Back Submodule: SPE339c1

Assistive Technology

Work-based content

Competencies

# Learning outcome Competency Action
# 1 Learning outcome 1,2,3 Competency

Under supervision, lead a patient assessment in at least two of the modalities listed above, to identify and define individual requirements for intervention

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# 2 Learning outcome 1,2 Competency

Apply a variety of clinical methods to assess biomechanics and function (eg forces, active and passive joint movement, motor assessment, muscle activity, interface pressure, shape and energy expenditure) taking into account the complete

clinical picture

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# 3 Learning outcome 2 Competency

Analyse and interpret the data obtained from these measurements

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# 4 Learning outcome 2,3 Competency

Produce a formal report outlining a diagnostic/therapeutic  opinion

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# 5 Learning outcome 2 Competency

Recognise, quantify and discuss the errors in the measurements obtained and discuss their limitations

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# 6 Learning outcome 2,3,4 Competency

Present to the patient and clinic team the realistic expectations of the intervention and the expected levels of enhancement

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# 7 Learning outcome 3,4 Competency

Develop objectives, recommendations and rationale for intervention

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# 8 Learning outcome 3,4 Competency

Perform a risk assessment; propose a risk management strategy

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# 9 Learning outcome 1,2,3,4 Competency

Identify indicators for and contra- indicators to the use of equipment and/or assessment/measurement techniques

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# 10 Learning outcome 3,4 Competency

Evaluate commercially available equipment against clinical requirements

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# 11 Learning outcome 3,4 Competency

Identify indicators for non-standard bioengineering  requirements, eg for patient with profound disability

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# 12 Learning outcome 3 Competency

Using case study examples, evaluate the impact of the intervention on the wider clinical situation

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# 13 Learning outcome 3 Competency

Utilise appropriate outcome measures for at least two of the modalities; evaluate the results

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# 14 Learning outcome 2,3,4 Competency

Interface appropriate AT to enhance the use of equipment

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# 15 Learning outcome 3,4 Competency

Make appropriate adjustments to any equipment or its application to enhance function, comfort and safety

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# 16 Learning outcome 5 Competency

Train and familiarise the patient and/or carer in the use of the equipment, and develop user instructions

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Assessments

You must complete:

  • 4 case-based discussion(s)
  • 3 of the following DOPS/ OCEs:
Analyse and interpret the data/information obtained from the history and physical assessment. DOPS
Prepare a clinical report, documenting the relevant and critical elements of the assessment. DOPS
Prepare a funding application for a piece of equipment DOPS
Manufacture a custom contoured seating system and interface to a wheelchair base DOPS
Manufacture a custom made orthosis DOPS
Assemble and bench align a prosthetic limb DOPS
Manufacture/substantially modify another type of AT. DOPS
Interface non-standard switching mechanisms to an EAT or FES device. DOPS
Complete a risk assessment relevant to the modality and produce an action plan to reduce/manage the risk. DOPS
Set up a piece of AT for a patient, making the necessary adjustments and modifications to meet the previously agreed objectives DOPS
Select and use an outcome measure appropriate to monitor performance of the intervention. DOPS
Prepare and calibrate equipment DOPS
Review the information contained in the referral; clarify this with the patient and identify their personal aims/objectives OCE
Gain consent from a patient for the assessment and/or provision of equipment. OCE
Take a patient history relevant to the modality OCE
Carry out a physical assessment of a patient to inform provision of an AT OCE
Review a piece of AT with the patient following previous provision, agree the changes required, including re- prioritisation of objectives; make any necessary adjustments/modifications/replacements; document the clinical reasoning involved OCE
Train a patient and/or carers in the use of a piece of AT, recognising the need to communicate with people having a range of physical and cognitive abilities. OCE
Lead or take an active role in a multi- disciplinary clinical event, such as a case conference or patient assessment which may include a ward environment; understand the intervention in the wider clinical setting. OCE
Explain the relevant and critical findings of the assessment to the patient, related to the reason for referral and the patient aims, and resolve any conflicting requirements OCE
Report to the patient detailed recommendations and rationale based on the data obtained OCE
Set up a piece of AT for a patient, making the necessary adjustments and modifications to meet the previously agreed objectives OCE

Learning outcomes

In relation to the following fields:

  • aids for daily living
  • electronic assistive technology (EAT)
  • functional electrical stimulation (FES)
  • postural management
  • prosthetics and orthotics (P&O)
  • wheelchairs

 

  1. Undertake physical and functional patient assessment appropriate for an AT prescription It is expected that the trainee will have exposure to the majority of the modalities listed above but focus specifically on between one and three
  2. Define and develop the interface between the patient and (a) the test/measurement equipment and/or (b) the prescribed AT equipment, discussing the possible adverse consequences in terms of safety, performance, comfort and aesthetic appearance
  3. Prescribe appropriate AT interventions in close collaboration with patients, carers and clinical colleagues and to measure and assess their outcome
  4. Design and modify devices appropriately to suit patients’ needs
  5. Train patients and carers in the safe and effective use of equipment provided
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