Wednesday, January 13, 2010

Traumatic Amputation
Nursing Care Plans for Traumatic Amputation. Traumatic amputation the accidental loss of a body part usually involves a finger, toe, arm, or leg. In complete amputation, the member is totally severed; in partial amputation, some soft-tissue connection remains. The prognosis for traumatic amputation has improved because of early, improved emergency and critical care management, new surgical techniques, early rehabilitation, prosthesis fitting, and new prosthesis designs. Amputations can be surgical (therapeutic) or traumatic (emergencies resulting from injury).
Causes for Traumatic Amputation
A traumatic amputation may result from a cutting, tearing, or crushing insult involving the use of factory, farm, or power tools, or from a motor vehicle accident.

Complications for Traumatic Amputation
Hypovolemic shock and sepsis are possible complications in traumatic amputation. If reimplantation is attempted, residual paralysis may occur.

Levels of Amputation
Below the knee
Syme procedure
Transmetatarsal/toe Amputation
Hip disarticulation/extensive hemipelvectomy
Upper extremity Nursing assessment

Nursing Care Plans for Traumatic Amputation
Patient history reveals the type of accident that caused the amputation. Inspection: partially or completely severed body lost, hemorrhage and soft tissue damage, type of wound well-defined edges and damage is local/ crush amputation, damage involves the tissue and arterial. Psychosocial: patient with a traumatic amputation may be in the denial phase of grief
Traumatic Amputation
Treatment Blood loss and hypovolemic shock is the greatest immediate threat in traumatic amputation. Control bleeding, Fluid replacement with sterile normal saline or lactated ringer’s solution, colloids, and Blood replacement as needed. Reimplantation Early prosthesis fitting and rehabilitation.

Nursing diagnosis Nursing Care Plans for Amputation
Common Nursing diagnosis found in Nursing Care Plans for Traumatic Amputation:
Acute pain
Deficient fluid volume
Disturbed body image
Dressing or grooming self-care deficit
Impaired physical mobility
Impaired skin integrity
Ineffective coping
Ineffective role performance
Ineffective tissue perfusion: Peripheral
Risk for disuse syndrome
Risk for infection
Risk for post trauma syndrome

Nursing key outcomes, Interventions and patient teaching Nursing Care Plans for Traumatic Amputation

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