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Modalities of care for Casting, Traction and Joint replacement (Casting…
Modalities of care for Casting, Traction and Joint replacement
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Casting
The nurse must provide information about the nature of the cast, its purpose and the feeling after it is applied to allay pre- and post-cast anxiety of the patient
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The neurovascular status of the part to be in the cast must be assessed in relation to oedema and skin lesions to be able to assess the impact of the cast afterwards, eg, one must be able to assess the colour of the toes and the oedema and sensation thereof
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Leave the plaster cast uncovered and allow it to dry naturally. A fan may be used to increase air circulation.
First 4-8 hours after application, observe for:
Pain, which is throbbing and increasing in severity in the affected part
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Once the cast is dry, the limb can be elevated or the arm can be put in a sling to enhance venous return
Pain should be managed by the immobilisation, continued complaint about pain must be reported to the doctor
Assist the patient in positioning the limb on the bed until the patient has become accustomed to the weight of the limb.
Traction
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Ensure that problems related to bedbrest are prevented: change position frequently, attach a monkey chain to the frame of the device used to assemble the traction.
Traction is continuous, therefore care must be taken that the weights are not disturbed
Ensure that the patient does not slip down in the bed as this will move the weights towards the floor.
Joint Replacement
post-operative care
Prevention of complications such as infection, dislo¬cation of the prosthesis, embolism
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Referral to appropriate therapists such as the psychologist, physiotherapist, occupational therapist, social worker and biokinetist.
References: (Mogotlane, 2012) (Smeltrzer, 2010)