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Halo femoral Traction

Definition: A technique of spinal distraction that provides correction of spinal deformities by using a halo ring in combination with pins placed in the distal femoral diaphysis.

Indication: For severe Scoliosis

a. 2. Auscultative lungs field twice a day. 3.NURSING INTERVENTIONS FOR TRACTION A. Prevent pressure the calf and evaluate periodically for the development of thrombophlebitics. turn slightly. 7. Ensure that linens and clothing are wrinkle-free b.500 ml daily. b. 2. and enemas. With balanced suspension traction. and special mattresses as needed. 6. Special care must be given to the back at regular intervals. 6. 3. and moved as desired. B. as prescribed.MAINTAIN SKIN INTEGRITY 1. . 8. laxatives. MINIMIZING THE EFFECTS OF IMMOBILITY 1. 4. Encourage active exercise of uninvolved muscles and joints to maintain strength and functions. Relieve pressure without disrupting traction effectiveness. Examine bony prominences frequently for evidence of pressure or frictions irritation. 5. Observe for pressure at traction-skin contact points. Check traction apparatus at repeated intervals-the traction must be continuous to be effective. a. Provided backrubs. as with pelvic traction. unless prescribed as intermittent. With running traction The patient may not be turned without disturbing the lie of pull b. The patient may be elevated. a. Encourage deep breathing hourly to facilitate expansion of lungs and movement of respiratory secretions. Report compliant of burning sensation under traction 5. Establish bowel routine through use of diet and/ or stool softeners. 4. Use lamb¶s wool pads. Encourage fluid intake of 2. Dorsiflex feet hourly to avoid development of foot drop and aid in venous return. because the patient maintains a supine position.fiber diet rich in protein. heel/ elbow protection.000 to 2. Have patient use trapeze to pull self up and relieve back pressure. Observe for skin irritation around the traction bandage. avoid excessive calcium intake. Provide balanced high.

1. Assess for other signs of infection: heat. check sensation on dorsum of foot. Report promptly if charge in neurovascular status is identified. clean the pin tract with sterile applications and prescribed solution/ ointment. Watch for signs of infection. fever. a. b. 2. a. The pin should be immobile in the bone and the skin wound should be dry. inspect the foot for circulatory difficulties within a few minutes and then periodically after the elastic bandage has been applied. Monitor vital signs for fever or tachycardia. Color. a. Small amount of serous oozing from pin site may occur. because plugging at this site can predispose to bacterial invasion of the tract and bone. D. If directed. If an infection is suspected. especially around the pin tract.PROMOTING TISSUE PERFUSSION 1. PERONEAL NERVE Have patient point great toe toward nose. capillary refill of peripheral fingers or toes). Assess motor and sensory function of specific nerves that might be comprised. AVOIDING INFECTION AT PIN SITE.middle finger apposition. . RADIAL NERVE Have patient extend thumb. 3. redness. Determine adequacy of circulation (ex.to clear drainage at the entrance of tract and around the pin. 2. MEDIAN NERVE Thumb. presence of foot drop. c. b. this may elicit pain if infection is developing. motion. check sensation in web between thumb and index finger. 3. With Buck¶s traction. c.C. per cuss gently over the tibia. check sensation of index finger. temperature.