
Contents
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Epidemiology of Amputation Epidemiology of Amputation
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Incidence and Prevalence of Amputation Incidence and Prevalence of Amputation
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Cause and Level of Amputation Cause and Level of Amputation
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Physical Adjustment to Amputation Physical Adjustment to Amputation
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Psychological and Social Adjustment to Amputation Psychological and Social Adjustment to Amputation
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Affective Distress Affective Distress
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Body Image Disturbance Body Image Disturbance
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Social Impact Social Impact
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Positive Psychological and Social Consequences of Amputation Positive Psychological and Social Consequences of Amputation
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Factors Associated with Adjustment to Amputation Factors Associated with Adjustment to Amputation
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Assessment Assessment
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Role of the Psychologist in the Interdisciplinary Rehabilitation Team Role of the Psychologist in the Interdisciplinary Rehabilitation Team
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Intervention Intervention
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Peer Interactions and Self-Management Peer Interactions and Self-Management
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Psychotherapy Psychotherapy
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Coping Skills and Problem-Solving Coping Skills and Problem-Solving
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Medications Medications
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Pain Management Pain Management
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Next Steps in Treatment Next Steps in Treatment
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Conclusion Conclusion
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Future Directions Future Directions
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References References
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20 Limb Amputation
Get accessDeirdre M. Desmond, Trinity College, Dublin, Ireland
Laura Coffey, School of Nursing, Dublin City University, Dublin, Ireland
Pamela Gallagher, School of Nursing, Dublin City University, Dublin, Ireland
Stephen T. Wegener, School of Medicine, Department of Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, Maryland
Fiadhnait O'Keeffe, Department of Psychology, National Rehabilitation Hospital, Dun Laoghaire, Co, Dublin, Ireland
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Published:21 November 2012
Cite
Abstract
Limb amputation is both a life-saving procedure and a life-changing event.
The aims of rehabilitation following amputation are to restore acceptable levels of functioning that allow individuals to achieve their goals, facilitate personal health, and improve participation in society and quality of life, either with or without a prosthesis. Individual responses to limb loss are varied and complex; some individuals experience functional, psychological, and social dysfunction; many others adjust and function well. This chapter highlights critical psychological and social issues in amputation, summarizes current knowledge in these domains, and provides a brief overview of psychological interventions designed to address these issues.
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