CSB465 Person-centred care: Mental Health

Unit Outline: Semester 2 2024, Gardens Point, Internal

Overview

This unit builds on previous units studied to further develop knowledge and skills within the Framework of the National Competency Standards for Pharmacists in Australia, the Australian Pharmacy Council pharmacy learning domains for degree programs, and the World Health Organisation/International Pharmaceutical Federation's concept of the 8 star pharmacist. Knowledge and skills will be developed in the mental health context, a priority area that is a significant contributor to the burden of illness and/or injury in Australia. Through an inquiry based learning approach, you will participate in the interpretation, application and dissemination of pharmaceutical and pharmacotherapeutic concepts and knowledge. This unit will also develop your understanding of your role as an effective pharmacist through experiential learning over a two week period. You will observe and/or participate in a variety of pharmacy operations, with a focus on mental health and neurology.

This is a designated unit which is essential to your course progression. Designated units include professional experience units, units requiring the development of particular skills, and units requiring demonstration of certain personal qualities. If you fail to achieve a satisfactory level of performance in a designated unit, you may be excluded from enrolment or will be put on academic probation. If you fail a designated unit twice within your course, you may be excluded. Supplementary assessment is not available on designated units.

Learning Outcomes

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

1. Critically apply knowledge of advanced pharmaceutical, medication and health knowledge and skills in the wider context.
2. Apply critical thinking and problem solving skills to analyse, interpret and generate a clinical decision.
3. Work collaboratively to demonstrate effective communication and justify your rationale for your clinical decision using an evidence base within safe, legal and ethical responsibilities.
4. Communicate, interpret information and offer advice for patients to negotiate therapeutic goals, translate information to specialist and non-specialist audiences.

Content

Learning Approaches

The unit will develop independent and life-long learning skills of communication, capacity for inquiry and research, critical thought and analysis, teamwork and effective use of information technology, with an emphasis on clinical problem-solving.

You will work in teams to problem-solve case-based questions, strengthening your collaboration, communication and research skills, to source and justify the evidence which supports solutions in the neurological context. Sharing and applying the knowledge gained as collaborative learners builds confidence while developing interpersonal and professional communication skills.

Teaching staff will support student centred learning by guiding students through the cases, and facilitating their learning in teams.

This is the fourth in a suite of six units involving a placement experience. This unit will develop your understanding of your role as an effective pharmacist through experiential learning over a two week period. You will observe and/or participate in a variety of pharmacy operations, with a focus on neurology and mental health.

The content presented for this unit may be presented in face to face sessions, via video-conferencing, or recorded online medium through Canvas

Feedback on Learning and Assessment

For pre-workshop content, you will be provided with formative tasks which will give you feedback on your understanding of content.

During workshops, you will be provided in class activities where you can apply knowledge related to this unit (individually and/or as groups).  Academics will be able to provide feedback on your ability to apply information, which is an essential skill for all assessment items. 

During workshops, you will be provided with activities which will allow you to practice skills required  in the OSCE.  Academics will be able to provide feedback on these tasks which will assist you with your OSCE preparation.  You will also be provided with a mock OSCE, where you can assess your progress towards successfully completing the OSCE. 

Feedback will be provided (as a group) for the OSCE post exam.  This will help you determine your strengths and areas for improvement, which will assist you with your future practice. 

On placement, you will reflect on your own competencies and will receive industry specific feedback from your preceptor on your development towards being a pharmacist.  

Assessment

Overview

There are three pieces of assessment to be completed in this unit. Each task is designed to assess particular learning outcomes.

The assessment items are situated across the semester to provide feedback on your learning. In the OSCE you will rotate through a series of stations assessing your clinical processes and skills to demonstrate the acquisition of professional competency learning outcomes of a pharmacy practitioner.

Electronic access to resources in school-based examinations may be provided using University computers only (this is at the discretion of the Unit Coordinator and further details will be provided via Canvas). If electronic access is provided, students should be aware that access to resources cannot be guaranteed and students should ensure they are able to utilise hard copies of the same references.

Special conditions of assessment:

Participation and attendance at placement
This unit includes a two-week placement experience. In order to receive a grade in this unit, the unit coordinator must receive completed activity task sheets, feedback sheet completed by the preceptor, and preceptor signoff that placement hours have been satisfactorily completed by the end of week 13 of semester.

You will be required to electronically submit all written assignments for content matching checks.

Group assessments are to be completed and submitted as a group. Individual submissions will receive a score of 0 for the assessment.

Unit Grading Scheme

7- point scale

Assessment Tasks

Assessment: Theory exam

You will undertake a written examination containing short answer questions. This exam will cover content from the entire semester.  

Assessment: Professional Practice Portfolio

Students will demonstrate evidence of knowledge, skills and attributes in line with the role of a pharmacist and within the professional competencies.  These competencies are mapped to the National Competency Standards Framework for Pharmacists. 

There are 3 main tasks which make up the portfolio:

1. Video demonstrating effective communication
2. Video reflecting on selfcare
3. Placement portfolio items

This assignment is eligible for the 48-hour late submission period and assignment extensions.

Assessment: OSCE

Acting as a pharmacist, you will apply knowledge, and source and interpret evidence to demonstrate a safe and effective assessment and management of case(s). You will provide counselling and management advice to a patient, evaluate the appropriateness of prescribed medications, and discuss clinical information with a prescriber.  

The OSCE will run for approximately 60 minutes.  

Academic Integrity

Students are expected to engage in learning and assessment at QUT with honesty, transparency and fairness. Maintaining academic integrity means upholding these principles and demonstrating valuable professional capabilities based on ethical foundations.

Failure to maintain academic integrity can take many forms. It includes cheating in examinations, plagiarism, self-plagiarism, collusion, and submitting an assessment item completed by another person (e.g. contract cheating). It can also include providing your assessment to another entity, such as to a person or website.

You are encouraged to make use of QUT’s learning support services, resources and tools to assure the academic integrity of your assessment. This includes the use of text matching software that may be available to assist with self-assessing your academic integrity as part of the assessment submission process.

Further details of QUT’s approach to academic integrity are outlined in the Academic integrity policy and the Student Code of Conduct. Breaching QUT’s Academic integrity policy is regarded as student misconduct and can lead to the imposition of penalties ranging from a grade reduction to exclusion from QUT.

Requirements to Study

Requirements

Mandatory requirements for pharmacy placement. Failure to comply with these requirements by the due date given will result in your exclusion from placement activities:

• Blue Card: A Blue card confirms that you have passed a screening of your criminal history (the Working with Children Check) and have been approved to work with children and young people. For more information on the Blue card and how to apply, please refer to Blue cards - QUT Digital Workplace.
• Vaccine Preventable Diseases Evidence: It is a mandatory requirement for students to be vaccinated against several vaccine preventable diseases. For more information, please refer to Faculty of Health's website at Health student placements How to complete your pre-placement requirements - QUT Digital Workplace before the commencement of placement. You must provide evidence of immunity for Hepatitis B, Measles, Mumps, Rubella, Diphtheria, Tetanus, Pertussis and Varicella on the Vaccine Preventable Diseases Evidence Certification Form. The form includes information on the evidence that is required for each vaccination. More information will provided by WILS.

There may be additional mandatory requirements for placements within specific external organisations (eg. QLD Health) and these expectations will be conveyed to you by the Health WILS team. Failure to meet these requirements by the due date given, may prevent you from undertaking your placement.

Costs

Cost of lab gowns and safety protection glasses is the students' responsibility. 

All Work Integrated Learning placement costs, including immunisations, the prescribed QUT placement uniform, travel and accommodation expenses, are the responsibility of the student. See QUT - Additional course costs.

Resources

Resource Materials

Recommended text(s)

AusDI: evidence based medicines information resource for Australian practice. St Leonards, NSW: Phoenix Medical Publishing; 2014. http://libguides.library.qut.edu.au/databases/ausdi

Australian Medicines Handbook, current edition, Adelaide: AMH Pty Ltd.

Beardsley, R. S.; Kimberlin, C. L.; Tindall, W. N. Communication skills in pharmacy practice: a practical guide for students and practitioners: Lippincott Williams & Wilkins, 2012.

Bowling, A. Research methods in health: McGraw-Hill Education (UK), 2014.

Dale, M. M.; Haylett, D. G. Rang & Dale's Pharmacology Flash Cards: Churchill Livingstone, 2010. Rutter, P. Community pharmacy: symptoms, diagnosis and treatment: Elsevier Health Sciences, 2015.

Golan, D. E.; Tashjian, A. H.; Armstrong, E. J.; Armstrong, A. W. Principles of pharmacology: the pathophysiologic basis of drug therapy, Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 2012.

Guidelines for the Continued Dispensing of eligible prescribed medicines by pharmacists, (2012) Pharmaceutical Society of Australia.

May, J. R. Pharmacy Management: Essentials for All Practice Settings, American journal of pharmaceutical education. 2006, 70.

Medicines and Poisons (Medicines) Regulation 2021 (available on-line)

https://www.legislation.qld.gov.au/view/pdf/inforce/2021-09-27/sl-2021-0140

Procter, N.; Hamer, H.; McGarry, D.; Wilson, R. L.; Froggatt, T. Mental health: a person-centred approach, Port Melbourne, Victoria: Cambridge University Press, 2014.

Sansom, L.; Pharmaceutical Society of, A. Australian pharmaceutical formulary and handbook: the everyday guide to pharmacy practice, Deakin West, ACT: Pharmaceutical Society of Australia, current edition

Schwinghammer, T. L.; Koehler, J. M.; Schwinghammer, T. L. Pharmacotherapy casebook: a patient-focused approach: McGraw-Hill Medical, 2009.

The Merck Manual (current edition), Merck Research Laboratories, Whitehorse Station

The Standard for the Uniform Scheduling of Medicines and Poisons (SUSMP). Canberra, ACT: Australian Govt. https://www.tga.gov.au/publication/poisons-standard-susmp

Therapeutic Guidelines. http://www.tg.org.au/

eMIMS (current edition), St Leonards, NSW: MIMS Australia, CMPMedica Australia Pty Limited. http://www.mims.com.au/

Safety and protective equipment

Practicals will require personal protective equipment supplied by each student:
1. Laboratory Gown - Rear fastening 100% cotton or polyester/cotton mix
2. Safety eye protection glasses - selected and used in accordance with Australian Safety Standards
3. Fully enclosed non-slip shoes

Risk Assessment Statement

Learning is the responsibility of all stakeholders. Students have a responsibility to minimise risk to themselves, other staff and clients while on placements both on campus and off campus.

This unit includes a laboratory component. In order that you become proficient in necessary practical skills, you will be trained in the handling of equipment, materials and specimens normally associated with this discipline. You are required to view a Health & Safety Induction video and complete an online health and safety quiz prior to being permitted into the laboratory, to access please follow this link Health & Safety Induction. A passing score of 10/10 is required and will be checked prior to entry to the first laboratory session. You may repeat the quiz until this score is achieved. You are also referred to the Faculty of Health's Health & Safety Web Site for further information.

If you have an underlying health condition you are encouraged to consult the lecturer in charge of the unit, as you may be required to take additional precautions on occasions.

Students must make themselves aware of and abide by the occupational health and safety requirements of all placement workplaces, and are expected to undergo any induction or other training provided for employees or visitors to the workplace as appropriate.

You are required to read the document 'Managing your rights, responsibilities and safety on placements' Your safety and wellbeing on placement - QUT Digital Workplace and disclose relevant health information as specified in this document. Students who are pregnant at the time of the placement also have particular disclosure requirements, as detailed in this document. Personal or medical information must be disclosed for example when there is an increased risk to the student or others, an impediment exists where adjustments to tasks will be required and/or if there are specific religious, cultural or family requirements.

All accidents, incidents and critical near-misses should be reported to your placement workplace and QUT. If an incident occurs on placement, a report needs to be submitted online through the Health, safety and environment HSE Hub accessed via  Your safety and wellbeing on placement - QUT Digital Workplace.

Course Learning Outcomes

CS47 Bachelor of Pharmacy (Honours)

1. Understand and apply knowledge of the health care consumer: person-centred care promoting wellness, person and societal good, prevention of poor health outcomes and harm, treating disease.
   Relates to: ULO1, ULO2, ULO3, ULO4, Theory exam, Professional Practice Portfolio, OSCE
2. Demonstrate expertise in knowledge of medicines, including knowledge of the drug substance and drug action: sources, properties and actions of medicinal substances.
   Relates to: ULO1, ULO2, ULO3, Theory exam, Professional Practice Portfolio, OSCE
3. Understand and apply knowledge of health care systems and wider contexts, including legal, ethical, professional frameworks and economic systems and work in interprofessional teams.
   Relates to: ULO1, ULO2, ULO3, ULO4, Theory exam, Professional Practice Portfolio, OSCE
4. Demonstrate ethical, legal and professional responsibilities, whilst considering quality, risk, best interests and safety of patients and public, formulating strategies to address any issues.
   Relates to: ULO1, ULO3, OSCE
5. Communicate and collaborate with a socially and culturally diverse range of people on interpersonal and interprofessional levels.
   Relates to: ULO4, Theory exam, Professional Practice Portfolio, OSCE
6. Provide tailored information, advice and documentation using a range of communication modes including written, verbal, non-verbal and digital.
   Relates to: ULO4, Theory exam, Professional Practice Portfolio, OSCE
7. Collaborate and share decision-making in partnership with the interprofessional health care team to optimise patient outcomes, and with patients, clients and carers respecting roles, privacy and choices.
   Relates to: ULO4, Theory exam, Professional Practice Portfolio, OSCE
8. Demonstrate quality use of medicines including actions and recommendations for safe, rational and cost-effective use and management, prescribing, and medication reviews.
   Relates to: ULO1, ULO2, ULO3, Theory exam, Professional Practice Portfolio, OSCE
9. Deliver person-centred care, obtaining, assessing, formulating, monitoring, facilitating self-management/adjustment of health, medical and medication information and plans in collaboration with individuals, communities, health care teams for optimal outcomes.
   Relates to: ULO1, ULO2, ULO3, Theory exam, Professional Practice Portfolio, OSCE
10. Provide medications and other management options including administering, dispensing, preparing and supplying, safe storage, tailored counselling, and assessing ambulatory conditions.
    Relates to: ULO1, ULO2, ULO3, Theory exam, Professional Practice Portfolio, OSCE
11. Demonstrate health promotion and harm minimisation approaches providing evidence-based screening, assessment, prevention, referral and strategies to reduce harm from misuse of legal and illegal drugs, and participating in health promotion activities.
    Relates to: ULO1, ULO2, ULO3, Theory exam, Professional Practice Portfolio, OSCE
12. Undertake structured reflection to enhance learning and practice, self-awareness, self-regulation and ability to evaluate personal health and wellbeing status, demonstrating awareness of professional limitations and adopting strategies to address.
    Relates to: ULO1, ULO2, Theory exam, Professional Practice Portfolio, OSCE
13. Demonstrate leadership skills, initiative and accountability to self, others, promoting responsible and socially accountable stewardship of health care resources.
    Relates to: ULO1, ULO3, Theory exam, Professional Practice Portfolio, OSCE
14. Demonstrate skills as a role model, facilitator and/or mentor.
    Relates to: ULO4, Theory exam