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Course profile

Exercise Prescription & Programming for Cardiorespiratory Disease (EXMD4742)

Study period
Sem 2 2024
Location
St Lucia
Attendance mode
In Person

Course overview

Study period
Semester 2, 2024 (22/07/2024 - 18/11/2024)
Study level
Undergraduate
Location
St Lucia
Attendance mode
In Person
Units
2
Administrative campus
St Lucia
Coordinating unit
Human Movement & Nutrition Sci

Students will develop a strong theoretical and practical understanding for the exercise assessment, prescription, and programming for individuals with cardiovascular or pulmonary disease. Students will also develop a strong understanding of the pathophysiology and disease management for cardiovascular and pulmonary conditions.
This course had the previous code of HMST4742 which can be viewed in the archived area within the Course and Program site http://www.uq.edu.au/study/archive/index.html

The unit covers five main components: 1) overview of the pathophysiology and clinical management for cardiac and respiratory disease, 2) risk factors for cardiac and respiratory disease, 3) basic interpretation of electrocardiography, 4) exercise screening, testing, and assessment of people with cardiac or respiratory disease, and 5) exercise prescription and programmingᅠfor people with cardiac or respiratoryᅠdisease. The first three components will provide information about the disease process to inform exercise testing, functional assessments, and exercise prescription and programming within these special populations. Case studies will be incorporated to apply theoretical and practical knowledge of evidence-based exercise prescription for people with cardiac and/or respiratory disease.

Course requirements

Assumed background

This course builds on knowledge taught in EXMD3372.

Prerequisites

You'll need to complete the following courses before enrolling in this one:

EXMD3372 + EXMD2382 + valid Apply First Aid (CPR)

Incompatible

You can't enrol in this course if you've already completed the following:

HMST7742; HMST4742; EXMD7742

Restrictions

BExSS(Hons)(CEP) or BClinExP(Hons)

Course contact

Course staff

Lecturer

Clinical educator

Ms Kate Bell

Timetable

The timetable for this course is available on the UQ Public Timetable.

Aims and outcomes

The course aims to provide students with the necessary theoretical information and opportunities for applied practice needed to critically design, implement, supervise and evaluate exercise programs for individuals with cardiac and respiratory diseases. Theoretical content will include aetiology, pathophysiology and exercise implications for these populations. A voluntary practical immersionᅠwill be offered to provide real-world exposure to clinical assessment and programming skills for these clinical populations. Exercise therapy is only one component of a comprehensive and holistic approach to rehabilitation and secondary prevention; hence, this course also provides students with an overview of models of rehabilitation and secondary prevention and allows students the opportunity to explore optimal methods of exercise inclusion.

Learning outcomes

After successfully completing this course you should be able to:

LO1.

Understand the aetiology and pathophysiology of; and the specific risk factors for cardiorespiratory disease states

LO2.

Understand cardiorespiratory disease management including: diagnostic and interventional procedures; medications; exercise testing and prescription and its effects on heart rate, blood pressure and ECG

LO3.

Understand various assessment and testing protocols and their application in various disease states, including: ECG; blood pressure, manual heart rate, sternal stability, respiratory function tests; and exercise testing protocols

LO4.

Identify and understand cultural considerations associated with cardiorespiratory diseases

LO5.

Prescribe, develop, modify and supervise exercise and education sessions for persons with, or at risk of cardiovascular and respiratory diseases

Assessment

Assessment summary

Category Assessment task Weight Due date
Quiz Heart Foundation and Asthma Australia E-Learning Modules and Quizzes
  • Online
10%

Heart Foundation: Six Steps to Cardiac Recovery (120mins) 8/08/2024 5:00 pm

Heart Foundation: Asking the Question of Origin (40 mins) 15/08/2024 5:00 pm

RHD Australia: Introduction to Acute Rheumatic Fever (ARF) and Rheumatic Heart Disease (RHD) (45 mins) 22/08/2024 5:00 pm

ThinkGP / Asthma in Australia - Practical solutions for challenges in primary care (6 hours 10/10/2024 5:00 pm

Practical/ Demonstration Competency for Objective Assessments
  • Hurdle
Pass/Fail

23/08/2024 - 6/09/2024

During timetabled practical sessions.

Practical/ Demonstration Practical Examination
  • Hurdle
35%

9/09/2024 - 13/09/2024

Practical Exams will be held during week 8. Students will be able to sign-on during classes.

Essay/ Critique Case Study Reports - Cardiac and Respiratory 20%

21/10/2024 5:00 pm

Examination End Semester Examination
  • In-person
  • Online
35%

End of Semester Exam Period

2/11/2024 - 16/11/2024

A hurdle is an assessment requirement that must be satisfied in order to receive a specific grade for the course. Check the assessment details for more information about hurdle requirements.

Assessment details

Heart Foundation and Asthma Australia E-Learning Modules and Quizzes

  • Online
Mode
Activity/ Performance
Category
Quiz
Weight
10%
Due date

Heart Foundation: Six Steps to Cardiac Recovery (120mins) 8/08/2024 5:00 pm

Heart Foundation: Asking the Question of Origin (40 mins) 15/08/2024 5:00 pm

RHD Australia: Introduction to Acute Rheumatic Fever (ARF) and Rheumatic Heart Disease (RHD) (45 mins) 22/08/2024 5:00 pm

ThinkGP / Asthma in Australia - Practical solutions for challenges in primary care (6 hours 10/10/2024 5:00 pm

Task description

*** The completion of all of the below modules is required in order to achieve the full grade of 10%***

1. Heart Foundation: Six Steps to Cardiac Recovery (120mins)

The Heart Foundation Six Steps to Cardiac Recovery eLearning interactive module is available to help health professionals facilitate effective patient education after a heart attack and/or angina diagnosis. This engaging module is endorsed by the Australian Cardiovascular Health and Rehabilitation Association (ACRA) and takes two hours to complete.  

2. Heart Foundation: Asking the Question of Origin (40 mins)

This course provides training for health professionals in the acute and primary health care sectors on how to identify Aboriginal and Torres Strait Islander patients in accordance with standard practice. 

The course aims to: 

  • Increase understanding of the importance, responsibilities and reasons for identifying Aboriginal and Torres Strait Islander peoples. 
  • Improve knowledge, skills and confidence to identify Aboriginal and Torres Strait Islander peoples and record identification data in line with standard practice. 

3. RHD Australia: Introduction to Acute Rheumatic Fever (ARF) and Rheumatic Heart Disease (RHD) (45 mins)

RHDAustralia and the Heart Foundation provide courses on all aspects of the prevention, diagnosis and management of acute rheumatic fever and rheumatic heart disease.

This is a self-paced accredited course and students are required to complete this module only: Introduction to Acute Rheumatic Fever (ARF) and Rhuematic Heart Disease (RHD) 

4. ThinkGP / Asthma in Australia - Practical solutions for challenges in primary care (6 hours)

There are six modules which are available as one Accredited Learning Module and six individual modules, covering:

  1. Introduction: Asthma basics
  2. Partnering with your patients
  3. Adjusting treatment and encouraging adherence
  4. Preventative care to the stop asthma flares
  5. Paediatric asthma
  6. Severe asthma

This modules explore the impact of asthma for patients, and common challenges to providing optimal care in primary practice. Based on current Australian guidelines, the modules cover best practice diagnostic and management principles, strategies for preventive care and reducing the risk of hospitalisation, and real-world tips for making the most of your consultation time with a patient. Patient case studies and downloadable resources are included throughout, as well as information on ways to tailor treatment for Aboriginal and Torres Strait Islander people and for culturally and linguistically diverse populations.

Use of Artificial Intelligence Statement: This assessment task evaluates students' abilities, skills and knowledge without the aid of generative Artificial Intelligence (AI). Students are advised that the use of AI technologies to develop responses is strictly prohibited and may constitute student misconduct under the Student Code of Conduct.

Submission guidelines

Upload Completion Certificates via submission link on Blackboard by 5pm on the due date (weeks 3, 4, 5, 11).

Deferral or extension

You may be able to apply for an extension.

The maximum extension allowed is 28 days. Extensions are given in multiples of 24 hours.

Late submission

A penalty of 10% of the maximum possible mark will be deducted per 24 hours from time submission is due for up to 7 days. After 7 days, you will receive a mark of 0.

Competency for Objective Assessments

  • Hurdle
Mode
Activity/ Performance
Category
Practical/ Demonstration
Weight
Pass/Fail
Due date

23/08/2024 - 6/09/2024

During timetabled practical sessions.

Task description

Objective assessments will include manual blood pressure, manual heart rate, oxygen saturation, and sternal assessment. This will be a pass/fail assessment occurring during the allocated practical sessions (weeks 5-7). Competency must be demonstrated by the end of week 7 practical session. Students will be allowed multiple attempts to demonstrate competency. A criteria sheet will be available outlining what is required to achieve a passing mark.

Hurdle requirements

Students must pass this assessment item to pass the course overall, i.e. even if your final percentage mark is 50% or higher, if the individual competency is not passed, a student cannot achieve a grade higher than a 3.

Submission guidelines

Deferral or extension

You may be able to defer this exam.

Your deferred demonstration date and time will be determined by the course coordinator and communicated to you via your UQ student email account.

Practical Examination

  • Hurdle
Mode
Activity/ Performance
Category
Practical/ Demonstration
Weight
35%
Due date

9/09/2024 - 13/09/2024

Practical Exams will be held during week 8. Students will be able to sign-on during classes.

Task description

This practical exam assesses student's ability to:

- Accurately recall/identify all key aspects (e.g. contraindications, associated conditions) of a specified AEP target pathology and demonstrate a sophisticated understanding of the impact on subsequent exercise prescription using coherent, logically-sequenced explanations.

- Identify significant issues relevant to a detailed referral (case study) of an individual with a specific AEP target pathology and offer insightful analysis and critical evaluation of these issues in light of empirical evidence

- Identify and perform relevant assessment protocols

- Design a complete and well-constructed program for an individual with a specific AEP target pathology in which all assessments and exercises selected are safe and highly relevant, demonstrating creativity and cohesive, logical reasoning / analysis

- Using role-play, provide professional and highly effective demonstration with flawless technique

- Communicate using situation-appropriate language and thoughtful responses throughout with highly appropriate and effective cuing 

Use of Artificial Intelligence Statement: This assessment task is to be completed in-person. The use of generative Artificial Intelligence (AI) tools will not be permitted. Any attempted use of Generative AI may constitute student misconduct under the Student Code of Conduct.

Hurdle requirements

Students must pass this assessment item to pass the course overall, i.e. even if your final percentage mark is 50% or higher, if the individual Practical Examination is not passed, a student cannot achieve a grade higher than a 3.

Submission guidelines

Deferral or extension

You may be able to defer this exam.

Your deferred practical exam date and time will be determined by the course coordinator and communicated to you via your UQ student email account.

Case Study Reports - Cardiac and Respiratory

Mode
Written
Category
Essay/ Critique
Weight
20%
Due date

21/10/2024 5:00 pm

Task description

Students will be randomly assigned two case studies in Week 9 (one cardiovascular and one respiratory condition).

Each case study will require students to:

  • Explain the aetiology and pathophysiology of the primary diagnosis, using the presenting symptoms and results of investigations as part of your justification
  • Identify, list, and summarise all cardiovascular and/or respiratory risk factors for inclusion into a risk management plan for secondary prevention.
  • List each medication, explain the purpose, and describe the effects on heart rate, blood pressure, and peripheral oxygen (if applicable), at rest and with exercise.
  • Identify any contraindications to exercise. Complete a risk stratification to classify as to low / moderate / high risk for exercise prescription. Justify your classification.
  • Prescribe (and justify) an initial exercise program based on your risk stratification, including the first 2 weeks of the rehabilitation program (total of 4 sessions). Include all important components of the exercise program, including the FITT principles and appropriate progression over the 2 weeks. Outline safe ranges for heart rate, blood pressure, and pulse oximeter for exercise. Outline any relevant precautions or considerations for exercising this patient based on the case study details (including medications).

There is no word limit however each case study has a 3-page limit.

Use of Artificial Intelligence Statement: This assessment task evaluates students' abilities, skills and knowledge without the aid of generative Artificial Intelligence (AI). Students are advised that the use of AI technologies to develop responses is strictly prohibited and may constitute student misconduct under the Student Code of Conduct.

Submission guidelines

Upload of Case Studies via Turnitin submission link on Blackboard.

Deferral or extension

You may be able to apply for an extension.

The maximum extension allowed is 28 days. Extensions are given in multiples of 24 hours.

Late submission

A penalty of 10% of the maximum possible mark will be deducted per 24 hours from time submission is due for up to 7 days. After 7 days, you will receive a mark of 0.

End Semester Examination

  • In-person
  • Online
Mode
Written
Category
Examination
Weight
35%
Due date

End of Semester Exam Period

2/11/2024 - 16/11/2024

Task description

This assessment will assess all lecture and course material through multiple choice and short-answer questions.

Use of Artificial Intelligence Statement: This assessment task is to be completed in-person. The use of generative Artificial Intelligence (AI) tools will not be permitted. Any attempted use of Generative AI may constitute student misconduct under the Student Code of Conduct.

Exam details

Planning time 10 minutes
Duration 120 minutes
Calculator options

Any calculator permitted

Open/closed book Closed Book examination - no written materials permitted
Exam platform Inspera
Invigilation

Invigilated in person

Submission guidelines

Deferral or extension

You may be able to defer this exam.

Course grading

Full criteria for each grade is available in the Assessment Procedure.

Grade Cut off Percent Description
1 (Low Fail) 0 - 24

Absence of evidence of achievement of course learning outcomes.

Course grade description: A grade of 1 represents a failure to satisfy most or all of the basic requirements of the course. A grade of 1 will be awarded to a student who achieves a cumulative percentage for all graded assessment of 0% - 24%.

2 (Fail) 25 - 44

Minimal evidence of achievement of course learning outcomes.

Course grade description: A grade of 2 represents a failure to satisfy some of the basic requirements of the course. Clear deficiencies in performance, but evidence that some basic requirements have been met. A grade of 2 will be awarded to a student who achieves a cumulative percentage for all graded assessment of 25% - 44%.

3 (Marginal Fail) 45 - 49

Demonstrated evidence of developing achievement of course learning outcomes

Course grade description: A grade of 3 represents a failure to satisfy all basic requirements for passing the course, but is close to satisfactory overall and has compensating strengths in some aspects. A grade of 3 is typically awarded to a student who achieves a cumulative percentage for all graded assessment of 45% - 49%. However, a grade of 3 may also be awarded to a student who either achieves a cumulative percentage for all graded assessment of 50% or higher but who does not pass the must pass assessment item identified in the assessment summary.

4 (Pass) 50 - 64

Demonstrated evidence of functional achievement of course learning outcomes.

Course grade description: A grade of 4 represents a satisfactory understanding of the basic learning requirements for the course, such as knowledge of fundamental concepts and performance of basic skills; demonstrates sufficient quality of performance to be considered satisfactory or adequate or competent or capable in the course. A grade of 4 will be awarded to a student who achieves a cumulative percentage for all graded assessment of 50% - 64% and obtains a passing mark for the must pass assessment item identified in the assessment summary.

5 (Credit) 65 - 74

Demonstrated evidence of proficient achievement of course learning outcomes.

Course grade description: A grade of 5 demonstrates ability to use and apply fundamental concepts and skills of the course, going beyond mere replication of content knowledge or skill to show understanding of key ideas, awareness of their relevance, some use of analytical skills, and some originality or insight. A grade of 5 will be awarded to a student who either achieves a cumulative percentage for all graded assessment of 65% - 74% and obtains a passing mark for the must pass assessment item identified in the assessment summary.

6 (Distinction) 75 - 84

Demonstrated evidence of advanced achievement of course learning outcomes.

Course grade description: A grade of 6 demonstrates awareness and understanding of deeper and subtler aspects of the course, such as ability to identify and debate critical issues or problems, ability to solve non-routine problems, ability to adapt and apply ideas to new situations, and ability to invent and evaluate new ideas. A grade of 6 will be awarded to a student who either achieves a cumulative percentage for all graded assessment of 75% - 84% and obtains a passing mark for the must pass assessment item identified in the assessment summary.

7 (High Distinction) 85 - 100

Demonstrated evidence of exceptional achievement of course learning outcomes.

Course grade description: A grade of 7 demonstrates imagination, originality or flair, based on proficiency in all the learning objectives for the course; work is interesting, surprising, exciting, challenging or erudite. A grade of 7 will be awarded to a student who either achieves a cumulative percentage for all graded assessment of 85% - 100% and obtains a passing mark for the must pass assessment item identified in the assessment summary.

Additional course grading information

This course contains ‘must pass’ assessment items, specifically the Practical Examination and Competency for blood pressure and manual heart rate. Students must pass these assessment item to pass the course overall, i.e. even if your final percentage mark is 50% or higher, if these individual items are not passed, a student cannot achieve a grade higher than a 3.

A final percentage mark will be rounded to the nearest whole number (e.g. 64.50 and above will be rounded to 65 and 64.49 and below will be rounded down to 64.) 

Supplementary assessment

Supplementary assessment is available for this course.

Additional assessment information

What is TurnitIn?

Turnitin is an electronic assignment submission tool. The tool provides your Course Coordinator with:

  • a record of the exact submission time of an assignment
  • an originality report indicating the percentage of your work that is an exact match of existing materials within the Turnitin database.

Instructions on how to submit an assignment using Turnitin are located on the UQ Library websiteᅠSubmit your Turnitin assignment - Library Guide

Note:

When submitting, to check that you have chosen the correct file on theᅠPreview Submissionᅠpage and click on theᅠSubmit to Turnitinᅠbutton. ᅠ

Remember to download yourᅠdigital receiptᅠin yourᅠAssignment inboxᅠto confirm successful submission.

If a submission cannot be successfully completed, email a copy of the assessment task to the Course Administrator. For contact details refer to section 3 of the course profile.

ASSIGNMENT SUBMISSION

When submitting an assignment, remember to include a cover sheet, for example -ᅠ

Assessment Task:ᅠ Laboratory Report

Course Code: EXMD4742

Student Name: Tim Smith

Student Number: 4xxxxxxxx

Prac Group: P01

If students experience difficulties submitting assessment tasks, they should (by the due date/time):

Email a copy of the assessment task to the Course Administrator. For contact details refer to section 3 of the course profile.

Include a screenshot of the error message.

Recording of assessment

As per Section 7 of Assessment Procedures

Learning resources

You'll need the following resources to successfully complete the course. We've indicated below if you need a personal copy of the reading materials or your own item.

Library resources

Find the required and recommended resources for this course on the UQ Library website.

Learning activities

The learning activities for this course are outlined below. Learn more about the learning outcomes that apply to this course.

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Learning period Activity type Topic
Week 1

(22 Jul - 28 Jul)

Lecture

Week 1

Introduction Lecture: Course Overview and Introduction to scope of practice for accredited exercise physiologists.

Cardiac Conditions Part 1: Cardiovascular disease definitions and epidemiology, brief review of the heart and circulation, pathophysiology of cardiovascular disease and diagnostic testing, and co-morbidities and risk factors.

Not Timetabled

Self-directed e-learning module: Heart Foundation Six Steps to Cardiac Recovery

Self-directed e-learning module and assessment. Heart Foundation: Six Steps to Cardiac Recovery (120mins). Due Thursday 8th August 2024 by 5pm.

Week 2

(29 Jul - 04 Aug)

Lecture

Week 2

Cardiac Conditions Part 2: Clinical interventions for cardiovascular disease; Chronic Heart Failure pathophysiology and management.

Not Timetabled

Self-directed eLearning module: Heart Foundation Asking the Question of Origin

Self-directed e-learning module and assessment. Heart Foundation: Asking the Question of Origin (40mins). Due Thursday 15th August 2024 by 5pm.

Week 3

(05 Aug - 11 Aug)

Lecture

Week 3

Medications for cardiac and respiratory conditions (Guest Lecture by Pharmacist). Discussion of case studies to explain in plain language the purpose(s) and action (s) of prescribed medications, discussing the importance of compliance and effects on exercise responses.


Cardiac Conditions Part 3: Patient Assessment for cardiovascular disease and heart failure.


Not Timetabled

Self-directed eLearning module: RHD Australia Introduction to ARF and RHD

Self-directed e-learning module and assessment. RHD Australia: Introduction to Acute Rheumatic Fever (ARF) and Rhuematic Heart Disease (RHD) (45mins). Due Thursday 22nd August 2024 by 5pm.

Week 4

(12 Aug - 18 Aug)

Lecture

Week 4

Cardiac conditions Part 4: Exercise interventions for cardiovascular disease, heart failure, implantable devices (e.g. implantable cardioverter defibrillators and permanent pacemakers) Workshop - Explore and discuss case studies:

  • To describe how to access, interpret and measure clinical data and outcomes to inform clinical practice
  • To identify adverse signs and symptoms that may arise during exercise or recovery for cardiac clients

Multiple weeks

From Week 5 To Week 7
(19 Aug - 08 Sep)

Practical

Practical Sessions

Students will attend their allocated practical class (1-hour) during weeks 5, 6, and 7 to practice skills specific to cardiorespiratory conditions that will be assessed during the practical exam.

Week 5

(19 Aug - 25 Aug)

Lecture

Week 5

Electrocardiography basics (Guest lecture by Adam Scott). Ability to identify and describe the basic recognition of common aberrant rhythms and waveforms and ability to outline the unit of action (e.g. continue with exercise = green flag; continue only after medical approval = amber flag; discontinue and refer = red flag).

Week 6

(26 Aug - 01 Sep)

Lecture

Week 6

Cardiac Revision Lecture. Preparation, practice, and peer review for mid-semester practical exam.

Week 7

(02 Sep - 08 Sep)

Lecture

Week 7

Cultural Awareness and Responsiveness (Guest lecture). Discussion of case studies.

Week 8

(09 Sep - 15 Sep)

Lecture

Week 8 - In-semester Practical Exam

*** No Lecture due to In-semester Practical Exam

Multiple weeks

From Week 9 To Week 11
(16 Sep - 13 Oct)

Not Timetabled

Self-directed e-learning modules: Asthma Australia Practical solutions for challenges in primary care

Self-directed e-learning module and assessment. Asthma Australia Practical solutions for challenges in primary care (6 hours). Due Thursday 10th October 2024 by 5pm.

Week 9

(16 Sep - 22 Sep)

Lecture

Week 9

Respiratory conditions Part 1 (Guest Lecture). Lung anatomy and obstructive conditions. Discussion: Explore case studies to describe / demonstrate how to access clinical data; interpret clinical data and measure clinical outcomes to inform clinical practice for pulmonary rehab clients.

Week 10

(30 Sep - 06 Oct)

Lecture

Week 10

Respiratory conditions Part 2 (Guest Lecture). Restrictive and other pulmonary conditions.

Week 11

(07 Oct - 13 Oct)

Lecture

Week 11

Respiratory Conditions Part 3 (Guest Lecture). Exercise prescription and programming for Pulmonary Rehabilitation.

Week 13

(21 Oct - 27 Oct)

Lecture

Week 13

Respiratory revision lecture and preparation for final exam

Policies and procedures

University policies and procedures apply to all aspects of student life. As a UQ student, you must comply with University-wide and program-specific requirements, including the:

Learn more about UQ policies on my.UQ and the Policy and Procedure Library.

You'll also need to be aware of the following policies and procedures while completing this course:

  • Work Integrated Learning and Work Experience

School guidelines

Your school has additional guidelines you'll need to follow for this course: