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SPRAIN & STRAIN

NURSING MANAGEMENT

STRAIN Adalah rudapaksa yang merupakan mekanisme terjadinya trauma pada sendi Tergantung dari derajat kuatnya. maka srain dapat memberikan akibat sprain SPRAIN Ialah meregangnya daerah jaringan lunak sendi dan terjadi kerusakan jaringan lunak sendi (simpai sendi. .

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◦Ligamen (ligamentum) adalah jaringan berbentuk pita yang tersusun dari serabut-serabut liat yang mengikat tulang satu dengan tulang lain pada sendi ◦Tendon adalah urat keras yang menghubungkan otot dengan sendi atau yang menghubungkan otot dengan tulang . Di bagian dalamnya terdapat rongga.Definisi ◦Kapsula sendi adalah lapisan berserabut yang melapisi sendi.

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◦ -Chronic strain – gradual onset of soreness and tenderness Laboratory and diagnostic study findings ◦ Radiographs are commonly done to rule out fracture or dislocation. especially on joint movement ◦ Edema.Assessment/clinical manifestation SPRAINS ◦ Pain and discomfort. severe. incapacitating. .pain may be sudden. possibly ecchymoses ◦ Decreased joint motion and function ◦ Feeling of joint looseness with severe sprain STRAINS ◦ Edema ◦ Ecchymoses developing several days after injury ◦ Pain ◦ -Acute strain .

A Grade I (mild) sprain or strain involves some stretching or minor tearing of a ligament or muscle. resulting in joint instability .Severity ◦A physician categorizes sprains and strains according to severity. A Grade II (moderate) sprain or strain is a ligament or muscle that is partially torn but still intact. A Grade III (severe) sprain or strain means that the ligament or muscle is completely torn.

.Pathophysiology The affected ligament is unable to stabilize the joint when the client is applying weight and attempting to mobilize the affected joint. The blood vessels may be ruptured and edema produced.

most sprains and strains will heal without long-term side effects. ice. compression. Grade II injuries are treated similarly but may require immobili-zation of the injured area to permit healing. Therapeutic exercise can also help restore strength and flexibility. With proper care. a treatment plan can be developed. ◦ The key to recovery is an early evaluation by a medical professional.Treatment ◦ Grade I injuries usually heal quickly with rest. Grade III sprains and strains usually require immobilization and possibly surgery to restore function. and elevation (RICE). Once the injury has been determined. .

applying cold and using a compression bandage. heat may be applied intermittently (for 15 to 30 minutes four times a day) to relieve spasm and to promote vasodilation. Ice. ◦ The acronym RICE – Rest. Compression. surgical repair or cast immobilization may be necessary so that the joint will not lose its stability. ◦ Rest prevents additional injury and promotes healing.Medical management ◦ Treatment of strains and sprains consists of resting and elevating the affected part. ◦ After the acute inflammatory stage (24 to 48 hours after injury). absorption and repair. . Elevation is helpful for remembering treatment intervention. ◦ If the sprain is severe (torn muscle fibers and disrupted ligaments). ◦ Splinting may be used to prevent reinjury.

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Nursing diagnosis Acute pain Impaired mobility Risk for injury .

◦ -Teach appropriate stretching exercises to be performed after healing to help prevent reinjury. which may include nonopioid analgesics. as necessary ◦ -Prepare the client with a severe sprain for surgical repair or reattachment.Nursing management Provide nursing care for a client who sustains a sprain ◦ -Elevate or immobilize the affected joint. splint or cast application. and apply ice packs immediately ◦ -Assist with tape. ◦ -Instruct the client to allow the muscle or tendon to rest and repair itself by avoiding use for approximately week and then by progressing activity gradually until healing is complete. ◦ -Prepare the client for surgical repair in severe injury. if indicated. . Provide nursing care for a client’s suffering muscle or tendon strain. Administer prescribed medications.