AMPUTATION

TYPES OF AMPUTATION

CLOSED / FLAP AMPUTATION

 TYPES OF AMPUTATION

OPEN AMPUTATION( GUILLOTINE)

PRINCIPLE OF CLOSE AMPUTATION
PRINCIPLE OF CLOSE AMPUTATION
PRINCIPLE OF CLOSE AMPUTATION
PRINCIPLE OF OPEN AMPUTATION
PRINCIPLE OF OPEN AMPUTATION
COMPLICATION OF AMPUTATION
COMPLICATION OF AMPUTATION
COMPLICATION OF AMPUTATION
COMPLICATION OF AMPUTATION
COMPLICATION OF AMPUTATION
 COMPLICATION OF AMPUTATION

Hyperesthesia
Malfunctioning of your sense of touch, making
sensations more intense than expected. It doesn’t
necessarily involve pain, but the sensations can become
overwhelming or distracting.
REASON FOR AMPUTATION
REASON FOR AMPUTATION
REASON FOR AMPUTATION
 NURSING INTERVENTION
PREOPERATIVE
Establish open and honest communication
Offer support and encouragement and accept patient’s
response of anger/grief
Discuss treatment during the postop period:
 Rehabilitation program and use of prosthesis
 Upper extremity exercise such as push ups in the bed
 Crutch walking
 Amputation dressing/cast
 Phantom lib sensation as a normal occurrence
 NURSING INTERVENTION
POST OPERATIVE
Observe stump dressing for sign of hemorrhage and mark outside of
dressing so , rate of bleeding can be assessed ( have tourniquet at
bed side).
Prevent edema
 Raise extremity with pillow support for first 24 hours.
Prevent hip/knee contractures
 Avoid letting patient sit in chair with hips flexed for long periods
of time
 Have patient assume prone position several times a day and
position hip in extension
 Avoid elevation of stump after 24 hrs ; keep stump adducted
with the unaffected with the unaffected leg.
 NURSING INTERVENTION
POST OPERATIVE

Pain medication as ordered ( Phantom limb pain).

Ensure that stump bandages fit snugly and are applied properly to
enhance prosthesis fitting.
Initiate active ROM of all joints, crutch walking and arm/shoulder
exercises.
Provide stump care.
Inspect daily for sign of skin irritation
Wash thoroughly daily with warm and bacteriostatic soap. Rinse and
dry thoroughly, avoid using irritating substances such as lotions,
alcohol, powders.
Wear cotton or woolen stump socks, avoid nylon socks.
Do not use torn socks.
 NURSING INTERVENTION
POST OPERATIVE

Put on prosthesis upon arising and keep it on all

day ( to reduce stump swelling) .
Continue prescribed exercises ( to prevent
weakness): push stump against hard surface, ex.
Foot stool with pillow to toughen it for better
prosthesis setting.
 DONT’S ON THE STUMP

Hang stump over the bed.

Sit in wheelchair or edge of the bed with stump
flexed
Place pillow under hip or knee
Place pillow between thighs
Rest above knew stump on crutch handle
Abduct above knee stump.