Patient Safety in the Rehabilitation of the Adult with an Amputation

Latlief, Gail; Elnitsky, Christine; Hart-Hughes, Stephanie; Phillips, Sam L.; Adams-Koss, Laurel B.; Kent, Robert; Highsmith, M. Jason

doi:10.1016/j.pmr.2012.02.011

Cited by 14 publications

(9 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, communication and the exchange of information are essential for the implementation of interdisciplinarity through the team approach. 24 In these cases, in addition to the professionals' experience, we have all the technological apparatus available for the care strategies. 25 The positive aspects related to the process of referral and counter-referral to the integral care of the person with an amputation are undeniable.…”

Section: Discussionmentioning

confidence: 99%

Atenção Em Rede Às Pessoas Com Amputação: A Ação Da Enfermagem Sob O Olhar Da Bioética

Ferreira

Vargas

Marques³

et al. 2018

Texto contexto - enferm.

View full text Add to dashboard Cite

Objective: to analyze the referral and counter-referral process in the health care of people with amputations, in the perspective of nurses, in the view of bioethics.Method: a descriptive, exploratory-analytical study with a qualitative approach, performed with semi-structured interviews with 21 nurses who provide care to people with amputations in the health care network of Florianópolis (Santa Catarina/ Brazil). The data were organized using Atlas ti 7.5.6 software and analyzed based on thematic content analysis.Results: two thematic categories emerged: The nurse's role in the referral and counter-referral process and Advances and challenges of a process under construction. It was evidenced that without legal backing, most referrals are made based on interpersonal relationships and informality. Therefore, shared responsibility and the exchange of knowledge allows actions based on the intrinsic needs and complexities in the health care of this population.Conclusion: the analysis in the view of bioethics allowed to conclude that not only the person with the amputation but also the nurse occupies a vulnerable position. They have shown the commitment to offer a comprehensive service. The ethical commitment, professional creativity, specialist orientation and consultation-liaison were highlighted as potentialities. The weaknesses were the lack of protocols, ineffective communication between levels of care, restricted access to information and slow referral time. DESCRIPTORS:Amputation. Nursing. Integrality in health. Bioethics. Health care. ATENÇÃO EM REDE ÀS PESSOAS COM AMPUTAÇÃO: A AÇÃO DA ENFERMAGEM SOB O OLHAR DA BIOÉTICA RESUMOObjetivo: analisar o processo de referência e contrarreferência na assistência à saúde das pessoas com amputação, na perspectiva dos enfermeiros, sob o olhar da bioética.Método: estudo descritivo, exploratório-analítico com abordagem qualitativa, realizado por entrevista semiestruturada com 21 enfermeiros que prestam assistência à pessoa com amputação alocada na rede de atenção à saúde de Florianópolis. Os dados foram organizados com auxílio do software Atlas ti 7.5.6 e analisados com base na análise de conteúdo temática.Resultados: emergiram duas categorias temáticas: O fazer do enfermeiro no processo de referência e contrarreferência e Avanços e desafios de um processo em construção. Evidenciou-se que sem o respaldo legal, a maioria dos encaminhamentos são realizados com base nas relações interpessoais e na informalidade. Logo, a responsabilização compartilhada e a troca de saberes possibilitam ações fundamentadas nas necessidades e complexidades intrínsecas na assistência à saúde dessa população. Objetivo: analizar el proceso de referencia y contra referencia en la asistencia para la salud de las personas con amputaciones, en la perspectiva de los enfermeros y bajo la mirada de la bioética. ConclusãoMétodo: estudio descriptivo, exploratorio-analítico y con abordaje cualitativo realizado por entrevistas semiestructuradas con 21 enfermeros que dan asistencia a personas con amput...

show abstract

Section: Discussionmentioning

confidence: 99%

Atenção Em Rede Às Pessoas Com Amputação: A Ação Da Enfermagem Sob O Olhar Da Bioética

Ferreira

Vargas

Marques³

et al. 2018

Texto contexto - enferm.

View full text Add to dashboard Cite

show abstract

“…Nevertheless, in a multidisciplinary team's care process, when acting in an interdisciplinary manner, communication is more effective and, consequently, the patients' recovery and rehabilitation process can be more satisfactory. 11,[17][18] Knowing how to listen is essential; this conception is also articulated with the professionals' attitudes and work conditions. As early as in 2003, the Federal Government launched the National Humanization Policy, aiming to promote communication among managers, workers and patients attended by the Unified Health System (SUS).…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, it is considered that a treatment plan centered on the person should be comprehensive and developed from the start of the rehabilitation process. 17,20 Rehabilitation should be planned even before the amputation, because the team understands the importance of the early establishment of rehabilitation.…”

Section: Discussionmentioning

confidence: 99%

Health care for people with amputation: analysis from the perspective of bioethics

Marques

Vargas

Schoeller

et al. 2014

Texto contexto - enferm.

View full text Add to dashboard Cite

A qualitative, descriptive and exploratory study was conducted through semi-structured interviews with 18 people undergoing amputation in the period 2008-2010, in public hospitals in Florianópolis. The objectives were to analyze the care provided by health professionals throughout the amputation process in the perspective of the amputee patient; and discuss the process of health care to the person with amputation in the bioethical analysis perspective. Data were analyzed according to content analysis. Three thematic categories emerged: the process of amputation; team performance and rehabilitation. Bioethics permits reflection on the care provided to amputees and problematizes the relationship of the health care process with support available through public health policies. The professional involved in this process has to take responsibility for putting the process in practice and interdisciplinary is essential for the recovery of the amputated patient.

show abstract

“…Similarly, use of a slick liner by an individual who sweats profusely may produce unwanted pistoning because the liner (and prosthesis) will slip relative to the user's residual limb. Pistoning can degrade proprioceptive stability and produce gait deviations that lead to trips and falls [4,5]. Miller and colleagues reported that 52.4% of 435 lower-limb amputees reported falling at least once over a 12 month period, and 39.5% reported falling two or more times [6].…”

Section: Introductionmentioning

confidence: 99%

Development of Standardized Material Testing Protocols for Prosthetic Liners

Cagle

Reinhall

Hafner

et al. 2017

Journal of Biomechanical Engineering

View full text Add to dashboard Cite

A set of protocols was created to characterize prosthetic liners across six clinically relevant material properties. Properties included compressive elasticity, shear elasticity, tensile elasticity, volumetric elasticity, coefficient of friction (CoF), and thermal conductivity. Eighteen prosthetic liners representing the diverse range of commercial products were evaluated to create test procedures that maximized repeatability, minimized error, and provided clinically meaningful results. Shear and tensile elasticity test designs were augmented with finite element analysis (FEA) to optimize specimen geometries. Results showed that because of the wide range of available liner products, the compressive elasticity and tensile elasticity tests required two test maxima; samples were tested until they met either a strain-based or a stress-based maximum, whichever was reached first. The shear and tensile elasticity tests required that no cyclic conditioning be conducted because of limited endurance of the mounting adhesive with some liner materials. The coefficient of friction test was based on dynamic coefficient of friction, as it proved to be a more reliable measurement than static coefficient of friction. The volumetric elasticity test required that air be released beneath samples in the test chamber before testing. The thermal conductivity test best reflected the clinical environment when thermal grease was omitted and when liner samples were placed under pressure consistent with load bearing conditions. The developed procedures provide a standardized approach for evaluating liner products in the prosthetics industry. Test results can be used to improve clinical selection of liners for individual patients and guide development of new liner products.

show abstract

Patient Safety in the Rehabilitation of the Adult with an Amputation

Cited by 14 publications

References 38 publications

Atenção Em Rede Às Pessoas Com Amputação: A Ação Da Enfermagem Sob O Olhar Da Bioética

Atenção Em Rede Às Pessoas Com Amputação: A Ação Da Enfermagem Sob O Olhar Da Bioética

Health care for people with amputation: analysis from the perspective of bioethics

Development of Standardized Material Testing Protocols for Prosthetic Liners

Contact Info

Product

Resources

About