The Special Needs of Geriatric Patients Part 6

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"If they don't have those, we become limited on what types of suspension we can use," he said. "We tell them their first prostheses is their interim prostheses. The residual limb does atrophy due to nonuse. After the other conditions such as diabetes have been addressed, they become better physically and are able to do more activities. We look at what their potential is and use the appropriate components."

Initially, said Rojek, function is important to the patient. They want to walk. After they have the prostheses for a while, they start focusing on cosmesis.
Activity levels are another factor.
"If a patient is highly active, we wouldn't want to cut them short and give them improper componentry," he said. "If they are lower activity, we want to go with certain guidelines that have been set down and give them the most appropriate components without charging Medicare or their insurance company additional fees for something that will not be used."

From an orthotic perspective, Rojek again looks at hand dexterity and strength.
"If they have a stroke and they are paralyzed on one side, we want to make sure the straps are conveniently located toward the middle of the body where they put the buckle or loop in. Otherwise, they will have a hard time stretching from one side to the other."

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