1. Pathophysiology: Surgical removal of a part from the body due to decreased blood flow or ischemia to lower extremity. This may be due to tissue gangrene and necrosis, may be elective or traumatic.
2. TREATMENT: Dressings, pain meds, antibiotics, stump care, range of motion.
3. Disturbed Body Image
   1. S/SX
      1. SIGNS/SYMPTOMS
         1. PT FINDINGS
      2. Verbal preoccupation with changed body
      3. actual change in function
      4. change in social behavior
      5. adjustment disorder
      6. grieving about body part
   2. NIC
      1. NURSING INTERVENTIONS
         1. PT RESPONSE
      2. assess feelings
      3. consult with LCSW
      4. Allos pt time to grieve
      5. encourage use of clothing and cosmetic/functional applicance
4. Acute/Chronic Pain
   1. S/SX
      1. SIGNS/SYMPTOMS
         1. PT FINDINGS
      2. Verbal complaints of pain
      3. Facial expressions
      4. Protection of stump
      5. Refusal to be mobile
      6. Restlessness
      7. Crying
   2. NIC
      1. NURSING INTERVENTIONS
         1. PT RESPONSE
      2. Assess pain
      3. Provide pain meds and evaluate
      4. use other comfort measures
5. Impaired Skin Integrity
   1. S/SX
      1. SIGNS & SYMPTOMS
         1. PT FINDINGS
      2. Sugical Incision
      3. Skin Breakdown
      4. Abnormal erythema
      5. Incomplete closure of flap
      6. Discharge
   2. NIC
      1. NURSING INTERVENTIONS
         1. PT RESPONSE
      2. assess wound for normal healing
      3. check stump for signs of impaired circulation
      4. monitor and report pain
      5. elevation and proper stump care
      6. reinforce dressing
6. Impaired Physical Mobility
   1. S/SX
      1. SIGNS & SYMPTOMS
         1. PT FINDINGS
      2. Inability to move purposefully
      3. Limited ROM
      4. pain on mobility
      5. Inability to transfer
      6. fatigue
      7. prosthetics
   2. NIC
      1. Assess positioning and transfer ability
         1. PT RESPONSE
      2. assess nutritional state
      3. assess activity and turning
      4. assess pt knowledge of moving and transfer
      5. teach about contractures, pillows
      6. Teach ADL's and Assistive devices