Quantcast Nursing Management of the Patient with Extremity Casts - Nursing Care Musculoskeletal System

Share on Google+Share on FacebookShare on LinkedInShare on TwitterShare on DiggShare on Stumble Upon
Custom Search
 
  
 
(3)  Lean down and smell the cast to detect odors indicating tissue damage.
A musty or moldy odor at the surface of the cast may be the first indication that necrosis
from pressure has developed underneath.
(4)
Check the integrity of the cast by looking for cracks, breaks, and soft
spots.
b. The casted body part must be examined and assessed frequently in order to
prevent complications. Assess the casted part by checking the following.
(1)  Assess circulation by performing the blanching test and comparing the
skin temperature and blanching reaction of the affected limb to that of the unaffected
limb.
(2)  Assess the presence of sensation in the affected limb by touching
exposed areas of skin and instructing the patient to describe what he felt.
(3)  Assess the motor ability of the affected limb by having the patient wiggle
his fingers or toes.
c. Patient education will do much to prevent complications. Instruct the patient
to do the following.
(1)  Avoid resting cast on hard surfaces or sharp edges that may dent the
cast and cause pressure areas.
(2)  Never use a coat hanger or other foreign object to "scratch" inside the
cast. This may cause skin damage and infection.
(3)  Report any danger signs to the nursing staff immediately. Danger signs
include pale, cold fingers or toes, tingling, numbness, increased pain, pressure spots,
odor, or feeling that the cast has become too tight.
(4)
Report any damage to the cast such as cracks, breaks, or soft spots.
(5)
Never attempt to remove or alter the cast.
1-21. NURSING MANAGEMENT OF PATIENTS WITH EXTREMITY CASTS
a. After a leg cast is applied, prevent or alleviate swelling by elevating the
extremity above the level of the heart. After the patient begins to ambulate, he should
be encouraged to elevate the casted extremity when he is seated or resting in bed.
b. To control swelling with an arm cast, elevate the extremity on pillows or
suspend in stockinet from an IV pole when the patient is lying or sitting. When the
patient is ambulatory, a sling may be used for support. The type of sling required will
MD0916
1-24



Medical News
Obama's BRAIN initiative gets more than $300 million
President Barack Obama's initiative to study the brain and improve...
medicalxpress.com
Ebola case stokes concerns for Liberians in Texas
The first case of Ebola diagnosed in the U.S. has...
medicalxpress.com
Estimates show preterm birth complications and pneumonia are leading causes of death in children under five years
Complications from preterm (premature) births and pneumonia are now the...
medicalxpress.com
Genetic study casts further doubt that vitamin D prevents the development of type 2 diabetes
A large genetic study, published today in The Lancet Diabetes...
medicalxpress.com
Immunotherapy could stop resistance to radiotherapy
Treating cancers with immunotherapy and radiotherapy at the same time...
medicalxpress.com
Is Australia prepared for Ebola?
Australia needs to be proactive about potential disease outbreaks like...
medicalxpress.com
Open Office Hours: Stanford neurobiologist taking your questions on brain research
Last year Stanford launched the new Stanford Neurosciences Institute, led...
scopeblog.stanford.edu
Open Office Hours: Stanford neurobiologist taking your questions on brain research
Last year Stanford launched the new Stanford Neurosciences Institute, led...
scopeblog.stanford.edu
Targeted treatment could halt womb cancer growth
A drug which targets a key gene fault could halt...
medicalxpress.com
Damaging legacy: Mothers who smoke affect the fertility of their sons
Mothers who smoke while they are pregnant or breast feeding...
medicalxpress.com
Ebola: CDC Confirms First U.S. Diagnosis
(MedPage Today) -- "We're stopping it in its tracks," CDC...
medpagetoday.com
Boys will be boys? Yes, neuroscience now shows
If you've ever tried to warn teenagers of the consequences...
medicalxpress.com
Anorexia/Cachexia Drug Gets High Marks for NSCLC (CME/CE)
MADRID (MedPage Today) -- Ghrelin agonist associated with weight gain...
medpagetoday.com
Healthy lifestyle could prevent nearly half of all diabetic pregnancies
Nearly half of all cases of diabetes during pregnancy, known...
medicalxpress.com
Minimum alcohol pricing would be up to 50 times more effective than below cost selling ban
Introducing minimum unit pricing in England would be up to...
medicalxpress.com
Dallas hospital confirms first Ebola case in US
A patient at a Dallas hospital has tested positive for...
medicalxpress.com
Developing countries should enroll medical and nursing students from rural areas
Nearly one third of medical and nursing students in developing...
medicalxpress.com
Third of countries struggling to meet the needs of aging population
People around the world are living longer, but social policies...
medicalxpress.com
Spacing between sibling births tied to autism risk in study
(HealthDay)—Children conceived either less than one year or more than...
medicalxpress.com
Study says hepatitis C will be a rare disease by about 2036
Hepatitis C, a major infectious disease in the United States...
medicalxpress.com
 


Privacy Statement - Copyright Information. - Contact Us

comments powered by Disqus

Integrated Publishing, Inc.
9438 US Hwy 19N #311 Port Richey, FL 34668

Phone For Parts Inquiries: (727) 755-3260
Google +