amputee management Flashcards
for prosthetics, what are the examination concerns?
skin girth shape length ROM strength proprioception
What are some things to look for in skin examination?
heat redness pain open areas drainage
What are common skin problems?
folliculitis (staph) callous formation Epidermoid cyst verrucous hyperplasia contact dermatitis
What are the medicare functional classification levels?
K0 (no ambulation) K1 (household ambulation) K2(community ambulation) K3(leisure activities) K4(high level activity)
Factors affecting prognosis?
age level of amputation comorbidity smoking time since amputation condition of intact limb
What do you wear whenever prosthesis is not on for 1 year post surgery?
shrinkers
What may develop contractors in transferal amputation?
hip flexors and abductors
what may develop contractors for trans tibial?
hammys
What are muscles that need to be strong for prosthetics tt,tf,ue?
abds, extensors, quads, triceps and low trap
What are desensitization activities for?
phantom sensation/pain
what are some goals for D/c
ROM strength shape pain safety (think going to br)
interventions of balance and coordination?
1/2 kneeling reactive standing single limb stance wt. shift step up/over sit to stand
overall just some WB
considerations for pt education?
wear/keep socks clean keep socket clean skin check gradually increase wearing time shrinker when not wearing prosthetic
what has more increase in O2 tt or tf
tf..
