2.0 Treatment Planning

2.0    Treatment Planning

Definition: The analysis, evaluation and integration of findings to formulate a comprehensive treatment. Findings are based on the results of patient evaluation and objective analyses. Treatment goals enhance function and independence through improved stability, reduced pain, increased comfort, deformity prevention, the transfer of forces between body segment and ground, increased Range Of Motion (ROM) and/or the promotion of healing. The treatment plan may include referral to other health care services, restoration/ improvement of function in the current prosthetic/orthotic system, and/or the provision of a new prosthesis/orthosis.

Code Procedure Description
1 Patient documentation Recording and coding of subjective and objective patient information.  This may include: database coding, clinical charting, treatment plan, recording of outcome measures.
2 Review of clinical findings Interpretation of objective and subjective results of patient evaluation tests and analyses. May include discussion with the patient, family, caregivers /guardians, and consultation with physician and inter-professional team members.
3 Research treatment 0ptions Explore and investigate appropriate clinical practice (techniques), materials and components options available to achieve treatment goal(s).

May include literature review or evidence-based behavioral practice. Consult manufacturer’s specifications and technical resources regarding component and material selection to optimize strength, durability and function based on patient criteria and needs.

4 Review treatment options with patient Share viable options with the patient/caregiver taking into account all findings. Provide justification for the recommended (preferred) prosthetic/orthotic treatment plan and obtain patient/caregiver consent. This includes the disclosure of potential risks and benefits and aesthetic aspects of prosthetic/orthotic treatment or anatomical finishing.

Exhibit or trial samples of potential prosthetic/ orthotic designs.

5 Coordinate component trial Arrange a component trial to allow the patient to evaluate the treatment over a period of days/weeks, prior to making a selection. This includes educating the patient about component use.

This will be defined by each manufacturer specifically.

6 Review financial status for treatment(s) Discuss the anticipated treatment options with the patient/family including associated costs, payment schedules and possible funding/reimbursement sources. Ensure the patient/caregiver is informed of his/her financial responsibility and expectations.
7 Formulate treatment prescription Formulate detailed written prescription for prosthetic /orthotic treatment. This will include the option to restore current prosthesis /orthosis, or to design a new prosthesis / orthosis.

The prescription will serve as a basis for cost estimate, technical specifications, securing funding, and coordination of care with other health care professionals.

8 Coordinate components/materials Based on the prescription, ensure the required parts are available from the manufacturers, as well as any clinical and/or technical information specific to the patient.
9 Coordination of Care Plan Formulate a treatment plan to support the patient’s goals.

Coordinate prosthetic and/or orthotic treatment and follow-up in conjunction with referrals to other health care professionals to address medical issues beyond the Certifee’s scope of practice.

Coordination of care will take place with or without the provision of prosthetic/orthotic services. This may include arranging alternative mobility while anatomical and structural finishing, coordination of anatomical and structural adjustments and/or modifications are completed.

10 Patient responsibility Inform the patient/caregiver of the specific processes involved in proceeding with the specified treatment including risks, time and financial responsibility, warranty and service maintenance.

Clarify the prosthesis/orthosis expectations in meeting patient needs and the scope of managing the diagnosis. This includes explaining the time required by the patient to follow the treatment plan and the importance of seeking follow-up if treatment goals are not being met.

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