September 2019: Our QIC, Sandy, was visiting when Alinafe next came to us to have casts for prosthetic arms. Sandy advised that, as Alinafe’s stumps are short, it would be difficult to use prostheses. Also, the burns on her back were not completely healed and she had not yet gained full range of motion and muscle strength in her shoulders.
Sandy told Alinafe they should first aim to get her using functional adaptive devices for ADLs which Alinafe could practice with at home in readiness for possible future prostheses, whilst also giving her time to heal completely and gain muscle strength.
At first Alinafe was reluctant, because she thought that what was being expected of her was too hard. But after Sandy comforted her and showed her videos of how other amputees all over the world are coping, she started to come round to the idea. To motivate her, we asked other patients at the centre to share their stories.
The first devices made for Alinafe were an adaptive feeding spoon and an adaptive feeding bottle. She was happy with the independence they gave her and was looking forward to the next stage.
December 2019: We invited Alinafe to visit again to coincide with Sandy’s next QMS visit when Alinafe was also encouraged by Silvester and Diquence’s stories. This time the focus was helping her to do all ADLs independently and to be able to take care of her baby. Rabecca and Sandy made her adaptive devices for cleaning, grooming and dressing herself and her daughter. The next step will be to make Alinafe sockets with hooks to use for carrying things and for doing housework and farm work. The priority for Alinafe will be maximum functionality which means that she may or may not progress to using upper limb prostheses.