A Balanced Check Preop and Education 5-2023
Pre op Education 2/20
1.
Because I didn't have any education, knowing I needed to have an amputation made me feel like I had nothing to look forward to.
Please score your response with 0=Not at all and 10=Often
0-Not at all
1
2
3
4
4
5--Moderately
6
7
8
9
10--Often
2.
Knowing I needed to have an amputation made me helpless and hopeless. Without education about life after amputation I couldn't see how I could get back to activities that brought meaning to my life.
Please score your response with 0=Not at all and 10=Often
0--Not at all
1
2
3
4
5--Moderately
6
7
8
9
10--Often
3.
Before my amputation I had no one to talk to, or educate me on what would happen post surgery.
Please score your response with 0=Not at all and 10=Often
0-Not at all
1
2
3
4
5--Moderately
6
7
8
9
10--Often
4.
Education before my amputation would have helped my family and I plan for being successful, and know what to expect, when I came home from the hospital/rehab.
Please score your response with 0=Not at all and 10=Often
0--Not at all
1
2
3
4
5--Moderately
6
7
8
9
10--Often
5.
Knowing I was facing amputation, I felt that I was to blame for needing to have it
Please score your response with 0=Not at all and 10=The most
0--Not at all
1
2
3
4
5--Moderately
6
7
8
9
10--Not at all
6.
Knowing I needed to have an amputation made me withdraw from other people
Please score your response with 0=Not at all and 10=The most
0--Not at all
1
2
3
4
5--Moderately
6
7
8
9
10--The most
7.
It would have helped my friends and family cope with, and adjust to my amputation if there had been education available.
0-Not at all
1
2
3
4
5--Moderately
6
7
8
9
10--The Most