Physical Therapy

Download Amputations and Prosthetics: A Case Study Approach by May PDF

By May

A case-based textual content, now with terminology in keeping with the APTA's advisor to actual Therapist perform, makes use of a holistic method of the administration of people with amputations. Concise but finished, it discusses worrying amputations, juvenile amputees, and the administration of people with peripheral vascular ailments. The second variation reports the most recent technological advances in prosthetic fabrication and gives info on appropriate web pages.

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Extra info for Amputations and Prosthetics: A Case Study Approach

Example text

Pain : Pain reported at the incision site is 4 on 0-10 scale. Mr. Pearl is afraid the bypass won't work. FUNCTIONAL ACTIVITIES: Mr. Pearl appears a little confused and is not a clear historian. let review indicates that he has nOt stood since surgery and cannot get from bed to chair by himself. He was able to turn from left side to back in bed. Mr. rapist to transfer in and Out of bed into the wheelchair and step-by-step cueing. He put minimal weight on his right leg, was hesitant to try to help himself, and was slow in follOWing directions.

Depth of wound can be measured with a sterile cotton-tipped applicator. 21 Sterile techniques should be used when measuring an ulcer. Although edema is more often associated with chronic venous insufficiency, clients with ASO may have edema related to local inflammation, associated venous disease, congestive heart disease, renal or kidney problems, or prolonged dependent position of a limb. Edema is easily documented by taking circumferential girth measurements at regular and documented intervals.

Palpation of the femoral, popliteal, posterior tibial, and dorsalis pedis pulses helps pinpoint areas of diminished circulation. Inadequate circulation may also lead to dependent rubor; the limb is elevated at about 60 degrees for I minute and then placed in a dependent position. If the limb turns red, it is a rebound from the period of hypoxia and indication of dysvascularity. A walking test may also be performed, noting how far a client can walk on a treadmill before developing intermittent claudication.

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