Rehabilitation Nursing Challenges for Patients With Lower Limb Amputation

被引:2
作者
Parnell, Brittany [1 ]
Urton, Michael [2 ]
机构
[1] WakeMed Hlth & Hosp, 3000 New Bern Ave, Raleigh, NC 27610 USA
[2] East Carolina Univ, Greenville, NC 27858 USA
关键词
Amputation; falls; nursing; pain; pressure injury; INPATIENT REHABILITATION; PHANTOM LIMB; RISK-FACTORS; PAIN; PEOPLE; FALLS;
D O I
10.1097/RNJ.0000000000000289
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
There are over 185,000 amputations annually in the United States, and most of these patients will receive a short inpatient rehabilitation hospital stay as part of their recovery. Complications in care after amputation can negatively impact rehabilitation and subsequent disposition and community reintegration after discharge. The purpose of this article is to discuss the literature, significance, and practice recommendations for three specific challenges-skin integrity, postamputation pain, and falls. The focus population is rehabilitation patients who have undergone nontraumatic, lower limb amputation. Information about the incidence and risks of these complications give nurses necessary knowledge to improve care delivery, reduce suffering, and improve patient safety for postamputation patients during inpatient rehabilitation.
引用
收藏
页码:179 / 184
页数:6
相关论文
共 27 条
[1]  
Agency for Healthcare Research and Quality, 2018, PREVENTING FALLS HOS
[2]   Pharmacologic interventions for treating phantom limb pain [J].
Alviar, Maria Jenelyn M. ;
Hale, Tom ;
Dungca, Monalisa .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2016, (10)
[3]  
Amputee Coalition, 2017, First step: A guide to adapting to limb loss
[4]  
Baird J., 2015, SKIN CARE RESIDUAL L
[5]   Declines in Lower Extremity Amputation in the US Medicare Population, 2000-2010 [J].
Belatti, Daniel A. ;
Phisitkul, Phinit .
FOOT & ANKLE INTERNATIONAL, 2013, 34 (07) :923-931
[6]   Efficacy of Progressive Muscle Relaxation, Mental Imagery, and Phantom Exercise Training on Phantom Limb: A Randomized Controlled Trial [J].
Brunelli, Stefano ;
Morone, Giovanni ;
Iosa, Marco ;
Ciotti, Cristina ;
De Giorgi, Roberto ;
Foti, Calogero ;
Traballesi, Marco .
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2015, 96 (02) :181-187
[7]   Cognitive functioning in persons with lower limb amputations: a review [J].
Coffey, Laura ;
O'Keeffe, Fiadhnait ;
Gallagher, Pamela ;
Desmond, Deirdre ;
Lombard-Vance, Richard .
DISABILITY AND REHABILITATION, 2012, 34 (23) :1950-1964
[8]   Development of a Multimodal Analgesia Protocol for Perioperative Acute Pain Management for Lower Limb Amputation [J].
De Jong, Roberta ;
Shysh, Alexander J. .
PAIN RESEARCH & MANAGEMENT, 2018, 2018
[9]   Nonpharmacologic Pain Interventions A review of evidence-based practices for reducing chronic cancer pain [J].
Eaton, Linda H. ;
Brant, Jeannine M. ;
McLeod, Karen ;
Yeh, Chao .
CLINICAL JOURNAL OF ONCOLOGY NURSING, 2017, 21 (03) :54-70
[10]   Assessment of Chronic Pain: Domains, Methods, and Mechanisms [J].
Fillingim, Roger B. ;
Loeser, John D. ;
Baron, Ralf ;
Edwards, Robert R. .
JOURNAL OF PAIN, 2016, 17 (09) :T10-T20