Patient with Lower Extremity Amputation Nursing Problems and Nursing Interventions

Abstract

The aim: To describe nursing problems and interventios for a patient with lower extremity amputation. The objectives are: 1. To describe etiology and epidemiology, causes and clasification of lower extremity amputations. 2. To describe preoperative and postoperative nursing needs and their solutions options. 3. To prepare nursing plan for the selected patient to whom was performed a lower extremity amputation. Investigation method: Analysis of scientific literature. Observation methods. Preparing a personalized nursing care plan. Conclusion: Regarding the incidence of amputations in Europe, according to German statistics, it is stated that absolute lower limbs are performed in Germany number of amputations per year compared to 2005 - 2014 data ranged from 55,689 to 57,637cases. Since 2005 until 2014 the number of major amputations per 100,000 population decreased by 30.9 % per year when the incidence of minor amputations increased by 25.4% (Krӧger, K., 2017). The most common reason of lower extremity amputation is because of diabetes and pheripheral artery deases and trauma..When caring for patients with limb amputation, it is important to: psychologically assist in the reconciliation of the lost part of the body, measures to prevent contractures, wound infection and to teach the patient self-care (use of prosthesis and walking aids).There is lack of knowledge on how to properly nurse a patient after lower extremity amputation. Nurse should be more educated on nursing needs and care for a patient with limb loss. There is not enough pchycological help in the hospitals. Recomendasions:It is recommended that patients after leg amputation to explain the benefits of rehabilitation and encourage them to remain physically active throughout and after the rehabilitation period.It is advisable to provide professional emotional and psychological support to patients after amputations, as well as counseling from a social worker.