Amputations
Common Functional Limitations
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Upper extremity
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Grasping
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Fingering
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Pinching
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Bimanual activities
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Carrying
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Lifting
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Holding
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Pushing
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Lower extremity
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Balancing
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Climbing
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Walking (even and uneven surfaces)
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Stooping
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Pushing
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Pulling
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Carrying large objects
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Lifting heavy or bulky objects
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Jumping
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Upper or lower extremity
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Sudden jarring/trauma to stump area
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Extreme environmental conditions (heat, cold, humidity, dirt) with prosthesis wearers
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Vocational Impediments
If the disability is a result of a recent injury, the counselor should assess the resulting limitations as they relate to the individual returning to former employment. Will the person be able to resume former work activities? Will the person need to rely on newly acquired prosthetic devices that will in turn require adjustment?
If the disability is of a long-standing nature, the counselor should determine whether the individual could perform job duties adequately in past jobs. If the individual could perform the necessary job duties, it would be difficult to show a vocational impediment unless there are other factors, e.g., the condition is worsening, or the job is aggravating the condition.
If the individual has little or no work history, the counselor should assess the specific limitations and determine how they affect the individual's work future.
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Is the person willing to use a prosthesis or appliance as needed to attain employment?
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What is the condition of stump and the prognosis?
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Are there other vascular complications that do or could cause additional barriers?
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Is the individual willing to control complicating factors e.g., caring for stump; diet for obesity; diet for related disabling conditions (diabetes)?
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Are driving aids available to solve potential transportation problems?