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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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Orthotic Patient Case Study – Amyotrophic Lateral Sclerosis (ALS)

Mr. Cutchlow came to see Collier Practitioner Ray Diaz for a pair of new braces, and expressed frustration with his instability due to his Amyotrophic Lateral Sclerosis.

Upon evaluation, Ray noticed the patient had more than just weak inverters/evertors. He also had no plantar flexion and dorsiflexion strength.
Prior to the Phat braces he was using a walking aide, now he’s not. As you can see in the video, his gait is much more stable and his speed improved.

Patient Challenge:

The previous AFOs (Arizona braces) were not picking up his foot, causing him to buckle and fall when ambulating.

Collier Resolution:

Ray introduced the Phat braces to Mr. Cutchlow. These braces will provide the stance control and swing phase, and resolve the weak medial lateral ankle instability. The Arizona braces provided nothing for the absent plantar and dorsiflexion.

The day Mr. Cutchlow came back for delivery of his Phat braces he couldn’t believe the balance, stability, and confidence the braces were giving him.

Mr. Cutchlow has had two follow up visits. The first visit was to see how the braces are working for him. The second visit was a minor adjustment. It feels very rewarding to know Mr. Cutchlow’s goals were achieved and that it also built up his confidence to do more enjoyable things with his grandkids.

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