Lower extremity amputee Flashcards
what are the most common incidents of lower extremity amputation?
Geriatric client, peripheral vascular disease, cardiovascular disease,
vascular limb loss - 54%
trauma 45%
Cancer - 2%
Why is peripheral vasclar disease an issue for lower limb amputation
diabetes can lead to PVD, poor circulation and lack of sensation and the slow healing could lead to infectin that results in amputation
what behavioral health issue can limb loss lead to
depression
36% experience depression
with lower limb loss what are the areas of life that are affected
QOL, mobility, satisfaction (do they feel like they have options?), reduction in overall, health care costs
name the parts of the prosthetic
gel liner, sock, socket, pylon, knee, foot
how to prepare patient for skin to be ready for prosthetic
teach them moments throughout the day to do skin checks.
Edema management
working on acceptance and tolerance of being able to look, feel, touch and manage.
OT role with patient education with lower leg amputation
skin inspection
sweat
swelling
Partial foot amputations
Phalangeal - toes
Transmetatarsal
Chopart - midtarsal joint amputation
Symes - ankle disarticulation
Most common lower limb amputation
below knee amputation (BKA) - transtibial
above knee amputation AKA spots
Poorer prognosis for prosthetic use
Hemipelvectomy
Hip disarticulation - removal of femur at ball and socket joint.
Short AK - patient who has femur removed. higher up. not much residual limb
Standard AK
occupational therapy in below limb amputation
BADL’s
IADL’s
Transfers - Tub, Toilet, Chair, Bed, Car
bed mobility
edurance building
standing balance
education
family training
equipment - ADL, DME
diabetic foot care
foot inspection
hygiene
suitable footwear
pre-prosthetic training
reduce pain, foster healing, prevent contractures / optimize positioning, prevent skin ulcers, stump shaping & wrapping, edurance building, ADL’s (seated), ambulation (crutch or walker)
post-prosthetic training
balance, mobility, endurance, strength, standing tolerance, ADLs in standing and walking, community level functioning.