Institute of Health Skills and Education College of Medicine, Dentistry and Nursing University of Dundee Masters in Biomedical Engineering Masters in Design for Interventional Technology Module: Anatomy and Physiology with Clinical Skills The Respiratory System

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Introduction to the Respiratory System Learning outcomes –Apply knowledge of anatomy and physiology to analysis of patient with a respiratory problem –Recognise difference between symptoms and signs –Identify aspects of simulators that facilitate learning anatomy and physiology for clinical practice

Timetable Introduction to session 15 minutes Observe a patient problem 5 minutes Discuss in pairs 10 minutes Divide into 4 groups and circulate around a series of stations 20 minutes each –Simulated patient and applied anatomy –Assessing breathing – Sim Man –The use of Simulation for learning about respiratory conditions Round up session 10 minutes

Uses of Simulation Regulation i.e. Resuscitation training UG/PG/CPD Risk reduction i.e. standard prescribing workshops UG/FY1 Re-design i.e. Night Rehearsal i.e. core technical and non technical skills SPI data collection i.e. patient safety tools Research i.e. standard performance assessments ward simulation UG/ FYI Renewal i.e. Technical and non technical skills Reinforcement i.e. e-learning procedure packs

What is a symptom? –Cough –Sputum –Haemoptysis –Wheeze –Hoarseness –Chest pain –Dyspnoea

What is a sign? –General signs Clubbing Cyanosis Staining Wasting

Specific chest signs –Inspection Scars Accessory muscle use –Palpation Trachea chest expansion tactile vocal fremitus –Percussion –Auscultation Breath sounds Added sounds whispering pectoriloquy

Please watch this video clip about a patient with a respiratory problem Then spend 5 minutes in pairs and discuss –What symptoms did this patient have ? – What respiratory symptoms did this patient have? – What anatomical structures might be affected to cause these symptoms? – What homeostatic changes have occurred to cause the patients’ symptoms ?

Divide into four groups Circulate through the following four stations 1.Simulated patient and applied anatomy 1.Examination of airway simulator 2.Surface anatomy of patient with respiratory symptoms 3.Auscultation – use of the stethescope 2.Assessing breathing 1.PEFR, pulse oximetry, spirometry, oxygen therapy 3. Sim Man- Exploring the physiology of the simulator 1.ABCDE 2.Chest examination 4.The use of simulation for learning about respiratory conditions ICAST online programme Breath sound simulators