amputes

Question 1

what happens day 1 Post-Op

Answer 1

you should carry out an A to E assessment, teach them ACBT and other possible breathing exercises

Question 2

how may you want to assess balance

Answer 2

this can be done sitting on the edge of the bed, and performing dynamic and static balance testing

Question 3

what are some PIRPAG exercises (below knee amputation)

Answer 3

• static quads
• straight leg raises
• inner range quads
• hip adduction with resistance
• outer range quads
• static gluteal contractions
• hip flexor stretch
• bridging
• hip flexion and extension in side lying
• hip abduction in side lying
• knee flexion in prone lying

Question 4

what are some PIRPAG exercises (above knee amputation)

Answer 4

• static gluteal contractions
• hip flexor stretch
• hip hitching in supine
• bridging
• hip flexion and extension in side lying
• hip abduction in side lying
• hip extension in prone lying
• hip adduction with resistance

Question 5

what is a stump board on a wheel chair used for

Answer 5

a device that provides support for the remaining part of a leg after a lower limb amputation, replacing the standard footrest and offering a cushioned platform for the stump.

Question 6

what should be used to bridge the gap in transfers

Answer 6

a slide board or a pillow should be used

Question 7

why can’t amputees use a standing hoist

Answer 7

due to not having a solid base of support without both legs

Question 8

what is the general advice for day 2 Post-Op

Answer 8

• continue any resp care if needed
• continue any PIRPAG exercises
• practice transfers from bed to chair
• STS in parallel bars
• discuss car transfers

Question 9

why’s it important to mobilise the scar tissue on the residual limb

Answer 9

if not mobilised and looked after the scar can cause breakdown of the skin

Question 10

how should the scar on the residual limb be mobilised

Answer 10

this should be done using a moisturiser, and moving beside the scar in a circular motion; moving the skin

Question 11

what day post op should compression therapy commence

Answer 11

day 5 - non-vascular amputees
day 7 - diabetic amputees

Question 12

what is compression therapy

Answer 12

it is a sock that reduces oedema and promotes healing and help shape the residual limb in preparation for the prosthetic