Lower limb amputation : the role of the occupational therapist towards a successful geriatric rehabilitation

Abstract

Despite the advances in surgical treatment of amputation, particularly in reconstruction, it is a sad fact that the number of amputations performed is increasing. The aim of this dissertation is to demonstrate the important role of the Occupational Therapist working within a multidisciplinary team in order to have a successful geriatric rehabilitation. The dissertation contains general information regarding amputation and emphasizes also the psychological reactions. The rehabilitation phase of an amputee was discussed at length in the case study. In such a case, rehabilitation proved to be successful within a multidisciplinary team approach. An eclectic approach was taken to enhance client's maintenance and functioning. Activities and exercises were aimed at increasing strength and endurance, improve mobility and transferring techniques, increase independence in activities of daily living, home visit as well as support to the client and his family. The Barthel ADL Index was chosen to measure rehabilitation outcome. The results are discussed in the case study. This is followed by an in-depth discussion and recommendations in order to have better rehabilitation outcomes.