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Monday, August 13, 2012

How to Help a Person Cope with Amputation

Whether diabetics or accident victims, many people have to deal with the frightening fact that they have to have a limb amputated. Whether you are a family member, friend or even a caregiver, oftentimes, you don't know to help them cope. Here is some advice on the subject. I truly hope it helps someone.
Imagine, if you will, for just a minute. Someone you know is in a car crash. Not too bad, but bad enough. Their leg was pinned in the vehicle and severed a main artery. The person is alive, but not without complication. Because of the arterial damage, and the severity of it, doctors have no choice but to amputate the leg. Imagine how you would feel if you were delivered that news about a loved one. I imagine that you would be happy that the person was alive, but terrified at the thought of him or her losing their leg. All sorts of questions would come to your mind. Will he or she ever walk again? How are you going to feel the first time to see that leg gone? How long will it take to heal? Those are just a few.
Now, imagine, if you will, how you would feel if you were that person. The one who had to lose a leg. How would you feel? Sad? Angry? Helpless? Hopeless?
These emotions and probably many more. Not to mention the questions that would race around in your head!! Will I walk again? How long will it be before I can walk again? How will people look at me? What will people say? Who will help me? Why did it happen to me?
Unfortunately, amputations happen all of the time. Whether it be from a disease such as diabetes, an accident, or a number of other things, it happens. Many people have no idea how to help the person cope with the amputation. This often results in the person sinking into a pit of depression. They feel so helpless, and alone. They wonder if they will ever "get back on their feet".
The answer to the last question is yes, they probably will "get back on their feet", but it will take time. The more positive their attitude is, and the more support they receive, the better off they will do. Being the person trying to help can be a hard job. It requires a lot of patience.
My advice to the family, friends, and care-givers of amputees is to do your best to stay positive. In most cases, amputation is only a set-back. Don't dwell on it. The amputee is still the same person, he or she is just missing a limb. Their mind still works as does the rest of their body. They often need to be reminded of that. ENCOURAGE them to do what they can for themselves, but not to over-do it. While they are still healing, they need to follow doctors orders.

Saturday, August 11, 2012

Heat: A Disability Online Novel (You Can Translate)

Heat: A Disability Online Novel (You Can Translate)

When do I need amputation?


When do I need amputation?

Most people who require an amputation have PAD, a traumatic injury, or cancer.
PAD is the leading cause of amputation in people age 50 and older, and accounts for up to 90 percent of amputations overall. Normally, surgeons treat advanced PAD through other methods, like controlling infection using antibiotics and draining or removing any infected tissue as well as performing surgery or other procedures to increase the blood flow to the affected area. However, if these treatments do not work, or if the tissue damage is too far advanced initially, amputation will remove a source of major infection and may be necessary to save your life.
A traumatic injury, such as a car accident or a severe burn, can also destroy blood vessels and cause tissue death. As a result, infection if not adequately treated, can spread through your body and threaten your life. Your medical team will make every effort to save your limb by surgically replacing or repairing your damaged blood vessels or using donor tissue. However, if these measures do not work, amputation can save your life. Traumatic injuries are the most common reason for amputations in people younger than age 50.
Your physician may recommend amputation if you have a cancerous tumor in your limb. You may also receive chemotherapy, radiation, or other treatments to destroy the cancer cells. Depending upon the particular circumstances, these treatments can shrink the tumor and may increase the effectiveness of your amputation.

How do I prepare?


How do I prepare?
Your physician will perform a physical examination to determine whether your limb can be saved or if you need an amputation. He or she will check you for:
  • Fever
  • Cool skin near your wound
  • Extremely painful skin
  • Wound odor
  • Infected or non-healing sores or wounds
Your physician will also arrange for tests to see how well blood is reaching your limbs. These tests may include blood pressure tests, duplex ultrasound, and angiography. Sometimes computed tomography or magnetic resonance imaging is used.
If you have any other conditions, such as diabetes, high blood pressure, heart problems, poor kidney function, or infections, your physician will discuss with you how to treat them to get you in the best condition. Your physician will also test your physical strength, balance, and coordination to assess your potential for rehabilitation. If you are going to use an artificial limb, sometimes your physician may arrange for you to be measured for the device before your operation. This way, your artificial limb will be ready as soon as you recover. Often, however, your physician may advise waiting until your incision is healed adequately before getting your artificial limb. You also may receive counseling before your surgery to help you adapt to the loss of your natural limb.
Your physician will discuss with you whether to reduce or stop any medications that might increase your risk of bleeding or other complications. If you have any allergies to anesthesia, pain medications, or antibiotics, you should tell your physician at this time.

What is an amputation?


What is an amputation?
When performing an amputation, a surgeon removes a limb, or part of a limb, that is no longer useful to you and is causing you great pain, or threatens your health because of extensive infection. Most commonly, a surgeon must perform this procedure on your toe, foot, leg, or arm. Physicians as well as patients consider amputation a last resort. Although amputations may be required for other reasons, such as severe injury or the presence of a tumor, the most common reason you may need an amputation is if you have peripheral arterial disease (PAD) due to atherosclerosis (hardening of the arteries). In PAD, the blood vessels in your limbs become damaged because of hardening of the arteries or diabetes. Your body's cells depend on a constant supply of oxygen and nutrients delivered to them by your blood. If your blood vessels are unable to supply blood and oxygen to your fingers or toes, the cells and tissues die and are vulnerable to infection.  If the blood supply cannot be improved sufficiently or if the tissue is beyond salvage, extensive tissue death may require amputation, especially if you are experiencing severe pain or infection.

Friday, August 10, 2012

Moving on

Moving on


When you are told your child has a disability, it’s bound to be a shock. Suddenly, you feel different—set apart from other people. Your child seems different too. It’s hard to adjust. You may begin to wonder:
• Why did this happen to me?
• Is it something I did or didn’t do?
• Is it from my side of the family?
• How is this going to turn out?
Most parents of disabled children have these questions. That’s why they need support. They need to resolve their own feelings before they can help their child deal with the disability. Fortunately,
there are many sources of help for disabled children and their families.
So, if you have a disabled child or suspect that you may:
• Get a complete diagnosis as soon as possible.
• Be realistic about the disability, but provide the oppor- tunities for growth every child needs.
• Treat your child as a regular member of the family.
• Seek out support groups and professional organizations for disabled children and their parents.
What can you hope for a disabled child? Some disabled children will need supervision or physical care all of their lives. A few may have to live in a special home or an institution. But a great many will become self-supporting, marry, and have children
of their own.
Whatever the disability, your child needs opportunities to grow and “become,” just like any child.