Care of patient with

cast
• Group : A3
• DR: Eglal El hakeim
• DR: Hoda Sayed

• Demonstrator / Asmaa
Mohammed

Faculty of Nursing
 Presented by
• Ahmed Ezz Eldeen • (20195189)
• Asmaa Mohamed Abd elkader • (20195454)
• Amany Elsayed Abass • (20197269)
• Ahmed Alaa Foad • (20195543)
• Ahmed Abd Elgayed Abd Elmged • (20190188)
• Aya Mostafa Ali • (20195646)
• Aml Abd Elaziz Younis • (20193378)
• Aml samy Mohamed • (20194553)
• Kholoud Alaa Mahmoud • (20195741)
• Aml Hossam Abd Elmneam • (20195577)
• Ahmed Ali Ramadan • (20196501)
• Ismail Mohamed Ismail • (20196161)
• Ahmed Hamada Ahmed • (20195663)
• Elsayed Taha Elsayed • (20183610)
• • (20185543)
kholoud Elsayed Ibrahim
• (20197506)
• Ahmed Saied Mustafa
• (20197152)
• Akram Hassan Elbana • (20196658)
• Shimaa Atia Ali • (20197441)
• Saad Mohamed Saad • (20197441)
• ahmed salah elsayed (20180181)
 GOAL
TO provide students with knowledge, skills and positive
attitude toward Care of patient with cast
 Objectives:
At the end of this presentation , the student will be able to
know:
• Define cast application.
• List types of cast.
• Explain the steps to applying a plaster cast.
• Identify material used in cast.
• Discuss complications of cast.
• Apply nursing care to the patient with cast.
 outlines:
• Introduction
• Definition of cast
• Purposes of cast
• Types of cast
• Preparing of cast
• Warning signs
• Nursing care of patient with cast
• Cast removal
• Conclusion
 Introduction
Cast is a tool used to support and stabilize the limbs or spine
they can be used in multiple condition such as temporary
stabilization of potentially broken bones or damaged joints
and joint support during activities.
 Definition

Casts are solid dressing applied to body part or limbs

putting to reduce fracture to put it place while healing.
 Purposes of cast:

• Immobilize a body part in a specific position

• Exert uniform compression to soft tissue
• Provide for early mobilization of unaffected body parts
• Correct or prevent deformities
• Stabilize and support unstable joints
 Types of casts:

1- Long arm casts:

Extend from the axillary to the proximal

palmer crease.
 2-Short arm cast
• Extended from the below of the elbow proximal palmer
creas
 3- Long leg casts :

• Extend from the upper third of the high to the base of the toes.
 4- Short leg casts:

Extend from below to knee to the base to the toes.

 5- Spica casts:
• Extend from the mid trunk to cover one or both of
the extremity.
 6- Body casts:
Encircles the trunk stabilizing the spine.
 7-Walking cast
• this is a cast you can walk on You may wear a cast shoe over
your casts to keep it clean and protected
 Types of materials are used to make casts.
• Plaster casts .

• Fiberglass casts.

• Polyester-cotton knit casts

https://youtu.be/U68zU_TvCJw
 Preparing of cast
• Removing clothes the place of the fracture

• Hold the broken end with both hands.

• Once the limb is seated, it should continue to stretch until the

cast is made.
• Be careful that the cast itself doesn't press the blood vessels.
 Warning Signs
• Increased pain and the feeling that the splint or cast is too tight . This may be
caused by swelling.

• Numbness and tingling in your hand or foot. This may be caused by too much pressure on
the nerves.

• Burning and stinging. This may be caused by too much pressure on the skin.

• Excessive swelling below the cast. This may mean the cast is slowing your blood
circulation.

• Limit of active movement of toes or fingers . This requires an urgent evaluation

Nursing management of the patient with a cast:
Nursing management of a patient in a cast:

1) Assessment of the patient‘s general health.

2) Presenting signs and symptoms.

3) Emotional status , understanding of the need for the device.

4) Physical assessment of the part to be immobilized must include a assessment of
the skin and neurovascular status

Neuro-vascular assessment (the six p’s):

(• Pain • Pallor: pale toes\fingers • Pulses: present •Paresthesia : sensory deficit, tingling sensation
• Paralysis: muscle weakness • Pressure: tense swelling)

5) The nurse gives the patient or family information about pathologic condition
 Health Education
Health Education for cast Diet for patients with cast
• :(1) Avoid all activities that could make the cast get wet. • :Nutrition for Immobile Musculoskeletal
• (2) Wrap the cast in plastic bags. Use heavy tape or rubber bands
to secure the plastic so that water won't leak in. Patients Protein is essential to healing,
• (3) Don't soak the cast in water, even if it's wrapped in plastic. and the diet should be special to provide
• (4) Use a hair dryer turned to the "cool" setting to dry a cast that 1 g/kg of body weight. Vitamins D, B, and
has become wet. C and calcium are included in well-
• (5) Call your healthcare provider if the cast has not dried in 24 balanced meals to ensure optimal soft
hours.
tissue and bone healing; 500 mg of
• Other home care: vitamin C will also help acidify the urine
• (1) Objects put in the cast may get stuck. Your skin may be cut and prevent calcium precipitation that
and become infected.
could form kidney stones. Fluid intake of
• (2) Don't cut or tear the cast.
• (3)Never try to remove the cast yourself.
2000 to 3000 mL/day helps prevent
• (4) Padding protects your skin and must be kept intact. bladder infection, kidney stones, and
• (5) Raise the part of your body that is in the cast above the level constipation.
of your heart.
 nursing care plan
Nursing diagnosis planning Nursing intervention rationale

Restless relieve pain and Maintain bed rest or

limb rest as indicated
Provide stability
reducing the
related to pain observe for signs – provide support join possibility of
and symptoms above and below cast disturbing alignment
of cast site and muscles spasm
which enhances
healing
 Cast Removal
• Never remove the cast yourself. You may cut your skin or prevent proper healing of
your injury.
• Your doctor will use a cast saw to remove your cast.
• The saw vibrates, but does not rotate, the padding will vibrate with the blade and
will protect your skin.
• If you do feel pain while the cast is being removed, let your doctor or an assistant
know and they will be able to make adjustments
 Conclusion
• Cast application is an effective treatment for fracture bone, soft
tissue or surgical joint repair. the doctor order x rays when the
bone healing occur the doctor replace the initial cast when the
cast is removed the patient skin appear dry the doctor order
moisturizers and exercise for skin care.
 References:
• "Care of the Child with a Cast, Splint, or Brace." Lippincott Manual
of Nursing Practice. Philadelphia: Lippincott,
• Williams and Wilkins, 2014. Brown, Jennifer, M.D., and Richard
Krause, M.D. Cast Care from AAEM Emergency
• Medicine and Family Health Guide. EMedicine Online, April 2015.
Care of Casts and Splints.
• American Academy of Orthopaedic Surgeons. About Orthopaedics
Online, 2014 . "Cast Care." McKinley Health Center Online, June
2015. Cast Protocol. Department of Nursing. UNC Online, March
2013.
• Judge, NL 2016, ‘Neurovascular assessment,’ Nursing Standard, pp. 21,
45, 39-44