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M B BROOKS

Publications and source records attributed to M B BROOKS.

10 recordsLinked to original sources

Prosthesis for child amputees; the program at University of California at Los Angeles.

The Child Amputee Program has operated jointly for the past three years at the University of California at Los Angeles under the Department of Engineering and the School of Medicine. The following seven points have been evolved after three years of operation:1. Team effort for involved rehabilitation problems seems to be more effective than any other approach.2. Psychological effect on both the patient and family is much deeper than was realized.3. The optimum age for first fitting of a prosthesis is much earlier than had been generally believed-under one year, as opposed to age five or later.4. Training adequate for efficient and easy use of the prosthesis is absolutely essential and must be followed with periodic training in new skills.5. Comfort and function must be provided or a prosthesis will not be used.6. Scaled-down adult components are helpful, but do not supply all the needs of growing children. Special types of tools are needed for the many varied activities of childhood.7. At the outset of the program, disability was calculated in terms of the site of amputation. Now it is realized that the true determination of disability is above the ears.

Adult↗

Instruction of mothers in well baby care; a program of talks at monthly visits.

As advisor and counsellor of mothers, a physician can contribute greatly to preventive medical care of infants. Advice can be given piecemeal, but according to a program. At birth the mother is reminded of the importance of emotional environment in shaping the life and personality of the child. The most important thing the mother and father do during the first year is enjoy their baby. At six months each monthly visit includes a discussion period. First is the concept of balanced diet and control of diet. At the seventh month, the mother learns how to report an illness-how to get information she wants and to give information the physician wants. Eighth month: Care of minor illness-necessity for rest and the importance of withholding food to promote rest; and the importance of fluids. Ninth month: Discussion of shoes. Eleventh month: Training for toilet and other habits; discussion of attitude toward thumb-sucking. Twelfth month: Stress household accidents, which cause more deaths than all infectious diseases combined.

Child↗