Prosthetics Exam 2: Postoperative and Preoperative Care Flashcards Preview

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Flashcards in Prosthetics Exam 2: Postoperative and Preoperative Care Deck (35)
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1

Examination in the acute care setting focuses on four priorities

1. Initial healing of the ___ ___
2. ___ management and ___ control of the residual limb
3. Bed mobility and transfers
4. Readiness for ____-___ ambulation

surgical site
pain volume
single limb

2

Why is it important to teach a patient to use their upper body and walker to do the work in early ambulation

Because they are at risk of losing their other limb, so as little impact on the sound limb as possible is best

3

Why is important to be aware of a patient's cognitive status throughout the day

Because of the meds are going to be extremely strong and their mood can drastically change throughout the day

4

What are the 5 body systems that need to be checked during systems review

cardio vascular
cardiopulmonary
integumentary
musculoskeletal
neuromuscular

5

Adaptions of performing MMT post surgery can make data collecting, reliability, and validity (more/less) precise

less

6

True or False:

We must document modifications to testing procedures post op

true

7

Patients will experience high amounts of pain and have phantom limb sensation. If a patient reports these feelings, we need to document the ___, ____ and ___ of the pain as well as pain management strategies

nature, location, intensity

8

___-___% of patients feel phantom sensations after recent amputation

54-99

9

List the 6 types of phantom sensations that a patient may feel

numbness
tingling
tickling
pressure
itiching
mild muscle cramping

10

Do we want all phantom sensation to go away? Why or why not

no because it can help the pt control the prosthesis better.

11

When does phantom sensation become a safety problem

When a patient feels like their leg is there and goes to get up and walk and it isn't there so they fall

12

___-___% of patients experience phantom pain

46-63

13

How can phantom pain be described as

shooting pain, severe cramping, distressing burning

14

Is there a way to treat phantom pain

not really

15

What are the two ways that limb length is measured

1. actual length of the tibia or femur
2. Total length of residual limb including soft tissue

16

What are the bony landmarks for TT and TF length measurements

TT: medial joint line to end of bone/tissue
TF: greater trochanter to end of bone/tissue

17

What types of blood color should be reported to the surgeon for further assessment

bright red arterial blood or darker venous blood

18

There is a higher risk for infection along the incision. What are the signs of infection to look for

increased drainage, thickening, and discolored exudate

19

True or false:

Circulation is only necessary to check in the residual limb

false, also check in sound limb bc it is vulnerable to be lost due to increased stress

20

What are a few ways to assess circulation in both the residual limb and sound limb

skin temp and turgor
color at rest/position change
palpation of pedal/popliteal pulses
ABI

21

Amputees are at high risk of developing contractures, what types of contractures are most likely to occur

hip and knee flexion

22

what test is used to assess hip flexor length

thomas test

23

TT amputees will need to have the (knee/hip) joint mobility and integrity assessed

knee

24

How can we assess the integrity of the residual's limb's knee

varus/valgus stress test and lachmans

25

We expect that an amputee with a short limb should (be able/not be able) to hold for a MMT, if they (can/cannot) this means that individual is really (weak/strong)

be able
cannot
weak

26

When can active movement and MMT tests be taken

active movement and antigravity can be taken right away, but wait for surgical sites to heal before MMT. If it's too early to assess MMT, assess the next most proximal joint

27

What two muscle groups are super important to strengthen before and after surgery

hip extensors and abductors

28

How can we assess aerobic capacity and endurance during PT

resting vitals
change in vitals with transfers and mobility training
RPE

29

Most amputees are at risk for ___ ____, so know the signs!

myocardial infarction

30

When we start to do early mobility training ____ ____ should be a main factor to consider

orthostatic hypotension