BADER INFO on LIMB LOSS: The Psychological Aspects of Amputation. By Saul Morris, PhD If you have had an amputation or are going to have one, let me assure you that others have already gone through the same experience.
You may be feeling physical pain, fear, apprehension, loneliness, uncertainty and sadness but I can assure you that you will make it though all of this. You are probably dealing with amputation because you and your doctor deemed it necessary to save your life or because it was the result of circumstances beyond your control. Either way, you had no choice. Regardless of the cause of your amputation, you will probably go through basically the same psychological stages. With the loss of a limb, the two most common types of grief are anticipatory grief and normal uncomplicated grief. The Five Stages of the Grieving Process Denial Denial is usually experienced by people who go through traumatic amputations, and normally those who have had surgical amputations will not experience it.
DepressionIn this stage, anger is replaced by depression. Amputation - Complications. There are a number of factors that influence the risk of complications from amputation, such as your age, the type of amputation and your general state of health.
The risk of serious complications is higher in planned amputations than in emergency amputations. This is because most planned amputations involve the leg and are carried out in older people with a restricted blood supply, who are in a poor state of health and who usually have a chronic (long-term) health condition, such as diabetes. Brain Injury Programme Patient Outcomes. This section details some information about the Brain Injury (Inpatient) Programme which relates to how we measure the activity; effectiveness; efficiency of, and access to the Programme.
In 2013, a total of 269 persons were discharged from the Brain injury inpatient Programme. Of these, 250 patients were admitted to the Comprehensive Integrated Inpatient Rehabilitation Programme (CIIRP), and 19 patients were admitted for various interventions such as a short period of assessment or review. Of the 250 patients discharged from the CIIRP Programme; Eprints.nuim.ie/4399/1/DD_Limb_Amputation_revised_May11.pdf. BADER INFO on LIMB LOSS: The Psychological Aspects of Amputation. Amputation - Complications.
Www.rnoh.nhs.uk/sites/default/files/patient/a_patients_guide_to_amputation_of_the_lower_limb.pdf. Act 2005.pdf. Www.sustainable-design.ie/arch/ICIDH-2Final.pdf. Fact Sheet: Prosthetic FAQs for the New Amputee. You've had an amputation, your residual limb is healing, and it's time to start thinking about prostheses.
Here are some answers to questions new amputees frequently ask: Q: What happens after the amputation? Are bionic limbs available that can make me just like I was before? A: A prosthesis is not bionic. It is an artificial replacement for a missing limb or part of a limb. Q: What does a prosthesis look like? A: Depending on the level of your amputation, physical ability and functional needs, each prosthesis will be somewhat different. Q: How does a prosthesis work? A: The majority of people who lose a limb can get back to a normal mode of functioning within a few to several months, depending on the location of the amputation as well as physical ability.
Q: When will I get a prosthesis? A: Generally, you should be ready for prosthetic measurements and fitting a few weeks after surgery, when the wound is healed and the tissue swelling is decreased. Q: How long will it last? 28: Psychological Adaptation to Amputation. Chapter 28 - Atlas of Limb Prosthetics: Surgical, Prosthetic, and Rehabilitation Principles.
Www.theseus.fi/bitstream/handle/10024/26499/Mugo_Nellie.pdf?sequence=1. Www.theseus.fi/bitstream/handle/10024/26499/Mugo_Nellie.pdf?sequence=1. Trends in the Incidence of Lower Extremity Amputations in People with and without Diabetes over a Five-Year Period in the Republic of Ireland. Aims To describe trends in the incidence of non-traumatic amputations among people with and without diabetes and estimate the relative risk of an individual with diabetes undergoing a lower extremity amputation compared to an individual without diabetes in the Republic of Ireland.
Methods All adults who underwent a nontraumatic amputation during 2005 to 2009 were identified using HIPE (Hospital In-patient Enquiry) data. Participants were classified as having diabetes or not having diabetes. Incidence rates were calculated using the number of discharges for diabetes and non-diabetes related lower extremity amputations as the numerator and estimates of the resident population with and without diabetes as the denominator.
Results Total diabetes-related amputation rates increased non-significantly during the study period; 144.2 in 2005 to 175.7 in 2009 per 100,000 people with diabetes (p = 0.11). Discussion Figures Received: April 10, 2012; Accepted: June 21, 2012; Published: July 31, 2012. Www.theseus.fi/bitstream/handle/10024/26499/Mugo_Nellie.pdf?sequence=1. Doras.dcu.ie/17443/1/Laura_Coffey_thesis_final_version_hard_copy_submitted.pdf. Decrease of depression during stroke and... [Gen Hosp Psychiatry. 1992. Psychological response to amputation as a fu... [Br J Psychiatry. 1984. A Prospective Study of Factors Associated With the Presence of Phantom Limb Pain Six Months After Major Lower Limb Amputation in Patients With Peripheral Vascular Disease. Received 2 November 2006; received in revised form 3 May 2007; accepted 15 May 2007. published online 12 July 2007.
Because of a lack of evidence to support any treatment for phantom limb pain (PLP), interest has turned to preventing it instead. However, like other areas of PLP research, there is little consensus regarding factors that may be associated with the development of PLP. This study was devised to identify physical and psychological factors associated with PLP development and maintenance. It was a prospective study of 59 patients listed for amputation of a lower limb due to peripheral vascular disease. Each was interviewed before amputation, and the survivors were reinterviewed 6 months afterward. Perspective During this study, preamputation passive coping (especially catastrophizing) was found to be associated with the development of PLP. This study was funded as a PhD project by Liverpool John Moores University and The Pain Relief Foundation, Liverpool, United Kingdom. Pain management in patients following l... [Nurs Stand. 2011 Jan 12-18.
Psycho-social transitions: comparison betwee... [Br J Psychiatry. 1975. The Psychology of Losing a Limb. Any health care professional who works with people who have lost limbs recognizes that the psychological challenges their patients battle every day are tough.
This is perhaps an understatement, since for most people, losing a limb profoundly impacts every aspect of their life — mentally, emotionally, physically and spiritually. De-pending upon age, psychological health before the loss, financial situation, circumstances of the loss (trauma, disease or congenital), society’s values and support or lack of support from family and friends, the road to recovery can be relatively quick or prolonged. Most psychiatrists, psychologists and social workers who treat people who have lost a limb stress the importance of treating patients holistically.
The totality of a patient’s life must be considered, e.g., work, family, gender, age, health and self-esteem. It is crucial that prosthetists and other rehabilitation professionals listen to their patients. Psychological Stages. Social discomfort and depression in a ... [Arch Phys Med Rehabil. 1992. The Oxford Handbook of Rehabilitation Psychology. The experience of amputation and prosthesis use for adults: A metasynthesis. Ill health and disability are from the point of view of those concerned.
With particular regardto the topics of amputation and prosthesis use, qualitative research has been useful indeepening an understanding of a number of complex areas including factors influencing thedecision to have an elective amputation [9], the experiences of prosthetic prescription bylower limb prosthetic users [10], the management of amputation-related pain [11], andcommunication difficulties with prosthetists [12].One issue with the burgeoning growth of qualitative research which requiresconsideration is integration of research findings from multiple qualitative studies.
Inquantitatively focussed work, systematic reviews (such as meta-analysis) have been a usefulway of providing such integration. This approach as the “bringing together and breaking down of findings, examining them, discovering the essential features, and, in some way, combining phenomena into a transformed whole”.