THE THEORY AND PRACTICE OF MUSCULOSKELETAL CASTING AND SPLINTING

SHE Level 3
SCQF Credit Points 60.00
ECTS Credit Points 30.00
Module Code M3B726233
Module Leader Deborah Rickards-Hill
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)

Summary of Content

The aim-2 of this -1 module is to -1 comprehensively support healthcare workers undertaking -1 assessment, -1 management and evaluation of care for patients requiring -1 musculo-skeletal casting or splinting. This will include appraising a range of -1 immobilisation options and -1 determining the -1 management -1 implications based on individual -1 patient's -1 lifestyle and needs.

Syllabus

-357 1. Governance: Legislation Health and Safety Multidisciplinary team working Autonomy, accountability Referral Evidence based practice -357 2. Anatomy, physiology and pathophysiology Hand & Wrist Forearm Elbow Humerus Shoulder/Scapula/Clavicle Foot & Ankle Tibia / Fibula Knee Femur -360 3. Anatomy, Physiology and awareness of complications and handling patients with injuries to the Pelvis and Spine. -357 4. Special considerations Rheumatoid and Osteo arthritis Osteoporosis Bone Infections - Osteomyelitis / Tuberculosis Low Back Pain Hallux Valgus -357 5. Paediatric Developmental Dysplasia of the Hip Congenital Talipes Equino Varus Osteochondritis conditions -357 6. 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 Disuse including joint stiffness and muscle wasting Myositis ossificans Acute and Chronic infection -357 7. Complications of casting Circulatory and nerve impairment Pressure sores Allergy -357 8. Patient assessment -357 9. Patient consent -357 10. 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 -357 11. Understand the principles of orthopaedic bracing and be aware of the following applications: Futura wrist brace Humeral brace Tri-panel knee splint Range of movement knee braces -357 12. Patient involvement Education / instruction Inclusion and partnership in decision making Care and maintenance of immobilisation Concordance -357 13. Personal and professional development Reflection

Learning Outcomes

On successful completion of the 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 musculoskeletal injuries and conditions, including the implications for surrounding or underlying structures to assess, analyse and interpret the patients presenting and emerging condition4. 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 patients7. 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 healing10. Reflect on personal contribution to the multidisiplinary team and recognise limitations by appropriately referring patients when care and treatment is outwith scope of practice or experience11. 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 injuries13. Audit local fracture / soft tissues services using national standards14. Formulate a learning log to evidence clinical activity and advancement of casting and splinting related knowledge and skills including the analysis of cast and splint applications to confirm their quality

Teaching / Learning Strategy

Lecturers, service partners, users, carers and students will contribute to the authenticity of the teaching and learning experience using case-based scenarios. The care of a selection of patients will be explored in relation to underpinning pharmacology and pathophysiology. Learning and teaching strategies will enhance student engagement, accessibility, flexibility and personalisation of the curriculum through the use of technology/digital learning where appropriate. A series of core lectures will be supported with facilitator and student-led tutorials and directed learning utilising facilitator and student-led activities. Teaching approaches will include a variety of methods which may include seminars, tutorials, group work, workshops, role play, reflective exercises, guided reading and online learning, simulation and other practical activities. Guided and self-directed study, including interactive resources supported by a virtual learning environment, will be used to prepare students for each week's activities and assist in consolidation of their learning.

Indicative Reading

CHARNLEY, J. (2005) The Closed Treatment of Common Fractures, 4th ed, Cambridge UniversityPress. DANDY, D.J., EDWARDS, D.J. (2008) Essential Orthopaedics and Trauma, 5th ed, Churchill Livingstone. GUNN, C. (2007) Bones and Joints, 5th edn., Churchill Livingstone. JARMEY, C., MYERS T.W. (2006) The Concise Book of the Moving Body, Lotus publishing MCRAE, R., ESSER M. (2008) Practical fracture treatment, 5th edn., Churchill Livingstone. MONKHOUSE, W.S. (2007) Master Medicine: Clinical Anatomy, 2nd edn., Churchill Livingstone. ROWETT H.G.Q.(2003) Basic anatomy and physiology, Hodder Education. Society of Orthopaedic & Trauma Nursing, RCN. (2014) currently being updated. A practical guide to casting, BSN Medical Ltd

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 Digital and health literacy skills b7 Assertiveness, confidence b7 Citizenship b7 Reflection

Module Structure

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

Assessment Methods

Component Duration Weighting Threshold Description
Written Assignment n/a 40.00 40% Written Assignment (3000 words)Exceptions case submitted and outcome pending regarding minimum threshold and module pass markEXCEPTIONS CASES 187 AND 188 APPROVED NOV 2019
Practical Examination 2.00 60.00 40% Practical Examination - OSCE - pass mark 70% (normalised to 40%)Exceptions case submitted and outcome pending regarding minimum threshold and module pass mark
Practical Examination 1.00 0.00 40% Practical Examination - Critical Skills (Pass/Fail)Exceptions case submitted and outcome pending regarding minimum threshold and module pass mark