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A Structured Rehabilitation Protocol for Improved Multifunctional Prosthetic Control: A Case Study
Published on: November 6, 2015
Comparing the outcomes of a prosthetic intervention from the perspective of Australian prosthesis users and funders
Michael P Dillon1, Emily Ridgewell1, Tamara Tse2
1Discipline of Prosthetics and Orthotics, Department of Physiotherapy, Podiatry, Prosthetics and Orthotics, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia.
Purpose:
Little is known about the perspectives of prosthesis users and funders regarding the outcomes that are most important when receiving/funding a lower-limb prosthetic intervention.
Materials And Methods:
In this cross-sectional study, 99 prosthesis users and nine funders rated the importance of 121 International Classification of Functioning, Disability, and Health framework (ICF) second-level categories.
Results:
Of the 121 ICF second-level categories: seven were important to both prosthesis users and funders, 23 were important to either prosthesis user or funders, and 91 were not important to both prosthesis users and funders. Of the second-level categories important to both prosthesis users and funders, 57% came from the Mobility (d4) chapter. Prosthesis users and funders had different perspectives about the Major life areas (d8) chapter; in particular, second-level categories relating to education and employment.
Conclusions:
While prosthesis users and funders shared very similar perspectives about what was most important when receiving/funding a prosthetic intervention, there are opportunities to reconcile perspectives where they differ. Understanding the different perspectives will require further research given the myriad of potential explanations.
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Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
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