Which of the following pre-operative assessments is essential for a patient scheduled for amputation?

Inspecting the skin under the prosthetic device daily is essential to prevent skin breakdown and pressure ulcers. Continuous pressure and friction from the prosthetic device can cause skin irritation and breakdown, and early detection allows for timely intervention and prevention of complications.

a. Applying a topical antibiotic to the residual limb daily: Applying a topical antibiotic daily is not recommended unless specifically prescribed by the healthcare provider for a wound or infection. Routine use of topical antibiotics can lead to antibiotic resistance.
b. Massaging the residual limb with lotion to improve circulation: Massaging the residual limb with lotion may be beneficial for comfort, but it is not a preventive measure for skin breakdown. Excessive massage can cause skin irritation.
d. Wearing a compression bandage over the prosthetic device: While compression bandages may be used as part of post-operative care, wearing a compression bandage over the prosthetic device is not a standard preventive measure for skin breakdown.

Peripheral vascular disease, which involves decreased blood flow to the extremities, is a common indication for amputation. In severe cases, where blood flow cannot be restored, amputation may be necessary to prevent further complications.

a. Chronic low back pain: Chronic low back pain is not an indication for amputation. It is usually managed through conservative treatments such as physical therapy, medications, or injections.

b. Osteoarthritis of the knee: Osteoarthritis of the knee may cause pain and mobility issues, but it does not typically lead to amputation. Treatment for osteoarthritis includes pain management, physical therapy, and, in some cases, joint replacement surgery.

d. Minor soft tissue injury: Minor soft tissue injuries do not require amputation. They are usually treated with wound care, rest, and possibly antibiotics if there is an infection.