Amputations n Definitions n Levels of Amputations *Goal = circulation, extremity length & function n...
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Transcript of Amputations n Definitions n Levels of Amputations *Goal = circulation, extremity length & function n...
Amputations
Definitions Levels of Amputations
*Goal = circulation, extremity length & function
Diagnostic Studies
Amputation answers
Types of amputations Open of Guillotine
– Required if infection present
– Late closure Closed or Flap
– Produce weight bearing stump
Nursing diagnosis– Pre-op– Post-op
• Complications: hemorrhage, infections
• Pain• Impaired
mobility
•Interventions
Pre-op – physical and mental preparations – prepare for phantom pain
Post-op– Hemorrhage – Pain and phantom pain– Elevate first 24-48 hours– Prevent infections– Prevent contraction, prone position– Delayed or immediate fitting
Post-op Care: Immediate and Delayed Prosthesis Fitting
Delayed– Ace wrap– Potential
hemorrhage, swelling
– Stitches out at 2-3 wks
– Temporary prosthesis with full wt at 6 wks
Immediate– Total contact, rigid
dressing– Compression dec.
edema– Early wt. bearing– inc. chance for
Infection
Test Yourself!
Which crutch-walking gait should the B-K amputee with a prosthesis use?– a. swing-through
gait– b. 3 point– c. 4 point– d. swing-to gait
Amputation home page
Teaching Stump bandaging
– Wrap distal to proximal
– Produce cone shape Stump care
– Stump sock, stump shrinker
– Keep clean
The Goal: cone-shaped, well-healed stump!
Replanation
Criteria Interventions
– Keep body part– Plastic bag, /ice– Elevate stump– No tourniquet– Saline dressing
Post-op Care– Adequate
circulation: arterial/venous
– Use of leeches– Prevent infection– Prevent platelet
agglutination– Psychological
support