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REHABILITATION YARA HABIBALLAH

MAHA IGBARIA

AFTER AMPUTATION EDEN AIASHY


GROUP 1449
?WHAT IS AMPUTATION
Amputation is an acquired condition that results in the loss of a limb, usually from
injury, disease, or surgery. Congenital (present at birth) limb deficiency occurs when
an infant is born without part or all of a limb. In the United States, 82 percent of
amputations are due to vascular disease, 22 percent to trauma, 4 percent are
congenital, and 4 percent are due to tumors. About 1.2 million individuals in the U.S.
.are living with an amputation, with 185,000 performed each year
?WHAT CAUSES AMPUTATION
Diseases: Such as blood vessel disease (called peripheral vascular disease or PVD),
.diabetes, blood clots, or osteomyelitis (an infection in the bones)

Injuries: Especially of the arms. 75 percent of upper extremity amputations are


.related to trauma

Surgery: To remove tumors from bones and muscles


Loss of a limb produces a permanent disability that can impact a
patient's self-image, self-care, and mobility (movement).
Rehabilitation of the patient with an amputation begins after
surgery during the acute treatment phase. As the patient's condition
.improves, a more extensive rehabilitation program is often started
THE SUCCESS OF
REHABILITATION DEPENDS
ON MANY VARIABLES,
:INCLUDING THE FOLLOWING
Level and type of amputation*
Type and degree of any resulting impairments and disabilities*
Overall health of the patient*
Family support*
It is important to focus on maximizing the patient's capabilities at home and in the
community. Positive reinforcement helps recovery by improving self-esteem and
promoting independence. The rehabilitation program is designed to meet the needs
of the individual patient. Active involvement of the patient and family is vital to the
.success of the program
The goal of rehabilitation after an amputation is to help the patient return to the
highest level of function and independence possible, while improving the overall
quality of life—physically, emotionally, and socially
IN ORDER TO HELP REACH THESE GOALS,
AMPUTATION REHABILITATION PROGRAMS
:MAY INCLUDE THE FOLLOWING
Treatments to help improve wound healing and stump care*
Activities to help improve motor skills, restore activities of daily living (ADLs), and help the patient *
reach maximum independence
Exercises that promote muscle strength, endurance, and control*
Fitting and use of artificial limbs (prostheses)*
Pain management for both post-operative and phantom pain (a sensation of pain that occurs below *
the level of the amputation)
Emotional support to help during the grieving period and with readjustment to a new body image *
Use of assistive devices*
Nutritional counseling to promote healing and health*
Vocational counseling*
Adapting the home environment for ease of function, safety, accessibility, and mobility *
Patient and family education
REHABILITATION TEAM

Rehabilitation programs for patients with amputations can be conducted on an inpatient or


outpatient basis. Many skilled professionals are part of the amputation rehabilitation team,
:including any of the following
Orthopaedists/orthopaedic surgeons
Physiatrist
Internist
Rehabilitation nurse
Physical therapist
Occupational therapist
Social worker
Psychologist/psychiatrist
Recreational therapist
Case manager
Chaplain
Vocational counselor
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