XNB360 Cardiorespiratory, Metabolic and Renal Disorders


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Unit Outline: Semester 2 2025, Kelvin Grove, Internal

Unit code:XNB360
Credit points:12
Pre-requisite:(XNB381 or XNB361) and XNB280. XNB361 may be enrolled in the same semester as XNB360.
Equivalent:XNB380
Coordinator:Ian Stewart | i.stewart@qut.edu.au
Disclaimer - Offer of some units is subject to viability, and information in these Unit Outlines is subject to change prior to commencement of the teaching period.

Overview

This unit is a clinical unit that develops key clinical knowledge required for exercise physiology practice. This unit specifically focuses on the cardiorespiratory, metabolic and renal disorders, including their epidemiology, aetiology, pathophysiology, clinical course, diagnostic and assessment procedures, and treatments. By identifying the causes of each disorder, along with their epidemiological characteristics, the underlying mechanisms that affect movement capacity, and approaches taken to diagnose, assess and treat these disorders, the unit aims to develop your knowledge of these disorders so that you can recognise how they affect and respond to movement, exercise and activity. This unit links to XNH386 Clinical Skills for Exercise Physiologists, where practical assessment skills relevant to the disease states covered in this unit, are taught.

Learning Outcomes

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

  1. Describe the aetiology, epidemiology, pathophysiology and clinical course, at a level that allows you to work with other health professionals in the assessment and provision of exercise and activity suitable for people with cardiorespiratory, metabolic and renal conditions.
  2. Describe the diagnostic and assessment procedures, treatments and medications, at a level that allows you to work with other health professionals in the assessment and provision of exercise and activity suitable for people with cardiorespiratory, metabolic and renal conditions.
  3. Analyse client information and make informed judgments to appropriately risk stratify an individual for exercise and activity.

Content

You will be required to describe the aetiology, epidemiology, pathophysiology, clinical course, diagnostic and assessment procedures and treatments and medications across the following 4 learning modules and diseases listed below:

Module 1: Cardiovascular Disease

  • Myocardial infarction, heart failure, angina, peripheral arterial disease, valve disease, arrthymias, pacemakers, hypertension
    Module 2: Respiratory Disease
  • asthma, chronic obstructive pulmonary disease, cystic fibrosis
    Module 3: Metabolic Disease
  • Type 1 and Type 2 diabetes, gestational diabetes, metabolic syndrome, dyslipidaemias, overweight and obesity, sleep apnoea, polycystic ovarian syndrome
    Module 4: Renal Disease
  • Chronic renal disease stages 1-5 (most common aetiologies - diabetic nephropathy, hypertensive nephropathy, polycystic kidney disease, long-term medication use, infectious kidney disease), acute renal failure (reversible), end stage renal disease

Learning Approaches

This unit adopts a blended approach to learning. The unit will make extensive use of web-based resources including video recordings and assessment procedures commonly used with each specific disorder. Where possible, learning content will include invited speakers, other health professionals and patients, to provide their perspectives on the implications of the disorders for movement, exercise and activity. Tutorials will focus on case scenarios that allow you to deepen your understanding of each condition and gain an awareness of the cultural diversity of a condition and its normal clinical course.

Feedback on Learning and Assessment

Feedback on your performance in assessment tasks will be provided through verbal feedback in class and written feedback on an individual basis or group basis as required for each assessment.

Assessment

Overview

This unit will be delivered across a 13 week semester. Assessment items are designed to measure your knowledge and mastery of professional skills stated in the learning outcomes.

Unit Grading Scheme

7- point scale

Assessment Tasks

Assessment: Mid-Semester Examination

You will be evaluated on your knowledge and application of diseases presented in Modules 1 and 2. This assessment will use both short answer, case scenarios and multiple-choice examination format.

Weight: 20
Length: 1.5 hours
Individual/Group: Individual
Due (indicative): Week 6
Related Unit learning outcomes: 1, 2, 3

Assessment: Clinical Case Study

You are required to undertake the initial steps in constructing an exercise management plan for a client with a chronic disease from one of the 4 learning module areas. Content to be included in the case scenario include defining specific conditions and pathologies associated with the disease; defining causes of the disorders; explanation of the pathophysiological diagnosis and treatment of the disorders, common co-morbidities, explore common medications and implications of the medications for exercise, and complete a risk stratification processes involved in the design of a safe and effective exercise program based on the above information and scientific evidence.

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

Weight: 40
Length: Variable
Individual/Group: Individual
Due (indicative): Weeks 8 and 13
Related Unit learning outcomes: 3

Assessment: Final Examination

You will be evaluated on your knowledge application of diseases presented throughout the unit including complex disease scenarios. This assessment will use both short answer, multiple-choice and case scenario format.

Weight: 40
Individual/Group: Individual
Due (indicative): During central examination period
Central exam duration: 2:10 - Including 10 minute perusal
Related Unit learning outcomes: 1, 2, 3

Academic Integrity

Academic integrity is a commitment to undertaking academic work and assessment in a manner that is ethical, fair, honest, respectful and accountable.

The Academic Integrity Policy sets out the range of conduct that can be a failure to maintain the standards of academic integrity. This includes, cheating in exams, plagiarism, self-plagiarism, collusion and contract cheating. It also includes providing fraudulent or altered documentation in support of an academic concession application, for example an assignment extension or a deferred exam.

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.

Breaching QUT’s Academic Integrity Policy or engaging in conduct that may defeat or compromise the purpose of assessment can lead to a finding of student misconduct (Code of Conduct – Student) and result in the imposition of penalties under the Management of Student Misconduct Policy, ranging from a grade reduction to exclusion from QUT.

Resources

Resource Materials

Recommended text(s)

Ehrman, J., Gordon, P., Visich, P., & Keteyian, S. (2013). Clinical Exercise Physiology (3rd ed.). Champaign, IL: Human Kinetics, USA.

Risk Assessment Statement

There are no out of the ordinary risks associated with this unit.