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Amputee Management - Pre Module - Coggle Diagram
Amputee Management - Pre Module
Stump shaping
Rigid removal dressings
Compression socks i.e. Juzo
Shape types
Bandaging
Acute post surgical Mx
Infection monitoring
Non healing wound/ Dehiscence
Drains
Transfers & mobility
No hopping for Vascular Amputees
slideboard transfers - upper body strength++
stand pivot on intact limb?
risk of falls
Objective Ax
Respiratory Ax
Observations (BP, SpO2, HR)
ROM, MMT, sensation
Pain & Pain management
Post amputation rehab
Prosthesis prescription if appropriate & gait retraining
Equipment prescription
Wheelchair, mobility aids, ADL equipment
Cognition
Ability to Mx prosthesis, transfers, mobility, skin & wound self care
Onward referral post rehab
NDIS, TCP, NGO, Home care package/ CHSP
Exercises
Inpatient vs Outpatient Amputee clinic
Early rehab - Inpatient Rehab Unit
Return for gait retraining, prosthesis fitting - Outpatient
Carer training
Multidisciplinary team involvement
Psychology
Dietician/ Diabetes Educator
Occupational Therapist
Physiotherapist
Orthotist for prosthesis
Social Worker
Nursing
Indications for amputation
Vascular
Diabetes
Peripheral vascular disease/ Vasculitis
Traumatic
Motor vehicle accident
Workplace or other accident
Body area
Upper limb/ Lower limb
Level of amputation - below knee, above knee, below elbow, above elbow
Pre-Amputation Ax (if possible)
Subjective Ax - Social Hx, PMHx, Functional Hx, PLOF, equipment, living environment, pain, balance, exercise, goals, desire for a prosthesis, cognition
Objective Ax - ROM, balance Ax, skin condition of non-surgical limb, strength