Training activity: 9

Details

Lead an assessment for a patient newly referred for a custom nipple areola complex. Discuss individual patient requirements and prosthetic rehabilitation

Plan, design and manufacture the final prosthesis and provide 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.

Considerations

• Patient centred care and support
• Indications for treatment
• Impact of social and medical history on the device design
• Approach to assessing vulnerable patients
• Consent process
• Information required to inform the design and manufacture, including patient prognosis, past and future treatments
• Materials selection and retention
• Manufacture protocols and device risk assessment
• Patient expectations and experience
• Clinical fitting procedure
• Care and use instructions
• Consideration of surgical reconstruction and micropigmentation
• Communication with the patient and family/carers
• Communication with the multidisciplinary team providing ongoing care
• Patient safety, dignity and confidentiality
• Impact of plan/design on patient quality of life
• Complications and onward referral

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.
# 4	Outcome Identify patients who need further specialist support and refer to the appropriate healthcare specialist.
# 5	Outcome Analyse and interpret patient investigations, multimodal imaging and information.
# 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/instrumentation used in the treatment of patients and the manufacture of custom-made medical devices.
# 9	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.
# 10	Outcome Apply the principals of a quality management system to their professional practice.
# 12	Outcome Assess and interpret patients’ needs to provide customised treatment dependent on medical, physical, social and psychological requirements.