Risk for Ineffective Tissue Perfusion — Amputation

In general, amputation of limbs is the result of trauma, peripheral vascular disease, tumors, and congenital disorders. This is an amputation nursing care plan for a patient with a risk for ineffective tissue perfusion.

Nursing Diagnosis:

• Tissue Perfusion, risk for ineffective: peripheral

Risk factors: 

• Reduced arterial/venous blood flow; tissue edema, hematoma formation
• Hypovolemia

Desired Outcomes: 

Self-Esteem, situational low , Amputation NCPs

Nursing Diagnosis

• Self-Esteem, situational low

May be related to

• Loss of body part/change in functional abilities

Possibly evidenced by

• Anticipated changes in lifestyle; fear of rejection/reaction by others
• Negative feelings about body, focus on past strength, function, or appearance
• Feelings of helplessness, powerlessness
• Preoccupation with missing body part, not looking at or touching stump
• Perceived change in usual patterns of responsibility/physical capacity to resume role