PROBLEM-SOLVING APPROACH TO RESPIRATORY CARE

DAY 1

9.0 Registration and coffee.
9.15 Introduction.
9.30 Respiratory assessment including blood gases and pathology.
10.45 Coffee
11.0 Chest X-rays (taped to windows).
11.45 Physiology update (groups) and X-ray feedback.
12.45 Lunch
1.30 Case study.
1.45 Oxygen therapy.
3.30 Tea
3.45 Case study.
4.0 Respiratory drugs.
5.0 End.

DAY 2

8.20 Coffee
8.30 Problem one - volume loss/post-op: positioning, controlled mobilisation, breathing exercises, mechanical aids (IS, CPAP, IPPB).
10.0 Coffee
10.15 Problem one continued, plus practical session.
12.0 Lunch
12.45 Case study
1.0 Problem two - sputum retention: humidification quiz, manual techniques, PEP, flutter, ACBT, cough facilitation and suppression.
2.45 Tea
3.0 Problem two continued.
4.30 End.



INTENSIVE CARE WORKSHOP

DAY 1

9.0 Registration and coffee.
9.15 Introduction.
9.30 Respiratory assessment including blood gases.
11.0 Coffee
11.15 Monitoring
12.0 Physiology update.
1.0 Lunch
1.45 On call case study.
2.0 Mechanical ventilation - principles, effects and complications, knobs, modes and settings, PEEP, intrinsic PEEP, weaning, practical demonstration if machine available.
3.30 Tea
3.45 Mechanical ventilation continued.
4.15 Chest drains quiz.
4.45 On call case study
5.0 End.

DAY 2

8.30 Support systems in the ICU - fluids, nutrition and drug therapy, balloon pump, ECMO, IVOX.
9.15 Acute respiratory distress syndrome.
10.0 Coffee
10.15 On call case study.
10.30 Physiotherapy for ventilated patients.
12.0 Lunch
12.45 Physiotherapy continued
2.0 Acute head injury.
3.0 Tea
3.15 On-call scenarios.
4.30 End


WHAT CAN WE DO FOR THE BREATHLESS PATIENT?

DAY 1
9.0 Registration and coffee
9.15 Introduction
9.30 Breathless conditions
10.10 Identifying problems from case studies (groups)
10.30 Assessment, pathology, physiology and video
11.0 Coffee
11.15 Assessment (continued)
12.45 Lunch
1.30 Case study
1.50 Physiology update (groups)
2.30 Mechanism of breathlessness
2.30 Medical management – oxygen therapy
3.15 Tea
3.30 Case study
3.50 Medical management - nutrition and drug therapy
5.0 End.

DAY 2
8.20 Coffee
8.30 Overview of pulmonary rehabilitation
9.0 Physiotherapy management - handling, positioning, breathing re-education, exercise training, inspiratory muscle training
10.30 Coffee
10.45 Case study
11.05 Physiotherapy continued.
11.30 Education, stress management, energy conservation
12.30 Lunch
1.15 Case study
1.35 Non-invasive ventilation plus practical session.
1.30 Demonstration with a patient (if available)
3.0 Tea
3.15 Management of acute breathlessness: COPD and asthma
4.0 Solving problems from case studies (groups)
4.30 End.



RESPIRATORY OUTPATIENTS (one day)

9.0 Registration and coffee

9.10 Introduction

9.15 Respiratory assessment and video

10.30 Bronchiectasis and chest clearance – hydration, humidification, exercise, manual techniques, breathing techniques, devices and cough control.

11.0 Coffee

11.15 Chest clearance (continued) and case study.

12.0 COPD – medical management.

12.30 Lunch

1.15 COPD – pulmonary rehabilitation, management of breathlessness: handling, positioning, breathing re-education, exercise training at home.

2.30 Hyperventilation syndrome - physiology, recognition, management (education, relaxation and breathing re-training), practical session, video

3.15 Tea

3.30 Case study

3.45 Hyperventilation syndrome (continued).

5.0 End



ADVANCED RESPIRATORY WORKSHOP

DAY ONE
9.0 Registration and coffee
9.15 Introduction
9.30 Where's the evidence?
10.0 Discussion on reading list articles
10.30 Post-op case studies with x-rays
11.0 Coffee
11.15 Pre/post-op: Is our role decreasing or increasing? What is and isn't effective?
12.45 LUNCH and x-ray
1.30 Workstations – case studies, x-rays, puzzles
2.0 Literature appraisal
2.30 Clinical supervision of juniors and students including support for juniors on call
3.30 Tea
3.45 Case studies with x-rays
4.0 Physiology quiz
5.0 End.

DAY TWO
8.20 Coffee
8.30 COPD update
9.15 Setting up a pulmonary rehab programme
9.45 Groups - fuzzy x-rays
10.15 Some peculiar x-rays – slides
10.30 Coffee
10.45 Respiratory audit for on-calls/medicine/surgery/ITU
11.30 Critical care – literature appraisal, weaning, quiz, recruitment or manual hyperinflation?
12.15 LUNCH and x-ray
1.0 Workstations
1.30 Critical care (continued)
2.30 Tea
2.45 Sputum problems
4.30 End