Rehab w/ Limb Loss (1)

Question 1

rehab is the process of

Answer 1

preparing the body to reach maximum potential

helping the pt compensate for loss

prosthetic use

Question 2

what does the actual timeline depend on

Answer 2

co-morbidities

activity level

etc

Question 3

overall goals

Answer 3

return to PLOF

pre-disability fxn

independent as possible

Question 4

shorter time to prosthesis

Answer 4

better the results

Question 5

phases of rehab

Answer 5

perioperative

pre-prosthetic

prosthetic training

life long care

Question 6

perioperative

Answer 6

pre operative phase

amputation/reconstruction

acute post operative

Question 7

pre prosthetic

Answer 7

prosthetic preparation

prosthetic prescription/fabrication

Question 8

prosthetic training

Answer 8

prosthetic training phase

Question 9

life long care

Answer 9

community integration

vocational rehab

follow up

Question 10

what does pre-op rehab include

Answer 10

assessment

education

exercise program

d/c planning

Question 11

assessment –> pre op

Answer 11

pt condition/px

dysvascular pts

pt goals

Question 12

dysvascular pt –> assessment –> pre op

Answer 12

discuss prior state of fxn

Question 13

education–> pre op

Answer 13

prosthesis

phantom limb sensation

foot care/prevention

Question 14

care of remaining limb is

Answer 14

important

Question 15

how do we take care of the RL

Answer 15

wash daily w/ bland soap

keep warm

avoid injury

meticulous nail care

no garters

daily exercise

Question 16

exercise program –> pre op

Answer 16

strength training

endurance

breathing

ADL

Question 16

strength training –> exercise program –> pre op

Answer 16

UE/uninvolved

pain limits exercise on affected extremity

UE important

Question 17

d/c planning –> pre op

Answer 17

facility placement

AD

ultimate independence

Question 18

perioperative phase includes

Answer 18

amputation and reconstruction

Question 19

decision about –> perioperative

Answer 19

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

Question 20

types of limb dressings

Answer 20

soft

rigid

Question 21

soft dressing

Answer 21

ACE wrap

shrinker

compression pump

Question 22

rigid dressing

Answer 22

custom rigid removable dressing (RRD)

prefabricated rigid removable dressing (RRD)

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

Question 23

when is ace bandage started

Answer 23

ASAP after surgery

Question 24

where should the dressing be --> ACE

Answer 24

surgical dressing over incision

Question 25

how long do you keep the ACE on

Answer 25

24 hrs a dady

Question 26

when is the ACE rewrapped

Answer 26

2-3x a day or as needed

Question 27

when do they WB --> ACE

Answer 27

delayed until healing

Question 28

when do we start removable rigid dressing

Answer 28

immediately after surgery

Question 29

removable rigid dressings

Answer 29

custom removable RD prefabricated removable RD

Question 30

Custom removable RD

Answer 30

rigid dressing plaster cast

Question 31

when is Custom removable RD removed

Answer 31

daily for inspection

Question 32

has--> Custom removable RD

Answer 32

pylon foot

Question 33

once fitted --> Custom removable RD

Answer 33

can not be off for more than 10 min

Question 34

prefabricated removable RD

Answer 34

rigid removable dressing

Question 35

sometimes --> prefabricated removable RD

Answer 35

w/ protective silicon gel liner

Question 36

is --> prefabricated removable RD

Answer 36

bi valve velcro

Question 37

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

Answer 37

12 hrs after

Question 38

limited ambulation w/ --> protocol --> RD

Answer 38

20-40 lbs of force

Question 39

DC --> protocol --> RD

Answer 39

approx 2 weeks

Question 40

inspect --> protocol --> RD

Answer 40

regularly

Question 41

what does RD do --> protocol --> RD

Answer 41

even w/o WBing it protects and shapes the RL during healing

Question 42

what should they have --> protocol --> RD

Answer 42

well healed well shaped RL

Question 43

advantages of RD

Answer 43

decreased flexion contracture protects healing limb edema control and shaping of RL decreased pain prosthesis ready soon INSPECT THE LIMB

Question 44

disadvantages of RD

Answer 44

lack of mobility unless use IPOP (pylon) excessive pressure during WB --> causes breakdown

Question 45

advantages of ace bandage

Answer 45

cheap adjust for shape easy to apply inspect healing limb

Question 46

disadvantages of Ace bandage

Answer 46

improper technique will inhibit circulation falls off/staff skill etc. increase incidence knee flex contracture complication d/t decreased mobility increased hospital stay

Question 47

ace bandage is a viable option for

Answer 47

compression

Question 48

what is needed --> ACE

Answer 48

careful technique

Question 49

lengthens --> ACE

Answer 49

time from surgery to prosthesis

Question 50

doesnt --> ACE

Answer 50

protect again trauma

Question 51

better for --> ACE

Answer 51

dysvascular pt

Question 52

rigid removable dressing --> summary

Answer 52

pre fab removable preferable

Question 53

good for --> rigid removable dressing

Answer 53

healing prevention of trauma mobility

Question 54

quicker --> rigid removable dressing

Answer 54

time to prosthesis

Question 55

careful w/ --> rigid removable dressing

Answer 55

WBing