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What is a cast? Identify four reasons a cast may be used. Describe the two types of cast materials. Discuss special care needs of plaster casts.
Care of Patients with Casts
Describe nursing interventions to: Relieve pain Improve mobility Promote healing of disrupted skin Monitor for infection Maintain adequate neurovascular function
Splints and Braces
When is a splint needed?
± Discuss nursing responsibilities associated with use of splints.
When will a brace be used?
± Discuss nursing responsibilities associated with use of braces.
Identify three uses of external fixation? Nursing responsibilities
± ± ± ± Psychological preparation Elevation Neurovascular checks Monitor for complications ± Isometric/active exercise ± Adhere to weight bearing instructions
What is traction? Identify four reasons to apply traction. How will effectiveness be evaluated? Discuss possible complications Requires countertraction Types
± Skin ± Skeletal
Care of Client in Traction Temperature extremity infection Ropes hang freely Alignment Circulation Checks Type & location of Fx Increase fluid intake Overhead Trapeze No weights on bed or floor
Open or closed reduction with internal fixation Joint replacement Identify the key collaborative problems associated with joint surgery. Describe key post hip replacement interventions necessary to prevent hip dislocation.