The document discusses amputation, including its definition as the removal of a limb by trauma, illness, or surgery. It describes the purposes of amputation as removing tissues without blood supply, malignant tumors, or severe trauma. The key aspects of nursing management for amputation patients are pain management, psychological counseling, wound dressing, skin care, and exercises to prevent deformity and maintain range of motion.

1. AMPUTATION
MR. KUSH JOSHI

2. DEFINATION
AMPUTATION IS THE REMOVAL OF A LIMB BY TRAUMA, MEDICAL
ILLNESS OR SURGERY. AS A SURGICAL MEASURE, IT IS USED TO
CONTROL PAIN OR A DISEASE PROCESS IN THE AFFECTED LIMB, SUCH
AS MALIGNANCY OR GANGRENE.
AMPUTATION IS A PROCESS WHERE A PART OF THE LIMB IS
REMOVED THROUGH ONE OF MORE BONES.
DISARTICULATION – WHERE A PART IS REMOVED THROUGH A
JOINT.

3. PURPOSES
• AMPUTATION IS PERFORMED FOR THE FOLLOWING REASONS:-
1. TO REMOVE TISSUES THAT NO LONGER HAS AN ADEQUATE
BLOOD SUPPLY
2. TO REMOVE MALIGNANT TUMORS
3. BECAUSE OF SEVERE TRAUMA TO THE BODY PART.

5. NURSING MANAGEMENT
• GOALS OF MANAGEMENT
1. PAIN MANAGEMENT
2. PSYCHOLOGICAL COUNSELING
3. DRESSING
4. SKIN CARE
5. PREVENTION OF DEFORMITY, MAINTAIN RANGE OF MOTION.

6. • PAIN MANAGEMENT
- POSTSURGICAL PAIN IS THE SHARP, LOCALIZED PAIN
EXPERIENCED BY THE PERSON AT THE SURGICAL SITE IN THE POST
OPERATIVE PERIOD ( GENERALLY 1 TO 4WEEKS FOLLOWING THE
AMPUTATION). THE PAIN IS MADE WORSE BY MOVEMENT OF THE
LIMB, PRESSURE IN THE AREA OF THE WOUND, OR SWELLING
(EDEMA).
- PAIN IN THE POSTSURGICAL PERIOD CAN BE CONTROLLED WITH
MEDICATIONS AND THROUGH THE USE OF PHYSICAL MODALITIES.

7. • LIMB SHOULD BE ELEVATED FOR 1 TO 2 HOURS, 2 TO 3 TIMES A
DAY TO REDUCE LOCAL EDEMA OR SWELLING.
• COMPRESSIVE ELASTIC BANDAGES CAN BE WORN ON THE
STUMP TO CONTROL SWELLING.
• WARM COMPRESSES, ICE PACKS ARE ALSO VERY USEFUL IN
MANAGING RESIDUAL PAIN.
• ANALGESICS CAN BE ADMINISTERED TO RELIEVE PAIN.

8. PSYCHOLOGICAL ADJUSTMENTS
• PERSON WHO EXPERIENCES AN AMPUTATION REQUIRES THE
USE OF SOCIAL SUPPORT SYSTEMS, ESPECIALLY IF THE
REHABILITATION PROCESS WILL BE A LONG ONE.
• PERSON WITH CLOSE FAMILY RELATIONSHIPS, STRONG
RELIGIOUS BELIEFS AND CARING FRIENDS SEEM TO IDEAL WITH
THEIR LOSS BETTER THAN THOSE WITHOUT SOCIAL SUPPORT.

9. • THE PERSON WILL FREQUENTLY GO THROUGH A GRIEVING
PROCESS SIMILAR TO WHEN A LOVED ONE DIES.
• PSYCHOLOGICAL TREATMENT INTERVENTIONS SHOULD BE
ADDRESS BOTH THE PERSON WITH AN AMPUTATION AND THE
FAMILY.
• IT IS IMPORTANT TO PROVIDE A SUPPORTIVE ENVIRONMENT
WHERE THE PERSON CAN DISCUSS HIS FEELINGS OF LOSS
AND FEARS FOR FUTURE.

10. • AN EXCELLENT WAY TO GIVE PERSON WITH AMPUTATIONS
PSYCHOLOGICAL SUPPORT IS THROUGH PEER COUNSELING OR
SUPPORT GROUPS. EVERY ATTEMPT SHOULD BE MADE TO HAVE A
PERSON OF SIMILAR AGE AND TYPE OR LEVEL OF AMPUTATION
SPEAK WITH A PERSON WITH RECENT AMPUTATION.
• THE PATIENT SHOULD BE ENCOURAGED TO RETURN TO WORK OR
PREVIOUS LIFE ROLES. IF THIS IS NOT POSSIBLE, FIND NEW ROLE
FOR PATIENT, WILL ALSO HELP HIM/ HER TO SEE THAT HE/SHE IS
USEFUL AND THAT HE/SHE DOES STILL CONTRIBUTE TO SOCIETY.

11. DRESSING
• DRESSING ARE USED IMMEDIATELY AFTER AMPUTATION SURGERY
AND CONTINUE FOR UPTO SIX MONTHS OR MORE AFTER
SURGERY.
• DRESSINGS ARE USED TO PROVIDE A CLEAN, PROTECTED
ENVIRONMENT FOR THE WOUND AND TO CONTROL
POSTOPERATIVE SWELLING THROUGH GENTLE COMPRESSION.

12. • GOALS OF DRESSING
1. PROTECT THE SURGICAL WOUND FROM ANY FORCES THAT
MAY CAUSE THE REOPENING OF THE INCISION.
2. MAINTAIN A CLEAN WOUND AND PREVENT WOUND
INFECTIONS
3. CONTROL POSTOPERATIVE SWELLING
4. SHAPE THE AMPUTATED LIMB INTO THE FORM OF A CYLINDER
WHICH WORKS BEST WITH ARTIFICIAL LIMB SOCKET FITTING

13. SKIN CARE
• AFTER AMPUTATION, THE SKIN OF THE STUMP SHOULD
RECEIVE DAILY CARE TO PREVENT INFECTION AND TO
PREPARE THE LIMB FOR USING A PROSTHESIS.
• SKIN HYGIENE AND LUBRICATION
• SKIN INSPECTION ( CHECK FOR SIGN OF INFECTION)

14. EXERCISES
• TO IMPROVE OR MAINTAIN THE RANGE OF MOTION OF ALL
THE LIMBS
• TO IMPROVE THE STRENGTH OF THE LIMBS
• TO IMPROVE ENDURANCE FOR DAILY ACTIVITIES.

17. THANK YOU…