4th year Flashcards

0
Q

Pros core competencies: tf cast&mod: consent (5)

A
  • introduction to patient
  • explanation of procedures
  • answers patient queries if appropriate
  • explanation of outcomes use
  • patients expectations discussed
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1
Q

Pros core competence: tf cast modification (6)

A
  • consent
  • pre treatment planning
  • pre treatment preparation
  • treatment procedure -casting
  • technical skills -modification
  • post treatment management
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2
Q

Pros core competence: tf cast&mod: pre-treatment planning (4)

A
  • patient positioned appropriately
    • a) for patient safety
    • b) for clinician safety
  • tools set out, clean and appropriate
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3
Q

Pros core competencies: tf cast&mod: pre treatment prep (13)

A
  • ask patient past medical history
  • appropriate social history
  • appropriate prosthetic history
  • takes an holistic view of patient prior to commencement of casting and corrects anything necessary
  • observation analysis of patient discussed and/or documented
  • written notes taken of procedure
  • patients opinion considered
  • prescription options discussed with patient
  • has assessed/documented appropriate factors
  • joint range of motion
  • contractures
  • muscle powers
  • other factors as seen (eg fatigue, pain neuromas, bone spurs etc)
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4
Q

Pros core competencies: tf cast&mod: treatment procedure-casting (7)

A
  • application of releasing agent/barriers as appropriate
  • anatomical marking
  • application of wrap cast
  • application of forces/forming of cast as necessary at casting
  • removal of negative cast
  • negative cast assessment
  • label and store negative cast appropriately
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5
Q

Pros core competencies: tf cast&mod: technical skills-modification (6)

A
  • modification
  • negative cast filled appropriately
  • positive cast stripped appropriately
  • model modifications carried out in line with prescription
  • trim lines applied and appropriate
  • manufacture specification completed with required information: joint/materials/components/design specification
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6
Q

Pros core competencies: tf cast&mod: post treatment management (3)

A
  • patient is dressed and comfortable for departure
  • concluding discussions with patient regarding future treatment plan
  • administrative duties all completed
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7
Q

Pros core competences: tt cast & mod (6)

A
  • consent
  • pre treatment planning
  • pre treatment preparation
  • treatment procedure
  • technical skills
  • post treatment management
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8
Q

Pros core competencies: tt cast&mod: consent (5)

A
  • introduction to patient
  • explanation of procedures
  • answers patient queries if appropriate
  • explanation of outcomes use
  • patient expectations discussed
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9
Q

Prosthetic core competence: tt cast&mod: pre-treatment planning (4)

A
  • patient positioned appropriately
    • a) for patient safety
    • b) for clinician safety
  • tools needed set out, clean and appropriate
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10
Q

Pros core comp:tt cast&mod: pre treatment prep (10)

A
  • ask patient past medical history
  • appropriate social history
  • appropriate prosthetic history
  • takes an holistic view of patient prior to commencement of casting and corrects anything necessary
  • observation analysis of patient discussed and/or documented
  • has assessed/documented appropriate factors
  • joint range of motion
  • contractures
  • muscle strengths
  • other factors seen (eg fatigue, pain etc)
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11
Q

Pros core competence: tt cast&mod: treatment procedure (7)

A
  • application of releasing agent/barriers as appropriate
  • anatomical marking
  • application of wrap cast
  • application of forces/forming of cast as necessary at casting
  • removal of negative cast
  • negative cast assessment
  • label and store negative cast appropriately
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12
Q

Pros core competence:tt cast&mod: technical skills (7)

A
  • modification
  • negative model/cast filled appropriately
  • positive model/ cast stripped appropriately
  • positive model/ cast assessment and modification plan formulated
  • model modifications carried out in line with prescription
  • trim lines applied and appropriate
  • manufacture specification completed with requires information: joint/materials/components/design specification as required
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13
Q

Pros core competence: tt cast&mod: post treatment management (6)

A
  • written notes taken of procedure
  • patient opinion considered
  • prescription options discussed with patient
  • patient is dressed and comfortable for departure
  • concluding discussions with patient regarding future treatment plan
  • administrative duties all completed
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14
Q

Pros core competence: tf fitting and alignment (6)

A
  • consent
  • pre treatment planning
  • pre treatment preparation
  • static alignment procedure
  • dynamic alignment procedure
  • post treatment management
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15
Q

Pros core competence: tf fitting&alignment: consent (5)

A
  • intro to patient
  • explanation of procedures
  • answers pt queries if appropriate
  • explanation of outcomes use
  • patients expectations discussed
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16
Q

Pros core competence: tf pt fitting&alignment: pre treatment planning (4)

A
  • patient positioned appropriately between walking rails
    • a) for patient safety
    • b) for clinician safety
  • tools needed set out, clean and appropriate
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17
Q

Pros core competence: tf pt fitting&alignment: pre treatment prep(1)

A

-takes a holistic view of patient prior to commencement of fitting and corrects anything necessary

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18
Q

Pros core competence:tf fitting&alignment:static alignment procedure (7)

A
  • asks patient to stand and sit in safe environment and assesses socket fit
  • has assessed socket fit appropriate
  • has carried out static alignment with patient standing:
  • overall height checked and rechecked throughout process
  • length ratios of body segments
  • suspension checked and sufficient
  • stability of components
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19
Q

Pros core competence: tf fitting&alignment: dynamic alignment procedure (16)

A
  • function of knee joint and foot optimal for patient
  • has fully assessed gait in:
    • coronal plane
    • sagittal plane
    • transverse plane
  • carries out dynamic alignment satisfactorily
  • has patient walk within walking rails and views from:
  • coronal plane
  • sagittal plane
  • transverse plane
  • reassesses socket fit and stump pressures
  • assessment of final alignment both on and off patient
  • able to align and adjust all components to manufacturers guidelines
  • written notes taken of fitting and alignment procedure
  • trim lines assessed and altered as appropriate
  • workshop specification completed with requires information for finishing: cosmetic profile taken or checked to assess if still appropriate
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20
Q

Pros core competence: tf pt fitting&alignment: post treatment management (1)

A

-able to communicate to technical staff the prescription specified and as detailed in the instructions given

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21
Q

Pros core competence: tr fitting&alignment (6)

A
  • consent
  • pre treatment planning
  • pre treatment prep
  • static alignment procedure
  • dynamic alignment procedure
  • post treatment management
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21
Q

Pros core competence: tr fitting&alignment (6)

A
  • consent
  • pre treatment planning
  • pre treatment prep
  • static alignment procedure
  • dynamic alignment procedure
  • post treatment management
22
Q

Pros core competence: tt fitting&alignment: consent (5)

A
  • intro to pt
  • explanation of procedures
  • answers pt queries if appropriate
  • explanation of expected outcomes
  • pt expectations discussed
22
Q

Pros core competence: tt fitting&alignment: consent (5)

A
  • intro to pt
  • explanation of procedures
  • answers pt queries if appropriate
  • explanation of expected outcomes
  • pt expectations discussed
23
Q

Pros core competencies:tt fitting&alignment: pre treatment planning (4)

A
  • patient positioned appropriately between walking rails
    • a) for pt safety
    • b) for clinician safety
  • tools set out, clean and appropriate
23
Q

Pros core competencies:tt fitting&alignment: pre treatment planning (4)

A
  • patient positioned appropriately between walking rails
    • a) for pt safety
    • b) for clinician safety
  • tools set out, clean and appropriate
27
Q

Pros core competence:tt fitting&alignment: pre treatment prep (2)

A
  • takes an holistic view of pt prior to commencement of fitting and corrects anything necessary
  • checks bench alignment according to manufacturers guidelines
27
Q

Pros core competence:tt fitting&alignment: pre treatment prep (2)

A
  • takes an holistic view of pt prior to commencement of fitting and corrects anything necessary
  • checks bench alignment according to manufacturers guidelines
28
Q

Pros core competence: tt fitting&alignment: static alignment procedure (11)

A
  • asks pt to stand and sit in safe environment and assesses socket fit
  • has assessed socket fit appropriate
  • has carried out static alignment with pt standing:
  • overall height
  • length ratios of body segments
  • suspension
  • stability of components
  • has fully assessed:
  • coronal plane
  • sagittal plane
  • transverse plane
28
Q

Pros core competence: tt fitting&alignment: static alignment procedure (11)

A
  • asks pt to stand and sit in safe environment and assesses socket fit
  • has assessed socket fit appropriate
  • has carried out static alignment with pt standing:
  • overall height
  • length ratios of body segments
  • suspension
  • stability of components
  • has fully assessed:
  • coronal plane
  • sagittal plane
  • transverse plane
29
Q

Pros core competence: tt fitting&alignment: dynamic alignment procedure (11)

A
  • carries out dynamic alignment satisfactory
  • has pt walk within walking rails and observes pt:
  • coronal plane
  • sagittal plane
  • transverse plane
  • reassesses socket fit and stump pressures
  • assessment of final alignment both on and off patient
  • able to align and adjust all components to manufacturers guidelines
  • written notes taken of fitting and alignment procedure
  • trim lines assessed and altered as appropriate
  • manufacture specification completed with required information for finishing: cosmetic profile taken or checked to assess if still appropriate
29
Q

Pros core competence: tt fitting&alignment: dynamic alignment procedure (11)

A
  • carries out dynamic alignment satisfactory
  • has pt walk within walking rails and observes pt:
  • coronal plane
  • sagittal plane
  • transverse plane
  • reassesses socket fit and stump pressures
  • assessment of final alignment both on and off patient
  • able to align and adjust all components to manufacturers guidelines
  • written notes taken of fitting and alignment procedure
  • trim lines assessed and altered as appropriate
  • manufacture specification completed with required information for finishing: cosmetic profile taken or checked to assess if still appropriate
30
Q

Pros core competence:tt fitting&alignment: post treatment management (1)

A

-able to communicate to technical staff the prescription specified and as detailed in the instructions given

30
Q

Pros core competence:tt fitting&alignment: post treatment management (1)

A

-able to communicate to technical staff the prescription specified and as detailed in the instructions given

31
Q

Pros core competence: patient examination (6)

A
  • consent and communication
  • pre treatment planning patient history
  • treatment procedure patient assessment
  • treatment plan
  • technical skills
  • post treatment management
31
Q

Pros core competence: patient examination (6)

A
  • consent and communication
  • pre treatment planning patient history
  • treatment procedure patient assessment
  • treatment plan
  • technical skills
  • post treatment management
32
Q

Pros core competence:patient assessment: consent and communication (6)

A
  • obtain and review appropriate referral documentation
  • student introduces themselves
  • rapport building/putting the pt at ease
  • explanation of process
  • permission to proceed
  • ability to explain reasoning behind decisions
32
Q

Pros core competence:patient assessment: consent and communication (6)

A
  • obtain and review appropriate referral documentation
  • student introduces themselves
  • rapport building/putting the pt at ease
  • explanation of process
  • permission to proceed
  • ability to explain reasoning behind decisions
33
Q

Pros core competence: patient assessment: pre treatment planning patient history (5)

A
  • relevant medical history
  • relevant social history
  • ascertain patient aspirations/expectations
  • documenting information
  • relevant prosthetic/orthotic history
33
Q

Pros core competence: patient assessment: pre treatment planning patient history (5)

A
  • relevant medical history
  • relevant social history
  • ascertain patient aspirations/expectations
  • documenting information
  • relevant prosthetic/orthotic history
34
Q

Pros core competence: patient assess: treatment procedure patient assess (5)

A
  • relevant observations of pt
  • appropriate examination of pt
  • specific examination of amputated side
  • documenting information
  • decision to proceed
34
Q

Pros core competence: patient assess: treatment procedure patient assess (5)

A
  • relevant observations of pt
  • appropriate examination of pt
  • specific examination of amputated side
  • documenting information
  • decision to proceed
35
Q

Pros core competence: pt assessment: treatment plan (3)

A

-action plan agreed with pt and reassurance given
-socket design choice and justification
Indications of socket and casting type chosen
-component choice and justification (to be confirmed)

35
Q

Pros core competence: pt assessment: treatment plan (3)

A

-action plan agreed with pt and reassurance given
-socket design choice and justification
Indications of socket and casting type chosen
-component choice and justification (to be confirmed)

36
Q

Pros core competence: pt assessment: technical skills (6)

A
  • permission to proceed
  • environment and equipment preparation
  • level appropriate measurements
  • correct use of appropriate equipment
  • correct documentation of measurements
  • attention to wellbeing of pt
36
Q

Pros core competence: pt assessment: technical skills (6)

A
  • permission to proceed
  • environment and equipment preparation
  • level appropriate measurements
  • correct use of appropriate equipment
  • correct documentation of measurements
  • attention to wellbeing of pt
37
Q

Pros core competence: pt assessment: post treatment management (3)

A
  • patient is dressed and comfortable for departure
  • concluding discussions with pt regarding future treatment plan
  • administrative duties all completed
37
Q

Pros core competence: pt assessment: post treatment management (3)

A
  • patient is dressed and comfortable for departure
  • concluding discussions with pt regarding future treatment plan
  • administrative duties all completed
49
Q

Pros core competence: patient review (6)

A
  • consent
  • pre treatment planning
  • pre treatment preparation
  • treatment procedure
  • clinical skills
  • post treatment management
50
Q

Pros core competence: patient review: consent (5)

A
  • intro to pt
  • explanation of review procedure and asks for consent
  • answers pt queries if appropriate
  • clinicians expectations discussed
  • patients expectations discussed
51
Q

Pros core competence: patient review: pre treatment planning (4)

A
  • patient positioned appropriately
    • a) for pt safety
    • b) for clinician safety
  • tools needed set out, clean and appropriate
52
Q

Pros core competence: patient review: pre treatment prep (5)

A

-ask pt past medical history
-appropriate social history
-appropriate prosthetic history
-takes a holistic view of pt
-considers clinical notes and charts of pt
Current prescription to be clarified

53
Q

Pros core competence: patient review: treatment procedure (6)

A
  • evaluates pts functional ability
  • evaluates any significant changes since first prescription
  • evaluates any changes since last appointment
  • assesses if prosthesis is still appropriate prescription
  • determines a plan of action for continuing care
  • informs pt of ongoing prosthetic treatment plan as appropriate
54
Q

Pros core competence: patient review: clinical skills (3)

A
  • assesses if prosthetic socket has correct structure integrity for its function
  • checks pt weight bearing remains within specified weight limits of components
  • repairs/replaces prosthetic components as necessary & processes instruction for these appropriately
55
Q

Pros core competence: patient review: post treatment management (3)

A
  • able to evaluate if the prosthesis has the necessary appropriate integrity and is still functioning as required
  • can document patient review in clinical note correctly
  • plans ongoing review and care of pt