4.0 Educational Services
Definition: The communication of information to members of the multidisciplinary team, caregivers, family, and/or the patient to promote a positive outcome of prosthetic/orthotic treatment and the safe and effective use of the prosthesis/orthosis.
Code | Procedure | Description |
1 | Patient orientation to prosthetic/orthotic treatment | Educate patient / caregiver in the process of treatment. Explain the processes of shape capturing, diagnostic procedures, static/dynamic functional evaluations, anatomical and structural finishing procedures, timelines between stages of treatment, and follow-up treatments. |
2 | Treatment plan and expectations | Educate patient about the expectations of the prosthesis/orthosis within the treatment plan. How to identify signs or symptoms that require patient/caregiver to contact the prosthetist/orthotist for further intervention or re-evaluation. |
3 | Initial instructions | Educate first-time users of prosthesis/orthosis.
Explain and demonstrate elements of prosthesis/orthosis and their function(s). Explain donning and doffing procedures, concept of body segment atrophy, importance of skin evaluation, use of interface products and/or socks, and the importance of proper positioning of the prosthesis/orthosis. Explain the influence of footwear on the function of the prosthesis/orthosis. |
4 | Care and maintenance of prosthesis/orthosis | Instruct patient on regular cleaning and inspection of the prosthesis/orthosis and explain warranty on components.
Instruct patient on care of interface and extrinsic components. Bring attention to manufacturer’s recommended use of componentry. |
5 | Body segment assessment | Educate patient on the importance of caring for the involved body segment. May include: checking for skin irregularities or breakdown, body segment hygiene, monitoring volume changes, instructing how to prevent or limit joint contractures. |
6 | Acclimation period | Explain and provide verbal and written information relating to the specific prosthesis/orthosis provided. Emphasize the need to gradually increase wearing time until desired protocol is reached.
Discuss body segment assessment and when to terminate use of prosthesis/orthosis if necessary. |
7 | Factors influencing function of the prosthesis/orthosis | Educate patient on factors affecting skin condition and function of prosthesis/orthosis, including control of edema, effective use of socks, regular stretching/ strengthening to minimize joint contractures. Include influence of footwear and stability of body weight on treatment outcomes. |
8 | Introduction of new component or function affecting the prosthesis/orthosis | Explain function of new components or changes made to improve the function of the current prosthesis/orthosis. Demonstrate safe and proper use. |
9 | Initial gait training | Implement a gait training program to teach the patient how to safely use the prosthesis/orthosis in all aspects of activities of daily living, including safe navigation of even and uneven terrain, fall recovery, curbs, ramps, stairs, snow/ice, and the use of gait aids. May involve multiple sessions. |
10 | Advanced mobility training program | Implement an advanced mobility program for the patient with a high level of prosthetic/orthotic utilization or potential e.g. running, fast walking, advanced balance and core strength, and specific activity training. May involve multiple sessions. |
11 | Training for use of upper-extremity prosthesis/orthosis | Demonstrate movements required to optimize function of components. This will include donning and doffing of the prosthesis/orthosis and training in the use of the prosthesis/orthosis for specific tasks in different positions. May involve multiple sessions. |
12 | Training for use of myoelectric prosthesis | Instruct patient on control and sequencing of muscle electrical signals required to functionally operate a myoelectric prosthesis. May involve computer training over multiple sessions. |
13 | Training for use of Functional Electrical Stimulation/
Neuroprosthetics |
Instruct patient on donning, control of functional electrical stimulation, electrode care, and skin integrity. Will involve multiple sessions of training and adjustments. |
14 | Review of treatment | Review instructions and education previously given to patient or for new caregivers. |
15 | Pre-surgical consultation | Provide patient with information regarding quality of life, expectations and recovery process following a surgical procedure. |