Care planning for children with lower limb amputation

Abstract

This article explores the pathways of care for children who undergo lower limb amputation, from pre-surgery to rehabilitation. The consequences of surgery are manifold, including that children and their families must cope with life with a disability, effects on mobility, greater demands on metabolic reserve, disfigurement, pain and discomfort. Care can be divided into multidisciplinary pre-operative, post-operative, mid-term rehabilitation, including prosthetic limb casting and fitting, and long-term rehabilitation over many weeks and years. The involvement of the multidisciplinary team as the child progresses is described. It is recommended that care should be co-ordinated by a nominated lead professional. Effective discharge planning is crucial to a successful transition home and continuing rehabilitation.