What are the common causes of amputations?
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Common causes of amputations include:
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What are the common causes of amputations?
Common causes of amputations include:
What nursing diagnoses are relevant for patients with amputations?
Relevant nursing diagnoses for patients with amputations include:
What nursing interventions are important for patients with amputations?
Important nursing interventions for patients with amputations include:
What are the primary medical causes of amputation?
The primary medical causes of amputation include:
These conditions usually lead to amputations of the lower extremity, accounting for 74% of all amputations.
What types of trauma can lead to amputation and what percentage do they account for?
Types of trauma that can lead to amputation include:
These traumatic amputations often affect the upper extremities and account for 23% of all amputations.
What are congenital anomalies and how do they relate to amputation?
Congenital anomalies refer to conditions present at birth that can lead to amputation. These can affect either upper or lower extremities and account for 3% of all amputations.
What is the estimated number of amputees in the US by 2050?
By 2050, there will be an estimated 3.6 million amputees in the US.
What is the peak age range for amputations?
The peak age for amputations is between 41 and 70 years old.
What is the major cause of amputations in the US?
The major cause of amputations is poor circulation, particularly due to peripheral vascular disease (PVD) associated with diabetes mellitus (DM).
What percentage of amputations occur in individuals with diabetes?
Over 50% of amputations occur in individuals with diabetes.
What is the most common type of amputation?
The most common type of amputation is lower extremity amputations.
What percentage of lower extremity amputations are due to vascular disease?
Over 80% of lower extremity amputations are due to vascular disease.
How can a patient with body image disturbances be identified?
A patient with body image disturbances will often avoid looking at the amputated area.
What are the two types of amputations discussed?
The two types of amputations discussed are Above the Knee (AKA) and Below the Knee (BKA).
What is the ideal shape of a stump for successful prosthesis fitting?
The ideal shape of a stump for successful prosthesis fitting is cone-shaped. If the stump does not have this shape, the patient may not be able to wear a prosthesis.
What factors can affect the shape of the stump after an amputation?
Factors that can affect the shape of the stump include:
What are some complications associated with amputations?
Complications associated with amputations include:
What percentage of new amputees experience phantom limb pain?
60-70% of new amputees experience phantom limb pain.
What is the best intervention for managing phantom limb pain?
The best intervention for phantom limb pain is to have the patient put on the prosthesis, which helps with pain relief.
What are some potential causes of residual limb pain?
Potential causes of residual limb pain include:
What nursing intervention can help desensitize the stump?
Nurses can teach patients to rub, tap, or strike the stump to help desensitize it.
How does phantom limb pain change over time?
Phantom limb pain decreases in severity over time but may flare up at various times due to factors like certain foods or swelling/use.
Is phantom limb pain more prevalent in traumatic amputations or PVD?
Phantom limb pain is more prevalent in those with traumatic amputations than in those with peripheral vascular disease (PVD).
What is the recommended shape for a residual limb to encourage proper fitting of a prosthesis?
The recommended shape for a residual limb is a conical shape. This shape helps in reducing the risk of late phantom limb pain and is essential for the successful fitting of a prosthesis.
What are the key objectives for stump conditioning?
The key objectives for stump conditioning include:
Why is it important to avoid using clips on ace wraps when wrapping a stump?
Avoiding clips on ace wraps is important because it helps in achieving a better conical shape and reduces the risk of complications such as contractures and phantom limb pain.
What position should a patient be in to prevent contractures after a below-the-knee amputation?
A patient should lie on their stomach with their legs extended straight and no pillows underneath the stump to prevent the knee from dropping and creating a contracture.
What mindset is important for a patient to successfully wear a prosthesis?
A strong and dedicated mindset is crucial for a patient to successfully wear a prosthesis. Body image disturbance can hinder their willingness to engage with the prosthetic, even if the stump is well-shaped.
What are the key criteria for evaluating a client's suitability for prosthetic use?
Client Motivation: The client must be motivated to learn and possess self-care skills.
Family Support: The client and/or family should be capable of learning and have the necessary skills for self-care.
Absence of Contractures: There should be no hip or knee contractures present.
Medical Conditions: Other medical issues (e.g., respiratory, cardiac, stroke, or visual problems) should not hinder the use of the prosthetic limb.
Mindset: A negative mindset can interfere with the use of the prosthetic limb, along with physical limitations.
Positioning: The patient should lie on their stomach for 30 minutes to keep the knees straight.
What exercises are recommended for patients to strengthen and improve endurance after amputation?
What daily assessment should a patient with a prosthetic limb perform on their stump?
Patients should assess their stump every day for any skin breakdown using a mirror. Any minor cuts or skin limitations must heal before wearing a prosthesis.
What pain management strategies should be employed for patients with below the knee amputation experiencing foot pain?
For patients with below the knee amputation complaining of foot pain, the nurse can:
What types of emotional support should be provided to patients after amputation?
Patients may experience an altered body image; therefore, it is crucial to provide emotional support and encouragement throughout their recovery process.
What adaptations can be made to assist patients in performing activities of daily living (ADLs) after amputation?
What community reintegration strategies should be considered for patients post-amputation?
What is the purpose of residual limb wrapping or the use of a shrinker?
The purpose of residual limb wrapping or using a shrinker is to reduce swelling, shape the limb for prosthetic fitting, and promote healing. Proper wrapping techniques help in maintaining the residual limb's shape and preventing complications such as contractures.
What are the steps for proper care of a prosthesis?
What is the purpose of using linear or special socks with a prosthesis?
Linear or special socks are used to provide cushioning, improve comfort, and help with the fit of the prosthesis. They also assist in moisture management and can help prevent skin irritation or breakdown.
What are the key steps in properly donning and doffing a prosthesis?
Donning a Prosthesis:
Doffing a Prosthesis:
What are the goals of total joint replacement?
The goals of total joint replacement include:
What are the indications for total joint replacement?
Indications for total joint replacement typically include:
What care-planning needs should be considered after total joint replacement?
Care-planning needs after total joint replacement include:
What hip precautions should be described after joint replacement?
Hip precautions after joint replacement typically include:
What are the primary goals of total joint replacement?
The primary goals of total joint replacement are to decrease pain and to increase or restore function, which typically requires surgical intervention.
What is the most common form of arthritis that may lead to joint replacement?
The most common form of arthritis that may lead to joint replacement is Osteoarthritis. It affects 15.9% of adults aged 25 and older and 39.6% of adults aged 65 and older.
What are some contributing factors to the need for joint replacement?
Contributing factors to the need for joint replacement include age, genetics, gender, previous injuries, muscle weakness, and obesity.
What assessments should nurses perform for patients considering joint replacement?
Nurses should perform assessments to check for nerve damage, with one indication being numbness in the affected area.
What are some non-surgical interventions to consider before knee replacement?
Non-surgical interventions to consider before knee replacement include:
These are typically explored before considering surgery as a last resort.
What are the typical symptoms of osteoarthritis?
Typical symptoms of osteoarthritis include:
What findings are typically observed in X-rays of osteoarthritis patients?
X-rays of patients with osteoarthritis typically show:
How does rheumatoid arthritis differ from osteoarthritis in terms of its nature?
Feature | Rheumatoid Arthritis (RA) | Osteoarthritis (OA) |
---|---|---|
Nature | Autoimmune, inflammatory disease | Degenerative joint disease |
Cause | Immune system attacks healthy cells | Wear and tear of joint cartilage |
Inflammation | Prominent | Less prominent |
What demographic is more affected by both osteoarthritis and rheumatoid arthritis?
Both osteoarthritis and rheumatoid arthritis affect women more than men, with a ratio of approximately 3:5 for osteoarthritis.
What are the effects of rheumatoid arthritis on finger joints?
In rheumatoid arthritis, the finger joints can become deformed, leading to changes in their shape.
What is avascular necrosis and what causes it?
Avascular necrosis is the death of bone tissue due to ischemia or loss of blood supply. It can occur due to major trauma, such as hip fractures or dislocations, or through other means including intraluminal obliteration, increased marrow pressure, or cytotoxicity.
What imaging techniques are important for assessing avascular necrosis?
X-rays and MRIs are important for assessing the status of the bone in cases of avascular necrosis. They help visualize the necrosis that first forms in the yellow bone marrow.
Why is understanding the types of prosthesis important in rehabilitation care?
Understanding the types of prosthesis and fixative is crucial for rehabilitation care as it helps healthcare professionals determine and estimate precautions related to healing and the efficacy of the materials used, such as whether a hip prosthetic is cemented or non-cemented, which can influence weight-bearing status.
What are the hip precautions that should be followed after hip arthroplasty?
What can happen if weight-bearing precautions are not followed after hip arthroplasty?
Failure to follow weight-bearing precautions can result in:
What position should be maintained to prevent complications after hip arthroplasty?
To prevent complications, the patient should maintain abduction and avoid adduction. This means:
What are the four essential tasks that nurses must perform post-operatively?
What are some common complications after joint replacement surgery?
What are the recommended hip precautions after arthroplasty?
Do:
Don't:
What are the precautions to prevent hip dislocation after a total hip replacement?
What are the signs and symptoms of wound infection after joint replacement surgery?
What are the implications for air travel for a person with joint replacement?
Patients with joint replacements will go home with anticoagulants to decrease the risk of thrombus formation (blood clots).
What should a home health nurse assess for when a patient is going home with crutches after knee replacement?
The nurse should assess for scatter rugs in the house to prevent falls.