limb loss

amputation

the surgical removal of a limb at the level of the limb or through the joint

transfemoral

an example of an amputation at the level of the limb

knee disarticulation

an example of an amputation at the level of the joint

major

a ___ amputation is the removal of a limb at or above the ankle or wrist

minor

a ___ amputation is the removal of a limb distal to the ankle or wrist

true

this image shows a major UE unilateral right transhumeral amputation

t or f

false

this image shows a major UE unilateral right elbow articulation amputation

t or f

lower extremity

majority of new limb loss is at the ____

dysvascular related complications

LE limb loss is often due to

upper extremity

amputations at the ___ is less common

traumatic accidents

UE amputation is due to ___ primarily

diabetes mellitus

common cause of dysvacular conditions causing amputation from the inability to maintain blood glucose homeostasis leading to peripheral neuropathy and dec awareness of trauma to the LE

peripheral vascular disease

common cause of dysvascular conditions causing atherosclerotic narrowing and occlusion of arteries supplying O2 rich blood to extremities leading to dec BF to tissues, poor perfusion and dec healing and critical ischemia

true

traumatic accidents often lead to minor amputations

t or f

false

traumatic accidents often lead to major amputations

t or f

pre amputation

part of amputation care where it is discussed if the amputation is a planned or emergency, and asking about the pt’s previous functioning levels prior to the surgery

acute care

part of amputation care where it involves medical stabilization and education about safety with mobility by using the UE and gait aids for fall preventions

true

people in the acute stage of amputation care is the highest risks of falls

t or f

false

people in the pre prosthetic stage of amputation care is the highest risks of falls

t or f

phantom limb sensation

pain and sensation in the absent limb post amputation but tends to improve over time

neuromas

pain from bundles of neurons in the residual limbs leading to irritation and feelingsof shocks

pre prosthetic rehabilitation

part of amputation care where strengthening and mobility work is involved especially for the UE in prep for a prosthetic

true

pre prosthetic rehab often sees high amount of contractures in the residual limb

t or f

false

acute care post amputation often sees high amount of contractures in the residual limb

t or f

true

when walking the pt should not be hopping

t or f

prosthetic device rehab and gait re training

part of amputation care where it involves inpatient care of 3-6 weeks for fitting trial runs and adjustment periods for casting, learning of to wear and practicing

true

the order of donning a prothesis includes:
donning a sleeve on limb made of silicone

placing a sock on

inserting limb into prosthesis

roll up suspension sleeve

checking sleeve fit

t or f

false

the order of donning a prothesis includes:

placing a sock on
donning a sleeve on limb made of silicone

inserting limb into prosthesis

roll up suspension sleeve

checking sleeve fit

t or f

true

those w a more major amputation may have to stay in the inpatient rehab longer than more minor amputations

t or f

false

those w an UE amputation may have to stay in the inpatient rehab longer than more minor amputations

t or f

true

those with contractures are still able to be fitted for a prosthesis by angling the fit to the joint able but should still work to decrease it

t or f

false

those with contractures are are not able to be fitted for a prosthesis and can only wear one when the contracture is gone

t or f

skin

a important component to consider such as healing, sensation, incision marks, hygiene, the other limb/foot and loading tolerances

prosthetic devices costs

preparator prosthetic devices, definitive devices, interface products and sock and sleeves are included in considerations and can range from 80,000-120,000

funding sources

examples of this to help pay include the assistive device program, ODSP, WSIB, out of pocket

community reintegration and follow up

apart of amputation care which involves taking the skills learned and applying it to home activities, learning to return to work and rec activities and follow ups