The Psychological Preparation of Patients for Amputation Surgery: A Narrative Review of the Literature

Abstract

Amputation is a clinical intervention which can have substantial impacts on the patient’s quality of life and wellbeing, and the existing literature demonstrates how adjustment to amputation can be a long process for some patients. However, we know little about how patients are prepared psychologically or emotionally for undergoing amputation surgery. This paper examines the extant literature in relation to preparation for amputation surgery to explore the current knowledge and practices within this area. Through a narrative review ( n = 14 studies) we have generated three key themes related to the psychological preparation of patients for amputation surgery; “Emotionality in preparation for surgery,” “Information provision and support” and “The role of Health Care Professionals (HCPs) and the multidisciplinary team (MDT) in preparation for surgery.” The pre-amputation period is one of great emotion for patients, and information and support is often seen as lacking in relation to preparation. Healthcare professionals, and specifically the MDT were seen as central in helping facilitate the preparation of patients, including delivering the appropriate quality and quantity of information to patients. This review offers insights and direction into how better psychological preparation of the amputation patient could be considered and included in clinical care.