PMSC20008 - Primary Healthcare Management
Term 1 - 2017


All details in this unit profile for PMSC20008 have been officially approved by CQUniversity and represent a learning partnership between the University and you (our student). The information will not be changed unless absolutely necessary and any change will be clearly indicated by an approved correction included in the profile.

Overview

This unit is the first part of your clinical instruction that provides you with the knowledge and management strategies for functioning as a paramedic with a primary healthcare focus. This unit lays out the foundations of recognition and management of patients with common chronic and low acuity disease states through a detailed examination of the pathophysiology, epidemiology, history and assessment findings. You will be able to formulate a clinical diagnosis by incorporating presentation, history, assessment, diagnostic studies and other findings using an analytic approach and then utilize evidenced-based medicine for the management of a patient's condition. Additionally, the unit introduces you to palliative care and the paramedic practitioner's role in its delivery.

Details

Career Level Postgraduate
Credit Points 6
Student Contribution Band 2
Fraction of Full-Time Student Load 0.125

Attendance Requirements

All on-campus students are expected to attend scheduled classes – in some units, these classes are identified as a mandatory (pass/fail) component and attendance is compulsory. International students, on a student visa, must maintain a full time study load and meet both attendance and academic progress requirements in each study period (satisfactory attendance for International students is defined as maintaining at least an 80% attendance record).

Offerings

Term 1 - 2017
  • Distance

Website

This unit has a website, within the Moodle system, which is available two weeks before the start of term. It is important that you visit your Moodle site throughout the term. Go to Moodle

Recommended Student Time Commitment

Each 6-credit Postgraduate unit at CQUniversity requires an overall time commitment of an average of 12.5 hours of study per week, making a total of 150 hours for the unit.

Class Timetable

Assessment Overview

Assessment Task Weighting
1. Written Assessment 40%
2. Presentation 30%
3. Written Assessment 30%

This is a graded unit: your overall grade will be calculated from the marks or grades for each assessment task, based on the relative weightings shown in the table above. You must obtain an overall mark for the unit of at least 50%, or an overall grade of ‘pass’ in order to pass the unit. If any ‘pass/fail’ tasks are shown in the table above they must also be completed successfully (‘pass’ grade). You must also meet any minimum mark requirements specified for a particular assessment task, as detailed in the ‘assessment task’ section (note that in some instances, the minimum mark for a task may be greater than 50%). Consult the University’s Grades and Results Procedures for more details of interim results and final grades.

All University policies are available on the IMPortal.

You may wish to view these policies:

  • Grades and Results Procedure
  • Assessment Policy and Procedure (Higher Education Coursework)
  • Review of Grade Procedure
  • Academic Misconduct Procedure
  • Monitoring Academic Progress (MAP) Policy and Procedure – Domestic Students
  • Monitoring Academic Progress (MAP) Policy and Procedure – International Students
  • Refund and Excess Payments (Credit Balances) Policy and Procedure
  • Student Feedback – Compliments and Complaints Policy and Procedure
  • Acceptable Use of Information and Communications Technology Facilities and Devices Policy and Procedure

This list is not an exhaustive list of all University policies. The full list of University policies are available on the IMPortal.

On successful completion of this unit, you will be able to:
  1. Differentiate between common chronic and low acuity disease states based on pathophysiology, epidemiology, risk factors, signs and symptoms.
  2. Integrate diagnostic findings with patient presentation, history and assessment to formulate a working diagnosis.
  3. Employ an analytic approach using evidence-based medicine and guidelines for the management of primary care conditions.
  4. Describe the primary care paramedic's role in the delivery of palliative care.

A Graduate Diploma is now the standard requirement for many state ambulance services for advanced positions in the paramedic field. An emphasis has been placed on preferred candidates exceeding this requirement with a Masters degree for many new positions such as the Paramedic Practitioner.

Alignment of Assessment Tasks to Learning Outcomes

Assessment Tasks Learning Outcomes
1 2 3 4
1 - Written Assessment    
2 - Presentation    
3 - Written Assessment      

Alignment of Graduate Attributes to Learning Outcomes

  • Professional Level
  • Advanced Level
Graduate Attributes Learning Outcomes
1 2 3 4
1. Knowledge
2. Communication      
3. Cognitive, technical and creative skills  
4. Research      
5. Self-management      
6. Ethical and Professional Responsibility        
7. Leadership        

Alignment of Assessment Tasks to Graduate Attributes

  • Professional Level
  • Advanced Level
Assessment Tasks Graduate Attributes
1 2 3 4 5 6 7
1 - Written Assessment        
2 - Presentation      
3 - Written Assessment    

Textbook Information

There are no required textbooks.

IT Resources

You will need access to the following IT resources:
  • CQUniversity Student Email
  • Internet
  • Unit Website (Moodle)
All submissions for this unit must use the Harvard (author-date) referencing style (details can be obtained here). For further information, see the Assessment Tasks below.
Unit CoordinatorNatalee Williams-Claassen (n.williams-claassen@cqu.edu.au)
Note: Check the Term-Specific section for any additional contact information provided by the teaching team
Week Begin Date Module/Topic Chapter Events and Submissions
Week 1 06-03-2017

Eye and ENT

Week 2 13-03-2017

Respiratory System and Cardiovascular System

Week 3 20-03-2017

Central Nervous System and Mental Health

Week 4 27-03-2017

Gastrointestinal and Urinary System

Week 5 03-04-2017

Communicable Diseases, Infection/allergy/microbiology/immunity

Vacation Week 10-04-2017
Week 6 17-04-2017 Diabetes, Skin
Week 7 24-04-2017 Musculoskeletal System
Case Report Due Thursday (27 Apr 17) 08:00 AM AEST
Week 8 01-05-2017

Wounds

Week 9 08-05-2017

Palliative Care

Presentation Due Thursday (11 May 17) 08:00 AM AEST
Week 10 15-05-2017

Palliative Care

Week 11 22-05-2017

Catch up Week

Week 12 29-05-2017

Pain Management

Written Assessment Due Thursday (01 Jun 17) 08:00 AM AEST
Review/Exam Week 05-06-2017
Exam Week 12-06-2017

1 Written Assessment

Assessment Title Case Report
Task Description

You are required to discuss a clinical case that you have attended where the patient presented with a common chronic or low acuity disease state.

The case report must include the following:

  • A description of the patient's clinical presentation, history and assessment findings. (If applicable, please also include discussion on further diagnostic tests that could have been utilized in the formulation of a diagnosis for this patient at a PP level.)
  • Considering the above, provide possible differential diagnoses for this patient’s condition and justify each differential diagnosis with evidence.
  • Discuss each of these conditions’ pathophysiology, epidemiology, risk factors and signs and symptoms
  • Formulate a working diagnosis for this patient.

Students are reminded that to achieve a pass mark in this unit you will need to submit all assessment pieces and achieve a minimum pass mark of 50% for each assessment piece.

Assessment Due Date Week 7 Thursday (27-Apr-2017) 08:00 AM AEST
Return Date to Students Week 9 Wednesday (10-May-2017)
Weighting 40%
Assessment Criteria

While there is no maximum word limit for your case report, there is minimum requirement of 3000 words. The case report will be assessed in accordance with the rubric provided on the unit’s Moodle page. It should be presented in an essay format.

The case report is worth 40% of your overall unit mark.

Conditions Minimum mark or grade - 50%
Referencing Style Harvard (author-date)
Submission Online

Learning Outcomes Assessed
This section can be expanded to view the assessed learning outcomes

1. Differentiate between common chronic and low acuity disease states based on pathophysiology, epidemiology, risk factors, signs and symptoms.

2. Integrate diagnostic findings with patient presentation, history and assessment to formulate a working diagnosis.

Graduate Attributes
This section can be expanded to view the assessed graduate attributes

1. Knowledge

3. Cognitive, technical and creative skills

4. Research



2 Presentation

Assessment Title Presentation
Task Description

During your career as a paramedic you would have experienced call outs to patients with common chronic or low acuity disease states that may have required medical assistance, though not at an emergency care level. In most cases these patients are unnecessarily transported to a hospital’s emergency department (ED) for a non-acute condition, increasing the clinical demand on EDs and patient waiting periods.

Paramedic Practitioners (PPs) have a significant potential to reduce unnecessary transportation and the burden on emergency departments by treating these patients within their communities or at home.

You will need to create a presentation of non-acute clinical case that you have attended and transported, where your patient could have been provided the appropriate primary care management for their condition within their community or at home by a Paramedic Practitioner.

Your presentation must include the following information:

  • Brief introduction to the case.
  • The patient’s presentation, history and assessment findings.
  • Provide a working diagnosis with supporting evidence.
  • Reflection on the management that was provided on scene and on route to hospital.
  • Discussion on a revised assessment and management plan for this patient at a Paramedic Practitioner level, justified by the inclusion of the evidence based medicine and primary care management guidelines.
  • All medical practice is that is discussed at a PP level must be justified with presented evidence.

Students are reminded that to achieve a pass mark in this unit you will need to submit all assessment pieces and achieve a minimum pass mark of 50% for each assessment piece.

Assessment Due Date Week 9 Thursday (11-May-2017) 08:00 AM AEST
Return Date to Students Week 11 Thursday (25-May-2017)
Weighting 30%
Assessment Criteria

The presentation will be assessed in accordance with the rubric and information provided on the unit’s Moodle page. The following criteria are key points to be included:

  • The presentation should be in a PowerPoint format.
  • Recorded narration is required and you can use the Notes section to detail your thinking.
  • The presentation must address each of the main topic tasks as detailed in the task description.
  • Avoid superficial points or comments.
  • As this is a presentation, you should include images where appropriate, but these must be referenced.

The presentation has no specified length in regards to the amount of slides used but the recorded presentation should be a maximum of twenty (20) minutes to a minimum of fifteen (15) minutes in length.

This presentation is worth 30% of your overall unit mark.

Conditions Minimum mark or grade - 50%
Referencing Style Harvard (author-date)
Submission Online

Learning Outcomes Assessed
This section can be expanded to view the assessed learning outcomes

2. Integrate diagnostic findings with patient presentation, history and assessment to formulate a working diagnosis.

3. Employ an analytic approach using evidence-based medicine and guidelines for the management of primary care conditions.

Graduate Attributes
This section can be expanded to view the assessed graduate attributes

1. Knowledge

2. Communication

3. Cognitive, technical and creative skills

4. Research



3 Written Assessment

Assessment Title Written Assessment
Task Description

“The goal of palliative care is to improve the quality of life of patients with an active, progressive disease that has little or no prospect of a cure. With the growth and ageing of Australia's population, and an increase of chronic and generally incurable illnesses, the types of patient groups requiring palliative care has widened.” (Australian Institute of Health and Welfare 2016)

Essay Question:

Discuss the Paramedic Practitioner’s present and possible future role in the delivery of palliative care for patients that are terminally ill within the Australian context.

Please consider the following suggestions for inclusion in your discussion,

  • The Paramedic Practitioner’s role in direct patient care (assessment, goals of care, care towards the patient, family and carers, physical, cultural and psychosocial etc.).
  • The Paramedic Practitioner’s role in indirect patient care (multidisciplinary teams, specialist and community support services involvement, referral etc.).
  • Ethical Considerations.
  • End of life communication.

Reference Australian Institute of Health and Welfare 2016, Palliative care (AIHW). Australian Government. Available from: http://www.aihw.gov.au/palliative-care/ [Accessed: 24 January 2017].

Students are reminded that to achieve a pass mark in this unit you will need to submit all assessment pieces and achieve a minimum pass mark of 50% for each assessment piece.

Assessment Due Date Week 12 Thursday (01-Jun-2017) 08:00 AM AEST
Return Date to Students 15th June 2017
Weighting 30%
Assessment Criteria

While there is no maximum word limit for your essay, there is a minimum word count of 2500 words and it is expected that the essay arguments will be clear and concise. The written assessment will be assessed in accordance with the rubric and information provided on the unit’s Moodle page. It should be presented in an essay format.

This written assessment is worth 30% of your overall unit mark.

Conditions Minimum mark or grade - 50%
Referencing Style Harvard (author-date)
Submission Online

Learning Outcomes Assessed
This section can be expanded to view the assessed learning outcomes

4. Describe the primary care paramedic's role in the delivery of palliative care.

Graduate Attributes
This section can be expanded to view the assessed graduate attributes

1. Knowledge

2. Communication

3. Cognitive, technical and creative skills

4. Research

6. Ethical and Professional Responsibility




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