Care for an elderly person after lower limb amputation

Prylińska Monika, Husejko Jakub, Kwiatkowska Klaudia, Wycech Alicja, Kujaciński Marcin, Rymarska Olga, Sarnowska Joanna, Rogala Dorota, Jarosz Karol, Nieciecka Adrianna, Skierkowska Natalia, Kędziora-Kornatowska Kornelia. Care for an elderly person after lower limb amputation. Journal of Education, Health and Sport. 2019;9(8):886-894. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.3370924 http://ojs.ukw.edu.pl/index.php/johs/article/view/7263 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26/01/2017). 1223 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Authors 2019; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 05.07.2019. Revised: 25.07.2019. Accepted: 19.08.2019. Care for an elderly person after lower limb amputation Monika Prylińska2, Jakub Husejko1, Klaudia Kwiatkowska1, Alicja Wycech1, Marcin Kujaciński1, Olga Rymarska1, Joanna Sarnowska1, Dorota Rogala1, Karol Jarosz1, Adrianna Nieciecka1, Natalia Skierkowska1, Kornelia Kędziora-Kornatowska1 1. Faculty of Health Sciences, Department and Clinic of Geriatrics, Nicolaus Copernicus University, Bydgoszcz 2. Nicolaus Copernicus University in Toruń, Collegium Medicum in Bydgoszcz, Department of Hygiene, Epidemiology and Ergonomics, ul. M. Curie-Skłodowskiej 9, Bydgoszcz, Poland Abstract Introduction: Although currently less major amputation is performed, due to more effective revascularization and endovascular treatment, limbs amputations are still necessary and commonly used as a therapeutic method. Amputation of the lower limb is associated with long-term hospitalization, treatment, rehabilitation and a high level of mortality among older people. For the elderly, additionally suffer from number of chronic diseases, who for various reasons amputation of the limb is the only possible treatment option, recommendations regarding further care after such surgery are important. Results: Causes of lower limb amputation include ia. non-traumatic reasons like diabetes or infection and traumatic ones. Frequency of removal of the lower limb, regardless of its reason is estimated about 5.6 to 600 per 100,000 people and the percentage is about 20 times higher in diabetes-suffering people than in non-diabetic. In the case of this disease, amputations mainly concern men over 60 years of age, as well as people who have been subject to hospital treatment many times. Care for a patient who is prepared to amputation procedure include pre- and post-operative rehabilitation, prosthesis of amputated limb, psychological care, patient education and also pharmacotherapy. It is important to give to patient enoxaparin to reduce thromboembolic risk. To increase quality of life after amputation it is important to provide adequate nursing care. Discussion: Other overlooked diseases, which can lead to lower limb amputation are ia. Charcot disease. Proper diagnosis, differentiation and treatment process is extremely important cause can allow patient to avoid the amputation. Conclusion: Gathered recommendations for correct, high-quality, multi-faceted medical care for patients after amputation of the lower limb will improve the quality of medical services for this group of patients. Keywords: elderly person; lower limb; amputatio