Amputation of a limb or an appendage is often such an overwhelming experience for the patient, and requires so much learning in so short a period of time, that nutritional counselling may be overlooked or underplayed.
In the initial amputation phase, many patients lose weight due to surgery and the concomitant loss of appetite associated with trauma of this kind. Eventually, as healing takes place, the patient’s appetite returns.
Many amputees gain weight after an amputation due to less physical exercise and a more sedentary lifestyle. They may feel embarrassed about doing some of the activities that they did pre-amputation. Amputees should be aware that becoming overweight is a not uncommon phenomenon following an amputation. Becoming overweight can be hazardous as it will make it more difficult to mobilize, particularly for lower limb amputees.
Adequate nutrition in the post-operative period is very important for wound healing. A well balanced diet rich in vitamins and adequate caloric intake are recommended to promote healing.
Dietary changes should be made while keeping in mind that there is a decreased muscle mass associated with the loss of a limb. Estimated body weight is a more reliable indicator than actual observed weight in patients who have undergone amputation
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