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Module 7: Amputees (pre-mind map) - Coggle Diagram
Module 7: Amputees (pre-mind map)
Opportunities/Benefits
One area I will look to up-skill in coming years is to have more experience is the adaption of RRD with sub-optimal shaped residual limbs.
Clinical Placement! Being able to work with an experienced Specialist Physician and Prosthetist in a clinical environment will expand my knowledge for this part of the amputees journey- allowing me to translate these skills to my clinical practice in the acute and rehab setting
Facts
Rates slowly reducing due to improved limb-salvaging procedures in vascular population
Within NSW the Amputees Standards of care document outlines the recommended management from pre-op to community/ambulatory care phases. Based on best practice guidelines.
Essential to have consideration for emotional/spiritual/mental health needs; even so when engaging with the Indigenous population
Overview
Majority are lower limb, due to vascular issues
Require MDT input from pre-operative phase if possible
Consideration of IFC framework is imperative to goal setting/ early consideration of prosthetic candidacy
Difficulties
The vast majority of amputees (both acute and rehab) are vascular- nil traumatic within our district. Despite this, one of the gaps in the acute phase is the pre-operative MDT assessment; reasons for this are multifactorial (staffing/caseloads, lack of early notification from Surgical teams for planned procedures etc.) despite it being identified as best practice from the NSW Health Guidelines
At times inconsistent orders for the sub-acute phase in RRD application management. However, usually the acute phase remains fairly consistent with bi-valve application (pending wound condition).
Statistically the majority of the amputations in our health district are digits/forefoot. Low number of other amputations to create consistency of skill development
Feelings
An area that I have been interested in clinically- excited to learn more background knowledge from a clinician with more experience.
Lack knowledge around the process of achieving a prosthetic- in our district this is heavily driven by the Medical Officers, with nil MDT input.
Very excited to attend amputee/prosthetic clinic for clinical placement!
Creativity
Utilise my case study to thoroughly reflect on my current experience and practice, and how this may be modified based on new knowledge from this module and clinical placement