Quantcast Nursing Management of the Patient in Traction - Nursing Care Musculoskeletal System

Share on Google+Share on FacebookShare on LinkedInShare on TwitterShare on DiggShare on Stumble Upon
Custom Search
 
  
 
1-39. NURSING MANAGEMENT OF THE PATIENT IN TRACTION
As stated earlier in the text, the basis of the nursing care plan will be determined
by two factors: the basic position of the patient in traction and permissible movement.
Normal activities of daily living are significantly altered by immobilization and
confinement. Nursing management begins with assessing the patient. What are his
needs? What are his limitations? Determine which activities the patient can do by
himself and with which activities he requires assistance. Basic considerations are
nutritional needs, hygiene, and elimination needs and the need for some sort of
diversional activities. In addition to this, nursing management involves maintenance
(keep traction from being compromised) and prevention (observe for complications).
a. When assisting with a.m. and p.m. care, encourage the patient to do as much
for himself as is possible within the constraints of his immobilization. Assist with or
perform those tasks that the patient cannot perform.
b. Assess the patient and the traction set-up to determine the best method for
changing the bed linen. There are several acceptable methods for making an occupied
bed and, depending upon the type of traction in use, you will want to use the method
that is easiest. For some patients, a head-to-toe technique may work better than
side-to-side. Always be sure that the linen is smooth and dry. Utilize draw sheets when
appropriate. Reposition supporting pillows and change the pillow cases as often as
needed to prevent the patient from being supported by soiled, damp, wrinkled, or
flattened pillows.
c. When assisting with the bedpan or urinal, provide adequate time and privacy
for the patient. Many patients do not adjust easily to the awkwardness of using a
bedpan or urinal. The presence of roommates, visitors, or hospital personnel just
outside the privacy curtain is enough to make anyone uncomfortable. Always place
toilet tissue, moist towelettes, and call bell within easy reach. Check daily to see
whether the patient has had a bowel movement. Treating constipation will prevent the
more serious problem of fecal impaction. Physicians will routinely prescribe a stool
softener for immobilized patients in order to prevent constipation.
d. Encourage the patient to eat all of the prescribed diet. If permitted by the
physician, suggest that family and friends bring fruit or a "healthy" favorite food from
home. A recovering patient's diet should be high in calcium, protein, iron, and vitamins.
Plenty of fluids and foods high in roughage will help prevent bowel and bladder
complications.
e. Assist the patient to take several deep breaths each hour. Coughing and
deep breathing will help prevent respiratory complications. Encourage the patient to
actively exercise the unaffected extremities.
f. Eliminate any factors that reduce the traction pull or alter its direction. Ropes
and pulleys should be in straight alignment and the ropes should be unobstructed.
MD0916
1-37



Medical News
Partially hydrogenated oils in nine percent of packaged foods
(HealthDay)—Nine percent of top-selling packaged food products in the United...
medicalxpress.com
Can Alzheimer’s damage to the brain be repaired?
In my recent Stanford Medicine article about Alzheimer’s research, called...
scopeblog.stanford.edu
Complication rates low with mastectomy, breast reconstruction: study
(HealthDay)—Complications are rare among breast cancer patients who undergo mastectomy...
medicalxpress.com
Obesity fueling rise in diabetes rates, study finds
(HealthDay)—The U.S. obesity epidemic is a driving force behind the...
medicalxpress.com
Obama addresses West Africans on facts about Ebola
President Barack Obama urged West Africans on Tuesday to wear...
medicalxpress.com
Gluten-free diet benefits asymptomatic EmA+ adults
(HealthDay)—Asymptomatic individuals with endomysial antibodies (EmA) benefit from a gluten-free...
medicalxpress.com
New guidelines for treating form of advanced breast cancer
(HealthDay)—A leading group of oncologists has released updated guidelines for...
medicalxpress.com
More evidence breast-feeding lowers child's risk of infections, allergies
(HealthDay)—Two new studies further confirm the health benefits of breast-feeding....
medicalxpress.com
ADHD medications won't stunt kids' growth, study finds
(HealthDay)—Stimulant medications—such as Adderall, Ritalin and Concerta—used to treat attention-deficit/hyperactivity...
medicalxpress.com
Maternal low protein diet promotes diabetic phenotypes in offspring
Millions of people throughout the world are affected by diabetes....
medicalxpress.com
Study indicates that the hippocampus mediates cognitive decline in Huntington's disease
Huntington's disease is a neurodegenerative disorder that results in involuntary...
medicalxpress.com
CDC Head: Ebola Likely to Worsen
(MedPage Today) -- The Ebola outbreak in West Africa is...
medpagetoday.com
Another US health worker infected with Ebola
A third American health worker has tested positive for the...
medicalxpress.com
ESC: Studies Support Measuring Flow in CAD, MI (CME/CE)
BARCELONA (MedPage Today) -- For patients with coronary artery disease...
medpagetoday.com
Discharged patients return to the ER because 'better safe than sorry'
Patients who return to the emergency department within a few...
medicalxpress.com
How well does bariatric surgery work?
The number of bariatric surgeries done each year in the...
medicalxpress.com
Study finds change in type of procedure most commonly used for bariatric surgery
In an analysis of the type of bariatric surgery procedures...
medicalxpress.com
Researchers examine effectiveness of blocking nerve to help with weight loss
Among patients with morbid obesity, blocking the vagus nerve, which...
medicalxpress.com
Diabetes mellitus and mild cognitive impairment: Higher risk in middle age?
In a large population-based study of randomly selected participants in...
medicalxpress.com
Breast cancer patients are getting more bilateral mastectomies – but not any survival benefit
The most common cancer diagnosis you or a woman you...
scopeblog.stanford.edu
 


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 +