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Nursing Care Related to the Musculoskeletal System
1-52
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1-52. NURSING CARE AND PATIENT EDUCATION a. Preoperative care and patient education can be done in cases of elective amputation. There is time to prepare the patient for what lies ahead. In the case of a traumatic amputation, this may not be possible. Preoperative nursing care and patient education for the patient about to undergo amputation of all or part of a limb includes the following. (1) Build the patient's strength by implementing muscular exercises for the unaffected limbs. (2) Improve the patient's nutritional status by encouraging a balanced diet high in vitamins and minerals and with adequate protein to enhance wound healing. Maintain adequate hydration. (3) Follow the physician's orders for therapeutic measures used to stabilize any chronic medical conditions such as diabetes, hypertension, or any other condition that may interfere with surgery or rehabilitation. (4) If ordered, arrange preoperative counseling with the physical therapist. If a mobilization aid such as a walker or crutches is to be used postoperatively, it is easier to provide instruction in the preoperative period. The physical therapist will also inform the patient about his postoperative rehabilitation program. (5) If authorized by the physician, schedule a visit from the prosthetic specialist. This may help to alleviate some of the patient's anxieties about the fitting and wear of prosthetic devices. b. Postoperative nursing care involves routine nursing observation, pain control, positioning and exercise, stump conditioning, and patient education. Patient education should be done in conjunction with all nursing
1-52
[Previous] [Next]
Printable PDF Download Here
Introduction Table of Contents Search Exercises Courses About this Text Nursing 411 Premium Content Nursing Tools Contact Us Links
1-52. NURSING CARE AND PATIENT EDUCATION a. Preoperative care and patient education can be done in cases of elective amputation. There is time to prepare the patient for what lies ahead. In the case of a traumatic amputation, this may not be possible. Preoperative nursing care and patient education for the patient about to undergo amputation of all or part of a limb includes the following. (1) Build the patient's strength by implementing muscular exercises for the unaffected limbs. (2) Improve the patient's nutritional status by encouraging a balanced diet high in vitamins and minerals and with adequate protein to enhance wound healing. Maintain adequate hydration. (3) Follow the physician's orders for therapeutic measures used to stabilize any chronic medical conditions such as diabetes, hypertension, or any other condition that may interfere with surgery or rehabilitation. (4) If ordered, arrange preoperative counseling with the physical therapist. If a mobilization aid such as a walker or crutches is to be used postoperatively, it is easier to provide instruction in the preoperative period. The physical therapist will also inform the patient about his postoperative rehabilitation program. (5) If authorized by the physician, schedule a visit from the prosthetic specialist. This may help to alleviate some of the patient's anxieties about the fitting and wear of prosthetic devices. b. Postoperative nursing care involves routine nursing observation, pain control, positioning and exercise, stump conditioning, and patient education. Patient education should be done in conjunction with all nursing