Provision of Prosthetic Services Following Lower Limb Amputation in Malaysia

| Posted in: Science

Journal name: The Malaysian Journal of Medical Sciences
Original article title: Provision of Prosthetic Services Following Lower Limb Amputation in Malaysia
The Malaysian Journal of Medical Sciences (MJMS) is a peer-reviewed, open-access journal published online at least six times a year. It covers all aspects of medical sciences and prioritizes high-quality research.
This page presents a generated summary with additional references; See source (below) for actual content.

Original source:

This page is merely a summary which is automatically generated hence you should visit the source to read the original article which includes the author, publication date, notes and references.

Author:

Nooranida Arifin, Hasif Rafidee Hasbollah, Muhammad Hafiz Hanafi, Al Hafiz Ibrahim, Wan Afezah Wan Abdul Rahman, Roslizawati Che Aziz


The Malaysian Journal of Medical Sciences:

(A peer-reviewed, open-access journal)

Full text available for: Provision of Prosthetic Services Following Lower Limb Amputation in Malaysia

Year: 2017 | Doi: 10.21315/mjms2017.24.5.12

Copyright (license): CC BY 4.0


Download the PDF file of the original publication


Summary of article contents:

Introduction

Lower limb amputation remains a significant global health issue, posing threats to morbidity and mortality rates, especially in Malaysia, where prevalence is rising. High-quality prosthetic services are critical for successful rehabilitation outcomes, yet various challenges hinder service delivery. These include financial barriers, lack of expertise, and inadequate data on amputation statistics. Addressing these issues necessitates a national survey to better understand the current landscape of lower limb amputations and the workforce available to provide prosthetic services.

Financial Burden of Prosthetic Services

The financial cost associated with obtaining a prosthesis in Malaysia varies significantly, ranging from RM4000 to RM15000, heavily influenced by the complexity of the components utilized. Such costs impose a financial burden on many amputees, leading some to opt for cheaper, less effective prosthetics that impinge on their rehabilitation progress. Most certified prosthetists are concentrated in West Malaysia, and challenges in transportation can further escalate costs for those in East Malaysia. Additionally, there is a lack of structured management for prosthetic services, complicating reimbursement and further delaying access for patients in need.

Conclusion

The urgent need to enhance prosthetic services in Malaysia is underscored by the increasing incidence of lower limb amputations, largely due to rising diabetes rates and other health issues. Proposed national surveys could provide the requisite data for tracking amputee statistics and workforce availability, aligning government, healthcare providers, and NGOs for improved service delivery. Providing effective and affordable prosthetic solutions is not merely a healthcare challenge but also a humanitarian imperative that can significantly elevate the quality of life for the amputee population, helping them live independently and contribute productively to society.

FAQ section (important questions/answers):

What is the prevalence of lower limb amputations in Malaysia?

In Malaysia, approximately 160,000 individuals require prosthetic or orthotic devices, according to WHO estimates. This includes a concerning rise in amputation prevalence linked to increasing diabetes rates.

What are the main challenges in providing prosthetic services in Malaysia?

Challenges include financial burdens for patients, limited expertise among prosthetic personnel, and geographical disparities in service availability, particularly between West and East Malaysia.

How does diabetes affect the risk of limb amputations?

Diabetes significantly increases the risk of lower limb amputations, with diabetic individuals having a 10–30 times higher risk compared to the general population, often leading to subsequent amputations.

What improvements are needed in Malaysia's prosthetic services?

There is an urgent need for a national survey to gather accurate data on amputations, available workforce, and service effectiveness to improve rehabilitation outcomes and prosthetics quality.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Provision of Prosthetic Services Following Lower Limb Amputation in Malaysia”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Quality:
Quality refers to the standard of prosthetic services and devices provided to amputees, which is crucial for ensuring comfort, fit, and overall satisfaction. High-quality prosthetics can significantly improve an amputee's independence and social integration, ultimately enhancing their quality of life. Access to quality services is a significant concern in Malaysia.

2) Education:
Education plays a vital role in preparing professionals in the field of prosthetics and orthotics. It provides the necessary foundation for understanding the complexities of limb loss, rehabilitation, and the manufacturing of prosthetic devices. Adequate education ensures that practitioners are equipped with knowledge to deliver effective care.

3) Training:
Training is essential for prosthetists and orthotists to develop the skills required for fabricating and fitting prosthetic devices. Proper training enhances their competence, enabling them to deliver better care to amputees. Continuous professional development and training are crucial to keep pace with new technologies and practices in the field.

4) Study (Studying):
Study refers to research efforts aimed at understanding the prevalence of limb amputation and the effectiveness of prosthetic services. Conducting comprehensive studies can provide crucial data that informs policy-making, resource allocation, and the development of standards in prosthetic care, ultimately enhancing outcomes for amputees.

5) Developing:
Developing nations face unique challenges regarding healthcare, including access to prosthetic services. In the context of Malaysia, developing policies and frameworks for quality prosthetic care is crucial to addressing the needs of disabled individuals. Rapid urbanization and population growth in these regions necessitate continuous development in healthcare services.

6) Disease:
Disease is a major contributor to limb loss, particularly in cases involving diabetes and vascular complications. Understanding the relationship between disease and amputation prevalence is critical for developing preventive measures and treatment protocols. Effective disease management can significantly reduce the incidence of lower limb amputations.

7) Kheer:
Khir could refer to a person mentioned in relation to the article, possibly involved in healthcare or the provision of prosthetics. Without further context, it's challenging to define. However, collaborations between healthcare professionals and researchers like those named in studies can enhance service delivery and outcomes for amputees.

8) Account:
Account in the context of healthcare often refers to documenting and tracking patient data. Comprehensive records of amputation cases and prosthetic needs are essential for informing better practices in prosthetic services. Accurate accounts contribute to data-driven decision-making and improved patient care in Malaysia.

9) Life:
Life, especially in the context of those living with amputation, is significantly affected by the availability and quality of prosthetic care. A well-fitted prosthetic improves the quality of life for amputees by allowing them to perform daily activities and engage socially, thus promoting their independence.

10) Activity:
Activity pertains to the ability of amputees to perform day-to-day tasks and engage in social interactions. Quality prosthetic devices facilitate physical activity, promoting both physical health and psychological well-being. Rehabilitation programs must focus on enhancing an amputee's ability to participate in various life activities.

11) Company:
Company refers to businesses providing prosthetic services and products. The emergence of private companies in Malaysia has diversified the market but also raised concerns about quality control and accessibility. A balance between public and private entities is crucial for ensuring comprehensive prosthetic service availability.

12) Malaya:
Malaya, historically, refers to the region that is now part of Malaysia. Understanding the historical context of prosthetics services in Malaya is crucial for recognizing the development of healthcare systems and the evolution of professional training in orthotics and prosthetics in the region.

13) Mason:
Mason may refer to an individual involved in prosthetic services or related studies. Professional contributions of individuals in this field help advance care options for amputees, and their research findings can inform policy changes. Collaboration among experts enhances the quality of prosthetic services.

14) Musha (Musa, Musá):
Musa may indicate either an individual involved in health research or proposed solutions for prosthetic service shortages. The name is tied to educational or policy-making efforts, and individuals like Musa contribute to enhancing awareness and developing solutions for prosthetic care in Malaysia.

15) Disabled person:
Disabled persons, particularly amputees, are the primary focus of prosthetic services. Ensuring their access to quality prosthetics is essential for improving their mobility, independence, and overall quality of life. Social and governmental support structures play a vital role in advocating for their rights.

16) Transformation (Transform, Transforming):
Transformation in this context correlates with national efforts to improve healthcare services for individuals with disabilities. Initiatives aimed at transforming the landscape of prosthetic services can lead to inclusive policies that enhance the lives of amputees, aligning with the aspirations of Malaysia's National Transformation agenda.

17) Science (Scientific):
Scientific methods are foundational for gathering data and evidence necessary for making informed decisions about healthcare practices. In the field of prosthetics, scientific research helps identify best practices, evaluates service efficacy, and introduces innovative solutions, ultimately contributing to better outcomes for amputees.

18) Knowledge:
Knowledge dissemination among healthcare professionals is critical for providing effective prosthetic care. Equipping practitioners with the latest developments in technology and rehabilitation processes enhances their capacity to meet the needs of amputees, ensuring they receive optimal care tailored to their conditions and lifestyles.

19) Epidemic:
Epidemics, particularly regarding diabetes, have significant implications for limb loss rates and resultant amputations. Understanding and addressing the diabetic epidemic is crucial for reducing amputation incidences. Public health initiatives focused on prevention and management can mitigate shadows cast by such epidemics on society.

20) Leprosy:
Leprosy historically played a role in driving the development of prosthetic services, especially in regions like Malaysia. Awareness of leprosy's history aids in understanding the evolution of rehabilitation practices and emphasizes the importance of ensuring comprehensive care for all disabilities, including those caused by infectious diseases.

21) Servant:
In the historical context, 'servant' may refer to individuals providing care and assistance to disabled persons. The role of caregivers is vital in the overall rehabilitation process, emphasizing the need for community support systems that address not just medical but also emotional and social aspects.

22) Artisan:
Artisans, particularly those skilled in manual fabrication of devices, historically contributed to the field of prosthetics. Their craftsmanship laid the foundation for modern prosthetic services. Ensuring that artisans transition into trained professionals can enhance service quality and foster community skill development.

23) Family:
Family support plays a significant role in the rehabilitation of disabled persons. Encouragement and assistance from family members can bolster an amputee's recovery process, promoting their emotional well-being and social integration. Strong family bonds can enhance the effectiveness of prosthetic services.

24) Birth:
Birth conditions, especially congenital limb deficiencies, impact the necessity for prosthetic devices. Awareness of these conditions from an early stage can lead to proactive measures in providing tailored care. Understanding the significance of early intervention is pivotal for optimal long-term outcomes in limb rehabilitation.

25) Raven (Ravena):
Raven may reference the publication where studies or reports are published to inform prosthetic care practices. Publications play a crucial role in circulating important knowledge and advancements in the field, enhancing access to critical resources for practitioners and stakeholders in the healthcare community.

26) Post:
Post refers to ongoing efforts in providing support and improvements in healthcare for amputees. Engagement with policy-makers and stakeholders post-study can lead to action plans that address the identified gaps in prosthetic services, ultimately improving outcomes for individuals requiring prosthetic devices.

Other Science Concepts:

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Discover the significance of concepts within the article: ‘Provision of Prosthetic Services Following Lower Limb Amputation in Malaysia’. Further sources in the context of Science might help you critically compare this page with similair documents:

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