Prosthetics Exam 2: Postoperative and Preoperative Care Flashcards

1
Q

Examination in the acute care setting focuses on four priorities

  1. Initial healing of the ___ ___
  2. ___ management and ___ control of the residual limb
  3. Bed mobility and transfers
  4. Readiness for ____-___ ambulation
A

surgical site
pain volume
single limb

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2
Q

Why is it important to teach a patient to use their upper body and walker to do the work in early ambulation

A

Because they are at risk of losing their other limb, so as little impact on the sound limb as possible is best

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3
Q

Why is important to be aware of a patient’s cognitive status throughout the day

A

Because of the meds are going to be extremely strong and their mood can drastically change throughout the day

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4
Q

What are the 5 body systems that need to be checked during systems review

A
cardio vascular
cardiopulmonary
integumentary
musculoskeletal
neuromuscular
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5
Q

Adaptions of performing MMT post surgery can make data collecting, reliability, and validity (more/less) precise

A

less

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6
Q

True or False:

We must document modifications to testing procedures post op

A

true

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7
Q

Patients will experience high amounts of pain and have phantom limb sensation. If a patient reports these feelings, we need to document the ___, ____ and ___ of the pain as well as pain management strategies

A

nature, location, intensity

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8
Q

___-___% of patients feel phantom sensations after recent amputation

A

54-99

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9
Q

List the 6 types of phantom sensations that a patient may feel

A
numbness
tingling
tickling
pressure
itiching
mild muscle cramping
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10
Q

Do we want all phantom sensation to go away? Why or why not

A

no because it can help the pt control the prosthesis better.

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11
Q

When does phantom sensation become a safety problem

A

When a patient feels like their leg is there and goes to get up and walk and it isn’t there so they fall

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12
Q

___-___% of patients experience phantom pain

A

46-63

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13
Q

How can phantom pain be described as

A

shooting pain, severe cramping, distressing burning

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14
Q

Is there a way to treat phantom pain

A

not really

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15
Q

What are the two ways that limb length is measured

A
  1. actual length of the tibia or femur

2. Total length of residual limb including soft tissue

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16
Q

What are the bony landmarks for TT and TF length measurements

A

TT: medial joint line to end of bone/tissue
TF: greater trochanter to end of bone/tissue

17
Q

What types of blood color should be reported to the surgeon for further assessment

A

bright red arterial blood or darker venous blood

18
Q

There is a higher risk for infection along the incision. What are the signs of infection to look for

A

increased drainage, thickening, and discolored exudate

19
Q

True or false:

Circulation is only necessary to check in the residual limb

A

false, also check in sound limb bc it is vulnerable to be lost due to increased stress

20
Q

What are a few ways to assess circulation in both the residual limb and sound limb

A

skin temp and turgor
color at rest/position change
palpation of pedal/popliteal pulses
ABI

21
Q

Amputees are at high risk of developing contractures, what types of contractures are most likely to occur

A

hip and knee flexion

22
Q

what test is used to assess hip flexor length

A

thomas test

23
Q

TT amputees will need to have the (knee/hip) joint mobility and integrity assessed

A

knee

24
Q

How can we assess the integrity of the residual’s limb’s knee

A

varus/valgus stress test and lachmans

25
Q

We expect that an amputee with a short limb should (be able/not be able) to hold for a MMT, if they (can/cannot) this means that individual is really (weak/strong)

A

be able
cannot
weak

26
Q

When can active movement and MMT tests be taken

A

active movement and antigravity can be taken right away, but wait for surgical sites to heal before MMT. If it’s too early to assess MMT, assess the next most proximal joint

27
Q

What two muscle groups are super important to strengthen before and after surgery

A

hip extensors and abductors

28
Q

How can we assess aerobic capacity and endurance during PT

A

resting vitals
change in vitals with transfers and mobility training
RPE

29
Q

Most amputees are at risk for ___ ____, so know the signs!

A

myocardial infarction

30
Q

When we start to do early mobility training ____ ____ should be a main factor to consider

A

orthostatic hypotension

31
Q

A score of ___ on the mini mental state exam may indicate some sort of cognitive impairment. ______ may also interfere with the ability to learn

A

24; depression

32
Q

Cognitive impairments are only seen in ____ ____ ____ amputees

A

peripheral vascular disease

33
Q

which movements are usually harder than anticipated for amputees

A

bed mobility, supine to sit, and sit to stand

34
Q

____ health is important as ambulation with a prosthesis can be challenin

A

back

35
Q

assess pelvic alignment against (vertical/horizontal)

A

horizontal