PP06-Diabetic Case Presentation

If you are using this case presentation please also refer to this resource - The Diabetic Amputee

Case Presentation

This lady is 53-year-old gainfully employed female with a long history of smoking and type 2 diabetes. Diagnosis of peripheral artery disease (PAD) several months ago has lead to arteriosclerosis obliterans in the dorsalis pedis artery of the right leg. She was subsequently hospitalised with a chronic Fontaine’s stage IV foot ulcer and critical limb ischemia. After a revascularisation attempt via percutaneous transluminal angioplasty (PTA), circulation was only marginally improved and she underwent transtibial amputation. Following the operation, some of the difficulties that she faces include pain; phantom limb sensation; decreased strength, range of motion and balance; decreased skin integrity; decreased endurance and ability to walk and work; and psychological issues. She wishes to return to her previous job in a hotel.

Assignment

What do you think is the most appropriate fitting decision and what is your treatment plan through to discharge? Justify your answer with references from the scientific literature and from the course.

Please refer to the assignment guidelines to prepare your assignment.