inMotion Magazine

Living the Dream 39 Fully Custom Each device is custom designed to within millimeters of a patient's unique amputation and hand structure. We o er three custom-designed prostheses. The PIP Driver , MCP Driver, and Thumb Driver . npdevices.com For more information: (888) 977-6693 | (360) 915-9724 | fax (360) 918-8619 info@npdevices.com or visit npdevices.com © 2019 Naked Prosthetics. All rights reserved. NP P R O S T H E T I C S ™ It’s all about function. 10. What type of prosthesis are you considering for me, and why? 11. Will my rehabilitation begin before surgery? How soon after surgery? What is my durable medical equipment (wheelchairs, grab bars, shower chairs) and assistive technology plan? How do you plan to get me these essential tools before discharge? 12. If I cannot go home after discharge, will you send me to an acute inpatient rehabilitation program? 13. When will you start my movement training after amputation? 14. How will you maximize my independence? Will my rehabilitation include mobility, strength, activities of daily living, gait training and cardiovascular fitness? 15. Will you offer me a microprocessor knee over a non- microprocessor knee? (This will likely be insurance-dependent.) 16. What outcome measures do you use? Do you use the timed up and go or six-minute walk tests or the Comprehensive High-Level Activity Mobility Predictor? 17. What additional outcome measures do you plan to use to allow me to track multiple aspects of my recovery? Will you give me surveys? Can I do those at home or before my appointments? 18. How will you assess and track my health factors that may lead to poorer outcomes: smoking, other injuries or illnesses, social functioning, pain, etc.? Where can people with limb loss find these documents? The CPGs are available online. An easy search term is “VA/DOD CPG.” Scroll down the page to find the 2017 CPG for the Rehabilitation of Individuals with Lower-Limb Amputation under “Rehabilitation.” Take some time to explore the site. There are many other CPGs that you may find interesting. Topics include chronic pain and opioid management, diabetes, stroke, low back pain and rehabilitation of upper-limb amputation.