According to Orthotics and Prosthetics, “The elbow disarticulation socket can provide …show more content…
OT is a profession that teaches meaningful, functional, and adaptive life skills to enhance ADL’s and IADL’s across the life span. The surgeon’s goal is to ensure good skin coverage of the amputated part. Replantation is not an option. OT works with the patient anywhere from two to six months, depending on how motivated the patient is and how well the prosthetic fits, if applicable. According to Early, Wound care, edema reduction, restoring ROM, scar management, desensitization (as needed), and restoring full function is primary goals for Occupational Therapy while maximizing independence. Elevation, massage, and gentle wraps can be initiated early postoperatively, possibly before ROM therapy is begun (pg. 604). The use of vet wrap can be used to wrap cover the affected joint during healing process, and while the wound closes. The Peripheral Nerve is injured during this amputation, the nerve will continue to regenerate but the skin doesn’t grow causing phantom limb pain. OT interventions include: tapping the stump, and Estim around the bicep, tri-cep, and shoulder to help contract the muscles surrounding the affected extremity. Occupational Therapy is critical during rehabilitation, facilitating optimum performance of daily life activities. Safety …show more content…
In addition, Discharge planning is addressed immediately. The American Occupational Therapy Association, AOTA states, “That in the Acute Phase Occupational Therapy will begin evaluation and development of a client-centered intervention plan”. In addition, OT will relate short and long term goals into the treatment plan designed to meet the patient’s needs and wants.
OT role in Rehabilitation for the person with an Upper-Limb Amputation identifies the Pre-Prosthetic Phase as,
“Introducing exercises for general conditioning as well as exercises specific to changes in posture due to limb loss or to the foreign weight of a prosthesis. During this phase, intervention will focus more fully on the skills needed to accomplish the activities that are most important to a client and to achieving the client’s goals. In the acute setting, these goals often begin with basic daily living tasks such as feeding and dressing. Adaptive equipment will be intrpduced and change of dominance training will be addressed if necessary”