[RETRACTED ARTICLE] Post-amputation rehabilitation in an emergency crisis: from preoperative to the community
Journal Title: International Journal of Medical Science and Public Health - Year 2014, Vol 3, Issue 4
Abstract
Background: Losing a limb (or a part of a limb) usually leads to loss of functionality and subsequent disability. Aims & Objective: This paper aims at pointing out the importance of comprehensive and multidisciplinary care that includes early, direct or indirect, involvement of rehabilitation service providers even in an emergency context. Materials and Methods: We underline the links between amputation and disability as well as the milestones and main purposes of the rehabilitation process following amputation. We then emphasise the influence that the level of amputation has on functional outcomes. Results: In order for functional outcomes to balance purely medical factors when identifying the best site for amputation in emergency settings where preoperative involvement of a rehabilitation professional is difficult due to limited resources, we enunciate five general rules to be used as guidelines by the medical team in the absence of a rehabilitation service provider. These five rules, rem aining general enough to apply to most contexts and patients, still need to be balanc ed against contextual and personal factors that can only be identified at the time of the amputation. Conclusion: The main expectations of people who undergo surgery are, usually, to remain actors in the society and regain functional abilities. Therefore, surgical outcomes are closely related to functional outcomes. In order for the functional and personal factors to be taken into account, we recommend, even in an emergency context, preoperative involvement of rehabilitation care providers.
Authors and Affiliations
Rajesh Chawda, Yogiti Katariya
Keywords
Related Articles
- EP ID EP137944
- DOI 10.5455/ijm sph. 2014. 15 02 2014 4
- Views 63
- Downloads 0
Perception on blood donation among engineering and medical students in Raichur: A cross-sectional study
Background: Sufficiency in safe blood supply at the time of need can be maintained only through regular, voluntary, and unpaid donation which being the safest group terms of lower rate of blood-borne infections. College...
Spinal paraganglioma: A case report
Paraganglioma is a neuroectodermal tumour which originates from the chromaffin cells. Paraganglioma of spinal cord is uncommo n lesion and usually presents as intradural tumour within cauda eq...
The efficacy of fractional CO2 laser resurfacing in the treatment of facial acne scars
Background: Acne is a common condition with prevalence as high as 80% among adolescents and often it causes atrophic scars. Laser resurfacing is an effective treatment for acne scars. However, post-treatment adverse effe...
How does school based hand-washing promotion program affect the handwashing behavior of students at the urban slums in Puducherry, South India? Mixed method design
Background: Handwashing is vital to prevent infections, especially among children of an urban slum. The handwashing habit needs to be inculcated at an early age. Objectives: The objectives of this study is (1) to determi...
Urban–rural comparison of depression among the elderly population: a cross-sectional study
Background: The elderly population comprises a vulnerable age group owing to multiple health problems such as depression. Objective: To establish the differences in the prevalence and determinants of depression a...