MAFYSD4500 Embodiment and Relationships in Treatment and Rehabilitation Course description

Den bio-psyko-sosiale modellen av helse, sykdom og funksjonshemming er et paradigmeskifte i helsefaglig virksomhet. Emnet følger opp dette skiftet gjennom å definere behandlende og rehabiliterende arbeid som samhandling. Denne samhandlingen tar utgangspunkt i at funksjonsnedsettelsen er omdreiningspunktet i et samarbeid mellom pasienten/klienten, profesjonelle, familien, arbeidsplassen og andre nære sosiale omgivelser. Behandling og rehabilitering finner slik sted i et nettverk av tett forbundne aktører. Emnet tar også opp ulikheter i hvordan sykdom anerkjennes, hvordan omgivelsene kan tilrettelegges for ulikheter i funksjon, og hvordan kronisk syke og funksjonshemmede kan oppleve ulike former for utestenging. Emnet legger vekt på å knytte sammen innsikter fra forskningsresultater og teoriutvikling med det konkrete møtet mellom pasient/rehabiliteringsklient og behandler.

Studenten må være tatt opp på studiet eller på andre studier innen helse- og sosialfag, idrett, pedagogikk eller samfunnsvitenskapelige fag.

For søkere til enkeltemne:

Emnet tilbys som enkeltemne. Søkere må ha bachelorgrad eller tilsvarende grad av minimum 3 års varighet.

Etter fullført emne har studenten følgende læringsutbytte definert i kunnskap, ferdigheter og generell kompetanse:

Kunnskap

Studenten har inngående kunnskap om

• den levde kroppen i perspektiver fra fenomenologi og narrativ teori
• kommunikasjon i møtet mellom pasient/klient og profesjonell
• ulikheter i forutsetninger for å ta del i den behandlende og rehabiliterende prosess
• betydningen av pasientens eller rehabiliteringsklientens personlige biografi og livsverden for behandling og rehabilitering
• hvordan omgivelsenes materielle utforming og kulturelle verdier får betydning for behandlings- og rehabiliteringsprosesser

Ferdigheter

Studenten kan

• analysere betydningen av ulike forståelser av forholdet mellom pasient/klient, profesjonell og omgivelser
• analysere samspill mellom profesjonell og pasient/klient med vekt på å fortolke delelementer i relasjoner og allianser
• skrive om sentrale problemstillinger knyttet til samspillets betydning i behandling og rehabilitering

Generell kompetanse

Studenten kan

• analysere mellommenneskelige og sosiale forhold som får betydning for behandlings- og rehabiliteringsprosesser
• analysere samspill mellom profesjonell og pasient/klient med vekt på å fortolke delelementer i relasjoner og allianser
• skrive om sentrale problemstillinger knyttet til samspillets betydning i behandling og rehabilitering

Forelesninger, gruppearbeid og seminarer.

Studenten skal gjennomføre en observasjon av et møte mellom behandler og pasient/rehabiliteringsklient, velge ut tekster fra et fagtidsskrift eller foreta et intervju med en pasient, rehabiliteringsklient eller en fagprofesjonell. Det opparbeidede materialet skal presenteres for medstudenter og faglærer med en varighet på mellom 15 og 20 minutter.

Arbeidskravet må være godkjent før studenten kan levere eksamensoppgaven.

The Bachelor’s Degree Programme in Prosthetics and Orthotics is a three-year programme of professional study (180 credits), and students who complete the programme are awarded a Bachelor’s Degree in Prosthetics and Orthotics. After completing the programme and two years of approved practical training, candidates can apply for authorisation as a prosthetist/orthotist pursuant to the Act relating to Health Personnel etc.

The programme description has been devised on the basis of the National Regulations relating to a Common Curriculum for Health and Social Care Education and the Regulations relating to national guidelines for prosthetics and orthotics adopted by the Ministry of Education and Research. The programme was established under the Act relating to Universities and University Colleges and the Regulations relating to Studies and Examinations at OsloMet – Oslo Metropolitan University. The programme description also complies with the recommended guidelines for study programmes issued by the International Society for Prosthetics and Orthotics (ISPO).

In accordance with Section 2 of the Regulations relating to national guidelines for prosthetics and orthotics education, the goal of the prosthetics and orthotics programme is to educate reflected and professionally competent prosthetists who can contribute to creating better preconditions for health, quality of life and participation throughout the lives of users of orthopaedic appliances.

Throughout the programme, the student will gain clinical expertise, including skills in designing and adapting orthopaedic appliances (prostheses, orthoses and orthopaedic shoes). Anatomy, physiology, pathology, biomechanics and material technology are key subjects in the programme and form the basis of this expertise. Knowledge from both health and engineering disciplines is combined in the field of prosthetics and orthotics.

The students will learn to carry out clinical assessments and adapt orthopaedic appliances, and acquire knowledge and skills about how to improve the patient's function, correct deformities and prevent pain and/or injuries. To make good assessments during the production of orthopaedic appliances, it is important to acquire knowledge about the properties of materials and the choice of components and joints. In this work, orthopaedic technicians are particularly important partners. Innovative approaches and processes are decisive for a good result. Over the course of the programme, the students will also develop competence in how data technology can be applied, both in clinical evaluations and in the production of individually adapted orthopaedic appliances.

Prosthetists work with people of all ages, with different needs and disabilities, and from different social and cultural backgrounds. Through the programme, the students will develop an awareness of and skills in communication and cooperation with patients, next of kin and other health science professionals. Prosthetists participate in interprofessional teams and sometimes function as consultants when users have complex needs that can only be assessed and resolved through cooperation between several professional groups and/or public agencies.

Prosthetists develop orthopaedic appliances in accordance with technological progress and are actors in quality improvement and development of knowledge-based and sustainable assistive technology in healthcare. Assistive technology is a key part of the programme and prosthetists work on a broad spectre of orthopaedic appliances. The patients’ wishes and expectations regarding activity and participation necessitate well-adapted prostheses and orthoses, and the population’s increasing life expectancy entails a greater need for orthopaedic appliances. The demand for prosthetists is high, both nationally and internationally.

Relevance to working life

Most prosthetists work in private and public orthopaedic technology enterprises. Some enterprises are located in major hospitals. Other potential workplaces include the public administration, special interest organisations for people with disabilities, and enterprises and public agencies that provide medical technology equipment to the healthcare sector. Prosthetists also work in teaching and research.

Relevance to further education

A bachelor's degree in prosthetics and orthotics qualifies students for admission to several different master’s degree programmes, both at OsloMet and at other institutions in Norway and abroad. Master’s degrees in rehabilitation and habilitation, health sciences, biomechanics and movement sciences are particularly relevant.

The target group is everyone who wants to take a bachelor’s degree in prosthetics and orthotics, both for professional practice and as the starting point for further studies. Applicants should be motivated for work in rehabilitation and have technical and practical interest.

The admission requirements are the Higher Education Entrance Qualification or prior learning and work experience. Mathematics R1 + R2 and Physics FYS1 are also requirements.

Applicants must submit a transcript of police records in connection with admission to the programme, cf. the Regulations concerning Admission to Higher Education.

The use of clothing that covers the face is incompatible with taking the programme's theoretical and practical training courses in accordance with the Act relating to Universities and University Colleges. During the practical training, the students must comply with the clothing regulations in force at all times at the relevant practical training establishment.

Applicants should be aware that the students will have to conduct physical examinations of each other, and that they will not be divided by gender in examinations and skills training sessions.

After completing the Bachelor’s Degree Programme in Prosthetics and Orthotics, the candidate should have the following overall learning outcomes defined in terms of knowledge, skills and general competence:

Knowledge

The candidate

• has broad knowledge of scientific, technological and social science subjects that are essential in a prosthetist's professional practice
• has broad knowledge of the prosthetist's role and function in preventive, therapeutic and (re)habilitative activities
• is familiar with prosthetics and orthotics’ history, traditions, characteristics, place in society and the discipline in an international context
• is familiar with global challenges relating to assistive technology, public health and the environment in a changing society
• has knowledge of social circumstances and cultural diversity with a bearing on professional practice at the national and international level
• is familiar with research and development work of relevance to prosthetics and orthotics

Skills

The candidate

• can develop and implement a user-centred follow-up plan in an independent manner
• can apply knowledge of prosthetics and orthotics and relevant results from research and development work to practical and theoretical problems and make well-founded choices
• can carry out clinical and orthopaedic technology procedures and processes involved in prevention, treatment and (re)habilitation for persons in need of prostheses and/or orthoses
• can apply relevant materials, equipment, components and techniques
• can explore new and sustainable technology and consider potential areas of application in the field of prosthetics and orthotics
• can find, assess and refer to knowledge-based information and literature and present it in a way that elucidates a problem

General competence

The candidate

• can communicate with users and other partners in a professional manner and practise the profession in an ethically sound manner
• can take a professional approach in a diverse society
• can cooperate in a user-centred and interprofessional manner
• can take an active role in quality assurance, improvement and development, innovation and promotion of services, and professional practice
• can independently apply knowledge and skills by demonstrating cooperation skills and responsibility, and has the ability to reflect on and take a critical approach in his/her professional practice
• can identify own learning and competence needs to be able to keep up to date
• can adhere to national legislation and national and international guidelines
• can, alone or as part of a group, plan and implement relevant projects and complex tasks that take place over time, which can contribute to developing good practices
• can demonstrate insight into creative processes and apply methods used in innovation, service development and entrepreneurship
• can update his/her knowledge in fields relevant to prosthetics and orthotics activities