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Field name Comments/notes Title Tissue Repair and Reconstruction Code NH 3150 Level Level 6 Credit rating 10 Credits Pre-requisites BSc Acute Clinical Practice course admission criteria apply

For students registered to the clinical pathway successful completion of the Tissue Repair and Reconstruction module is required. Type of module Extensive Mode Aims The aim will be for students to: Expand knowledge and understanding, while critically appraising the fundamental principles of Tissue Repair within a plastic/reconstructive and/or burns setting/context Evaluate current research, theories, ethical issues and advancements in practice that underpin the delivery of care Learning outcomes/objectives On successful completion of the module the student will be able to: Critically evaluate the principles of tissue repair techniques applied to plastic reconstructive surgery and burns. Integrate into practice the rationales and appropriateness of different wound care techniques and the use of different wound care products.

Consider the physiological, psychosocial and psychological effect and impacts of trauma/disease/surgery for this client group.

Explore the legal and ethical issues that may emerge when treating burn injured patients or those requiring plastic/reconstructive and/or maxillofacial surgery.

Convey in practice clinical competence through the assessment of clinical skills linking theoretical concepts to current practice Content The module content is reflected within both the classroom setting and clinical practice and acknowledges Government reports drives and initiatives and NICE guidelines recommending changes in evidence-based practice.

Anatomy and Physiology of the skin. Physiology of wound repair and all elements associated with the complications encountered within this client group. Techniques and the rationale that underpins the selection of treatment and surgery performed for Skin Grafting, Flap Repair, and Tissue Expansion. The concepts of altered body image and the importance of professional intervention. The principles concerned with coping strategies, adaptation and adjustment relating to extensive surgery. Evaluation of nutritional management in specific client groups. Patient advocacy and Informed Consent. Demonstrate clinical proficiency through the assessment of clinical skills relating to the practice setting Teaching and learning strategies The main theoretical concept and frameworks will be introduced, reviewed, and developed through teacher-led sessions from which the student centred learning can then proceed. The use of guided reading will encourage independent learning and enable course participants to further study topics of particular relevance to them. However, the module is largely interactive and participative in nature and methods such as small group work, experiential and reflective activities will be used to facilitate discussion and reflection on current practice

Hours of Study 30 – Taught (5 Days). 35 – Independent study 35 – Linked to clinical practice 100 – Hours total Learning support Each student will be allocated a personal tutor and will select a work-based mentor who must hold a current mentorship qualification and have regular updates as directed by both the NMC and the University of Brighton. The student will develop a learning contract that will be used by the course participants to make links with the theoretical concepts and practice and as a base for discussion with the mentor and personal tutor. The focus will be on integrating formal learning with student experience and practice. Teaching and learning strategies will include key teacher-led sessions and student-led seminars. Within the confines of the module curriculum there will also be an element of negotiated context as students may vary according to the professional context in which they work. Critical incident analysis derived from the student’s experience and problem-solving sessions in small groups will be used to explore practice-based issues and concerns. Recommended Reading Bale, S., K. Harding & D. Leaper 2000. An Introduction to Wounds London. Emap Healthcare Limited. Baranoski S, & E.A Ayello 2004. Wound Care Essentials: Practice Principles. London. Lippincott Williams & Wilkins Colbert, B. 2009. Anatomy and Physiology. Harlow. Pearson Education Diamond, B. 2002. Legal Aspects of Nursing. Third Edition. London. Prentice Hall. Dealey, C. 2000. The Care of Wounds: A Guide for Nurses. Second Edition. London. Blackwell Sciences. Gunnewicht, B. & C, Dunford 2004. Fundamental Aspects of Tissue Viability Nursing. Trowbridge. MA Healthcare Ltd Tortora, G. and B. Derrikson. 2006. Principles of Anatomy and Physiology (11th Ed). John Willey and Son Ltd Vuolo, J. 2010. Wound Care Made Incredibly easy (UK Edition). London. Lippincott Williams & Wilkins Wardrobe, J. & JAR Smith 1999. The Management of Wounds and Burns. Second Edition. London. Oxford University Press. White, R. (Ed) 2007. Skin Care in Wound Management: assessment, prevention and treatment. Wiltshire. Wounds UK White, R; Cooper, R. & P Molan. 2005. Honey: A modern wound management product. Wiltshire. Wounds UK Web Sites Specialist Journals www.nice.org.uk British Journal of Nursing www.burnsurgery.org Journal of Wound Care www.evidence.nhs.uk Journal of Tissue Viability www.worldwidewounds.c www.wounds-uk.com Please note this is not an exhaustive list of recommended reading and journal use is recommended for contemporary evidence based practice. Assessment tasks Students will undertake two assessment tasks: theory 75% and practice 25%. Both assessment tasks must be passed in order to pass the module overall.

Theory total 75% Essay – 2000 words The student will select a topic from the module content and perform a small scale literature review on the chosen topic, selecting 2 current research articles for further analysis and reflection against current clinical practice.

Clinical Practice 25%

Skills Inventory Students will be expected to complete three clinical skills determining the theoretical links and relevance to current practice.

Brief description of module content The main concept of this module is the exploration of and/or aims (maximum 80 words) complex wounds associated with plastic reconstruction and burns and the review of advanced techniques used in practice. Consideration is paid to the impact these treatments have on the individual patients, their families and carers. Furthermore the psychological effects of trauma/disease/surgery are also highlighted together with the legal and ethical issues that may emerge when treating these patient groups. The nutritional support required for specific client groups will be discussed in depth.

Area examination board to which Under graduate continuing professional education, module relates School of Nursing and Midwifery Module team/authors/ coordinator Erika Thorne Chrissie Spiers Nikita Hill Amanda Wood Liz Blackburn Carol Lehan Michele Aylward Tricia Fulford Smith Shona Smith Semester offered, where appropriate 1,2 or 3 Site where delivered Queen Victoria Hospital Date of first approval May 2003 Date of last revision July 2008 Date of approval of this version October 2011 Version number 5 Replacement for previous module NH326 Field for which module is acceptable Optional/mandatory and status in that field Course(s) for which module is BSc (Hons) Acute Clinical Practice acceptable and status in course BSc (Hons) Professional Clinical Practice BSc (Hons) Professional Practice BSc (Hons) Nurse Practitioner BSc (Hons) Community Specialist Practice School home SNM External examiner Catherine Williams (Sep 2011 – August 2015) Knowledge and skills framework Core Dimensions 1,2,3,4,5 mapping Health and Well-being 3,5,6,7 Information and knowledge 1,2,3