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Care planning for children with lower limb amputation
Lucy Andrews1, Lynne Anderson, Stephanie Fairbain
1Addenbrookes Hospital, Cambridge University Hospitals NHS Trust. lucy.andrews@addenbrookes.nhs.uk
Nursing Children and Young People
|April 12, 2012
Summary
This article outlines the care pathways for children after lower limb amputation, covering pre-surgery to long-term rehabilitation. Coordinated care by a lead professional and effective discharge planning are vital for successful recovery and adaptation.
Area of Science:
- Pediatric surgery
- Rehabilitation medicine
- Child psychology
Background:
- Lower limb amputation in children presents significant physical and psychological challenges.
- Families must adapt to a child's new life with a disability, impacting mobility and daily life.
Purpose of the Study:
- To explore comprehensive care pathways for pediatric lower limb amputation.
- To detail the multidisciplinary team's role throughout the child's treatment journey.
- To emphasize the importance of coordinated care and discharge planning.
Main Methods:
- Review of care pathways from pre-operation through long-term rehabilitation.
- Description of multidisciplinary team involvement at various stages.
- Focus on prosthetic limb casting and fitting processes.
Main Results:
- Care is divided into pre-operative, post-operative, mid-term, and long-term rehabilitation phases.
- Successful adaptation requires addressing mobility, metabolic demands, disfigurement, and pain.
- The multidisciplinary team's progressive involvement is integral to patient care.
Conclusions:
- Care coordination by a nominated lead professional is recommended.
- Effective discharge planning is crucial for a successful transition home and ongoing rehabilitation.
- Holistic, long-term support is essential for children and families navigating life after amputation.
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