PP06-Diabetic Case Presentation

This gentleman is 63-year-old gainfully employed male with a long history of smoking and type 2 diabetes. Diagnosis of peripheral artery disease (PAD) several months ago has lead to arteriosclerosis obliterans in the dorsalis pedis artery of the right leg. He was subsequently hospitalized with a chronic Fontaine’s stage IV foot ulcer and critical limb ischemia. After a revascularization attempt via percutaneous transluminal angioplasty (PTA), circulation was only marginally improved and he underwent transtibial amputation. 

Following the operation, some of the difficulties that he faces include pain; phantom limb sensation; decreased strength, range of motion and balance; decreased skin integrity; decreased endurance and ability to walk and work; and psychological issues.

What do you think is the most appropriate fitting decision and what is your treatment plan through to discharge? Justify your
answer with references from the scientific literature and from the course.