Unit Outline

This professional experience placement unit brings together core developing physiotherapy practice knowledge and skills and requires students to apply them to work in supervised practice with clients who present with cardiorespiratory conditions. There is a retained focus is on the application of core theoretical knowledge and threshold concepts related to person and client-centeredness, biopsychosocial models of practice, clinical reasoning, self-reflection, critical thinking, cultural safety and awareness, pharmacology and evidence-based practice to direct client care. clinical reasoning skills and the use of an evidence-based approach, and their application within pediatric, youth, adult and aged care practice settings. Students will further develop knowledge and skills, at a developing-proficient level, related to core competencies and professional behavior's requisite to function as a physiotherapist in a specified area. clinical assessment and treatment skills for physiotherapy in the management of movement disorders. You will learn to identify cardiorespiratory problems, set person-centred goals and select approaches to treatment and cardiovascular rehabilitation in the clinical setting. You will perform safe and effective physiotherapeutic interventions to address impairments and activity limitations in individuals with acute and chronic cardiorespiratory conditions and recognise and reflect on the role of the physiotherapist, and develop capabilities for, working within the multidisciplinary team.

Intended Learning Outcomes

As per the Assessment and Results Policy 1.3, your results will reflect your achievement against specified learning outcomes.

On completion of this unit, you will be able to:


1.	Critically evaluate evidence for the assessment and physiotherapy treatment of clients with cardiorespiratory disorders and demonstrate integration into practice.
2.	Justify a client assessment, which includes an examination of the cardiorespiratory system, client history, and physical examination, and demonstrate the use of basic measurement and testing procedures used to assess cardiorespiratory dysfunction.
3.	Use clinical reasoning to identify cardiorespiratory problems amenable to physiotherapy interventions, set person-centred goals and select approaches to cardiorespiratory treatment and rehabilitation in the clinical setting.
4.	Perform safe and effective physiotherapeutic interventions to address impairments and activity limitations in individuals with acute and chronic cardiorespiratory conditions.
5.	Demonstrate professional attributes including effective therapeutic communication with patients, carers, other healthcare practitioners, and interprofessional collaboration within the health care team.

Requisites


REQUISITE TYPE	REQUISITES
Pre-requisite	CXA7xx Musculoskeletal Physiotherapy Practice and CXA7xx Musculoskeletal Physiotherapy
Co-requisite	CXA738 Cardiorespiratory Physiotherapy

Alterations as a result of student feedback

The inclusion of other units content during the Intensive Residential School weeks, to create some contrast between the content that is being taught.

How will I be Assessed?

For more detailed assessment information please see MyLO.

Assessment schedule


ASSESSMENT TASK #	ASSESSMENT TASK NAME	DATE DUE	WEIGHT	LINKS TO INTENDED LEARNING OUTCOMES
Assessment Task 1:	Physiotherapy Skills Performance.	Week 5	30 %	LO2, LO4, LO5
Assessment Task 2:	Direct Observation of Clinical Encounter	Refer to Assessment Description	0 %	LO1, LO2, LO3, LO4, LO5
Assessment Task 3:	Applied Clinical Reasoning: Client with a Cardiorespiratory Condition	Refer to Assessment Description	30 %	LO1, LO2, LO3, LO5
Assessment Task 4:	Assessment of Physiotherapy Practice.	Refer to Assessment Description	40 %	LO1, LO2, LO3, LO4, LO5

Assessment details

Assessment Task 1: Physiotherapy Skills Performance.

Task Description:

Physiotherapy Skills Performance.

This practical assessment requires you to rotate through clinical skills stations that involves the application of practical cardiorespiratory physiotherapy skills in a patient scenario.

Task Length:

20 minutes

Due Date:

Week 5

Weight:

30 %

CRITERION #

CRITERION

MEASURES INTENDED

LEARNING OUTCOME(S)


1	Perform practical skills in accordance with best practice guidelines.	LO2, LO4
2	Use best practice structured communication for safely sharing clinical information with others.	LO4, LO5

Assessment Task 2: Direct Observation of Clinical Encounter

Task Description:

This is a skills-based hurdle assessment to assess your ability to meet the participation requirements for your clinical placement. These participation requirements are based on professional standards, the course accreditation requirements and the College of Health and Medicine Mandatory Functional Requirements.

This practical assessment requires you to draw on clinical and scenario information provided to undertake a client assessment and draw on the findings to outline and justify a treatment regime using a systematic clinical reasoning approach in a simulated clinical setting. You will be required to demonstrate the practical skills associated with the clinical scenario, which may include cardiorespiratory assessment, planning, intervention, and evaluation of physiotherapy interventions. You will be required to accurately document all relevant findings and outcomes.

This is a hurdle task and if you fail, you will not progress to PEP or pass the unit.

You must demonstrate competency in both clinical effectiveness and safety to pass this assessment.

Task Length:

45 minutes (40 minutes simulation including active discussion with examiner, 5 minutes documentation)

Due Date:

Refer to Assessment Description

Weight:

0 %

CRITERION #

CRITERION

MEASURES INTENDED

LEARNING OUTCOME(S)


1	Perform practical skills in accordance with best practice guidelines.	LO2, LO4
2	Use a structured clinical reasoning process to devise and justify the implementation and evaluation client-centred physiotherapy initiatives.	LO1, LO2, LO3, LO4
3	Use best practice structured communication for safely sharing clinical information with others.	LO4, LO5

Assessment Task 3: Applied Clinical Reasoning: Client with a Cardiorespiratory Condition

Task Description:

Applied Clinical Reasoning: Client with a Cardiorespiratory Condition. The assessment task requires you to describe a situation from your placement experience and critically reflect on your performance. The situation must involve undertaking a client assessment and formulation of a physiotherapy intervention plan for a client with a cardiorespiratory condition.
Part A. Application of Clinical Reasoning (1500 words)

The description must outline your approach to client assessment and depict how you applied a systematic clinical reasoning approach to the design and evaluation of an intervention/treatment program. approach. The clinical reasoning approach must be person centred and evidence based, and include descriptions of:
• biopsychosocial factors relevant to the case
• your diagnosis and differential diagnoses based on assessment and clinical presentation
• your client centred physiotherapy interventions based on the best evidence available
• medication indications, actions and interactions, and adverse effects
• strategies you used to evaluate therapy outcomes
• plans for adjustment of intervention program in line with diagnosis and stage of progress
• referring to or strategies for working with other disciplines to exclude and or address confounding problem
• outcome measures that are valid and reliable and discuss considerations that might impair body structure, healing and function as well as activity limitation and participation restriction.

Part B. Critical Self-Reflection (500 words)

• In this part you will write a critical reflection about your performance in the application of clinical reasoning with a real client. There are four required components to your reflection:
• Draw on Driscoll’s Model to reflect on how your cultural location, and your attitudes, values and beliefs, might affect the assumptions and practices you brought to the client interaction.
• Discuss how your approach to client interaction demonstrated respect, dignity and consent
• Discuss your role in the multidisciplinary team and identify ways of working effectively within the health care team.
• Using the Physiotherapy Threshold Standards, identify the competencies in which your performance aligns and describe the strengths and limitations of your performance in these areas.
• The critical reflection must be uploaded to your Professional Portfolio and used to update your professional development plan.

Task Length:

2000 words

Due Date:

Refer to Assessment Description

Weight:

30 %

CRITERION #

CRITERION

MEASURES INTENDED

LEARNING OUTCOME(S)


1	Use a structured clinical reasoning process to devise, implement and evaluate client-centred physiotherapy initiatives.	LO2, LO3
2	Use evidence-based practice to inform clinical decision making.	LO1, LO2, LO3
3	Use effective person-centred professional interaction that is respectful and ensures dignity and consent.	LO2, LO3, LO5
4	Critically reflect on practice.	LO1, LO5
5	Relate reflection back to key areas of ongoing professional development.	LO5

Assessment Task 4: Assessment of Physiotherapy Practice.

Task Description:

Assessment of Physiotherapy Practice.

During your professional experience placement (PEP), you are required to demonstrate adequate performance in practice. The supervising physiotherapist will assess your performance twice (one formative and one summative) over the duration of the five-week placement. One assessment will occur mid placement and another will occur at the end of the placement.

The first assessment is formative and does not contribute to your grade for this assessment task, however, is used to guide your learning by identifying areas that might need further work. The second assessment is summative.

You will be assessed against twenty items listed in the Assessment of Physiotherapy Practice (APP) tool, which includes competencies within the following domains:
• Professional Behaviour
• Communication
• Assessment and Planning
• Intervention
• Evidence Based Practice

Task Length:

PEP rotation

Due Date:

Refer to Assessment Description

Weight:

40 %

CRITERION #

CRITERION

MEASURES INTENDED

LEARNING OUTCOME(S)


1	Meet PEP requirements as outlined in the Clinical Education Handbook.	LO1, LO2, LO3, LO4, LO5
2	Perform across the identified APP domains at an adequate foundational level standard	LO1, LO2, LO3, LO4, LO5

How your final result is determined

To pass this unit, you need to demonstrate your attainment of each of the Intended Learning Outcomes, achieve a final unit grade of 50% or greater, and pass any hurdle tasks.

Submission of assignments

Where practicable, assignments should be submitted to an assignment submission folder in MYLO. You must submit assignments by the due date or receive a penalty (unless an extension of time has been approved by the Unit Coordinator). Students submitting any assignment in hard copy, or because of a practicum finalisation, must attach a student cover sheet and signed declaration for the submission to be accepted for marking.

Academic integrity

Academic integrity is about acting responsibly, honestly, ethically, and collegially when using, producing, and communicating information with other students and staff members.

In written work, you must correctly reference the work of others to maintain academic integrity. To find out the referencing style for this unit, see the assessment information in the MyLO site, or contact your teaching staff. For more detail about Academic Integrity, see Important Guidelines & Support.

Requests for extensions

If you are unable to submit an assessment task by the due date, you should apply for an extension.

A request for an extension should first be discussed with your Unit Coordinator or teaching support team where possible. A request for an extension must be submitted by the assessment due date, except where you can provide evidence it was not possible to do so. Typically, an application for an extension will be supported by documentary evidence: however, where it is not possible for you to provide evidence please contact your Unit Coordinator.

The Unit Coordinator must notify you of the outcome of an extension request within 3 working days of receiving the request.

Late penalties

Assignments submitted after the deadline will receive a late penalty of 5% of the original available mark for each calendar day (or part day) that the assignment is late. Late submissions will not be accepted more than 10 calendar days after the due date, or after assignments have been returned to other students on a scheduled date, whichever occurs first. Further information on Late Penalties can be found on the Assessments and Results Procedure.

Review of results and appeals

You are entitled to ask for a review of the marking and grading of your assessment task if there is an irregularity in the marking standards or an error in the process for determining the outcome of an assessment. Details on how to request a review of a mark for an assignment are outlined in the Review and Appeal of Academic Decisions Procedure.