A client is scheduled for a below-the-knee amputation for treatment of chronic infected arterial ulcers and leg pain. The client seems calm, and even happy. The nurse should respond to this client based on understanding that the client
a. cannot cope effectively with a life-altering procedure.
b. is experiencing dysfunctional grieving for the leg.
c. may prefer an amputation to living with chronic pain.
d. might have cognitive defects preventing full understanding.
C
Assessment of the client's attitude towards amputation is a vital preoperative assessment. While all options are certainly possible, some clients who suffer from chronic ischemia might prefer an amputation to living with pain and disability. This is an important quality of life value and should be assessed in order to plan holistic postoperative care.
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