This material must not be used for commercial purposes, or in any hospital or medical facility. Failure to comply may result in legal action. Medically reviewed by Drugs. Last updated on Feb 3, Above the knee amputation is surgery to remove your leg above your knee cap. You may need an amputation because of an injury, a tumor, or an infection. Problems with your leg veins or arteries, or complications of diabetes may also cause you to need an amputation.
The part of your leg that is not removed is called a residual limb. You will be shown how to care for your residual limb. You can also work with specialists to have prosthetics made for you.
A prosthetic will help you return to your normal daily activities. You may continue to feel the part of your leg that has been amputated. These are called phantom feelings. These feelings are normal and may or may not be painful. During or after surgery, you may bleed more than expected. Blood may collect under your skin and form a lump called a hematoma. This may need to be drained to prevent infection.
It may be difficult for your wound to heal and you may get a wound infection. You may get a blood clot in your leg or arm.
This can cause pain and swelling, and it can stop blood from flowing where it needs to go in your body. The blood clot can break loose and travel to your lungs or brain. A blood clot in your lungs can cause chest pain and trouble breathing. A blood clot in your brain can cause a stroke. These problems can be life-threatening. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
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Among the services that may be offered at an adult day care center are nursing services e. See also bed rest. See also hazards of immobility. Cleansing protocols continue until the site is completely healed. Examples include assessment, performing procedures, teaching, and implementation of a care plan. See also dying. See also embolus. See also emergency. It is characterized by a great deal of flexibility and parental choice, and health care professionals are encouraged to individualize care.
Breast feeding and rooming in are encouraged and grandparent and sibling visits are permitted. Examples include charting and scheduling. Called also critical care. See labor. There is an emphasis on efficacy and timeliness of interventions to prevent unnecessary delays in discharge from the hospital or agency.
See also ostomy. See also pregnancy. See also prosthesis. It currently includes observation during periods of acute or unstable illness; administration of intravenous fluids, enteral feedings, and intravenous or intramuscular medications; short-term bowel and bladder retraining; and changing of sterile dressings.
Called also palliative care or treatment. See also ventriculostomy and drain. See also urinary incontinence.Colleague's E-mail is Invalid. Your message has been successfully sent to your colleague. Save my selection. Pullen, Richard L. EdD, RN. Richard L.
Pullen, Jr. A patient is scheduled for a below-the-knee amputation. What postoperative nursing care priorities should I prepare for? Amputation can relieve signs and symptoms, improve function, and maintain or improve the patient's quality of life. After surgery, the patient will have a soft dressing or a rigid dressing made of fiberglass or plaster.
Assess the surgical dressing for integrity and drainage. Elevate the stump for the first 24 to 48 hours. Move and turn the patient gently and slowly to prevent severe muscle spasms. Reposition the patient every 2 hours, turning the patient from side to side and prone, if possible. Lying prone helps reduce hip flexion contractures. Unwrap the stump dressing every 4 to 6 hours for the first 2 days postoperatively as prescribed and then at least once daily.
Assess the stump for signs and symptoms of infection and skin irritation or breakdown. Assess the color, temperature, and most proximal pulse on the stump before rewrapping it, comparing findings to the contralateral extremity. Before rewrapping the stump, provide periwound skin care as ordered, but avoid lotion.
Wrap the stump when it's elevated to prevent edema and vascular stasis. Follow your facility's policy for replacing the bandage, such as every 2 to 4 days or sooner if it becomes soiled. Help the patient perform range-of-motion and muscle-strengthening exercises.Residual Limb Care in Amputee Athletes - Prof Wayne Derman
Encourage the patient to push the residual limb into a soft pillow, then into a firmer pillow, and finally against a hard surface to prepare for prosthesis fitting and to reduce the incidence of phantom limb pain and sensation. Encourage the patient to eat a well-balanced diet.
Provide emotional support and patient teaching to help your patient deal with altered body image and lifestyle changes.This material must not be used for commercial purposes, or in any hospital or medical facility. Failure to comply may result in legal action.
Medically reviewed by Drugs. Last updated on Feb 3, Below the knee amputation is surgery to remove your leg below your knee cap. You may need an amputation because of an injury, a tumor, or an infection. Problems with your leg veins or arteries, or complications of diabetes may also cause you to need an amputation. The part of your leg that is not removed is called a residual limb.
You will be shown how to care for your residual limb. You can also work with specialists to have prosthetics made for you. A prosthetic will help you return to your normal daily activities. You may have a home health care nurse help you between your visits.
You may need to return to have your stitches removed. Write down your questions so you remember to ask them during your visits. A physical therapist will help you with exercises to improve your strength. You may be fitted with a prosthesis, which may need to be adjusted several times before it fits well.
Physical therapists will also help you learn to walk with the prosthesis and with crutches. Occupational therapists will help you adjust to daily activities at home and work. Wrap your limb to help form it into a firm cone shape so it will fit a prosthesis.
Keep the bandage on at all times except when you bathe. Rewrap the residual limb 2 to 3 times each day to keep the bandage smooth and tight. At first you will not pull the elastic bandage very tight. Healthcare providers will have you pull the bandage tighter as your wound heals and the stitches are removed. If your residual limb hurts or throbs, the bandage may be too tight. Unwrap your limb and start over. The following are directions for the figure of 8 method to wrap your residual limb:.
Wear a woolen residual limb sock when healthcare providers say you no longer need to wrap your residual limb. This keeps your residual limb clean and comfortable. Wash the woolen socks gently in cool water and soap to keep them from shrinking.
Dry the socks flat on a towel to prevent stretching. Replace the sock if it gets torn. The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments.He also has dementia. I don't think he's getting the best care, so I want to bring him home. He'll need hour care. How can we do this? A: It's important to think about how you came to the decision to put your husband in a nursing home in the first place. Are things that different now?
You may want to consider ways to improve the care where he is or look for another facility, before bringing him home for hour care. If you do bring him home, realize that hour care can be expensive and tricky to manage.
Also, you will need to be comfortable with a third person in the house all the time. It's possible to find good care. I prefer to go through an agency. That way you have someone supervising the situation, managing employees and making sure there is backup care.
Or you can go on the private market and use someone who is recommended. That works well, too. There is a whole realm of private care managers who can help coordinate and provide oversight. Caregiving questions and concerns? Wanna talk? Need advice? Get answers from the Caregiving Resource Center.
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Stimulation in an environment with other people is important for those with dementia. Q: How do I find resources to care for my father-in-law, who recently had a leg amputated? He is 72 years old and also has several medical conditions such as diabetes and high blood pressure. We plan to care for him at home after he's released from the facility. I'll need to find a hospital bed and learn how to care for his prosthetic leg.
A: Ask your physician, who should be connected with social workers to help you navigate these resources. To find home health agencies, go to your area council on aging, or consult with your discharge planning professional at the hospital or rehab agency. Q: How do I determine if my year-old mother, who has dementia, should be moved from her assisted-living facility to skilled nursing care? A: When you hear from staff that there is a problem, things are being missed or her needs aren't being met.
It could be behavioral — your mom is not getting along at the dinner table or others are having a hard time understanding her when she speaks. Or she may look thinner or not be taking her medicine. If she begins to wander in the neighborhood, it could be an issue of safety. Request a meeting with those in the assisted-living facility. Talk to the aides, nurses, a social worker or director on her floor. Also, whoever is treating her dementia — a geriatrician or a memory center treating her cognitive issues — should weigh in on your mother's condition to see if her health status has changed before making the move.
You are leaving AARP. Please return to AARP. Manage your email preferences and tell us which topics interest you so that we can prioritize the information you receive.In general, amputation of limbs is the result of trauma, peripheral vascular disease, tumors, and congenital disorders.
Upper extremity amputations are generally due to trauma from industrial accidents. Reattachment surgery may be possible for fingers, hands, and arms. Lower-extremity amputations are performed much more frequently than upper-extremity amputations. Five levels are currently used in lower-extremity amputation: foot and ankle, below the knee BKAknee disarticulation and above thighknee-hip disarticulation; and hemipelvectomy and translumbar amputation.
Here are four 4 nursing care plans and nursing diagnosis for amputation:. Impaired Physical Mobility : Limitation in independent, purposeful physical movement of the body or of one or more extremities. Since we started inNurseslabs has become one of the most trusted nursing sites helping thousands of aspiring nurses achieve their goals.
Our ultimate goal is to help address the nursing shortage by inspiring aspiring nurses that a career in nursing is an excellent choice, guiding students to become RNs, and for the working nurse — helping them achieve success in their careers. Sign in. Log into your account. Password recovery. Care Plans.
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Provides an opportunity to evaluate healing and note complications unless covered by immediate prosthesis. Wrapping stump controls edema and helps form stump into a conical shape to facilitate the fitting of the prosthesis. Prepare for reapplication of the cast. Assist with specified ROM exercises for both the affected and unaffected limbs beginning early in the postoperative stage.
Increases muscle strength to facilitate transfers and ambulation and promote mobility and more normal lifestyle. Instruct patient to lie in the prone position as tolerated at least twice a day with a pillow under the abdomen and lower-extremity stump. Strengthens extensor muscles and prevents flexion contracture of the hip, which can begin to develop within 24 hr of sustained malpositioning. Caution against keeping the pillow under a lower-extremity stump or allowing BKA limb to hang dependently over the side of bed or chair.
Use of pillows can cause permanent flexion contracture of the hip; a dependent position of stump impairs venous return and may increase edema formation.Good diabetes management and regular foot care help prevent severe foot sores that are difficult to treat and may require amputation. Diabetes complications can include nerve damage and poor blood circulation. These problems make the feet vulnerable to skin sores ulcers that can worsen quickly.
The good news is that proper diabetes management and careful foot care can help prevent foot ulcers. In fact, better diabetes care is probably why the rates of lower limb amputations have gone down by more than 50 percent in the past 20 years.
When foot ulcers do develop, it's important to get prompt care. More than 80 percent of amputations begin with foot ulcers.
A nonhealing ulcer that causes severe damage to tissues and bone may require surgical removal amputation of a toe, foot or part of a leg. Some people with diabetes are more at risk than others. Factors that lead to an increased risk of an amputation include:.
Here's what you need to know to keep your feet healthy, the signs you need to see a doctor and what happens if amputation is necessary.
The best strategy for preventing complications of diabetes — including foot ulcers — is proper diabetes management with a healthy diet, regular exercise, blood sugar monitoring and adherence to a prescribed medication regimen. Proper foot care will help prevent problems with your feet and ensure prompt medical care when problems occur. Tips for proper foot care include the following:. Wash your feet daily. Wash your feet in lukewarm not hot water once a day. Dry them gently, especially between the toes.
Use a pumice stone to gently rub the skin where calluses easily form. Sprinkle talcum powder or cornstarch between your toes to keep the skin dry. Use a moisturizing cream or lotion on the tops and bottoms of your feet to keep the skin soft.
Preventing cracks in dry skin helps keep bacteria from getting in. Buy shoes that fit properly. Buy comfortable shoes that provide support and cushioning for the heel, arch and ball of the foot.
Avoid tightfitting shoes and high heels or narrow shoes that crowd your toes. If one foot is bigger than the other, buy shoes in the larger size.
Your doctor may recommend specially designed shoes orthopedic shoes that fit the exact shape of your feet, cushion your feet and evenly distribute weight on your feet. Your doctor will inspect your foot to make a diagnosis and prescribe the appropriate course of treatment.
Treatments for foot ulcers vary depending on the severity of the wound. In general, the treatment employs methods to remove dead tissue or debris, keep the wound clean, and promote healing.