A little help please....
Lindsey Jastrzab
Description
Collection
Title:
A little help please....
Creator:
Lindsey Jastrzab
Date:
6/19/2014
Text:
Hello everyone:
I'm reaching out to you for some suggestions on how to manage a morbidly
obese transfemoral amputee. I am looking to make the patient a new
prosthesis.
Patient info: 71 y.o. female, 5'0, 300lbs, very loose flesh on residual
limb with a skin fold of flesh at the distal end just above her scar from
the amputation.
Currently the patient utilizes a lanyard system with a liner. The patient's
tummy gets in the way of her donning her liner currently, but she is able
to don it independently. This patient wants to be completely independent
when donning her prosthesis.
The problem with her current system is that the liner folds in where the
flesh fold is towards the scar. Her prosthesis also tends to rotate due to
the mobile flesh. I have added a belt, but of course the patient would
like to not have to wear a belt.
The major factors to consider: loose residual limb tissue, a large tummy
that folds over onto her thighs, volume fluctuation, the flesh fold on her
residual limb, the system must be somewhat simple for the patient to manage
independently, a motivated but not 100% compliant patient.
Please send any suggestions or ideas if you have any experience with a
patient like this. Overall, her goal is to have the prosthesis feel like
it's more a part of her. Her limb volume does fluctuate and she is not
compliant about wearing a shrinker or her prosthesis at all times.
Any help is definitely appreciated!
Thank you,
--
Lindsey (Jastrzab) Bollen, CPO
Prosthetic Orthotic Associates
3303 N. 75th Street
Scottsdale, AZ 85251
480-946-2286 - Scottsdale Phone
623-209-0109 - West Valley Phone
480-946-9942 - FAX
Confidentiality Notice - The information contained in this e-mail and any
attachments to it may be legally privileged and include confidential
information. If you are not the intended recipient, be aware that any
disclosure, distribution or copying of this e-mail or its attachments is
prohibited. If you have received this e-mail in error, please notify the
sender immediately of that fact by return e-mail and permanently delete the
e-mail and any attachments to it. Thank you.
********************
To unsubscribe, send a message to: <Email Address Redacted> with
the words UNSUB OANDP-L in the body of the
message.
If you have a problem unsubscribing,or have other
questions, send e-mail to the moderator
Paul E. Prusakowski,CPO at <Email Address Redacted>
OANDP-L is a forum for the discussion of topics
related to Orthotics and Prosthetics.
Public commercial postings are forbidden. Responses to inquiries
should not be sent to the entire oandp-l list. Professional credentials
or affiliations should be used in all communications.
I'm reaching out to you for some suggestions on how to manage a morbidly
obese transfemoral amputee. I am looking to make the patient a new
prosthesis.
Patient info: 71 y.o. female, 5'0, 300lbs, very loose flesh on residual
limb with a skin fold of flesh at the distal end just above her scar from
the amputation.
Currently the patient utilizes a lanyard system with a liner. The patient's
tummy gets in the way of her donning her liner currently, but she is able
to don it independently. This patient wants to be completely independent
when donning her prosthesis.
The problem with her current system is that the liner folds in where the
flesh fold is towards the scar. Her prosthesis also tends to rotate due to
the mobile flesh. I have added a belt, but of course the patient would
like to not have to wear a belt.
The major factors to consider: loose residual limb tissue, a large tummy
that folds over onto her thighs, volume fluctuation, the flesh fold on her
residual limb, the system must be somewhat simple for the patient to manage
independently, a motivated but not 100% compliant patient.
Please send any suggestions or ideas if you have any experience with a
patient like this. Overall, her goal is to have the prosthesis feel like
it's more a part of her. Her limb volume does fluctuate and she is not
compliant about wearing a shrinker or her prosthesis at all times.
Any help is definitely appreciated!
Thank you,
--
Lindsey (Jastrzab) Bollen, CPO
Prosthetic Orthotic Associates
3303 N. 75th Street
Scottsdale, AZ 85251
480-946-2286 - Scottsdale Phone
623-209-0109 - West Valley Phone
480-946-9942 - FAX
Confidentiality Notice - The information contained in this e-mail and any
attachments to it may be legally privileged and include confidential
information. If you are not the intended recipient, be aware that any
disclosure, distribution or copying of this e-mail or its attachments is
prohibited. If you have received this e-mail in error, please notify the
sender immediately of that fact by return e-mail and permanently delete the
e-mail and any attachments to it. Thank you.
********************
To unsubscribe, send a message to: <Email Address Redacted> with
the words UNSUB OANDP-L in the body of the
message.
If you have a problem unsubscribing,or have other
questions, send e-mail to the moderator
Paul E. Prusakowski,CPO at <Email Address Redacted>
OANDP-L is a forum for the discussion of topics
related to Orthotics and Prosthetics.
Public commercial postings are forbidden. Responses to inquiries
should not be sent to the entire oandp-l list. Professional credentials
or affiliations should be used in all communications.
Citation
Lindsey Jastrzab, “A little help please....,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 5, 2024, https://library.drfop.org/items/show/236348.
