LE amputation care Flashcards
what are non-traumic causes of amputation
Vascular disease
DM
Cancer
infection
if you have had one amp do you often get second one
yes
up to 55% will require a 2nd amp within 2-3 years
how long is the acute post op phase
4-20 days
how long is the pre-pro stage
30+ or until the limb is healed
where do you go for the pre-pro phase
IPR, SNF, Home
where do you go for the pro phase
IPR, SNF, HH, OP
how long is the average IPR stay during the pro stage
2 weeks in IPR
how long is the average out pt stay during the pro stage
3 months or more
what are the goals of pt in the pre pro stage
incision healing
shape of the residual limb
max ROM , strength, prevent contracture
home HEP
manage pain
progression functional mobility
what is the goal of pt in the pro stage
incision healing
shape of the residual limb
max ROM , strength, prevent contracture
home HEP
manage pain
progress functional mobility
how do we accomplish limb shaping
compression ace wrap - early
rigid or semi rigid dressings
shrinkers
do you use a shrinker if the incision is still healing
no
what are the goals for limb shaping
decrease the edema to prevent dehisence
prepare for socket
will phantom pain go away with time
yes
positioning in bed - what positions to avoid
help flex/abd position in bed
knee flex
what to do if you want to elevate the leg
use pillows under the entire leg/ distal leg
do not use the folding feature on bed
what to do in wheel care with new amp
amp leg limb support
leg rest for the pro
how much hip ext do you need for a normal gait
20-deg
how much knee flex and ext do you need for gait
0-60
how much knee flex and ext do you need for stairs
0-100
prone lying reccomendations
30 min
BID
Open chain HEP
SLR, side lying hip abd, prone hip ext, prone knee flex, sidelying hip add
closed chain HEP
planks on bolster
side plank on bolster
bridges on bolster or physioball
prone terminal knee ext
what HEP should we give to the contralateral limb
PF
knee ext
hip flexors
hip abd
amp who fall less have strong BLANK on the contralateral limb
PF and hip extensors
trans tib amp experience more force where on the amp leg
knee ext
Hip ER, abd, add
what factors play into when someone is ready for the pro
wound healing
limb shape
ROM and strength
cleared by the surgeon
what in general are good outcome for pro users
younger
more distal
unilateral
KO simple
no pro potential
K1 simple
household amb
K2 simple
limited community
K3 simple
community
K4 simple
child, athlete, active adult
