Expedited Prosthetic Fittings for Amputees
 
 
As Horizon Orthotic & Prosthetic Experience, Inc. (H.O.P.E.) continues to expand its services to patients from throughout the region, we have adapted our approach to patient care to fit the needs of individuals traveling to Kansas City for their prosthetic needs.  We refer to this approach as “Expedited Fittings.”  The goal of our team is to restore the amputee to their full potential in a short period of time so they can return to the speed of life.  Our approach to an amputee’s care goes beyond that of providing just a prosthesis.  We know that in order to provide the gateway to a better life, we first have to learn about the amputee as an individual, their current lifestyle and also the type of lifestyle they aspire to have.
 
 
DAY ONE
 
Your Initial Visit
Upon your visit to Horizon Orthotic and Prosthetic Experience, you are greeted by a caring staff member to answer any immediate questions you may have.  If it is your first visit to H.O.P.E., we take the time to review the process we will be going through in order to design your new prosthesis.  In addition, this is the time that you have the opportunity to meet our administrative and technical staff who are here to provide you with the best care possible.  This process is a collaborative effort with you as the center of the team. 
 
Clinical Evaluation Begins
A considerable amount of time is initially spent between you, your family or support staff and the H.O.P.E. practitioner(s) to evaluate your current prosthetic concerns and goals.  If you are currently wearing a prosthesis, a clinical evaluation is performed regarding your existing prosthetic device, gathering the necessary information about the fit and function and any issues or concerns which you are facing.  This is critical in determining the most appropriate plan of action for your new prosthesis.  We generally like to begin with assessing your priorities with a prosthesis as it relates to Comfort, Control, Cosmetics and Function.  We then begin to discuss your prosthetic options and gather feedback from you regarding the most appropriate options available.  The discussion includes prosthetic systems and set-ups.  In addition, you will learn about the wide variety of prosthetic components, products and options available to you.  You, along with your H.O.P.E. practitioner, determine the most appropriate prosthesis which will allow you the freedom to accomplish your daily activities.
 
Prosthetic Socket Design
Within the first couple hours of your visit, the design and fabrication of your prosthetic socket begins.  Through the use of a vacuum system in our casting technique, the exact shape of your limb is acquired under vacuum and used to create a diagnostic prosthetic socket customized for you.  This initial diagnostic (or temporary) socket is used during a series of fitting and alignment procedures, allowing us to obtain the most optimum fit between you and your new prosthesis.  Once this is achieved, you and your family are encouraged to walk with this newly fitted temporary prosthesis the remainder of that day and evening, and return the following day with your feedback.
 
 
DAY TWO
 
Temporary Prosthesis Feedback
You will return to our facility the morning of the second day for us to assess how the prosthesis performed.  Day 2 is where we gather feedback from you about how the new prosthesis is fitting and functioning.  Any fitting and alignment concerns are discussed and evaluated, and additional adjustments are made.  If another diagnostic socket is required, it is fabricated at this time and another fitting and dynamic alignment procedure is performed.
 
Final Fabrication Begins on Your New Prosthesis
Once the optimal prosthetic fit is achieved, the fabrication on your new prosthesis begins.  This fabrication time may take a few hours to complete.  During this time, discussions between you, your family and your H.O.P.E. Prosthetist take place to answer any questions you may have.  This may include education about the use and care of the prosthesis or to review any possible maintenance requirements.  This is a critical time for you and your family to address any specific questions with your H.O.P.E. practitioner so you fully understand how the prosthesis is to fit and function.
 
The Fitting of Your NEW Prosthesis
When the time has arrived to be fitted with your new prosthesis, the use and care instructions will be reviewed.  A fitting and evaluation period begins to guarantee a proper fit between you and your customized prosthesis.  If you are being fitted with new, unfamiliar prosthetic componentry, time is spent reviewing the verbal and written instructions of its care and function.  Once again, you are encouraged to wear this new prosthesis the remainder of that day and evening to ensure its proper fit and function.  You will then return the following day to give us your feedback.
 
 
DAY THREE
 
Cosmetic Application
After spending the remainder of your second day in your new prosthesis, your final day begins gathering any additional feedback on its fit and function.  Any additional fitting and alignment concerns are discussed, evaluated, and made at this time.
Should you choose to have a cosmetic cover applied to your new prosthesis, the various options are discussed and the fabrication of your cosmetic cover would begin.  In just a few short hours, you are presented with your NEW finished prosthetic device.
 
Final Evaluation
A final evaluation takes place between you and your H.O.P.E. practitioner.  You may set prosthetic goals or achievements that you would like to reach.  You may discuss prosthetic usage techniques to assist you in everyday life.   This process may take a few hours to perform before the finished prosthesis is ready for you to take home.
 
Therapy Services
If you choose, or if you are in need of therapy services, H.O.P.E. has numerous local physical therapists who are highly skilled on training amputees of all levels.  This service is coordinated between your physician and the physical therapist.  H.O.P.E. is not a provider of physical therapy but works closely with the therapy team to insure the best outcomes.  Physical Therapists greatly benefit amputees by teaching them how to walk correctly to obtain the maximum benefit from a prosthesis.  A customized physical therapy program is developed for each patient to increase their mobility, range of motion, and to rehabilitate existing habits which may be inhibiting the quality of life they desire. 
 
Follow-Up
 
Every patient who comes to H.O.P.E. is given every opportunity to be successful as an amputee and to return to the pre-amputation lifestyle.  Over time, however, changes do occur to the residual limb.  To maintain the proper fit, follow-ups are necessary at least every 6 months.  Sock management is an important factor to help ensure any volume changes are accounted for but socks cannot always resolve fitting issues. Also, technology improves and our staff wants to make sure every patient gets the most appropriate technology for their functional level. A customized follow-up plan is designed and prepared so each patient has the capabilities to lead a functional and quality life now and in the future.