Diabetes, LE amputations

Question 1

Diabetes

Answer 1

chronic disease with progressive course

Question 2

Type 1 diabetes

Answer 2

insulin deficiency
no longer produced by pancreas

Question 3

Type 2 diabetes

Answer 3

Insulin resistance
insulin is produced, but no longer able to perform its function

Question 4

Insulin

Answer 4

Hormone for glucose going out of blood

Question 5

Diabetic Neuropathy

Answer 5

loss of sensation
unsteady gait

Question 6

Effects of diabetes on body

Answer 6

Diabetic neuropathy
retinopathy
decreased circulation

Question 7

Retinopathy

Answer 7

damage to blood vessels in retina

Question 8

Decreased circulation

Answer 8

leads to diabetic ulcers, slower healing of wounds and sometimes amputation

Question 9

Diabetes impacts individual’s

Answer 9

personal
environmental
social
spiritual
physical wellbeing

Question 10

promoting successful prevention and management

Answer 10

healthy eating routines
physical activity routine
education on monitoring blood sugar and BP
Education on medication management

Question 11

Education on physical activity - diabetes

Answer 11

Helps decrease glucose levels down and out of blood stream
muscles use glucose when exercising

Question 12

Monitoring blood sugar and BP

Answer 12

daily

Question 13

Mirror inspection

Answer 13

everywhere on body for pressure sores
foot examination and offloading

Question 14

Diabetes and lower limb amputations

Answer 14

diabetes is leading cause of non-traumatic lower extremity amputations

Question 15

other word for amputated leg

Answer 15

residual limb

Question 16

causes of lower LE amputations

Answer 16

vascular disease
cancer
trauma
congenital - born with missing limb

Question 17

Major limb amputations

Answer 17

above knee
below knee
any amputation below knee

Question 18

Above knee amputation

Answer 18

Transfemoral

Question 19

Below knee amputation

Answer 19

transtibial

Question 20

minor amputations

Answer 20

at or below ankle level
toe amputation
foot amputation

Question 21

2 main phases of rehab

Answer 21

pre-prosthetic phase
prosthetic phase

Question 22

Pre-prosthetic

Answer 22

phase 1
wound is still healing
important phase

Question 23

Phase 1 - main goals

Answer 23

prevention of contractures
swelling control
shaping of residual limb
desensitizing techniques

Question 24

swelling control

Answer 24

compression socks

Question 25

shaping of residual limb by...

Answer 25

bandaging

Question 26

desensitizing techniques

Answer 26

rubbing massage circular motions

Question 27

proper caring of residual limb

Answer 27

regular inspections

Question 28

ADLs: washing/drying

Answer 28

at night, everyday mild soap pat dry with towel moisture

Question 29

Prosthetic phase

Answer 29

receiving prosthesis gait re-education center of gravity reorientation personal hygiene and prosthetic care

Question 30

positioning do's and don'ts - Wheelchair

Answer 30

No crossing leg no flexion for long amounts of time swelling control

Question 31

Positioning do's and don'ts - Bed

Answer 31

No pillows no leg dangling straight leg legs together

Question 32

Dressing and bathing

Answer 32

training for LE dressing Important to grade ADLs ADL assistive devices and training

Question 33

ADL assistive devices and training

Answer 33

balance and bending sock aid long handled shoehorn

Question 34

ADL grading - low to high functioning

Answer 34

Dress in bed, not on edge (bridging technique)

Question 35

ADL grading - highest

Answer 35

standing while dressing

Question 36

Amputations - Transfers early in therapy

Answer 36

transfer toward unaffected side

Question 37

Transfer progression - amputation

Answer 37

transferring toward both directions

Question 38

Phantom limb pain interventions

Answer 38

mirror therapy exercise for circulation distraction soaking in warm bath massage limb pain diary relaxation techniques

Question 39

Mirror therapy

Answer 39

tricking brain into thinking lost limb is there

Question 40

Pain diary

Answer 40

what's causing pain when it is causing pain can determine what is causing pain