Suicidal Ideation Among Individuals With Dysvascular Lower Extremity Amputation

Turner, Aaron P.; Meites, Tiffany M.; Williams, Rhonda M.; Henderson, Alison W.; Norvell, Daniel C; Hakimi, Kevin; Czerniecki, Joseph M.

doi:10.1016/j.apmr.2015.04.001

Cited by 28 publications

(12 citation statements)

References 82 publications

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Section: Acute and Chronic Health Challenges With Suicidal Tendenciesmentioning

confidence: 99%

“…Further, amputations and other associated disabilities were found to be associated with suicidal ideations ( Turner et al, 2015 ). The study by Turner et al (2015) concluded that suicidal ideations are common among those with recent amputations and nurses as well as other health team members ought to recognize this increased risk to prevent suicide. Also, suicide has been found to be higher among adults with disabilities compared to their counterparts without disabilities, and suicide is mostly preceded with suicidal ideations ( Shim and Hahm, 2011 ; Acheampong and Aziato, 2018 ).…”

Section: Acute and Chronic Health Challenges With Suicidal Tendenciesmentioning

confidence: 99%

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The Nurse or Midwife at the Crossroads of Caring for Patients With Suicidal and Rigid Religious Ideations in Africa

et al. 2021

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Nurses and midwives are the majority of healthcare professionals globally, including Africa, and they provide care at all levels of the health system including community levels. Nurses and midwives contribute to the care of patients with rigid or dogmatic religious beliefs or those with suicidal ideations. This review paper discusses acute and chronic diseases that have suicidal tendencies such as terminal cancer, diseases with excruciating pain, physical disability, stroke, end-stage renal failure, and diabetics who are amputated. It was reiterated that nurses and midwives taking care of these patients should be alert and observant to identify their suicidal tendencies. The paper also discusses religious or spiritual inclinations that negatively affect healthcare access and adherence, especially to biomedical or western medicine. It was emphasized that some religious beliefs do not allow their followers to employ biomedical treatment and nurses and midwives should not impose their faith on patients and their families. The paper ends with a discussion on the specific roles of nurses and midwives in the care of patients with suicidal ideations such as assessment, counseling, administering medication, observation, social interaction, ensuring safety measures, and providing an enabling environment for the family to part of the care and for the observation of religious coping strategies. Nurses and midwives should enhance their knowledge and skills on suicide and increase public education on suicide prevention and identification of those at risk.

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Section: Acute and Chronic Health Challenges With Suicidal Tendenciesmentioning

confidence: 99%

Section: Acute and Chronic Health Challenges With Suicidal Tendenciesmentioning

confidence: 99%

The Nurse or Midwife at the Crossroads of Caring for Patients With Suicidal and Rigid Religious Ideations in Africa

et al. 2021

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“…Among patients with PAD, the prevalence of depression ranges from 16% 28 to 46%. 29 PAD is associated with impaired quality of life, 30 which may increase the incidence of depression.…”

Section: Evidence Linking Pad and Depressionmentioning

confidence: 99%

“…116 In a separate study of patients who underwent lower extremity amputations for complications related to diabetes mellitus or PAD, there was a 16% prevalence of suicidal ideation at 1 year, which was significantly associated with lower levels of mobility and activities of daily living independence. 28…”

Section: Impact Of Depression On Pad Outcomesmentioning

confidence: 99%

Review of biologic and behavioral risk factors linking depression and peripheral artery disease

2018

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The incidence of depression has been rising rapidly, and depression has been recognized as one of the world's leading causes of disability. More recently, depression has been associated with an increased risk of symptomatic atherosclerotic disease as well as worse perioperative outcomes in patients with cardiovascular disease. Additionally, recent studies have demonstrated an association between depression and peripheral artery disease (PAD), which has been estimated to affect more than 200 million people worldwide. These studies have identified that depression is associated with poor functional and surgical outcomes in patients with PAD. Although the directionality and specific mechanisms underlying this association have yet to be clearly defined, several biologic and behavioral risk factors have been identified to play a role in this relationship. These factors include tobacco use, physical inactivity, medical non-adherence, endothelial and coagulation dysfunction, and dysregulation of the hypothalamic-pituitary-adrenal axis, autonomic system, and immune system. In this article, we review these potential mechanisms and the current evidence linking depression and PAD, as well as future directions for research and interventional strategies. Understanding and elucidating this relationship may assist in preventing the development of PAD and may improve the care that patients with PAD and comorbid depression receive.

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“…The high rate of 1-year mortality is usually from associated stroke or myocardial infarction (MI) 11 - 15 . Studies investigating health-related quality of life (QoL) in patients with PVD have revealed that QoL is primarily determined by mobility impairment 16 , 17 . Therefore, restoring functional mobility may provide substantial benefit to these amputees 18 .…”

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confidence: 99%

Transtibial Osseointegration for Patients with Peripheral Vascular Disease

et al. 2021

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Background: The management of peripheral vascular disease (PVD) can require amputation. Osseointegration surgery is an emerging rehabilitation strategy for amputees. In this study, we report on 6 patients who had PVD requiring transtibial amputation (PVD-TTA) and either simultaneous or subsequent osseointegration (PVD-TTOI). Methods: Six patients (aged 36 to 84 years) with transtibial amputation and preexisting PVD underwent osseointegration between 2014 and 2016 and were followed for 3 to 5 years. Pre- and postoperative clinical and functional outcomes (pain, prosthesis wear time, mobility, walking ability, and quality of life) and adverse events (infection, fracture, implant failure, revision surgery, additional amputation, and death) were prospectively recorded. Results: All patients’ mobility improved following osseointegration. Three patients initially had required the use of a wheelchair, precluding baseline walking tests; the other 3 were classified as K level 1 or 2, with mean baseline Timed Up and Go (TUG) test = 14.0 ± 2.2 s and 6-Minute Walk Test (6MWT) = 262 ± 75 m. At the time of the latest follow-up, all patients were K level 2 or 3; mean TUG = 12.7 ± 7.2 s and 6MWT = 353 ± 148 m. Four patients wore their prosthesis ≥16 hours daily. Three patients had superficial soft-tissue infections. One other patient experienced recurrent infections 2.8 years after osseointegration requiring debridements and transfemoral amputation; the patient died 2 days following surgery from myocardial infarction caused by coronary atherosclerosis. Conclusions: All 6 patients who underwent PVD-TTOI in this case series survived through 2 years. Patients who initially had used a wheelchair achieved and maintained independent, unaided ambulation until PVD-related impairments in the contralateral leg occurred in 1 patient. Patients previously using a traditional socket prosthesis reported improvement in mobility and quality of life. One patient’s death underscores the importance of careful patient selection. However, marked improvement in the other 5 patients suggests cautious optimism that PVD-TTA is not an absolute osseointegration contraindication. Conscientious further investigation seems appropriate. Level of Evidence: Therapeutic Level IV . See Instructions for Authors for a complete description of levels of evidence.

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Suicidal Ideation Among Individuals With Dysvascular Lower Extremity Amputation

Cited by 28 publications

References 82 publications

The Nurse or Midwife at the Crossroads of Caring for Patients With Suicidal and Rigid Religious Ideations in Africa

The Nurse or Midwife at the Crossroads of Caring for Patients With Suicidal and Rigid Religious Ideations in Africa

Review of biologic and behavioral risk factors linking depression and peripheral artery disease

Transtibial Osseointegration for Patients with Peripheral Vascular Disease

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