Module title: Adults with incapacity: Enhancing professional practice

SCQF level: 11:
SCQF credit value: 20.00
ECTS credit value: 10

Module code: NMS11164
Module leader: Paul Hutton
School School of Health & Social Care
Subject area group: Centre for Health and Wellbeing
Prerequisites

N/A

2018/9, Trimester 2, Blended, Edinburgh Napier University
Occurrence: 004
Primary mode of delivery: Blended
Location of delivery: SIGHTHILL
Partner: Edinburgh Napier University
Member of staff responsible for delivering module: Paul Hutton
Module Organiser:


Learning, Teaching and Assessment (LTA) Approach:
To be accessible to practitioners from across Scotland, this theory module will be delivered utilising a blended learning approach. Support will be incorporated for students who are unfamiliar with learning at a distance to enable successful participation. Each student will be allocated an individual tutor from the module team to provide support throughout. This format enables students to participate flexibly at a time place and pace that is appropriate to their individual learning needs. Additionally academic support by the module team and by specialist academic support advisors within the university will be provided to meet the individual needs of students.

LO1-4: A DVD has been produced by NES and this forms the basis for a scenario-based learning approach (LO1 & 2). The service partners involved in this module have provided further real life scenarios and will support the individual to share their story. Thus the module is based on the views and experiences of people who may be affected by legislation and they will be full partners in the development and delivery (LO2, 3 & 4). This will enable students to understand at first hand people’s experiences of service provision as consumers and providers (LO 4). Moodle will be used to facilitate interactive learning and the sharing of knowledge, skills and experiences throughout.

LO1 & 4: The distance learning approaches and the learning resources enhance students learning and develop their knowledge in relation to adults who may lack capacity.


Formative Assessment:
The students will have the opportunity to submit a draft assignment for formative feedback and advice.

Summative Assessment:
Option A – Continuing Professional Development option – for students who will not be required to issue section 47 certificates.

The students will produce a 4, 000 word assignment which is in the following 2 parts

Part 1: A case based discussion providing a critical analysis of the research literature and evidence-base in relation to:
1. Attitudes and values that underpin professional practice.
2. The ethical and clinical judgement issues that impact on determining practice.
3. The effective application of the range of assessment methods available to assess capacity and their implications for professional practice.

Part 2: (1000 words)- Examples of online discussions.
Students will provide examples of their 5 online moodle postings to demonstrate their learning throughout the module. All examples will be included in the appendices.

Option B – students who will be required to issue section 47 certificates.
A portfolio of evidence comprising of 2 parts:

Part 1 – 4000 word case based portfolio
1. A learning log demonstrating 70 hours of assessing capacity in practice.
2. A critical appraisal of the evidence base which supports clinically justifiable assessments of incapacity in at least 3 contrasting clinical scenarios which the student has encountered in clinical practice during the module.

Part 2: (1000 words)- Examples of online discussions.
Students will provide examples of their 5 online Moodle postings to demonstrate their learning throughout the module. All examples will be included in the appendices.

Refer to portfolio documentation for further information.


Student Activity (Notional Equivalent Study Hours (NESH))
Mode of activityLearning & Teaching ActivityNESH (Study Hours)
Online Guided independent study 50
Other Guided independent study 70
Independent Learning Guided independent study 80
Total Study Hours200
Expected Total Study Hours for Module200


Assessment
Type of Assessment Weighting % LOs covered Week due Length in Hours/Words
Report 75 1-4 15 HOURS= 0, WORDS= 4000
Discussion/Participation 25 1-4 15 HOURS= 0, WORDS= 1000
Component 1 subtotal: 100
Component 2 subtotal: 0
Module subtotal: 100

Description of module content:

The key themes for this module are:
• Capacity: Defining capacity, Factors influencing capacity, Variability in capacity.
• Legislative Context: Adults with Incapacity (Scotland) Act, Part 5 amendment, Interface with other legislation.
• Assessment Skills: Listening to the person/ carer, Acting on information, Assessment tools, Assessment skills.
• Value Base: Attitudes and Values, Respect of person, Empathy, Person Centred Approaches to Care.
• Communication Skills: Core communication skills, Self awareness, Alternative communication modes, Building relationships.
• Identifying the professional role: Dimensions of role, Parameters of role Responsibilities, Roles of other professionals.
• Patient/Public Safety and support and protection of adults at risk


On this module you will develop your critical analysis and reflection skills in relation to the professional and practice issues in the context of capacity to consent to treatment and interventions. This module will help you develop as a critical thinking practitioner in relation to the Adults with Incapacity (Scotland) Act 2000. You will develop your knowledge, skills and effectiveness in relation to adults who may lack capacity to consent to treatment and interventions and the safe application within health and social care practice. Issues relating to the assessment and identification of capacity will be explored and set within the wider context of demonstrating positive attitudes and values in relation to assessing the needs of people with cognitive impairment and complex health care needs. The module will provide you with the opportunity to explore issues relating to attitudes and values, risk-taking, decision making and protecting adults who may be risk of harm, set within the context of professional practice. Upon successful completion of the portfolio of evidence (Assessment option B) practitioners will be able to issue Section 47 certificates with in their area of professional practice and accordance with local clinical governance frameworks. This certificate means that the practitioner is of the opinion that an adult is incapable of consenting to the proposed treatment and care.

Learning Outcomes for module:

LO1: Critically appraise the relationship between the legislative framework and the ethical dimensions in relation to capacity & incapacity.
LO2: Critically reflect on personal and professional values and attitudes in shaping communication and interpersonal interactions with people, families and other professionals.
LO3: Critique a variety of assessment strategies including: -
- The appraisal of the range of factors which influence capacity
- The appraisal of the range of validated assessment tools.
LO4: Exercise appropriate sound clinical and justifiable judgements in making assessments of incapacity.

Indicative References and Reading List - URL:

Core - BEAUCHAMP T., CHILDRESS J.F., (2013) PRINCIPLES OF BIOMEDICAL ETHICS: OXFORD UNIVERSITY PRESS, 7th ed. - ISBN: 9780199924585
Core - GMC CONSENT, PATIENT AND DOCTORS MAKING DECISIONS TOGETHER - HTTP://WWW.GMC-UK.ORG/GUIDANCE/ETHICAL_GUIDANCE/CONSENT_GUIDANCE_INDEX.ASP
Core - BINGHAM S.L REFUSAL OF TREATMENT AND DECISION MAKING CAPACITY (2012) : NURSING ETHICS Vol. 19, 1st ed.
Core - SCOTTISH GOVERNMENT (2008) ADULTS WITH INCAPACITY (SCOTLAND) ACT 2000:CODE OF PRACTICE: FOR PERSONS AUTHORISED UNDER INTERVENTION ORDERS AND GUARDIANS. - HTTP://WWW.GOV.SCOT/TOPICS/JUSTICE/LAW/AWI/010408AWIWEBPUBS/COP
Core - WOODBRIDGE K. & FULFORD B. (2004) WHOSE VALUES? A WORKBOOK FOR VALUES BASED PRACTICE IN MENTAL HEALTH: THE SAINSBURY CENTRE FOR MENTAL HEALTH, 1st ed.
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