Module 4 – Lesson 5: Self-Assessment Answer 4

Question

What are some of the differences a life care planner must consider when developing a plan for a child with an amputation, as opposed to developing a life care plan for an adult with an amputation?

Answer

As noted in your textbook, Pediatric Life Care Planning and Case Management, one of the most significant differences between children and adults with amputations is the frequency of prosthetic change due to growth. Pediatric extremity changes in length and size will require frequent prosthetic socket and component changes. The life care planner should account for at least a socket replacement every two years until the child is 18. Psychologically, a child does not have to adjust to limb loss as an adult would. However, as a child grows up they are faced with issues of potentially negative peer interaction, and as they reach adolescence, the child may be faced with body image issues. Life care planners should remember to anticipate these needs as a child goes through the developmental years of life. Prosthetic components will be different for a child with an amputation, as they need to be developmentally appropriate in order for the child to reach developmental milestones.

“Life Care Planning for the Child with an Amputation”, in Pediatric Life Care Planning and Case Management, Second Edition, 2011, Or “Life Care Planning for the Child with an Amputation.” In S. Riddick- Grisham (Ed.) Pediatric Life Care Planning and Case Management (pp.681-692). Boca Raton, FL: CRC Press.

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