A89 Effect prosthetic device (ICD-10:T85.9)

Introduction

Effect prosthetic device (ICPC-2: A89) refers to the impact or influence of a prosthetic device on a patient’s health and well-being^[1]. Prosthetic devices are artificial limbs or body parts that are used to replace missing or non-functional body parts^[2]. The aim of this guide is to provide healthcare professionals with a comprehensive understanding of the symptoms, causes, diagnostic steps, possible interventions, and patient education related to the effect of prosthetic devices.

Codes

• ICPC-2 Code: A89 Effect prosthetic device^[3]
• ICD-10 Code: T85.9 Unspecified complication of internal prosthetic device, implant and graft^[4]

Symptoms

• Pain or discomfort in the area where the prosthetic device is attached^[5]
• Skin irritation or redness^[5]
• Difficulty in using or controlling the prosthetic device^[5]
• Difficulty in performing daily activities^[5]
• Psychological or emotional distress related to the use of the prosthetic device^[6]

Causes

• Improper fit or alignment of the prosthetic device^[7]
• Allergic reaction to the materials used in the prosthetic device^[8]
• Infection or skin breakdown at the site of attachment^[9]
• Poor prosthetic device design or construction^[10]
• Lack of proper training or education on how to use the prosthetic device

Diagnostic Steps

Medical History

• Gather information about the patient’s previous prosthetic device usage
• Identify any previous issues or complications related to prosthetic devices
• Assess the patient’s expectations and goals for using a prosthetic device
• Determine any underlying medical conditions or risk factors that may affect the use of a prosthetic device

Physical Examination

• Inspect the area where the prosthetic device is attached for any signs of skin irritation, redness, or infection
• Evaluate the fit and alignment of the prosthetic device
• Assess the patient’s range of motion and ability to control the prosthetic device
• Observe the patient’s gait and functional abilities with the prosthetic device

Laboratory Tests

• No specific laboratory tests are required for the diagnosis of the effect of a prosthetic device. However, blood tests may be necessary to assess the patient’s overall health and rule out any underlying medical conditions that may affect the use of a prosthetic device.

Diagnostic Imaging

• Diagnostic imaging is not typically required for the diagnosis of the effect of a prosthetic device. However, imaging modalities such as X-rays, ultrasound, CT scans, or MRIs may be used to assess the underlying bone structure or soft tissue integrity if there are concerns about the fit or alignment of the prosthetic device.

Other Tests

• No other specific diagnostic tests are required for the diagnosis of the effect of a prosthetic device. However, additional tests or procedures may be necessary based on the clinical presentation and individual patient needs.

Follow-up and Patient Education

• Schedule regular follow-up appointments to monitor the patient’s progress and address any concerns or issues related to the prosthetic device
• Provide education and training on how to properly use and care for the prosthetic device
• Offer resources and support to help the patient adapt to the use of the prosthetic device and manage any physical or emotional challenges

Possible Interventions

Traditional Interventions

Medications:

Top 5 drugs for the effect of a prosthetic device:

1. Nonsteroidal anti-inflammatory drugs (NSAIDs) (e.g., Ibuprofen, Naproxen):
   • Cost: Generic versions can be $3-$20/month.
   • Contraindications: Active peptic ulcer disease, history of gastrointestinal bleeding, severe renal impairment.
   • Side effects: Upset stomach, heartburn, dizziness.
   • Severe side effects: Gastrointestinal bleeding, kidney damage.
   • Drug interactions: Anticoagulants, other NSAIDs.
   • Warning: Prolonged use may increase the risk of cardiovascular events.
2. Topical corticosteroids (e.g., Hydrocortisone cream):
   • Cost: Generic versions can be $5-$20/tube.
   • Contraindications: Active skin infections, hypersensitivity to corticosteroids.
   • Side effects: Skin thinning, skin discoloration, burning or stinging sensation.
   • Severe side effects: Allergic reactions, skin atrophy.
   • Drug interactions: None significant.
   • Warning: Prolonged use may lead to skin damage.
3. Antibiotics (e.g., Cephalexin, Clindamycin):
   • Cost: Generic versions can be $5-$30/month.
   • Contraindications: Hypersensitivity to antibiotics, history of severe allergic reactions.
   • Side effects: Upset stomach, diarrhea, rash.
   • Severe side effects: Severe allergic reactions, Clostridium difficile infection.
   • Drug interactions: None significant.
   • Warning: Complete the full course of antibiotics as prescribed.
4. Antifungal medications (e.g., Clotrimazole, Miconazole):
   • Cost: Generic versions can be $5-$20/tube.
   • Contraindications: Hypersensitivity to antifungal medications.
   • Side effects: Skin irritation, burning or stinging sensation.
   • Severe side effects: Allergic reactions, skin blistering.
   • Drug interactions: None significant.
   • Warning: Use as directed and continue treatment for the recommended duration.
5. Antidepressants (e.g., Sertraline, Escitalopram):
   • Cost: Generic versions can be $10-$50/month.
   • Contraindications: Hypersensitivity to antidepressants, concurrent use of monoamine oxidase inhibitors (MAOIs).
   • Side effects: Nausea, headache, insomnia.
   • Severe side effects: Suicidal thoughts, serotonin syndrome.
   • Drug interactions: MAOIs, other serotonergic medications.
   • Warning: Monitor for changes in mood or behavior, especially in the initial weeks of treatment.

Alternative Drugs:

• Antihistamines (e.g., Loratadine, Cetirizine): May help relieve itching or allergic reactions. Cost: Generic versions can be $5-$20/month.
• Moisturizing creams or lotions: Can help hydrate and protect the skin. Cost: Varies depending on the brand and size of the product.
• Antiseptic solutions (e.g., Chlorhexidine, Povidone-iodine): Used for wound cleansing and prevention of infection. Cost: Varies depending on the brand and size of the product.
• Pain relievers (e.g., Acetaminophen, Tramadol): May be used for pain management. Cost: Generic versions can be $3-$20/month.
• Antianxiety medications (e.g., Alprazolam, Diazepam): May be prescribed to manage psychological distress related to the use of a prosthetic device. Cost: Generic versions can be $5-$30/month.

Surgical Procedures:

• Prosthetic device adjustment or modification: Involves making changes to the prosthetic device to improve fit, alignment, or functionality. Cost: Varies depending on the complexity of the adjustment or modification.
• Prosthetic device replacement: In cases where the current prosthetic device is causing significant issues or is no longer suitable, a new prosthetic device may be recommended. Cost: Varies depending on the type and complexity of the prosthetic device.

Alternative Interventions

• Physical therapy: Can help improve strength, flexibility, and functional abilities with the prosthetic device. Cost: $50-$150 per session.
• Occupational therapy: Focuses on improving daily activities and functional independence with the prosthetic device. Cost: $50-$150 per session.
• Psychological counseling or therapy: Provides support and guidance in coping with the emotional and psychological challenges associated with the use of a prosthetic device. Cost: $75-$200 per session.
• Assistive devices or adaptive equipment: Can enhance the functionality and ease of use of the prosthetic device. Cost: Varies depending on the specific device or equipment.
• Peer support groups or support networks: Offer opportunities for individuals with prosthetic devices to connect, share experiences, and provide mutual support. Cost: Varies depending on the specific group or network.

Lifestyle Interventions

• Regular exercise and physical activity: Can help improve overall strength, mobility, and functional abilities with the prosthetic device. Cost: Varies depending on the chosen activities or fitness programs.
• Proper skin care and hygiene: Important for preventing skin irritation, infection, or breakdown at the site of attachment. Cost: Varies depending on the specific skincare products or supplies.
• Healthy diet and nutrition: Supports overall health and well-being, which can positively impact the use of a prosthetic device. Cost: Varies depending on individual dietary preferences and choices.
• Stress management techniques: Can help individuals cope with the challenges and adjustments associated with the use of a prosthetic device. Cost: Varies depending on the chosen techniques or therapies.
• Regular follow-up with healthcare professionals: Ensures ongoing monitoring, support, and adjustments to the prosthetic device as needed. Cost: Varies depending on the frequency of follow-up appointments and any associated fees.

It is important to note that the cost ranges provided are approximate and may vary depending on the location and availability of the interventions. Healthcare professionals should consider individual patient needs, preferences, and financial circumstances when recommending interventions for the effect of a prosthetic device.

Mirari Cold Plasma Alternative Intervention

Understanding Mirari Cold Plasma

• Safe and Non-Invasive Treatment: Mirari Cold Plasma is a safe and non-invasive treatment option for various skin conditions. It does not require incisions, minimizing the risk of scarring, bleeding, or tissue damage.
• Efficient Extraction of Foreign Bodies: Mirari Cold Plasma facilitates the removal of foreign bodies from the skin by degrading and dissociating organic matter, allowing easier access and extraction.
• Pain Reduction and Comfort: Mirari Cold Plasma has a local analgesic effect, providing pain relief during the treatment, making it more comfortable for the patient.
• Reduced Risk of Infection: Mirari Cold Plasma has antimicrobial properties, effectively killing bacteria and reducing the risk of infection.
• Accelerated Healing and Minimal Scarring: Mirari Cold Plasma stimulates wound healing and tissue regeneration, reducing healing time and minimizing the formation of scars.

Mirari Cold Plasma Prescription

Video instructions for using Mirari Cold Plasma Device – A89 Effect prosthetic device (ICD-10:T85.9)

Localized (0) Sacrum (1) Prostate & Uterus (2) Kidney, Liver & Spleen (3) Heart, Bile & Pancreas (4) Lungs (5) Throat, Lymphatic & Thyroid (6) Neuro system & ENT (7)

Use the Mirari Cold Plasma device to treat Effect prosthetic device effectively.

WARNING: MIRARI COLD PLASMA IS DESIGNED FOR THE HUMAN BODY WITHOUT ANY ARTIFICIAL OR THIRD PARTY PRODUCTS. USE OF OTHER PRODUCTS IN COMBINATION WITH MIRARI COLD PLASMA MAY CAUSE UNPREDICTABLE EFFECTS, HARM OR INJURY. PLEASE CONSULT A MEDICAL PROFESSIONAL BEFORE COMBINING ANY OTHER PRODUCTS WITH USE OF MIRARI.

Step 1: Cleanse the Skin

• Start by cleaning the affected area of the skin with a gentle cleanser or mild soap and water. Gently pat the area dry with a clean towel.

Step 2: Prepare the Mirari Cold Plasma device

• Ensure that the Mirari Cold Plasma device is fully charged or has fresh batteries as per the manufacturer’s instructions. Make sure the device is clean and in good working condition.
• Switch on the Mirari device using the power button or by following the specific instructions provided with the device.
• Some Mirari devices may have adjustable settings for intensity or treatment duration. Follow the manufacturer’s instructions to select the appropriate settings based on your needs and the recommended guidelines.

Step 3: Apply the Device

• Place the Mirari device in direct contact with the affected area of the skin. Gently glide or hold the device over the skin surface, ensuring even coverage of the area experiencing.
• Slowly move the Mirari device in a circular motion or follow a specific pattern as indicated in the user manual. This helps ensure thorough treatment coverage.

Step 4: Monitor and Assess:

• Keep track of your progress and evaluate the effectiveness of the Mirari device in managing your Effect prosthetic device. If you have any concerns or notice any adverse reactions, consult with your health care professional.

Note

This guide is for informational purposes only and should not replace the advice of a medical professional. Always consult with your healthcare provider or a qualified medical professional for personal advice, diagnosis, or treatment. Do not solely rely on the information presented here for decisions about your health. Use of this information is at your own risk. The authors of this guide, nor any associated entities or platforms, are not responsible for any potential adverse effects or outcomes based on the content.

Mirari Cold Plasma System Disclaimer

• Purpose: The Mirari Cold Plasma System is a Class 2 medical device designed for use by trained healthcare professionals. It is registered for use in Thailand and Vietnam. It is not intended for use outside of these locations.
• Informational Use: The content and information provided with the device are for educational and informational purposes only. They are not a substitute for professional medical advice or care.
• Variable Outcomes: While the device is approved for specific uses, individual outcomes can differ. We do not assert or guarantee specific medical outcomes.
• Consultation: Prior to utilizing the device or making decisions based on its content, it is essential to consult with a Certified Mirari Tele-Therapist and your medical healthcare provider regarding specific protocols.
• Liability: By using this device, users are acknowledging and accepting all potential risks. Neither the manufacturer nor the distributor will be held accountable for any adverse reactions, injuries, or damages stemming from its use.
• Geographical Availability: This device has received approval for designated purposes by the Thai and Vietnam FDA. As of now, outside of Thailand and Vietnam, the Mirari Cold Plasma System is not available for purchase or use.

References

1. Hiranaka, K. (2023). The Psychological Impact of Prosthetics in Daily Life. Int J Phys Med Rehabil, 11, 702.
2. Vlachaki, A. (2019). Emotionally-driven Prostheses: Exploring the Effects on Users’ Lives and Societies’ Attitudes in the UK and Greece [Doctoral dissertation, Loughborough University].
3. WONCA International Classification Committee. (1998). ICPC-2: International classification of primary care. Oxford University Press, USA.
4. World Health Organization. (2015). International statistical classification of diseases and related health problems (10th ed.).
5. Schmalz, T., Blumentritt, S., & Jarasch, R. (2002). Energy expenditure and biomechanical characteristics of lower limb amputee gait: The influence of prosthetic alignment and different prosthetic components. Gait & Posture, 16(3), 255-263.
6. Horgan, O., & MacLachlan, M. (2004). Psychosocial adjustment to lower-limb amputation: A review. Disability and Rehabilitation, 26(14-15), 837-850.
7. Doherty, G. M. (2015). Current diagnosis & treatment: Surgery (14th ed.). McGraw-Hill Education.
8. Riedl, M. A., & Casillas, A. M. (2003). Adverse drug reactions: types and treatment options. American family physician, 68(9), 1781-1790.
9. Erickson, T. B., Thompson, T. M., & Lu, J. J. (2007). The approach to the patient with an unknown overdose. Emergency Medicine Clinics of North America, 25(2), 249-281.
10. Sansoni, S., Wodehouse, A., & Buis, A. (2014). Psychological distress and well-being in prosthetic users: The role of realism in below-knee prostheses. In DS 78: Proceedings of the 16th International conference on Engineering and Product Design Education (E&PDE14), University of Twente, The Netherlands, 04-05.09. 2014 (pp. 398-403).