The University of Southampton
Courses

HLTH6180 Contemporary issues in Limb Loss

Module Overview

This module is designed to provide students from a range of multidisciplinary backgrounds, such as Physiotherapists, Occupational Therapists, Nurses, Prosthetists, podiatrists and Engineers with the opportunity to explore contemporary issues related to limb loss in a thriving environment bringing together expertise in research, clinical practice and enterprise. This will involve exploring key issues relating to a wide range of current issues facing the delivery of amputation and prosthetic rehabilitation in a wide range of different settings, such as the adult and children services within the NHS, other healthcare organisations within in and outside of the UK, the prosthetics industry, charity settings, Paralympic sport and the military. The module forms part of the MSc Amputation and Prosthetic Rehabilitation pathway within the MSc Health Sciences Programme and is closely linked to a second module amputation and prosthetic rehabilitation specific module called ‘Amputation and Rehabilitation and Prosthetic Use’ (20 ECTS), but can be carried out as a standalone module. This module is likely to attract professionals who are currently working in the field amputation and prosthetic rehabilitation or prosthetic use, or those who would like to move into a career in this area. The module will therefore undertake a flexible route for working professionals and will be taught in one weekly block involving weekend work. The module is currently endorsed by the British Association of Chartered Physiotherapist in Amputee Rehabilitation (BACPAR).

Aims and Objectives

Module Aims

The aim of this module is to provide you with the opportunity to explore the wider issues related to a contemporary view of limb loss and amputation and prosthetic rehabilitation. This will involve exploring and critically appraising a range of different aspects and issues that relate to a wide range of different amputation rehabilitation and prosthetic settings. For example, key areas will include contemporary issues regarding children and limb loss, managing and supporting multiple limb loss, current approaches in managing pain and phantom limb pain, skin health and infection prevention, sports for people with limb loss, limb loss within the military and current debates in prevention of limb loss through diabetes management. These topics will be embedded within a biopsychosocial framework ensuring that the biological, psychological and sociological issues are explored in a holistic manner.

Learning Outcomes

Learning Outcomes

Having successfully completed this module you will be able to:

  • Demonstrate a comprehensive understanding of the rehabilitation journey following an amputation through the consideration of key factors from a physical and psychosocial perspective
  • Contrast and critically evaluate a wide range of current literature underpinning the evidence base in contemporary issues in the area of limb loss and key issues that impact on the delivery of amputation and prosthetic rehabilitation in a wide range of different settings
  • Develop knowledge and skills of key contemporary issues in limb loss that will develop your own professional role within the delivery of post amputation and prosthetic rehabilitation
  • Demonstrate the ability to debate, critique, evaluate and refine your knowledge skills needed to understand current issues and practices within the delivery of amputation and prosthetic rehabilitation
  • Compare, appraise and consider the role of the multidisciplinary team in the delivery of amputation and prosthetic rehabilitation within different setting and environment

Syllabus

Session 1 (Lecture, tutorial and seminar) Module Introduction and ‘the changing world of amputation and prosthetic rehabilitation’ • Library and academic skills • A biopsychosocial framework for holistic care • Class debate and group work Session 2 (Lecture, seminar and tutorial) Current issues in the management of pain and phantom limb pain • The patient’s perspective • Therapy and counselling services • Reviewing and exploring the evidence of contemporary issues to manage pain and phantom limb Session 3 (Lecture and seminar) Current debates in diabetes management and advances in skin health • ‘Tackling the problem’: current debates and views in the management of diabetes to prevent limb loss • Advances in research in skin health and pressure sore prevention Session 4(Lecture) Advances in engineering and prosthetic development • Current engineering practices • Exploring what advances in prosthetic componentry mean for the prosthetic user • Current prosthetic advances Session 5 (Lecture and seminar) Limb loss and prosthetic use in the military and with areas of conflict • Experiences of limb loss in the military (involvement of charity organisations, such as Blema) • Supporting military related limb loss in the NHS and the ‘equality’ debate • Experiences of a senior physiotherapist working with Handicap International in areas of conflict and dealing trauma in areas such as Gaza Session 6 (Lecture and seminar) Paralympics and sports for people with limb loss • Experiences of getting involve in sports following an amputation or for those with congenital limb loss • Charity and Paralympic perspectives (such as Disability and Sports) • The impact of Paralympic sports on an individual’s sense of identity Session 7 (Lecture and seminar) Providing support and managing people with multiple limb loss • Causes of multiple limb loss • Issues in rehabilitation and discharge from hospital • Experiences of people with multiple limb loss following meningococcal septicaemia • Understanding carers and family perspectives Session 8 (Lecture, seminar and tutorial) Contemporary issues regarding children and limb loss • Availability of prosthetic devices and clinical decision making • Exploring empowerment and equality • Supporting and working with children with limb loss • The parents’ and carers’ voice and experience

Special Features

As this module is likely to attract some professionals currently working in the field of post amputation and prosthetic rehabilitation, the module will be taught over one block of four days that will run from Thursday to Sunday. This is likely to make things easier for students who need to travel and require accommodation. Students will be provided will a list of local accommodation and hotels that offer student discount for University of Southampton students.

Learning and Teaching

Teaching and learning methods

The module embraces a reflective and deep learning approach where you will be encouraged to engage in a wide range of activities that encourage meaningful discussion, debate and application to the contemporary issues in limb loss. The module is constructed in a way that enables you to learn from your peers and gain a wide variety of rich multidisciplinary perspectives and views. This peer directed learning approach will work well in this module due to the multidisciplinary nature of the field and the possible mix of UK and International students and therefore providing opportunities to learn and connect with different cultures and clinical/professional settings. There is a variety of different teaching and learning methods utilised within this module. However, most of the sessions will involve a key lecture that is followed by class discussion and group work.

TypeHours
Independent Study226
Teaching24
Total study time250

Resources & Reading list

Murphy D (2013). Fundamentals of amputation care and Prosthetics. 

Broomhead P et al (2003). Evidence based Clinical Guidelines for the Physiotherapy Management of Adults with Lower Limp Prostheses. 

British Society of Rehabilitation Medicine (2003). • British Society of Rehabilitation Medicine (2003) Amputee and Prosthetic Rehabilitation: Standards and Guidelines. 

Crawford C (2014). Phantom Limb: Amputation, Embodiment, and Prosthetic Technology.. 

Gallagher, P, Desmond, D, and Maclachlan M (Eds) (2008). Psychoprosthetics. 

Edmonds M and Foster A (2014). Managing the Diabetic foot. 

Ott K, Serlin D H and Mihm S (2002). Artificial Parts, Practical Lives: Modern Histories of Prosthetics. 

Sternburg J (2002). Phantom Limb. 

Murray C (2009). Amputation, Prosthetic Use and Phantom Limb Pain: An Interdisciplinary Perspective. 

Assessment

Assessment Strategy

Written assignment (3,000 words): You will be required to select a key issue discussed within the module. You will be asked to 1) clarify your understanding of the issue, 2) describe and critique the literature and/or theories related to the issue, 3) discuss the implications of the issue in terms of current clinical practice and 4) evaluate strategies or developments that may enhance practice or the patient experience relating to the issue.

Summative

MethodPercentage contribution
Written assessment  (3000 words) 100%

Repeat Information

Repeat type: Internal & External

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