What is the primary goal of positioning the residual limb in the post-operative period after amputation?
To promote venous return and reduce swelling
To improve the patient's comfort and relaxation
To encourage early ambulation and mobility
To protect the surgical incision from contamination
The Correct Answer is A
The primary goal of positioning the residual limb in the post-operative period after amputation is to promote venous return and reduce swelling. Elevating the limb helps improve blood flow and reduce edema, which can enhance healing and prevent complications.
b. To improve the patient's comfort and relaxation: While positioning may improve the patient's comfort, the primary goal is related to physiological considerations such as venous return and swelling reduction.
c. To encourage early ambulation and mobility: Early ambulation and mobility are important components of post-operative care, but the primary goal of positioning is not directly related to encouraging ambulation.
d. To protect the surgical incision from contamination: Positioning the residual limb is not primarily intended to protect the surgical incision from contamination. Dressings and wound care techniques are used for this purpose.
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Correct Answer is A
Explanation
Increased swelling and bruising of the residual limb after a below-the-knee amputation may indicate a possible complication such as hematoma formation or poor wound healing. It requires further assessment and intervention by the healthcare team.
b. Mild tenderness and discomfort at the surgical site: Mild tenderness and discomfort are common after surgery and may be expected in the post-operative period. As long as the pain is manageable and not worsening, it is not necessarily an indication of a significant complication.
c. Gradual decrease in phantom limb pain over time: Phantom limb pain may gradually decrease over time as the nerve endings adapt to the amputation, and the brain's perception of the missing limb changes. This finding is a normal part of the post-amputation process and is not typically a complication.
d. Resumption of normal daily activities with a prosthetic limb: Resuming normal daily activities with a prosthetic limb is a positive outcome and a sign of successful rehabilitation and adaptation to the prosthesis. It is not indicative of a complication.
Correct Answer is C
Explanation
The primary goal of rehabilitation after amputation is to help the patient achieve the highest level of mobility and independence possible with the use of assistive devices and prosthetics. While rehabilitation can improve function and quality of life, it may not fully restore the limb to its pre-amputation function.
a. To restore the limb to its pre-amputation function: While rehabilitation aims to improve function, restoring the limb to its pre-amputation function is not always feasible. Amputation involves the permanent removal of a limb or body part, and some limitations may persist.
b. To minimize the use of assistive devices: While rehabilitation may help the patient adapt to using assistive devices, the goal is not necessarily to minimize their use. Assistive devices can greatly improve mobility and independence for amputees.
d. To eliminate all residual pain and discomfort: While rehabilitation can help manage pain and discomfort, eliminating all residual pain is not always achievable. The goal is to optimize the patient's function and well-being while addressing pain and discomfort as effectively as possible.
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