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NANYANG POLYTECHNICSCHOOL OF HEALTH SCIENCES

ADVANCED DIPLOMA IN NURSING

(EAR, NOSE & THROAT)

ACADEMIC & CLINICAL MANUAL

October 2011

LECTURER COPY

Copyright 2011 by NYP


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Dear Student

Welcome to the School of Health Sciences, and congratulations on your successful

admission to the Advanced Diploma in Nursing - Ear, Nose and Throat (ENT) course.

You have demonstrated a desire to keep abreast with the changing trends in nursing and

your realization of assuming the specialist roles in ENT nursing can only be achievedthrough a commitment to continuing education.

The course is structured to promote unity of theory and practice with clinical rotations

built into the course to broaden your experiential base and provide opportunities for you

to develop the essential diagnostic and decision-making skills. This will enable you to

practise with innovations analytically in a variety of health care settings on graduation.

It is assumed that as adult learner capable of self-directed learning, you will optimize all

available opportunities available to you throughout the course.

This manual presents you with useful and specific information regarding the courseincluding the objectives and assessment requirements. It serves as an excellent reference

and guide to your study throughout the year. If you have any problems or concerns

relating to your study, please see the course coordinator, Ms Aishah Latiff, or me as

early as possible.

I wish you every success and trust that you will find the course challenging, enriching

and rewarding.

Ms Wong Luan Wah, Director/School of Health Sciences (Nursing), and all staff in the

Department of Nursing wish you an enjoyable year ahead.

Tan Ah Suan

Manager / Nursing (CET)

October 2011


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ADVANCED DIPLOMA IN NURSING (EAR, NOSE & THROAT)

CONTENTS PAGE

1. Course Outlines

Core Modules

2. HS8014 Leadership and Health Care Management

3. HS8015 Professional Issues in Advanced Nursing Practice

Specialist Modules

4. HS8027: Advanced Pathophysiology and Pharmacology in

Ear, Nose and Throat Nursing

5. HS8028: Psychosocial Perspectives of Ear, Nose and Throat

Nursing

6. HS8025: Research and Evidence-Based Practice

7. HS8026: Heath Assessment and Clinical Decision-Making

8. HS8029: Advanced Ear, Nose and Throat Nursing l

9. HS8030: Advanced Ear, Nose and Throat Nursing ll

10. HS8031: Advanced Ear, Nose and Throat Nursing Clinical

Practice


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COURSE OUTLINE

ACADEMIC MODULES

ACADEMIC HOURS

COMMON MODULES 60

HS8014 Leadership And Health Care Management 30

HS8015 Professional Issues In Advanced Nursing Practice 30

SPECIALIST MODULES 360

HS8025 Research and Evidence-Based Practice 60

HS8026 Health Assessment and Clinical Decision Making 45

HS8027 Advanced Pathophysiology and Pharmacotherapy In Ear, Nose &Throat Nursing

60

HS8028 Psychosocial Perspectives of Ear, Nose & Throat Nursing 30

HS8029 Advanced Ear, Nose & Throat Nursing I 90

HS8030 Advanced Ear, Nose & Throat Nursing II 75

CLINICAL HOURS

HS8031 Advanced Ear, Nose & Throat Nursing Clinical Practice 420

Clinical Attachment 378

Field visits 42

COMPONENT HOURS

COMMON MODULES 60SPECIALIST MODULES 360

CLINICAL PRACTICE MODULE 420

TOTAL 840

MODULE CODE: HS8014

MODULE DESCRIPTION: LEADERSHIP AND HEALTHCAREMANAGEMENT


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HOURS: 30

1. GENERAL AIM

This module provides an understanding of the impact thateconomic, political and social issues have on the Singaporehealthcare system. Learners will be introduced to concepts of caretransition, intermediate and long-term care and advance careplanning. In addition, learners will also develop management andleadership skills to prepare them for future roles as managers andleaders.

2. LEARNER OBJECTIVES

At the completion of the module, the learner will be able to:

2.1 analyse the changing demographical and disease patterns inSingapore and their impact on health care delivery;

2.2 examine the economic aspects of policy making2.3 explore the concept of care transition in relation to patient

management;2.4 identify the role of intermediate and long-term care services in

meeting the healthcare needs of Singaporeans;2.5 explore the concept of advance care planning in the delivery of

healthcare;2.6 discuss strategic planning and risk management in healthcare;2.7 examine the management approaches used by health care

institutions and its impact on nursing practices;2.8 discuss the role of nurse leaders in influencing health care

policies and human resources management;2.9 discuss the impact of leadership on organisational

effectiveness;2.10 discuss the impact of quality improvement programmes in

health care institutions;2.11 develop and implement staff development programmes and

maximise employee performance;2.12 apply conflict resolutions, decision -making and problem-

solving skills in staff management;2.13 discuss the role of nurse managers in motivating, counseling,

coaching and mentoring;2.14 discuss the role of nurse managers in clinical operation

planning

3. CONTENT

3.1 Singapore demographical and epidemiology status3.2 Healthcare economics and policies


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3.3 Care Transition

Intermediate and Long-term Care

Advance Care Planning3.4 Chronic disease management and case management3.5 Principles of management

3.6 Strategic planning and risk management3.7 Human resources management3.8 Leadership and delegation3.9 Organisational communication, behavior and culture3.10 Care transition and advance care planning3.11 Health informatics in nursing3.12 Quality improvement

Programmes

Staff development3.13 Change and Risk management

3.14 Performance appraisal Counseling

Coaching

Mentoring

Motivating3.15 Clinical operational planning3.16 Budgeting3.17 Conflict management

4. LEARNING AND TEACHING PROCESSES

Lectures, tutorials, e-learning, self-directed learning and presentation.

5. ASSESSMENT

5.1 In-Course Assessment 40%5.2 Exam 60%

6. REFERENCES

Baker, J. J., & Baker, R. W. (2006). Health care finance: Basic tools fornonfinancial managers. Sudbury: Jones and Bartlett Publishers.

Barsky, A. E. (2007). Conflict resolution for the helping professions(2nd ed.). Sydney: Thomson-Brooks/Cole.

Sullivan, E. J. (2008). Effective leadership and management in nursing(7th ed.). Upper Saddle River: Prentice-Hall.
http://libopac.nyp.edu.sg/cgi-bin/spydus.exe/ENQ/OPAC/BIBENQ/6312095?TIH_TYPE=B&TIH_NS=1&TIH=HEALTH%20CARE%20FINANCE%20BASIC%20TOOLS%20FOR%20NONFINANCIAL%20MANAGERShttp://libopac.nyp.edu.sg/cgi-bin/spydus.exe/ENQ/OPAC/BIBENQ/6312095?TIH_TYPE=B&TIH_NS=1&TIH=HEALTH%20CARE%20FINANCE%20BASIC%20TOOLS%20FOR%20NONFINANCIAL%20MANAGERShttp://libopac.nyp.edu.sg/cgi-bin/spydus.exe/ENQ/OPAC/BIBENQ/6316862?TIH_TYPE=B&TIH_NS=1&TIH=CONFLICT%20RESOLUTION%20FOR%20THE%20HELPING%20PROFESSIONShttp://libopac.nyp.edu.sg/cgi-bin/spydus.exe/ENQ/OPAC/BIBENQ/6316862?TIH_TYPE=B&TIH_NS=1&TIH=CONFLICT%20RESOLUTION%20FOR%20THE%20HELPING%20PROFESSIONShttp://libopac.nyp.edu.sg/cgi-bin/spydus.exe/ENQ/OPAC/BIBENQ/6316862?TIH_TYPE=B&TIH_NS=1&TIH=CONFLICT%20RESOLUTION%20FOR%20THE%20HELPING%20PROFESSIONShttp://libopac.nyp.edu.sg/cgi-bin/spydus.exe/ENQ/OPAC/BIBENQ/6312095?TIH_TYPE=B&TIH_NS=1&TIH=HEALTH%20CARE%20FINANCE%20BASIC%20TOOLS%20FOR%20NONFINANCIAL%20MANAGERShttp://libopac.nyp.edu.sg/cgi-bin/spydus.exe/ENQ/OPAC/BIBENQ/6312095?TIH_TYPE=B&TIH_NS=1&TIH=HEALTH%20CARE%20FINANCE%20BASIC%20TOOLS%20FOR%20NONFINANCIAL%20MANAGERS


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MODULE CODE: HS8015

MODULE DESCRIPTION: PROFESSIONAL ISSUES IN ADVANCEDNURSING PRACTICE

HOURS: 30

1. GENERAL AIM

This module focuses on issues that significantly influence professionalnursing practice and outcomes. Learners will analyze the variousapproaches and undertake exercises and activities that will further assistthem in their interpersonal and professional relationships for the advancementof nursing as a profession. In addition, learners will discuss the legal andethical issues that impact nursing practice.


At the completion of the module, the learner will be able to:

2.1 examine the challenges nursing must meet to achieveprofessionalization;

2.2 explain the evolvement and dimension of change in nursingknowledge;

2.3 explain the importance of educational preparation to enhanceknowledge and skills for advanced nursing practice;

2.4 discuss issues and trends in advanced nursing practice;2.5 describe the role development of the advanced practice nurse;2.6 discuss the ethical legal considerations in nursing practice and2.7 analyze ethical and legal problems in clinical nursing practice.

3. CONTENT

3.1 Introduction to advanced nursing practice

3.2 Challenges to professionalization in nursing

3.3 Role development in advanced practice nursing

3.4 Nursing education: issues and challenges

3.5 Nursing care outcomes

3.6 Current and future trends in nursing development

3.7 Legal and ethical issues in nursing

3.8 Common Torts

Negligence


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False imprisonment

3.9 Nursing legislation


Lectures, tutorials, e-learning, self-directed learning and learnerpresentation.

5. ASSESSMENT

5.1 In-Course Assessment 100%

6. REFERENCES

Davis, A. J., Fowler, M., & Aroskar, M. (2009). Ethical dilemma andnursing practice (5th ed.). Upper Saddle River: Prentice-Hall.

Hamric, A. B., Spross, J. A., & Hanson, C. M. (2008). Advancedpracticenursing: An integrative approach (4th ed.). New York: Churchill-Livingstone.

Lachman, V. D. (2006). Applied ethics in nursing. New York: SpringerPublishing Co.

Zerwekh, J., & Claborn, J. C. (2008). N ursing today: Transition and

trends (6th

ed.). New York: Churchill-Livingstone.


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MODULE CODE: HS8025

MODULE DESCRIPTION: RESEARCH AND EVIDENCE-BASEDPRACTICE

HOURS: 60 Hrs

1. GENERAL AIM

The module aims to develop a critical and evaluative approach toresearch utilising a range of different approaches and methods. Itseeks to foster and develop in learners the ability to critically appraisestudies as well as to plan a specific piece of research. The moduleplaces equal emphasis on qualitative and quantitative research

traditions.


At the completion of this module, the learner will be able to:

2.1 discuss the relevance of healthcare research in clinical practice;2.2 discuss the emergence of evidence-based practice;2.3 utilise the various databases to gather information to support

evidence-based practice;

2.4 discuss the importance of systemic reviews and evidence-basedpractice;

2.5 critically appraise the strengths and limitations of evidence-basedpractice;

2.6 identify the sequential steps and components involved in theresearch process;

2.7 select the appropriate research methodology;2.8 critically evaluate published research reports in relation to mental

health nursing;2.9 write a research proposal for Institutional Review Board approval;2.10 discuss the application of various research utilization models in

clinical practice.


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3. CONTENT

3.1 Healthcare research and practice3.2 Databases and their utilisation3.3 The research process3.4 Evidence-based practice, systemic reviews and meta-analysis

3.5 Research critique3.6 Research proposal3.7 Integrating research into nursing practice3.8 Strategies for improving research utilisation


Lectures, e-learning, tutorial, self-directed learning.

5. ASSESSMENT


Mode of Assessment

ICA 1:Research Critique1,500 words (Individual)Date due: Wk 13, Monday by 5pm.

20%

ICA 2: Research Proposal Presentation (Group)Date Due: Week 22-23

20%

ICA 3: Research Proposal for IRB Submission

3,000 words (Individual)Date Due: Week 24, Monday, by 5pm

60%

6. REFERENCES

Boswell,C. & Cannon.,S.(2007). Introduction to nursing research:Incorporating evidence-based practice. Boston: Jones andBartlett Publishers.

Burns, N. & Grove, S.K. (2007). Understanding nursing research:Building an evidence-based practice. (4th ed.). St. Louis: MosbySaunders/Elsevier.

Burns, N. & Grove, S.K. (2009). The practice of nursing research:Appraisal, synthesis and generation of evidence. (6th ed). St.Louis: Mosby Saunders/Elsevier.

Craig,J.V. & Smyth,R.L. (2007). The evidence-based practice manualfor nurses. (2nd ed.) Philadelphia : Churchill Livingstone/Elsevier.

Greenhalgh,T. (2006). How to read a paper: The basics of evidence-based medicine (3rd ed.). Malden: BMJ Books/Blackwell Pub.


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Grove,S.K.; Burns,N. & Ihlenfeld.,J.T.(2007). Study guide forunderstanding nursing research : building an evidence -basedpractice: study guide. (4th ed.). St. Louis: Saunders Elsevier.

Houser,J.(2008). Nursing research: reading using and creatingevidence. Boston: Jones and Bartlett Publishers.

LoBiondo-Wood, G., & Haber, J. (2009). Nursing research: Methods andcritical appraisal for evidence-based practice. (7th ed.). St Louis:Mosby

Macnee,C.L. & McCabe.,S.(2008). Understanding nursing research: Using

research in evidence-based practice (2nd ed.). Philadelphia:Wolters Kluwer Health

Munro, B. H. (2005). Statistical methods for health care research (5th

ed.). Philadelphia: Lippincott.

Newhouse,R.P (2007). Johns Hopkins nursing evidence-based practicemodel and guidelines .Indianapolis: Sigma Theta TauInternational Honor Society of Nursing.

Pearson,A.; Field,J. & Jordan.Z. (2007). Evidence-based clinicalpractice in nursing and health care assimilating research,experience and expertise. Malden: Blackwell Pub.

Polit, D.F. & Beck, C.T. (2005). Essentials of nursing research:Methods, appraisal and utilisation. Philadelphia: LippincottWilliams & Wilkins.

Webb,C. & Roe,B.(2007). Reviewing research evidence for nursingpractice: Systematic reviews . Malden: Blackwell Pub.


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7. Timetable

Wk Lecture Hrs Wk Tutorial Hrs

1 Introduction to the module(Ambel)

1

1 Process of EBP (Ambel) 1

2 Formulating Research Question,Hypothesis, and Problem(Ambel)

1 2 Introduction / PICO andFormulating researchquestion

2

2 Literature Review- Search for evidence (step 2)(Ambel)

1 2 Searching for evidence- As per exercises given- Related to researchproblem

1SDL1

3 Research Designs(Quantitative Studies) (GYS)

2 3 Literature Review

(1 topic 4 studies read

& compose)

1 SDL2

4 Sampling, types of samples,sample size (QuantitativeStudies) (GYS)

1

4 Measurement Tools(Quantitative Studies) (GYS)

1

4 Levels of Measurement andData collection (QuantitativeStudies) (e-Learning)

1 4 Selecting Research Design(Quantitative Studies)

1

4 Ethics in Nursing Research(e-Learning)

1

5 Levels of measurement anddata collection (QuantitativeStudies) (e-Learning)

1

5 Research critique- Appraising evidence (step 3)Tools (Iowa)- How to critique (Ambel)

1 5 Selecting appropriateMeasurement Tool(Quantitative Studies)

1

6 Systematic reviews (Dr Prema) 2 6 Research Critique- critique a selectedresearch study

1 SDL2

7 Introduction to QualitativeResearch, methodology, data

1 6 Ethics in Nursing Research 1SDL


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collection methods (Dr Chia)

7 Sampling, types of samples,sample size, data analysis(Qualitative Studies) (Dr Chia)

1 7 Selecting appropriateMethodology and Methods(Qualitative Studies)

1

7 Sampling, types of samples,sample size (QualitativeStudies)

1

8 Descriptive/Inferential statistics(Rosy)

2 8 Systematic Review 1 SDL1

9 Systematic reviews (Dr Prema) 2 9 Data analysis(Qualitative Studies)

12 Meta-analysis(e-Learning)

1

12 Writing a research proposal

(Ambel)

1 12 How to write a research

proposal

1

15 Statistical Package for theSocial Sciences (SPSS)

3

SDL / Discussion withResearch Supervisor

15(SDL)

22 ICA Research ProposalPresentation (Group)

1

13 ICA submission:Research Critique

(Individual WrittenAssignment)

24 ICA submission:Research Proposal forIRB submission(Individual WrittenAssignment)

Contact:e-Learning:

19hrs3hrs

SDL/e-Learning:Contact:

1820

Total Hours 22hrs Total Hours 38hrs


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MODULE CODE: HS8026

MODULE DESCRIPTION: HEALTH ASSESSMENT & CLINICALDECISION- MAKING

HOURS: 45

1. GENERAL AIM

The module provides learners with an in-depth knowledge and skills ofhealth assessment to develop their abilities to perform systematicassessment for clinical decisions and interventions.


At the completion of this module, the learner will be able to:

2.1 develop a systematic approach to patient assessment ;

2.2 utilise the concepts of anatomy and physiology to interpretassessment findings;

2.3 modify the assessment process to meet age and disease-specific needs of the patient;

2.4 integrate and synthesize history and physical exam findings andcommunicate these findings orally and in writing;

2.5 analyse the findings and make clinical decisions;2.6 interact with patients and peers in a professional manner;2.7 analyze critically the implications of findings to patient care.

3. CONTENT

3.1 Comprehensive and focus health history taking3.2 Focus examination and decision-making on:

3.2.1 HEENT disorders3.2.2 Pulmonary disorders3.2.3 Cardiovascular disorders3.2.4 Abdominal disorders3.2.5 Musculoskeletal disorders3.2.6 Neurological disorders3.2.7 Integrated physical examination

3.2.8 Focused examination of common to mental healthconditions


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3.2.9 Document case findings and present cases


Lectures and simulated laboratory practices.

5. ASSESSMENT


6. REFERENCES

Bickley, L. S., & Szilagyi, P. G. (2009). Batesphysical examination andhistory taking (10th ed.). Philadelphia: Lippincott.

Talley, N. J., & OConnor, S. (2006). Clinical examination : Asystematic guide to physical diagnosis (5th ed.). New York: Elsevier

Video-Recording

Abdomen

RC 76 VIS (Bates series)

RC 76 ABD by Saunders

Breasts & Axillae


RC 76 BRE (Breast and regional lymphatics) by Saunders

Cardiovascular : peripheral vascular system

RC 76 VIS (Bates series) peripheral vascular system

RC 76 CAR by Saunders peripheral vascular system andlymphatics

Cardiovascular : neck vessels and heart


RC76 HEA by Saunders

Nose Mouth Neck


RC 76 NOS by Saunders (covers NOSE MOUTH,THROAT , NECK)

RC 76 EXA by State University of New York (covers exam of headand neck)

Head,eyes and ears

RC 76 (Bates series)

RC 76 HEA- covers exam of head, eyes, ears

RF 294ASS covers assessment of ears, and auditory system

RE 75 EXA covers exam of eyes, visual system RC 76 EXA- covers exam of head and neck


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Thorax and Lungs


RC 76 THO by Saunders

RC 733 PHY Saunders (covers physical exam of chest : principles

and techniques)

Neurologic system

RC 76 VIS (Bates series) covers cranial nerves and sensorysystem

RC 76NEU by Saunders covers cranial nerves and sensorysystem

RC 76 EXA Mosby covers mental status, speech & cranialnerves

RC 76 VIS (Bates series) covers motor systemand reflexes

Musculoskeletal


RC 76 MUS Saunders

RD 734 PHY- covers exam of knees

RD 734-PHY-covers exam of lumbar spine, nerve and exam oflower limbs

RC 76 MOS Mosby (Red spot media)

Genitalia

RC 76 VIS (Bates series) covers male genitalia, rectum andhernias

RC 76 MAL covers male genitalia, anus, rectum and prostate

RC FEM-covers female genitalia, anus, rectum

RC 76 (Bates series)-covers female genitalia anus and rectum

Web site

http://www.martindalecenter.com/MedicalPed.html
http://www.martindalecenter.com/MedicalPed.htmlhttp://www.martindalecenter.com/MedicalPed.htmlhttp://www.martindalecenter.com/MedicalPed.html


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7. TIME-TABLE

No Lecture Hr No Laboratory session Hr

1 Introduction and

comprehensive healthhistory (Week 1)(SH) 1

2 History of present illness(HPI)(Week 2) (SL) 1

1 HPI Seminar (Tutorial)(Week 2)

2

3 Assessment ofcardiopulmonary system(Week 3) (SY) 1

2 Demonstration and Practice :

Examination of the skin andHEENT (Week 3)

3

4 Assessment of neurologicalsystem

(Week 4) (JN)1

3 Demonstration and Practice :

Examination of the Thorax

and lungs, breast and axilla(Week 4)

3

5 Paediatric healthassessment(e-learning)

1

4 Demonstration and Practice:

Examination of thecardiovascular and peripheralvascular system (Week 5)

3

6 Gerontological healthassessment(e-learning)

1 5 Demonstration and Practice:

Examination of the abdomen;male and female genitalias;

anus and rectum (Week6)

3


Examination of themusculoskeletal system

(Week 7)

3


Examination of the neurologicsystem (Week 8)

3

8 Simulated Practice :

Integrated physicalassessment of an adult(Week 9)

3

9 Simulated Practice : Focusphysical assessment of anadult (Cardio-vascular)(WEEK 11)

3

No Lecture Hr No Laboratory session Hr


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10 Simulated Practice : Focusphysical assessment of anadult (Respiratory)

(WEEK 12)

3

11 Simulated Practice : Focusphysical assessment of anadult (Abdomen & HEENT)

(WEEK 13)

3

12 Simulated Practice : Focusphysical assessment of anadult (Neurological)

(WEEK 14)

3

13 Simulated Practice : Focusphysical assessment of anadult (Musculoskeletal)(WEEK 15)

3

14 Practical Exam 1

TOTAL HOURS 6 TOTAL HOURS 39

LECTURE : WEEK 1-4PRACTICAL : WEEK 3-9, 11-15PRACTICE (SDL) : WEEK 16, 20-22 (Self-schedule)*

ASSESSMENT : WEEK 23-24SUPP. / ALT : WEEK 27-29

*Please book the Lab through Ms Janice Tan (Lab Technician)


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MODULE CODE : HS8029

MODULE : ADVANCED EAR, NOSE & THROAT (ENT) NURSING I

HOUR : 90_________________________________________________________________

1. GENERAL AIM

This module focuses on assessment and identification of significantproblems associated with the ear, nose and throat and the developmentand evaluation of the care and rehabilitation of the clients and theirsignificant others.

2. SPECIFIC OBJECTIVES

At the completion of this module, the student will be able to:

PART 1: FOUNDATION STUDIES AND HEALTH EDUCATION (45 HOURS)

2.1 discuss the historical evolution and current trends in ENTnursing;

2.2 evaluate nursing models used in ENT nursing practice;

2.3 discuss roles of the nurse and concept of case managementand its application in the ENT clinical setting;

2.4 discuss the nursing management of a client with impairedcommunication and hearing;

2.5 discuss the perioperative considerations for ENT clients;

2.6 analyse the multidisciplinary approach in the rehabilitation of ENTclients;

2.7 demonstrate skills in health education and health promotion and

2.8 organise and carry out a range of health education programmesand health promotions for clients with ENT problems, withminimal or no guidance.

PART 2: EAR AND NOSE DISORDERS (45 HOURS)

2.9 discuss the aetiology, pathophysiology, clinical findings,management, and complications of the clients with ear and nosedisorders;


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2.10 discuss the nursing management of clients with ear and noseproblems;

2.11 explain the preparation and care of clients undergoing relatedear, nose procedures and diagnostic investigations;

2.12 discuss the pre and post-operative management of clientsundergoing ear and nose surgery;

2.13 discuss the various strategies that can be adopted for healtheducation and rehabilitation of clients with communicationimpairment and

2.14 identify resources that are available for rehabilitation of clients andtheir significant others.

3. CONTENT

PART 1: FOUNDATIONS STUDIES IN ENT NURSING (30 HOURS)

3.1 Evolution of ENT nursing speciality

Historical perspectives

Current trends

3.2 The application of models in ENT nursing

Nursing models relevant to Ear, Nose and Throat Nursing

3.3 Case management

Concept and application

3.4 Management of the client with ear and nose procedures/diagnosticinvestigations

3.5 Perioperative considerations for ENT clients:

Preoperative evaluation and preparation

Anaesthetic agents

Post-anaesthesia complications

Immediate postoperative ENT care

3.6 ENT rehabilitation - a multidisciplinary approach

Hearing impairment

Speech impairment

Swallowing disorders

Prosthetics and appliances

3.7 Develop instructional plans using different motivating teachingstrategies;

3.8 Write out detailed instructional guides for each topic and timeframe;


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3.9 Theoretical and practical aspects of methodology;

3.10 Principles and approaches in critical thinking, problem solvingand reflective learning;

3.11 Strategies of health promotion;

3.12 Clinical supervision and learning


3.13 Aetiology, pathophysiology, clinical findings and management ofchildren and adults with the following disorders:

3.13.1.Ear

Common conditions affecting the external, middle & inner earand facial nerve e.g.:

Foreign bodies

Otitis Externa

Tinnitus

Vertigo & imbalances

Acute/Chronic Otitis Media (CSOM)

Conductive / Sensori-neural hearing loss

Congenital ear abnormalities

Facial nerve paralysis

3.13.2.Nose

Common conditions affecting the nose and paranasal sinusese.g.:

Epistaxis

Nasal obstruction

Nasal allergy

Sinusitis

Foreign body

3.14 Congenital ENT abnormalities and multidisciplinary approach

Cranio-facial / Cleft palate

Hearing impairment

Speech impairment


3.15 Preparation and care of clients undergoing ear and noseprocedures and / diagnostic investigations:

3.15.1. Procedures of the ear

Different type of hearing tests

Universal newborn hearing screening Ear syringing / suctioning


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Aural toilet

Ear dressing

3.15.2. Procedures of the nose

Nasal toilet

Allergy test Nasal cautery

Lavage of sinuses (Antral washout)

Endoscopic examination

Post-Nasal Space (PNS) biopsy

3.16 Management of client undergoing ENT surgery

Pre-operative evaluation and preparation

Psycho-social implications of surgery

Prosthetics, appliances and equipment used Anaesthetic drugs

Post anaesthesia complications

Immediate post-operative care

Current research trends in ENT nursing practice3.17 Rehabilitation

Community resources

Patients education

Hearing Aid services

Cochelar Implant programme

Audio-verbal Therapy programme Nurses role

c

4. TEACHING STRATEGIES

Lectures, tutorials, discussions, presentations, e-learning, problem basedlearning, self-directed learning, practical; simulation based learning andaudio-visual aids.

5. ASSESSMENT

In-course Assessment - 100%

6. REFERENCES

Bull P & Clarke R. (2007). Disease of the Ear, Nose and Throat (10th ed).Oxford: Black well Publishing.

Meyer E N (2008). Operative Otolaryngology Head and Neck Surgery (2nd

ed). Philadelphia: Saunders Elsevier

Serra A M, Bailey CM & Jackson P (1986). Ear, Nose and Throat Nursing.London: Blackwell Scientific Publications.


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Wilson W R, Nadol J B & Randolph G W (2002). The clinical handbook ofEar, Nose and Throat Disorders. London: The Parthenon PublishingGroup.

7. Time-table: PART 1: Foundation Studies and Health Education (45Hrs)

S/N

LECTURE HRS TUTORIAL / LABORATORY HRS

1 Introduction and overview ofAdvanced ENT nursing (Pre-test)

2

2 Historical evolution and currenttrends and practices in ENTnursing

1 The role and current trends &practices in ENT nursing(e-learning)

1

3 Application of case managementin ENT nursing 2 The role of the ENT nurse in casemanagement ( Studentspresentation & discussion)

2

4 Introduction to Audiology(Ext. Lecturer)

2 Instruments used in ENTexaminations (Lab)

2

5 Types of hearing tests audiogram, tympanometry,speech audiometry and vestibularbalance tests (Ext. Lecturer)

2 Overview of clients undergoingENT procedures and diagnosticinvestigations (Discussion)

2

6 Tinnitus & devices use for adult inhearing rehabilitation(Ext.Lecturer)

2 Ear structure & its functions(SDL) 1

7 Management of hearing loss inchildren Audiologicalperspective (Ext, Lecturer)

2 Ear structure & its functions(Students Presentation &Discussion)

1

8 Habilitation for children withhearing impairment (Ext. lecturer)

2 Preparing and assisting earexamination ( Lab)

2

9 Hearing Impaired child in

mainstream school(Ext. Lecturer)

1

Nursing management of client with

hearing and speech impairment(SDL)

1

10 Reverse education therapy(Ext. Lecturer) 1

Nursing management of client withhearing and speech impairment(Student presentation &discussion)

2

11 Signing in hearing and speechimpairment (Sign Language)

(Ext. Lecturer)

2


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12 Health promotion models 1

S/

N


13 Health promotion & HealthEducation Theories and Principles

1

14 Health education process 1 Health promotion & education (SDL)

3

15 Teaching strategies 1 Health promotion & education (Student presentation &discussion)

4

16 Developing Health Promotionprogramme

2

Total 25 Total 20


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W

K


Conditions affecting the external,

middle and inner ear

(Ext. Lecturer)

1 Ear toilet & dressing (Lab ) 1

Neoplastic / non-neplastic of the

external, middle and inner ear

1 Ear syringing (Lab ) 1

Trauma/injuries of the external, middle

and inner ear

(Ext. Lecturer)

1 Lab practices

Facial Nerve Paralysis

(Ext. Lecturer)

1

Vestibular disorders

External disorders

2

Nursing care of client with ear

disorders

1

Nursing care of client with ear surgery 1

2 ICA Case Presentation : Nursing

management of client undergoing

ear surgery

1

Paediatric Otology

(Ext. Lecturer)

2 ICA Case Presentation : Nursing

management of client with Tinnitus

1

Deafness & Congenital ear

abnormalities in children

(Ext. Lecturer)

2

Overview of Nose & Sinuses structure

and functions (SDL)

1 Instillations of ear & nose drops /

spray (e-Learning)

1

Preparing and assisting in nose

examination (Lab.) /Nasal toilet

/Nasal cautery procedure (lab)

2

W

K


Nasal Injuries and deformities

(Ext. Lecturer)

1 Preparing & assisting clients for

Antral washout procedure (Lab)

2

Epistaxis in adult

(Ext. Lecturer)

1 Removal of anterior Nasal packs

procedure (Lab & Practice)

2

Neoplastic / non-neoplastic diseases

of the nose

1

-


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MODULE DESCRIPTION : ADVANCED EAR, NOSE & THROAT(ENT) NURSING II

HOURS : 75

1. GENERAL AIM

This module provides the knowledge and skills to assess and identifysignificant problems associated with head and neck structures as wellas children to enable management and care for ENT patients withcomplex needs.


At the completion of this module, the student will be able to:

PART 1: THROAT/LARYNX AND NECK DISORDERS (30 HOURS)

2.1 discuss the aetiology, pathophysiology, clinical findings,management, and complications of the clients with throat/larynxand neck problems and disorders;

2.2 discuss the nursing management of clients with throat/larynxand neck problems and disorders;

2.3 explain the preparation and care of clients undergoing related

throat/larynx and neck procedures and diagnostic investigations;

2.4 discuss the pre and post-operative management of clientsundergoing throat/larynx and neck surgery;

2.5 identify resources that are available for rehabilitation of clientsand their significant others and

2.6 analyse updates and differences in the management of childrenand adult with throat/larynx and neck problems.

PART 2: NEOPLASTIC AND NON-NEOPLASTIC DISEASES (45HOURS)


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2.7 discuss the aetiology, pathophysiology, clinical findings,management, and complications of the clients with ENTneoplastic and non-neoplastic diseases;

2.8 discuss the nursing management of clients with ENT neoplasticand non-neoplastic diseases;2.9 explain the preparation and care of clients undergoing ENT

procedures and/diagnostic investigations for neoplastic and non-neoplastic disease;

2.10 discuss the pre and post operative management of clientsundergoing head and neck surgery;

2.11 demonstrate competency in head and neck related advancednursing skills;

2.12 discuss the various strategies that can be adopted in healtheducation and rehabilitation of clients with impairedcommunication;

2.13 analyse updates in the management of ENT neoplastic and non-neoplastic disease

3. CONTENT

PART 1: ADVANCED ENT NURSING STUDIES: THROAT/LARYNXAND NECK (30 HOURS)

3.1 Aetiology, pathophysiology, clinical findings and management ofchildren and adults with the following disorders:

3.1.1 Throat & Larynx

Common diseases affecting the oral cavity,pharynx and larynx and oesophagus

Airway obstruction

Tonsillitis & adenoiditis

Peritonsillar abscess

Laryngeal papilloma

Obstructive Sleep Apnea (OSA) Snoring

Foreign body

Pharyngeal pouch

3.1.2 Neck

Neck trauma & injury

Common disease conditions of neck swelling

Common disorders of Thyroid glands

Common disorders of Salivary glands3.2 Common procedures of throat & larynx


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Direct & indirect laryngoscopy

Endoscopic examination

Flexible nasopharyngoscopy

Incisional & drainage of oral cavity abscess3.3 Common procedures of the Neck

Fine Needle Aspiration

Tracheostomy dressing

3.4 Management of client undergoing throat/larynx and neck surgery

Pre operative evaluation and preparation

Psycho-social implications of surgery

Prosthetics, appliances and equipment used

Anaesthetic drugs

Post anaesthesia complications

Immediate post operative care Current research trends in ENT nursing practice

3.5 Rehabilitation

Nurses role

Patients education


PART 2: CARE OF ADULT WITH ENT NEOPLASTIC AND NON-NEOPLASTIC DISEASE (45 HOURS)

3.6 Aetiology, pathophysiology, clinical findings and management ofadults with the following disorders:

3.6.1 Ear

Neoplastic & non-neoplastic diseases of theexternal and middle ear

3.6.2 Nose

Neoplastic & non-neoplastic diseases of the nose,

sinuses & Post-Nasal Space (PNS)

3.6.3 Throat & Larynx

Neoplastic & non-neoplastic diseases of the oralcavity, larynx, pharynx, trachea and oesphagus

3.6.4 Head & Neck

Neoplastic and non- neoplastic diseases of thehead & neck

3.7 Common procedures of ENT neoplastic and non-neoplasticdisease


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Fine Needle Aspiration for cytology (FNAC)

Post-nasal space biopsy (PNS)

Tracheostomy / laryngectomy dressing

3.8 Nursing management of Head and Neck surgery

Preparation for Tumor Board meeting

Psycho-social implications and altered body imageafter surgery

Immediate post operative care of major head &neck surgery and reconstruction of flaps

Maintaining airway & tracheostomy/laryngectomycare

Maintaining hydration & nutrition

Prosthetics, appliances and equipment used Care of client undergoing radiation therapy

3.9 Rehabilitation

Nurses role

Patients education

Speech and voice rehabilitation


Social reintegration


Lectures, tutorials, e-Learning, presentation, simulation base learning,self directed learning and context-based learning

5. ASSESSMENT

5.1 In-course assessment 40%5.2 Semestral Exam 60%

6. REFERENCES

Bull P & Clarke R. (2007). Disease of the Ear, Nose and Throat (10th ed).Oxford: Black well Publishing.

Meyer E N (2008). Operative Otolaryngology Head and Neck Surgery (2nd

ed). Philadelphia: Saunders Elsevier

Serra A M, Bailey CM & Jackson P (1986). Ear, Nose and Throat Nursing.London: Blackwell Scientific Publications.


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Wilson W R, Nadol J B & Randolph G W (2002). The clinical handbook ofEar, Nose and Throat Disorders. London: The Parthenon PublishingGroup.

MODULE CODE: HS8030

MODULE DESCRIPTION: ADVANCED EAR, NOSE AND THROATNURSING II

HOURS: 75

PART I : THROAT/LARYNX AND NECK DISORDERS (30 HOURS)

S/N LECTURE HRS TUTORIAL / LABORATORY HRS

Overview of Throat & Larynx

structures and functions (SDL)

1 Preparing and assisting in endoscopic

fibre-optic laryngoscopy examination

(Lab)

1

Condition affecting the throat

&larynx (Part I) (Ext. Lecturer)

2 Preparing and assisting in Incisional &

Drainage (I &D) of peritonsillar

abscess (Lab)

1

Condition affecting the throat

&larynx (Part II) (Ext. Lecturer)

2 Preparing and assisting Post-Nasal

Space biopsy (Lab)

1

Vocal Cord Disorders (Ext.

Lecturer)

2 Preparing and assisting in Fine needle

aspiration procedure (Lab)

1

Airway Obstructions and neck

injuries in adult (Ext. Lecturer)

2 Paediatric - ear surgery care (Student

presentation and discussion )

1

Snoring & Obstructive Sleep Apnea

(OSA) (Ext. Lecturer)

2 Paediatric - Adeno-tonsillectomy care

(Student presentation and discussion )

1

Airway Obstructions in children

(Ext. Lecturer)

2 Paediatric - counselling in nasal

allergies (Student presentation and

discussion )

1

Paediatric cleft palate and

craniofacial abnormalities

(Ext. Lecturer)

2 Paediatric - Tracheostomy care

(Student presentation and discussion )

1

Overview of Salivary & thyroid gland

structure and function (SDL)

1

Management of neck lump 2


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(Ext. Lecturer)

Thyroid glands disorders

(Ext. Lecturer)

2

Salivary glands disorders

(Ext. Lecturer)

2

Nursing management of client with

Thyroid & Salivary gland disorders

1

TOTAL 22 TOTAL 8

PART II: ADULT ENT NEOPLASTIC AND NON-NEOPLASTIC DISEASE(45 HOURS)

WK LECTURE HRS TUTORIAL / LABORATORY HR

Non-neoplastic diseases of external,

middle and inner ear (Ext. Lecturer)

2 Changing of tracheostomy tube (Lab &

Practice)

4

Neoplastic diseases of external,

middle & inner ear (Ext. Lecturer)

2 Tracheostomy dressing & suctioning

(e-Learning)

1

Non neoplastic diseases of the

nose (Ext. Lecturer)

2 Nursing care of clients with

tracheostomy tube (Student

presentation & discussion)

1

Neoplastic diseases of the nose

(Ext. Lecturer)

2 Laryngectomy dressing (Lab &

Practice)

4

Non -neoplastic tumors of the throat

and larynx (Ext. Lecturer)

2 Pre & Post-Operative Care of

Laryngectomy Clients

(Student presentation & discussion)

1

Neoplastic diseases of the throat &

larynx (Ext. Lecturer)

2 Nursing management of major head &

neck surgery with flap reconstruction


1

Management of Head & neck

surgeries (Ext. Lecturer)

2 Preparation of client undergoing head

and neck radiation therapy


1

Reconstruction In Head & Neck

surgery (Ext. Lecturer)

2

Radiation therapy for head & neck

cancers (Ext. Lecturer)

2

Nursing management of Head &

Neck surgeries (e-learning)

1

Swallowing and speech

rehabilitation following head & necksurgery (Ext. Lecturer)

2 Lab Practice 6


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Voice restoration after

laryngectomy (Ext. Lecturer)

2 Consolidation 1

Psycho-social implications and

altered body image after

laryngectomy clients view

(Ext. Lecturer)

1 Theory test 1

TOTAL 24 TOTAL 21

CLINICAL EDUCATION


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MODULE DESCRIPTION: ADVANCED EAR, NOSE & THROAT(ENT) NURSING CLINICAL PRACTICE

HOURS: 420

1. GENERAL AIM

This module enables the students to apply the theoretical concepts toclinical practice in a variety of ENT settings. The students will utilize theproblem-solving approach in the assessment, planning and delivery ofnursing care to the ENT patients as well as develop analytical andcritical thinking through reflective practice.


At the end of this module, student will be able to:

2.1 apply theoretical knowledge of advanced ENT nursing to clinicalsetting;

2.2 perform specialist care to patient with ENT conditions;

2.3 demonstrate sound clinical decision making in the planning anddelivery of nursing care in the ENT setting;

2.4 evaluate roles, management techniques and practice observed inthe clinical setting;

2.5 observe and participate in the management of personnel andequipment in the ENT settings;

2.6 describe the wide areas of function, knowledge andresponsibilities of the extended role for the ENT nurse;

2.7 collaborate with other members of the ENT care team in providing

comprehensive care to the individual and family;


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2.8 participate in a comprehensive range for treatments andtherapeutic approaches for different types of problems throughoutthe lifecycle;

2.9 utilise the nursing process in the planning and delivery of nursing

care for ENT clients and

2.10 apply case management skills and the nursing process in caringfor individuals and families with ENT problems.

3. CONTENT

Part I comprises of field visits to the related ENT care facilities;

Part 2 comprises of 378 hours of clinical experiences in a variety ofcommunity, hospital, ENT operating theatre and specialised outpatientsettings. The students will be expected to apply the process of nursing tothe management of client and families with ENT problems.

4. ASSESSMENT

In-course assessment 100%

In order to achieve a "Pass" grade during clinical education practice thestudent is required to obtain an aggregate score of 50 percentile points.

Student will fail the clinical posting if the following are not observed

when providing nursing care:

- Safety of client- Confidentiality

This will override all other assessments.

Students are expected to be in the assigned clinical area for theduration of the rostered shift.

Students who have no valid reasons for leaving before the end oftheir shift will be expected to replace the whole shift regardless of

the time the students left the clinical area.

Students will be expected to repeat a whole week of the clinical ifthe offence is repeated. The sponsoring hospitals will be notified ofthe students behaviour.


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MISCELLEANOUS


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SN Module No Module Name ModuleHours

Formative Summative

1 HS8014 Leadership and Healthcare Management 30 In-Course Assessment (ICA) 40%(Presentation 40%)

EXAM 60%(Theory Paper 60%)

2 HS8015 Professional Issues in Advanced Nursing Practice 30 ICA 100%(Presentation 40%)(Assignment 60%)

3 HS8025 Research and Evidence-Based Practice 60 ICA 100%(Critique 20%)

(Presentation 20%)(Proposal 60%)

4 HS8026 Health Assessment and Clinical Decision-Making 45 ICA 100%(History taking &CDM 20%)(Physical exam 60%)(Documentation 20%)

5 HS8027 Advanced Pathophysiology and Pharmacology inENT Nursing

60 ICA 100%(Test I 30%)(CAP 10%)(Test II 60%)

6 HS8028 Psychosocial Perspectives in ENT Nursing 30 ICA 40%(Presentation 40%)


7 HS8029 Advanced ENT Nursing I 90 ICA 100%(Written Assignment 60%)(Test 20%)(Presentation 20%)

8 HS8030 Advanced ENT Nursing II 75 ICA 40%- Theory Test I (20%)- (20%)


9 HS8031 Advanced ENT Nursing Clinical Practice 420 ICA 100%-Presentation 20%-Case Study 20%-Cont. Assess 60%


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Documents

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