The Amputee Coalitions National Limb Loss Resource Center A - - PowerPoint PPT Presentation

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The Amputee Coalitions National Limb Loss Resource Center A - - PowerPoint PPT Presentation

The Amputee Coalitions National Limb Loss Resource Center A critical tool to help you meet the needs of your clients with limb loss George Gondo, MA Director, Research and Grants amputee-coalition.org 888/267-5669 Disclaimer: This


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The Amputee Coalition’s National Limb Loss Resource Center

A critical tool to help you meet the needs of your clients with limb loss

amputee-coalition.org 888/267-5669

George Gondo, MA Director, Research and Grants

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Disclaimer: This project was supported, in part, by grant number 90LL0002-01-00, from the Administration for Community Living, U.S. Department of Health and Human Services, Washington, D.C. 20201. Grantees undertaking projects under government sponsorship are encouraged to express freely their findings and conclusions. Points of view or opinions do not, therefore, necessarily represent official Administration for Community Living policy.

amputee-coalition.org 888/267-5669

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amputee-coalition.org 888/267-5669

Our Mission

To reach out to and empower those affected by limb loss to achieve their full potential through education, support, and advocacy, and to promote limb loss prevention.

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amputee-coalition.org 888/267-5669

Organizational Overview

The leading donor-supported, national non- profit organization serving the limb loss community 30th Anniversary Headquartered in Manassas, VA with a branch office in Knoxville, TN 19 staff members

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amputee-coalition.org 888/267-5669

Organizational Reach

More than 270 support groups Over 750 active Certified Peer Visitors 65,000+ constituents 115,000+ Facebook community 800,000+ Web site visitors

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Limb Loss Community

2.1 million persons with limb loss

1% 18% 38% 21% 22% Under 18 18 - 44 45 - 64 65 - 74 75+

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Amputation Levels

65% 35%

Prevalence of Limb Loss by Amputation Level

Lower Limb Upper Limb

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Causes of Amputation

5% 67% 27% 1% Trauma Dyvsvascular Diabetes Other

2012 - 131,510 amputations performed in US

(Source: Healthcare Cost and Utilization Project [HCUP] Nationwide Inpatient Sample [NIS], 2012.)

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Adapting to Limb Loss

Variety of assistive technologies

  • Prosthetic devices
  • Durable Medical Equipment
  • Home/Vehicle modificaitions
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Living with Limb Loss

Range of functional abilities Other health conditions/disabilities:

  • Diabetes
  • Depression
  • Traumatic Brain Injury
  • Post-Traumatic Stress
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Consumer Knowledge

Source: Seaman, JP. 2010. Survey of Individuals Wearing Lower Limb Prostheses. Journal of Prosthetics and

  • Orthotics. Vol 22. No. 4.

53% 59%

Information prior to amputation

No information about prosthetics No source of information about prosthetics

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Information Needs of PWLL

  • Questions
  • Fears
  • Concerns

Topics

  • Method
  • Content
  • Other

Delivery

  • How to deliver
  • When to deliver
  • How much

Approach

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Wound Management Pain Experiences Phantom Limb Sensation Rehab Expectations Prosthetics/Assistive Technology Financial Support Recovery Process

Information Topics

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  • Hearing/vision loss, co-morbidities
  • Younger generation

Age

  • Impair ability to absorb information

Pain/Medication

  • Fear, anxiety, shock
  • Change perception of information

Emotions

  • Distractions
  • Friendly and supportive

Environment

  • Avoid technical terms

Education

Information Delivery

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Patient Education Approaches

Timing

  • Pre-operative
  • Post-operative

Mode

  • Verbal
  • Written
  • Video

Amount

  • Too much
  • Too little
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NLLRC - Programs and Services

 Information and Referral Center  Patient Education materials  Peer Support Network  Self-management programs  Educational Events  Youth Camp

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amputee-coalition.org 888/267-5669

Information and Referral Center

Specialized I&R Center Provide free educational resources Call Center

  • Monday-Friday 8:00am-5:00pm
  • Email, Web, and Phone Inquiries

Website

  • “Library” of materials available
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Sample Resources

Customized Information Packets

  • Specific to individual’s needs
  • E.g., Phantom Pain, Wound Care
  • Local service providers refer to NLLRC

Local Resources

  • Home modifications
  • Refer to local service providers

amputee-coalition.org 888-267-5669

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amputee-coalition.org 888/267-5669

High Quality Materials

0% 10% 20% 30% 40% 50% 60% 70% 2012-2013 2013-2014 2014-2015

48.9% 64.3% 67.0% 34.0% 14.3% 19.6% 8.5% 10.7% 6.2% 7.2%

Percent

Overall satisfaction with materials received, 2012-2015

Very satisfied Somewhat satisfied Somewhat not satisfied Not satisfied

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Useful Information

0% 10% 20% 30% 40% 50% 60% 70% 2012-2013 2013-2014 2014-2015

54.3% 61.0% 65.0% 28.3% 18.6% 22.0% 15.2% 8.5% 3.0% 2.2% 11.9% 10.0%

Percent

Usefulness of materials received, 2012-2015

Very useful Somewhat useful Somewhat not useful Not at all useful

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Patient Education Materials

 Publications  Brochures & booklets  Webinars  Videos

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amputee-coalition.org 888/267-5669

Publications

InMotion First Step/Premier Paso Insurance Coverage and Reimbursement Guide Brochure Series

  • First Step
  • Pain Management
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amputee-coalition.org 888/267-5669

Benefits of Publications

Non-biased Evidence-based Patient centered approach Reviewed by clinicians and consumers

Free

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amputee-coalition.org 888/267-5669

Satisfaction with inMotion Content

0% 10% 20% 30% 40% 50% 60% 70% 80% 2012-2013 2013-2014 2014-2015

50.0% 63.0% 71.2% 46.3% 33.0% 27.5% 3.8% 0.9% 0.0% 2.0% 0.5%

Percent Very satisfied Somewhat satisfied Somewhat not satisfied Not at all satisfied

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Usefulness of inMotion Articles

0% 10% 20% 30% 40% 50% 60% 70% 2012-2013 2013-2014 2014-2015

44.7% 49.5% 64.2% 49.4% 46.6% 32.8% 5.9% 2.9% 2.2% 0.0% 1.0% 0.0%

Very useful Somewhat useful Somewhat not useful Not at all useful

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amputee-coalition.org 888/267-5669

Overall Satisfaction with First Step

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 2012-2013 2013-2014 2014-2015

78.9% 78.0% 87.5% 21.1% 19.5% 9.7% 0.0% 0.0% 2.4% 1.4%

Very satisfied Somewhat satisfied Somewhat not satisfied Not satisfied

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Usefulness of Information in First Step

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 2012-2013 2013-2014 2014-2015

85.7% 80.5% 87.3% 14.3% 17.1% 12.7% 0.0% 2.4% 0.0% 0.0%

Very useful Somewhat useful Somewhat not useful Not at all useful

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amputee-coalition.org 888/267-5669

Your New Journey Folder

Evidenced-based

Information New Amputees need Consumer and Clinician Reviewed Not Overwhelming

 Available in Spanish

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amputee-coalition.org 888/267-5669

Your New Journey Packet

Folder inMotion Brochures

  • Secrets of Success
  • Pain Management
  • Phantom Limb Pain
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amputee-coalition.org 888/267-5669

Patient Education Booklet

 Below Knee  Above Knee  Upper Limb

Redesigned in 2016

Coming in 2017! Hemipelvectomy/Hip Disarticulation Pediatric Population

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amputee-coalition.org 888/267-5669

Certified Peer Visitor Program

First peer visitor training held in 1993 Now over 1,000 certified peer visitors and growing! Extensive matching process Can request a peer visit online or by phone Non-biased and non-affiliated

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Importance of Peer Support

 No amputee is alone  Amputation is a personal experience  Common post-amputation issues can be addressed

  • Body image
  • Gender/Sexuality/Relationships
  • Return to work
  • Community reintegration

Video - https://vimeo.com/136636387

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Hospital and Rehab Partners

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 Self-management program  Partnership with Johns Hopkins School of Medicine  Evidenced-based  Improve post-amputation outcomes and quality of life

Promoting Amputee Life Skills (PALS)

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Promoting Amputee Life Skills (PALS) Overview

  • 8 lesson program designed to develop skills to improve the

quality of life for people who have lost a limb.

  • Available through in person classes and is now available
  • nline.
  • Helps PwLL learn and practice self-management skills such as

problem solving, goal setting, communication and relaxation.

  • PwLL develop a personal self-management plan.
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Model for PALS SM Intervention

Short term Outcomes Pain Depression Positive Mood Long term Outcomes Activity & Participation Quality of Life Immediate Outcomes Self-efficacy Catastrophizing Social support PALS PROGRAM

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PALS Online - Demonstration

www.palsamputeelifeskills.org

  • Public website – can learn more about program
  • To access the program need password- only

available to study participants at this time

  • Anticipate open access after study is completed

summer 2017

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PALSAMPUTEELIFESKILLS.ORG

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National Conference

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Limb Loss Education Day (LLED) Events

 One day  Educational sessions  Adaptive sport & recreations  Local focus 2017:

  • March – Orlando
  • May - Boston
  • June - Chicago
  • October - Seattle
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Paddy Rossbach Youth Camp

 Traditional summer camp  Ages 10 – 17  Leadership Camp  Ages 17 - 19  ~150 campers  All counselors have limb loss/difference

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Importance of Camp

 No amputee is alone  Builds independence and confidence  Promotes transition into next life stage  Normalizes experience Video: https://vimeo.com/147595284

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Questions?

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Thank You!

George Gondo, MA Director, Research and Grants ggondo@amputee-coalition.org

www.amputee-coalition.org