Parental perspective: The role of prostheses and prosthetics services in adjusting to a child’s upper limb difference

Author:

Sims Tara1,Donovan-Hall Maggie2,Metcalf Cheryl2

Affiliation:

1. School of Health Sciences, University of Brighton, Eastbourne, UK

2. School of Health Sciences, Faculty of Environmental & Life Sciences (FELS), University of Southampton, Highfield Campus, Southampton, UK

Abstract

BACKGROUND: The impact of paediatric upper limb difference may extend beyond the child themselves to their parents and other family members. Previous research has found that feelings of shock, numbness and loss are common amongst parents and that peer support can be a buffer against stress. OBJECTIVE: The current study aimed to explore the experiences of parents of children with limb difference, and the role of services and prosthetic devices in these experiences. METHODS: Nine parents of children with limb difference participated in either a group (n= 2) or individual (n= 7) interview. RESULTS: Analysis of the interview transcripts revealed four themes – ‘grief and guilt’, ‘prosthesis as a tool for parental adjustment’, ‘support’ and ‘fun and humour’. CONCLUSIONS: Parents may employ coping strategies to help them adjust to their child’s limb difference, including use of a prosthesis, accessing support from statutory services and peers, and use of fun and humour within the family.

Publisher

IOS Press

Subject

Health Informatics,Rehabilitation

Reference18 articles.

1. Congenital limb deficiencies and acquired amputations in childhood part 3;Smith;In Motion,2006

2. Children’s and adolescents’ views on upper limb prostheses in relation to their daily occupations;Donovan-Hall;The British Journal of Occupational Therapy,2020

3. Participatory design of paediatric upper limb prostheses: qualitative methods and prototyping;Sims;International Journal of Technology Assessment in Health Care,2017

4. Factors affecting family-centred service delivery for children with disabilities;Law;Child, Care, Health and Development,2003

5. Relationship between health status and psychological adjustment among children with chronic conditions;Stein;Pediatrics,1984

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