Module information
Module details
- Title
- Introduction to Prosthetics and Biomedical Rehabilitation
- Type
- Rotation
- Module code
- S-R-R1
- Credits
- 10
- Phase
- 1
- Requirement
- Compulsory
Aim of this module
This module will provide the trainee with an introduction to the principles and scope of prosthetics and biomedical rehabilitation in caring for patients with congenital and acquired defects.
Work-based content
Training activities
| # | Learning outcome | Training activity | Type | Action |
|---|---|---|---|---|
| # 1 | Learning outcome 1,2,3,6 |
Training activities
Attend a case review meeting where Reconstructive Scientists/Maxillofacial Prosthetists are planning and discussing rehabilitation options and reflect on the meeting |
Type OTA | Action View |
| # 2 | Learning outcome 1,2,3,6 |
Training activities
Shadow a Reconstructive Scientist/Maxillofacial Prosthetist in various clinics with patients requiring a range of prosthetics and reflect on their role |
Type OTA | Action View |
| # 3 | Learning outcome 1,3,5,6 |
Training activities
Observe the design and manufacture of an adhesive, mechanical and anatomical retained auricular, orbital and nasal prosthesis, and reflect on the process |
Type OTA | Action View |
| # 4 | Learning outcome 1,2,3,4,5,6 |
Training activities
Follow the pathway for a patient requiring nipple prosthesis from treatment to fabrication and reflect on the journey |
Type OTA | Action View |
| # 5 | Learning outcome 1,3,4,6 |
Training activities
Explore innovations in digital technology used in the treatment and planning of combined surgical and prosthetic custom medical device rehabilitation and reflect on the impact this will have on practice |
Type OTA | Action View |
| # 6 | Learning outcome 1,2,3,6 |
Training activities
Observe the manufacture of an indwelling ocular prosthesis and reflect on the process |
Type OTA | Action View |
| # 7 | Learning outcome 1,3,5,6 |
Training activities
Review the provision and access to patient support groups and reflect on the impact this has on practice |
Type OTA | Action View |
| # 8 | Learning outcome 1,2,3,6 |
Training activities
Observe the use of the consent process and reflect on the process |
Type OTA | Action View |
| # 9 | Learning outcome 1,2,3,6 |
Training activities
Observe surgery for the placement of craniofacial implants for retention of an auricular prosthesis and reflect on the process |
Type OTA | Action View |
| # 10 | Learning outcome 1,3,5,6 |
Training activities
Review medical device legislation and regulation on custom design and manufacture and reflect on how this guides practice |
Type OTA | Action View |
Assessments
Complete 1 Case-Based Discussion
Complete 1 DOPS or OCE
Direct Observation of Practical Skills Titles
- Apply an appropriate infection control procedures for the prosthetic rehabilitation clinic.
- Cast a simple facial impression.
Observed Clinical Event Titles
- Gather a patient history relevant to the specialty from a patient, patient representative, or member of the multidisciplinary healthcare team.
- Present a patient history relevant to the specialty to a member of the multidisciplinary healthcare team.
- Welcome a patient to a clinic appointment and confirm their identity.
Learning outcomes
| # | Learning outcome |
|---|---|
| 1 | Explore the contribution of prosthetics and biomedical rehabilitation to patient care. |
| 2 | Identify the roles and relationships of the multidisciplinary team in prosthetics and biomedical rehabilitation. |
| 3 | Describe the working practices of prosthetics and biomedical rehabilitation. |
| 4 | Examine the impact of innovation in prosthetics and biomedical rehabilitation. |
| 5 | Review the effect of legislation in prosthetics and biomedical rehabilitation. |
| 6 | Compare and contrast the practice of prosthetics and biomedical rehabilitation with other specialties. |
Clinical experiences
Activities
There is no clinical experiential learning associated with this module.
Academic content (MSc in Clinical Science)
Important information
The academic parts of this module will be detailed and communicated to you by your university. Please contact them if you have questions regarding this module and its assessments. The module titles in your MSc may not be exactly identical to the work-based modules shown in the e-portfolio. Your modules will be aligned, however, to ensure that your academic and work-based learning are complimentary.
Learning outcomes
On successful completion of this module the trainee will be able to:
- Reflect upon a range of patients referred for prosthetic rehabilitation, the care and treatment pathways and teams involved in prosthetic rehabilitation from initial consultation, consent for treatment, through to completion of treatment.
- Evaluate the radiobiological application and principles of radiotherapy, the effects of radiotherapy on tissues, treatment planning and simulation in relation to facial prosthetics.
- Explain the potential routes of transmission of infectious agents in clinical practice, mechanisms for prevention of infection, the scientific principles of decontamination and disinfection and their relevance to health and safety principles.
- Analyse and critically appraise design factors related to the anatomical site and the materials/biomaterials and applications in the manufacture of custom-made devices in the management of patients requiring facial prosthetics.
- Discuss the physical and psychological factors associated with altered body image and the treatments and support mechanisms available for patients with facial deformities, including psychological assessment and their response to illness.
Indicative content
Physical and psychological factors associated with altered body image:
- Psychoanalytical models of body image
- Cognitive behavioural models of body image
- Pre-operative, early postoperative, rehabilitation and medium-longer term care communication
- Awareness of psychological effects of cancer, facial disfigurement and body image, and introduction to psychological support for these patients
- Monitoring of patients during treatment
Anatomy of the Face and Neck Region:
- Face and scalp
- The neck
- Intracranial region
- Cranial nerves
- Orbit
- External and middle ear
- Nasal and paranasal sinuses
Effects of irradiation on tissues:
- Principles of radiotherapy
- Biological effects of ionising radiation
- Mechanisms and effects of irradiation damage of tissues with emphasis on head and neck
- Types of malignant lesions for which radiotherapy is likely to be effective
- Lesions for which radiotherapy is indicated and those for which it is inappropriate
- Practical procedures involved in radiotherapy appropriate to explanation to patients
Infection Control:
- Transmission of infectious agents
- Infection control
- Decontamination and infection
- Biofilms
Introduction to prosthetic rehabilitation:
- Principles of the clinical management of facial/body prosthetics, patient rights and managing patients with disabilities
- Construction of adhesive-retained auricular prosthesis
- Construction of adhesive retained nasal prosthesis
- Construction of indwelling eye prosthesis
- Construction of nipple prosthesis
Materials:
- Introduction to maxillofacial materials
- Advantages and disadvantages
- Material testing
- Material standards
- Introduction to additive manufacturing and digital technologies
Silicone Polymers:
- Silicone polymer chemistry, introduction to synthesis of silicone polymers and routes for cross linking, including condensation and addition mechanisms
- Deformation of silicone elastomers, definition of resilience, modulus of resilience and shore hardness
- Silicone elastomers for use as resilient liners, requirements, systems advantages and limitations
- Silicone elastomers as impression materials, requirements, systems and assessment
Impression Techniques and Materials:
- Alginate
- Silicone elastomers
- Plaster
- Combined/ sectional impressions