By May

A case-based textual content, now with terminology in line with the APTA's consultant to actual Therapist perform, makes use of a holistic method of the administration of people with amputations. Concise but finished, it discusses hectic amputations, juvenile amputees, and the administration of people with peripheral vascular ailments. The second variation studies the newest technological advances in prosthetic fabrication and gives details on appropriate web pages.

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Extra info for Amputations and Prosthetics: A Case Study Approach

Example text

Ulcers and gan~ene 24 CHAPTER TWO PERIPHERAL VASCULAR DISEASE Phyaleal Therapy Examination Elements of Patie nt Manage ment Th e Gu ide 10 Ph ysical Therap y Practice, ed 2, has outlined five major steps necessary for the management of any ind ividual seeking physical therapy service s. l. specific d,aa collection through the application of tests and measures, The PT must obtain a detailed history to document the extent of vascular insuificiency and other problems. 'l. ics and lifesty le information, Other medical problems, medications, medical .

Arteriosclerosis with diabetes Olderthan age 40; risk CVI Thromboangiitis obliterans (TAO) Medium and small arteries involved. Fatty streaks lead to fibrous plaques and narrowing of arteries. Same as ASO plus decreased or absent sensation of the foot; renal complications; impaired vision; loss at muscle strength in distal segments. Multiple systems involvement AUects about 1% of population . SuperfiCial and deep veins may be involved. Incidence increases with age. Blood Haws back to superficial veins secondary todamaged perforating valves; leads to increased pressure and decreased flow back to heart New venous capillaries and increased fibrinolytic buildup prevent normal exchange and lead to cell death.

Kloth, Le, Ct al : Wound Healing: Alternatives in Management. t' ;1 ::: CHAPTER TWO PERIPHERAL VASCULAR DISEASE 37 30. McCulloch, J: Peripheral vascular disease. In O'Sullivan, SB, and Schmitz, TJ leds): Physical Rehabilitation: Assessment and Treatment, cd 2. FA Davis, Philadelphia, 1988. 31. Wong, RA: Chronic dermal wounds in older adults. In Guccione, AA {cd): Geriatric Physical Therapy, cd 2. Mosby, St. Louis, 2000. 32. Weiss, T, et al: Effect of intensive walking exercises on skeletal muscle blood flow in intermittent claudication.

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