THE THEORY AND PRACTICE OF MUSCULOSKELETAL CASTING AND SPLINTING

SHE Level 2
SCQF Credit Points 60.00
ECTS Credit Points 30.00
Module Code M2B723919
Module Leader Beth Tite
School School of Health and Life Sciences
Subject Nursing
Trimesters
  • A (September start)
  • B (January start)
  • C (May start)
  • A (September start)-B (January start)
  • B (January start)-C (May start)
  • C (May start)-A (September start)
  • B (January start)-C (May start)-A (September start)
  • S-B (January start)-C (May start)-A (September start)

Pre-Requisite Knowledge

One years experience of working in a healthcare environment and applying casts for immobilisation purposes. Supervision and mentorship from an appropriately qualified health care worker is essential.

Summary of Content

The aim of this module is to comprehensively support healthcare workers undertaking assessment, management and evaluation of care for patients requiring musculo-skeletal casting or splinting. This will include appraising a range of immobilisation options and determining the management implications based on individual patient's lifestyle and needs.

Syllabus

Special considerations: Rheumatoid and Osteo arthritis Osteoporosis Bone Infections - Osteomyelitis / Tuberculosis Low Back Pain Hallux Valgus Paediatric : Developmental Dysplasia of the Hip Congenital Talipes Equino Varus Osteochondritis Complications of fractures: delayed union non-union mal-union compartment syndrome deep vein thrombosis / pulmonary embolism, (VTE) fat embolism injuries to soft tissues complex regional pain syndrome ( was Sudek's Atrophy) disuse including joint stiffness and muscle wasting myositis ossificans acute and chronic infection Complications of casting circulatory and nerve impairment pressure sores allergy Patient assessment Patient consent Practice Skills: Alignment Positioning Preparation Selection of materials / equipment Handling equipment Application of all limb casts and an understanding of hip spica, shoulder spica & body cast application Inspection / evaluation Trimming and windowing casts Removal of casts and subsequent care Patient involvement Education / instruction Inclusion and partnership in decision making Care and maintenance of immobilisation Concordance Personal and professional development Reflection

Learning Outcomes

On successful completion of this module the student should be able to: 1. Demonstrate an understanding of the legislation, guidelines, codes of practice and policies relevant to the assessment and management of fractures and soft tissue injury.2. Describe the evidence based principles of care the patient should receive when they present with an injury or orthopaedic condition requiring immobilisation.3. Compare and contrast local fracture / soft tissues services with other national providers who provide a similar service.4. Explain the anatomy, physiology and pathophysiology of fractures, soft tissues injuries and the implications for surrounding or underlying structures during the time of injury and during subsequent immobilisation.5. Explain the physiology of fracture and soft tissue healing, the factors that inflence healing and the implications of immobilisation on healing.6. Access relevant literature; research and evidence to inform fracture and soft tissue management.7. Demonstrate the ability to assess patients presenting with a diverse range of musculo skeletal injuries and conditions.8. Discuss and agree / confirm patient consent to their management / treatment option(s).9. Implement health and safety practices within the work environment to maximise safety to self, colleagues and patients.10. Take steps to ensure appropriate, safe practice when handling equipment involved in the management of immobilisation.11. Safely apply and remove a wide range of immobilisation aids across the full range of musculoskeletal injuries and conditions.12. Review and confirm quality of cast application. 13. Discuss with the patient the care, maintenance and management of the immobilisation aid to maximise its effectiveness and minimise risk of injury / immobilisation related complications.14. Determine the patient's understanding of their care plan and self management role, modifying, reinforcing and enhancing if required.15. Recognise when there is a need to refer a patient to a more experienced colleague.16. Discuss the types of emergency or complications that may arise in the workplace and initiate or participate in the appropriate emergency measures.17. Evaluate own strengths and weaknesses, acknowledge limitations of competence and recognise the importance of maintaining and developing competence related to the immobilisation of fractures and soft tissue injuries. 18. Reflect on personal contribution as a member of the multisdisciplinary team.

Teaching / Learning Strategy

The teaching and learning strategy within this module seeks to provide an educational framework, which promotes active learning within both a simulated and real environment. A large emphasis is placed on the practical skills associated with the assessment and management of injury. Within this context there is a balance of teaching methods, including; lectures, face to face seminars, tutorials, directed reading, case study presentation/review and debate/discussion of issues raised in contemporary literature.

Indicative Reading

Blom, A Warwick, D, Whitehouse, M (2017) Apley & Solomon's System of Orthopaedics and Trauma.10 th edn, CRC Press. Charnley, J. (2003) The Closed Treatment of Common Fractures, 4th edn., Cambridge University Press (Available as e-book from GCU library) Dandy, D.J., & Edwards, D.J. (2009) Essential orthopaedics and trauma, 5th edn., Churchill Livingstone. Dimond, B.C. (2015) Legal aspects of Nursing, 7th Edn, Pearson Education Ltd. Duckworth, A.D.,Porter, D., & Ralston, S. (2008) Churchill's Pocketbook of Orthopaedics, Trauma and Rheumatology, Churchill Livingstone. Gimenez. J. (2011) Writing for Nursing and Midwifery Students, 2nd Edn, Palgrave Macmillan Jarmey, C.,& Myers T.W. (2012) The Concise Book of the Moving Body, Lotus publishing Jarmey, C (2015) The Concise Book of the Muscles, 3rd Edn, Lotus publishing Luqmani, R., Robb, J., Porter, D. & Joseph, B. (2013) Textbook of Orthopaedics, Trauma & Rheumatology, 2nd edn., Mosby Ltd. McMinn, R.M.H, Hutchings, R.T., & Logan, B.M. (2008) The Concise Handbook of Human Anatomy, 4 th edn, Manson Publishing Ltd. McRae, R., Esser M. (2008) Practical fracture treatment, 5th edn., Churchill Livingstone. McRae, R. (2006) Pocketbook of Orthopaedics and Fractures, 2nd edn., Churchill Livingstone Monkhouse, W.S. (2007) Master Medicine: Clinical Anatomy, 2nd edn., Churchill Livingstone. Polit, D.F., & Beck, C.T. (2013) Essentials of Nursing Research - Appraising Evidence for Nursing Practice, 8th Edn, Lippencott, Williams & Wilkins Purcell, D.(2010) Minor Injuries - A Clinical Guide , 2nd edn. Churchill Livingstone.. Rowett, H.G.Q.(2003) Basic anatomy and physiology, John Murray. Miles, S. & Wiliams M (2015) "Casting Standards" British Orthopaedic Association Miles, S. & Tite, B. (2019) A practical guide to casting, Essity Saldin, K S. (2014) Anatomy and Physiology 3rd Edition. McGraw-Hill Schuren, J. (1994) Working with Soft Cast: A manual on semi-rigid immobilisation. 3M Schuren, J. (2000) Working with Soft Cast: Evidence-based fracture care symposia proceedings & publication abstracts 2. 3M Tortora & Grabowski (2015): Introduction to Human Body- essentials of anatomy and physiology. 10th edn. Wiley Waugh,A., Grant,A.W. (2018) Ross & Wilson Anatomy and Physiology in Health and Illness, 13th edn. Elsevier.

Transferrable Skills

The module will encourage the development of academic writing skills; the capacity to access and appreciate relevant literature, reflection, and to begin developing a professional identity, collaborative team working, communication, problem solving and decision making skills.

Module Structure

Activity Total Hours
Assessment (PT) 40.00
Independent Learning (PT) 414.00
Seminars (PT) 10.00
Lectures (PT) 63.00
Tutorials (PT) 10.00
Practicals (PT) 63.00

Assessment Methods

Component Duration Weighting Threshold Description
Exam (School) 2.00 60.00 40% OSCE Examination - pass mark 70% (normalised to 40%)
Exam (School) n/a 0.00 40% Critical Skills
Coursework 1 n/a 40.00 40% 3000 word essay