SR TIME SPECIFIC CONTENT TEACHER STUDENT A.

V EVALUATION
NO OBJECTIVE ACTIVITIES ACTIVITIES AIDS
1 1 min Self SELF INTRODUCTION:- ---------------- ---------------- --------- --------------------
introduction Myself Mrs. Anupriya Nand studying in MSc.(N)1st -
year, Child Health Nursing department, as a part of
our curriculum, for that today I will be engaging
your class.

2 2 min Topic TOPIC INTRODUCTION: Explaining Listening and -------- --------------------

introduction  Clubfoot is a condition in which one or writing notes
both feet are twisted into an abnormal
position at birth.
 Common birth defect.
 Most common in male children as it is in
female children.
Approximately 50% cases of clubfoot are
bilateral.

3 1 min Define DEFINITION: Explaining Listening and Roller Students defined

clubfoot Clubfoot, also known as Congenital Talipes taking notes board club foot.
Equinovarus, is a complex, congenital deformity of
the foot.
It is defined as a deformity characterized by
complex, malalignment of the foot involving soft and
bony structures in the hindfoot, midfoot and
forefoot.

4 3 min Enlist the CAUSES: Explaining and Listening and chart Students enlisted
causes of  Family history of clubfoot. asking questions. taking notes the causes of
clubfoot  Genetic syndrome ,such as Edwards ‘What is trisomy clubfoot.
syndrome(trisomy 18). 18’?
 Position of the baby in the uterus.
 Increased occurrences in those children
SR TIME SPECIFIC CONTENT TEACHER STUDENT A.V EVALUATION
NO OBJECTIVE ACTIVITIES ACTIVITIES AIDS
with neuromuscular disorder ,such as
cerebral palsy and spina bifida.
 Amniotic band syndrome.
Oligohydramnios.(decreased amount of amniotic
fluid surrounding the fetus in uterus during
pregnancy).

5 5 min Discuss the Explaining Listening and P Students

type of the TYPES OF CLUBFOOT: taking notes P discussed the
clubfoot T types of
1.TALIPES VARUS: clubfoot.
In the Talipes varus type of clubfoot there is
inward bending or inversion of foot .

2.TALIPES VALGUS:
In this eversion or bending outward of foot.

3.TALIPES EQUINUS:
In this talipes equinus the planter flexion and toe
is lower than heel.

4.TALIPES CALCANEOUS:
Dorsiflexion take place,toe is higher than heel.

6. 5 Min Explain the PATHOPYSIOLOGY: Explaining Listening and Pamph Students

pathophysiolo taking notes -lets explained the
gy of clubfoot Due to the risk factors (family history of pathophysiology
clubfoot, oligohydrominos) of clubfoot.
SR TIME SPECIFIC CONTENT TEACHER STUDENT A.V EVALUATION
NO OBJECTIVE ACTIVITIES ACTIVITIES AIDS

Distal limb amniotic banding take place

.

Amnion forms constructive bands around

a limb in utero.

Cutting of the circulation to the limb.

Arrest of the fetal development in the

fibular stage.

Resulting in further abnormal or arrested

development.

7. 3 Min Enlist the CLINICAL MANIFESTATION: Explaining Listening and PPT Students enlisted
clinical  The top of the foot is usually twisted taking notes the clinical
manifestation downward and inward ,increasing the manifestation of
of clubfoot arch and turning the heel inward. clubfoot.

 The foot may be turned so severely that it

actually loos as if its upside down.

 The calf muscles in the affected leg are

usually underdeveloped.

 The affected foot may be up to ½ inch

(about 1cm) shorter than the other foot.
SR TIME SPECIFIC CONTENT TEACHER STUDENT A.V EVALUATION
NO OBJECTIVE ACTIVITIES ACTIVITIES AIDS

9. 2 min Ennumerate DIAGNOSIS Explaining Listening and Blackb Students

the diagnosis  Most commonly a recognized clubfoot taking notes oard enumerated the
of clubfoot soon after birth just from looking at the diagnosis of
shape and positioning of the newborn clubfoot.
feet.
 X-RAYS to fully understand how severe
the clubfoot.
 Its possible to clearly some cases of
clubfoot before birth during baby’s
ultrasound examination .If clubfoot
affects both feet.

10. 10 min Describe the MANAGEMENT OF CLUBFOOT Explaining Listening and Students
management taking notes described the
of clubfoot 1.MEDICAL MANAGEMENT: management of
 As the newborn bones and joints are clubfoot.
extremely flexible, nonsurgical
treatments such as casting or splinting are
usually tired first .The foot is moved into
the most normal position possible and
held in that position until the next
treatment.
 This manipulation and immobilization
procedure is repeated every 1 to 2 weeks
for 2 to 4 months ,moving the foot a little
closer,to a normal position each time.
 The goal of treatment is to improve the
way the childs foot looks and works
before he or she learn to walk ,in hopes
of preventing long term disabilities,
The treatment option include:
SR TIME SPECIFIC CONTENT TEACHER STUDENT A.V EVALUATION
NO OBJECTIVE ACTIVITIES ACTIVITIES AIDS
1.Stretching and casting(ponseti
method)
 This is the most common
treatment for clubfoot.
 Move the baby’s foot into a
correct position and then place it
in a cast to hold it in that position
 Reposition and recast the baby’s
foot once or twice a week for
several months.
 Perform a minor surgical
procedure to lengthen the
Achilles tendon (percutaneous
Achilles tenotomy)toward the
end of this process.
2.Stretching and taping(French method)
 This approach is also called the
functional method or the
physiotherapy method .Working
with a physical therapist,
parents:
 Move the foot daily and hold it
in position with adhesive tape.
 .Use a machine to continuously
move the baby’s foot while he
or she sleep.
 After two months ,cut treatment
back to three times a week until
the baby is 6 months old.
 Once the shape is corrected
SR TIME SPECIFIC CONTENT TEACHER STUDENT A.V EVALUATION
NO OBJECTIVE ACTIVITIES ACTIVITIES AIDS
,continue to perform daily
exercise and use night splints
until the baby is of walking age.
2.SURGICAL METHODS :
-In some cases when clubfoot is severe or doesn’t
respond to nonsurgical treatments, babies may need
more invasive surgery.an orthopaedic surgeon can
lengthen tendons to help ease the foot into a better
position .After surgery the child will be in a cast for
up to two months, and then need to wear a brace for a
year or so to prevent the clubfoot from coming back.
-usually done at 9 to 12 months.
3.NURSING MANAGEMENT:
Postoperative nursing consideration:-
-neurovascular checks at least every 2 hours.
-observe foe any swelling around cast edges
-elevate ankle and foot on pillows
-pain management(analgesics)
-doing stretching exercises with baby.
-putting child in special shoes and braces.
-making sure the childs wears the shoes and braces as
long as needed and then at night for up to three years

11 5 min Enlist the COMPLICATION: Explaining Listening Black Students enlisted

complication  Clubfoot typically doesn’t cause any Board the
of clubfoot problems until a child starts to stand and walk. complications of
 He or she may have some difficulty with: clubfoot.
 Mobility: The child’s mobility may be
slightly limited.
SR TIME SPECIFIC CONTENT TEACHER STUDENT A.V EVALUATION
NO OBJECTIVE ACTIVITIES ACTIVITIES AIDS

However ,if untreated clubfoot causes more serious

problems these can include:
ARTHRITIS:
The child is likely to develop arthritis.
POOR SLEF IMAGE:
The unusual appearance of the foot may make the
child body image a concern during the teen years
INABILITY TO WALK NORMALLY:
The twist of the ankle may not allow the child to
walk on the soles of the feet.to compensate he or she
may walk on the balls of the feet ,the outside of the
feet or even the top of the feet in severe cases.

MUSCLE DEVELOPMENT PROBLEMS:

These walking adjustment may prevent natural
growth of the calf muscles , cause large sores or
calluses on the feet, and result in an awkward gait.

11. 2Min Summary SUMMARY: Explaining Listening -------- -------------

---
So far we have discussed about the definition
,causes ,types pathophysiology , clinical
manifestation, complication, medical management,
surgical management, nursing management of
clubfoot.
SR TIME SPECIFIC CONTENT TEACHER STUDENT A.V EVALUATION
NO OBJECTIVE ACTIVITIES ACTIVITIES AIDS
12. 2 min Conclusion Explaining Listening -------- ---------------
CONCLUSION: -----

Clubfoot is the one of the common congenital

disorder. Hence by the help of the surgical and
medical management its can be cure.
SR TIME SPECIFIC CONTENT TEACHER STUDENT A.V EVALUATION
NO OBJECTIVE ACTIVITIES ACTIVITIES AIDS
D.Y.PATIL COLLEGE OF NURSING
KADAMWADI,KOLHAPUR
SUBJECT:CHILD HEALTH NURSING

LESSON PLAN ON CLUBFOOT

SUBMITTED TO,

PROF.MRS.JANKI SHINDE

H.O.D. DEPARTMENT OF

CHILD HEALTH NURSING

D.Y.PATIL COLLEGE OF NURSING,

KOLHAPUR.

SUBMITTED BY,

Mrs ANUPRIYA NAND

MSC NSG 1ST YEAR STUDENT

CHILD HEALTH NURSING DEPARTMENT.

SUBMITTED ON :

16-12-2019
 D.Y.PATIL COLLEGE OF NURSING
KADAMWADI,KOLHAPUR
SUBJECT:CHILD HEALTH NURSING
MARKS:25
Q.1.LONG ANSWER TYPE QUESTION
1 DIFFERENCE BETWEEN NORMAL FOOT AND CLUBFOOT
2.DESCRIBE THE PATHOPYSIOLOGY OF CLUBFOOT
3. EXPLAIN IN DEATIL MANAGEMENT OF CLUBFOOT

ASSIGNMENT:
1.EXPLAIN THE VARIOUS TYPES OF CLUBFOOT.
LESSON PLAN

Student teacher: Mrs Anupriya Nand

Programme: PB B.SC Nursing
Subject: Child Health Nursing
Topic: Clubfoot
Method of teaching: lecture cum discussion
Medium of instruction: English
Group: 3rd year
No. of students: 30
Venue: Classroom
Date: 16-12-2019
Time: 12:00PM-1:00PM
Name of the evaluator:Prof Mrs. Janaki Shinde
Teaching aids: black board, Roller board ,PPT, chart, pamphlets,
flannel graph.
Previous knowledge of students: students may have some
knowledge regarding clubfoot
GENERAL OBJECTIVES:
At the end of the class, students will be able to gain adequate
knowledge regarding clubfoot and the types and management of the
child with clubfoot and apply this knowledge in both clinical and
education settings.

SPECIFIC OBJECTIVES:
At the end of the class, students will be able to:
1.Define the clubfoot
2 Enlist the causes of the clubfoot.
3.Explain the types of the clubfoot .
4.Discuss the pathophysiology of the clubfoot.
5.Enlist the clinical features of the clubfoot.
6.Ennumerate diagnostic evaluation of the clubfoot.
7. Describe the management of the clubfoot.
8.Enlist the complication of clubfoot.