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Question:
A nurse is caring for a 37-year-old male diabetic patient admitted post operatively below-knee amputation as a result of poor wound healing after a motor vehicle accident. Which of the following comments by the patient indicates ineffective coping with his post-operative recovery?
Select all that apply.
A. “When can I start physical therapy so I learn how to move around again?”
B. “I am going to work with a prosthetics specialist to fit a new lower limb.”
C. “Just order me a wheelchair, it’s not like I’m going to walk with one leg.”
D. “I will ensure that my blood sugars are appropriately managed.”
E. “I don’t want to see my leg. This is just a bad dream.”
A
C and E
explanation
Coping mechanisms are essential to a patient’s recovery. Poor coping mechanisms may inhibit recovery by decreasing patient participation in therapies. The nurse must understand that many patients will grieve throughout their illness as they let go of their previous normal life and transition into their new normal. In the event of limb amputation, many physical and emotional barriers will present. Comments by the patient to be more involved in his care will likely improve his outcomes. The patient will need to manage his other chronic health issues to optimize recovery. Support systems are also essential in this process to improve patient outcomes.
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