CCMAS Course Search

Assessment of the critically ill patients in intensive care unit and implication for physiotherapy. neurological system- level of consciousness, cerebral perfusion pressure, intracranial pressure, cardiovascular system- heart rate and rhythm, arterial blood pressure, central venous pressure, pulmonary artery pressure, respiratory system– mode of ventilation, humidification, oxygen therapy, respiratory rate, airway pressure, auscultation, percussion note, chest examination, chest radiograph, renal system, haematological/immunological system, GIT, musculoskeletal system. Mechanical ventilation, intubation, weaning. Condition requiring intensive care: acute respiratory distress syndrome (ARDS) disseminated intravascular coagulation (DIC), inhalation burns, head injury, myasthenia gravis, Guillain-Barre syndrome, tetanus, bulbar poliomyelitis. Physiotherapy technique – mechanical ventilation, care of unconscious patient. Common problems in intensive care unit-de-saturation, cardiopulmonary arrest, self extubation, blocked endotracheal tube. Acute Care: Managements of patients following partial or total hip arthroplasty, total knee arthroplasty, Iliazarov procedure and many others. Importance of early mobilisation of patients out of bed (special consideration for geriatric patients). Precautionary and safety measures in intensive and acute care.

Students will be exposed to history taking, physical examination and specific assessment procedures and clinical judgments, treatment and evaluation of patients with head injuries, spinal cord injuries, post excision of tumour within the skull and many others. Students will also be exposed to the appropriate ways of communicating treatment goals and plans to patients with head and spinal cord injuries and other conditions requiring neurosurgery.

Students will be exposed to patient management elements including examination, evaluation, physical diagnosis, prognosis and intervention and plan of care as well as care coordination. history taking, physical examination and specific assessment procedures and clinical judgments, treatment and evaluation of patients with neurological conditions. Importance and rights of patients and confidentiality; Specific conditions to be covered may include but is not limited to stroke, Parkinson’s disease, diabetes mellitus, Guillain-Barre syndrome and many others. Students will also be exposed to the appropriate ways of communicating treatment goals and plans of care to patients with neurological disorders as well as goal setting. Student will be taught approaches and principle of treatment including remediation or facilitation approaches that includes general concepts and proprioceptive neuromuscular facilitation, neurodevelopmental techniques or Bobath approach, motor control and motor learning approaches, and compensation approach

Students shall be exposed to history taking, physical examination, measurement of degree of disability, clinical judgments and management of children with cerebral palsy, infantile brachial plexus injuries, spina bifida, acute flaccid paralysis, post immobilisation stiffness, progressive muscular dystrophy, Down’s syndrome and many others. Students will be taught appropriate ways of communicating treatment goals, treatment plans, exercise home assignments and advice to parents/caregivers.

Theories of ageing. Physiological and anatomical effects of ageing. Methods of evaluation and management of disorders common in the elderly – Diabetes mellitus, hypertension & hypertensive heart disease, musculoskeletal disorders and debilitating conditions. The ageing world population – challenges for physiotherapists. Challenges of care of elderly/aged in Nigeria - the breaking down of traditional family support. Home care versus institutional care. Multidisciplinary approach in geriatric care.

Applied Microbiology. Epidemiological concepts in infectious disease prevention. Risk assessment in (acute/long-term) care and community settings. Using current literature to formulate or adapt. Infection prevention and control strategies to protect therapists, promote quality and safe patient care. Infection control standard precautions and requirements for an infection control plan in a healthcare setting. The concepts of a clean, disinfect, and sterilize environment in a healthcare setting. Procedures of hand washing and disinfections in Physiotherapy clinical practice.Infection prevention and control in Physiotherapy: Implications for first contact practice and direct patient management.

Anatomy and physiology of the skin. integumentary conditions including herpes, dermatitis, and cellulitis. burns and complications on burns injuries. wounds, thermal injuries, dermatologic diseases and disorders. impaired circulation and anthropometric dimensions associated with lymphatic system disorders. interventions for wounds, burns, scars, Peripheral Vascular and Lymphatic Conditions. Specific skin conditions – acne vulgaris, boils, whitlows, carbuncles, psoriasis, alopecia areata totalis, vitiligo, eczema, leprosy, burn and post burns contractures. wounds and scars, wound infections in open wounds, complication of infected wounds (such as tetanus). surgical intervention in skin complications including contractures, skin grafts, varicose ulcers, Buruli ulcers and pressure sores. integument clinical tests, and procedures and prognostic tests. Physiotherapy in dermatological conditions.

Terminal illnesses (cancer and staging, full blown AIDS). Common health problems in terminally ill patients - Pain syndromes, Gastrointestinal, respiratory, neurological and urinary symptoms. Psycho-social issues. Specific health problems to specific conditions - Post mastectomy oedema in breast cancer, paraplegia in prostate cancer, swallowing problems in submandibular cancer and many others. Philosophy of palliative care. Ethical issues in palliative care. Pain control in terminally ill patients. Pharmacologic management of cancer pain. Roles of radiotherapy, chemotherapy and surgery in palliation. Role of Physiotherapy in the care of terminally ill patients. Communication skills Death and dying, Spiritual support, Bereavement. Palliative care organisations in Nigeria and elsewhere.

Pain as a fifth vital signs. ramifications of pain including physical, pathological, emotional, social, psychological, financial, spiritual and many others. Philosophy of pain, current understanding of mechanisms of pain. mechanism of pain sensation and theories on pain modulation including gate control theory, endogenous opiates theory. Pain assessment and tools including unidirectional and multi-dimensional scales. Principle of pain management in physiotherapy. Types of treatment- pharmacologic and non-pharmacologic. The role of the physiotherapist in the holistic assessment and management of pain.

Review of relevant anatomy and physiology of pregnancy: Menstruation, pregnancy and foetal development, Complications of pregnancy: ectopic, pre-eclamptic toxaemia, eclampsia, ante partum haemorrhage, placenta praevia, diabetes mellitus. Physical and physiological changes of labour Complications of labour: failure to progress, maternal and foetal distress, mal-presentation, cephalopelvic disproportion. Puerperium and complications including postpartum haemorrhage, fistulas; common antenatal conditions and management including urinary retention, urinary incontinence, deep vein thrombosis, pulmonary embolism, pregnancy-related pathologies including diastasis recti abdominis, stress incontinence, low back pain and pelvic pain, sacroiliac joint dysfunction and ligamentous laxity, varicose vein, preeclampsia, Caesarean child birth. Including pelvic inflammatory disease, cystocele, urethrocele, enterocele, uterine prolapse, dysmenorrhoea, female athlete triad. Physiotherapy interventions in pregnancy related pathologies.