THE HIGH-RISK FOOT - OUTWARD EXCHANGE

SHE Level 3
SCQF Credit Points 15.00
ECTS Credit Points 7.50
Module Code M3B122237
Module Leader Mandy Abbott
School School of Health and Life Sciences
Subject Podiatry
Trimester
  • A (September start)

Summary of Content

This subject prepares students for clinical practice in dealing with patients who present with medical conditions such as diabetes mellitus, and various disorders that affect circulation and sensation to the lower limb and foot and places them at increased risk of complications. Through exploration of the patho-physiological processes involved in development of the clinical complications, including chronic ulceration, serious infection and lower limb amputation, caused by altered vascular, neurological and/or mechanical status, students will gain skill in applying knowledge and evidence to clinical cases. Management of wounds that often occur in these high-risk feet is emphasised.

Syllabus

Understanding the high-risk foot Modern wound management of chronic foot ulceration Management of serious and complex high-risk foot complications

Learning Outcomes

On successful completion of the module students should be able to:Key learning outcome 1Discuss the physical, psychological and social effects for patients, their family and community, of foot and lower limb complications that can result from diabetes mellitus, neurological disorders and vascular disorders of relevance.Enabling outcomesa. Describe primary disorders and important related clinical complications that put the foot at risk of ulceration and amputation,b. Describe possible clinical implications for a given foot-related complication,c. Explain the pathophysiological processes involved in the development of a given clinical complication,d. Inter-relate key risk factors and contributing factors to identify potential pathways to complications for a given patient,e. Explain indicators for poor patient progress and development of further complications.Key learning outcome 2Nominate and justify assessments required for diagnosis of a patient and, given the results, diagnose the patient and classify their risk of developing serious foot-related complications from diabetes mellitus, and neurological and vascular disorders of relevance.Enabling outcomesa. Identify a comprehensive testing plan for a given patient presentation,b. Diagnose serious complications, including ulceration, infection, Charcot’s neuroarthropathy, chronic limb ischaemia and chronic venous insufficiency, from a selection of relevant indicators,c. Classify risk for serious foot complications based on assessment and other related clinically important findings,d. Justify the need for further assessment, such as diagnostic imaging, pathology and other diagnostic testing, based on a patient’s presentation and individual circumstances.Key learning outcome 3Compose and justify an initial and ongoing case management plan for a patient.Enabling outcomesa. Describe the range and mechanisms of action for management options, including offloading techniques, footwear options, wound care and education,b. Formulate a safe, effective and comprehensive management plan for a patient at risk of, or presenting with, foot complications,c. Explain the likely outcomes of the planned management on the patient’s foot health, future foot health needs and quality of life.Key learning outcome 4Plan, undertake and review wound management on chronic ulceration of the foot and ankle for a given patient.Enabling outcomesa. Describe primary causes of chronic foot and ankle ulceration and the pathogenesis of ulceration and delayed healing according to cause,b. Select assessments to determine important features of a wound and the underlying causes specific to individual patient presentations,c. Identify characteristics from generic dressing groups and match dressing choice to wound presentation,d. Apply the principles of wound management to devise tailored, case specific comprehensive management plans,e. Determine and justify approaches to reviewing complex, non-progressing wounds to determine suitable care pathways.Key learning outcome 5Use reflection and an evidence based approach to develop and maintain your knowledge and skills and enhance your ability as a podiatrist in providing contemporary complex care in high-risk foot practice.Enabling outcomesa. Explain the roles of the podiatrist within the high-risk foot care Team, health care services and the health care system to inform complex care planning,b. Apply evidence based practice approaches to solve clinical problems related to the high-risk foot,c. Use peer assessment, self reflection, and other evaluation tools to enhance your clinical practice abilities,d. Work independently to adapt key concepts to devise new strategies relating to the high-risk foot in diabetes,e. Justify practices you have used in your learning in this subject that support life long learning and maintenance of contemporary podiatric practice.

Teaching / Learning Strategy

This module is delivered at La Trobe University and accessed by Year 3 outward exchange students from the BSc (Hons) Podiatry programme and has been put on ISIS for the purpose of recording the module mark for presentation to the Assessment Board. Lectures and workshops.

Indicative Reading

Selected journal articles, e-books and other readings will be provided throughout the subject as required reading and students will be expected to source additional readings as needed. Please check individual Enquiry Guides for details.

Transferrable Skills

IT skills Graduate attributes

Module Structure

Activity Total Hours
Assessment (FT) 30.00
Lectures (FT) 30.00
Independent Learning (FT) 60.00
Seminars (FT) 30.00

Assessment Methods

Component Duration Weighting Threshold Description
Course Work 01 n/a 100.00 40% This entry is a means of recording the overall mark achieved for the module - delivered at La Trobe University and overall results provided on student's transcript.