Common causes for amputation Correct Answer-- most amputations result from trauma: cut, tear, burn, freeze, MVA, machinery, gunshot, electrical burn
- PVA: peripheral vasospastic disease
- tumor
- congenital malformation
- lower limb loss is more prevalent (80%) than upper limb loss
- the lea...
OTR 640: Module 2 Assistive Technology questions
with correct answers
Common causes for amputation Correct Answer-- most amputations
result from trauma: cut, tear, burn, freeze, MVA, machinery, gunshot,
electrical burn
- PVA: peripheral vasospastic disease
- tumor
- congenital malformation
- lower limb loss is more prevalent (80%) than upper limb loss
- the leading cause of amputation is in lower limb ischemia from
vascular disease (ages 50-80) associated with smoking and diabetes
Level of UE amputation Correct Answer-- amputation may occur
through joint or through bone
- the level is described by the joint or long bone through which the
amputation has been made
- the higher the level, the greater the functional loss of the arm, and a
more complex prosthesis with extensive training
OT role in amputation Correct Answer-- formulation and execution of
the pre-prosthetic program and prosthetic training
- preprosthetic pahse: preparing the limb for prosthesis
- therapist must establish an individualized intervention plan which
includes assessments of clients medical history, body functions, motor
skills, processing skills, ADLs, and IADLs
- pre-prosthetic program can be in outpatient or inpatient basis
, - prosthetic phase: treatment involves increasing tolerance and function
with the prosthesis
Terminology Correct Answer-- Amputation: process whereby a part is
severed from body
- residual limb: portion of limb remaining following amputation.
Surgeon tries to preserve as much length as possible, with good skin
coverage and vascularization
- Prosthetic socket: portion of prosthesis that is fitted over the residual
limb
UE loss Correct Answer-- pscychosocial effects
- seeing residual limb 1st time may cause shock, panic, suicidal
impulses, rage and disbelief
- feelings of hopelessness, bitterness, anger
- denial of handicap or limb loss and mourning over loss job, favored
activities
- feeling of increased dependence, loneliness, isolation, depression
Coping strategies Correct Answer-- loss of work capabilities: consult
with vocational counselor
- depression: psychological or psychiatric referral
- cultural factors affect reaction to amputation
- adjustment process is similar to grieving: denial, anger, depression,
coping, and acceptance
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