• A rigid, external immobilizing device • Uses – Immobilize a reduced fracture – Correct a deformity – Apply uniform pressure to soft tissues
... [Show More] – Support and stabilize weakened joints • Materials: nonplaster (fiberglass), plaster of Paris • Contoured splints of plaster or pliable thermoplastic materials may be used for: • Braces (i.e., orthoses) are custom fitted to various parts of the body and are used to: What is a cast? • Before application • Monitoring of neurovascular status and for potential complications • Treat lacerations and abrasions before cast, brace, splint • Provide information about the purpose of treatment • Prepare patient for application by explaining procedure • Assessing for neurovascular changes using “6 Ps” • Monitoring and treating pain Is the following statement true or false? A patient’s unrelieved pain should be reported to the physician 30 minutes after administered pain medication A patient’s unrelieved pain must be immediately reported to the physician to avoid possible paralysis and necrosis • Compartment syndrome: • Dx: Clinical assessment of 6 Ps; pain is the early indicator • Treatment: Notify physician, cast may be removed, and emergency fasciotomy may be necessary • Pressure ulcer: caused by inappropriately applied cast – Lower extremities most susceptible – Patient reports painful “hotspot” and tightness – Dx: May cut window in the cast for inspection and access – Treatment: dressing applied over exposed skin • Disuse Syndrome: muscle atrophy and loss of strength – Treatment: Isometric exercises, muscle setting exercises • Impact of injury to physiologic functioning (ADL, IADL) • Activity, exercise, rest • Medications • Techniques for cast drying • Controlling of swelling and pain • Care of minor skin irritation – Pad rough edges with tape or moleskin – Blow with hair dryer to relieve itching – Do not stick foreign objects into the cast • Unrelieved itching may need antihistamine • Signs and symptoms to report: – Persistent pain or swelling, – Changes in sensation, movement, skin color or temperature – Signs of infection or pressure areas • Required follow-up care • Cast removal and after care • Used to manage open fractures with soft tissue damage • Provide support for complicated or comminuted fractures • Patient requires reassurance because of appearance of device • Discomfort is usually minimal, and early mobility may be anticipated with these devices • Elevate to reduce edema • Monitor for signs and symptoms of complications, including infection • Pin care • Patient education Is the following statement true or false? The nurse never adjusts the clamps on the external fixator frame True The nurse never adjusts the clamps on the external fixator frame. It is the physician’s responsibility to do so [Show Less]