BS ISO 8551:2020 Prosthetics and orthotics – Functional deficiencies – Description of the person to be treated with an orthosis, clinical objectives of treatment, and functional requirements of the orthosis. 4.5 Motivation and perceived needs State the clinical impression of the person’s motivation and their perceived needs. NOTE The motivation and perceived needs of the person have a major effect upon the rehabilitation objectives. They are Interdependent and are influenced by the person’s clinical condition, and personality, and environmental factors. 4.6 Activity limitations 4.6.1 General The health condition and resulting impairments might limit the person’s activities and restrict their participation. Any activity limitations should be identified as detailed in 42 to 46A. 4.6.2 Changing and maintaining body position a) Bed mobility: State if the person is immobile. b) Transferring: Describe the person’s ability to transfer from 1) bedtochair, 2) sitting to standing, and 3) standing to sitting as 1) unable to transfer, or 2) able to transfer with assistance from a person, and/or 3) able to transfer using an assistive device. c) Sitting: State if the person requires support in order to maintain a seated position. d) Standing: Describe the person’s standing as 1) unable to stand, or 2) able to stand only with assistance from a person, and/or 3) able to stand using an assistive device. 4.6.3 Walking Describe the person’s walking as a) unabletowalk, b) able to walk with assistance from a person, c) able to walk with a mobility device, d) able to walk independently only on smooth level surfaces, e) able to walk independently on smooth level surfaces and can manage stairs or a step with a hand rail, or f) able to walk independently on uneven surfaces and can manage stairs or a step without a hand rail. 4.6.4 Hand and arm use State if the person is a) unable to use the hand and arm, b) unable to use the arm but able to use the hand, or c) able to use the arm but unable to use the hand. 4.7 Use of assistive devices Specify any assistive device used to compensate for activity limitations. 5 Clinical objectives of treatment The clinical objectives of treatment are to manage the impairments of the body functions and structures. They include the following. Specify the objective(s) which apply to the person being treated and state the relevant details in each case. a) To relieve pain: State the...
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