Subject: Surgery

Week 1

Physiotherapy Toolkit (Modalities)

Electrotherapies

Therapeutic hot/cold packs

Manual therapies

Applied exercise therapies

Learning objectives
After completion of this week, participants should be able to:

Understand the principles and application of electrotherapy including:

K-laser

Transcutaneous electrical nerve stimulation (TENS)

Neuromuscular electrical stimulation (NMES)

Pulsed magnetic therapy (Biomag)

Therapeutic ultrasound

Understand the use of therapeutic hot/ cold packs

Understand manual therapy and its application including:

Massage

Effleurage

Coupage

Joint mobilisations

Graded stretches

Understand applied exercise therapy including:

Strengthening and stabilising exercises

Balance and proprioceptive exercises

Functional exercises

Hydrotherapy

Week 2

Patient Assessment

Musculoskeletal patient assessment

Neurological patient assessment

Respiratory / critical care patient assessment

Learning objectives
After completion of this week, participants should be able to:

Carry out a basic musculoskeletal, neurological, and respiratory physiotherapy assessment

Understand valid outcome measures to guide patient treatment

How to write SOAP (subjective, objective, analysis, plan) notes to progress patient treatment

Week 3

Physiotherapy and Hydrotherapy Treatment Techniques

Early phase rehabilitation 0-2 weeks

Mid phase rehabilitation 2-6 weeks

Late phase rehabilitation 6-12 weeks

Patient discharge or maintenance physiotherapy programme

Learning objectives
After completion of this week, participants should be able to:

Carry out early physiotherapy treatment including:

Early manual therapy techniques

Early phase hot and cold pack treatment

Early electrotherapies to improve healing and for pain relief

Mid phase gentle exercise programmes including hydrotherapy

Late phase exercise therapy to include advanced strengthening, proprioceptive, balance and functional exercises

Late phase electrotherapies for pain relief, soft tissue injuries and muscle strengthening

Week 4

Physiotherapy Progression Plans and Home Exercise Programmes

Patient rehabilitation plans

Discharge and maintenance programmes

Home exercise plans

Learning objectives
After completion of this week, participants should be able to:

Learn how and when to progress patient plans from early to mid through to late stage rehabilitation to optimise patient outcomes

Understand when to discharge a patient, or to continue with a maintenance programme for chronic cases or surgical complications

Design home exercise programmes for owners to carry out

Week 5

Musculoskeletal Case Studies

CCL reconstruction – TPLO or lateral suture

Soft tissue injuries (tendinopathies, iliopsoas strains)

Fracture repair

Conservative management of chronic conditions, including hip dysplasia and elbow dysplasia

Learning objectives
After completion of this week, participants should be able to:

Consider appropriate assessment, treatment plan and progression of a musculoskeletal case study

Consider appropriate assessment, treatment plan and progression of a soft tissue case study

Consider appropriate assessment, treatment plan and progression of a fracture repair case study

Consider appropriate assessment, treatment plan and progression of a chronic condition case study

Week 6

Neurological and Respiratory (Intensive Care) Case Studies

Hemi- laminectomy (HLE)

Fibrocartilage embolism (FCE)

Pneumonia

Learning objectives
After completion of this week, participants should be able to:

Consider appropriate assessment, treatment plan and progression of a surgical neurological case study

Consider appropriate assessment, treatment plan and progression of a non-surgical case study

Consider appropriate assessment, treatment plan and progression of a respiratory (critical care) case study

Week 1

Physiotherapy Toolkit (Modalities)

Electrotherapies

Therapeutic hot/cold packs

Manual therapies

Applied exercise therapies

Learning objectives
After completion of this week, participants should be able to:

Understand the principles and application of electrotherapy including:

K-laser

Transcutaneous electrical nerve stimulation (TENS)

Neuromuscular electrical stimulation (NMES)

Pulsed magnetic therapy (Biomag)

Therapeutic ultrasound

Understand the use of therapeutic hot/ cold packs

Understand manual therapy and its application including:

Massage

Effleurage

Coupage

Joint mobilisations

Graded stretches

Understand applied exercise therapy including:

Strengthening and stabilising exercises

Balance and proprioceptive exercises

Functional exercises

Hydrotherapy

Week 2

Patient Assessment

Musculoskeletal patient assessment

Neurological patient assessment

Respiratory / critical care patient assessment

Learning objectives
After completion of this week, participants should be able to:

Carry out a basic musculoskeletal, neurological, and respiratory physiotherapy assessment

Understand valid outcome measures to guide patient treatment

How to write SOAP (subjective, objective, analysis, plan) notes to progress patient treatment

Week 3

Physiotherapy and Hydrotherapy Treatment Techniques

Early phase rehabilitation 0-2 weeks

Mid phase rehabilitation 2-6 weeks

Late phase rehabilitation 6-12 weeks

Patient discharge or maintenance physiotherapy programme

Learning objectives
After completion of this week, participants should be able to:

Carry out early physiotherapy treatment including:

Early manual therapy techniques

Early phase hot and cold pack treatment

Early electrotherapies to improve healing and for pain relief

Mid phase gentle exercise programmes including hydrotherapy

Late phase exercise therapy to include advanced strengthening, proprioceptive, balance and functional exercises

Late phase electrotherapies for pain relief, soft tissue injuries and muscle strengthening

Week 4

Physiotherapy Progression Plans and Home Exercise Programmes

Patient rehabilitation plans

Discharge and maintenance programmes

Home exercise plans

Learning objectives
After completion of this week, participants should be able to:

Learn how and when to progress patient plans from early to mid through to late stage rehabilitation to optimise patient outcomes

Understand when to discharge a patient, or to continue with a maintenance programme for chronic cases or surgical complications

Design home exercise programmes for owners to carry out

Week 5

Musculoskeletal Case Studies

CCL reconstruction – TPLO or lateral suture

Soft tissue injuries (tendinopathies, iliopsoas strains)

Fracture repair

Conservative management of chronic conditions, including hip dysplasia and elbow dysplasia

Learning objectives
After completion of this week, participants should be able to:

Consider appropriate assessment, treatment plan and progression of a musculoskeletal case study

Consider appropriate assessment, treatment plan and progression of a soft tissue case study

Consider appropriate assessment, treatment plan and progression of a fracture repair case study

Consider appropriate assessment, treatment plan and progression of a chronic condition case study

Week 6

Neurological and Respiratory (Intensive Care) Case Studies

Hemi- laminectomy (HLE)

Fibrocartilage embolism (FCE)

Pneumonia

Learning objectives
After completion of this week, participants should be able to:

Consider appropriate assessment, treatment plan and progression of a surgical neurological case study

Consider appropriate assessment, treatment plan and progression of a non-surgical case study

Consider appropriate assessment, treatment plan and progression of a respiratory (critical care) case study

Course Summary

This 30 minute eCPD tutorial is designed to help nurses understand the diagnosis, imaging and surgical treatment options for shoulder lameness in the dog.  Conditions covered include:

Medial shoulder instability

Supraspinatus / infraspinatus contracture

Osteochondrosis, osteochondritis dissecans

Ruptured lateral glenohumeral ligament

Bicipital tenosynovitis / rupture

Course Tutor

Chris Morris BVSc CertSAS MRCVS
Referral Surgeon, Dovecote

Course Length

The course is worth 30 minutes of CPD for UK delegates and 0.5 AVNAT points  for Australian and New Zealand delegates

The course is provided with unlimited lifetime access for on-demand learning

Course Notes

Unfortunately, course notes are not available with this tutorial

Week 1

Physiotherapy Toolkit (Modalities)

Electrotherapies

Therapeutic hot/cold packs

Manual therapies

Applied exercise therapies

Learning objectives
After completion of this week, participants should be able to:

Understand the principles and application of electrotherapy including:

K-laser

Transcutaneous electrical nerve stimulation (TENS)

Neuromuscular electrical stimulation (NMES)

Pulsed magnetic therapy (Biomag)

Therapeutic ultrasound

Understand the use of therapeutic hot/ cold packs

Understand manual therapy and its application including:

Massage

Effleurage

Coupage

Joint mobilisations

Graded stretches

Understand applied exercise therapy including:

Strengthening and stabilising exercises

Balance and proprioceptive exercises

Functional exercises

Hydrotherapy

Week 2

Patient Assessment

Musculoskeletal patient assessment

Neurological patient assessment

Respiratory / critical care patient assessment

Learning objectives
After completion of this week, participants should be able to:

Carry out a basic musculoskeletal, neurological, and respiratory physiotherapy assessment

Understand valid outcome measures to guide patient treatment

How to write SOAP (subjective, objective, analysis, plan) notes to progress patient treatment

Week 3

Physiotherapy and Hydrotherapy Treatment Techniques

Early phase rehabilitation 0-2 weeks

Mid phase rehabilitation 2-6 weeks

Late phase rehabilitation 6-12 weeks

Patient discharge or maintenance physiotherapy programme

Learning objectives
After completion of this week, participants should be able to:

Carry out early physiotherapy treatment including:

Early manual therapy techniques

Early phase hot and cold pack treatment

Early electrotherapies to improve healing and for pain relief

Mid phase gentle exercise programmes including hydrotherapy

Late phase exercise therapy to include advanced strengthening, proprioceptive, balance and functional exercises

Late phase electrotherapies for pain relief, soft tissue injuries and muscle strengthening

Week 4

Physiotherapy Progression Plans and Home Exercise Programmes

Patient rehabilitation plans

Discharge and maintenance programmes

Home exercise plans

Learning objectives
After completion of this week, participants should be able to:

Learn how and when to progress patient plans from early to mid through to late stage rehabilitation to optimise patient outcomes

Understand when to discharge a patient, or to continue with a maintenance programme for chronic cases or surgical complications

Design home exercise programmes for owners to carry out

Week 5

Musculoskeletal Case Studies

CCL reconstruction – TPLO or lateral suture

Soft tissue injuries (tendinopathies, iliopsoas strains)

Fracture repair

Conservative management of chronic conditions, including hip dysplasia and elbow dysplasia

Learning objectives
After completion of this week, participants should be able to:

Consider appropriate assessment, treatment plan and progression of a musculoskeletal case study

Consider appropriate assessment, treatment plan and progression of a soft tissue case study

Consider appropriate assessment, treatment plan and progression of a fracture repair case study

Consider appropriate assessment, treatment plan and progression of a chronic condition case study

Week 6

Neurological and Respiratory (Intensive Care) Case Studies

Hemi- laminectomy (HLE)

Fibrocartilage embolism (FCE)

Pneumonia

Learning objectives
After completion of this week, participants should be able to:

Consider appropriate assessment, treatment plan and progression of a surgical neurological case study

Consider appropriate assessment, treatment plan and progression of a non-surgical case study

Consider appropriate assessment, treatment plan and progression of a respiratory (critical care) case study

Week 1

Preparing for Surgery

Organisation of rooms and equipment in the theatre area

Scheduling and planning surgical caseload

Infection control related to the surgical theatre

Preparation of the patient for surgery

Learning objectives
After completion of this week, participants should be able to:

Understand the basics of infection control in the operating theatre

Identify the correct order of surgical procedures based on availability of equipment, personnel and rooms

Prepare the patient for a range of procedures, including preparation of skin, eyes and mucous membranes

Develop infection control protocols relating to procedure in their own practice

Week 2

The Theatre Nurse’s Role

Circulating nurse duties

Preparing the surgical team

Surgical hand preparation

Scrub nurse role

Learning objectives
After completion of this week, participants should be able to:

Understand the key qualities and requirements for the circulating nurse and scrub nurse roles

Identify the correct products and techniques for an effective surgical hand preparation and be able to demonstrate those

Choose appropriate protocols for the preparation of the surgical team

Correctly position patients for a range of surgical procedures

Week 3

Instrumentation and Sterilisation

Common surgical instrumentation

Taking care of your instruments and equipment

What happens after surgery!

Cleaning, disinfection, and sterilisation

Learning objectives
After completion of this week, participants should be able to:

Identify common surgical instruments and understand their use

Develop the skills to take apart and reassemble surgical equipment for the cleaning process

Understand the key sterilisation techniques used in veterinary medicine

Week 4

Bringing it all Together – Surgical Skills for Nurses

Suture material – what to use and when??

Common suture patterns

Surgical skills

Developing the surgical nurse’s role in practice

Learning objectives
After completion of this week, participants should be able to:

Identify properties of suture material and understand how that helps guide the choice of which one to use

Demonstrate common surgical suture patterns that could be performed by a veterinary nurse

Understand relevant surgical skills for veterinary nurses and how these can benefit your practice

Week 1

Preparing for Surgery

Organisation of rooms and equipment in the theatre area

Scheduling and planning surgical caseload

Infection control related to the surgical theatre

Preparation of the patient for surgery

Learning objectives
After completion of this week, participants should be able to:

Understand the basics of infection control in the operating theatre

Identify the correct order of surgical procedures based on availability of equipment, personnel and rooms

Prepare the patient for a range of procedures, including preparation of skin, eyes and mucous membranes

Develop infection control protocols relating to procedure in their own practice

Week 2

The Theatre Nurse’s Role

Circulating nurse duties

Preparing the surgical team

Surgical hand preparation

Scrub nurse role

Learning objectives
After completion of this week, participants should be able to:

Understand the key qualities and requirements for the circulating nurse and scrub nurse roles

Identify the correct products and techniques for an effective surgical hand preparation and be able to demonstrate those

Choose appropriate protocols for the preparation of the surgical team

Correctly position patients for a range of surgical procedures

Week 3

Instrumentation and Sterilisation

Common surgical instrumentation

Taking care of your instruments and equipment

What happens after surgery!

Cleaning, disinfection, and sterilisation

Learning objectives
After completion of this week, participants should be able to:

Identify common surgical instruments and understand their use

Develop the skills to take apart and reassemble surgical equipment for the cleaning process

Understand the key sterilisation techniques used in veterinary medicine

Week 4

Bringing it all Together – Surgical Skills for Nurses

Suture material – what to use and when??

Common suture patterns

Surgical skills

Developing the surgical nurse’s role in practice

Learning objectives
After completion of this week, participants should be able to:

Identify properties of suture material and understand how that helps guide the choice of which one to use

Demonstrate common surgical suture patterns that could be performed by a veterinary nurse

Understand relevant surgical skills for veterinary nurses and how these can benefit your practice