NBCOT Occupational Therapy Certification Practice Exam

A 60-year-old auto mechanic with diabetes has been referred to OT for prosthetic training following an above-knee amputation. What should the OT practitioner address FIRST?

1. Skin inspection

2. Grooming techniques

3. Retirement planning

4. Returning to work

The correct answer is: Skin inspection

In the context of prosthetic training following an above-knee amputation, addressing skin inspection first is crucial for several reasons. After an amputation, the skin around the residual limb is particularly vulnerable to complications such as pressure sores, infections, and skin breakdown, especially in individuals with diabetes, who may have compromised circulation and slow healing processes. Conducting a thorough skin inspection helps ensure that any issues are identified early on and managed effectively before the individual transitions to using a prosthetic limb. Focusing on skin integrity not only promotes healing and comfort but also lays a solid foundation for successful prosthetic use. When the skin is healthy and well-cared-for, the individual is more likely to tolerate a prosthesis and engage in subsequent training activities without the added concern of injury or pain. Grooming techniques, retirement planning, and returning to work, while important, are secondary to ensuring the health of the residual limb. These aspects can be addressed later in the rehabilitation process once the immediate health and safety of the skin have been established. Prioritizing skin inspection aligns with best practices in occupational therapy, emphasizing safety and functionality as the initial steps in the recovery and adaptation journey.