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Orthopaedic Nursing – 6KNIA310 Level: 6
Credits: 30
Module leader: Dr Carole Jackson
Tel: 020 7848 3562
Email: [email protected]
Module deputy: Claire Todd
Tel: 020 7848 3732
Email: [email protected]
____________________________________________________________________
This handbook must be read in conjunction with module information provided on KEATS, the King’s E-Learning And Teaching Service. You will be given access to KEATS on enrolment. Important information relating to assessment and related regulations can be found in the Undergraduate Programme Handbook, available on KEATS and via the Student Services Centre. This handbook can also be provided in alternative formats (such as large print) upon request to [email protected].
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Contents
Module overview and aim ............................................................................................ 4
Learning outcomes ................................................................................................... 4
Clinical Practice ........................................................................................................ 4
Teaching arrangements ............................................................................................ 4
Submitting coursework ............................................................................................ 5
Assessment criteria ................................................................................................... 5
Formative assessment .............................................................................................. 5
Summative assessment............................................................................................. 6
Results and resubmissions for coursework .............................................................. 7
Week 1 .......................................................................................................................... 9
Introduction to the Module and the Scope of Orthopaedic Practice/ Assessment Process .................................................................................................. 9
Musculoskeletal Assessment .................................................................................... 9
Week 2 .......................................................................................................................... 10
Terminology in Orthopaedic Care ............................................................................ 10
Classification of Synovial Joint Disease ................................................................... 10
Osteoarthritis ............................................................................................................ 10
Gait and Movement .................................................................................................. 10
Week 3 .......................................................................................................................... 12
Assessment of the Upper Limb................................................................................. 12
Assessment of the Lower Limb ................................................................................. 12
E-Learning —DVT/PE .............................................................................................. 12
Week 4 .......................................................................................................................... 13
Introduction to Trauma: Classification of Fractures and Principles of Treatment . 13
Open Fractures and External fixators ...................................................................... 13
Complications -Fat Embolism and Compartment Syndrome .................................. 13
E-Learning — Neurological Examination ................................................................ 13
Week 5 .......................................................................................................................... 14
Care of Patients with Non-bony Injuries .................................................................. 14
Exercise and Mobility Aids ....................................................................................... 14
Spinal Injuries .......................................................................................................... 14
E-learning — Rheumatoid Arthritis and Osteoporosis ............................................ 15
Week 6 .......................................................................................................................... 15
DVT/PE Seminar ...................................................................................................... 15
Non-surgical Care in Orthopaedic Conditions/Trauma — Pain .............................. 15
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Week 7 .......................................................................................................................... 16
Diagnostic Imaging in Orthopaedic Care ................................................................. 16
Musculoskeletal Cancers .......................................................................................... 16
Hip Anatomy/Classification of Hip Fractures.......................................................... 16
Femoral Neck Fractures ........................................................................................... 16
E-learning — Orthopaedic Infections ....................................................................... 16
Week 8 .......................................................................................................................... 17
Rheumatoid Arthritis Seminar ................................................................................. 17
Spinal Conditions ..................................................................................................... 17
Therapeutic Immobilisation ..................................................................................... 17
Module evaluation ........................................................................................................ 21
Action from previous evaluations ............................................................................. 21
Timetable...................................................................................................................... 22
Exercise/Mobility ............................................................................................................ 23
DVT and PE Seminar ....................................................................................................... 23
Anatomy/Classification of Hip/ Femoral Neck and Associated Issues .......................... 23
Chronic Back Conditions ................................................................................................. 24
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Module overview and aim
This module forms part of the BSc Clinical Practice. It is designed to enable you to synthesise knowledge of the specific needs of patients with orthopaedic problems, so that accurate and comprehensive nursing diagnoses can be identified and appropriate nursing interventions be chosen. You will be encouraged to develop your professional practice through the integration of specialist knowledge and skills in order to provide high quality therapeutic care to orthopaedic patients.
Learning outcomes
At the end of the module you will be able to:
1. Critically explore the holistic needs of` orthopaedic patients across the care continuum through a process of systematic assessment and assimilation of patient data,
2. Critically explore and apply the knowledge and skills required to facilitate effective clinical problem-solving and decision making in order to respond to the changing needs of orthopaedic patients.
3. Select and critically analyse appropriate evidence-based therapeutic interventions to monitor, maintain and improve an orthopaedic patient’s health status across a range of settings.
4. Reflect on orthopaedic patient care experiences and critically evaluate the processes and outcomes of care.
5. Develop and apply appropriate interpersonal skills and health promotion strategies in collaborative partnership with orthopaedic patients and their families.
6. Critically evaluate the contribution of other members of the interprofessional team in the care of orthopaedic patients.
Clinical Practice
It is envisaged that the majority of experience required to complete the module can be gained in your own practice area. If you are in a practice area offering only elective orthopaedic or trauma experience you will need the agreement of your manager to undertake a placement within your own Trust which offers wider experience of orthopaedic care. Certain aspects of orthopaedic nursing, such as care within the Fracture Clinic, Outpatient clinic, plaster theatre, pre-operative assessment clinic, A & E and theatres, can be gained in your Trust as guided visits, in agreement with your manager.
Teaching arrangements
Lectures
E-learning and Directed reading
Small group discussions
Guided practice
Reflection
One-to-one formative discussions
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Submitting coursework For this module you are assessed Carole Jackson and Claire Todd.
All parts of the assessment must be completed and submitted by the date below. Failure to submit assignments or attend examinations will result in a fail grade being awarded. Computer failure on the students’ part will not be counted as mitigation for non-submission. For this module you are assessed by a portfolio which will be marked by the course leader and the deputy leader.
Assessment criteria
There are two components to the summative assessment strategy that form a portfolio of evidence:
1. Written assignment: A patient case study outlining a structured framework of care. One orthopaedic nursing aspect of this care will be selected and a critical evaluation carried out to meet this.
2. Satisfactory completion of the Practice Assessment Document (PAD).
Both components will be submitted as one document via TurnItIn.
Formative assessment
Student-led discussion with an identified lecturer
This must be completed by 23 February 2017 — the lecturer will keep a copy of this
Guidelines
The formative assessment is a consultation with an identified lecturer. This may be conducted on either an individual or small group basis.
Prior to the consultation you must have selected a case study of a patient that you have cared for. You must have also identified the aspect of care you will be discussing. You should have started to complete the holistic nursing assessment care plan in the (PAD).
Some general reading and an initial literature search must be undertaken before the consultation
For the consultation to proceed you must bring the following: o Details of the selected patient / client o Essay plan and reference list
The consultation will be a student led discussion focusing around the guidelines for the summative assignment and your individual essay plan.
The formative stage will not be graded, but will be considered vital to the success of the overall assignment.
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Summative assessment
Format: Written assignment of up to 3,000 words plus an Assessment of Practice in the form of a Practice Assessment Document which will constitute a portfolio of practice
Summative guidelines
Choose a patient scenario from your orthopaedic practice in which you were the key participant. The patient / client must have a health need related to specialist orthopaedic nursing practice. The work should be informed by the care plan in your practice assessment document and the aspect of care selected must be related to orthopaedic nursing care.
The consent of the patient/client must be obtained and issues of confidentiality be addressed explicitly i.e. related to the client, the hospital ward and other health care professionals (NMC 2015).
Briefly outline a case study of your patient drawing on the care plan.
Select one aspect of this patients care and critically analyse the evidence base for the care you provided.
Reflect on the outcome of care in relation to the evidence base.
The work should be supported throughout with relevant literature.
A reference list formatted to the School guidelines should be included.
Documentation of the formative stage must be included with the summative assignment.
In addition
It is a requirement of the module that you complete the Practice Assessment Document to a satisfactory standard. You should complete all selections of this. Failure to do so may result in a fail grade being awarded. In addition your mentor will need to send a verification of competence e-mail from their trust e-mail account
The written assignment and the Assessment of Practice Document should be combined to form one document and submitted via TurnItIn.
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Coursework submission are provided on the modules KEATS site. It is essential that you use your candidate number on all assignments/examinations. Your candidate number, which will begin with X for the academic year 2016/17, will be available via Student Records on the King’s Intranet approximately one month after you enrol. If you are unable to submit your work by the deadline please refer to the information in your programme handbook on “mitigating circumstances”. If you require further support in these circumstances you are advised to contact KCLSU. Submission date for coursework: 11.59am, 11 April 2017 Work available for download: 11.59am on 16 May 2017
Late submissions will be accepted for 24 hours following the submission date. All work submitted late will be marked as normal but will be capped at the pass mark for the module. If your assignment is a hard copy please ensure you date stamp it and submit it to the submission room G15 James Clerk Maxwell Building. If your assignment is submitted electronically through TurnItIn, information about how to submit late will be provided on KEATS module sites under assessment information. Please label the file with your candidate number and double-check you have submitted the correct file. The external examiner for this module is Annabella Gloster. Students are not to make direct contact with external examiners, in particular regarding their individual performance in assessments. The College and its Examination Boards in the ten Faculties (Institutes/Schools, King's Learning Institute and the Association of King's College (AKC), work with over 500 external examiners to ensure the quality and standard of our taught awards. Find the latest report on the External Examiners Report page, navigate to the Faculty of Nursing and Midwifery section.
Results and resubmissions for coursework Students will receive a provisional (unratified) mark for their coursework 4 weeks following submission. According to the method of submission as detailed on your KEATS site, if your work was submitted online you will be able to download marked coursework from KEATS; alternatively, if you completed a hard copy submission you can collect your coursework and feedback from the Student Services Centre. To collect a hard copy assignment, you must provide your candidate number. Alternatively, you may send a stamped addressed envelope to the Student Services Centre ensuring that this is large enough to accommodate your assignments and that you have applied sufficient postage. Hard copy assignments will be retained for four weeks; if you have not collected your assignment by then, it will be destroyed. Feedback will include the award of a numerical grade which remains provisional until ratified by the examination boards. The dates for the examination boards are available on KEATS. Ratified marks can be viewed via Student Records on the King’s Intranet, the Monday following the relevant examination board. The marking criteria by which your work is judged are provided in full in your programme handbook. Please also refer to the section in your programme handbook on plagiarism and how to avoid it. If you have a query about how to refer to a specific piece of work please ask your module
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leader, your group leader or a member of library staff for guidance or please use King’s Libguides site. The feedback you receive on your assignment will guide you towards how to do better next time or how to maintain your existing high standard! If you do not understand your mark or the feedback you receive please contact Dr Carole Jackson If you are unsuccessful, it is recommended that you contact the module leader before submitting your second attempt. This will enable the module leader to provide you with an appropriate level of support as you prepare to resubmit your work. Resubmission date 11.59am on 18 July 2017
Resubmitted work available for download 11.59am on 15 August 2017
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Learning resources
Week 1 19 Jan 2017
Introduction to the Module and the Scope of Orthopaedic Practice/Assessment Process
At the end of the session you will be able to:
Identify the aims of the module and how these will be met.
Assess your individual learning needs with regards to the module.
Explore the settings and situations within which orthopaedic practice takes place.
Evaluate the factors affecting orthopaedic practice
Identify and understand the assessment requirements of the module.
Musculoskeletal Assessment
At the end of the session you will be able to:
Identify the principles of musculoskeletal assessment.
Formulate a systematic tool for collecting assessment data.
Evaluate the interpersonal skills required to collect assessment data.
Indicative reading
Dandy D.J. & Edwards D.J. (2009) Essential Orthopaedics and Trauma. 5th ed. Churchill Livingstone, Elsevier, chapter 2.
Gopee N. (2002) Demonstrating critical analysis on academic assignments. Nursing Standard, 16(35), 45-52.
Kingston B. (2005) Understanding Muscles. Stanley Thorne, Cheltenham.
Lucas B. (2002) Orthopaedic patient journeys: a UK perspective. Journal of Orthopaedic Nursing, 6, 86-89.
Magee D.J. (2008) Orthopaedic Physical Assessment. 5th ed. Saunders, Elsevier.
Santy J. (2001) An investigation of the reality of nursing work with orthopaedic patients. Journal of Orthopaedic Nursing, 5, 22-29.
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Week 2 26 January 2017
Terminology in Orthopaedic Care
At the end of the session you will be able to:
Describe, using correct terminology, how joints and their movements are assessed and recorded.
Identify how supporting structures (muscle/ligament) are described.
Identify the uses of this knowledge in orthopaedic nursing.
Classification of Synovial Joint Disease
At the end of the session you will be able to:
Identify the main classifications of synovial joint disease.
Evaluate methods of differentiating between synovial joint diseases.
Osteoarthritis
At the end of the session you will be able to:
Identify the disease processes for osteoarthritis.
Evaluate the treatment options for the stages of these diseases and the role of the orthopaedic nurse and other health professionals in these treatments (including joint replacements)
Critically analyse methods of developing patient-focused care throughout the patient journey.
Identify the concerns/needs of patients throughout their patient journey and how these needs might be met.
Gait and Movement
At the end of the session you will be able to:
Identify common gait patterns and their underlying causes.
Critically evaluate assessment tools for gait and movement analysis
Indicative reading Dandy D.J. & Edwards D.J. (2009) Essential Orthopaedics and Trauma. 5th ed. Churchill Livingstone, Elsevier. Dorleijn D. M.J., Luijsterburg P.M.J., Burdorf A., Rozendaal R.M. Verhaar J.A.N. Bos P.K., Bierma-Zeinstra S.M.A. (2014) Associations between weather conditions and clinical symptoms in patients with hip osteoarthritis: A 2-year cohort study. PAIN®, 155, 808-813 Ethgen O., Bruyere O., Richy F., Dardennes C., & Reginster J. (2004) Health-related quality of life in total hip and total knee arthroplasty A qualitative and systematic review of the literature. The Journal of Bone and Joint Surgery. 86A(5), 963-974. Finney A., Healey E., Jordan J.L., Ryan S., Dziedzic K.S (2016) Multidisciplinary approaches to managing osteoarthritis in multiple joint sites: A systematic review. BMC Musculoskeletal Disorders. 17, 1,266.
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Gillespie G. N. & Porteous A. J. (2007) Obesity and knee arthroplasty. The Knee. 14(2), 81-86. Kingston B. 2005. Understanding Muscles. Stanley Thorne, Cheltenham. Kneale D. & Davis P. S. (2005) Orthopaedic and Trauma Nursing. 2nd ed. Churchill Livingstone. Magee D.J. (2008) Orthopaedic Physical Assessment. 5th ed. Saunders, Elsevier. Mandzuk L.L., McMillan D.E. & Bohm E.R. (2015) A longitudinal study of quality of life and functional status in total hip and total knee replacement patients International Journal of Orthopaedic and Trauma Nursing, 19(2), 102-113. National Joint Registry (2010) National Joint Registry for England and Wales: Seventh Annual Report. Hemel Hempstead: The National Joint Registry Centre. Reay P.A., Horner B., Duggan R. (2015) The patient's experience of early discharge following total hip replacement. International Journal of Orthopaedic and Trauma Nursing, 19(3), 131-139. Specht K., Kjaersgaard-Andersen P., Kehlet H. & Pedersen B.D. (2015) Nursing in fast-track total hip and knee arthroplasty: A retrospective study. International Journal of Orthopaedic and Trauma Nursing, 19(3), 121-130. Tortora G., Grabowski (2000) Principles of Anatomy and Physiology. 9th ed. Harper Collins, New York. http://www.arthritisresearchuk.org (Website of Arthritis Research Campaign)
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Week 3 2 February 2017
Assessment of the Upper Limb
At the end of the session you will be able to:
Describe the relevant anatomy/physiology of the upper limb.
Identify and use the relevant questions in taking a history of upper limb disease/injury.
Carry out a physical assessment of the upper limb and correctly record the results.
Evaluate the results of the assessment and formulate appropriate nursing diagnoses.
Assessment of the Lower Limb
At the end of the session you will be able to:
Describe the relevant anatomy/physiology of the lower limb.
Identify and use the relevant questions in taking a history of lower limb disease/injury.
Carry out a physical assessment of the lower limb and correctly record the results.
Evaluate the results of the assessment and formulate appropriate nursing diagnoses.
E-Learning —DVT/PE
On completion you will be prepared for the Seminar on day 6
Indicative reading,
Dandy D.J. & Edwards D.J. (2009) Essential Orthopaedics and Trauma. 5th ed. Churchill Livingstone, Elsevier.
Flynn S., Pugh H. & Jester R. (2015) Clinical assessment in trauma and orthopaedic nursing International Journal of Orthopaedic and Trauma Nursing. 19(3), 162-169.
Kingston B. (2005) Understanding Muscles. Stanley Thorne, Cheltenham.
Kneale D. & Davis P. S. (2005) Orthopaedic and Trauma Nursing, 2nd ed. Churchill Livingstone.
Lumley J.S.P. (2008) Surface Anatomy: the Anatomical Basis of Clinical Examination. 4th ed. Churchill Livingstone.
McRae R (2010) Clinical Orthopaedic Examination. 6th ed. Churchill Livingstone, Edinburgh.
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Week 4 9 February 2017
Introduction to Trauma: Classification of Fractures and Principles of Treatment
At the end of the session you will be able to:
Identify methods of assessing and classifying fractures.
Identify the major causes of orthopaedic trauma.
Identify the 3 principles of fracture treatment.
Evaluate treatment options in fracture care.
Critically evaluate the roles of the orthopaedic nurse and other health professionals in prevention and treatment of orthopaedic trauma.
Open Fractures and External fixators
Critically analyse the evidence base for methods of caring for skeletal pins (external fixators and skeletal traction)
Critically evaluate the management of open fractures
Complications -Fat Embolism and Compartment Syndrome
At the end of the session you will be able to:
Identify the signs, symptoms and underlying pathophysiology of Fat Embolism and Compartment Syndrome.
Evaluate methods of assessing patients at risk of the above complications.
Evaluate methods of reducing the risk of the above complications occurring.
Evaluate methods of treatment of the complications of immobility.
Critically analyse the role of the orthopaedic nurse and other health professionals in assessment, reduction of risk and treatment.
E-Learning — Neurological Examination
On completion you will be able to:
Identify structures of the nervous system and primary functions.
Identify the main causes of unconsciousness and discuss how it is assessed.
Explain how the motor and sensory nerves are examined.
Indicative reading,
Altizer L. (2002) Fractures. Orthopaedic Nursing, Nov/Dec, 21(6), 51-59.
Credland N (2016) Managing the trauma patient presenting with the lethal triad. International Journal of Orthopaedic and Trauma Nursing, 20, 45-53
Dandy D.J. & Edwards D.J. (2009) Essential Orthopaedics and Trauma. 5th ed. Churchill Livingstone, Elsevier.
Kneale D. & Davis P. S. (2005) Orthopaedic and Trauma Nursing, 2nd ed. Churchill Livingstone.
Maher A.B. (2016) Neurological Assessment. International Journal of Orthopaedic and Trauma Nursing, 22, 44-53
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McRae R. & Esser M. (2008) Practical Fracture Treatment. 5th ed. Churchill Livingstone, Edinburgh.
RCN 2011 Guidance on pin site care https://www2.rcn.org.uk/__data/assets/pdf_file/0009/413982/004137.pdf
RCN 2014 Peripheral neurovascular observations for acute limb compartment syndrome
https://www2.rcn.org.uk/__data/assets/pdf_file/0013/604030/Peripheral_neurovascular_observations_for_acute_limb_compartment_syndrome.pdf
Santy-Tomlinson J., Vincent M., Glossop N., Jomeen J. & Pearce P. (2011) Calm, irritated or infected? The experience of the inflammatory states and symptoms of pin site infection and irritation during external fixation: a grounded theory study. Journal of Clinical Nursing 20, 21-22, 3163–3173,
Week 5 23 February 2017
Care of Patients with Non-bony Injuries
At the end of the session you will be able to:
Identify the mechanism of injury in common non-bony injuries (including ACL tears, shoulder dislocation, Achilles tendon rupture).
Evaluate treatment options for non-bony injuries.
Evaluate the role of the orthopaedic nurse and other health professionals in the care of patients with non-bony injuries.
Exercise and Mobility Aids
At the end of this session you will be able to:
Identify the uses of exercise and mobility aids in the care of patients with orthopaedic conditions/trauma.
Evaluate the effectiveness of exercise and mobility aids in orthopaedic care.
Demonstrate safe use of mobility aids (including suitability for different patient groups).
Spinal Injuries
At the end of the sessions you will be able to:
Identify the underlying pathophysiology of acute spinal injury.
Critically analyse methods of assessing and recording acute spinal injury (including patient perceptions).
Evaluate the major treatment options for acute spinal injuries and the role of the orthopaedic nurse and other health professionals in these, including rehabilitation.
Demonstrate the use of safe moving and handling techniques of patients suspected of having acute spinal injury.
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E-learning — Rheumatoid Arthritis and Osteoporosis
These sessions will prepare you for the seminar on day 8.
Indicative reading,
Bartleson J.D. & Gordon Deen H. (2009) Spine Disorders Medical and Surgical Management. Cambridge University Press.
Dandy D.J. & Edwards D.J. (2009) Essential Orthopaedics and Trauma. 5th ed. Churchill Livingstone, Elsevier, chapter 2.
Kneale D. & Davis P. S. (2005) Orthopaedic and Trauma Nursing. 2nd ed. Churchill Livingstone.
Week 6 2 March 2017
DVT/PE Seminar
At the end of the session you will be able to
Evaluate methods of assessing patients at risk of the above complications.
Evaluate methods of reducing the risk of the above complications occurring.
Evaluate methods of treatment of the complications of immobility.
Critically analyse the role of the orthopaedic nurse and other health professionals in assessment, reduction of risk and treatment.
Non-surgical Care in Orthopaedic Conditions/Trauma — Pain
At the end of the session you will be able to:
Identify the causes of pain in orthopaedic conditions/trauma.
Critically evaluate methods of assessing pain in orthopaedic conditions/trauma.
Critically analyse treatment methods for acute/chronic orthopaedic pain, and the role of the orthopaedic nurse and other health professionals in these treatments.
Indicative reading,
Autar R. (2003) The management of deep vein thrombosis: the Autar DVT risk assessment scale re-visited. Journal of Orthopaedic Nursing, August 2003 7(3), 114-124.
Autar R. (2007) NICE guidelines on reducing the risk of venous thromboembolism (deep vein thrombosis and pulmonary embolism) in patients undergoing surgery. Journal of Orthopaedic Nursing August-November, 11, (3-4), 169-176.
Autar R. (2009) New oral anticoagulants to revolutionise venous thromboembolism (VTE) management. Journal of Orthopaedic Nursing, 13, 165-171.
Autar R. (2010) A review of venous thromboprophylaxis in patients undergoing hip fracture surgery (HFS). International Journal of Orthopaedic and Trauma Nursing, 14, 88-95.
Davis P. (2004) A critical exploration of practice improvement in orthopaedic nursing with reference to venous thromboembolism prevention Journal of Orthopaedic Nursing, November 8(4), 208-214.
Eriksson B.L. (2007) Dabigatran etexilate versus enoxaparin for prevention of venous thromboembolism after total hip replacement: a randomised, double-blind, non-inferiority trial. The Lancet, 370(9591), 949-956.
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Frostick S. (2016) Pharmacological thromboprophylaxis and total hip or knee replacement British Journal of Nursing 25(1), 45-53. Van Dijk, J.F.M., Vervoort S.C.J M., van Wijik, A.J.M., Kalkman C.J., Schuurmans M J. (2016) Postoperative patients’ perspectives on rating pain: A qualitative study. International Journal of Nursing Studies, 53, 260-269.
Week 7 9 March 2017
Diagnostic Imaging in Orthopaedic Care
At the end of the session you will be able to:
Identify the common methods of diagnostic imaging in orthopaedic care.
Describe the main features of these imaging methods.
Identify the principles of interpreting plain films of patients with arthritis and fractures.
Musculoskeletal Cancers
At the end of the session you will be able to:
Identify the major musculoskeletal cancers, their pathophysiology, aetiology, and treatments.
Critically analyse the role of the orthopaedic nurse and other health professionals in the care of patients with orthopaedic cancers.
Hip Anatomy/Classification of Hip Fractures
At the end of the session you will be able to:
Identify the main structures of the hip joint.
Critically analyse methods of classifying hip fractures and their use in clinical practice.
Femoral Neck Fractures
At the end of the session you will be able to:
Critically analyse methods of reducing the risk of femoral neck fractures in vulnerable groups.
Evaluate treatment options for femoral neck fractures.
Evaluate the role of the orthopaedic nurse and other health professionals in treatment of femoral neck fractures and reducing risk.
E-learning — Orthopaedic Infections
On completion you will be able to:
Identify the causes and pathophysiology of orthopaedic infections (including septic arthritis, osteomyelitis).
Evaluate treatment options for orthopaedic infections, and the role of the orthopaedic nurse and other health professionals in carrying out this care
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Indicative reading
Autar R. (2010) A review of venous thromboprophylaxis in patients undergoing hip fracture surgery (HFS) International Journal of Orthopaedic and Trauma Nursing, 14(2), 88-95. Dandy D.J. & Edwards D.J. (2009) Essential Orthopaedics and Trauma. 5th ed. Churchill Livingstone, Elsevier Griffith D (2007) A critical study of a 100-year-old patient receiving a dynamic hip screw Journal of Orthopaedic Nursing 11, 177–184.
Howard W., (2001) A critical review of the role of targeted education for osteoporosis prevention. Journal of Orthopaedic Nursing, 5, 131-135
Kneale D. & Davis P.S. (2005) Orthopaedic and trauma Nursing. 2nd ed. Churchill Livingstone.
http://www.arthritisresearchuk.org (Website of Arthritis Research Campaign)
Week 8 9 March 2017
Rheumatoid Arthritis Seminar
At the end of the session you will be able to:
Identify the disease processes for rheumatoid arthritis.
Evaluate the treatment options for the stages of these diseases and the role of the orthopaedic nurse and other health professionals in these treatments (including joint replacements)
Critically analyse methods of developing patient-focused care throughout the patient journey.
Identify the concerns/needs of patients throughout their patient journey and how these needs might be met.
Spinal Conditions
At the end of the session you will be able to:
Identify the underlying pathophysiology of chronic spinal conditions.
Critically analyse methods of assessing chronic spinal conditions (including patient perceptions) and recording assessment.
Evaluate the major treatment options for chronic spinal conditions and the orthopaedic nursing and other health professional roles in these treatments.
Therapeutic Immobilisation
At the end of the session you will be able to:
Identify the principles of traction, casts, external fixators, slings/bandaging, and the moving of patients who are immobilised.
Demonstrate the correct application of traction and identify the principles of maintaining it safely.
Identify the principles of a good cast and demonstrate competence in safe removal of a cast.
Demonstrate the correct application of slings and simple bandages.
Demonstrate correct moving/handling of patients who are immobilised.
For all of the above, evaluate the effects of immobilisation on patients and the role of the orthopaedic nurse and other health professionals in minimising adverse effects
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Indicative reading,
Cadogan M.P. (2011) Lumbar Spinal Stenosis: Clinical Considerations for Older Adults. Journal of Gerontological, 37(6), 8-12. Clarke S. & Santy-Tomlinson J. (eds) (2014) Orthopaedic and Trauma Nursing: An Evidence-based Approach to Musculoskeletal Care. Wiley Blackwell, Oxford. Content G., Hajela V. & Lucas B. (2003) Osteoporosis screening and education following distal radial fracture: An expanding role for fracture clinic nurses. Journal of Orthopaedic Nursing, 7, 137-140. Churchill Livingstone, Elsevier. Daker-White G., Donovan J. & Campbell R. (2014). Redefined by illness: meta-ethnography of qualitative studies on the experience of rheumatoid arthritis. Disability and Rehabilitation, 36(13), 1061-1071. Dandy D.J. & Edwards D.J. (2009) Essential Orthopaedics and Trauma. 5th ed. Churchill Livingstone, Elsevier. Germon T., Ahuja, S., Casey A T.H., Todd N.V. & Am Rai B.M. (2015) British Association of Spine Surgeons standards of care for cauda equina syndrome. The Spine Journal, 15, (3), Supplement, S2–S4. RCN Guidance (2015) Traction: principles and application. http://www.rcn.org.uk/__data/assets/pdf_file/0004/608971/RCNguidance_traction_WEB_2.pdf Rullander A.C., Lundström M., Lindkvist M., Hägglöf B. & Lindh, V. (2016) Stress symptoms among adolescents before and after scoliosis surgery: correlations with post-operative pain. Journal of Clinical Nursing, Apr; 25(7-8):1086-94.
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Indicative reading
Core
Clarke S. & Santy-Tomlinson, J. (eds) (2014) Orthopaedic and Trauma Nursing: An Evidence-based Approach to Musculoskeletal Care. Wiley Blackwell, Oxford.
Dandy D.J. & Edwards, D.J. (2009) Essential Orthopaedics and Trauma. 5th ed. Churchill Livingstone, Elsevier.
Kingston, B. (2005) Understanding Muscles. 2nd ed. Cheltenham: Stanley Thorne.
McRae R. (2010) Clinical Orthopaedic Examination. 6th ed. Churchill Livingstone, Edinburgh.
An anatomy and physiology book, for example:
Tortora G. & Derrickson B. (2006) Principles of Anatomy and Physiology. 11th ed. Harper Collins, New York.
In addition: recommended
Greenhalgh T. (2006) How to Read a Paper: the Basics of Evidence Based Medicine. 3rd ed. BMJ Books, London.
Jester R., Santy J. & Rogers J. (2011) Oxford Handbook of Orthopaedic and Trauma Nursing. Oxford University Press, Oxford.
Kneale D. & Davis P. S. (2005) Orthopaedic and Trauma Nursing. 2nd ed. Churchill Livingstone.
Other useful reading:
Adams J.C., Hamblen, D. (2009) Outline of Orthopaedics. 14th ed. Churchill Livingstone, Edinburgh.
Calais-Germain B. (1993) Anatomy of Movement. Eastland Press, Seattle.
Clarkson H.M. (2013) Musculoskeletal Assessment: Joint Motion and Muscle Testing. 3rd ed. Lippincott Williams & Wilkins.
Crowther C.L. (2004) Primary Orthopaedic Care. 2nd ed. Mosby
Gunn C. (2007) Bones and Joints - A Guide for Students. 5th ed. Churchill Livingstone, Seattle.
Hamblen D. & Simpson H. (2007) Adams Outline of Fractures. 12th ed. Churchill Livingstone, Edinburgh.
Hill J. (2006) Rheumatology Nursing. A Creative Approach. 2nd ed. John Wiley & Sons, Edinburgh.
Lumley J.S.P. (2008) Surface Anatomy: the Anatomical Basis of Clinical Examination. 4th ed. Churchill Livingstone.
Magee D.J. (2008) Orthopaedic Physical Assessment. 5th ed. Saunders, Elsevier.
Maher A.B., Salmond S.W. & Pellino T.A. (2002) Orthopaedic Nursing. 3rd ed. W.B. Saunders, Philadelphia.
Mc Rae R. & Esser M. (2008) Practical Fracture Treatment. 5th ed. Churchill Livingstone, Edinburgh.
Reider B. (2005) The Orthopaedic Physical Examination. 2nd ed. WB Saunders, Philadelphia.
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Solomon L., Warwick D.J. & Nayagam S. (2010) Apley’s System of Orthopaedic and Fractures. 9th ed. Hodder Arnold, London.
Stone R.J. & Stone J.A. (1997) Atlas of Skeletal Muscles. Times Mirror Higher Education Group, Dubuque.
Taylor B.J. (2000) Reflective Practice: A Guide for Nurses and Midwives. Open University Press.
Internet resources
http://www.medscape.com (allows registration for particular speciality, including orthopaedics and nursing, and service then e-mails weekly updated information).
http://www.arthritisresearchuk.org (Website of Arthritis Research Campaign)
http://www.boa.ac.uk (Blue Book)
Relevant editions of the following journals:
International Journal of Orthopaedic and Trauma Nursing. Edinburgh: Churchill Livingstone. Quarterly Available online
Orthopaedic Nursing. New Jersey: National Association of Orthopaedic Nurses. 6 times yearly
Journal of Bone and Joint Surgery. London: British Editorial of Bone and Joint Surgery. 6 times yearly.
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Module evaluation
At the end of the module you are requested to complete the short online evaluation which will be available on your module KEATS site. Student evaluations are very important to us and are required by Health Education England and the regional London Local Education and Training Boards.
Action from previous evaluations
There were no suggestions for changes in the evaluations from last year. However there have been some timetable changes this year. The 8 days will now run on consecutive Thursdays for the first 4 weeks of term 2, there will then be a one week break, followed by 4 more days on consecutive Thursdays. This break will allow students time to consider their written submission and also more time to complete the practical part of the assessment.
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Timetable
Orthopaedic Nursing 6KNIA310 Teaching mode Date Type of
Session Title Time Lecturer Room
University based study
19 Jan 2017
Introduction Introduction to Course and Assignment Writing
10.00-13.00
Carole Jackson
FWB 2.81
Lecture Musculoskeletal Assessment – Principles (including IPS)
14.00-17.00 JCMB B16
University based study
26 Jan 2017
Lecture Terminology in Orthopaedic Care 10.00-11.00
Carole Jackson FWB 1.63 Lecture Synovial Joint Classification and
Osteoarthritis 11.30-13.00
Lecture Joint Replacement 14.00-15.00 JCMB B16
Lecture Gait 15.00-17.00 Adam Shortland
University based study
2 Feb 2017
Formatives Booked Formative Meetings 09.00-11.00 Carole Jackson CSC 1.6 Practical
session Assessment of the Upper and Lower Limbs
11.00-16.00 Nicky Smith/ Julie Luddock
Direct private study
E-Learning -DVT and PE 16.00-17.00 N/A
University based study
9 Feb 2017
Formatives/ directed private study
Booked Formative Meetings/ E-Learning and Guided Study: Neurological Examination
09.00-10.00 Carole Jackson
FWB 1.17 Lecture Introduction to Trauma 10.00-11.00 Carole Jackson Lecture Open Fractures 11.30-13.00 Hannah Kosuge Lecture Complications-Fat Embolism,
Compartment Syndrome 14.00-17.00 Claire Todd Rm 3
Prideux
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University based study
23 Feb 2017
Direct private study
E-learning and Guided Study: Rheumatoid Arthritis and Osteoporosis
09.00-10.00 N/A
Lecture Exercise/Mobility 10.00-11.00 Julie Luddock
CSC G10 Lecture Non bony Injuries 11.30-13.00 Julie Luddock Lecture Spinal Injuries 14.00-17.00 Nicky Smith
University based study
2 March 2017
Direct private study
E-learning and Guided Study: Musculoskeletal Cancers and Pain
09.00-11.00 N/A
Seminar DVT and PE Seminar 11.00-13.00 Carole Jackson FWB G.72
Lecture Pain 14.00-17.00 GSTT Pain Team
FWB 2.80
University based study
9 March 2017
Direct private study
E-learning and Guided Study: Orthopaedic Infections
09.00-10.00 N/A
Lecture Diagnostic Imaging in Orthopaedic Care
10.00-11.00 Miltiadis Krokidis FWB 2.81
Lecture Musculoskeletal Cancers 11.30-13.00 Sian Hawkins Lecture Anatomy/Classification of Hip/
Femoral Neck and Associated Issues 14.00-17.00 Claire Todd FWB 2.80
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University based study
16 March 2017
Seminar RA Seminar 10.00-11.00 Carole Jackson
CSC G10
Lecture Chronic Back Conditions 11.30-13.00
Practical Therapeutic Immobilisation Traction, Casts, Moving/Handling, Slings/Bandages
14.00-16.00 Carole Jackson/ Kayleigh Pierce/Emily Thomas
Assessment Final Briefing 16.00-17.00 Carole Jackson
Location key:
FWB – Franklin-Wilkins Building, Waterloo Campus
JCMB – James Clerk Maxwell Building, Waterloo Campus
WBW – Waterloo Bridge Wing, Waterloo Campus
Prideux Building, block 9 St Thomas
