Flashcards in Amputation Deck (20)
partial or complete surgical removal of a limb
Difference between minor and major amputation
Prognosis is better for minor amputations.
Goal for amputation
preserve the extremity length and function while removing all infected, pathologic, or ischemic tissue
Risk Factors for Amputations
-65 or older
-lack of exercise
-AA, Hispanics, Native Americans
Major causes of Amputations
-Medical: 70 percent DM, PVD, gangrene, and infection
-Trauma: 22 percent, crushing, burns, frost bite
-Congenital: 4 percent
-Tumors: 4 percent
Diagnostic Studies for Amputation
-Is there complete separation?
-Can the segments be reconnected or salvaged?
-What will be the function of the salvaged limb versus amputations?
-Is there time for other tx options?
-used to create a weight bearing extremity
-skin flap with soft tissue covers the bony part of the residual limb or stump
performed at the joint
-leaves the bony end open
-generally used to control or prevent potential infection
-wound is closed later by second surgeon
-discuss level of amputation
-discuss normal feelings grief/loss
-phantom limb sensations
-bleeding from site
Post-op Teaching: Positioning
-elevate for 24-48 hours
-keep flat after 24 hours
-prone positioning at least 2x daily
-inspect for discoloration and breaks
-wash with soapy water and dry
-stump wrapping, edema up to 4 months
-reapply up to 3 times per day
-used in place of ACE wrap
-stump socket: casted
-cleaning of socket
Phantom Limb Pain
-dorsi and plantar flexing the foot
Meds for Neuropathic Pain
-death without funeral
What to do when patient has psychological worries?
-education at the appropriate level
-allow time to vent feelings
-be aware of where you are and how you act