Preoperative management focuses on relieving anxiety, reducing pain, increasing mobility, and maintaining good nutrition and health through evaluation of body systems. Postoperative management monitors for complications like hemorrhage and infection, promotes acceptance of changes, controls pain, and supports physical recovery and independent living. Amputation is performed at the lowest possible level that will heal, based on circulation and functional usefulness. Common nursing diagnoses for patients include acute pain, risk of phantom limb sensations, skin issues from surgery, changes to body image and coping, and deficits in self-care and mobility due to limb loss.

15. Preoperative management
 To relieve anxiety
 To reduce pain
 To increase mobility
 To maintain good nutrition
 Provide preoperative teaching
 To give general pre operative care
 Evaluation of cardiovascular, respiratory and renal
system

16. Post operative management
 Complications are monitored – hemorrhage, infection,
non healing wound.
 Acceptance of body image change is promoted
 To monitor fluid balance
 Maintaining adequate tissue perfusion
 Give psychological support
 To control pain
 To promote physical activities
 To give general post operative care.

17. Level of amputation
 Amputation is performed at the most distal point that
will heal successfully. The site of amputation is
determined by two factors:
Cerculation in the part.
Functional usefullness i.e meet the requirement for
the use of the prosthesis.
There are two levels of Amputation:
1. Levels of amputation of upper extremity.
2. Levels of amputation of lower extremity.

18. Nursing Diagnosis
 Acute pain related to amputation.
 Risk for disturbed sensory perception ( phantom limb
pain) related to amputation.
 Impaired skin integrity related to surgical amputation
 Disturbed body image related to amputation of body
part.
 Ineffective copping related to failure to accept loss of
body part.
 Self care deficit related to loss of extermity
 Impaired physical mobility related to loss of extermity.