Course Description:

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CEU Provider contract email: Ulysses.juntilla@va.gov


Inter-professional conference on amputee rehabilitation.
Everyday, more than 500 individuals in the United States undergo amputation and there are more than two million people in the United States living with upper or lower limb loss1. It is projected that there will be 3.6 million people living with upper or lower limb loss in the U.S. by 20502 . The Veterans Health Administration provides about 5,000 amputations of the lower limb a year, representing over 8 percent of all amputations in US males3.
Within five years of military separation, 99% of Service Members with combat-related amputations had transitioned their care to the VA4. The total number of Veterans with amputations being seen at VA facilities increased from 25,000 in fiscal year (FY) 2000 to almost 90,000 in FY 20165, although some of this growth can be attributed to an increased number of combat injuries, the majority resulted from chronic vascular diseases6.
The rehabilitation of veterans with limb loss requires a need of a multidisciplinary approach. The work of the team (Primary Care, Rehab Medicine, Prosthetist, PT/OT) plays a role in terms of medical, psychomotivational and technical skills support offered to the amputee during treatment.
This symposium will present the unique needs and update participants on the required specialized management with an interdisciplinary team approach and care coordination across the continuum of care to facilitate optimal outcomes.

References:
1.National Limb Loss Information Center. Limb loss in the United States: Amputation statistics bycause. Amputee Coalition of America. 2008
2.Ziegler-Graham K, MacKenzie EJ, Ephraim PL, Travison TG, Brookmeyer R. Estimating theprevalence of limb loss in the United States: 2005 to 2050. Arch Phys Med Rehabil. Mar2008;89(3):422-429.
3.Mayfield JA, Reiber GE, Maynard C, Caps MT, Sangeorzan BJ. Trends in lower limb amputation in the Veterans Health Administration, 1989–1998. J Rehabil Res Dev 1999;37 (1):23–30.
4.Department of Veterans Affairs Office of Inspector General. Healthcare inspection; prosthetic limbcare in VA facilities. March 8 2012(Report No. 11–02138–116 ).
5.Webster JB, Poorman CE, Cifu DX. Guest editorial: Department of Veterans Affairs AmputationsSystem of Care: 5 years of accomplishments and outcomes. J Rehabil Res Dev. 2014;51(4)
6. Willey J, Mentias A, Vaughan-Sarrazin M, Epidemiology of lower extremity peripheral artery disease in veterans. J Vasc Surg. 2018;68(2):527-535.e5.