Patient Safety in the Rehabilitation of the Adult with an Amputation - 25/04/12

Doi : 10.1016/j.pmr.2012.02.011

Gail Latlief, DO ^a,^b,^⁎ , Christine Elnitsky, PhD, RN ^a,^c,^d,^e, Stephanie Hart-Hughes, PT, MSMS, NCS ^a,^c, Samuel L. Phillips, PhD, CP ^a,^c,^f, Laurel Adams-Koss, OT ^a, Robert Kent, DO, MHA ^b, M. Jason Highsmith, DPT, CP ^g
^a HSR&D RR&D Center of Excellence, James A Haley Veterans Hospital, 8900 Grand Oak Circle, Tampa, FL 33637, USA
^b Department of Neurology, College of Medicine, University of South Florida, Tampa, FL, USA
^c VISN 8 Patient Safety Center of Inquiry, Tampa, FL 33620, USA
^d Colleges of Nursing, University of South Florida, 12901 Bruce B. Downs Boulevard MDC Box 22, Tampa, FL 33612, USA
^e College of Behavioral and Community Sciences, University of South Florida, 13301 Bruce B. Downs Boulevard MHC 1110, Tampa, FL 33612-3807, USA
^f Department of Mechanical Engineering, College of Engineering, University of South Florida, Tampa, FL 33620, USA
^g School of Physical Therapy & Rehabilitation Sciences, College of Medicine, University of South Florida, 12901 Bruce B. Downs Boulevard, MDC077, Tampa, FL 33620, USA

Corresponding author. HSR&D RR&D Center of Excellence, James A Haley Veterans Hospital, 8900 Grand Oak Circle, Tampa, FL 33637.

Résumé

This article reviews and summarizes the literature on patient safety issues in the rehabilitation of adults with an amputation. Safety issues in the following areas are discussed; the prosthesis, falls, wound care, pain, and treatment of complex patients. Specific recommendations for further research and implementation strategies to prevent injury and improve safety are also provided. Communication between interdisciplinary team members and patient and caregiver education are crucial to executing a safe treatment plan. The multidisciplinary rehabilitation team members should feel comfortable discussing safety issues with patients and be able to recommend preventive approaches to patients as appropriate.

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Keywords : Patient safety, Limb loss, Falls, Prosthetics, Wound care, Physical therapy, Transfers, Patient handling

Plan

Methodologic issues

Safety and the prosthesis

Safety of the health care team and caregivers

Falls and lower extremity amputation

Wound care and pain management

Recommendations for clinical prevention

Treating complex patients

Summary

Future Research Directions

Disclosures: (1) Contents do not represent the views of the Department of Veterans Affairs nor the US Government. (2) This material is the result of work supported with resources and the use of facilities at the James A. Haley Veterans Affairs Hospital, Tampa, FL.

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Vol 23 - N° 2

P. 377-392 - mai 2012 Retour au numéro

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Patient Safety in the Rehabilitation of the Adult with an Amputation - 25/04/12

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