
Management of Acute Deterioration (MAD) - 20 credits - Module
This module offers you, a registered healthcare practitioner with a minimum of 6 months experience caring for acutely ill adults, the opportunity to enhance your management of episodes of acute health deterioration. This module helps you to formulate and contribute to clinical intervention decisions that are responsive to the patient as an individual....
- Level CPD
- Study mode Short Course
- Location City South
- Award Module
- Start date April 2023
- Fees View course fees
- School School of Health Sciences
- Faculty Faculty of Health, Education and Life Sciences
Overview
This module offers you, a registered healthcare practitioner with a minimum of 6 months experience caring for acutely ill adults, the opportunity to enhance your management of episodes of acute health deterioration. This module helps you to formulate and contribute to clinical intervention decisions that are responsive to the patient as an individual.
This module aims to help enhance your confidence and ability to rationalise clinical decisions in this often time pressured situation, with a strengthened physiological and evidence base rationale. A focus on early intervention and early management is also a key part of this module, as is navigating the sometimes challenging conflicting pressures on our role.
What's covered in this course?
The module covers contemporary management from a nursing and allied health professional perspective of the most common causes of acute health deterioration such as sepsis, acute exacerbation of COPD, acute kidney injury, acute coronary syndrome, hypovolaemia and acute heart failure.
You will refresh your knowledge of common interventions given during episodes of acute health deterioration such as oxygen therapy, intravenous fluids, non-invasive ventilation and analgesia, from a physiological, evidence base and role perspective.
The knowledge and skills gained in this module will be useful to registered healthcare professionals working anywhere where patients sometimes experience an acute deterioration in their health, and they are expected to commence initial interventions, alongside escalating to others for help.
This module is aimed at enhancing your ability to make effective clinical intervention decisions during episodes of acute health deterioration for patients as individuals. Significant evidence exists that indicates that the number of people living with one, two or more long term conditions is rapidly increasing. The population in the UK is also ageing. With the polypharmacy that often accompanies this, the management of episodes of acute health deterioration has become more challenging. You will be supported during the course to develop your clinical decision making skills, to respond to these challenges.
Why Choose Us?
- Clinically focused content that addresses the challenges of the increasingly older and more complex patient population
- An opportunity to develop your confidence and skills specifically in the management of acute health deterioration
- A strong focus on current issues in acute care, and the practical application of knowledge
- The module has a bespoke Moodle virtual learning environment to support your learning at times convenient to you
- Ongoing support from university staff to facilitate your development as a learner
Studying with us during the Covid-19 pandemic
The University has put in place measures in response to Covid-19 to allow us to safely deliver our courses. Should the impact of the pandemic continue in future years, any additional or alternative arrangements put in place by the University will be in accordance with the latest government public health advice, health and safety legislation, and the terms and conditions of the student contract.
Fees & How to Apply
UK students
Annual and modular tuition fees shown are applicable to the first year of study. The University reserves the right to increase fees for subsequent years of study in line with increases in inflation based on the Retail Prices Index and the additional costs we incur each year to deliver our courses, maintain and develop our infrastructure and provide a range of support services, or to reflect changes in Government funding policies or changes agreed by Parliament. View fees for continuing students.
Award: Module
Starting: Apr 2023
- Mode
- Duration
- Fees
- Short Course
- 6 weeks
- £756 per 20-credit module
International students
Annual and modular tuition fees shown are applicable to the first year of study. The University reserves the right to increase fees for subsequent years of study in line with increases in inflation based on the Retail Prices Index and the additional costs we incur each year to deliver our courses, maintain and develop our infrastructure and provide a range of support services, or to reflect changes in Government funding policies or changes agreed by Parliament. View fees for continuing students.
Award: Module
Starting: Apr 2023
- Mode
- Duration
- Fees
- Short Course
- 6 weeks
- £756 per 20-credit module
If you're unable to use the online form for any reason, you can complete our PDF application form and equal opportunities PDF form instead. The University reserves the right to increase fees in line with inflation based on the Retail Prices Index or to reflect changes in Government funding policies or changes agreed by Parliament up to a maximum of five per cent.
How to apply
Complete the online application form via the link above, including the name of the module you are enrolling onto.
Course in Depth
Level 6
20 credits
This module allows you, a registered healthcare practitioner with a minimum of six months experience caring for patients who experience episodes of acute health deterioration, to enhance your ability to quickly and effectively respond to adults who experience acute illness.. Acute episodes of health deterioration occur in a wide variety of healthcare settings. Wherever you work, this module aims to foster and develop your ability to prioritise and rationalise your clinical decisions in order to manage episodes of acute health deterioration confidently. It will also support you to develop your understanding of the current evidence base underpinning contemporary acute illness management.
The Shape of Caring Review (2015 p 21) advised that “successful whole person care requires an appropriate balance between specialisation and generalism, and an increased flexibility within roles and career paths across organisational boundaries”. In particular it advocates that a more flexible, generic skill set will allow registered nurses to work confidently across a range of settings. Whilst this report refers to registered nurses, this ethos is mirrored in many publications related to other health care professionals. The Shape of Training (2013 p 5) for example advocates “patients and the public need more doctors who are capable of providing general care in broad specialties across a range of different settings”. This module in response to this focuses on managing episodes of acute health deterioration, in a wide range of body systems, in a wide range of clinical settings. This aims to ensure that your employability is enhanced.
This change in direction in the health service is being driven by the growing complexity of the UK’s patient population. The number of patients with multiple co-morbidities, of advanced age and who experience health inequalities is rapidly rising at a time of increasing patient expectations. NCEPOD (2011 p 5) published a report which contained “cogent evidence that today’s patients are more challenging than those the NHS dealt with, even ten years ago”. This course that aims to increase your confidence in delivering care for adults experiencing acute health deterioration who are more commonly complex, is therefore of timely value.
This module aligns with the Professional Practice Programme philosophy and is designed to be flexible and practice-led. A blended learning approach is taken, incorporating classroom sessions, skills workshops and online activities via Moodle. You will be encouraged to think critically and share practice experiences with your fellow students, as well as engaging in both directed and self-directed learning activities. You will be an active partner in your own learning and development. In return you will receive regular feedback and feed forward aimed at developing your academic skills. You will have the opportunity to discuss your progress with the module at frequent intervals throughout the course.
This module also aligns with the Recognition, Assessment and Physiological Interpretation of Deterioration (RAPID) module on the acute care pathway. This module should ideally be studied second, if you plan to undertake both.
Level 7
20 credits
This module allows you, typically a graduate health care professional with a minimum of six months experience caring for patients who experience episodes of acute health deterioration, to enhance your ability to quickly and effectively respond to adults who experience acute illness, who have a complex health history.
Acute episodes of health deterioration occur in a wide variety of healthcare settings. Wherever you work, this module aims to enhance your ability to prioritise and rationalise your clinical decisions in order to manage episodes of acute health deterioration confidently. It will also support you to further develop your understanding of the current evidence base underpinning contemporary acute illness management.
The Shape of Caring Review (2015 p 21) advised that “successful whole person care requires an appropriate balance between specialisation and generalism, and an increased flexibility within roles and career paths across organisational boundaries”. In particular it advocates that a more flexible, generic skill set will allow registered nurses to work confidently across a range of settings. Whilst this report refers to registered nurses, this ethos is mirrored in many publications related to other health care professionals. The Shape of Training (2013 p 5) for example advocates “patients and the public need more doctors who are capable of providing general care in broad specialties across a range of different settings”. This module in response to this, focuses on managing episodes of acute health deterioration, in a wide range of body systems, in a wide range of clinical settings. This aims to ensure that your employability is enhanced.
This change in direction in the health service is being driven by the growing complexity of the UK’s patient population. The number of patients with multiple co-morbidities, of advanced age and who experience health inequalities is rapidly rising, at a time of increasing patient expectations. NCEPOD (2011 p 5) published a report which contained “cogent evidence that today’s patients are more challenging than those the NHS dealt with, even ten years ago”. This course aims to increase your confidence in delivering care for adults with a complex health history, who experience acute deterioration.
This module aligns with the Professional Practice Programme philosophy and is designed to be flexible and practice-led. A blended learning approach is taken, incorporating classroom sessions, skills workshops and online activities via Moodle. You will be encouraged to think critically and share practice experiences with your fellow students, as well as engaging in both directed and self-directed learning activities. You will be an active partner in your own learning and development. In return you BCU Module Specification V1.00 2017/18 16/05/18 will receive regular feedback and feed forward aimed at developing your academic skills. You will have the opportunity to discuss your progress with the module at frequent intervals throughout the course.
This module also aligns with the Recognition, Assessment and Physiological Interpretation of Deterioration (RAPID) module on the acute care pathway. This module should ideally be studied second, if you plan to undertake both.
Course structure
Through engaging teaching and the use of contemporary case studies you will gain enhanced confidence in your management of episodes of acute health deterioration, in adults with complex health histories This is achieved through a blended learning approach involving 6 interactive scheduled virtual classroom study days and a wide variety of engaging on line learning activities via Moodle. During a study day you can expect to collaborate with your peers and be supported in your learning by experts in the field. You can also expect to be well supported with the preparation of your assessment.
You have the opportunity to study this module for 20 level 6 or level 7 academic credits. Please contact the module lead for further advice, if you are at all unclear about which level is right for you.
This module aligns with the Professional Practice Programme philosophy and is designed to be flexible and practice-led. As well as engaging in both directed and self-directed learning activities, you will be an active partner in your own learning. In return you will receive regular feedback and feed forward aimed at developing your academic skills. You will have the opportunity to discuss your progress at frequent intervals.
Assessment
Written Assignment
The case study based written assignment will enable you to demonstrate your understanding of a treatment intervention of your choice required by an adult experiencing an acute episode of health deterioration. Your written assignment will demonstrate your understanding of relevant physiological and pathophysiological theory, and your critical appreciation of the current evidence base. It will also demonstrate your ability to reflect upon your role in ensuring evidence based interventions are implemented as early as possible, for an adult who presents with acute health deterioration. This can serve as a useful piece of evidence for professional revalidation processes.
In the assignment you demonstrate that you have met the learning outcomes of the module through critical discussion of an episode of patient care that you have encountered, in your own clinical area. In doing so it reflects the aim of the Professional Practice Programme to offer learning and teaching which is responsive to the challenges of practice, which is focussed on knowledge which has practical application.
You will receive regular support with your developing work. There is also a wide range of support available from the Personal Development Department if you are nervous about writing academically.
International
Birmingham City University is a vibrant and multicultural university in the heart of a modern and diverse city. We welcome many international students every year – there are currently students from more than 80 countries among our student community.
The University is conveniently placed, with Birmingham International Airport nearby and first-rate transport connections to London and the rest of the UK.
Our international pages contain a wealth of information for international students who are considering applying to study here, including:
- Explore some of the good reasons why you should study here.
- Find out how to improve your language skills before starting your studies.
- Find all the information relevant to applicants from your country.
- Learn where to find financial support for your studies.
Facilities & Staff
The creation of our new suite of courses in Sport and Life Sciences is yet another exciting development at Birmingham City University. The 10,500sq metre building at City South Campus will enable us to offer a wide range of new health, nutrition, biomedical science and sports courses, as well as providing a new home for our education programmes.
Not only are we investing £41 million in a new building to house the laboratories and teaching spaces needed, but we also plan to open up these facilities to benefit all students and the wider community. This will complement our existing sports facilities, which already provide a base for students to compete in activities ranging from rugby to jiu jitsu.
The courses will reflect the latest developments in our teaching and our focus on practice-led learning with work placements and live industry case studies incorporated into the curriculum. All courses have been co-designed with employers and are endorsed or accredited by professional bodies where appropriate.
By expanding our provision to these new areas, we will be helping to tackle some of the biggest challenges facing society today, such as obesity and unhealthy lifestyles, by encouraging and supporting healthy eating and greater physical activity.
In addition, we will be producing graduates who can support elite performers in meeting the UK’s ambitions for sporting success at events such as the Olympics and other world sporting tournaments. We are constantly looking to enhance the range of courses we offer - please check all our courses for the latest additions to our portfolio.

Simulation Mannequins
We have several Simulation men (SIM men) and Simulation babies (SIM babies) which are leading edge, anatomically correct mannequins used for teaching specific techniques such as advanced adult and paediatric life support skills, acute and high dependency clinical skills, first aid and communication skills.

S.P.A.C.E.
SPACE is an innovative practice area all students can access to use equipment and resources to practise a wide range of skills in a safe, welcoming and supportive environment. It provides students with a creative learning environment to get the best educational experience before becoming a health care professional.

Learning Facilities
We offer up-to-date, innovative facilities that simulate the real situations that medical staff may come across. These resources are essential in offering students a hands-on introduction to health and social care practice.

Virtual Tour
Explore our facilities in 360 panoramas, including welcome videos from key members of staff and Health and Wellbeing student profiles.
Doug Ellis Sports Centre
Our £8.5 million Doug Ellis Sports Centre boasts an 80-station fitness suite, an eight-court sports hall, and workout and spinning studios. The centre offers state-of-the-art fitness training equipment and plenty of room for team sports including five-a-side football and cricket. An all-weather pitch adds the finishing touches to the centre.
Visitors to the gym can choose a personalised fitness programme, instructed by qualified fitness trainers, and take advantage of a selection of classes, such as yoga, salsa or body combat.

Our staff
Claire Perkins
Senior Lecturer
Claire trained as an undergraduate registered nurse in multiple hospitals in London 1993-6. Subsequent clinical registered nursing roles in A & E and multiple HDU’s and ITU’s across the West Midlands, including a Senior Sister post in critical care at University Hospital Birmingham. During a post-registration intensive care course (ENB 100) in 1999, experience was gained in multiple specialist critical care units including the PICU at Birmingham Children’s Hospital. Specialist nursing knowledge was further developed through successful completion of an MSc in Nursing in 2006 and some international clinical and education visits. Clinical skills recently refreshed in a local private critical care unit.
Claire has a long standing interest in nurse education which began with employment as part of the link teaching initiative (at UCE 1998-2003), a role created to develop the application of physiology to clinical practice within the undergraduate nursing curriculum. Education skills were then further developed between 2001-2004 in both junior and senior professional development posts within the NHS. A lecturer role in higher education was commenced in 2004 and senior lecturer in 2005, following successful completion of a PG Cert in higher education. Multiple further courses have been studied since to ensure both education and clinical skills continue to evolve. Recognition of this via fellowship of the higher education academy has been achieved.
Claire's key area of interest remains the application of physiology and pharmacology to clinical nursing practice, with a particular emphasis on the recognition and management of acute physiological deterioration.
More about ClaireEnquiries
Module Leader
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If you have any queries about this course please contact the Module Leader, Claire Perkins on:
- Email: Claire.Perkins@bcu.ac.uk
Professional Navigators
Our Professional Navigator, Nicola Clarke, is also on hand to offer guidance and will help you to choose which modules are best for you, taking into account your aims, professional or clinical experience, KSF requirements and your academic achievements.
Call Nicola on +44 (0)121 331 6162.