Name of the Procedure:

Prosthetic(s) Training, Upper and/or Lower Extremity(ies), Initial Prosthetic(s) Encounter

Summary

Prosthetic training is a therapeutic process where patients are instructed on how to properly use and care for their new prosthetic limb. This initial encounter focuses on educating the patient about their upper or lower extremity prosthesis, ensuring proper fit, and beginning basic functional training.

Purpose

The procedure addresses the need for patients to learn how to effectively and safely use their prosthetic limb. The goals include improving mobility, enhancing day-to-day functionality, and promoting independence.

Indications

• Recent amputation of an upper or lower extremity
• Congenital limb deficiency
• Patient's readiness both physically and emotionally to begin using a prosthesis

Preparation

• No specific fasting or medication adjustments are typically required.
• A thorough medical and physical assessment is performed to ensure the patient is ready for prosthetic training.
• Measurements and fittings for the prosthesis may have taken place prior to the training session.

Procedure Description

1. Introduction: The therapist explains the objectives and steps of the session.
2. Fitting Check: Ensuring the prosthetic fits correctly.
3. Basic Instructions: Educating the patient on putting the prosthetic on and taking it off.
4. Initial Exercises: Simple exercises to help the patient get accustomed to the prosthetic's weight and feel.
5. Functional Training: Basic movements such as walking for lower extremity prosthetics or grasping objects for upper extremity prosthetics.
6. Care and Maintenance: Instructions on cleaning and maintaining the prosthetic.

Tools and Equipment: Prosthetic limb, exercise equipment, mirrors for visual feedback.

Anesthesia or Sedation: Not applicable.

Duration

Each session typically lasts 15 minutes.

Setting

The procedure is generally performed in a rehabilitation clinic or an outpatient therapy center.

Personnel

• Occupational therapists for upper extremity prosthetics
• Physical therapists for lower extremity prosthetics
• Prosthetists for fitting and adjustments
• Rehabilitation specialists

Risks and Complications

• Skin irritation or sores from improper fitting
• Muscle strain or discomfort as the body adjusts
• Psychological adjustments to living with a prosthesis

Benefits

• Improved mobility and independence
• Enhanced quality of life
• Reduction in the risk of complications from immobility

Recovery

• Regular follow-up sessions for ongoing training and adjustment.
• Initial soreness or discomfort can be managed with appropriate exercises and care routines.
• Ongoing monitoring to adapt the prosthesis for optimal fit and function.

Alternatives

• No prosthesis, with alternative mobility tools (e.g., wheelchairs) or techniques.
• Use of assistive devices.
• These alternatives typically offer less independence compared to a properly fitted and used prosthetic limb.

Patient Experience

During the procedure, patients might feel a range of emotions from excitement to frustration as they adapt to the new limb. Comfort measures include gradual training and positive reinforcement. Pain, if any, is typically minimal and manageable through gentle exercises and proper prosthetic care.