Nursing assessment withamputation problems

Presented byIra suarilah

Medical-surgical nursing dept.Airlangga university

Amputations are commonly divided into two major categories:

• upper-extremity (UE) and• lower-extremity (LE) amputations.• The majority (i.e., 80%) of LE amputations are caused by

peripheral vascular disease and diabetes. Trauma due tovehicular accidents or job-related accidents is the secondmost common cause of LE amputations.

• Trauma due to vehicular accidents, severe lacerations fromtools and machinery, and frostbite, is the major cause of UEamputations. Curative treatment of tumors is an additionalcause of both types of amputations.

LE amputations are commonly classified into the followingcategories:

•toe and partial foot amputation (i.e., Symes);•unilateral (i.e., involvement of only one leg) below-knee;•unilateral above-knee;•hip disarticulation and hemipelvectomy;•bilateral (i.e., involving both legs) below-knee;•bilateral above- and below-knee (i.e., one leg amputatedabove the knee, one leg amputated below the knee); and•bilateral above-knee (i.e., both legs amputated above theknee).

Bunckle amputation

Re-vascularization

Nursing assessment

- Re-vascularization 24 - 48 hours- Pain- Phantom symptoms- Body image- Harga diri- Protesis