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Related Concept Videos

Peripheral Artery Disease I: Introduction01:30

Peripheral Artery Disease I: Introduction

34
Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
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Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

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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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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 Artery Disease IV: Nursing Management01:26

Peripheral Artery Disease IV: Nursing Management

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 The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
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Related Experiment Video

Updated: Sep 14, 2025

Bioelectric Analyses of an Osseointegrated Intelligent Implant Design System for Amputees
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Lower extremity prosthesis usage among U.S. veterans: 10-year cohort study.

Roland Paquette1, Giselle Carnaby2, Timothy Reistetter3

  • 1Department of Physician Assistant Studies, Baylor University, Robbins College of Health and Human Sciences, Waco, TX, USA.

Disability and Rehabilitation
|July 21, 2025
PubMed
Summary

U.S. veterans show higher lower extremity prosthesis use despite risk factors. Holistic care addressing nutrition and health is key for post-amputation function and wellness.

Keywords:
Artificial legphysiatryphysical therapyprosthesesrehabilitationveterans health

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Area of Science:

  • Rehabilitation Medicine
  • Prosthetics and Orthotics
  • Veteran Health

Background:

  • Lower extremity amputation (LEA) disproportionately affects U.S. veterans.
  • Existing research on LEA prosthesis use in veterans is limited.
  • Understanding factors influencing prosthesis usage is crucial for optimizing veteran care.

Purpose of the Study:

  • To investigate lower extremity prosthesis usage in U.S. veterans.
  • To identify modifiable factors (pain, weight, comorbidities, skin issues) associated with prosthesis use.
  • To describe prosthesis provision patterns among veterans.

Main Methods:

  • Retrospective cohort study of 300 U.S. veterans (2011-2021).
  • Data collected from a single amputation clinic.
  • Bivariate and multivariate regression analyses used to assess associations with prosthesis usage.

Main Results:

  • Significant associations found between prosthesis usage and sex, etiology, smoking, comorbidities, and amputation characteristics.
  • Pain and body weight showed weak but significant associations; lower weight (<170 lbs) exacerbated pain.
  • Veterans demonstrated higher daily prosthesis usage than the general population.

Conclusions:

  • U.S. veterans exhibit increased prosthesis usage despite higher risk for barriers.
  • Holistic peri-amputation care addressing nutrition and health is recommended.
  • Tailored rehabilitation plans are essential for optimizing veteran function post-amputation.