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.
|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/
|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.|