prosthetics workshop
TRANSCRIPT
Pushing the boundaries
Life beyond limb loss
Pushing the boundaries
Life beyond limb loss
Nick CrockattMRF Regional Ambassador -
Lancashire
&
Father of Sofia Maya Crockatt
Prosthetics Workshop
Pushing the boundaries
Life beyond limb loss THE PANEL
Nick Crockatt Facilitator
Dr. Fergus Jepson Consultant in Rehabilitation Medicine
Mr. Fergal Monsell Consultant Orthopaedic Surgeon
Robert Shepherd Physiotherapist
Karen Crockatt Sofia’s Mum (Nursing/Procurement/Commissioning)
Pushing the boundaries
Life beyond limb loss AGENDA
• Introduction 5
mins
• Sofia’s Story 10
mins
• Prosthetic commissioning in the UK (Fergus Jepson) 10 mins
• Workshop 4 x 10
mins
1. Day to day use of prosthetics and the types of prosthetics available.
2. Challenges associated with skin and bone damage (and how this can affect
prosthetic provision).
3. Challenges with the system (both NHS and private provision).
4. What has worked well (sharing best practice).
• Summary 10
mins
“I’d slow down
if I was you!!!”
Pushing the boundaries
Life beyond limb loss
“How do we get the
most from the
session?”
Pushing the boundaries
Life beyond limb loss “How do we get the
most from the
session?”
“The ‘A-Ha’
theory”
Pushing the boundaries
Life beyond limb loss
“The ‘A-Ha’
theory”
Pushing the boundaries
Life beyond limb loss
“The ‘A-Ha’
theory”
Pushing the boundaries
Life beyond limb loss “How do we get the
most from the
session?”
Pushing the boundaries
Life beyond limb loss
Sofia’s Story
Lessons Learned
Pushing the boundaries
Life beyond limb loss Sofia’s Story
Pushing the boundaries
Life beyond limb loss
• February 17th 2007
• Ambulance to Royal Preston
Hospital
• Recovered to RMCH Paeds
ITU
• ITU - 14 days
• Burns Unit - 3 months
• Left BKA
• Skin Grafts
• Significant damage to right
leg, below knee
SOFIA & MENINGOCOCCAL
SEPTICAEMIA
Pushing the boundaries
Life beyond limb loss SOFIA TODAY
2007 2008 20142009 2010 2011 2012 2013
AmputationToday
Pushing the boundaries
Life beyond limb loss TIMELINE
AmputationOrthosis/Sp
lint Prestonx
1st Blade
Leg (NHS)
Blade Leg
(Private)
HD Leg
Orthosis/Sp
lint -
Preston
Socket
Liner 2
Orthosis/Sp
lint
RMCH
Socket
Liner 3
1st
Prosthesis
Socket
Liner 1
2007 2008 20142009 2010 2011 2012 2013
Water/Sho
wer Leg
Coverless
Leg
Pushing the boundaries
Life beyond limb loss
• Time for appointment
• Time for delivery
• Badly fitting socket
• Limited prostheses
• No-one listening!
FRUSTRATIO
NS
IMPLICATION
S• Wheelchair dependant
• Reluctance to wear
prosthesis
• Damage to knees
• Stress!!!!
Pushing the boundaries
Life beyond limb loss
M.D.T
Sofia
Prosthetist
Occupational Therapist
Orthopaedic Surgeon
Physiotherapist
Health Visitor
Skin Specialists
Plastics
GP
Psychologist
DietitianOrthotics
Education
Social Services
Consultant in Rehab
MPMedical Consultant
Sofia
Prosthetist
Physiotherapist
Health Visitor
Psychologist
Medical Consultant
Pushing the boundaries
Life beyond limb loss
What do we WANT for Sofia?
What does Sofia WANT?
Sofia
Prosthetist
Consultant in Rehab
Orthopaedic Surgeon
Pushing the boundaries
Life beyond limb lossLearn to Run Clinic
13th Jan 2013
1st Running Leg
21st January 2013
Pushing the boundaries
Life beyond limb loss BLADE LEG
=
Pushing the boundaries
Life beyond limb loss
• Get the socket and liner right!!!!!
• What does my child NEED?
• What is actually available?
• Make sure you are talking to the right person!
• MDT
• Communciation
• Communciation
• Communciation
Lessons Learned!
