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Book Review: Prosthetics and Patient Management: A Comprehensive Clinical Approach
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Title: Prosthetics and Patient Management: A Comprehensive Clinical Approach

Authors: Kevin Carroll and Joan E. Edelstein
Publisher: SLACK Incorporated; Number of pages: 266
Reviewed by: Brian White

Summary

Prosthetics and Patient Management: A Comprehensive Approach is an excellent resource for any individual treating a patient who has undergone an amputation. This hardcover book has a number of contributing authors from multiple rehabilitative medicine disciplines, and it was edited by Kevin Carroll, MS, CP, FAAOP and Joan E. Edelstein, MA, PT, FISPO. The book focuses on using an interdisciplinary approach when treating patients who have undergone an amputation to optimize patient management, patient satisfaction, and patient outcomes.

This book consists of 19 chapters which are grouped into a total of four different sections. These four sections cover early management, rehabilitation of adults with lower-limb amputations, rehabilitation of adults with upper-limb amputations, and beyond the basics. There is also an appendix section with example forms. These include physical therapy intake form, a pain questionnaire form, a physical therapy evaluation for prosthetic candidate form, and a case study for a person with a transfemoral amputation.

The early management section begins with a list of different healthcare providers and social workers that may be involved in a patient’s care after an amputation. Although the book doesn’t provide an exhaustive list for every single patient’s situation, I believe that it does remind the reader that there can be other individuals treating the patient, and they also have vested interest in the well-being and success of the patient. The individuals that are treating a patient can do more for the patient when they are informed and working as a team toward similar goals. If we as practitioners are ill-informed in other aspects of our patients care, we could be unintentionally obstructing the care that other members of the healthcare team are providing.

Early Management
This section discusses surgical techniques, post-operative management, pain management, the management of skin disorders, and the psychological impact of amputation. The chapter also has examples of some resources that could be utilized to assist patients that may be dealing with these psychological issues.

Lower-Limb Amputations
Partial -foot and Syme’s amputations, transtibial prosthetic designs, transfemoral prosthetic designs, hip disarticulation and transpelvic designs, and basic lower-limb prosthetic training are discussed. These chapters give a great overview of the various levels of lower- limb amputation, to include challenges that may arise at the various levels, and some basic training strategies applicable to lower-limb prosthetics users.

Upper-Limb Amputations
Body-powered upper-limb prosthetic design, externally powered upper-limb prosthetic design, and training patients with upper-limb amputations are discussed. For those with limited experience with upper-limb prosthetics will find this content to be a valuable resource.

Beyond the Basics
Special considerations with children, rehabilitation outcomes, adaptive prostheses for recreation, and a discussion on the future advances and challenges in the field of prosthetics are presented.

Recommendation

Prosthetics and Patient Management: A Comprehensive Approach is a great resource for any clinician. Although the book focuses on individuals who have undergone an amputation, the principles for using an interdisciplinary approach to patient management/care could easily be used with other types of patients. The authors point out that an interdisciplinary approach may not be possible if all team members are employed by other companies and suggest that in these cases, it is imperative that the practitioner stay as informed as possible with regards to the patient’s holistic care.

This book provides a great overview of prosthetics and patient care for individuals with an amputation that is easy to read and includes pictures so the reader can visualize the equipment and/or anatomy that the authors is describing. Lastly, the book provides references and resources that could easily be used by the reader to explore the subject in greater depth.

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