Client: Mr. S. – 46-year-old male.
- End stage kidney disease (not palliative), on haemodialysis 3x/week
- Peripheral neuropathy
- Right below-knee amputation 2016
- Left below-knee amputation 2017
- Type 2 diabetes mellitus, poorly controlled
- Diabetic retinopathy
Mr. S. is a 46-year-old man who lives alone in his own home. Despite being unable to work, Mr. S. was mobile, independent and active. In December 2016 a toe on his right foot was amputated due to gangrene. His right leg was subsequently amputated below the knee due to infection and non-healing of the toe wound.
In May 2017 the left leg was amputated below the knee due to a non-healing and necrotic left heel ulcer. Mr. S. was in considerable pain due to the ulcer. With significant small vessel foot disease and no revascularisation options Mr. S. elected to have the amputation.
Other Relevant Information:
Mr. S. was issued with a basic selfpropelling manual wheelchair and basic flat foam cushion following his first below-knee amputation. It was hoped that Mr. S. would be fitted with a prosthesis after healing of the stump and that he could return to independent mobility. This goal was not fulfilled due to very slow healing of the stump wound after amputation of the left leg below the knee.