post surgical management Flashcards
what are the post surgical goals
control edema/prepare residual limb for pro
prevent contractures
enhance the control of the res-limb
determine the best method for functional mobility
what contracture do we see with tib
knee ext contracture
what contracture do we see with femoral
hip flexion contracture
post op dressing - rigid advantages
decreases edema
can attach to a temp foot or pylon
reduces length of time needed to shrink the limb
post op dressing - rigid disadvantages
can compromise wound healing
cannot see the wound
heavy
hard to sit with sometimes
post op dressing - semi-rigid types
unna paste -
air limb - similar to air cast
post op dressing - soft advantages
elastic bandage
easy, inexpensive, available
post op dressing - soft disadvantages
elastic bandage
less effective at controlling edema
require freq rewrapping
what are shrinkers
pull on elastic stocking used to control edema and shape the limb
do not disturb the stables or sutures
when dressing a post op limb - what shape
cylindrical
when dressing a post op limb - pressure
more distal pressure then proximal
when dressing a post op limb - securing it
use tape over metal tips
when dressing a post op limb - tran femoral where should the banage be anchored
the hip
where does an add roll form
form high on the inner thigh above the socket line
what does Myodesis mean
If the muscle groups themselves are attached directly and securely to the periosteum or the bone
do many people have IPOP
no it is rare
most patient are not walking on post op day 1
is post op res-limb pain prevalent
yes - help with meds and controlling edema
what is phantom sensation
feeling that the limb is still present
including touch, temp, itchiness
what is phantom pain
60-85% of pt experience pain in the missing portion of the amp limb
when does phantom pain normally set in
one week after post op
how is the phantom pain described
sharp
throbbing
burning
normally around a 5/10
what is important to ID with phantom pain
what is phantom pain and what is res-limb pain
what contractures are prevalent
knee flex, hip flexion, hip abd
what should be avoid in positioning following post op amb
use of pillows under the knee or hip - we want to maintain full flex and ext
what kind of laying is promoted
prone lying if the pt can assume this position
