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Related Concept Videos

Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

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Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
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Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

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Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Updated: Sep 17, 2025

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AMPDECIDE amputation level patient decision aids: a feasibility study.

Alison W Henderson1,2, Maryam Soltani3,4, Bjoern D Suckow5,6

  • 1VA Center for Limb Loss and MoBility (CLiMB), 1660 S. Columbian Way, Seattle, WA, 98101, USA. alison.henderson@va.gov.

BMC Medical Informatics and Decision Making
|July 2, 2025
PubMed
Summary
This summary is machine-generated.

Patient decision aids for amputation level selection are usable and improve patient knowledge. Further research is needed to optimize recruitment strategies for future efficacy trials.

Keywords:
AmputationFeasibilityPatient decision aidsShared decision making

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Area of Science:

  • Medical Decision Making
  • Surgical Oncology
  • Patient Education

Background:

  • Amputation level selection is a critical decision for dysvascular patients.
  • Patient decision aids (PDAs) can support informed choices in complex medical situations.

Purpose of the Study:

  • To assess the feasibility of the AMPDECIDE patient decision aids for amputation level selection.
  • To evaluate the usability and efficacy of PDAs in improving amputation-level specific knowledge.
  • To identify patient barriers to PDA use and refine study methods for a larger trial.

Main Methods:

  • Feasibility study with an uncontrolled before-after design across two medical centers.
  • Convenience sample of dysvascular patients (pre- and post-amputation) were enrolled.
  • Patients reviewed PDAs and completed measures of knowledge, control preference, numeracy, and literacy.

Main Results:

  • Eleven patients enrolled; PDAs were rated as easy to navigate.
  • Amputation level knowledge improved by 17% after PDA exposure.
  • 81% of patients desired participation in amputation level decisions; recruitment challenges were noted.

Conclusions:

  • AMPDECIDE PDAs and study measures are suitable for a larger efficacy trial.
  • Patients effectively processed information from PDAs and responded positively.
  • Enhanced clinician involvement is recommended to improve patient recruitment in future studies.