What is an essential consideration in the decision-making process for amputation?
Patient's age and gender
Healthcare provider's preference
Patient's overall health status and goals
Availability of advanced medical technology
The Correct Answer is C
The decision for amputation is complex and takes into account the patient's overall health status, goals, and preferences. Factors such as the extent of the disease or injury, the potential for rehabilitation, and the impact on the patient's quality of life are considered when determining the most appropriate treatment plan.
a. Patient's age and gender: While age and gender may be factors in the decision-making process, they are not the primary consideration for amputation. Each patient's case is evaluated individually based on their specific circumstances.
b. Healthcare provider's preference: The healthcare provider's preference alone does not dictate the decision for amputation. The decision should be made collaboratively between the patient, the healthcare team, and other specialists as needed.
d. Availability of advanced medical technology: While medical technology can play a role in the treatment and rehabilitation of amputees, it is not the primary consideration in the decision for amputation. The decision is primarily based on the patient's health and overall well-being.
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Correct Answer is D
Explanation
During an amputation procedure, the bone stump is typically left intact to provide a stable base for prosthetic fitting. The muscles, nerves, and tendons are carefully dissected and secured to prevent complications and facilitate healing.
a. Muscles: While muscles are involved in the surgical procedure, they are typically resected to the appropriate level to accommodate the prosthetic device.
b. Nerves: Nerves are carefully dissected and secured during the amputation procedure to prevent neuromas and phantom limb pain but are not left intact for prosthetic fitting.
c. Tendons: Tendons are typically resected during the amputation procedure, and their positioning and attachment are crucial for proper wound closure and healing, but they are not left intact for prosthetic fitting.
Correct Answer is B
Explanation
The primary goal of wound care in the post-operative period for a patient who underwent amputation is to promote tissue regeneration and wound healing. Proper wound care techniques, including dressing changes, are essential to create an optimal environment for healing and prevent infection.
a. Preventing pressure ulcers and skin breakdown: While pressure ulcers and skin breakdown are important considerations in post-operative care, they are not the primary goal of wound care specifically for amputation.
c. Removing all dressings to allow for air exposure: Dressings are typically used to protect the surgical site and promote healing by creating a moist wound environment. Removing all dressings for air exposure is not recommended as it can impede wound healing.
d. Applying topical antibiotics to the surgical site: While topical antibiotics may be used if there is an infection or as directed by the healthcare provider, applying them to the surgical site without proper indication can lead to antibiotic resistance and is not the primary goal of wound care for amputation.
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