Patterns & Management Fracture
-
Upload
reet-khuresha -
Category
Documents
-
view
222 -
download
0
Transcript of Patterns & Management Fracture
-
8/8/2019 Patterns & Management Fracture
1/31
PRESENTED BY:
MS. REETA KHURESHA
M.SC.(MSN)- 1STYEAR
CIMS CON
DEHRADUN
-
8/8/2019 Patterns & Management Fracture
2/31
-
8/8/2019 Patterns & Management Fracture
3/31
-
8/8/2019 Patterns & Management Fracture
4/31
-
8/8/2019 Patterns & Management Fracture
5/31
-
8/8/2019 Patterns & Management Fracture
6/31
-
8/8/2019 Patterns & Management Fracture
7/31
AnkleAnkle fracturesfractures
-
8/8/2019 Patterns & Management Fracture
8/31
Rib fracturesRib fractures
-
8/8/2019 Patterns & Management Fracture
9/31
Fracture offemurFracture offemur
-
8/8/2019 Patterns & Management Fracture
10/31
HumerusfractureHumerusfracture
-
8/8/2019 Patterns & Management Fracture
11/31
SkullfracturesSkullfractures
-
8/8/2019 Patterns & Management Fracture
12/31
Prompt & thorough assessment of client to discover allinjuries,Reduction & stabilization of the fracture withimmobilization,
Observation for complications, remobilization &rehabilitation.
-
8/8/2019 Patterns & Management Fracture
13/31
Reducing fractures:Reduction isthemanipulation of
the bonesto restorealignment,
position, & length by bringing the
bony fragments into close
approximation. Reductionalsoknownas BONE SETTING.
-
8/8/2019 Patterns & Management Fracture
14/31
Two types of reduction areclosedreduction
Openreduction & internal
fixation
Externalfixation
-
8/8/2019 Patterns & Management Fracture
15/31
External fixation- depending onthe
clientscondition & the physiciansjudgment,externalfixationdevices
may beusedforfracturefragmentimmobilization
-
8/8/2019 Patterns & Management Fracture
16/31
ORIF- somefractureshavetoo many pieces
ofbone,haveneurovascular injuries, or
wouldnotstay alignedto healfollowing
closedreduction. Openreduction isa
surgical procedure wherethefracture
fragmentsarerealigned. Thisusually
performed incombination with internal
fixationforfemoral & jointfractures.Screws,
pins, plates, wires ornailsareusedto
maintainalignment offracturefragments.
-
8/8/2019 Patterns & Management Fracture
17/31
-
8/8/2019 Patterns & Management Fracture
18/31
-
8/8/2019 Patterns & Management Fracture
19/31
Traction:has beenusedto treat
fracturessince prehistorictimes, &its principle were wellknownto
Hippocrates traction istheapplication ofa pulling forceto an
injured body part orextremity
whileacounteraction pulls inthe
oppositedirection.
-
8/8/2019 Patterns & Management Fracture
20/31
Purposes oftractionare:
Reduce,realign & promotehealing
offracture bones
Preventsofttissuedamage
Prevent ortreatdeformitiesRestan inflamed,diseased or
painful joint
Preventdevelopment of
contractures.
-
8/8/2019 Patterns & Management Fracture
21/31
Types of traction:
Running traction- aform of
traction in which pull isexertedin one plane,may useeither
skin orskeleton. E.g. Bucksextensiontraction.
-
8/8/2019 Patterns & Management Fracture
22/31
-
8/8/2019 Patterns & Management Fracture
23/31
Balancedsuspensiontraction- uses
additional weightstocounterbalancethetractionforce &
floatstheextremity inthetractionapparatus. Theline ofpull onthe
extremity remainsfairly constant
despitechanges inthe patientsposition.
-
8/8/2019 Patterns & Management Fracture
24/31
-
8/8/2019 Patterns & Management Fracture
25/31
Application oftraction:
Skintraction involvesthe
application ofa pulling force
directly to skinthroughtheuse
ofskinstrips, boots orfoam
splints.
-
8/8/2019 Patterns & Management Fracture
26/31
Skeletaltractionuses pinsto applyforceto the bone.Adirectforce
can beappliedafterthe physician
insertstainlesssteel pinsthrough
the bone itself,e.g.femur,tibia &
ulna.
-
8/8/2019 Patterns & Management Fracture
27/31
NURSINGMANAGEMENT
OF
FRACTURED CLIENT
-
8/8/2019 Patterns & Management Fracture
28/31
Nursing diagnosis:-
Riskfordeficientfluidvolume
relatedto hemorrhage & shockasevidenced by dehydration.
Impaired gasexchangerelatedto
immobility & pulmonary emboli.
-
8/8/2019 Patterns & Management Fracture
29/31
Acute orchronic painrelatedto
injury asmanifested by facial
expressions.
Riskfor infectionrelatedto openfracture orsurgical intervention.
Self- caredeficitrelatedto
immobility asmanifested by poor
personalhygiene
-
8/8/2019 Patterns & Management Fracture
30/31
Nursing interventions:-
Evaluating forhemorrhage & shockMonitorfor impaired gasexchange
Relieving pain-
Promoting physicalmobility.
Promoting adequatehygiene-
Monitorfordevelopment ofinfection
Care ofclient inacast
-
8/8/2019 Patterns & Management Fracture
31/31