Day 3: amputation

Question 1

what number of ply socks should prosthetist be notified for recasting?

Answer 1

12-15

Question 2

How often should residual limb be check for breakdown? what else should be checked?

Answer 2

every day!

In tact contralateral foot!

Question 3

generally describe wear schedule for prosthesis

Start: ____ hrs/day, ____ time spent ambulating and _____ spent resting

____ minutes or immediately after walking what should happen

no evidence of break down (time) is added while still respecting 50% walk to rest limit

No signs of breakdown, time btwn inspections increased by ______ minutes

Answer 3

Start: ONE HOUR/day, 50% time spent ambulating and 50% spent resting

EVERY THIRTY minutes or immediately after walking what should happen

no evidence of break down ONE HOUR is added while still respecting 50% walk to rest limit

No signs of breakdown, time btwn inspections increased by FIFTEEN TO THIRTY minutes

Question 4

In order from on the skin to most outside what is the order of the following

Socket
Neoprene sleeve
Wool sock
liner

Answer 4

Wool sock
Liner
Socket
Neoprene sleeve

Question 5

c/o socket being too tight what should you ask first? If they say yes then what?

Answer 5

have you been wearing shrinker?

Medication and diet review b/c these can contribute to fluctuations in edema

Question 6

Pre-prosthtic phase:
how many weeks
PT focuses

Answer 6

~6 weeks

Protecting limb, preventing contractures developing single limb mobility skills

Question 7

IPOP allows what

Answer 7

immediate weight bearing using temporary prosthetic devicd

Question 8

when are patients typically evaluated for their first porosthesis? (what criteria and generally about how long)

Answer 8

once sutures/stables are healed, residual limb skin is in tact
4-6 weeks

Question 9

sutures are removed and pt is fitted for their first prosthesis what else happens around this time

Answer 9

start to wear shrinker (once staples are removed

Question 10

whats the big deal with the first prosthetic

Answer 10

its temporary! they work with it for several months

Question 11

when do people get final prosthetic

Answer 11

after working with temporary for several months and LIMB VOLUME FLUCTUATIONS HAVE STABILIZED

Question 12

Medicare supports new prosthesis every _____ years

Answer 12

5 years