Care Priorities for Individuals with Lower Extremity Amputations: A Patient Delphi Study.

Journal: Clinical rehabilitation

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Affiliated Institutions:  Pain Management Unit, Department of Anaesthesia and Perioperative Medicine, Neuroscience Institute, University of Cape Town, Cape Town, South Africa. Department of Social Development, University of Cape Town, Cape Town, South Africa. Department of Rehabilitation Medicine, Research School CAPHRI, Faculty of Health, Life Sciences and Medicine, Maastricht University, Maastricht, The Netherlands.

Abstract summary 

To gather preliminary evidence on short- and long-term care priorities for people with lower extremity amputations.A three-round modified Delphi study using semi-structured interviews.A convenience sample of 20 adult participants who had undergone lower extremity amputations at a tertiary public hospital.Consensus on each care priority was defined a priori as an agreement of more than 50%. Semi-structured interviews were conducted to understand the rationales for endorsing the care priorities.Consensus was reached on 24 short-term care priorities and 12 long-term care priorities in the biomedical, practical and psychological and spiritual domains. The rationales for endorsing each of the care priorities generated three themes: preparedness; mental health, psychological and spiritual well-being; and participating in life, with respect and dignity.Our results highlight the substantial need to improve patient access to education and planning support prior to undergoing limb amputation, and optimising post-amputation rehabilitation programmes, enabling people with amputations to participate in meaningful life roles that provide them with purpose, dignity, and self-respect. The knowledge of care priorities revealed in this study may promote effective patient-centred care and improve clinical outcomes.

Authors & Co-authors:  Limakatso K K Lebiletsa T T Smeets R J E M RJEM Parker R R

Study Outcome 

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Statistics
Citations : 
Authors :  4
Identifiers
Doi : 10.1177/02692155241258913
SSN : 1477-0873
Study Population
Male,Female
Mesh Terms
Other Terms
Delphi study;care priorities;lower extremity amputations
Study Design
Study Approach
Country of Study
Publication Country
England