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Amputee Mind Map 2 - Coggle Diagram

- - - - Stump Shrinker
        
        Stable constant volume
        
        Applied once sutures removed
        
        Graduated increase in time worn (20min --> 24hr)
      - Gel Liner
        
        Firm, graduated pressure
        
        Select populations
        
        CAN'T use in ppl who have open wound. Sweat = skin maceration
      - Stump Bandaging
        
        Pressure distal>proximal
        
        Populations (dog ear stump, traumatic population)
        
        Risk: shear pressure, circulation problems, wound breakdown
      - PRECAUTIONS & CONTRAINDICATIONS
        
        severe stump wound pain
        
        necrotic tissue
        
        compromised circulation
  - - - Considerations
        
        Environmental & Personal
        
        Age
        
        Co-morbidities
        
        Psychological adjustment
        
        Motivation and perseverance
        
        Funding
        
        Body Structure & Function
        
        Amputation Level
        
        Stump condition, contractures
        
        Cognition
        
        Weight
        
        Fitness
        
        Motivation & confidence
        
        Balance & strength
        
        Activities & Participation
        
        Pre-hab mobility
        
        W/C use and T/F's
        
        AMPAT score
- - - - Observation ++ of gait deviations for trans-tibial and trans-femoral in frontal & saggital planes
      - Traumatic amputees walk slower, dsyvascular amputees walk slower again (loss: proprioception, eccentric control, increased metabolic cost)
      - Abnormalities can be due to
        
        Patient cause
        
        Prosthetic cause