Practitioner Written Test Content Outline

January 2019

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Orthotic Domain 4 - Follow-up to the Treatment Plan

Follow-up to the Treatment Plan — 15%

  • Obtain feedback from patient and/or caregiver to evaluate outcome (e.g., wear schedule/tolerance, comfort, perceived benefits, perceived detriments, ability to don and doff, proper usage and function, overall patient satisfaction)
  • Assess patient’s function and note any changes
  • Assess patient’s skin condition (e.g., integrity, color, temperature and volume) and note any changes
  • Assess patient’s general health, height, weight and note any changes
  • Assess patient’s psychosocial status (e.g., family status, job or caregiver) and note any changes
  • Assess fit of orthosis with regard to strategic contact (e.g., multiple force systems, total contact) to determine need for changes relative to initial treatment goals
  • Assess fit of orthosis with regard to anatomical relationships to orthosis (e.g.,trimlines, static/dynamic alignment) to determine need for changes relative to initial treatment goals
  • Assess patient’s achievement of planned treatment outcomes
  • Formulate plan to modify orthosis based on assessment of outcomes and inform patient and/or caregiver of plan to modify orthosis as necessary
  • Make or supervise modifications to orthosis (e.g.,relieve pressure, change range of motion, change alignment, change components, add pressure-sensitive pad)
  • Assess modified device for structural safety
  • Evaluate results of modifications to orthosis, including static and dynamic assessment
  • Reassess patient knowledge of goals and objectives to ensure proper use of orthosis relative to modifications
  • Document all findings and actions and communicate with physicians, referral sources and appropriately licensed healthcare providers to ensure patient status is updated
  • Develop long-term follow-up plan