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Ncp amputations(miss sharan)

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Hurul Ain
Hurul Ain

The document provides guidance for caring for a patient with impaired skin integrity, phantom limb pain, and risk of injury due to limb loss or weakness. It recommends assessing the skin impairment and monitoring for infection signs. It also suggests avoiding harsh cleansing, excessive friction, and frequent cleansing. For phantom limb pain, it recommends encouraging the patient to interact with their residual limb and minimizing altered sensations. It also provides tips for assisting with positioning and avoiding certain limb movements. For injury risk, it advises rest, using assistive devices like prosthetics or canes for walking, keeping items within reach, and ensuring family is present to help.

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GROUP 7
IMPAIRED SKIN INTEGRITY RELATED TO INCISION Assess site of skin impairment and determine etiology (e.g., acute or chronic wound, burn, dermatological lesion, pressure ulcer, skin tear) Monitor site of skin impairment at least once a day for color changes, redness, swelling, warmth, pain, or other signs of infection. Avoid harsh cleansing agents, hot water, extreme friction or force, or cleansing too frequently . Do not position client on site of skin impairment. If consistent with overall client management goals, turn and position client at least every 2 hours
CONTD maintain a moist wound-healing environment and that is balanced with the need to absorb exudates. Avoid massaging around the site of skin impairment and over bony prominences. Assess client's nutritional status Promote wound healing with use aseptic technique.
DISTURBANCE SENSORY PERCEPTION RELATED TO PHANTOM LIMB PAIN AND SENSATION Encourages the patient to look at, feel, and then care for the residual limb. Minimizing altered sensory perceptions. Assist patient for positioning. Avoid patient to abduction, external rotation, and flexion of the lower extremity.
CONTD Explain anticipated treatment regiment and routines to facilitate positive attitude in relation to rehabilation. Support use of coping mechanisms involved significants others and support services as needed.
RISK FOR INJURY RELATED TO LOSS OF LIMBS/WEAKNESS. Ask the patients to rest in bed and limited their movements. Advice patients to use the prosthesis(artificial leg) or cane when their able to walk. Put all the things near to patients to easy for patients to take their things. Make sure the family members of patients always be with patients.
CONTD Provide adequate environments Provide bad pan and urinal for the patients pass urine and pass motion.
Ncp amputations(miss sharan)

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Ncp amputations(miss sharan)

  • 2. IMPAIRED SKIN INTEGRITY RELATED TO INCISION Assess site of skin impairment and determine etiology (e.g., acute or chronic wound, burn, dermatological lesion, pressure ulcer, skin tear) Monitor site of skin impairment at least once a day for color changes, redness, swelling, warmth, pain, or other signs of infection. Avoid harsh cleansing agents, hot water, extreme friction or force, or cleansing too frequently . Do not position client on site of skin impairment. If consistent with overall client management goals, turn and position client at least every 2 hours
  • 3. CONTD maintain a moist wound-healing environment and that is balanced with the need to absorb exudates. Avoid massaging around the site of skin impairment and over bony prominences. Assess client's nutritional status Promote wound healing with use aseptic technique.
  • 4. DISTURBANCE SENSORY PERCEPTION RELATED TO PHANTOM LIMB PAIN AND SENSATION Encourages the patient to look at, feel, and then care for the residual limb. Minimizing altered sensory perceptions. Assist patient for positioning. Avoid patient to abduction, external rotation, and flexion of the lower extremity.
  • 5. CONTD Explain anticipated treatment regiment and routines to facilitate positive attitude in relation to rehabilation. Support use of coping mechanisms involved significants others and support services as needed.
  • 6. RISK FOR INJURY RELATED TO LOSS OF LIMBS/WEAKNESS. Ask the patients to rest in bed and limited their movements. Advice patients to use the prosthesis(artificial leg) or cane when their able to walk. Put all the things near to patients to easy for patients to take their things. Make sure the family members of patients always be with patients.
  • 7. CONTD Provide adequate environments Provide bad pan and urinal for the patients pass urine and pass motion.