Part 1:
In 2007, there were an estimated 1.7 million Americans with an upper limb loss. OTs work with clients with UE amputations and prosthetics to increase independence with self care, work and leisure tasks.
In chapter 43 in Pedretti’s text (Pendleton, H., & Krohn, W. (2012). Pedretti’s Occupational Therapy (7th ed.)) please read the case study on Roberto on page 1156 and answer questions 2 and 3 under “critical thinking questions”
**Please make sure you use one other source other than Pedretti to support your intervention!

Part 2:
Hubert is a 54 year old man who works full time as a janitor at a local university. Hubert was diagnosed with diabetes at age 36, since then his diabetes has been uncontrolled. He stubbed his right toe 1 year ago and did not notice the tissue death. After seeing the doctor 6 months after the stub the doctor attempted to conserve his limb with conservative treatment. Unfortunately the wound became necrotic and Hubert sustained a Right BKA. Prior to the initial stub Hubert was independent with all activities, working, driving, and loves playing cards with his friends. Since the stub Hubert has walked with a surgical shoe and a cane. He has not been limited in completion of any of his ADLs from the wound but required extra time due to pain and discomfort. Huberts surgery was successful without complications. His residual limb is wrapped with gauze wrap and an ace wrap. His wounds are healing well but he still has sutures.
? What are your goals for Hubert in OT?
? What is your treatment approach and plan for Hubert- how will you meet those goals? Be specific
? What types of education would you provide Hubert
? What types, if any, of DME or AE might you trial with Hubert?
? What are some potential barriers or issues that may arise with Hubert?OCCUPATIONAL THERAPY: ONLY WRITER WITH OCCUPATIONAL THERAPY SHOULD WORK ON MY PAPER PLEASE!!! THANK YOU!!

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