What is the primary purpose of a follow-up visit for a patient who underwent amputation?
To assess for surgical wound dehiscence
To provide emotional support and counseling
To adjust the prosthetic fitting and alignment
To initiate post-operative physical therapy
The Correct Answer is C
The primary purpose of a follow-up visit for a patient who underwent amputation is to adjust the prosthetic fitting and alignment. Prosthetic devices need to be customized and aligned correctly to ensure the patient's optimal mobility and function.
a. To assess for surgical wound dehiscence: While wound assessment is essential, it is not the primary purpose of a follow-up visit. Wound dehiscence, if present, would typically be detected earlier and addressed during the immediate post-operative period.
b. To provide emotional support and counseling: Emotional support and counseling are essential aspects of care for a patient who underwent amputation, but they are not the primary purpose of a follow-up visit, which focuses on the prosthetic fitting and functional outcomes.
d. To initiate post-operative physical therapy: Post-operative physical therapy may be initiated during the rehabilitation process, but it is not typically the primary purpose of a follow-up visit. Initial physical therapy sessions may begin earlier, often shortly after the amputation surgery.
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Correct Answer is D
Explanation
Identifying pre-existing medical conditions and allergies is essential to assess the risk of post-operative infection and complications in a patient scheduled for amputation. Certain medical conditions and allergies can impact wound healing and increase the risk of surgical complications. By knowing the patient's medical history and allergies, the healthcare team can take appropriate measures to prevent potential problems and improve the patient's overall surgical outcome.
a. To determine the patient's ability to perform post-operative exercises: While identifying pre-existing conditions may provide some insight into the patient's functional abilities, it is not the primary reason for identifying medical conditions and allergies in this context.
b. To identify potential complications during the surgical procedure: Identifying pre-existing conditions is not primarily for identifying potential complications during the surgery itself. Pre-operative assessments and evaluations are conducted to ensure the patient's safety during the surgical procedure.
c. To tailor the prosthetic fitting and training: Identifying pre-existing conditions and allergies can be relevant for prosthetic fitting and training, but it is not the primary reason for identifying them.
Correct Answer is D
Explanation
During an amputation procedure, the bone stump is typically left intact to provide a stable base for prosthetic fitting. The muscles, nerves, and tendons are carefully dissected and secured to prevent complications and facilitate healing.
a. Muscles: While muscles are involved in the surgical procedure, they are typically resected to the appropriate level to accommodate the prosthetic device.
b. Nerves: Nerves are carefully dissected and secured during the amputation procedure to prevent neuromas and phantom limb pain but are not left intact for prosthetic fitting.
c. Tendons: Tendons are typically resected during the amputation procedure, and their positioning and attachment are crucial for proper wound closure and healing, but they are not left intact for prosthetic fitting.
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