PROBLEM-SOLVING APPROACH TO RESPIRATORY CARE
(basic course, the best one to start with).

DAY 1
9.0 Registration and coffee.
9.15 Introduction.
9.30 Respiratory assessment including blood gases, pathology, physiology.
10.45 Coffee
11.0 Case study
11.15 Chest X-rays (taped to windows).
12.0 Physiology update (groups) and X-ray feedback.
12.45 Lunch
1.30 Workstations puzzles and group work
2.15 Oxygen therapy.
3.30 Tea
3.45 Case study.
4.0 Respiratory drugs.
5.0 End.

DAY 2
8.20 Coffee (optional)
8.30 Problem one - volume loss/post-op: positioning, controlled mobilisation, breathing exercises, mechanical aids (IS, CPAP, IPPB).
10.0 Coffee
10.15 Case study
10.30 Problem one continued, plus practical session.
12.0 Lunch
12.45 Workstations
1.30 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.



CRITICAL CARE AND ON-CALL

DAY 1
9.0 Registration and coffee.
9.15 Introduction.
9.30 Respiratory assessment including blood gases.
11.0 Coffee
11.15 On call case study.
11.35 Monitoring
12.15 Physiology update.
1.0 Lunch
1.45 Workshops
2.30 Mechanical ventilation - principles, effects and complications,
knobs, modes and settings, PEEP, intrinsic PEEP, weaning,
practical demonstration if machine available.
3.30 Tea
3.45 On call case study
4.05 Chest drains quiz.
5.0 End.

DAY 2
8.20 Coffee (optional)
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 Workshops
1.30 Physiotherapy continued
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
3.15 Tea
3.30 Case study
3.45 Medical management - oxygen, 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 Noninvasive ventilation plus practical session.
2.10 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 (can also be one day)

DAY ONE

9.0 Registration and coffee
9.10 Introduction
9.15 Respiratory assessment, including auscultation, video and
(optional) x-rays
11.0 Coffee
11.15 Case study
11.45 Bronchiectasis and chest clearance hydration, humidification,
exercise, manual techniques, breathing techniques, devices and
cough control.
12.30 Lunch
1.15 Case study
1.45 Chest clearance (continued)
3.15 Tea
3.30 Case study
4.0 COPD medical management
5.0 End of day one.

DAY TWO

8.30 COPD and breathlessness handling, positioning, breathing
re-education, energy conservation, exercise training at home
10.30 Coffee
10.45 Case study
11.15 Breathlessness (continued)
12.0 Lunch
12.45 Case study
1.15 Hyperventilation syndrome - physiology, recognition, education,
relaxation and breathing re-training
3.0 Tea
3.15 Case study
3.45 Hyperventilation syndrome (continued).
4.30 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
9.30 Groups - fuzzy x-rays
10.0 Respiratory audit and application to
on-calls/medicine/surgery/ITU
10.30 Coffee
10.45 Critical care: literature appraisal, recruitment/manual
hyperinflation, weaning, rehab, quiz.
12.15 Lunch and x-ray
1.0 Workstations
1.30 Critical care (continued)
2.30 Tea
2.45 Sputum problems
4.30 End


RESPIRATORY CARE FOR THE COMMUNITY PHYSIOTHERAPIST

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 Case study
11.50 Assessment (continued)
12.45 Lunch
1.30 Physiology update (groups)
2.15 Medical management oxygen, nutrition and drug therapy
3.15 Tea
3.30 Case study
3.50 Multidisciplinary management pulmonary rehabilitation
5.0 End.

DAY 2

8.20 Coffee
8.30 Physiotherapy management of the breathless patient - handling,
positioning, breathing re-education, exercise training,
inspiratory muscle training, energy conservation
10.30 Coffee
10.45 Case study
11.05 Physiotherapy continued.
12.30 Lunch
3.30 Case study
3.50 Demonstration with a patient (if available)
4.30 Multidisciplinary management pulmonary rehabilitation
3.0 Tea
3.15 Physiotherapy continued.
4.10 Solving problems from case studies (groups)
4.30 End.