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Prosthetic Final > Rehab w/ Limb Loss (1) > Flashcards

Rehab w/ Limb Loss (1) Flashcards

1
Q

rehab is the process of

A

preparing the body to reach maximum potential

helping the pt compensate for loss

prosthetic use

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2
Q

what does the actual timeline depend on

A

co-morbidities

activity level

etc

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3
Q

overall goals

A

return to PLOF

pre-disability fxn

independent as possible

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4
Q

shorter time to prosthesis

A

better the results

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5
Q

phases of rehab

A

perioperative

pre-prosthetic

prosthetic training

life long care

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6
Q

perioperative

A

pre operative phase

amputation/reconstruction

acute post operative

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7
Q

pre prosthetic

A

prosthetic preparation

prosthetic prescription/fabrication

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8
Q

prosthetic training

A

prosthetic training phase

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9
Q

life long care

A

community integration

vocational rehab

follow up

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10
Q

what does pre-op rehab include

A

assessment

education

exercise program

d/c planning

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11
Q

assessment –> pre op

A

pt condition/px

dysvascular pts

pt goals

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12
Q

dysvascular pt –> assessment –> pre op

A

discuss prior state of fxn

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13
Q

education–> pre op

A

prosthesis

phantom limb sensation

foot care/prevention

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14
Q

care of remaining limb is

A

important

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15
Q

how do we take care of the RL

A

wash daily w/ bland soap

keep warm

avoid injury

meticulous nail care

no garters

daily exercise

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16
Q

exercise program –> pre op

A

strength training

endurance

breathing

ADL

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16
Q

strength training –> exercise program –> pre op

A

UE/uninvolved

pain limits exercise on affected extremity

UE important

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17
Q

d/c planning –> pre op

A

facility placement

AD

ultimate independence

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18
Q

perioperative phase includes

A

amputation and reconstruction

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19
Q

decision about –> perioperative

A

the care of the healing RL is made at the time of surgery

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20
Q

types of limb dressings

A

soft

rigid

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21
Q

soft dressing

A

ACE wrap

shrinker

compression pump

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22
Q

rigid dressing

A

custom rigid removable dressing (RRD)

prefabricated rigid removable dressing (RRD)

w/ or w/o IPOP (immediate post op prosthesis)

23
Q

when is ace bandage started

A

ASAP after surgery

24
Q

where should the dressing be –> ACE

A

surgical dressing

over incision

25
Q

how long do you keep the ACE on

A

24 hrs a dady

26
Q

when is the ACE rewrapped

A

2-3x a day or as needed

27
Q

when do they WB –> ACE

A

delayed until healing

28
Q

when do we start removable rigid dressing

A

immediately after surgery

29
Q

removable rigid dressings

A

custom removable RD

prefabricated removable RD

30
Q

Custom removable RD

A

rigid dressing

plaster cast

31
Q

when is Custom removable RD removed

A

daily for inspection

32
Q

has–> Custom removable RD

A

pylon

foot

33
Q

once fitted –> Custom removable RD

A

can not be off for more than 10 min

34
Q

prefabricated removable RD

A

rigid removable dressing

35
Q

sometimes –> prefabricated removable RD

A

w/ protective silicon gel liner

36
Q

is –> prefabricated removable RD

A

bi valve

velcro

37
Q

how long do you WB after –> protocol –> RD

A

12 hrs after

38
Q

limited ambulation w/ –> protocol –> RD

A

20-40 lbs of force

39
Q

DC –> protocol –> RD

A

approx 2 weeks

40
Q

inspect –> protocol –> RD

A

regularly

41
Q

what does RD do –> protocol –> RD

A

even w/o WBing

it protects and shapes the RL during healing

42
Q

what should they have –> protocol –> RD

A

well healed

well shaped RL

43
Q

advantages of RD

A

decreased flexion contracture

protects healing limb

edema control and shaping of RL

decreased pain

prosthesis ready soon

INSPECT THE LIMB

44
Q

disadvantages of RD

A

lack of mobility unless use IPOP (pylon)

excessive pressure during WB –> causes breakdown

45
Q

advantages of ace bandage

A

cheap

adjust for shape

easy to apply

inspect healing limb

46
Q

disadvantages of Ace bandage

A

improper technique will inhibit circulation

falls off/staff skill etc.

increase incidence knee flex contracture

complication d/t decreased mobility

increased hospital stay

47
Q

ace bandage is a viable option for

A

compression

48
Q

what is needed –> ACE

A

careful technique

49
Q

lengthens –> ACE

A

time from surgery to prosthesis

50
Q

doesnt –> ACE

A

protect again trauma

51
Q

better for –> ACE

A

dysvascular pt

52
Q

rigid removable dressing –> summary

A

pre fab removable preferable

53
Q

good for –> rigid removable dressing

A

healing

prevention of trauma

mobility

54
Q

quicker –> rigid removable dressing

A

time to prosthesis

55
Q

careful w/ –> rigid removable dressing

A

WBing

Prosthetic Final (13 decks)

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