Reason for Services
What type of amputation did Daniel undergo?
Below-Knee Amputation (BKA) of the right leg
What branch of the military did Daniel serve in?
U.S. Military (15 years of service, two deployments)
Where was Daniel living before his amputation?
With his daughter and her two young children
What is a major mobility challenge for Daniel now?
Learning safe prosthetic use and safe transfers with his residual limb
What is Daniel’s immediate mobility goal?
Transfer safely and learn basic mobility with a walker
What medical conditions led to the need for amputation?
Type 2 diabetes, peripheral vascular disease, and osteomyelitis
What work did Daniel do after his military service?
Construction work
Why is Daniel unable to return to his daughter’s home?
Due to his chronic alcohol use and behavioral outbursts
How does Daniel’s alcohol use affect his rehab?
May interfere with pain management, wound healing, and compliance.
What hygiene goal is critical for Daniel’s recovery?
Proper residual limb hygiene and skin inspection
What infection developed in Daniel’s right foot before surgery?
Gangrene and osteomyelitis
Why has Daniel struggled to maintain employment?
Chronic alcohol use and behavioral outbursts
Who is part of Daniel’s support network?
His daughter (limited), several good friends, and VA support
What sensory skill will Daniel need to monitor post-amputation?
Residual limb sensation and pressure awareness to avoid skin breakdown
What leisure activity is Daniel motivated to resume?
Fishing
Why is skin care education critical for Daniel?
To prevent future wounds and maintain residual limb health
How does Daniel spend his leisure time?
Listening to music, camping, and fishing
What environmental challenges might Daniel face after discharge?
Limited stable housing and potential difficulty accessing safe, sober environments
What is an important balance skill for Daniel to regain?
Standing balance for ADLs and safe ambulation
Why is a consistent therapy schedule important for Daniel?
Supports sobriety, structure, and skill development
What role does pain management play in Daniel’s therapy?
Helps manage post-surgical pain and prevent phantom limb pain
Why is Daniel’s military service important to recognize in therapy?
It provides insight into his discipline, resilience, and potential PTSD triggers
Why is Daniel’s social environment critical to his rehab success?
His social choices (friends at the bar) may increase risk of relapse
How might Daniel’s behavior impact his therapy participation?
Anger or frustration could limit engagement or lead to noncompliance.
What long-term goal is important for Daniel’s independence?
Safely use a prosthesis for community mobility