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Peripheral vascular disease quizlet
Peripheral vascular disease quizlet
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My Experience with Being an Amputee
On 11/17/2015, I wore an arm brace to replicate an amputee that had lost his/her right arm at the shoulder joint. This was to replicate a loss of a dominant arm – the right side. I spent 6 hours with this condition and will report my findings in this report. I lost my arm in a car crash after it was severed and crushed my right arm. Most of my arm was beyond repair and had to be amputated, and I had to learn how to live without 2 hands. There are many reasons why amputations are required.
According to NHS choices, in an article Amputation – why it is done – reasons for Amputation, the article relays that amputation is done for several reasons. These include Peripheral arterial disease (PAD), Diabetes, Trauma and other reasons like cancer, and serious infections. An example of why an amputation is done is because of a serious infection, a serious injury (trauma) to a limb, and cancer affecting the bone or skin of a limb. Peripheral arterial disease (PAD) restricts blood supply
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due to a buildup of fatty deposits in the arteries. This is a common condition. Diabetes creates a condition where high blood sugar levels can damage the nerves and blood vessels especially in the feet. Trauma to a limb can come from crash injuries, avulsion injuries (where a body part is torn away from the body), guillotine injuries (where a limb is cut entirely of almost entirely away from the body), blast injuries (where explosive devices wound soldiers), and severe burns (NHS n.d). Other reasons can cause amputations. According to Clements he states in his article, How Amputation Works, “The key cause of the tissue death that leads to infection is a lack of blood flow. Blood brings vital nutrients and oxygen to the individual cells that make up your body tissues. When disease or injury damages blood vessels beyond repair, tissues supplied by those blood vessels die, and dangerous infection can set in”. Birth defects such as congenital amputation is when blood flow is restricted due to blood not getting through bands of tissues to a baby, which can cause a loss of a limb. One out of every 200 American is an amputee, according to The National Loss Information Center. The rate of amputees due to diabetes and peripheral artery disease is on the rise (Clements n.d.). According to WebMD, in an article Skin Problems and Treatments Health Center – Gangrene, it states that Gangrene is a condition when body tissues die, and infection sets in. When blood cannot flow freely throughout the body, cells cannot survive and causes the tissues to die. Gangrene almost always involves infection. The tissue swells and can spread quickly throughout the body, and could be life threatening. When one has gangrene, it can lead to amputation if the infection does not respond to medication and by removing dead tissue (WebMD n.d.). According to Johns Hopkins Medicine, in an article Procedure overview it relays, when possible, the doctor will offer an opportunity to ask questions after he/she explains the procedure.
A consent form is usually signed to give permission to do the procedure. In emergency medical situations, consent is not required by law. Under normal situations, the doctor may want a complete medical history and examination. Presence of pain, skin temperature, and color in the diseased limb will be compared with those in a healthy limb. The patient may be measured for an artificial limb prior to the procedure. In a trauma situation, crushed bone may be removed and smoothed out to help the use of an artificial limb. Fasting is usually 8 hrs before the procedure. The anesthesiologist will continue to monitor your heart rate, blood pressure, breathing, and blood oxygen level. After removing the dead tissue, the doctor may decide to close the flaps with healthy
skin. After the procedure the patient is taken to the recovery room for observation. Circulation and sensation of the affected limb will be monitored. The amputation site dressing will be changed and monitored. The patient will also receive antibiotics and pain medication as needed. The patient will remain in the hospital depending on the procedure, and then be discharged with instructions for care at home. Rehabilitation is designed to meet the needs of the individual patient, and Physical therapy is usually started after surgery. In PT, a combination of stretches, exercises, and learning how to get out of bed and into a wheelchair is covered. Emotional issues include grieving over a lost limb or physical condition; these may occur after an amputation. Phantom pain which is feeling pain in one’s lost limb may occur. Instructions on how to use your prosthetic devices could be shown and fitted as soon as 14 days after your surgery (Johns Hopkins Medicine n.d.). My day of being an amputee started in the morning when I got out of bed. I had to make the bed with my left arm, and it was hard to get the cover straight. I had to go to the bathroom and it was difficult to pull down my pants with my left hand. I had to make the coffee slowly to get the machine going after measuring the coffee grounds in the pot. Breakfast was awkward to prepare since my left arm was the only one used. Taking a shower and getting dressed was a challenge as I could not reach properly to wash my back, and wash my hair ease. Buttoning up my pants was difficult with one hand and so was putting on my pants. Tying my tennis shoes was even harder so instead, I put some shoes I could slip my feet into. I was getting ready to do Chair Exercise. It was difficult to balance on the right side of the chair as I could not hold onto the chair while we did some exercises standing up. Therefore, I missed some of the exercises on the left leg lifts. People were wondering why I had a sling to hold my right arm from moving, and made comments on it. I was however, able to do the sitting down exercising. I had lunch after I exercised. I was able to use a fork with my left hand but left some food on the plate as I could not use a spoon or knife to scoop up the remainder of the food with the right arm and hand. I drove with the left arm (took the sling out) so the police could not see I was only driving with one arm even though it is legal to drive with one arm. I drove to the chair exercise class, then came home and did a couple of hours of artwork. I took from a pile of sketch pads, a thick piece of paper to do some oil pastel work. I could not frame the edges with masking tape to create a boarder around the piece of paper with one hand. Applying oil pastels to the paper were harder to apply with the left arm. The pressure one needs is heavy on the paper. Lines were crooked when working with the left arm. I did however create some wonderful patterns. In conclusion, I appreciated my right arm and hand. I am grateful for the use of both hands. The experiment was a success to prove that one arm and hand is limited in what it can do, and I am sympathetic to those who only have one hand to live with.
It is essential to make sure that the patient is fine once the procedure has been finished and prior to them leaving. If there have been no complications, then the patient will most likely be ok. Nevertheless make sure that the site has stopped bleeding and that they are not feeling faint. If there was any complications, for example, hitting an artery, haematoma or fainting, then make sure you follow the process for dealing with the complication and let the patient know what they need to do if any symptoms
The purpose of this prosthetic limb is to help people who have lost a hand or arm in any type of accident like Les Baugh. He one of the patients currently outgoing testing with the prosthetic limb. He lost both of his arms at a electrical accident a young age and the prosthetic he using are attached to the end of his shoulders, since the accident cut his arms right to that section. He underwent surgery in order to remap the nerves
Rehabilitation after amputation has changed significantly. It now includes a more in depth process and aftercare to ensure and a full recovery is achieved and reduces the potential for infections and complications. Patients are encouraged to take part in sport to aid them in their recovery and, with the use of specialized prosthetics, are readily available. It has also been said to help reduce Post Traumatic Stress Disorder which, according to a study by Abeyasinghe 2012, suggested that 42.5% of lower limb amputees suffered with PTSD (Abeyasinghe, de Zoysa, Bandara, Bartholameuz, & Bandara,
Almost all patients who have lost a limb due to an organ amputation, paralysis, or were born with inherited birth deficiency would undergo a mysterious phenomenon called phantom limb. Within this syndrome, patients would have a perception of their missing limb and would receive sensations from it. Limb loss could be due to many factors, such as congenital deficiencies, spinal cord injuries, and amputation of a limb. Although phantom limb sensation and phantom limb pain are strongly correlated, they should be differentiated. Phantom limb sensation is experienced by almost all biological and accidental amputees. On the other side, phantom limb pain is almost exclusively experienced as a result of an amputation.
“You need surgery.” Just a few weeks before a national basketball tournament, these words would change my life forever. Basketball is my true passion that is a part of who I am. Unfortunately, I experienced failure at meeting my athletic aspirations, due to an injury. Although my particular injury was out of my control, I constantly felt ashamed that I could not completely fulfill my athletic goals as I had hoped. I felt I had let everyone down who had been there for me and supported me. This injury has also shaped me and changed my perspective on how I see and appreciate certain things.
Cerebral palsy. In some cases, those who suffer from cerebral palsy are able to gain additional mobility when they make the decision for leg lengthening surgery. This procedure can improve the patient's well-being and ability for movement.
Blunt force trauma is defined as a traumatic event caused by the introduction of any blunt instrument forcefully, causing injury to the body or head. The Severity of injury is determined by various factors. It may be due to mechanical force such as compression, traction, torsion or shear. Impact of the injury and severity depends on object and movement of victim. Injuries occurred may be internal such as lacerations of internal tissues, organs, fractures of bones or may be external such as abrasion, avulsion, contusion and laceration (Pollak & Saukko, 2009). Severity also depends on anatomical site impacted for ex: Lacerations have irregular margin, hanging causes abrasions, contusions and hyoid bone fractures, Ocular hemorrhages in case of blunt trauma to eyes or Fracture of ribs when hit on chest by a blunt object (Ressel, Hetzel, & Ricci, 2016). Severity is also determined by the duration of time and amount of force applied. Nature of trauma is of importance in forensic medicine. It helps in
The two controversial topics discussed below share a single goal: to enhance the quality of life of a human individual. The first topic, transhumanism, is a largely theoretical movement that involves the advancement of the human body through scientific augmentations of existing human systems. This includes a wide variety of applications, such as neuropharmacology to enhance the function of the human brain, biomechanical interfaces to allow the human muscles to vastly out-perform their unmodified colleagues, and numerous attempts to greatly extend, perhaps indefinitely, the human lifespan. While transhumanist discussion is predominantly a thinking exercise, it brings up many important ethical dilemmas that may face human society much sooner than the advancements transhumanism desires to bring into reality. The second topic, elective removal of healthy limbs at the request of the patient, carries much more immediate gravity. Sufferers of a mental condition known as Body Integrity Identity Disorder seek to put to rest the disturbing disconnect between their internal body image and their external body composition. This issue is often clouded by sensationalism and controversy in the media, and is therefore rarely discussed in a productive manner (Bridy). This lack of discussion halts progress and potentially limits citizens' rights, as legislation is enacted without sufficient research. The primary arguments against each topic are surprisingly similar; an expansion on both transhumanism and elective amputation follows, along with a discussion of the merit of those arguments. The reader will see how limits placed on both transhumanism and elective amputation cause more harm to whole of human society than good.
Severity of disability. The danger of disability is the fear of the problem they carry on. It has become a truism among rehabilitation professionals that there is not a one-to-one relationship between severity of disability and the intensity of reaction to it. (Vash 14.) One person can deal with the problem, while another is devastated by the loss. However, Varying degrees of severity creates different kinds of situations of disabled people. Robert suffers his loss on all his lifetime. He cannot see his wife and the physical world around him, but the has a gift of comprehensive knowledge of the invisible world. The unknown world where people have but seldom to explore, because they must deal with their physical meaning. Robert never shows his
Pulmonary contusions are another consequence from trauma to the chest, possibly not as severe as examples prior, but still dangerous. A pulmonary contusion is usually due to a blunt trauma to the thoracic cavity; the trauma causes blood to accumulate in the lung tissues and alveoli without lacerating the lung tissues. The lungs swell with the blood in the tissues, like a contusion anywhere else on the surface of the body, hence the term, “bruised lung.” With a pulmonary contusion, the patient will present, “...Tachypnea and tachycardia; while auscultating, rales and decreased breath sounds can be heard. Wheezing, coughing, and productive blood streaked sputum can be present; hypotension and reduced cardiac output accompany. Respiratory distress
Stroke is a commonly known disease that is often fatal. This cellular disease occurs when blood flow to the brain is interrupted by either a blood clot halting the progress of blood cells in an artery, called an Ischemic stroke, or a blood vessel in the brain bursting or leaking causing internal bleeding in the brain, called a hemorrhagic stroke. When this happens, brain cells are deprived of oxygen and nutrients because the blood cells carrying these essential things are stopped, causing them to die. When the cells in the brain die, sensation or movement in a limb might be cut off and may limit an organism’s abilities. A person with stroke is affected depending on where in the brain the stroke occurs. In other words, symptoms of a stroke
This essay will demonstrate how effective communication is essential to Physiotherapy practice. There are many areas of Physiotherapy where communication is important, however, this essay will be focusing on the different communication techniques used in Paediatric Physiotherapy specifically for adolescents.
The disability that I would the least comfortable socially interacting with would be a physical disability. Our current society is one that values physical appearances. At a young age, family and friends tell children they have to act and look a certain way in order for others to like them. The media shows young boys and girls what a “hot” person looks like, and what they can do in order to look more like them. A physical disability would affect the image one is to present to society, and that can be emotional scarring. “When physical appearance is altered as a result of disability, the body falls further away from the expectations of society and body image, and the attitude one has toward the physical self may decline and affect self-image”
Initially, I was in a state of utter dismay upon learning that someone had completed an amputation on themselves. However, as I read further into the book I began to understand how far humans will truly go when in moribund circumstances in order to keep themselves alive. Ralston had the idea of cutting his arm off on only the second day, but was unable to even stomach the idea of it, “I remembered how the sight of the metal blade against my wrist repelled my hand and left my stomach heaving” (164). By the third day Aron was desperate, running out of hope and supplies. This was when he attempted an amputation for the first time, but could only just scratch the surface of his skin before deciding the knife was much too dull to cut through bone.
What does pain mean to you? Pain is a tense feeling that tells you something may be wrong. There’s physical pain- acute and or chronic, emotional pain, and also a phrase known as “pain in the ass”- which is where something or someone is being annoying and or troublesome.