PP06 - Week Six
This is a week split into two halves. The first half of this week we are going to think about discharge management of the individual with an amputation. We will consisider patient education in independent ongoing management; resumption of roles in family, recreational and community activities; vocational rehabilitation by assessing and planning vocational activities for the future; plus emotional equilibrium and healthy coping strategies.
The second half of this week you will explore your learning on this course by preparing a case study on one of your patients or based on one of the examples provided. You will also need to pass the end of course quiz and submit the course evaluation form and competency tool to complete the course.
Rachael Lowe from Physiopedia provides an introduction to week six of the course and reviews the final tasks necessary to finish the course. Please note that all these tasks must be completed by Sunday July 19th 2015 to qualify for the 2015 course completion certificate. (Note - watching this video is optional)
Objectives for this week
At the end of this week you should be able to:
- Provide individuals with amputation with knowledge for ongoing independent management of their amputation and understand what you should address in their discharge management.
- Be able to apply your new knowledge to clinical situations.
- Complete the course by submitting your final case study presentation, completing the quiz, competency form and evaluation form.
Topic 1: Discharge management
It is important to consider the full implications of discharge from medical care and aid the individual with limb loss with resumption of roles in family, vocational, recreational and community activities, plus emotional equilibrium and healthy coping strategies.
- Read this page - Discharge management of the amputee
- Discharge advice - Discharge planning can make all the difference to the long term outcome of the individual with amputation. What are the most important aspects of discharge management of the individual with amputation? Do you have any patient education leaflets that you can share with your colleagues on this course?
- Peer Support - The loss of a limb regardless of the reason will lead to a number of physical and emotional challenges for the new amputee and their loved ones. At this time the support and assistance of family, friends and health care professionals are all important aspects of the recovery and rehabilitation process. However speaking to another amputee who understands what it is like to go through the experience of limb loss can often have a very positive outcome in assisting the new amputee to see that there is life after amputation and that most challenges will be overcome. How important is peer support? What opportunities are there in your working environment for your patients to interact and help each other?
Final Presentation / Assignment
This presentation task is a required part of the course to gain your completion certificate and accreditation. The case study must be submitted before Sunday July 19th 2015. PLEASE NOTE - You will not be able to submit your case study after this date!
Using the knowledge that you have gained throughout this course you are going to prepare a simple case presentation of one of your own amputee clients OR if you don't currently have amputee clients complete a case assignment based on one of the cases provided below.
You should reflect upon your learning over the past 5 weeks as well as consider the resources we have provided throughout the course. You should reference your work with appropriate evidence and consider additional information from one of the topics below:
- The Diabetic Amputee
- Older people with amputations
- Paediatric limb deficiency
- High level rehabilitation of amputees
- Individuals with amputation in low resourced settings
- Upper Limb Considerations
Please note - that you will not receive a mark for your case presentation / assignment. We will assess the submitted case studies to ensure a minimum standard is achieved before allowing a course completion certificate to be accessed. We are not looking for correct or incorrect answers! We are looking for the implementation of the techniques and skills covered during the course and an engagement with the relevant literature. We will also publish selected case studies on Physiopedia in a new amputee case studies section (these will be published in the latter part of this year) and there will be an award for the best submission.
There are 2 options for this final piece of work:
- Prepare a case presentation based on one of your current or past patients. This is suitable for people who are currently working with individuals with amputation OR
- Prepare a case assignment based on one of the cases provided. This is suitable for people who are not currently working with individuals with amputation.
- prepare a case presentation based on one of your current or past patients and considering one of the following topics:
- prepare your case presentation in this format - Case presentation guide
- Submit your case presentation here
- prepare a case assignment based on one of the following provided presentations:
- prepare your case assignment using this guide - Case assignment guide
- Submit your case assignment here
These tasks are all a required part of the course to gain your completion certificate and accreditation. They must be submitted before Sunday July 19th 2015 to be considered for certification.
Make sure you complete all of the course required tasks by Sunday July 19th 2015 at the latest! You will be able to download your course certificate here from Wed 22nd July when a link to a certificate download form will be published. Your completion of the tasks will be automatically checked before the certificate will be made available.
Optional: Explore other resources
The following resources are optional for you to read/view but will further expand your knowledge on this week's topics:
- This book chapter from Tidy's physiotherapy gives an overview of physiotherapy management for people with major amputation (thanks to Elsevier for allowing access to this chapter!)
- Watch this video to understand some individual responses to amputation - Amputee Coalition: Transformation
- Zidarov, D., Swaine, B., & Gauthier-Gagnon, C. (2009). Quality of life of persons with lower-limb amputation during rehabilitation and at 3-month follow-up. Archives of physical medicine and rehabilitation, 90(4), 634-645.
- A major part of your discharge management of the patient is patient education. These leaflets from the Amputee Coalition are useful
The Rehabilitation Series for Lower Extremity Amputees
Free access to these three text books has kindly been provided by Robert and Ann Gailey for the duration of the course:
Alternatively you might be interested in having your own copy of the books.
Additionally you might be interested to purchase the complementary DVDs direct from Robert and Ann Gailey.
Prosthetic Gait Analysis for Physiotherapists
This is the course textbook from ICRC which will be available to all participants of the course.
Alternatively you might be interested in having your own copy of the book.
Therapy for Amputees
This course textbook has kindly been provided by Elsevier and will be available to all participants of the course for FREE for the duration of the course.
Access the book here! (this will be made available for free for the duration of the course)
Alternatively you might be interested in having your own copy of the book.