Professional Documents
Culture Documents
Diketok Alias Dipotong
Diketok Alias Dipotong
dari kapan?
ada masalah? prothesa longgar?
brp kaos kaki u/ menyumpal?
TTV
O- Orientasi
R- Registrasi
MMSE - "ORAReLa"
A- Atensi
kognitif
Re- Recall
La- Language
fungsi visual
Penilaian lain
FRT DEFINITION the removal of a limb/ other appendage of the bodies
single leg stand, hopping -- kalo balance
peripheral vascular disease -- tersering pd usia > 50 thn
muda, kalo tua jangan
DM
talk test/ count test
trauma -- tersering pd dewasa muda
chest expansion test kardiovaskular ETIOLOGY
infection
PF thorax
tumor
koordinasi UE
limb deficiency -- congenital deformity
postur
lat ROM
gait
conditioning exc yg akan tersisa
Shape - conus / silindris
improve endurance (lat endurance -- hand ergocycle)
dog ear -- ada yg menggelantung Abnormality (eardog, flabby, lat transfer & gait dg 1 kaki
fish mouth appearance, neuroma) A. Pre-amputasi
flabby -- > 2cm dr ujung tulang hingga ke kulit chest tx, breathing exc
"SAWaLTI"
Warna - samakah dg yg sehat strengtening otot UE & LE
Look
Luka mobilitas UE
Trofi dukungan psikologis
Inflamasi sign
DIAGNOSIS breathing exc
Vascular - pulsasi a. poplitea/ femoralis/ avoid put pillow under knee
dorsalis pedis/ tibialis post; bandingkan dg sisi lain
Status Lokalis don't put pillow between thigh
Sensibility
don't put stump in hanging
Tenderness "VaSeTLeCi" pencegahan kontraktur position in wheelchair
Feel
BKA -- medial tibial plateau s/d kulit ask patient to sleep in prone
Length of stump position 10-15 minutes -- to prevent
AKA -- trochanter mayor hip flexion contracture
Circumference
wound care
ROM LE: hip ext, abd, add
MMT PEMERIKSAAN FISIK strengthening exc UE: scapula stabilizer, extensor
Move elbow, wrist extensor
proprioceptif - atas & bawah
mobilitas stump (adhesi) MANAGEMENT endurance exc -- bicycle, arm ergocycle
AMPUTATION ROM exc
Comfortable
B. Pasca amputasi os dg vascular disease: sering komplikasi bed bed mobility -- bridging, rolling, pushing
Alignment rest lama -- ulcus decubitus, pneumonia up using arm, sitting forward
"CASAWO"
Stability/ shape komponen massage
Appearance/ abnormal gait
tapping
saat duduk, berdiri, berjalan
Workmanship
friction rubbing
On/off, objective sound penanganan nyeri medikasi -- antidepresan
(CPZ, pregabalin)
cek suspensi
TENS
cek socket -- permukaan halus? Sebelum pakai
mirror tx
komponen lain: berfungsi baik?
casting pd paha & pylon -- tunggu luka baik, edema
longgar / loose ga? -- stump remain in socket tidak ada, bisa dipakai 3-6 bulan pasca op
alignmenet shank, hamstring tidak terasa terbakar edukasi: phantom sensation
Duduk
apakah duduk dg nyaman, tidak ada jaringan yg keluar dr soket control oedem of the stump -- 6-8 weeks bandaging
apakah dpt berdiri dr posisi duduk tanpa ada bunyi udara walking exc
partial toe
toe disarticulation
partial foot / ray resection
transmetatarsal amputation (TMA)
Lisfranc
Chopart
Symes's
Hip disarticulation
Hemipelvectomy
Hemicorporectomy
tidak oedem
tidak ada inflamasi
~3-6 bulan
tidak ada nyeri
Tanda stump matur
tidak ada nyeri tekan / tenderness
konsistensi otot kenyal