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Amputees - Coggle Diagram
Amputees
Wound Management
Length and Shape (how this might impact walking/transferring)
Stump condition
Oedema
Pain
Sensation/Sensitivity
Protect stump at all costs!
Long Term Rehabilitation
Transfers
Bed Mobility
Sitting Balance
Standing Balance
Integrity of remaining limb (consideration)
Mobility Aids
Emotional Support 'Red Hat'
Grief and Loss
Support groups
Social Work/Psychology Input
Medication Side Effects
Amputation Surgery 'White Hat'
Upper Limb
Trauma (30%
Congenital (42%)
Lower limb
Primarily unilateral transtibial
Vascular cause (80%)
Traumatic (5-10%)
Chronic infection (5%)
Primarily male (65%)
Goal Setting
Can start in hospital!
Short and Long Term
Think big! but keep goals focused!
Prosthesis
Stump Condition/Shape important!
Causing irritation (wound)
Poor prosthesis fit 'Black Hat'
Shrinkers
Gel Liners
Bandages
Always monitor these closely!
Aiming for firm but safe fit, there are risks so be cautious!
Don't walk on a necrotic wound/oozing etc (no pressure)
Wheelchair stump support
Specific prosthetic mechanisms depending on amputation and interim/definitive prosthesis
Factors impacting prosthetic candidacy
Cognition
Reason for amputation
V02 Max - good predictor
K Scores (mobility predictor score)
Hospital Management and Care (Blue Hat)
Physiotherapy
Thorough subjective assessment
Medical Hx
Social Hx
Emotional/Psychological wellbeing
Objective assessment of physical function
Joint ROM
Strength
Balance
Mobility
Acute Care
Resp Ax
Mobilise!
Stump and Pain Management
Education
ROM Maintennance
Mobility progression
Discharge planning
Falling is common - avoid!