Tag Archives: amputee

How to help your patient find a prosthetist

Choosing a Prosthetist

A Guide for Medical Professionals

Referring a patient to Collier means they will receive ongoing care recommendations as they work towards their rehabilitation goals. After a patient is referred, our job is to evaluate the fit and function of the prosthesis. We can then discuss options that will allow them to find the prosthetic configuration option that will allow them to reach their goals as well as the information their insurance company will require.

Are your amputee patients overwhelmed and frustrated with the process of getting their prosthesis?

Are they currently in a prosthetic socket that is uncomfortable and difficult to wear?

Does your patient feel secure and safe with how their prosthesis functions?

Are they able to use their prosthesis to achieve their goals in life?

If you have a patient that currently has an ill-fitting prosthesis or one with components which do not provide optimal fit or function, they will need a new prescription. New documentation needs to reflect the patient’s current and potential physical condition, their K-level and problem with their current device. Past documentation should be in place for existing patients which speeds up the process.

Document

Evaluation Checklist for Physician

  • Physical Exam
  • History of Amputation
  • Functional Deficits
  • Functional Level
  • Motivation to use prosthesis
  • Describe the condition of the residual limb
  • Patient’s past experience with prosthesis

If a replacement prosthesis is needed, describe the condition of current prosthesis or component and your recommendation based on your functional level evaluation.

Diagnose

Confirm the K-level. Centers for Medicaid services physician letter.

K1 – Functional Level 1

The patient has the ability or potential to use a prosthesis for transfer or ambulation on level surfaces at fixed cadence.

K2 – Functional Level 2

The patient has the ability or potential for ambulation with the ability to traverse low-level environmental barriers such as curbs, stairs or uneven surfaces. Typical of the limited community ambulator.

K3 – Functional Level 3

The patient has the ability or potential for ambulation with variable cadence. Typical of the community ambulator who has the ability to navigate most environmental barriers and may have vocational, therapeutic or exercise activity that demands prosthetic utilization beyond simple locomotion.

K4 – Functional Level 4

The patient has the ability or potential for prosthetic ambulation that exceeds basic ambulation skills, exhibiting high impact, stress or energy levels. Typical of the prosthetic demands of the child, active adult, or athlete.

Collaborate

The Collier prosthetist collaborates with the rehabilitation team, physician(s), therapist, patient and family members to provide improved prosthetic care for each patient. This collaboration will help develop short and long-term goals through their journey to better help them improve their prosthetic progress and outcomes.  During this transparent process with the team, the patient becomes well educated through the thorough communication with all members. Collective input from all team members creates a clear plan for better patient outcomes, which leads to higher patient satisfaction with improved functional results.

Why should you choose a Collier Prosthetist? Patients are our First Priority.

Collier Prosthetic Patient Care — How to Choose a Prosthetist

 

We understand that every patient is unique, physically and psychologically and we have the experience and compassion to guide them through this journey.

We have gathered some resources that might help your patients when they have questions that might be beyond your scope of service.

The Amputee Coalition on preparing your limb for a prosthesis

Upper Limb Loss Questions

Certification Boards

The American Board for Certification in Orthotics, Prosthetics & Pedorthotics (ABC)

abcop.org
info@abcop.org
703-836-7114

The Board of Certification/Accreditation, International (BOC)

bocusa.org

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Now part of the Collier Family – Laurence Orthotics and Prosthetics

Laurence Orthopedic is now associated with Collier Orthotics and Prosthetics.

Laurence Orthopedic was established by Matt Laurence in 1946 and has been providing prosthetic and orthotic patient care services to the Oakland and the East Bay communities for over 70 years.
Laurence Orthopedic specializes in orthotic treatment for scoliosis and clubfoot and state-of-the-art prosthetic services for veterans with limb loss.

Director of Prosthetics George Villarruel talks about the Collier-Laurence transition.

My name is George Villarruel, Director of Prosthetics at Collier-Laurence Orthotics and Prosthetics. I want to speak about the additions-acquisition of Laurence Orthotics and Prosthetics into the Collier Family. This will allow us to service new accounts and to spread our philosophy of compassion and service to the orthotics and prosthetics communities. We feel we can provide excellent service to the pediatric and adult populations in need of an orthotic or prosthetic device.

Continue to our website for help with your orthosis or prosthesis.

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Prosthetic Case Study – Trans Tibial Amputee

Mikhaila Rutherford is 26 years old and, and with her new prosthesis, she is more ambulatory and ready to enjoy her new career in nursing without the hassles and limitations of her old and worn out prosthetic device.

Four years ago, Mikhaila came to our lead prosthetic practitioner with some challenges:

  1. She would be challenging to fit due to multiple surgeries to resolve her subluxating patella (knee cap).
  2. A short trans tibial residual limb.
  3. Her current foot did not allow for any flexibility when walking on slopes of any kind.

George was able to get approval through the insurance for the best possible device for Mickhaila. Watch the video to see how Mickhaila demonstrates her new prosthesis with an articulating ankle.

She was fit with an Alps AKDT locking liner and Patellar Tendon Bearing Supra Patellar Supra Condylar (PTB SCSP) socket design to help stabilize her knee in the medial lateral plane. For her last fitting, she was provided a foot with an articulating hydraulic ankle which can accommodate going up and down sloped terrain.

Mickhaila can now get back to daily living with a lot more mobility when hiking and being outdoors. We look forward to hearing about her new career as a nurse when she comes back for a check up.

 

Mickhaila has been a patient of George Villarruel at Collier O and P for the last 4 years. If you would like to see more of our patient success stories, visit our patient outcomes page.

Learn more about Collier’s patient care philosophy, where the patient needs are always the first priority.

 

 

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