Nurses Helping Nurses
allnurses Network: Central | Jobs | Books | Newsletter
allnurses: A Nursing Community for Nurses
Home General News Blogs Articles Students Region Specialty Degrees F.A.Q.
Log In | Register | Last 24 Hours
Orthopaedic Nursing /

help please--position of amputation



Did You Know?
allnurses is the largest community for nurses on the web. We now have over 385,897 members! Join today to network with other nurses, laugh, share, and much more.

Mar 14, 2006 03:28 AM

help please--position of amputation

by 3months

the internet speed is so slow today.
Hi everyone, there is a question from Saunder's NCLEX Review
A client has just returned to a nursing unit after an above-the-knee amputation of the right leg.A nurse places the client in which of the following most appropriate positions?
A, Supine with the stump flat on the bed
B, Supine with the stump supported with pillows
C,reverse Trendelenburg
D,prone
The answer is B, but I got confused. If the stump was elevated by pillows, wouldn't the hip flexion contractures happen?Why don't just elevate the end of the bed? Please help.

Share: Submit Thread to Facebook Submit Thread to Twitter Submit Thread to Technorati Submit Thread to Google Submit Thread to Reddit
Search Tags
None
Top

 
Advertisement
Sponsored Links
 
Reply
5 Comments
No. 1
from RNinSoCal
Old Mar 14, 2006, 09:32 AM

Default Re: help please--position of amputation
You have to focus on the context of the patient in question. The patient here was a fresh post-op. You do not have to worry about contractures because the things you do immediately after surgery will eventually change as the patient heals. You want to elevate just the surgical site, not the entire lower body. I hope that helps you with this question.
Top
 
No. 2
from LouisianaNurse2006
Old May 28, 2006, 04:51 PM

Default Re: help please--position of amputation
We were told in school to elevate stump first 24 hours, then straight to prevent contractures, with prone position a few times a day if not contraindicated. Does this sound okay to others?
Top
 
No. 3
from meownsmile
Old Jun 05, 2006, 12:42 AM

Default Re: help please--position of amputation
It sounds good Louisiananurse, but trying to get your patient to lie prone for any time at all is going to be a challenge.
Top
 
No. 4
from nychikarudono
Old Dec 13, 2008, 05:05 PM

Default Re: help please--position of amputation
According to the lippincotts review series, "after 48 hours"(referring after amputation surgery),"avoid elevating residual limb to prevent formation of contractures."
Top
 
No. 5
from P_RN
Old Jan 26, 2009, 11:33 PM

Default Re: help please--position of amputation
Immediately post op postition of comfort. After the draid is out day 3 or 3 he should lie prone on his tummy to keep the hip flexors from drawing the stump upwards. If he can keep it down it will help a prosthesis fit so much better.
Top
 
Reply




Thread Tools


Who's Online
452 members
4,632 guests
5,084

Nursing News

1

Nurse Practitioner listed with the fallen at Fort Hood
7

Hospital bill stuns slain student’s parents: $ 30,000 for 5...
19

Doctors-in-short-supply-responsibilities-for-nurses-may-expa...
11

Less regular sleep for ICU nurses may lead to errors
16

Nurse sends unused medical supplies to needy nations
24

Premature Births Are Fueling Higher Rates of Infant...
6

MRSA Strain Linked to High Death Rates
26

RI hospital fined $150,000 in 5th wrong-site surgery since...
66

Nursing: One of the 6 Thriving Jobs that are Here to Stay???
90

Dad Fights Hospital to Keep Baby on Life Support


Nursing Articles

7

Why am I doing this, anyway?
0

Nurse Heal Thyself
7

My Papa, why I am the nurse I am today.
15

I made it through
11

An angel's gaze
13

A Sister Never Forgets
16

Ruby's Marbles
29

What Do Operating Room Nurses Do?
14

My Little Old Jedi
17

I love this job......
23

"I hear voices"
17

Preventing FRUTI (Foley Related Urinary Tract Infection) in...
23

Error and Attitude
10

It's Just a Shower
6

Searching for the Purpose


Should the H1N1 Vaccine be mandatory for Healthcare Professionals?

Currently Reading This Page: 1 (0 members & 1 guests)

Interested in the hottest topics of the week? Subscribe to the Nurse-zine Newsletter.
Enter email address:

Available Topics (tags)


Search By Tag:

New To Site
Need Help
Quick Links

Copyright © 1996-2009, allnurses.com. All rights reserved.  allnurses.com, Inc.
All times are GMT -5. The time now is 08:31 PM.