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    Prosthetics & Orthotics Clinic Procedures: Laaraib Nawaz Orthotist & Prosthetist

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    Gulzar Ahmad
    The document summarizes the key procedures and considerations of a prosthetics and orthotics clinic. The basic clinical team includes physicians, surgeons, and prosthetists/orthotists. The major goals of the clinic are to provide coordinated treatment plans, educate staff and patients, and establish the professional status of prosthetists and orthotists. The clinical procedures involve pre-prescription examination, creating a prescription, pre-fitting treatment, fabrication, initial and final checkouts, training, and follow-ups. Other important considerations are clinic administration, physical arrangements, interactions among staff, and the psychological impact on patients.

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    Prosthetics & Orthotics Clinic Procedures: Laaraib Nawaz Orthotist & Prosthetist

    Uploaded by

    Gulzar Ahmad
    34 views22 pages
    The document summarizes the key procedures and considerations of a prosthetics and orthotics clinic. The basic clinical team includes physicians, surgeons, and prosthetists/orthotists. The major goals of the clinic are to provide coordinated treatment plans, educate staff and patients, and establish the professional status of prosthetists and orthotists. The clinical procedures involve pre-prescription examination, creating a prescription, pre-fitting treatment, fabrication, initial and final checkouts, training, and follow-ups. Other important considerations are clinic administration, physical arrangements, interactions among staff, and the psychological impact on patients.

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    The document summarizes the key procedures and considerations of a prosthetics and orthotics clinic. The basic clinical team includes physicians, surgeons, and prosthetists/orthotists. The major goals of the clinic are to provide coordinated treatment plans, educate staff and patients, and establish the professional status of prosthetists and orthotists. The clinical procedures involve pre-prescription examination, creating a prescription, pre-fitting treatment, fabrication, initial and final checkouts, training, and follow-ups. Other important considerations are clinic administration, physical arrangements, interactions among staff, and the psychological impact on patients.

    Copyright:

    © All Rights Reserved
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    Download as pptx, pdf, or txt
    34 views22 pages

    Prosthetics & Orthotics Clinic Procedures: Laaraib Nawaz Orthotist & Prosthetist

    Uploaded by

    Gulzar Ahmad
    The document summarizes the key procedures and considerations of a prosthetics and orthotics clinic. The basic clinical team includes physicians, surgeons, and prosthetists/orthotists. The major goals of the clinic are to provide coordinated treatment plans, educate staff and patients, and establish the professional status of prosthetists and orthotists. The clinical procedures involve pre-prescription examination, creating a prescription, pre-fitting treatment, fabrication, initial and final checkouts, training, and follow-ups. Other important considerations are clinic administration, physical arrangements, interactions among staff, and the psychological impact on patients.

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    Prosthetics & orthotics clinic

    procedures

    Laaraib Nawaz
    orthotist & prosthetist
    Basic clinical team
    Physician
    Orthopedic surgeon
    Physiatrist
    Orthotist
    Prosthetist
    Others:
    Social service case worker
    The rehabilitation counselor
    Goals & purpose of clinic
    The major function & goals of prosthetics & orthotics
    clinics are:’
    1. co-ordinated pattern of treatment
    2. staff and patient education
    3. Professional status of orthotist & prosthetist
    1.co-ordinated pattern of treatment

    Why co-ordination is necessary?


    1.when patient is used as a mean of communication
    between concerned professionals it produces some
    degree of discintent i.e. problematic for furthur
    treatment.
    2. varying behaviour of patient towards a physician
    and orthotist and prosthetist.
    Result:
    The best treatment lies in uniform plan rather than a
    discrete one.
    2. staff and patient education

    Education of staff for Distillation of best idea through


    group discussion

    Education of patient for understanding the ultimate


    use and value of an orthosis or prosthesis.
    3.Professional status of orthotist & prosthetist

    A major factor in the patient’s satisifaction with the


    prosthetic-orthotic service he receives is generally
    related to his attitude and evaluation of prosthetist and
    orthotist.
    Two considerations may prompt to less satisifactory
    attitude:
     Lack of status of prosthetist-orthotist as a part of an
    organized professional medical service
     Lack of training and experience on proper handling of
    psychological and interpersonal aspects of their vocation
    Prosthetics and orthotics clinical
    procedures
    Steps involved in:
    1. pre-prescription examination:
    2. prescription
    3.pre-fitting treatment
    4. prosthetic-orthotic fabrication
     5.initial check out(evaluation)
    6.Prosthetic-orthotic training
    7.final check out
    8. follow up
    1. pre-prescription examination:

    Physical examination
    Psychological examination
    It helps in determining the type and nature
    of care required.
    2. prescription

    Medical/surgical/prosthetic-orthotic
    treartment
    Immediate attension demanding areas
    Look for a physician/surgeon/prosthetist-
    orthotist as required
    Prosthetic-orthotic prescription should
    correctly be detailed as description of
    device.
    3.pre-fitting treatment

    Physical therapy including muscle


    strenghthening
    Improvement of ROM
    Muscle coordination
    Procedures that encourages shrinkage of
    stump
    Relief of symptoms related to trauma
    4. prosthetic-orthotic fabrication

    Completed by prosthetist and orthotist and


    essentially involves the implementation of
    prescription written by clinic.
    5.initial check out(evaluation)

    Second major responsibility


    Systematic examination of the pt with the
    prosthesis or orthosis as a biomechanical entity.
    It is accomplished before the device is delievered.
    Initial check out is important for two reasons:
    Properly followed prescription
    To check Biomechanical adequacy of device
    6.Prosthetic-orthotic training

    After satisifaction of initial check out.


    And of All shortcomings are remedied.
    Length ,type, intensity of training depends
    upon nature of disability, characteristics of
    patient and other considerations if any.
    7. Final check-out
    It assures patient is not in need of
    immediate medical/surgical/orthotic-
    prosthetic attentions.
    Third major responsibility.
    Patients physiological and psychological
    stauts
    Adequacy of device
    Effectiveness of patiernt’s use
    8-follow up
    Both device and patient are subject to change
    Periodic follow up
    Find if any discrepency
    If any mechanical deficiency develops
    Skin care
    If patient wants to replace his device then
    initial and final check outs will be combined.
    Other considerations:
    Considerations
    1. clinic administration and
    coordination
    2. physical arrangements
    3. interaction among clinic members
    4.Psychological effects on patients
    1. clinic administration and coordination

    Schedules of patient
    Proper preparation Forms
    Care of check out equipment
    Reduction of waiting time
    Availability of single person on whom pt
    can rely for counsel.
    2. physical arrangements

    Quiet large,well-lighted room for clinic


    meeting
    Waiting and dressing areas separated
    Reasonable scheme for visitors
    Use of sample prostheses-
    orthoses,pictures,charts
    Audio-visual material
    3. interaction among clinic members

     The ideal situation exists when each team


    member’s experience is fully utilized in
    solving the problem at hand.
     Problem arises when there is a lack of intrest
    on the part of physician or when he is
    burdened with responsibilities.
    4.Psychological effects on patients

    Good psychological factors have two


    implications for clinic operations
    Provide the pt with clear cut understanding
    of nature of treatment process
    Sense of friendly intrest, psychological
    support and personal concern.

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