Plastics

Please put an activity order for each patient. Use the “Activity Order” and write in the comments. Each activity order must include a weight bearing status and a range of motion restriction. Please use the objective terms below and avoid terms like “gentle” weight bearing or ROM. If there is a need for a splint or a sling, please specify what kind of splint you would like and what the wearing schedule of the splint/sling will be. Same for elevation-if need for strict carter pillow, etc. Included on this page are the restrictions of the most common plastic surgery operations.

-Full weight bearing
-WBAT: weight bearing as tolerated
-PFWB: platform weight bearing of UE
-TDWB: Touch down weight bearing-toe touch weight bearing (LE)
-PWB: Partial weight bearing (LE)
-NWB: Non-weight bearing

-ROM: Range of motion for specific extremity, plane or digit.

Example: Weight Bearing Status: LUE NWB ROM: Keep LUE immobilized in splint Splint: Continue volar intrinsic plus splint at all times Elevation: LUE elevated at all times while in bed, continue Carter Pillow

Activity Consults:
POD#0: Bedrest
PT/OT
Restrictions: BUE <5 lbs weight limit. No pushing or pulling. Okay to rest hands on walker and for transfers. Limit ROM of shoulders to 45 degrees in all directions. Keep patient flexed at waist at all times including while ambulating and transferring.
POD#1: OOB to chair
POD#2: Walk
At post op visit <10 lb weight limit for 1 month. No pushing or pulling. Limit ROM of shoulders to 45 degrees in all directions. After 1 month: passive ROM of arms. Relax weight limits. by 6 weeks back to normal activity.

No weight bearing greater than 10 lbs. No pushing or pulling. No shoulder ROM greater than 90 degrees in all directions.

Restrictions:

Pain/perfusion catheter d/c POD#4 or #5 (5 days max per APS)

Start dangles on POD#2, unless in frame???? If no frame, patient needs OT for posterior splint to prevent equinis

PT/OT: Keep RLE elevated, NWB, POD#4 okay for bedside commode and chair. POD#6 okay for 5 minute dangles and advance. If no frame, patient needs OT for posterior splint to prevent equinis