Comprehensive theraphy for adjustment disorder with mixed anxiety and depression reaction in post debridement transhumeral amputation ec crush injury right arm patient’s: A case report

Dedi Silakarma; Ida Aju Kusuma Wardani; Luh Nyoman Alit Aryani; Anindya Anindya

doi:10.21744/ijhms.v8n1.2375

Authors

Dedi Silakarma
ngrhdedi@gmail.com
University of Udayana/ Ngoerah Hospital, Denpasar
Ida Aju Kusuma Wardani University of Udayana/ Ngoerah Hospital, Denpasar
Luh Nyoman Alit Aryani University of Udayana/ Ngoerah Hospital, Denpasar
Anindya University of Udayana/ Ngoerah Hospital, Denpasar

Keywords:

Adjustment, Amputation, Anxiety, Depression, Rehabilitation

Abstract

Adjustment Disorder with Mixed Anxiety and Depression Reaction in Post Debridement Transhumeral Amputation ec Crush Injury Right Arm is a debilitating condition that significantly impairs daily functioning and quality of life. Comprehensive therapy in a multidisciplinary team is vital for the patient. Supportive psychotherapy is an evidence-based intervention known for its efficacy in treating anxiety-related disorders. This case report presents the treatment process and outcomes of a male patient diagnosed with adjustment disorder and Post-Transhumeral Amputation. The patient underwent physical rehabilitation, such as physiotherapy ultrasound on the right shoulder, Range of Movement (ROM) exercises, strengthening the periscapular muscles, right rotator cuff, and sensory desensitization, evaluating after 2 weeks of therapy, and evaluating the need for prosthesis if the shoulder condition is optimal. The treatment goal for improving functional shoulder ROM, independent Activity Daily Living (ADL) with the left hand. pharmacological therapy is given, supportive psychotherapy to the patient and the family is given, psychoeducation about the psychological impact, and it is very important to accompany the patient as they undergo the process of further medical physical rehabilitation therapy, and supporting the patient in the future.

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