Ethics in rehabilitation: Access to prosthetics and quality care following amputation. Physical activity and quality of life of amputees in southern Brazil. In Brazil, population statistical data are scarce.
Rio de Janeiro: Autor. Updated national statistics are required to schedule care services and public health policies.
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In this scenario, this survey may contribute to the scientific development in this area of knowledge and provide information to the institutions in their planning and evaluation of their assistance programs. Thus, this study was conducted to evaluate the quality of life of patients with lower limb amputations and prosthesis users in a rehabilitation hospital.
These were invited to participate in the survey during the appointments for prosthesis adjustments or for the setting of new prosthesis, in the orthopedic workshop of a rehabilitation hospital, located in the Midwest region of Brazil. The orthopedic workshop is the place where orthoses and prostheses are produced with the help of a team composed of physiotherapists, occupational therapists, psychologists, physical education teachers and prosthetists, who monitor these patients over time.
It stands out with the highest number of occurrences appearing among papers published covering amputated patients. Composed of a series of individual questions to assess the levels of mobility, independence and extent of prosthetic use and to identify factors that may influence these results.
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It is designed to facilitate the examination of the psychosocial processes involved in adapting such a device and the specific demands for its use. It consists of three scales: psychosocial adjustment general, social and limitation adjustment , activity restriction and satisfaction with the prosthesis aesthetically and functionally. Trinity amputation and prosthesis Scales: A psychometric assessment using classical test theory and rasch analysis.
You also may think you have feeling or pain where your leg was.
This is called phantom pain. It is common and may come and go for a year or longer. Your doctor can give you medicine for both types of pain. You may have already started a rehabilitation program rehab. You will continue this under the guidance of your doctor or physiotherapist. You will need to do a lot of work to recondition your muscles and relearn activities, balance, and coordination. You may have been fitted with a temporary artificial leg while you were still in the hospital.
If this is the case, your doctor will teach you how to care for it. If you are getting an artificial leg, you may need to get used to it before you go back to work and your other activities. You will probably not wear it all the time, so you will need to learn how to use a wheelchair, crutches, or other device.
You will have to make changes in your home. Your workplace may be able to make allowances for you. Having your leg amputated can be traumatic. Many people feel depressed and may grieve for their former lifestyle. It s important to understand these feelings. Talking with your family, friends, and health professionals about your frustrations is an important part of your recovery.
You may also find that it helps to talk with a person who has had an amputation. Remember that even though you ve lost a limb, it doesn t change who you are or prevent you from enjoying life. You ll have to adapt and learn new ways to do things. But you can still work and take part in sports and activities. And you can still learn, love, play, and live life to its fullest.
Many organizations can help you adjust to your new life. This care sheet gives you a general idea about how long it will take for you to recover. But each person recovers at a different pace. Follow the steps below to get better as quickly as possible. How can you care for yourself at home?
Activity Be active. Talk to your doctor about what you can do. If you are active and use your remaining limb, it will heal faster.
You may shower when your doctor okays it. Wash the remaining limb with soap and water, and pat it dry. Wash your remaining limb with mild soap and warm water every night. Pat it dry.
If you have a temporary artificial leg, remove it before you go to sleep. Exercise Rehabilitation is a series of exercises you do after your surgery. This helps you learn to use your remaining limb and artificial leg. You will work with your doctor and physiotherapist to plan this exercise program. To get the best results, you need to do the exercises correctly and as often and as long as your doctor tells you.
Your rehab program will give you a number of exercises to do. Always do them as your therapist tells you. Other instructions Preventing contractures is very important. A contracture occurs when a joint becomes stuck in one position. If this happens, it may be hard or impossible to straighten your remaining limb and use an artificial leg. Make sure you put equal weight on both hips when you sit. Use firm chairs, and sit up straight. Keep your remaining limb flat with your legs together while you are lying on your back.
Lie on your stomach as much as possible to stretch your hip joint. Do not sit for more than an hour or two. Stand, or lie on your stomach now and then.
Do not put pillows under your hips or knees or between your thighs. Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse call line if you are having problems. It s also a good idea to know your test results and keep a list of the medicines you take. When should you call for help?
For example, call if: You passed out lost consciousness. You have chest pain, are short of breath, or you cough up blood. Call your doctor or nurse call line now or seek immediate medical care if: You have pain that does not get better after you take pain medicine. You are sick to your stomach or cannot drink fluids.
You have loose stitches, or your incision comes open.
You have signs of a blood clot in your leg called a deep vein thrombosis , such as: Pain in your calf, back of the knee, thigh, or groin. Redness or swelling in your leg. You have signs of infection, such as: Increased pain, swelling, warmth, or redness. Red streaks leading from the incision.