LE amputation care Flashcards

1
Q

what are non-traumic causes of amputation

A

Vascular disease

DM

Cancer

infection

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2
Q

if you have had one amp do you often get second one

A

yes

up to 55% will require a 2nd amp within 2-3 years

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3
Q

how long is the acute post op phase

A

4-20 days

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4
Q

how long is the pre-pro stage

A

30+ or until the limb is healed

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5
Q

where do you go for the pre-pro phase

A

IPR, SNF, Home

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6
Q

where do you go for the pro phase

A

IPR, SNF, HH, OP

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7
Q

how long is the average IPR stay during the pro stage

A

2 weeks in IPR

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8
Q

how long is the average out pt stay during the pro stage

A

3 months or more

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9
Q

what are the goals of pt in the pre pro stage

A

incision healing

shape of the residual limb

max ROM , strength, prevent contracture

home HEP

manage pain

progression functional mobility

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10
Q

what is the goal of pt in the pro stage

A

incision healing

shape of the residual limb

max ROM , strength, prevent contracture

home HEP

manage pain

progress functional mobility

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11
Q

how do we accomplish limb shaping

A

compression ace wrap - early

rigid or semi rigid dressings

shrinkers

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12
Q

do you use a shrinker if the incision is still healing

A

no

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13
Q

what are the goals for limb shaping

A

decrease the edema to prevent dehisence

prepare for socket

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14
Q

will phantom pain go away with time

A

yes

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15
Q

positioning in bed - what positions to avoid

A

help flex/abd position in bed

knee flex

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16
Q

what to do if you want to elevate the leg

A

use pillows under the entire leg/ distal leg

do not use the folding feature on bed

17
Q

what to do in wheel care with new amp

A

amp leg limb support

leg rest for the pro

18
Q

how much hip ext do you need for a normal gait

A

20-deg

19
Q

how much knee flex and ext do you need for gait

A

0-60

20
Q

how much knee flex and ext do you need for stairs

A

0-100

21
Q

prone lying reccomendations

A

30 min

BID

22
Q

Open chain HEP

A

SLR, side lying hip abd, prone hip ext, prone knee flex, sidelying hip add

23
Q

closed chain HEP

A

planks on bolster

side plank on bolster

bridges on bolster or physioball

prone terminal knee ext

24
Q

what HEP should we give to the contralateral limb

A

PF

knee ext

hip flexors

hip abd

25
Q

amp who fall less have strong BLANK on the contralateral limb

A

PF and hip extensors

26
Q

trans tib amp experience more force where on the amp leg

A

knee ext
Hip ER, abd, add

27
Q

what factors play into when someone is ready for the pro

A

wound healing

limb shape

ROM and strength

cleared by the surgeon

28
Q

what in general are good outcome for pro users

A

younger

more distal

unilateral

29
Q

KO simple

A

no pro potential

30
Q

K1 simple

A

household amb

31
Q

K2 simple

A

limited community

32
Q

K3 simple

A

community

33
Q

K4 simple

A

child, athlete, active adult

34
Q
A