Teach transfers
Teach wheelchair mobility
Decreased mobility
Co-morbitity
Readiness to learn
Unhealthy Stump
Oedematous Stump 
Unhealthy Scar
Painful stump
Reduced hip ROM
Reduced hip strength
Reduced Knee ROM
Reduced knee strength
Reduced ankle ROM
Reduced ankle strength
Reduced ROM upper limb
Reduced upper limb strength
Poor dexterity
Poor foot health 
Ready for prosthetic assess?
1: Do you know the cause of the amputation? Yes = go 2
2: Does the patient have co-morbidities that might affect prosthetic use? Yes = Co-morbitity
Co-morbitity treatment 
1: Do you know the cause of the amputation? Yes = go 2
2: Does the patient have co-morbidities that might affect prosthetic use? No = go 3
3: Does the patient understand and retain new information? a friend may be necessary or a relative may be vital No = Query ability to use prothesis
1: Do you know the cause of the amputation? Yes = go 2
2: Does the patient have co-morbidities that might affect prosthetic use? Yes = go 3
3: Does the patient understand and retain new information? a friend may be necessary or a relative may be vital Yes = go 4
4: Is the stump healthy? check for signs of vascular disease or infection No = Unhealthy Stump
Unhealthy Stump treatment
1: Do you know the cause of the amputation? Yes = go 2
2: Does the patient have co-morbidities that might affect prosthetic use? Yes = go 3
3: Does the patient understand and retain new information? a friend may be necessary or a relative may be vital Yes = go 4
4: Is the stump healthy? check for signs of vascular disease or infection Yes = go 5
5: Is the stump oedematous? check for signs of oedema by pressing gently with flat of thumb Yes = Oedematous Stump
Oedematous Stump treatment
1: Do you know the cause of the amputation? Yes = go 2
2: Does the patient have co-morbidities that might affect prosthetic use? Yes = go 3
3: Does the patient understand and retain new information? a friend may be necessary or a relative may be vital Yes = go 4
4: Is the stump healthy? check for signs of vascular disease or infection Yes = go 5
5: Is the stump oedematous? check for signs of oedema by pressing gently with flat of thumb No = go 6
6: Is the scar healthy? No = Unhealthy Scar
Unhealthy Scar treatment
1: Do you know the cause of the amputation? Yes = go 2
2: Does the patient have co-morbidities that might affect prosthetic use? Yes = go 3
3: Does the patient understand and retain new information? a friend may be necessary or a relative may be vital Yes = go 4
4: Is the stump healthy? check for signs of vascular disease or infection Yes = go 5
5: Is the stump oedematous? check for signs of oedema by pressing gently with flat of thumb No = go 6
6: Is the scar healthy? Yes = go 7
7: Is the stump painful? Yes = Painful stump
Painful stump treatment
1: Do you know the cause of the amputation? Yes = go 2
2: Does the patient have co-morbidities that might affect prosthetic use? Yes = go 3
3: Does the patient understand and retain new information? a friend may be necessary or a relative may be vital Yes = go 4
4: Is the stump healthy? check for signs of vascular disease or infection Yes = go 5
5: Is the stump oedematous? check for signs of oedema by pressing gently with flat of thumb No = go 6
6: Is the scar healthy? Yes = go 7
7: Is the stump painful? No = go 8
8: Does either hip have reduced active/passive ROM? Yes = Reduced Hip Range of movement
Reduced Hip Range of movement treatment
1: Do you know the cause of the amputation? Yes = go 2
2: Does the patient have co-morbidities that might affect prosthetic use? Yes = go 3
3: Does the patient understand and retain new information? a friend may be necessary or a relative may be vital Yes = go 4
4: Is the stump healthy? check for signs of vascular disease or infection Yes = go 5
5: Is the stump oedematous? check for signs of oedema by pressing gently with flat of thumb No = go 6
6: Is the scar healthy? Yes = go 7
7: Is the stump painful? No = go 8
8: Does either hip have reduced active/passive ROM? No = go 9
9: Does either hip have reduced muscle power? Yes = Reduced hip strength
Reduced hip strength treatment
1: Do you know the cause of the amputation? Yes = go 2
2: Does the patient have co-morbidities that might affect prosthetic use? Yes = go 3
3: Does the patient understand and retain new information? a friend may be necessary or a relative may be vital Yes = go 4
4: Is the stump healthy? check for signs of vascular disease or infection Yes = go 5
5: Is the stump oedematous? check for signs of oedema by pressing gently with flat of thumb No = go 6
6: Is the scar healthy? Yes = go 7
7: Is the stump painful? No = go 8
8: Does either hip have reduced active/passive ROM? No = go 9
9: Does either hip have reduced muscle power? No = go 10
10: Does either knee have reduced active/passive ROM? Yes = Reduced knee Range of movement
Reduced knee Range of movement treatment
1: Do you know the cause of the amputation? Yes = go 2
2: Does the patient have co-morbidities that might affect prosthetic use? Yes = go 3
3: Does the patient understand and retain new information? a friend may be necessary or a relative may be vital Yes = go 4
4: Is the stump healthy? check for signs of vascular disease or infection Yes = go 5
5: Is the stump oedematous? check for signs of oedema by pressing gently with flat of thumb No = go 6
6: Is the scar healthy? Yes = go 7
7: Is the stump painful? No = go 8
8: Does either hip have reduced active/passive ROM? No = go 9
9: Does either hip have reduced muscle power? No = go 10
10: Does either knee have reduced active/passive ROM? No = go 11
11: Does either knee have reduced power? Yes = Reduced knee strength
Reduced knee strength treatment
1: Do you know the cause of the amputation? Yes = go 2
2: Does the patient have co-morbidities that might affect prosthetic use? Yes = go 3
3: Does the patient understand and retain new information? a friend may be necessary or a relative may be vital Yes = go 4
4: Is the stump healthy? check for signs of vascular disease or infection Yes = go 5
5: Is the stump oedematous? check for signs of oedema by pressing gently with flat of thumb No = go 6
6: Is the scar healthy? Yes = go 7
7: Is the stump painful? No = go 8
8: Does either hip have reduced active/passive ROM? No = go 9
9: Does either hip have reduced muscle power? No = go 10
10: Does either knee have reduced active/passive ROM? No = go 11
11: Does either knee have reduced power? No = go 12
12: Does the ankle have reduced ROM? Yes = Reduced Ankle Range of movement
Reduced Ankle Range of movement treatment
1: Do you know the cause of the amputation? Yes = go 2
2: Does the patient have co-morbidities that might affect prosthetic use? Yes = go 3
3: Does the patient understand and retain new information? a friend may be necessary or a relative may be vital Yes = go 4
4: Is the stump healthy? check for signs of vascular disease or infection Yes = go 5
5: Is the stump oedematous? check for signs of oedema by pressing gently with flat of thumb No = go 6
6: Is the scar healthy? Yes = go 7
7: Is the stump painful? No = go 8
8: Does either hip have reduced active/passive ROM? No = go 9
9: Does either hip have reduced muscle power? No = go 10
10: Does either knee have reduced active/passive ROM? No = go 11
11: Does either knee have reduced power? No = go 12
12: Does the ankle have reduced ROM? No = go 13
13: Does the ankle have reduced power? Yes = Reduced ankle strength
Reduced ankle strength treatment
1: Do you know the cause of the amputation? Yes = go 2
2: Does the patient have co-morbidities that might affect prosthetic use? Yes = go 3
3: Does the patient understand and retain new information? a friend may be necessary or a relative may be vital Yes = go 4
4: Is the stump healthy? check for signs of vascular disease or infection Yes = go 5
5: Is the stump oedematous? check for signs of oedema by pressing gently with flat of thumb No = go 6
6: Is the scar healthy? Yes = go 7
7: Is the stump painful? No = go 8
8: Does either hip have reduced active/passive ROM? No = go 9
9: Does either hip have reduced muscle power? No = go 10
10: Does either knee have reduced active/passive ROM? No = go 11
11: Does either knee have reduced power? No = go 12
12: Does the ankle have reduced ROM? No = go 13
13: Does the ankle have reduced power? No = go 14
14: Does either arm have reduced ROM at either shoulder, elbow, wrist or hand? Yes = Reduced range of movement upper limb
Reduced range of movement upper limb treatment
1: Do you know the cause of the amputation? Yes = go 2
2: Does the patient have co-morbidities that might affect prosthetic use? Yes = go 3
3: Does the patient understand and retain new information? a friend may be necessary or a relative may be vital Yes = go 4
4: Is the stump healthy? check for signs of vascular disease or infection Yes = go 5
5: Is the stump oedematous? check for signs of oedema by pressing gently with flat of thumb No = go 6
6: Is the scar healthy? Yes = go 7
7: Is the stump painful? No = go 8
8: Does either hip have reduced active/passive ROM? No = go 9
9: Does either hip have reduced muscle power? No = go 10
10: Does either knee have reduced active/passive ROM? No = go 11
11: Does either knee have reduced power? No = go 12
12: Does the ankle have reduced ROM? No = go 13
13: Does the ankle have reduced power? No = go 14
14: Does either arm have reduced ROM at either shoulder, elbow, wrist or hand? No = go 15
15: Does either arm have reduced power at the shoulder, elbow, wrist or hand? Yes = Reduced upper limb strength
Reduced upper limb strength treatment
1: Do you know the cause of the amputation? Yes = go 2
2: Does the patient have co-morbidities that might affect prosthetic use? Yes = go 3
3: Does the patient understand and retain new information? a friend may be necessary or a relative may be vital Yes = go 4
4: Is the stump healthy? check for signs of vascular disease or infection Yes = go 5
5: Is the stump oedematous? check for signs of oedema by pressing gently with flat of thumb No = go 6
6: Is the scar healthy? Yes = go 7
7: Is the stump painful? No = go 8
8: Does either hip have reduced active/passive ROM? No = go 9
9: Does either hip have reduced muscle power? No = go 10
10: Does either knee have reduced active/passive ROM? No = go 11
11: Does either knee have reduced power? No = go 12
12: Does the ankle have reduced ROM? No = go 13
13: Does the ankle have reduced power? No = go 14
14: Does either arm have reduced ROM at either shoulder, elbow, wrist or hand? No = go 15
15: Does either arm have reduced power at the shoulder, elbow, wrist or hand? No = go 16
16: Does the patient have good hand dexterity? No = Poor dexterity
Poor dexterity treatment
1: Do you know the cause of the amputation? Yes = go 2
2: Does the patient have co-morbidities that might affect prosthetic use? Yes = go 3
3: Does the patient understand and retain new information? a friend may be necessary or a relative may be vital Yes = go 4
4: Is the stump healthy? check for signs of vascular disease or infection Yes = go 5
5: Is the stump oedematous? check for signs of oedema by pressing gently with flat of thumb No = go 6
6: Is the scar healthy? Yes = go 7
7: Is the stump painful? No = go 8
8: Does either hip have reduced active/passive ROM? No = go 9
9: Does either hip have reduced muscle power? No = go 10
10: Does either knee have reduced active/passive ROM? No = go 11
11: Does either knee have reduced power? No = go 12
12: Does the ankle have reduced ROM? No = go 13
13: Does the ankle have reduced power? No = go 14
14: Does either arm have reduced ROM at either shoulder, elbow, wrist or hand? No = go 15
15: Does either arm have reduced power at the shoulder, elbow, wrist or hand? No = go 16
16: Does the patient have good hand dexterity? Yes = go 17
17: Is the contra-lateral foot healthy? No = Poor foot health contralateral health
Poor foot health contralateral health treatment
1: Do you know the cause of the amputation? Yes = go 2
2: Does the patient have co-morbidities that might affect prosthetic use? Yes = go 3
3: Does the patient understand and retain new information? a friend may be necessary or a relative may be vital Yes = go 4
4: Is the stump healthy? check for signs of vascular disease or infection Yes = go 5
5: Is the stump oedematous? check for signs of oedema by pressing gently with flat of thumb No = go 6
6: Is the scar healthy? Yes = go 7
7: Is the stump painful? No = go 8
8: Does either hip have reduced active/passive ROM? No = go 9
9: Does either hip have reduced muscle power? No = go 10
10: Does either knee have reduced active/passive ROM? No = go 11
11: Does either knee have reduced power? No = go 12
12: Does the ankle have reduced ROM? No = go 13
13: Does the ankle have reduced power? No = go 14
14: Does either arm have reduced ROM at either shoulder, elbow, wrist or hand? No = go 15
15: Does either arm have reduced power at the shoulder, elbow, wrist or hand? No = go 16
16: Does the patient have good hand dexterity? Yes = go 17
17: Is the contra-lateral foot healthy? Yes = go 18
18: Based on this on-going assessment Is a prosthesis suitable for the patient?? Yes = Ready for a prosthetic assessment
Ready for prosthetic treatment
1: Do you know the cause of the amputation? Yes = go 2
2: Does the patient have co-morbidities that might affect prosthetic use? Yes = go 3
3: Does the patient understand and retain new information? a friend may be necessary or a relative may be vital Yes = go 4
4: Is the stump healthy? check for signs of vascular disease or infection Yes = go 5
5: Is the stump oedematous? check for signs of oedema by pressing gently with flat of thumb No = go 6
6: Is the scar healthy? Yes = go 7
7: Is the stump painful? No = go 8
8: Does either hip have reduced active/passive ROM? No = go 9
9: Does either hip have reduced muscle power? No = go 10
10: Does either knee have reduced active/passive ROM? No = go 11
11: Does either knee have reduced power? No = go 12
12: Does the ankle have reduced ROM? No = go 13
13: Does the ankle have reduced power? No = go 14
14: Does either arm have reduced ROM at either shoulder, elbow, wrist or hand? No = go 15
15: Does either arm have reduced power at the shoulder, elbow, wrist or hand? No = go 16
16: Does the patient have good hand dexterity? Yes = go 17
17: Is the contra-lateral foot healthy? Yes = go 18
18: Based on this on-going assessment, is a prosthesis suitable for the patient? No = Not ready for prosthesis yet
to be re-assessed
