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Health & Human Performance

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MaxPassive StretchesSupine Heel SlidesSupine Ankle PumpsSupine SAQSupine SLRSupine Hip ABD/ADDBed Mobility

Femoral-Popliteal Bypass

58 y/o female, R. Fem-Pop Bypass

Plan Of Care

1) Improve independence with bed moblity and all transfers2) Improve generalized weakness3) Ambulate 600 feet with least restrictive A.D. independently4) Improve static and dynamic balance to tolerate overpressure on all sides

Initial EvalL. Hip: WFLL. Knee: WFLL. Ankle: WFLR. Hip: WFLR. Knee: ImpairedR. Ankle: ImpairedCognition: Alert and confused x3Gait: Ambulates with RW, mod-A for balance, R LE NWB

Patient History-Mild mental retardation-Hypertension-Previous DVTs on R LE-Anxiety-Lives alone

GoalsLTG: 1)Perform bed mobility and transfers: Mod-I 2)Ambulate with least restrictive AD: Mod-I, 100 feet, step through pattern, consistent heel-strike 3)Navigate 12 steps: Mod-I, reciprocal pattern

Adjustments1)Patient irratable and unwilling/unmotivated to work -Increase patient rapport2)R LE first ray amputation -Re-eval and adjust goals and plan of care3)Depression -Educate on importance and significance of PT4)R LE BKA -Re-eval and adjust goals and plan of care

ModSeated Heel SlidesSeated MarchesSeated LAQSeated Ankle PumpsSeated Hip ABD/ADDSit<->StandBed<->Chair TransfersStanding TolerancePROM Stretches

MinStanding MarchesStanding Heel RaisesStanding ToleranceAmbulation with RW

Goldberg T, Goldberg S, Pollak J. Postoperative management of lower extremity amputation. Physical Medicine And Rehabilitation Clinics Of North America [serial online]. August 2000;11(3):559. Available from: MEDLINE, Ipswich, MA. Accessed July 21, 2013.

DischargePT recommends Acute Rehab once medically discharged



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