Prosthetics Exam 2: Postoperative and Preoperative Care Flashcards
Examination in the acute care setting focuses on four priorities
- Initial healing of the ___ ___
- ___ management and ___ control of the residual limb
- Bed mobility and transfers
- Readiness for ____-___ ambulation
surgical site
pain volume
single limb
Why is it important to teach a patient to use their upper body and walker to do the work in early ambulation
Because they are at risk of losing their other limb, so as little impact on the sound limb as possible is best
Why is important to be aware of a patient’s cognitive status throughout the day
Because of the meds are going to be extremely strong and their mood can drastically change throughout the day
What are the 5 body systems that need to be checked during systems review
cardio vascular cardiopulmonary integumentary musculoskeletal neuromuscular
Adaptions of performing MMT post surgery can make data collecting, reliability, and validity (more/less) precise
less
True or False:
We must document modifications to testing procedures post op
true
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
nature, location, intensity
___-___% of patients feel phantom sensations after recent amputation
54-99
List the 6 types of phantom sensations that a patient may feel
numbness tingling tickling pressure itiching mild muscle cramping
Do we want all phantom sensation to go away? Why or why not
no because it can help the pt control the prosthesis better.
When does phantom sensation become a safety problem
When a patient feels like their leg is there and goes to get up and walk and it isn’t there so they fall
___-___% of patients experience phantom pain
46-63
How can phantom pain be described as
shooting pain, severe cramping, distressing burning
Is there a way to treat phantom pain
not really
What are the two ways that limb length is measured
- actual length of the tibia or femur
2. Total length of residual limb including soft tissue