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Theraband Strengthening for Shoulder and Scapular Muscles

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Theraband Strengthening for Shoulder and Scapular Muscles

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Justification: Improves strength and postural control in preparation for functional use of the UE prosthetic

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Justification: facilitates the brain in re-organization of neural pathways through visualizing motor movements of unaffected extremity

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Justification: Enhances tissue mobility and desensitization prior to prosthesis use

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Peer Support Video viewing or discussion 

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Peer Support Video viewing or discussion 

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Assists in mentally prepping the pt for introduction of the device with understanding of support from peers.

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Theraband and strengthening for shoulder and scapular muscles 

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Theraband and strengthening for shoulder and scapular muscles 

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Justification: enables more practical use of prosthesis, improves posture and reduces pain with use as well- more likely to use prosthesis

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Helps to protect the skin from irritation and sores from prosthetic use.

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Donning and doffing practice with prosthesis

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Donning and doffing practice with prosthesis

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educate pt on how to don and doff prosthesis for ease of use and cleaning purposes to gain independence and confidence with donning/doffing

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Intervention: biofeedback training for prosthetic control

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Intervention: biofeedback training for prosthetic control

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Justification: helps client learn how to activate and control myoelectric signals for accurate prosthesis use during functional tasks

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Recognize what jobs the pt often performs and complete them with the assistance of the prosthetic and therapist.

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Intervention: one-handed dressing practice with adaptive tools

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Intervention: one-handed dressing practice with adaptive tools

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Justification: increases independence with dressing and builds confidence using adaptive strategies

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Helps client practice functional techniques that can be utilized in employment - mirrors the demands required in the workplace.

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Promotes independence in the ADL of self care

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Toothpaste stabilization using prosthetic hand

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Toothpaste stabilization using prosthetic hand

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Gradually begin to integrate the prosthetic through stabilization in self care

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Intervention: Meal Prep with adaptive cutting boards

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Intervention: Meal Prep with adaptive cutting boards

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Reintroducing meal preparation and providing education on compensatory strategies

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Reflective journaling for body image adjustment 

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Reflective journaling for body image adjustment 

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Helps pt to evaluate and discuss feelings relating to the amputation.

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Brings awareness to the opposing limb which can promote bilateral integration.

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Daily routine mapping and role identification 

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Daily routine mapping and role identification 

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Helps to identify occupational goals and client needs. Will identify meaningful occupations to provide client centered intervention.

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Integrate positive body image language and discussion. Acknowledgement of the incident and assurance of what to do next

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Because it’s an adaptive strategy that can be used during a BADL.

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Justification: promotes independence with ADL

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Justification: proper wound management would assure that the wound heals well and can recover enough to prepare for prosthetic

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One-handed dressing techniques with adaptive tools

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One-handed dressing techniques with adaptive tools

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For Independence in BADL

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intervention: peer support video viewing or discussion

Justification: This intervention can help the individual adapt to their amputation and gain support from others who may have experience in a similar situation. Additionally peer support may help the patient to participate in prosthetic use or therapy due to more support

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Peer support video viewing or discussion : this will help them be able to talk about their emotions and feeling regarding their amputation and share with others who have had similar experiences.

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Reflective Journaling for Body Image Adjustment 

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Reflective Journaling for Body Image Adjustment 

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Why: Helps with stigma, acknowledging a person’s feelings towards change, and helps with the release of emotions.

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Provide education to caregiver to assist with device in early stages