Physical and Psychological Impact of Limb Loss Among Haiti Earthquake Survivors. Clinician Outreach and Communication Activity (COCA) Conference Call . March 3, 2010. Continuing Education Disclaimer.
Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.
Physical and Psychological Impact of Limb Loss Among
Haiti Earthquake Survivors
Clinician Outreach and Communication Activity (COCA) Conference Call
March 3, 2010
Continuing Education Disclaimer
In compliance with continuing education requirements, all presenters must disclose any financial or other relationships with the manufacturers of commercial products, suppliers of commercial services, or commercial supporters as well as any use of unlabeled product(s) or product(s) under investigational use. CDC, our planners, and our presenters wish to disclose they have no financial interests or other relationships with the manufacturers of commercial products, suppliers of commercial services, or commercial supporters. This presentation does not involve the unlabeled use of a product or product under investigational use.There is no commercial support.
CME: The Centers for Disease Control and Prevention is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The Centers for Disease Control and Prevention designates this educational activity for a maximum of 1 AMA PRA Category 1 Credit. Physicians should only claim credit commensurate with the extent of their participation in the activity.
CNE: The Centers for Disease Control and Prevention is accredited as a provider of Continuing Nursing Education by the American Nurses Credentialing Center's Commission on Accreditation. This activity provides 1 contact hour.
CEU: The CDC has been approved as an Authorized Provider by the International Association for Continuing Education and Training (IACET), 8405 Greensboro Drive, Suite 800, McLean, VA 22102. The CDC is authorized by IACET to offer 0.1 CEU's for this program.
CECH: The Centers for Disease Control and Prevention is a designated provider of continuing education contact hours (CECH) in health education by the National Commission for Health Education Credentialing, Inc. This program is a designated event for the CHES to receive 1 Category I contact hour in health education, CDC provider number GA0082.ACPE: CDC is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. This program is a designated event for pharmacist to receive 1.0 Contact Hours in pharmacy education.
Terrence P. Sheehan, MD
Chief Medical Officer and
Director of Amputee Rehabilitation Program
Adventist Rehabilitation Hospital
Amputee Coalition of America (ACA)
Chair, ACA Medical Advisory Committee
Stephen T Wegener, PhD, ABPP
Director, Division of Rehabilitation
Psychology and Neuropsychology
Associate Professor of Physical Medicine and
Associate Professor of Health Policy and
Management, Bloomberg School of Public
Health, Johns Hopkins University
Moderator: Mary Helen Witten, Project Officer for Amputee Coalition of America in the National Center on Birth
Defects & Developmental Disabilities at the Centers for Disease Control and Prevention
At the conclusion of this hour, each participant should be able to:
Describe epidemiology, physiology and classifications of limb loss.
Compare and Contrast the incidence and management of limb loss in the United States with Post Earthquake Haiti.
Identify amputee pre-operative predictors of outcome for rehabilitation and lifelong follow through
Discuss essential information for the management of psychosocial issues following limb loss.
Terrence P.Sheehan, MD
NLLIC ACA Fact Sheet
should not be thought of as a failure of treatment, but as a treatment of choice.
Prior to Earthquake, most limb loss from trauma and infection
Estimates of 2000 to 3000 people with limb loss
Majority are women and children
Majority below knee amputations
Numbers will grow over the next months to year because of poor infection treatment from trauma
Base decision on limb that can tolerate weight bearing, have sensation to provide protective feedback, and have durable skin and soft tissue cover.
The Amputation Surgery Education Center
Dedicated to helping surgeons improve technique and patient outcomes
Sherman, Richard A. Phantom Pain. New York: Plenum Press, 1997
Determining factors in choice of prosthetic
Types of Prosthesis:
Medial Shaft of Tibia
Correct surgery, immediate rehabilitation/training, and a well-fitting prosthesis are all equallyimportant!
Rehabilitation should be both:
Surgeon needs limb
Levels of Amputation
Trans-humeral amputation performed at three levels:
Levels of Amputation
Prosthetic Fitting and Training
Psychosocial Issues Following Limb Loss:Adapting in the Context of a Natural Disaster
Stephen T. Wegener, PhD
Department of Physical Medicine and Rehabilitation
Johns Hopkins School of Medicine
Global Assessment of Functioning
ICF Model: Interactive not linear/progressive
Mana Alexandre doing exercises with a physical therapist, Caryn Brady,
in Port-au-Prince, Haiti. By Deborah Sontag Published: New York Times
February 22, 2010
“I very much heard a number of people really wondering if something they did or thought prior to the earthquake essentially marred their relationship with God, causing this to happen to them. ”“Also heard, a number of the things that you would hear anywhere, about concerns about what their wife (or husband or children) might view them now--are they less a man (or woman).
“Also a great deal of concern (quite validly so) about how they will be able to support themselves or their families.”
Disclaimer: The information and viewpoints in this presentation are those of the author(s) and do not necessarily represent the views of the Centers for Disease Control and Prevention/the Agency for Toxic Substances and Disease Registry."
Continuing Education Credit/Contact Hours for COCA Conference Calls
Continuing Education guidelines require that the attendance of all who participate in COCA Conference Calls be properly documented. ALL Continuing Education credits/contact hours (CME, CNE, CEU, CECH, and ACPE) for COCA Conference Calls are issued online through the CDC Training & Continuing Education Online system http://www2a.cdc.gov/TCEOnline/.
Those who participate in the COCA Conference Calls and who wish to receive CE credit/contact hours and will complete the online evaluation by Apr 03, 2010 will use the course code EC1648. Those who wish to receive CE credits/contact hours and will complete the online evaluation between Apr 03, 2010 and Apr 03, 2011 will use course code WD1648. CE certificates can be printed immediately upon completion of your online evaluation. A cumulative transcript of all CDC/ATSDR CE’s obtained through the CDC Training & Continuing Education Online System will be maintained for each user.