(201) Special Parent 2017 Edition | Page 37

GET THE FACTS… WHY DO PEOPLE HAVE AMPUTATIONS? Amputations may be the result of diabetes, bacterial infections, circulatory diseases and trauma. Some people may be born with congenital birth defects which leave them with non-functioning limbs that may become more useful once removed and replaced with prostheses. DO I NEED ANY OTHER HELP IN LEARNING TO WEAR THE PROSTHESIS? A prosthetist can help you find other health professionals, such a physical or occupational therapists, for additional instruction and training on using your prosthesis as well as necessary strengthening programs. WHAT IS A PROSTHESIS? A prosthesis is an external device designed to replace a missing part of the body, including arms, hands, fingers, legs, toes, breasts and even eyes. HOW DO YOU PUT ON A PROSTHESIS? There are several ways for an amputee to don a prosthetic, depending on their individual anatomy, preference and the design of the prosthesis. Pull-in users work with a donning sock to be sure that all necessary tissue is contained within the suction socket. The donning sock is used where there is no liner interface and requires a lotion (wet fit) or powder (dry fit). Push-in donning is for amputees with longer above-knee residual limbs. Some prefer to push the residual limb into the prosthetic’s socket using a wet or dry fit. HOW OFTEN WILL MY CHILD NEED A NEW PROSTHESIS? Replacing the prosthesis every time the child grows (i.e. every few months) can be a mistake because it takes several months for the child to get adapted to a new prosthesis. The good news is that there are adjustable features which can be built into a prosthesis for a child to make minor adjustments until a new device is needed. In addition, a new prosthesis for a child may come with padding built in which can be adjusted to accommodate growth. Sometimes the length can also be adjusted to match the length of the other limb. A new prosthesis may be required in cases where there is a significant change in body weight, skin ulceration, bone overgrowth or trauma to the residual limb. WILL I BE ABLE TO USE MY PROSTHESIS JUST LIKE I USED MY NATURAL LIMB? Although a prosthesis will never completely replace your natural limb, it can help restore all or most of your original functioning. This is partially reliant on your level of amputation. Below the knee amputees usually do well in returning to former lifestyles. Above the knee amputees may proceed more slowly but usually can return to former lifestyles as well. Depending on personal goals and needs, patients with upper limb amputations have varied rates of success in restoring former lifestyles. ARE PROSTHETICS COVERED BY INSURANCE? While most medical insurance coverage will include prosthetic limbs with a prescription from your doctor, it is best to check your policy and call your insurance company to be sure. CAN MY PROSTHESIS GET WET? Generally, your prosthesis should be kept as dry as possible to protect the components. However, there are covers which go over them to help prevent water from entering. There are also special prostheses designe