Amputations and Herniated Discs PowerPoint

The Concept of Mobility: Amputations NURS 1250/1610 Victoria Leonetti, MSN, RN  Peripheral Vascular Disease Diabetes Mellitus Amputation Trauma s: Thermal/Frostbite Risk Factors Malignancies Oste...

The Concept of Mobility: Amputations NURS 1250/1610 Victoria Leonetti, MSN, RN  Peripheral Vascular Disease Diabetes Mellitus Amputation Trauma s: Thermal/Frostbite Risk Factors Malignancies Osteomyelitis Health Promotion and Prevention Strategies  Maintaining controlled blood sugars  Good foot care  Care around heavy machinery  Controlling infected wounds Common Amputations  Above Knee Amputation: AKA  Below Knee Amputation: BKA  Hip disarticulation  Trans-metatarsal- Toe Amputation  Risk for Infection Prophylactic antibiotics Aseptic dressing changes Amputations Pain : Pain medication Complicatio Elastic/pressure bandages ns and Phantom Pain Collaborativ Beta Blockers to decrease burning e Treatment pain Antiepileptics (gabapentin) to decrease sharp, stabbing, burning pain Validate the pain  Bleeding and/or decreased perfusion Monitor H/H Assess dressings Assess proximal pulses Amputations Assess skin, Q2 turns : Contractures Reposition: Complicatio Avoid elevation after the first 24 hours Physical Therapy ns and IPOP (Immediate Post-Op Prosthesis): Promotes knee extension Collaborativ Preps site and patient for prosthetic e Treatment Anxiety, Ineffective Coping Allow patient to verbalize feelings Support groups Rehabilitation services—Prosthetics/Orthotics Most prosthetics fitted after the initial wound heals Concept of Mobility: Herniated Discs NURS 1250/1610 Victoria Leonetti, MSN, RN Herniated Discs  Spinal disk ruptures allowing fluid in the disk to leak out and irritate nearby nerves  Middle-age(Ages 30- 50) Genetics Herniated Discs: Occupation Risk Factors Weight/obesity  Stretching exercises Herniated Discs: Teaching to Proper ergonomics Decrease Risk Weight loss Herniated Discs: Treatment Options  Acupuncture  Massage  Yoga  Chiropractic care  Heat and cold  Medications:  NSAIDs  Cortisone Injections  Neuropathic pain: gabapentin, pregabalin Herniated Discs: Treatment Options  Surgery  Laminectomy  Discectomy  Fusion Ensure lifestyle modification has been exhibited Herniated Discs: Post-operative Care  Medicate with ordered  Monitor pain medication!  For urinary retention or signs of spinal cord swelling  Physical Therapy  Surgical site (no hematoma,  Frequent ambulation leaking CSF, signs of  Log roll to turn in bed— infection)  Skin breakdown do not twist back.  Do  Respiratory complications not pull self up in bed with side-rails  Teach  Prevent heavy lifting  Prevent bending at waist