- Support the client and family through their ____, ____, and _____ as the client is prepared physically and psychologically for amputation.
- For some, the thought of amputation dramatically conflicts with their ideal ____. Conversely, some clients who suffer from the pain of ____ may welcome amputation. These clients are often more concerned with removing the source of their pain than they are with altering their ____ or ____.
- Intermittent claudication occurs when a muscle is forced to ____ without an adequate _____ to meet its ____ demands.
- In open amputation, the surgeon does not close the stump with a skin flap immediately but leaves the end open, allowing the wound to _____. ____ are used.
- Phantom sensations are caused by intact _____ proximal to the amputation site that carried messages between the brain and the new amputated part. These sensations are normal, and the client should be prepared for them.
- The major indication for guillotine amputations is ____.
- ____ are feeling that the amputated part is still present. Although these sensations are often referred to as ___ pain, not all of the sensations are painful.
- Preoperatively, obtain _____ and ___ the character of peripheral pulses, comparing one side to the other.
- Before the client begins a ____, take a careful history and perform a physical assessment. Establish a ____ profile and carefully examine the client's feet and legs to locate open ulcerations or anatomic deformities. The client should have sturdy shoes to prevent foot trauma.
- If the graft becomes occluded, ____ may be used depending on the amount of time that has lapsed since surgery because of marked risk of bleeding.
- ____ toward amputation depends to a large degree on the client's age and maturity. Young clients may resist amputation even though it would greatly improve their function.
- ______ includes disorders of the arterial, venous, and lymphatic systems.
- Make sure that the client with a vascular disorder has well _____ shoes and slippers sturdy enough to prevent _____.
- If the amputation is being done for an ____ process, administer ____ and monitor for _____ (changes in mental status, fever, and chills, increasing pain or odor from the wound, elevated white blood cell count).
- Before the client goes to ____, it is common to begin administration of ____, insert a _____, and weigh the client. In addition, _____ normally are administered.
- To assist with postoperative assessment, mark with ink the sites where _____ can be palpated. A lack of pulses postoperatively can be considered an _____ if the quality of the pulses before surgery was not recorded.
- Know exactly which pulses are palpable and which pulses can be assessed only with the _____.
- There are two types of amputation procedures, the open or _____ amputation and the closed or ____ amputation.
- ____ is the oldest operation known to man, existing before recorded history and were done for punishment for crime.
- Clients are advised and counseled to reduce ____ by following a low-fat, low-cholesterol diet containing more fruits and vegetables.