Lower extremity amputee

Question 1

what are the most common incidents of lower extremity amputation?

Answer 1

Geriatric client, peripheral vascular disease, cardiovascular disease,

vascular limb loss - 54%
trauma 45%
Cancer - 2%

Question 2

Why is peripheral vasclar disease an issue for lower limb amputation

Answer 2

diabetes can lead to PVD, poor circulation and lack of sensation and the slow healing could lead to infectin that results in amputation

Question 3

what behavioral health issue can limb loss lead to

Answer 3

depression

36% experience depression

Question 4

with lower limb loss what are the areas of life that are affected

Answer 4

QOL, mobility, satisfaction (do they feel like they have options?), reduction in overall, health care costs

Question 5

name the parts of the prosthetic

Answer 5

gel liner, sock, socket, pylon, knee, foot

Question 6

how to prepare patient for skin to be ready for prosthetic

Answer 6

teach them moments throughout the day to do skin checks.
Edema management
working on acceptance and tolerance of being able to look, feel, touch and manage.

Question 7

OT role with patient education with lower leg amputation

Answer 7

skin inspection
sweat
swelling

Question 8

Partial foot amputations

Answer 8

Phalangeal - toes
Transmetatarsal
Chopart - midtarsal joint amputation
Symes - ankle disarticulation

Question 9

Most common lower limb amputation

Answer 9

below knee amputation (BKA) - transtibial

Question 10

above knee amputation AKA spots

Answer 10

Poorer prognosis for prosthetic use
Hemipelvectomy
Hip disarticulation - removal of femur at ball and socket joint.
Short AK - patient who has femur removed. higher up. not much residual limb
Standard AK

Question 11

occupational therapy in below limb amputation

Answer 11

BADL’s
IADL’s
Transfers - Tub, Toilet, Chair, Bed, Car
bed mobility
edurance building
standing balance
education
family training
equipment - ADL, DME

Question 12

diabetic foot care

Answer 12

foot inspection
hygiene
suitable footwear

Question 13

pre-prosthetic training

Answer 13

reduce pain, foster healing, prevent contractures / optimize positioning, prevent skin ulcers, stump shaping & wrapping, edurance building, ADL’s (seated), ambulation (crutch or walker)

Question 14

post-prosthetic training

Answer 14

balance, mobility, endurance, strength, standing tolerance, ADLs in standing and walking, community level functioning.