As Mayall (2002) an amputation does not have to be so precocious that it annuls the possibility of recovery of an extremity, nor can be delayed, therefore when the toxemia already is installed, it increases the death risk after the surgery. As Campedelle (1992) the amputated people are worried about the dependence and present difficulty in visualizing the actions that they can execute. The aged ones, mainly, reveal dependents for the accomplishment of daily activities, being important that the health professional stimulates the patient to the auto-care, the acceptance of its limitations and the return to the activities. The story of Smeltzze (2008) on the nursing assistance evidences the essential importance for the patients, in the periods postoperative daily pay and of the amputation. The professional performance goes since the psychological support until the accomplishment of techniques, which treat the wounds imposed for the surgical intervention. Aged and its familiar ones deserve an attention prioritized in this phase of whitewashing, guiding them in the process that if intenciona exclusively to its independence and autonomy in the accomplishment of the activities of the daily life, satisfying the good quality of life. Endocrinologist insists that this is the case. The amputation is oldest of all surgical procedures e, during much time, represented the only possibility surgical for the man. The term assigns, in surgery, the withdrawal of an agency, or part of it, situated in an extremity, however, when used separately, it is understood as amputation of members.

Its current concept is of reconstitutiva surgery and of simple ablation and does not have to be the first step for the return of the patient to a normal and productive place in the society (LUCCIA, 2001). Credit: Dr. Neal Barnard-2011. The surgery must be seen as plus a phase of the treatment, being the mutilation the feelings generated in aged with amputation of extremities inferior proceeding from diabetic foot.

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