In general, amputation of limbs is the result of trauma, peripheral vascular disease, tumors, and congenital disorders.
For the purpose of this plan of care, amputation refers to the surgical/traumatic removal of a limb. Upper-extremity
amputations are generally due to trauma from industrial accidents. Reattachment surgery may be possible for fingers,
hands, and arms. Lower-extremity amputations are performed much more frequently than upper-extremity amputations.
Five levels are currently used in lower-extremity amputation: foot and ankle, below knee (BKA), knee disarticulation
and above (thigh), knee-hip disarticulation; and hemipelvectomy and translumbar amputation. There are two types of
amputations: (1) open (provisional), which requires strict aseptic techniques and later revisions, and (2) closed, or
Inpatient acute surgical unit and subacute or rehabilitation unit.
Diabetes mellitus/diabetic ketoacidosis
Psychosocial aspects of care
Patient Assessment Database
Data depend on underlying reason for surgical procedure, e.g., severe trauma, peripheral vascular/arterial occlusive
disease, diabetic neuropathy, osteomyelitis, cancer.
Actual/anticipated limitations imposed by condition/amputation
Presence of edema; absent/diminished pulses in affected limb/digits
Concern about negative effects/anticipated changes in lifestyle, financial situation, reaction
Feelings of helplessness, powerlessness
Anxiety, apprehension, irritability, anger, fearfulness, withdrawal, grief, false cheerfulness
Loss of sensation in affected area
Nonhealing wound, local infection
Concerns about intimate relationships
Problems related to illness/condition
Concern about role function, reaction of others
DRG projected mean length of inpatient stay: 5.8–12.7 days
May require assistance with wound care/supplies, adaptation to prosthesis/ambulatory