Prosthetics workshop

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!