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The OT Role in Rehabilitation for the Person With an Upper-Limb Amputation

The OT Role in Rehabilitation for the Person With an Upper-Limb Amputation

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10/24/2013

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Occupational therapy practitioners play a critical part in helping people withupper-limb amputations resume meaningul activities.
How Common Is Upper-Limb Amputation?
Upper-limb amputations are most oten the result o sudden trauma to the body,although they also can be caused by malignancy, congenital defciencies, and vasculardisease. About 16,000 new upper-limb amputations occur annually, o which only2,000 are at or above the wrist.
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A person aced with such a lie-altering changewill have to make many physical and psychological adjustments to be able to ullyparticipate in everyday lie.
How Does Occupational Therapy Beneft a Person WithUpper-Limb Amputation?
Occupational therapy is a critical rehabilitation component, providing support toindividuals and acilitating optimum perormance o daily lie activities as well asquality o lie. A therapeutic team that includes the skills o an occupational therapistor occupational therapy assistant will provide the client with the most successulrehabilitation and prosthetic training.Upper-limb amputation not only aects a person’s physical unctioning but also hisor her psychological and emotional well-being. Occupational therapy is integral to therehabilitation process or the person with an upper-limb amputation. Occupationaltherapy practitioners recognize the complexity o this condition and use a holisticapproach that emphasizes the client’s perspective—the roles and activities he orshe fnds meaningul, his or her personal experiences and values—in developingintervention plans and goals.Reaching the client’s goals is made easier through the occupational therapy practitioner’s unique ability to synthesizepsychosocial issues, physical strengths and abilities, and desire to participate in daily activities.The occupational therapy practitioner provides critical interventions, such asidentiying the client’s unctional goals, which can include sel-care, home management, work tasks, and leisure activities,and oering modifcations to complete these goals i required;task analysis;• education;prosthetic training; andidentiying and addressing psychosocial issues.
What Is the Role o an Occupational Therapy Practitioner With Upper-Limb Amputation?
An interdisciplinary team experienced in all aspects o amputee care—rom behavioral health to technology to prosthetic fttingand community reintegration—is critical to successul rehabilitation. The role o occupational therapy as part o the team is toprovide the client with adaptive techniques and strategies that enable him or her to regain the ability to participate in all desiredlie tasks.Occupational therapists identiy the client’s individual needs and goals and provide guidance to the rehabilitation team regardingpotential prosthetic options. Occupational therapy practitioners also provide training in the care and use o any prosthetic devicewhen and i that is prescribed.Occupational therapy intervention will vary according to individual needs, and phases o intervention may overlap, dependingon the person’s progress.Prosthetic options will be discussed with the client when he or she is deemed prepared or this inormation. Prosthetic optionscan be discussed pre-operatively in the case o elective amputations or at any time postoperatively, depending on the person’s
The Occupational Therapy Role in
 
Rehabilitation or the PersonWith an Upper-Limb Amputation
www.aota.org4720 Montgomery Lane, Bethesda, MD 20814-3425Phone: 301-652-2682 TDD: 800-377-8555 Fax: 301-652-7711
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