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Muskular Skeletal
Muskular Skeletal Amputation
| Question | Answer |
|---|---|
| nursing goals for amputation | adequate relief underlying problem, pain control, reach maximum rehab potential with use of prosthesis, cope with body image changes, make satsfying lifestyle adjustments |
| what to teach client s with disease | importance of following prescirbed diet, regulating glucose levels, follow up with MD routinely, quitting smoking. |
| postop management | prevent and detect complication |
| how long does it usually takes for a pt to bear full weigh ton prosthesis | 3 months after surgery. |
| some clients might not qualify for prosthesis | debilitated, older, seriously ill may not have strength and energy. |
| what are the major indications of an amputation of a middle aged to older persons | PVD, DM, Atheroscleerosis |
| major indication of an amputations of yound persons | trauma, hazardous occupations, MVA, land mines, farm work injury. |
| common indication of amputations | circulatory impairment resulting from PVD,traumatic and thermal injuries, Malignant tumors, uncontrolled or widespread infection of the extremity, such as gas gangrene or osteomyelitis, congenital disorder. |
| what is the goal of amputation surgery | to preserve extremity length and function while removign all infeccted tissue. |
| a type of amputated bone for weight-bearing with a skin flap and soft tissue pads | closed |
| type of apmutation through joint | disarticulation |
| type of amputations where surface of residual limb not covered with skin; indicated to control infection; eradicate infection then close | open |
| what can delay rehab | hip flexion contractures |
| what to do to prevent hip flexion contractures | avoid sitting in chair >1 hr, no pillows under hips, hip extension when prone,lay prone on abdomen for 30 min 3-4 times QD |
| what do compression bandages in immediate postop do | decreases edema, hastens healing, minimizes pain and promotes shrinkage and maturation |
| the loss of limb affects | balance and coordination-increases fall and injury risk. |
| bandages should be | snug not too tight |
| limb stockings ensure | better fit and prevent skin breakdowns |
| the pt should report | rubbing, irritation, sking breakdown, or friction |
| residual limb (stump) may | shrink over time and prosthesis myy need readgusting. |
| upper lim loss | trauma |
| lower lim loss | disease(pt has more time to adjust when disease occurs) |
| phantom lim senstation | may describe feeling of coldness, heaviness, cramping shooting, burning or crushing pain |
| pt should inspect the limb daily for signs of | skin irritation, erythema, excoriation and odor |
| how should you wash the limb | wash with warm water and a bacteriostatic soap gently and dry thoroughly. No lotion, powder, alcohol or oil unless prescirbed by the health provider. |
| complications that may delay recovery | psychosocial issuesvhemorrhage in the opertive area, wound infection irritation from the prosthesis |
| during the postop period, the pt with an AKA should be instructed the the residual limb should not be routinely elevated because | the flexed position can promote hip flexion contracture. |
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