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This research paper on the management of acute illness was commissioned by The King's Fund to inform the inquiry into the quality of general practice in.
Table of contents
- Assessment, Care and Management of Acute/Critical Illness or Injury
- Acute Illness Management – Family Medical Centers
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- One of the greatest challenges in clinical
If you do not wish to take up any of the options that are made available to you, then you can cancel your registration and withdraw from the course without liability to the University for future tuition fees and you will be entitled to a refund of all course fees paid to date. When you enrol as a student of the University, your study and time with us will be governed by a framework of regulations, policies and procedures, which form the basis of your agreement with us. These include regulations regarding the assessment of your course, academic integrity, your conduct including attendance and disciplinary procedure, fees and finance and compliance with visa requirements where relevant.
It is important that you familiarise yourself with these as you will be asked to agree to abide by them when you join us as a student.
You will find a guide to the key terms here , along with the Student Protection Plan , where you will also find links to the full text of each of the regulations, policies and procedures referred to. Enhance your knowledge and understanding of the pathophysiological effects of acute illness or traumatic injury. Enhance your critical care clinical practice through the development of your knowledge and skills. Enhance your emergency care clinical practice through the development of your knowledge and skills. Our Health Studies course is a great route to a healthcare career. Learn from experienced lecturers in our safe simulated ward environment.
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- Acute Illness Management (AIM) Course | Kauvery Hospital!
- About the course!
Please click here if you are not redirected within a few seconds. About the course Entry requirements Fees and finance Important info About the course Entry requirements Fees and finance Important info. Start date 9 September Places available subject to change Ask a question. Send us your enquiry.
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Thanks for your enquiry. About the course. This course was designed and validated in conjunction with local employers and aims to develop you academically as well as clinically.
Assessment, Care and Management of Acute/Critical Illness or Injury
You will be taught by experienced acute and critical care practitioners, some of whom have current and on-going clinical practice. Guest speakers with current clinical expertise will also contribute to the teaching. You will have opportunity to develop your understanding through simulation-based learning. Your studies will focus on developing your knowledge and applying skills with a multi-disciplinary perspective.
Teaching and assessment You will be taught through a series of lectures, tutorials, simulation-based learning and guided study, which will be supported by the University's virtual learning environment. Entry requirements. Entry requirements for this course are normally: Be a registered healthcare professional with at least 12 months post registration employment. Be experience working within an acute healthcare setting.
Have either an Honours degree, have studied at Honours level or can demonstrate appropriate knowledge and skills at Honours degree standard. Teaching excellence Huddersfield is a TEF gold-rated institution delivering consistently outstanding teaching and learning of the highest quality found in the UK Teaching Excellence Framework, This expertise, together with our teaching credentials, means that students here learn from knowledgeable and well-qualified teachers and academics who are at the forefront of their subject area.
Career support. Student support At the University of Huddersfield, you'll find support networks and services to help you get ahead in your studies and social life. These include: Student Hub: a one stop shop for students, studying within the School. Fees and Finance Tuition Fees - part-time. Important information We will always try to deliver your course as described on this web page. Read more Changes to a course you have applied for If we propose to make a major change to a course that you are holding an offer for, then we will tell you as soon as possible so that you can decide whether to withdraw your application prior to enrolment.
Changes to your course after you enrol as a student We will always try to deliver your course and other services as described. However, sometimes we may have to make changes as set out below: Changes to option modules Where your course allows you to choose modules from a range of options, we will review these each year and change them to reflect the expertise of our staff, current trends in research and as a result of student feedback or demand for certain modules.
Major changes We will only make major changes to the core curriculum of a course or to our services if it is necessary for us to do so and provided such changes are reasonable. Termination of course In exceptional circumstances, we may, for reasons outside of our control, be forced to discontinue or suspend your course.
You may also be interested in The investigators who form the CHAIN Network leadership have extensive experience in the design and conduct of trials focused on improving growth and survival in children in Africa and Asia. Working closely with Community Advisory Boards at each site, as well as with a robust social science team of researchers in Kenya and Bangladesh, patient priorities, experience and preferences were carefully considered in the design and development of the protocol and data collection instruments. The research questions were also discussed with a number of internal CHAIN Network and external experts in child survival at a convention organised by the funder.
Caregivers were included in the Community Advisory Boards to provide input and into the conduct of the study.
At the conclusion of the study, results will be disseminated to participants via seminars and outreach events led by the site Principle Investigators and the Community Advisory Boards at each site. Prior to October , the lower age limit of enrolment was 60 days and this was subsequently modified to allow the inclusion of younger children.
Acute Illness Management – Family Medical Centers
Underlying terminal illness that in the opinion of the treating physician is likely to lead to death within 6 months. Diagnosed with a condition that in the opinion of the treating physician is likely to require surgery within 6 months. Diagnosed with a chromosomal abnormality syndromically or genetically diagnosed abnormality. Requiring immediate resuscitation at admission defined by ongoing cardiac or pulmonary arrest or judged to be peri-arrest by the attending physician. Each site has nominated a day on which weekly recruitment begins.
The first eligible child in each enrolment group admitted to the hospital is identified and approached for consent. This is repeated for every eligible child admitted subsequently until weekly targets are met for each enrolment stratum see table 1. Although this is a pseudo-random approach, all the procedures aim to ensure that the study population adequately represents the spectrum of nutritional states observed over the recruitment period. If eligible, the study is explained to caregivers in their primary language and written informed consent to participate is sought.
Caregivers who are unable to write are asked to provide a witnessed thumbprint. If consent is obtained, the child is enrolled and a unique study number is allocated. If a child is deemed eligible but is too sick for consent to be immediately sought, study staff obtain verbal assent to collect both research and clinical samples at that time to avoid multiple needle insertions. If a caregiver who gave assent then chooses not to provide full written consent, all research data and samples are destroyed.
Enrolment is stratified by nutritional status, aiming at a ratio of A: B: C with group targets of group A: group B: group C per site table 1. Mid-upper arm circumference MUAC was chosen as the optimal measure for participant selection as it is strongly associated with mortality, captures stunted children, varies less with dehydration than weight-based indices and is easily measured in sick children.
All sites completed standardised training on variable definitions, identification of clinical signs, measurement of anthropometry, case report form CRF completion and data entry prior to starting the study, and training was repeated regularly. An independent study monitor WESTAT was hired to conduct site assessments to ensure harmonisation of study procedures across and between sites, as well as to ensure compliance with regulatory standards. Baseline data, including demographic and social information, a detailed clinical examination and measurement of vital signs, including pulse oximetry, are collected using the standardised CRF.
Anthropometry is performed head circumference, MUAC, weight and length. All children are offered provider-initiated counselling and testing for HIV, and a malaria rapid diagnostic test is done. Other data on maternal characteristics collected include maternal MUAC, height, weight and demographic data.
During admission, hospitalised children are reviewed daily and specific clinical features indicating illness progression and treatments are recorded on a structured daily CRF that is entered into the CHAIN database. In the event of death in hospital, a standard mortality audit questionnaire is completed by a designated member of the study team. At discharge, the same clinical assessment as at admission, including anthropometry, is conducted and blood and faecal sampling are repeated.
The location of the household is recorded by Global Positioning System GPS and CRFs are used to capture information on the number of people living in the homestead, access to clean water and improved sanitation, occupation, household assets, income and food security. Parents and legal guardians are also interviewed about their home and social situation, including challenges experienced when keeping their child and family healthy. Children are followed-up again at 45, 90 and days after discharge at the study facilities, irrespective of scheduled or unscheduled outpatient visits for medical or nutritional care.
Maternal mental health is screened again at day Children judged to have significant illness at any follow-up visit or at the home visit are referred to an appropriate hospital, clinic or nutrition programme.
Parents and legal guardians are asked to bring their child to the study clinic if they are concerned that the child is unwell. Financial reimbursement for transport and lost earnings at standard local rates is provided at the clinic visit. Study participants who are readmitted to study hospitals undergo the standard clinical assessment delivered at enrolment. Participants who are admitted to hospitals other than the study site hospital have medical data abstracted onto standardised hospital readmission forms.
For deaths occurring outside the hospital, a verbal autopsy to evaluate the cause of death is completed within 28 days of study staff becoming aware of a death, using select questions from the WHO standard verbal autopsy tool. The exclusion criteria listed for hospitalised children also apply to community participants.
At every site, one in four hospital participants has a child enrolled from their community.
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Community participants are identified randomly from the hospitalised participants' home; a random number x 1—4 and direction north, south, east, west are generated using an online tool prior to visiting the home. This is repeated until a child is enrolled. Children with severe illness requiring hospital admission identified during community screening are referred for appropriate care. When an eligible community participant is identified, their caregiver is given information about the study and invited to the study clinic for assessment.
Following confirmation of informed consent, a clinical examination and anthropometry are completed and documented, and blood and stool samples collected as in the hospitalised children. Household and demographic questionnaires are also administered. These children remain eligible for inclusion as community participants. Financial reimbursement for transport and lost earnings at standard local rates is provided to each caregiver at the clinic visit.
One of the greatest challenges in clinical
No follow-up is done on community participants. To ensure comparability, standard operating procedures are followed at each site. Blood samples are collected at enrolment, each day of hospitalisation, in the event of clinical deterioration defined by the onset of a new Integrated Management of Childhood Illness danger sign , at discharge, at all follow-up points and at any hospital readmission.
At each time point, a CBC and clinical biochemistry, including sodium, potassium, calcium, magnesium, urea, creatinine, albumin, bilirubin, alanine aminotransferase, inorganic phosphate and alkaline phosphate are performed. Caregivers may refuse any sample collection during the study without being excluded from further follow-up. The schedule for blood collection is detailed in table 2. Schedule of blood samples and tests performed at each collection time point.