por5elp extended lower limb pros

EXTENDED LOWER LIMB PROSTHETICS

POR5ELP

2016

Credit points: 30

Subject outline

In this subject, students will have developed an understanding of, and familiarity with, the evidence that underpins the prosthetic management of persons with complex lower limb amputations. Particular emphases are placed on the clinical presentation of persons with transfemoral amputation, how to prescribe and design clinically realistic prostheses and how to adapt the treatment process accordingly. Students will develop clinical and technical skills commensurate with those of an entry-level practitioner and, as such, will be able to provide basic prosthetic services to persons with a range of lower limb amputations. Students will develop skills to effectively provide and maintain safe, comfortable appropriate and functional prostheses. Students will have exposure to a diverse range of clients to develop skills including: assessment, prescription, treatment planning, casting and cast modification, fabrication, fitting, alignment and adjustment of clinically realistic prostheses.

SchoolSchool of Allied Health

Credit points30

Subject Co-ordinatorKerry Fisher

Available to Study Abroad StudentsYes

Subject year levelYear Level 5 - Masters

Exchange StudentsYes

Subject particulars

Subject rules

Prerequisites POR5TTA and POR5TTE

Co-requisitesN/A

Incompatible subjectsN/A

Equivalent subjectsN/A

Special conditions Students will be randomly assigned to a subject instance that is compatible with their enrolment in this and other fourth year subjects. That is, each student will be randomly assigned to a group of subject instances that are timetabled to enhance participation and avoid clashes for students in that group. This is administered by the NCPO.

Graduate capabilities & intended learning outcomes

01. ) Understand and apply current clinical, theoretical and research evidence describing the prosthetic management of persons with lower limb amputation: (a)synthesise and critically appraise professional literature relevant to management of persons with lower limbamputation; (b)effectively communicate the evidence for prosthetic management of persons with lower limb amputation; (c) integrate evidence into the prosthetic management of persons with lower limb amputation.

Activities:
Written prescription exercise

02. ) Describe, and explain, the clinical presentation of persons with lower limb amputation: (a) describe the incidence and common causes of lower limb amputation including the underlying risk factors and co-morbidities; (b) describe common physical and psychosocial changes for the person with limb loss and their families and how these are managed; (c) describe the secondary physical conditions associated with lower limb amputation and long-term prosthetic use (eg. reduced bone mineral density,low back pain, incidence of contralateral knee arthritis); (d) describe the gait of persons with lower limb amputation and the underlying mechanical adaptations; (e) identify, and explain, the mechanical causes of, common gait adaptations or deviations.

Activities:
Quizzes, written presctiption exercise, critique

03. ) Describe, adapt and rationalise the treatment process given the prosthetic prescription and the unique needs of a range of clients with lower limb amputation: (a) describe the typical treatment process for persons with lower limb amputation from a multidisciplinary perspective; (b) describe and make adaptations to the treatment process given the prosthetic prescription and the needs of the client; (c) present a rigorous and rational explanation for the treatment process proposed

Activities:
Critique of prosthesis, clients assessment

04. ) Conduct and record a safe, effective assessment of a person with a lower limb amputation: (a) conduct a case-specific interview in a sensitive and efficient manner meeting a specific purpose (eg. review, initial assessment); (b) communicate effectively and sensitively with a variety of clients with lower limb amputation to keep them informed and create a rapport of trust and respect; (c) select and undertake safe, efficient and relevant observations and physical examinations; (d) integrate findings from interviews, observations and physical examinations into an accurate understanding of the client and their presentation; (e) record interactions in a concise manner using professionally recognised reporting standards (eg. SOAP, abbreviations)

Activities:
Medical record report, client assessment

05. ) Prescribe and justify all aspects of a prosthesis and treatment plan that meets the individual needs of a person with a lower limb amputation: (a) develop a prescription of a clinically realistic prosthesis appropriate for the client given their needs, treatment goals and finances; (b) develop compelling, wellevidenced arguments for the prescription using information from the client interview, assessments and professional literature; (c) develop well evidenced arguments for a prescription suitable for various funding agencies and third-party payers; (d) develop a comprehensive treatment/discharge plan including, short and long-term goals, a schedule for reviews, referrals and applications for funding as appropriate to the client

Activities:
Case study, client assessment, prosthetic review

06. ) Safely fabricate, and evaluate the structural integrity of a clinically realistic prosthesis that fulfils the prescription, using contemporary manufacturing techniques: (a) select manufacturing techniques, materials and components;(b) use a range of materials, components and equipment safely and in accordance with the manufacturers specifications and Occupational Health and Safety requirements; (c) plan and execute the sequence of steps necessary to efficiently fabricate a clinically realistic prosthesis; (d) evaluate the structural safety and finish of the prosthesis and make adjustments to resolve any problems; (e) prepare the completed prosthesis for delivery including correctly torque and Loctite® all components consistent with the manufacturer's specifications.

Activities:
Prosthetic fabrication and fitting, prosthetic review

07. ) Demonstrate standards of professional practice commensurate with that of an entry level clinician: (a) work effectively and independently; (b) draw on expertise and assistance from a colleague or supervisor when appropriate; (c) plan your work to ensure tasks are completed on time; (d) critically reflect on your practice and make adaptations to improve yourself and the outcomes for clients; (e) communicate effectively with professionals in a variety of contexts; (f) integrate clinical and literary based evidence into practice

Activities:
Critique, medical record entry, prescription exercise

Subject options

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Start date between: and    Key dates

Melbourne, 2016, Week 06-24, Day

Overview

Online enrolmentYes

Maximum enrolment sizeN/A

Enrolment information

Subject Instance Co-ordinatorKerry Fisher

Class requirements

Lecture/WorkshopWeek: 06 - 24
One 28.0 days lecture/workshop per study period on weekdays during the day from week 06 to week 24 and delivered via face-to-face.
"Students will attend a 2-week intensive program prior to activities to be completed in the 7-week clinical school."

Assessments

Assessment elementComments%ILO*
On-line quizzes (equivalent to 1,750-words)MC questions are marked automatically, short answer sections require staff marking2001, 02, 05, 07
Prescription exercise (equivalent to 4,000 words)5001, 02, 03, 04, 05, 06, 07
Seminar presentation (equivalent to 2,250-words)3003, 02, 01, 05, 07

Melbourne, 2016, Week 28-46, Day

Overview

Online enrolmentYes

Maximum enrolment sizeN/A

Enrolment information

Subject Instance Co-ordinatorKerry Fisher

Class requirements

Lecture/WorkshopWeek: 28 - 46
One 28.0 days lecture/workshop per study period on weekdays during the day from week 28 to week 46 and delivered via face-to-face.
"Students will attend a 2-week intensive program prior to activities to be completed in the 7-week clinical school."

Assessments

Assessment elementComments%ILO*
On-line quizzes (equivalent to 1,750-words)MC questions are marked automatically, short answer sections require staff marking2001, 02, 05, 07
Prescription exercise (equivalent to 4,000 words)5001, 02, 03, 04, 05, 06, 07
Seminar presentation (equivalent to 2,250-words)3003, 02, 01, 05, 07