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Atlas of Limb Prosthetics > Chapter 4- Prosthetic Management > Flashcards

Chapter 4- Prosthetic Management Flashcards

1
Q

When should the patient be informed about future rehabilitation?

A

As early as possible

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2
Q

What are usual feelings felt by the patient?

A

Depression
Feeling withdrawn
Angry
Relief

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3
Q

What is an unusual feeling after an amputation?

A

Feeling no difference at all.

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4
Q

What are the usual purposes of the support groups?

A

Introduce the recent amputee to realistic role models who have gone through the rehabilitation process and are functioning normally in society
Provide ongoing social and educational programs

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5
Q

How can prosthetists speed up the preprosthetic management?

A

With use of rigid dressings
elastic bandaging
Prosthetic shrinkers

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6
Q

What should be told to the patient when they are ready for the prosthetic fitting?

A

Explanation of the different stages of the rehabilitation process
Length of wear of preparatory prosthesis
When evaluation of definitive prosthesis will occur

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7
Q

About when are prosthetic patients seen in the clinic?

A

1 or more months following surgery

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8
Q

What should the prosthetist assume, when the new patient is seen?

A

That no one has explained the process and then offer a concise overview of the prosthetic procedure

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9
Q

What are the five general types of prostheses?

A 
Postoperative
Initial
Preparatory
definitive
Special purpose
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10
Q

When are postoperative prostheses provided?

A

24 hours of amputation

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11
Q

What does IPSF stand for?

A

Immediate postsurgical fitting

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12
Q

What does IPOP stand for?

A

Immediate postoperative prosthesis

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13
Q

Postoperative fittings should be given to, who?

A

Younger, healthier people needing amputations due to tumors, trauma, or infection

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14
Q

Postoperative fittings should not be given to who, if not under close supervision?

A

The elderly

Dysvascular patients

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15
Q

When is the initial prosthesis provided?

A

As soon as the sutures are removed

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16
Q

What is another name for initial prosthesis?

A

Early Postsurgical Fitting (EPSF)

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17
Q

How long are initial prostheses worn?

A

1-4 weeks after amputation

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18
Q

Where are Postoperative and initial prostheses more commonly used?

A

In rehabilitation units or hospitals with very active amputee programs

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19
Q

What are preparatory prosthesis used for?

A

Rehabilitation
Assess ambulatory or rehabilitation potential
Help clarify details of the prosthetic prescription

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20
Q

When can a preparatory prosthesis be applied?

A

A few days following suture or staple removal

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21
Q

The modern preparatory prosthesis incorporates what?

A

Definitive-quality endoskeletal componentry but lacks the protective and cosmetic outer finishing

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22
Q

How long are preparatory prostheses generally worn?

A

3-6 months following amputation

23
Q

What can cause the patient to need to wear a preparatory prosthesis to be worn longer?

A

Speed of maturation of the residual limb
Weight gain
Weight loss
Health problems

24
Q

How do you determine when a definitive prosthesis should be prescribed?

A

When the number of plies of prosthetic socks worn remains the same over several weeks

25
Q

What do prosthetic socks provide to the patient?

A 
Cushioning
Comfort
Prevent sheer force
Absorb perspiration
Adjustment to volume changes
26
Q

When should prosthetic socks not be worn?

A

When using a suction system

27
Q

At what plie should a replacement socket be prescribed?

A

10 plie

28
Q

What is the cause of the limb shrinkage?

A

Atrophy

Weightloss

29
Q

What is a definitive prosthesis not?

A

A permanent prosthesis because mechanical devices will wear out

30
Q

What is the lifespan of a definitive prosthesis?

A

3-5 years

31
Q

What can cause a change in the prosthetic prescription?

A

Substantial change in Amputees lifestyle or activities

32
Q

What is usually required for special-use prostheses?

A

Special alignment

33
Q

What is done to the foot of a patient wanting to swim?

A

Plantarflex the foot

34
Q

What is done to the foot if the patient wants to snow ski?

A

Dorsiflex the foot

35
Q

What factors influence the prosthesis?

A 
Weight bearing
Suspension
Activity level
General Prosthesis structure
Components
Expense
Unique circumstances
36
Q

What is the first concern for lower-limb prostheses?

A

Weight bearing

37
Q

Why might a clinician provide special provisions to the weight bearing component of a prosthesis?

A

Scarring
Neuromas
Sensitive areas

38
Q

What is a big factor for deciding on the suspension of the prosthesis?

A

Volume changes

39
Q

What are the two major structural types of a prosthesis?

A

Endoskeletal

Exoskeletal

40
Q

What should the componentry be based on?

A

Activity level
Body weight
Functional Goals

41
Q

What is the expense of the prosthesis based on?

A

Componentry

42
Q

What should the clinician record when evaluating a patient?

A 
Scar tissue
Neuromas
ROM
Edema
Muscular development
Personal history
43
Q

What is involved in the personal history?

A 
Weight fluctuations
Medical factors
Previous fractures
Visual impairments
Concomitant disease- diabetes, arthritis
44
Q

Where should measurements be taken?

A

Length of residual limb
Circumferences- both limbs
Myoelectric control sites- if needed
negative impression of residual limb

45
Q

How should initial static alignment be recorded?

A

Plumb line

46
Q

What does CAD/CAM stand for?

A

Computer aided design/ Computer aided manufacturing

47
Q

What four factors are evaluated in a test socket fitting?

A

Comfort
Even distribution of weight-bearing pressure and biomechanical forces
Suspension
Freedom of motion at next proximal joint

48
Q

What is the purpose of dynamic alignment?

A

Provide maximum comfort
Efficient function
Cosmesis

49
Q

What is the procedure of the alignment process?

A

Function of the prosthesis is explained
Instruction on how to don/doff device
Contours are checked for comfort
Length and angulation of prosthesis is checked
Suspension tested
Instructed in standing in a relaxed attitude
Static alignment
Controlled ambulation in parallel bars
Adjustments to device for sitting comfort

50
Q

What minor problems can occur after a week or two after the initial alignment?

A

Pressure areas in socket
Discomfort while sitting
Wearing different shoes

51
Q

How often should patients be seen after their fitting?

A

Every 4-6 months

52
Q

Why should a patient come in for follow up care even after he/she has their definitive prosthesis?

A

The mechanical components require cleaning
Maintenance
Replacement at intervals
Joint cleaning

53
Q

What should the clinician keep track of at the follow up visits?

A

Alignment adjustments

Socket adjustments

Atlas of Limb Prosthetics (7 decks)

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