation	Tutorial (2 hr)
Week 03	1. Normal mucociliary clearance and infective disorders of the lung; 2. Suppurative disorders of the lung	Lecture (2 hr)
Week 03	Pulmonary function tests	Tutorial (2 hr)
Week 04	1. Consequences of low lung volumes on gas movement; 2. Evidence-based physiotherapy interventions to improve gas movement	Lecture (2 hr)
	1. Evidence-based physiotherapy interventions to improve secretion movement 1; 2. Evidence-based physiotherapy interventions to improve secretion movement 2;	Lecture (2 hr)
	History taking and assessment case studies	Tutorial (2 hr)
Week 05	1. Effects of anaesthesia and surgery on lung function; 2. Interpretation of assessment findings and selection of interventions applied to a surgical case study	Lecture (2 hr)
Week 05	Strategies to improve gas movement and treatments for difficulty clearing secretions	Tutorial (2 hr)
Week 06	1. Interpretation of assessment findings and selection of interventions applied to a medical case study; 2. Oxygen therapy and devices	Lecture (2 hr)
	Treatments for excessive secretions 1	Tutorial (2 hr)
	Q&A	Online class (1 hr)
Week 08	1. Respiratory load, disordered mechanics of breathing, and COPD; 2. Dyspnoea and COPD	Lecture (2 hr)
Week 08	Treatments for excessive secretions 2; Selecting and combining interventions	Tutorial (2 hr)
Week 09	1. Pulmonary rehabilitation 1: limitations to exercise in patients with lung disease; 2. Pulmonary rehabilitation 2: assessment of exercise capacity	Lecture (2 hr)
Week 09	Clinical reasoning and implementation of appropriate interventions specific to a case study	Tutorial (2 hr)
Week 10	1. Pulmonary rehabilitation 3: exercise prescription; 2. Cardiovascular disease	Lecture (2 hr)
Week 10	Clinical reasoning and implementation of appropriate interventions specific to a case study	Tutorial (2 hr)
Week 11	1. Heart failure; 2. Cardiac rehabilitation: adaptations to training	Lecture (2 hr)
Week 11	Exercise testing and prescription for patients with COPD	Tutorial (2 hr)
Week 12	1. Exercise for cardiopulmonary patients with comorbidities 1; 2. Exercise for cardiopulmonary patients with comorbidities 2	Lecture (2 hr)
Week 12	Exercise testing and prescription for patients with cardiovascular disease	Tutorial (2 hr)
Week 13	Revision and practice of treatment skills	Tutorial (2 hr)
Week 13	Q&A	Online class (1 hr)
Week 14 (STUVAC)	Treatment skills practice and feedback	Tutorial (2 hr)

Attendance and class requirements

Attendance: Students are expected to attend a minimum of 80% of online or face to face tutorials for an unit of study, unless granted exemption by 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 coordinator. 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. Please refer to the reading list for each week.

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 evidenced-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 provide knowledge to 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 provide knowledge to 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 provide knowledge to 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
1.3		review the continuation of physiotherapy and facilitate the client’s optimal participation in their everyday life
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
6.2		seek opportunities to lead the education of others, including physiotherapy students, as appropriate, within the physiotherapy setting
7.1		organise and prioritise their workload and resources to provide safe, effective and efficient physiotherapy autonomously and, where relevant, as a team member
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

Responding to student feedback

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

Formal approval was received to change the weighting of the SOAP note assignment (increased by 5%) and reduce the weighting of the end of semester written exam (decreased by 5%).

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.

Student Administration Manual on the Faculty of Health Sciences

Disclaimer

Important: the University of Sydney regularly reviews units of study and reserves the right to change the units of study available annually. To stay up to date on available study options, including unit of study details and availability, refer to the relevant handbook.

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

Additional information

Additional information

Disclaimer

On this page

Useful links

PHTY5192: Cardiopulmonary Physiotherapy

Semester 1, 2023 [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

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

Additional information

Additional information

Disclaimer

On this page

Useful links