Content Description
This module will cover the specific physiological impacts of the variety of chronic long-term medical conditions that affect patients undergoing major surgery. These impacts will be considered pre-, intra- and post operatively. The pharmacotherapeutic profiles of such patients will be covered (including the importance of compliance), and the importance of managing this over the peri-operative period. Lastly the impact of these diseases on physical function and the implications for post-operative recovery will be covered.
Module Aims
To provide a clear understanding of the importance of management of chronic medical conditions, the elderly and the frail over the peri-operative period, and to instil an appreciation of the importance of interdisciplinary care for these patients.
Learning Outcomes
Academic Content:
Describe the physiology and typical pharmacological therapies used in patients described in this module
To be able to discuss strategies for perioperative management of the elderly, frail or patients with single or multiple long term conditions
Describe the principles of Emergency and Trauma surgery, including how these apply to the elderly, frail or patients with single or multiple long term conditions.
To understand which diagnostic tools (radiological, laboratory and clinical) are important to apply to elucidate the potential impact of altered physiology in patients described in this module on peri-operative management and outcomes.
To understand the shared role of primary and secondary care and patient self-management in the setting of chronic medical conditions
Describe the impact of frailty on periopeartive care and outcomes, and how basic interventions benefit such patients.
Disciplinary skills:
To be able to ascertain the impact of the conditions described in this module on patients, in terms of peri-operative management, operative risk and outcomes.
To be able to ascertain the impact of the conditions described in this module on patients' physical functioning and the impact on recovery post surgery.
To be able to take a drug history, ascertain compliance and to understand the potential impact of medication on peri-operative care
To be able to discuss which members of the interdisciplinary team are needed to optimise care of the patients described in this module in the peri-operative period
Attributes:
Be familiar with the evidence base and know how to source and evaluate evidence to manage elderly, frail or patients with single or multiple long term conditions.
Communicate effectively with the interdisciplinary medical teams and allied specialties providing care and advice.
Communicate with confidence with patients undergoing major surgery and their families.
Plan and organise the most appropriate approach to diagnosis and management of patients described in this module
Assessment:
This will be in the form of essays which will be discussed at the teaching sessions.
This module will cover the specific physiological impacts of the variety of chronic long-term medical conditions that affect patients undergoing major surgery. These impacts will be considered pre-, intra- and post operatively. The pharmacotherapeutic profiles of such patients will be covered (including the importance of compliance), and the importance of managing this over the peri-operative period. Lastly the impact of these diseases on physical function and the implications for post-operative recovery will be covered.
Module Aims
To provide a clear understanding of the importance of management of chronic medical conditions, the elderly and the frail over the peri-operative period, and to instil an appreciation of the importance of interdisciplinary care for these patients.
Learning Outcomes
Academic Content:
Describe the physiology and typical pharmacological therapies used in patients described in this module
To be able to discuss strategies for perioperative management of the elderly, frail or patients with single or multiple long term conditions
Describe the principles of Emergency and Trauma surgery, including how these apply to the elderly, frail or patients with single or multiple long term conditions.
To understand which diagnostic tools (radiological, laboratory and clinical) are important to apply to elucidate the potential impact of altered physiology in patients described in this module on peri-operative management and outcomes.
To understand the shared role of primary and secondary care and patient self-management in the setting of chronic medical conditions
Describe the impact of frailty on periopeartive care and outcomes, and how basic interventions benefit such patients.
Disciplinary skills:
To be able to ascertain the impact of the conditions described in this module on patients, in terms of peri-operative management, operative risk and outcomes.
To be able to ascertain the impact of the conditions described in this module on patients' physical functioning and the impact on recovery post surgery.
To be able to take a drug history, ascertain compliance and to understand the potential impact of medication on peri-operative care
To be able to discuss which members of the interdisciplinary team are needed to optimise care of the patients described in this module in the peri-operative period
Attributes:
Be familiar with the evidence base and know how to source and evaluate evidence to manage elderly, frail or patients with single or multiple long term conditions.
Communicate effectively with the interdisciplinary medical teams and allied specialties providing care and advice.
Communicate with confidence with patients undergoing major surgery and their families.
Plan and organise the most appropriate approach to diagnosis and management of patients described in this module
Assessment:
This will be in the form of essays which will be discussed at the teaching sessions.
