Provide stump care on a routine basis, e.g.

, inspect area, cleanse and dry thoroughly, and rewrap stump with elastic bandage or air splint, or apply a stump shrinker (heavy stockinette sock), for “delayed” prosthesis. Read more at Nurseslabs.com Impaired Physical Mobility — Amputation Nursing Care Plan (NCP) http://nurseslabs.com/amputation-nursing-careplan-impaired-physical-mobility/ Measure circumference periodically Read more at Nurseslabs.com Impaired Physical Mobility — Amputation Nursing Care Plan (NCP) http://nurseslabs.com/amputation-nursing-careplan-impaired-physical-mobility/ Rewrap stump immediately with an elastic bandage, elevate if “immediate/early” cast is accidentally dislodged. Prepare for reapplication of cast. Read more at Nurseslabs.com Impaired Physical Mobility — Amputation Nursing Care Plan (NCP) http://nurseslabs.com/amputation-nursing-careplan-impaired-physical-mobility/ Assist with specified ROM exercises for both the affected and unaffected limbs beginning early in postoperative stage. Read more at Nurseslabs.com Impaired Physical Mobility — Amputation Nursing Care Plan (NCP) http://nurseslabs.com/amputation-nursing-careplan-impaired-physical-mobility/ Encourage active/isometric exercises for upper torso and unaffected limbs. Read more at Nurseslabs.com Impaired Physical Mobility — Amputation Nursing Care Plan (NCP) http://nurseslabs.com/amputation-nursing-careplan-impaired-physical-mobility/ Instruct patient to lie in prone position as tolerated at least twice a day with pillow under abdomen and lowerextremity stump. Read more at Nurseslabs.com Impaired Physical Mobility — Amputation Nursing Care Plan (NCP) http://nurseslabs.com/amputation-nursing-careplan-impaired-physical-mobility/ Caution against keeping pillow under lowerextremity stump or allowing BKA limb to hang dependently over side of bed or chair. Read more at Nurseslabs.com Impaired Physical Mobility — Amputation Nursing Care Plan (NCP) http://nurseslabs.com/amputation-nursing-careplan-impaired-physical-mobility/ Demonstrate/assist with transfer techniques and use of mobility aids, e.g., trapeze, crutches, or walker.

Provides opportunity to evaluate healing and note complications (unless covered by immediate prosthesis). Wrapping stump controls edema and helps form stump into conical shape to facilitate fitting of prosthesis. Note: Air splint may be preferred, because it permits visual inspection of the wound Read more at Nurseslabs.com Impaired Physical Mobility — Amputation Nursing Care Plan (NCP) http://nurseslabs.com/amputation-nursing-careplan-impaired-physical-mobility/ Measurement is done to estimate shrinkage to ensure proper fit of sock and prosthesis. Read more at Nurseslabs.com Impaired Physical Mobility — Amputation Nursing Care Plan (NCP) http://nurseslabs.com/amputation-nursing-careplan-impaired-physical-mobility/ Edema will occur rapidly, and rehabilitation can be delayed Read more at Nurseslabs.com Impaired Physical Mobility — Amputation Nursing Care Plan (NCP) http://nurseslabs.com/amputation-nursing-careplan-impaired-physical-mobility/ Prevents contracture deformities, which can develop rapidly and could delay prosthesis usage. Read more at Nurseslabs.com Impaired Physical Mobility — Amputation Nursing Care Plan (NCP) http://nurseslabs.com/amputation-nursing-careplan-impaired-physical-mobility/ creases muscle strength to facilitate transfers/ambulation and promote mobility and more normal lifestyle. Read more at Nurseslabs.com Impaired Physical Mobility — Amputation Nursing Care Plan (NCP) http://nurseslabs.com/amputation-nursing-careplan-impaired-physical-mobility/ Strengthens extensor muscles and prevents flexion contracture of the hip, which can begin to develop within 24 hr of sustained malpositioning. Read more at Nurseslabs.com Impaired Physical Mobility — Amputation Nursing Care Plan (NCP) http://nurseslabs.com/amputation-nursing-careplan-impaired-physical-mobility/ Use of pillows can cause permanent flexion contracture of hip; a dependent position of stump impairs venous return and may increase edema formation. Read more at Nurseslabs.com Impaired Physical Mobility — Amputation Nursing Care Plan (NCP) http://nurseslabs.com/amputation-nursing-careplan-impaired-physical-mobility/ Facilitates self-care and patient’s independence. Proper transfer techniques prevent shearing abrasions/dermal injury related to “scooting.”

Read more at Nurseslabs.com Risk for Infection — Amputation Nursing Care Plan (NCP) http://nurseslabs.com/amputation-nursing-careplan-risk-for-infection/ Inspect dressings and wound.com/amputation-nursing-careplan-risk-for-infection/ Minimizes opportunity for introduction of bacteria.com/amputation-nursing-careplan-risk-for-infection/ xpose stump to air. Read more at Nurseslabs.com Risk for Infection — Amputation Nursing Care Plan (NCP) http://nurseslabs. Read more at Nurseslabs.com/amputation-nursing-careplan-risk-for-infection/ Early detection of developing infection provides opportunity for timely intervention and prevention of more serious complications.com Risk for Infection — Amputation Nursing Care Plan (NCP) http://nurseslabs.com Impaired Physical Mobility — Amputation Nursing Care Plan (NCP) http://nurseslabs. Read more at Nurseslabs.com/amputation-nursing-careplan-risk-for-infection/ Hemovac. Read more at Nurseslabs.com Risk for Infection — Amputation Nursing Care Plan (NCP) http://nurseslabs.com Risk for Infection — Amputation Nursing Care Plan (NCP) http://nurseslabs.com Risk for Infection — Amputation Nursing Care Plan (NCP) http://nurseslabs. wash with mild soap and water after dressings are discontinued.com/amputation-nursing-careplan-risk-for-infection/ Temperature elevation/tachycardia may reflect developing sepsis. or antibiotic therapy may be geared toward specific organisms. minimizes skin contaminants.com/amputation-nursing-careplan-impaired-physical-mobility/ Reduces pressure on skin/tissues that can impair circulation.com/amputation-nursing-careplan-impaired-physical-mobility/ Maintain aseptic technique when changing dressings/caring for wound. Read more at Nurseslabs. Read more at Nurseslabs.com/amputation-nursing-careplan-risk-for-infection/ Monitor vital signs.com/amputation-nursing-careplan-impaired-physical-mobility/ Provide foam/flotation mattress. Read more at Nurseslabs.com/amputation-nursing-careplan-risk-for-infection/ Wide-spectrum antibiotics may be used prophylactically.com/amputation-nursing-careplan-risk-for-infection/ . Read more at Nurseslabs.com/amputation-nursing-careplan-risk-for-infection/ Administer antibiotics as indicated.com/amputation-nursing-careplan-risk-for-infection/ Maintain patency and routinely empty drainage device.com Risk for Infection — Amputation Nursing Care Plan (NCP) http://nurseslabs.com Impaired Physical Mobility — Amputation Nursing Care Plan (NCP) http://nurseslabs. note characteristics of drainage.com Risk for Infection — Amputation Nursing Care Plan (NCP) http://nurseslabs.com Impaired Physical Mobility — Amputation Nursing Care Plan (NCP) http://nurseslabs.Read more at Nurseslabs.com Risk for Infection — Amputation Nursing Care Plan (NCP) http://nurseslabs. and promotes healing of tender/fragile skin. Read more at Nurseslabs.com Impaired Physical Mobility — Amputation Nursing Care Plan (NCP) http://nurseslabs. Read more at Nurseslabs.com Risk for Infection — Amputation Nursing Care Plan (NCP) http://nurseslabs.com/amputation-nursing-careplan-risk-for-infection/ Maintains cleanliness. potentiating risk of tissueischemia/breakdown Read more at Nurseslabs. Read more at Nurseslabs.com Risk for Infection — Amputation Nursing Care Plan (NCP) http://nurseslabs.com/amputation-nursing-careplan-impaired-physical-mobility/ Read more at Nurseslabs.com Risk for Infection — Amputation Nursing Care Plan (NCP) http://nurseslabs. promoting wound healing and reducing risk of infection. Jackson-Pratt drains facilitate removal of drainage. Read more at Nurseslabs.