After a number of weeks determined by your doctor , your child's hip will be repositioned under general anesthesia and a hip spica cast will be applied. Humerus traction: Humeral traction is used to stabilize upper arm fractures and shoulder dislocations. · Treatment with traction requires 12-16 weeks of immobilization for healing to occur, even if the blood supply to the region is intact. Assume that there are orders for each intervention. It is important to show the client his abilities, and not focus on the limitations.
Of Pages:9 Guideline Date: January 04 Guideline Title: Nursing care of a patient on Traction. The patient is taught how to use a trapeze Traction refers to the usage of a pulling force and special devices, such as a cast or splint, to treat muscle and skeletal disorders. A variation of this type of traction is often used with adults in the treatment of low back pain. It involves applying splints, bandages, or adhesive tapes to the skin directly below the fracture. This helps in compliance and understanding goals. Which characteristic is associated with babies born to mothers who smoked during pregnancy? Which of the following best explains the functions of the lens? Which action by the nurse indicates understanding of the possible side effects of magnesium sulfate? Begin on the medial side to avoid damage to the posterior tibial artery and nerve and to avoid entering the subtalar joint.
The pulse oximetry is 92. If a hospital bed is used, two or more people are required to assist the patient with any turning movements. Which client should be assigned to the pregnant nurse? Client will have pins placed under the direction of the medical caregiver. This allows for a gentle pull to realign the fracture or dislocation. Which type of traction will be utilized at the time of discharge? Bone inflammation may occur in response to the introduction of foreign material into the body.
Discuss with the client common emotional feelings that can occur with immobility, including sensory deprivation, loss of control, and decreased socialization. These tools help apply force to the tissues surrounding the damaged area. Which doctor's order should the nurse question?. The brace is then attached to a body harness or weights, which are used to help correct the affected area. Assess pain location, intensity, and duration.
Client will be able to perform activities of daily living, positioning, and communication with assistance. Dry gently · Do not use any substance such as lotions, alcohol, powders, or oil unless prescribed by doc. The direct application of a pulling force to the patients skin and soft tissues may be accomplished by using adhesive or nonadhesive traction tape or other skin traction devices such as a cast, a boot, a belt or a halter. Some think these are less likely to pull out than the Crutchfield tongs. X-rays reveal that the client has several fractured bones in the foot.
Which of the following interventions would the nurse implement? Of Pages:9 Guideline Date: January 04 Guideline Title: Nursing care of a patient on Traction. Discuss the continuing injury to the tissues, muscles, and blood supply that can occur without immobilization. A vaginal exam reveals that she is 2cm dilated. The patient is prepared for either type with a local anesthetic to the scalp. The views expressed here are those of the authors, and unless otherwise noted, do not necessarily reflect the views of the Brookside Associates, Ltd. Assessment of the skin is critical in this type of traction because of the possibility of skin breakdown on the coccyx, back, elbows, head, and parts of the noninjured extremity, especially the heel. Which response would be best for the nurse to make? For tibial traction, a pin is surgically placed in the lower leg A.
The tongs are surgically inserted into the bony cranium, and a connector half-halo bar is attached to a hook from which traction can be applied. She is scheduled to have surgery tomorrow. Apply bandage, starting at the ankle, up the lower leg using a figure 8 technique, secure with sleek tape. Asking questions will provide a sense of control and help alleviate anticipatory anxiety. If pins are used for fixation, aseptic technique must be used around pin sites until they have healed. Care must be taken to keep the straps or tape loose enough to prevent swelling and allow good circulation to the part of the limb beyond the spot where the traction is applied. While in hospital the patient should shower, rather than bath, and there seems little support for the practice of sterile cleansing of the pin sites after a shower.
More than 5 kg of weight will result in the skin becoming excoriated with blister formation and pressure sores caused by slipping of the tightly wrapped strapping. Technique: Gardner-Wells tongs 1 Place the pins below the brim of the skull in line with the external auditory meatus, 2—3 cm above the top of the pinna Figures 17. Because jaundice is often a clinical manifestation of this type of anemia, what body part would be the best indicator? What you should do after hip surgery · Use toilet elevator on toilet seats. Which of the following in the client's history should be reported to the doctor? The soft cervical collar or Philadelphia collar is used primarily for soft tissue or ligament damage. Which of the following would the nurse inquire about as a part of the assessment? The hourly output from the chest tube was 300mL. The boot wraps around the leg and is secured with straps. If not, twist the screws tight while holding the screwdriver with two fingers.
The infant is most likely in which position? What would the nurse expect the admitting assessment to reveal? Prevention of the must be a high priority. An Introduction to Orthopaedic Nursing 2nd Edition Naon Productions. Application of any cleaning fluid must be done with a non-shredding material, such as gauze. Which response by the nurse indicates understanding of phantom limb pain? First, it may be done to gently stretch the neck muscles so muscle spasms can be relieved or prevented. · Keep hip in neutral , straight position when sitting, walking or lying. These weights hang freely at the foot off the bed.