Introduction (Approx. 100 words): Diabetes mellitus is a complex condition that can lead to severe complications, including peripheral vascular disease (PVD). In some cases, PVD may necessitate surgical intervention, such as an above-knee amputation. The immediate post-amputation period requires diligent care and attention from healthcare professionals, particularly nurses. In this article, we will explore the critical responsibilities of a nurse in the first few days following an above-knee amputation for a client with diabetes mellitus and severe PVD. Assessment of the Surgical Site (Approx. 100 words): Following an above-knee amputation, the nurse’s primary responsibility is to assess the surgical site meticulously. This involves: Wound Inspection: Checking for signs of infection, such as redness, swelling, warmth, or drainage, which can be particularly concerning in clients with diabetes who may have compromised immune function. Dressing Changes: Ensuring that the surgical dressing is clean, dry, and intact. Dressings may need to be changed as per the surgeon’s orders. Circulation Check: Monitoring blood flow to the remaining limb to ensure there are no signs of compromised circulation, such as pale or cool skin. Pain Management (Approx. 100 words): Pain management is crucial after an above-knee amputation. The nurse must: Assess Pain Levels: Regularly assess the client’s pain levels using a pain scale to determine the effectiveness of pain relief measures. Administer Medications: Administer prescribed pain medications as ordered by the healthcare provider. Monitor Side Effects: Watch for potential side effects of pain medications, such as dizziness or respiratory distress, and report them promptly. Mobility and Rehabilitation (Approx. 100 words): The nurse plays a pivotal role in facilitating mobility and early rehabilitation, including: Positioning: Ensuring proper positioning to prevent pressure ulcers and enhance comfort. Assisting with Mobility: Encouraging and assisting the client in moving the non-amputated limb and performing gentle range-of-motion exercises as appropriate. Education: Educating the client on the importance of post-amputation exercises and their role in promoting circulation and muscle strength. Psychological Support (Approx. 100 words): Clients undergoing amputation, especially those with diabetes, often experience emotional distress. The nurse should: Provide Emotional Support: Offer a listening ear and emotional support to help the client cope with the psychological impact of the surgery. Encourage Coping Strategies: Teach and encourage coping strategies such as relaxation techniques and positive thinking. Involve the Family: Involve the client’s family in the emotional support process to create a strong support system. Dietary and Blood Sugar Management (Approx. 100 words): Clients with diabetes mellitus require careful blood sugar management during the post-amputation phase. The nurse’s responsibilities include: Monitoring Blood Sugar: Regularly checking blood sugar levels and administering insulin or oral medications as prescribed to maintain optimal glycemic control. Balanced Diet: Collaborating with a registered dietitian to ensure the client receives a balanced diet that supports healing and blood sugar management. Hydration: Encouraging adequate fluid intake to prevent dehydration, which can hinder the healing process. Conclusion (Approx. 50 words): The days immediately following an above-knee amputation for a client with diabetes and severe peripheral vascular disease are critical for both physical and emotional well-being. Nurses play a pivotal role in ensuring proper wound care, pain management, mobility, psychological support, and blood sugar control. Their vigilance and care are essential for a successful recovery and improved quality of life for the client.