LEG ULCER MANAGEMENT

SHE Level 3
SCQF Credit Points 20.00
ECTS Credit Points 10.00
Module Code M3B726221
Module Leader Helena Kelly
School School of Health and Life Sciences
Subject Nursing
Trimesters
  • A (September start)
  • B (January start)

Pre-Requisite Knowledge

Registered Nurse

Summary of Content

This integrated theory and practice module aims to prepare the student to become knowledgeable and skilled in the assessment and management of leg ulceration. Consequently, student will explore evidence based clinical decision making, practice and multidisciplinary team working which takes account of local and national guidelines. The module will promote a holistic approach to assessment and care management, taking cognisance of the patient's journey. Students will develop the skills of responsible leadership and creativity as part of care provision for this client group and will also develop the confidence to provide individualised person-centred care.

Syllabus

Epidemiology Wound healing Pathophysiology of lower limb Ulceration Holistic assessment Doppler Ultrasound Pulse Oximetry Compression Therapy Management Plan (including prevention recurrence and provision of information) Dermatological conditions effecting leg Ulcers When to refer / multidisciplinary approach to care Application of Research and Evidence-based Practice

Learning Outcomes

On successful completion of the module the student should be able to:1. Demonstrate an understanding of the epidemiology and underlying pathophysiological mechanisms and risk factors contributing to lower limb ulceration2. Demonstrate a holistic and structured approach to the assessment of a patient with a leg ulcer to inform decision making3. Demonstrate knowledge of compression therapy as part of an evidence based management plan4. Reflect on the bio-psychosocial impact of leg ulceration and discuss the application of a person centred approach to prevention and recurrence of ulceration5. Explore the contribution of multidisciplinary and collaborative strategies to the delivery of effective patient care6. Appraise the national and local guidelines and their relevance to service delivery to promote safe and effective practice

Teaching / Learning Strategy

The teaching and learning strategy involves a range of student centred methods including lectures, practical workshops, case study based seminars and group work based tutorials. The virtual learning environment, GCU Learn, will provide a platform for peer support and independent study materials. These resources will provide opportunities for students to develop their knowledge and understanding of the subject commensurate with SCQF Level 9 characteristics. Similarly, academic guidance will be provided on an individual and group basis to support effective engagement with assessment.

Indicative Reading

BROWN, A. 2016, Managing leg ulcers: A guide for practice nurses, Practice Nursing, Vol. 27, No. 1, pp. 8-12. BRYANT, R. 2015, Acute and Chronic Wounds: Current Management Concepts, Elsevier, St. Louis. EHMANN, S., WHITAKER, J.C., HAMPTON, S. & COLLARTE, A. 2016, Multinational, pilot audit of a Velcro adjustable compression wrap system for venous and lymphatic conditions, Journal of Wound Care, Vol. 25, No. 9, pp. 513-520. NATIONAL INSTITUTE FOR HEALTH AND CARE CLINICAL EXCELLENCE (NICE) 2015, Leg Ulcer-venous, [viewed 22 June 2018]. Available from: http://cks.nice.org.uk/leg-ulcer-venous PEATE, I. & GLENCROSS, W. 2015, Wound care at a Glance, Wiley-Blackwell, Oxford. PHILLIPS, P., LUMLEY, E., DUNCAN, R., ABER, A., WOODS, H., JONES, G., & MICHAELS, J. 2018, A systematic review of qualitative research into people's experiences of living with venous leg ulcers. Journal of Advanced Nursing. doi:10.1111/jan.13465 SCOTTISH INTERCOLLEGIATE GUIDELINES NETWORK, 2010, Management of chronic venous leg ulcers a national clinical guideline. (SIGN 120), Scottish Intercollegiate Guidelines Network, Edinburgh.

Transferrable Skills

Development, or enhancement, of; -360b7 Independent learning skills b7 Critical thinking and decision making skills b7 Study, IT and time management skills b7 Professional and ethical values aligned with professional practice b7 Communication and team working b7 Theory and practice integration and problem solving b7 Reflection

Module Structure

Activity Total Hours
Tutorials (FT) 3.00
Seminars (FT) 3.00
Practicals (FT) 12.00
Independent Learning (FT) 144.00
Lectures (FT) 18.00
Assessment (FT) 20.00

Assessment Methods

Component Duration Weighting Threshold Description
Essay n/a 50.00 40% Essay (2000 words)Exceptions case submitted and outcome pending regarding minimum threshold and module pass mark
OSCE n/a 50.00 40% OSCE Examination - Pass mark 70%. (Normalised to 40)Exceptions case submitted and outcome pending regarding minimum threshold and module pass markEXCEPTIONS CASES 187 AND 188 APPROVED NOV 2019