There are many psychological and physical changes after an amputation. Body and mind have suffered changes and must adapt to the unexpected challenges. Some of the psychological effects that can be observed on an amputee are denial of the situation, anger, depression, factors like this can affect anyone without a prosthetic, nonetheless an amputee. Furthermore, this patient was active prior to the first failed surgery of TKA, which leaded to the amputation. The physical condition of the patient might have been compromised after two surgeries. Additionally, it can be assumed the patient is deconditioned and lacks endurance. The patient might know of his physical limitations and this creates a safe point of self awareness when ambulating and …show more content…
The patient must understand the capabilities and limitations for a better adaptation. Additionally, endurance and cardio vascular activities must be address. Also specific muscles strength as the hamstring, gluts and quads. Furthermore, gait training and stair step negotiating. Moving forward on specific interventions we can start training going up/down a 1 inches’ block using parallel bars to increase confidence, progress to higher height of block 2->4->6 inches. To work on endurance and cardio vascular fitness we can start just by walking and assess gait and impairments in the process. Also, to increase intensity UE ergometry can be used, this will help with cardiovascular and endurance. These different and simple exercises will give the patient the confident necessary to progress to more functional activities like using the stairs, and walking on different surfaces. Also, working on weight shifts will allow the patient to get to know his boundaries and how to approach different situations, weight shits might prevent falls. Additionally, working on strengthening quads, gluts and hamstring must be done. AROM with proper body mechanics might be a good starting point and assess the strength of those possible weak muscles. Progress to MREs followed by T-bands-and some cuff weights after endurance and cardio vascular fitness has been
His aim was to in-crease amputees’ confidence in the use of their prosthetics and their mental attitude. He recruited 100 volunteer amputees and put them through the programme. The results sug-gested that he achieved his aim he noted improvements in the physical and mental well-being of the volunteers. They also gained confidence in using their prosthetic which aided their recovery. Their mental well-being was particularly important as it was noted that a positive mental attitude and acceptance of the prosthetic resulted in a quicker recovery time (Dillingham, T.R., 1998).
...so discuss making a exercise plan that will work for the patient, and will not cause him/her any pain. If all of the correct measures are taken, and the patient is taking care of themselves, they can prevent more serious complications from occurring. They must know that they are serious complications from one not taking care of themselves, or living a unhealthy life style. It does involve a lifelong commitment to change. Medication will help, but one must also be willing to change.
He arrives off the plane from Africa, knowing the United States has the best prosthetics. He wheels in on his wheelchair, huffing and puffing, out of breath from all the pushing he has to do. He is hoping the United States will have the prosthetic he wants. He waits for the doctor to call him in his office. The doctor calls him in and then goes back to get the prosthetic. He waits anxiously for the doctor to come back with the finished product.
The victim is an amputee and has one leg and one arm on either side of his body, he is bed bound, wears diapers, and requires 24-hour care. At this time the victim lives alone and is in need of placement. The reporter has contacted Medicaid and was told because it's been less than five years since the victim transferred property into his niece's name there was nothing they could do. According to the rpeorter, Mr. Nichols transferred his home into his niece's name and she took out a loan against it. Ms. Gordan used the loan to do work on the home and make it accessible for the victim. But since Mr. Nichols' health has declined he's in need of someone at the home around the clock. The reporter stated she's worked with the family since the end
Each and every day there are as many as 79 people receiving organ donations that will change their life, but on the other hand there are many people who die from failed organs while they are waiting for transplants that never happen for them (U.S. Department of Health & Human Services, 2016). People find out that one, or even several of their organs are failing and they are put on a list to receive a transplant with no intended time frame or guarantee. Organ transplants are an essential tool when it comes to saving someone’s life from a failing organ; the history of organ transplants, organ donation, and the preceding factors of organ failure all play a very important role in organ transplant in the United States.
A muscle trauma which, is also known as a muscle strain is an injury which, occurs within the muscle tendon. The pain can be classified into three different sections which are; mild, moderate and severe. The main cause of a muscle strain is when the muscle is overstretched since the muscles have probably been working too hard. If a muscle tear occurs, it can also damage the attaching tendons within the muscles because, the muscle tissues are stretched and then torn (2).
Physical therapy has five sub-specialty practices: orthopedic, geriatric, neurological, cardiopulmonary and pediatric (“Welcome”). A geriatric physical therapist studies and focuses on the unique movement needs of older adults. These therapists usually give out treatments for conditions such as arthritis, cancer, osteoporosis, Alzheimer’s disease, joint replacement and balance disorders (“Welcome”). Geriatric physical therapy is used to help restore mobility, help with physical limitations and reduce pain for older adults. The second sub-specialty practice is neurological physical therapy, which obviously focuses on neurological conditions and impairments. Alzheimer’s disease, brain injury, cerebral palsy, Parkinson’s disease and strokes are just a couple of the neurological conditions that licensed neurological physical therapists work with. There are not many ways to physically improve nerves, but these therapists try their best for their patients. They concentrate on teaching their patients to adapt to visual, balance, mobility, and muscle loss impairments for daily living (“Welcome”). The third sub-specialty practice is cardiopulmonary therapy. This physical therapy practice focuses on helping people who have suffered from cardiovascular and pulmonary conditions; it is also used to help increase endurance and improve functional independence. Pediatric physical therapy is
According to NHS choices, in an article Amputation – why it is done – reasons for Amputation, the article relays that amputation is done for several reasons. These include Peripheral arterial disease (PAD), Diabetes, Trauma and other reasons like cancer, and serious infections. An example of why an amputation is done is because of a serious infection, a serious injury (trauma) to a limb, and cancer affecting the bone or skin of a limb. Peripheral arterial disease (PAD) restricts blood supply
I picked an article on the prosthetic limbs, which are controlled by your own thought. The unique part of this prosthetic is that It has 26 joints, is controlled by the person’s own mind and has the power to curl up to a incredible 45 pounds. Imagine being able to control a prosthetic just by thinking about the next move. The limb has been described as Modular, which gives them the power to accommodate anyone in particular that has either the hand missing to the whole entire arm. It can be also used as a surrogate arm for those who have suffered a stroke and lost movement of their own arm. This just an incredible part of science that getting develop and study by John Hopkins University.
Arthrogryposis is a disorder in which a child is born with joint contractures; this means some of their joints may be stuck in one position (curved or crooked). Children born with this disorder may have thin, weak, stiff, or missing muscles around these joints. The most common cause of arthrogryposis is fetal akinesia which is where the baby doesn’t move around a lot in the womb during development. Extra tissue can form in the joints making movement more difficult for the child to move. The reasons that fetal akinesia can take place may be because the womb was abnormally shaped so there wasn’t enough room for the baby to move around, amniotic fluid may have leaked out of the womb, or the baby’s parts did not form normally such as joints, bones, and muscles. They have also found that in approximately one third of the children who have this disorder have been determined to be a genetic cause.
Severity of disability. The danger of disability is the fear of the problem they carry on. It has become a truism among rehabilitation professionals that there is not a one-to-one relationship between severity of disability and the intensity of reaction to it. (Vash 14.) One person can deal with the problem, while another is devastated by the loss. However, Varying degrees of severity creates different kinds of situations of disabled people. Robert suffers his loss on all his lifetime. He cannot see his wife and the physical world around him, but the has a gift of comprehensive knowledge of the invisible world. The unknown world where people have but seldom to explore, because they must deal with their physical meaning. Robert never shows his
The idea of having an amputated limb and being able to receive a prosthetic limb within a few short hours is still a dream in today’s world. Scientists and researchers have made huge leaps and bounds in recent years, but prosthetic limbs have been around for decades. The oldest ever found was in Cairo, Egypt in the year 2000. It was a prosthetic toe made of leather and wood from 3000 years ago (Clements, 2008). This limb showed us that for the most part prosthetics have not changed a whole lot, but how they are made has improved. Prosthetic limbs can now be designed by using CAD/CAM, computer aided design and manufacturing. They can speed up the process it takes to make the limbs for patients. Clinical use of this process is still slow to get going in a lot of states and the world. The most important part of the prosthetic limb to the patient is not whether the limbs functionality is better, but the comfort of the socket. The socket is where the residual limb will reside in the actual prosthetic limb. When the handmade casts are used, it is hard to make a socket that will work well for the patient because it is hard to make an exact replica of the limb. That is why more funding needs to go to places that will teach people how to use the CAD/CAM design process and to help companies buy the expensive fabrication sites to actually make the limbs. Not only is the use of CAD/CAM a better process, but it is faster and will get the patients a better fitting limb that they will want to use more often.
The disability that I would the least comfortable socially interacting with would be a physical disability. Our current society is one that values physical appearances. At a young age, family and friends tell children they have to act and look a certain way in order for others to like them. The media shows young boys and girls what a “hot” person looks like, and what they can do in order to look more like them. A physical disability would affect the image one is to present to society, and that can be emotional scarring. “When physical appearance is altered as a result of disability, the body falls further away from the expectations of society and body image, and the attitude one has toward the physical self may decline and affect self-image”
Organ Transplants Organ transplants were possibly one of the greatest things to happen to science. So many people have had their lives saved because of receiving an organ donated by a family member or a stranger. The history of organ transplants goes way back. And though there are cons along with the pros, in the end organ transplants are all worth it. The idea of organ transplants has been around for centuries, tracing back to myths by ancient Greeks and other early civilizations, but people were unable to perform any surgeries for many years because they did not have the right technology and science to keep someone alive with a transplant.
Bone breaks are caused by trauma which is caused by a fall or an accident. It can also be caused by osteoporosis which is the thinning and weakening on the bone tissue. This would cause bone breaks as the weak bone will not be able to absorb any impact which would result in bone breaks. (Parker, 2005) The final common cause of bone breaks is overuse of the bone. This is the repeated motion of the limb which can tire the muscles surrounding the bone which will then put more force on the bone during motion such as exercise. This will result in stress fractures. (OrthoInfo, 1995)