Amputations Flashcards
(18 cards)
How can you prevent disease related amps?
Check circulation to extremities
With foot ulcers-Shoes,foot inspection,cut toenails and stop smoking
What are Esquenazi’s 9 phases of amputee rehab?
Pre op
Amputation surgery
Acute post surgical
Pre prosthetic training
Prosthetic prescription
Prosthetic training
Community integration
Vocational integration
Vocational rehabilitation
Follow up
What would the initial management be?
Pre op counseling,education on expectations
-Advice on positioning stump on bed (no flexion,adduction or resting of stump on crutches)
-Bed exercises(ROM,Strengthening and stretching)
How to prevent complications of amputation surgery?
Desensitization of stump(neromas)
Stretch patient and educate on that to prevent contractures
Balance retraining and issue an assistive device
How to prevent complications of Prosthetic use?
Educate caregiver,lubricate stump and mobilize scar
How to manage post op?
Prevent hip and knee flexion contractures
(Stretch illiopsoas and hamstrings(no pillow under knee)
Strengthen hip extensor and abductors
Balance retraining in sitting and standing
Stump desensitized
How to manage the pain?
Desensitization,TENS and scar mobilization(after healing)
Postion and medication after surgery
Phantom limb pain(interferntial)
What is the purpose of the mirror box?
Tricks the brain to stimulate cortical re organization.The illusion that limb is still present.Done 30min daily
What could cause an amputation?
Leprosy
Tumors
Diabetes Mellitus
Vascular disease
Electric burns
Frost bite
Congenital deformities
What is used with Prosthetic rehabilitation?
The Amputee Mobility Score
What is the K-Level 0?
It’s when the pt does not have the ability to ambulate safety with or without assistance so a prothesis won’t improve quality of life
What is K level 1?
Has the potential of using a prothesis or an ambulator in level surfaces at a fixed cadence.Typical of the limited or unlimited household ambulator
What is K-Level 2?
Has the ability or the potential of to transverse low level environmental barriers such as stairs or curbs typical of the community ambulator
What is the K level 3?
Has the ability or potential to transverse all environmental barriers and ambikate at a various cadence
What is the K level 4?
Has the ability or potential for an prothesis ambulator that exceeds all ambulation skills
