THE THEORY AND PRACTICE OF MUSCULOSKELETAL CASTING AND SPLINTING

SHE Level 3
SCQF Credit Points 60.00
ECTS Credit Points 30.00
Module Code M3B723115
Module Leader Bronwyn Delbridge
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/splints for immobilisation purposes. Supervision and mentorship from an appropriately qualified health care worker is essential. Normally holder of the BCC

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

Govenance, Legislation Health and Safety Multidisciplinary team working Autonomy, accountability Referral Evidence based practice Anatomy, physiology and pathophysiology Hand Wrist Forearm Elbow Humerus Shoulder/Scapula/Collar bone Foot Ankle Tibia / Fibula Knee Femur Anatomy, physiology and awareness of complications and handling patients with injuries to the Pelvis and Spine 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.Analyse contemporary legislation, guidelines, codes of practice, policies and evidence base relevant to the assessment and management including prevention of fractures and soft tissue injury2. Demonstrate non-discriminatory values when ascertaining from the patient the history and the mechanisms by which the injury was sustained 3. Utilise knowledge of normal and abnormal anatomy, physiology and pathophysiology of musculo skeletal injuries and conditions, including the implcations for surrounding or underlying structures to assess, analyse and interpret the patients presenting and emerging condition.4. Utilise knowledge of the physiology of fracture and soft tissue healing, the factors that inflence healing and the implications of immobilisation on healing to determine the various treatment / management options5. Utilise a person centred approach to discuss and agree / confirm patient's consent to their management / treatment option(s)6. Evaluate health and safety practices within the work environment to ensure maximise safety to self, colleagues and patients 7. Role model exemplarly safe practice when handling equipment involved in the management of immobilisation8. Discuss with the patient the care, maintenance and management of the cast / splints plus mobility aids (crutches, walker ) to maximise their effectiveness and minimise risk of further injury or complications9. Based on accumulative professional experience and an understanding of professional accountability alter or modify an aspect of the patient's care plan to enhance their ability to self manage without compromsing their injury and its healing 10. Reflect on personal contribution to the multidisciplinary team and recognise limitations by appropriately referring patients when care and treatment is outwith scope of practice or experience.11. Identify fracture or soft tissue related complications and emergencies then implement and evaluate the appropriate emergency measures12. Act within scope of professional practice and recognise the importance of maintaining and developing competence related to the immobilisation of fractures and soft tissue injuries 13. Audit local fracture / soft tissues services using national standards 14. Formulate a learning log to evidence clinical activity and advancement of cast and splinting related knowledge and skills including the analysis of casts and splint applications to confirm their quality

Teaching / Learning Strategy

This module can be delivered as either face to face or using a blended approach. Different combinations of lectures, seminars, tutorials, interactive discussions, workshops, directed and self-directed study will be utilised depending on where the 'blended' delivery is taking place e.g at a venue other than GCU The student will always obtain the equivalent of 108 hours of contact time with the module team, excluding individual academic support. The fundamental aim of the teaching and learning strategies, irrespective of delivery mode is to support the development of autonomous, independent problem solving and decision making within the parameters of their profession competence, role and employers agreed vicarious liability (or equivalent). The module places extensive emphasis on the practical application of cast and splint and is delivered on site at GCU and at a number of other venues in the UK. In addition to the contact time with the module team, students receive individual academic support.

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

Develop independent learning by working in a self-directed manner Develop study and IT skills to underpin effective learning Develop critical thinking, decision making and communication skills Work effectively with others Underpin professional practice through reflection and the integration of theory and practice Appreciate the need for a high level of ethical and professional conduct

Module Structure

Activity Total Hours
Practicals (FT) 66.00
Assessment (FT) 60.00
Lectures (FT) 48.00
Independent Learning (FT) 414.00
Seminars (FT) 6.00
Tutorials (FT) 6.00

Assessment Methods

Component Duration Weighting Threshold Description
Course Work 01 n/a 40.00 40% Case Study 3000 words
Exam (School) 2.00 60.00 40% OSCE Examination - pass mark 70% (normalised to 40%)
Exam (School) n/a 0.00 40% Critical Skills