Craniofacial and Trauma Rehabilitation —
Training activity: 5

Details

Plan, design and manufacture a device for dynamic keloid splint scar therapy. Adjust and fit the final splint and provide instruction and aftercare support

Type

Developmental training activity (DTA)

Evidence requirements

Evidence the activity has been undertaken by the trainee​.

Reflection on the activity at one or more time points after the event including learning from the activity and/or areas of the trainees practice for development.

An action plan to implement learning and/or to address skills or knowledge gaps identified.

Reflective practice guidance

The guidance below is provided to support reflection at different time points, providing you with questions to aid you to reflect for this training activity. They are provided for guidance and should not be considered as a mandatory checklist. Trainees should not be expected to provide answers to each of the guidance questions listed.

Before action

• What are the key principles of keloid management using splints?
• What is your current understanding of keloid formation and the principles of pressure therapy?
• What do you anticipate learning about designing a dynamic splint, the fitting process, and providing effective patient instruction and aftercare?
• Have you researched different designs of dynamic keloid splints?
• Have you discussed the materials used and the biomechanical principles involved with your training officer?
• What potential challenges might arise during fitting or ensuring patient compliance with aftercare?

In action

• During the design and manufacture, how are you incorporating the principles of dynamic pressure for effective keloid management?
• When adjusting and fitting the splint, what feedback are you receiving from the (simulated or actual) patient? How are you using this feedback to refine the fit?
• While providing instruction and aftercare support, how are you ensuring the patient understands the importance of compliance? Are you adapting your communication based on their responses?

On action

• Outline the process of planning, designing, manufacturing, adjusting, and fitting the dynamic keloid splint. Describe the patient instruction and aftercare support provided.
• How did you apply the principles of dynamic splint therapy to the specific case.
• What did you learn about the principles of dynamic splint therapy for keloid scar management
• What were the key considerations in the design to ensure appropriate pressure and movement? What challenges did you encounter during fitting or in providing effective patient instruction? How did this activity enhance your understanding of scar management and patient care?
• What aspects of dynamic keloid splint design, fitting, or patient education will you focus on developing further? What resources or further training would be beneficial?

Beyond action

• Reflecting on this experience, how has your understanding of scar formation and keloid treatment evolved?
• How did the process of adjusting and fitting the splint and providing aftercare influence your approach to patient communication and education in other situations?
• How might this experience inform your future management of patients with scarring and the application of dynamic splint therapies?

Relevant learning outcomes

#	Outcome
# 1	Outcome Deliver quality patient centred care with the best interests of patients in all elements of practice.
# 2	Outcome Practice in accordance with local and national health and safety policies, regulatory requirements and overall service governance.
# 3	Outcome Communicate effectively with patients, relatives, healthcare professionals and other stakeholders.
# 5	Outcome Practice in partnership with other clinical specialisms as part of a multidisciplinary team and understand their roles and their impact on patient care and pathway.
# 6	Outcome Perform clinical investigations, formulate treatment plans and manufacture medical devices to a safe clinical standard.
# 8	Outcome Select appropriate biomedical materials and components used in the treatment of patients and the manufacture of custom-made medical devices.
# 9	Outcome Assess and interpret patients’ needs to provide customised treatment dependent on medical, physical, social and psychological requirements.