CMCARP (SL) Module #1 (Wk 2)nsg care of postpartum px

Application of Abdominal binder (Straight and Scultetus) Action Rationale

PAGE 212 (NSG Manual)
8. Pull the sides of the binder
BINDER - a type of bandage, worn snugly around the trunk or
together to meet vertically in
body that provides support. To maintain continuous and
the middle.
RATIONALE: even support to the
NOTE: The binder should be abdominal wall and suture
1. To provide protection and support to the abdomen. between the client’s line.
symphysis pubis and the
2. To protect suture lines from tension or stress. lower rib cage.
EQUIPMENT:
To maintain continuous and
 Scultetus Abdominal Binder (A) 9. Secure the binder with even support to the
 Straight Abdominal Binder (B) velcro or safety pins abdominal wall and suture
line.

To apply scultetus abdominal binder:

8. Starting at the left bottom tail of the binder, pull the tail
to the midline. Maintain tension and overlap the tail with
the bottom tail.

9. Continue overlapping each pair of tales with tension until

all are secured in the midline.

10. Secure the top set of tails with a safety pin.

Planning and Implementation: 11. Record the procedure and include your evaluation of the
client.
ACTION RATIONALE
Evaluation and Documentation:
To ensure accuracy  The bandage is applied in a smooth manner with even
1. Identify the client and explain the
and cooperation of pressure to the body part.
procedure.
the client.  The client is comfortable and does not have signs of
nervous impairment such as pain, numbness or tingling
To make placement of the bandaged areas.
2. Fanfold half of the binder
of the binder under
lengthwise.
the client easier.

To prevent the client

3. Raise the siderails opposite you. from falling off the
bed.

To help you to place

4. Help the client to roll onto her side
the binder under the
facing the raised rail.
client.

5. Place a folded binder under the To conserve your

client and have the client roll back energy and facilitates
onto the binder and to the other application of the
side. binder

To reduce tension
6. Help the client to assume a supine
and stress on the
position with his or her head slightly
abdominal suture
elevated and knees slightly bent.
line.

7. Apply binder.

To apply a straight abdominal binder: