 Myoelectric prosthesis 392. Phantom Sensation (Pain): Detailed sensations of the limb  Constant or intermittent (P.1154)  Cramping, squeezing, relaxed, numb, tingling, painful, moving, stuck, shooting, burning, cold, hot or achy. 393. Pre-Prosthetic OT  Wound care/hygiene  Limb shaping and shrinkage (wrapping)  Desensitization of residual limb  A/PROM of all residual joints  Knee ext board  Mm site testing for myoelectric  Assistive devices  Self-care and functional mobility  Emotional support 394. Immediate Post Surgical Fitting  UE prosthesis is applied IMMEDIATELY after the amputation. Dressing is applied with plaster and split hook is applied  "Golden Period" = 1st 30 days to lower prosthetic rejection rate and decrease phantom limb sensation 395. Sensory Deficits & Interventions Some are the result of amputation- but these are NOT exclusive to post amputation.  Hypersensitivity  Loss of sensibility 396. Hypersensitivity  Increased sensory pain  Experience of pain/discomfort from a typically non-noxious stimuli (allodynia)  Diagnoses: Amputation site, CRPS, surgical sites, thalamic syndrome 397. Desensitization

TX for hypersensitivity  Provide sensory input to hypersensitive area  Elicit habituation  FIRST assess sensory input that is noxious, then work to increase pt. tolerance to that noxious stimuli. 398. Mandy Case Study OPHII Scale  Occupational identity is not fully formed  Developed interests and recognizes the need to fulfill her current obligations  Competence: limited past achievements & feelings that she has failed in life roles 399. Mandy Case Study WRI Scores  Strengths in the areas of interests and taking responsibility  Personal causation = weak due to limited work history and job loss  Lack of routine 400. Mandy's Case Study narrative slope: Illustrates the stagnation in the majority of her life with an attempt to move from her circumstances. 401. OPHI-II  Occupational identity  Occupational Competence  Occupational Setting 402. WRI  Personal causation  Values  Interests  Roles  Habits  Environment 403. Mandy Case Study LTGs  Identify recovery meetings to support work schedule  Create resume  Obtain kitchen sanitation certification

 Access services from local organization to effectively communicate  Demonstrate understanding of her rights in employment (ADA) 404. OT Intervention for Mandy Case Study  Identify resources for recipes,  Increase job duties  Address different strategies of communication  Establish appropriate boundaries with family  Money management  Validate feelings  Identify positive outcomes  Accommodate pace 405. Non-adherent Behavior Manifestation: Actively or passively refusing to follow recommendations or orders. -Pt. may not show up for apt -Pt. feels as if he/she doesn't need help 406. Underlying Meaning of non-adherent Actively or passively refusing to follow recommendations or orders.  Lack of understanding  Communication barriers  Side effects, complications  Conflict with provider 407.