If red flag present, see doctor

nextCONTINUE

 

 

Do any of the above apply?

 

Are there multiple injuries?

 

Is the patient free of co-morbidities?

 

Does the patient understand and retain new information?

 

Is the stump healthy? check for signs of healing or infection

 

Is the stump oedematous? check for signs of oedema by pressing gently with flat of thumb

 

Has the wound healed?

 

Has the scar tethered?

 

Is the patient in pain?

 

Is the pain in the stump?

 

Is there pain elsewhere?

 

Is the pain where the limb used to be?

 

Does hip have reduced ROM for A or for B?

 

Does hip have reduced flexion for A or for B?

 

Does hip have reduced lateral rotation for A or for B?

 

Does hip have reduced medial rotation for A or for B?

 

Does hip have reduced abduction for A or for B?

 

Does hip have reduced adduction for A or for B?

 

Does the knee have reduced flexion for A or for B?

 

Does the knee have reduced extension for A or for B?

 

Is there reduced ankle dorsiflexion or plantarflexion?

 

Does hip have reduced extension strength for A or B?

 

Does either hip have reduced flexion strength for A or B?

 

Does hip have reduced abduction strength for A or B?

 

Does either hip have reduced adduction strength for A or B?

 

Does either hip have reduced lateral rotation strength for A or B?

 

Does either hip have reduced medial rotation strength for A or B?

 

Does either knee have reduced extension strength for A or B?

 

Does either knee have reduced flexion strength for A or B?

 

Does the ankle have reduced strength?

 

Does either arm have reduced ROM at shoulder?

 

Does either arm have reduced strength at the elbow?

 

Does either arm have reduced strength at the wrist or hand?

 

Does the patient have good hand function?

 

Is the contra-lateral foot healthy?

 

Can the patient move safely around the bed?

 

Does the patient know how to transfer?

 

Is the patient safe to use a wheelchair?

 

Has the patient been measured for crutches?

 

Is the patient safe to use crutches for transfer?

 

Is the patient safe to use crutches around location?

 

Can the patient move from floor to chair/bed?

 

Is the patient free from anxiety and depression?

 

Based on this on-going assessment Is a prosthesis suitable for the patient?

 

Checklist (to help decision)
(1): Independent mobility with appropriate aid (wheelchair or crutches)?

 

Checklist (2): Independent transfers?

 

Checklist (3): Able to stand for long enough to take a cast of the stump (can be holding on)?

 

Checklist (4): Adequate ROM hips and knees - flexion contractures of less than 25degs hip and knee both sides?

 

Checklist (5): Good muscle power in all limbs regardless of level of amputation?

 

Checklist (6): Good cognition and insight?