Regain/maintain mobility at the highest possible level. Sensationse. By whitelisting SlideShare on your ad-blocker, you are supporting our community of content creators. We've updated our privacy policy. You can read the details below. Instant access to millions of ebooks, audiobooks, magazines, podcasts and more. The forearm bones (radius and ulna) are the two most commonly broken bones in the body.1 Immediate management of these injuries includes applying a plaster castcalled a back slabto the dorsal. ), container of warm water that is lined with plastic or cloth to catch loose plaster, stockinette (3-inch width for arms, 4- 6-inch width for legs, etc. Warm WaterWater at the temperature of 35 to 40.5 degree celcius is necessary to saturate the plaster bandages. Skin care should include frequent inspection, frequent change of position, thorough cleaning and drying of the skin and the application of emmolient lotions etc. Plaster cast care advice By: Rationale:Prompt intervention may reduce severity of complications such as infection or impaired circulation. 7 The nurse assisting with the application of a short arm plaster cast application would take special care to: Select one: A. Dampen the skin to make the stockinette adhere. how to check if cast is put on correctly - not too tight or loose. constant that ranges between 0.15 and 0.25 for most muscles. Long Leg Cast (Above-knee Plaster)This is used in the treatment of the fractures of the bones of the lower leg and thus involving the knee joint. Observe for potential pressure areas, especially at the edges of and under the splint or cast; Rationale:These problems may be painless when nerve damage is present. Weve updated our privacy policy so that we are compliant with changing global privacy regulations and to provide you with insight into the limited ways in which we use your data. Apply cold or ice pack first 2472 hr and as necessary. Removal of the cast is accomplished with an electric cutter which resembles a small electric saw with a circular blade. Akth , kano Nigeria Rationale:Fracture healing may take as long as a year for completion, and patient cooperation with the medical regimen facilitates proper union of bone. Asst Director of Nursing Staff Development Unit at Ministry of Health Kuwait. Encourage safety precautions (e.g. Gas-forming foods may cause abdominal distension, especially in presence of decreased intestinal motility. Supplies/Equipment: Plaster bandage rolls or synthetic cast rolls (For small arm cast, use two to three 2- or 3-inch rolls. Avoid use of plastic sheets and pillows under limbs in cast. The pressure points require prompt and special attention to prevent decubitus ulcers. Waterproof sheets, aprons and glovesh. GENERAL INSTRUCTIONSAn application of a plaster cast is entirely a responsibility of doctor. Maintain stimulating environment(radio, TV, newspapers, personal possessions, pictures, clock, calendar, visits from family and friends). Activate your 30 day free trialto continue reading. Activate your 30 day free trialto unlock unlimited reading. Assess entire length of injured extremity for swelling or edema formation. Rationale:Maintains circulating volume, enhancing tissue perfusion. Rationale:Maintains strengthandmobility of unaffected muscles and facilitates resolution of inflammation in injured tissues. 16. any skin damage should be reported and treated immediately. 4. Auscultate bowel sounds. - Explain that the patient may experience warmth as the cast material is applied. Ask patient to localize pain and discomfort. D. A 75-year-old adult. Rationale:Provides opportunity for release of energy, refocuses attention, enhances patients sense of self-control and self-worth, and aids in reducing social isolation. Plaster is available as bandage rolls in widths of 8, 6, 3, and 2 inches and splints in 5- 45-inch, 5- 30-inch, and 3- 15-inch sizes. Cushioning coat hanger to scratch itchy skin under the cast). Application of the cast that is too tightc. Rationale:Reduces risk of bone or tissue trauma and infection, which can progress to osteomyelitis. Rationale:Because of immobilization of body parts, bony prominences other than those affected by the casting may suffer from decreased circulation. An overhead frame with trapeze bar helps the client to lift his body up during the insertion of the bed pan. Achieve timely wound/lesion healing if present. Wrinkles in the underlying paddingd. Weve updated our privacy policy so that we are compliant with changing global privacy regulations and to provide you with insight into the limited ways in which we use your data. By accepting, you agree to the updated privacy policy. View ASSISTING THE PATIENT DURING CAST APPLICATION.docx from NURSING MISC at Mindanao State University - Iligan Institute of Technology. Identify signsandsymptoms requiring medical evaluation(severe pain, fever, chills, foul odors; changes in sensation, swelling, burning, numbness, tingling, skin discoloration, paralysis, white or cool toes or fingertips; warm spots, soft areas, cracks in cast). Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs, Information misinterpretation/unfamiliarity with information resources, Questions/request for information, statement of misconception, Inaccurate follow-through of instructions, development of preventable complications. For short leg cast, use two to three 3- to 4-inch rolls. Rationale:Maintains body warmth without discomfort due to pressure of bedclothes on affected parts. Performance Objectives: To assist the physician in cast application. Warmer temperature will speed up the setting time. - Allow the cast 24 to 72 hours to dry. 3. Instruct patient and SO to avoid inserting objects inside casts; Rationale:Scratching an itch may cause tissue injury. 12. Extra-fast setting takes 2 to 4 minutes, fast setting takes 5 to 6 minutes, and slow setting takes 10 to 18 minutes. Dr ogechukwu mbanu To make it smooth, the cast is continuously rubbed and moulded with moderate pressure exerted by an open hand until it is completely set. Provide patient support and encouragement. You can read the details below. Deficient knowledge related to the treatment regimen, Acute pain related to the musculoskeletal disorder, Impaired physical mobility related to the cast, Self-care deficit: bathing/hygiene, feeding, dressing/grooming due to restricted mobility, Impaired skin integrity related to lacerations and abrasions, Risk for peripheral neurovascular dysfunction and related to physiologic responses to injury and compression effect of cast. B. A shoulder spica cast is a combination of a body jacket and a long arm cast. Rationale:Improves muscle strength and circulation, enhances patient control in situation, and promotes self-directed wellness. Additives are used to alter the setting time. D. (c) Find the maximum value of p.p .p. Pad (petal) the edges of the cast with waterproof tape; Rationale:Provides an effective barrier to cast flaking and moisture. Looks like youve clipped this slide to already. Stockinette is a soft knit tube material that mimics a footless stocking without seams and comes in a variety of widths (5 to 40 cm) to fit any portion of the body. It appears that you have an ad-blocker running. Place on bedside commode, if feasible, or use fracture pan. Bone reduction should be done whenever the fractured fragments are displaced. The SlideShare family just got bigger. When to Use a Cast A cast is used when the two ends of a fractured bone can be realigned (reduced) without surgery, which is called a closed reduction. Casts - II. 10. Do not sell or share my personal information, 1. Shakil Ahmmad , Pabna University of Science and Technology. (a) blood. Clipping is a handy way to collect important slides you want to go back to later. Shave the hairy part to prevent bad odor. Protect the areas of cast near the buttocks and perineal region to prevent dampness and soilage. The bandages are available for varying widths from 5 to 15 cm. Assess capillary return, skin color, and warmth distal to the fracture. Keep the bed linens dry and free of wrinkles. Short leg cast may be either weight bearing or non weight bearing. 42 slides Plaster of paris ,synthetic casts and Functional cast bracing punithpc605 1.1k views 74 slides Plaster of paris ortho presentation Dr Chinmoy Mazumder 47.9k views 58 slides Application of cast Ogechukwu Uzoamaka Mbanu 22.8k views 55 slides Principles of POP Casting Muhammad Tahir Karim 865 views 40 slides Stockinettes are also useful for protecting the plaster casts' margins. Activity of the limb distal to the plaster cast13. Promote muscle-strengthening exercises for the upper body if crutches are to be used. Impaired blood flowSigns and Symptoms: absence of pulse in the extremity below the plaster cast, Pallor, blanching or cyanosis of the skin, Pain, coldness of the skin, Swelling, Numbness, Motor paralysis. Rationale:Provides information regarding skin circulation and problems that may be caused by application or restriction of cast,splint or traction apparatus, or edema formation that may require further medical intervention. Always get written order from the doctor for cutting and removal of the plaster cast. Rationale:Provides place to carry necessary articles and leaves hands free to manipulate crutches; may prevent undue muscle fatigue when one arm is casted. 6. (b) cerebrospinal fluid. 15. An improperly shaped or dried cast is irritating to the underlying skin and may lead to circulatory impairment. Prepare the part for the application of the plaster cast. When a cast is cut off, apply an elastic bandage for few days to minimize swelling.Stiffness of joints which were immobilized may occur. Stabilize and support the limb appropriately during cast application. The toes are left exposed.4. Learn faster and smarter from top experts, Download to take your learnings offline and on the go. Complications due to immobilitySigns and Symptoms: hypostatic pneumonia, foot drop, renal calculi, decubitus ulcer on all pressure points, stiffness of joints, constipation and retention of urine, lethargy, loneliness and depression, insomnia. Activate your 30 day free trialto continue reading. 2. 5. Immobilize a body part in a specific position, Provide for early mobilization of unaffected body parts. When the plaster is worn for a long time, the epidermal cells of the skin cannot flake off normally and it collects beneath the plaster. Indentations in the plaster12. Physical therapy (PT) or occupational therapy (OT) may be indicated for exercises to maintain and strengthen muscles and improve function. Activate your 30 day free trialto unlock unlimited reading. 3. Rationale:Reduces pressure on susceptible areas and risk of abrasions and skin breakdown. To make it strong, the cast is re-inforced by the slabs on certain areas of the body where strain will be more (at the back of the forearm and elbow, along the calf muscles and sole of the foot). Maintain tissue perfusion as evidenced by palpable pulses, skin warm/dry, normal sensation, usual sensorium, stable vital signs, and adequate urinary output for individual situation. Weve updated our privacy policy so that we are compliant with changing global privacy regulations and to provide you with insight into the limited ways in which we use your data. Provide nursing care for compartment syndrome, if indicated. Assist as needed while the health care provider applies the casting tape. Provide foam mattress, sheepskins, flotation pads, or air mattress as indicated. Investigate sudden signs of limb ischemia(decreased skin temperature, pallor, and increased pain). Reposition frequently. Rationale:Bed rest, use of analgesics, and changes in dietary habits can slow peristalsis and produce constipation. Now customize the name of a clipboard to store your clips. Here's another Application! 5. When stockinette or padding is applied under a cast, it must be smooth on the skin. REGARDING CARE OF CLIENT IN PLASTER CAST1. Rationale:May be performed to differentiate between true nerve dysfunction, muscle weakness and reduced use due to secondary gain. If it is too loose, it will not fulfill the intended function of maintaining the position of the desired parts. Short arm casts extend from below the elbow to the proximal palmer crease. Hypostatic pneumonia is pnei=umonia that usually results from the collecy=tion of fluid in the dorsal region of the lungs and occurs especially in those cofined to a supine position for extended periods eg bedridden elderly, Isometric exercises do not involve much moving about ,usually done in a stationary position eg planks , use of dumbells shoulder raise ,shoulder press etc. Teach the client appropriate cast care, depending on the type of cast. Eventually, this water evaporates leaving a dried cast which is light in weight and is porous. Monitor elimination habits and provide for regular bowel routine. Creams and lotions are not recommended because excessive oils can seal cast perimeter, not allowing the cast to breathe. Powders are not recommended because of potential for excessive accumulation inside the cast. Assist with self-care activities (bathing, shaving). assisting in application of plaster of paris.docx, DOCX, PDF, TXT or read online from Scribd, 0% found this document useful, Mark this document as useful, 0% found this document not useful, Mark this document as not useful, Save assisting in application of plaster of paris.docx For Later. Bed rest, use two to three 3- to 4-inch rolls, not allowing the cast is... Muscles and facilitates resolution of inflammation in injured tissues not allowing the cast.! The insertion of the plaster cast up during the insertion of the cast to breathe commode, if,! 15 cm during cast application areas of cast needed while the Health care provider applies the casting.... Monitor elimination habits and provide for early mobilization of unaffected body parts in presence of decreased intestinal motility dry... Community of content creators cast APPLICATION.docx from Nursing MISC at Mindanao State University - Iligan of! Ice pack first 2472 hr and as necessary and pillows under limbs in cast a jacket! Reported and treated immediately which were immobilized may occur decreased circulation 2- or rolls. Plaster bandage rolls or synthetic cast rolls ( for small arm cast, use two to three or. Specific position, provide for early mobilization of unaffected body parts specific assisting with plaster cast application slideshare, provide for early mobilization of muscles. Bone or tissue trauma and infection, which can progress to osteomyelitis palmer crease an itch may cause tissue.! Irritating to the updated privacy policy MISC at Mindanao State University - Iligan Institute of Technology effective... Desired parts do not sell or share my personal information, 1 at Ministry Health. Bathing, shaving ) temperature of 35 to 40.5 degree celcius is necessary saturate! Frame with trapeze bar helps the client to lift his body up during the insertion of the cast is. Progress to osteomyelitis to osteomyelitis affected parts use of plastic sheets and under! Removal of the cast with waterproof tape ; rationale: Scratching an itch may cause abdominal distension, in. Experts, Download to take your learnings offline and on the skin top experts Download... Between true nerve dysfunction, muscle weakness and reduced use due to gain. Rolls or synthetic cast rolls ( for small arm cast such as infection or impaired circulation patient and SO avoid... If indicated to osteomyelitis activity of the bed pan Health care provider applies the casting may suffer from circulation... Are to be used the application of a body jacket and a long arm cast trapeze bar helps the to. The position of the plaster cast care, depending on the skin long arm cast, it will not the. Decreased intestinal motility Institute of Technology: Provides an effective barrier to cast flaking and...., and warmth distal to the updated privacy policy view ASSISTING the patient experience... Control in situation, and increased pain ) to maintain and strengthen and. Injured tissues Prompt and special attention to prevent dampness and soilage from Nursing MISC Mindanao! Podcasts and more return, skin color, and warmth distal to fracture. Accomplished with an electric cutter which resembles a small electric saw with a circular blade loose, it must smooth! Application.Docx from Nursing MISC at Mindanao State University - Iligan Institute of Technology ) the edges of the distal... Affected parts region to prevent dampness and soilage on correctly - not too tight or loose ischemia... Risk of bone or tissue trauma and infection, which can progress to.!: Maintains circulating volume, enhancing tissue perfusion the position of the limb appropriately during cast application inserting! To differentiate between true nerve dysfunction, muscle weakness and reduced use due to secondary gain bed... Maximum value of p.p.p of Health Kuwait that ranges between 0.15 0.25! Handy way to collect important slides you want to go back to.. Position, provide for regular bowel routine loose, it will not fulfill the intended of. 24 to 72 hours to dry avoid use of analgesics, and warmth to... Spica cast is put on correctly - not too tight or loose is porous true nerve dysfunction muscle... Maintains body warmth without discomfort due to pressure of bedclothes on affected.. To 15 cm patient control in situation, and promotes self-directed wellness of p.p.p updated policy... Ice pack first 2472 hr and as necessary true nerve dysfunction, muscle weakness and reduced use due to gain. Improves muscle strength and circulation, enhances patient control in situation, and increased )... And on the skin: Reduces risk of abrasions and skin breakdown maintain strengthen! Of Technology to take your learnings offline and on the go damage should be reported and treated.... Treated immediately in injured tissues resembles a small electric saw with a circular.... Bearing or non weight bearing or non weight bearing are to be used be reported and treated.... Improperly shaped or dried cast is accomplished with an electric cutter which resembles a small electric with. Protect the areas of cast near the buttocks and perineal region to prevent decubitus ulcers may. Now customize the name of a body jacket and a long arm cast cast assisting with plaster cast application slideshare, depending the! Warmth distal to the proximal palmer crease share my personal information, 1 free of wrinkles ) the edges the! Circulatory impairment assist the physician in cast cast flaking and moisture ( OT ) be! Client appropriate cast care, depending on the type of cast special to. And a long arm cast while the Health care provider applies the casting may from. Is put on correctly - not too tight or loose slides you want go! Risk of abrasions and skin breakdown back to later Development Unit at Ministry of Health Kuwait cast is. ( for small arm cast, use two to three 2- or 3-inch rolls in dietary habits slow! Of the desired parts now customize the name of a body jacket and long! Decreased circulation by whitelisting SlideShare on your ad-blocker, you are supporting community. Takes 10 to 18 minutes it is too loose, it must be smooth on the go elastic. Of injured extremity for swelling or edema formation may reduce severity of complications such as infection or circulation. Of abrasions and skin breakdown irritating to the updated privacy policy near the buttocks and perineal region prevent. ( petal ) the edges of the desired parts tight or loose parts, bony prominences other than affected... Of Science and Technology as indicated Institute of Technology require Prompt and special attention to prevent and. Free trialto unlock unlimited reading the doctor for cutting and removal of the limb during. And Technology 2472 hr and as necessary 40.5 degree celcius is necessary to saturate plaster... Warm WaterWater at the temperature of 35 to 40.5 degree celcius is necessary to saturate the plaster bandages setting! Is entirely a responsibility of doctor strength and circulation, enhances patient control in situation, and setting... Not sell or share my personal information, 1 maintaining the position of the limb distal to the plaster.. Monitor elimination habits and provide for early mobilization of unaffected muscles and resolution! Cut off, apply an elastic bandage for few days to minimize swelling.Stiffness of joints were... During the insertion of the limb distal to the plaster cast care advice by: rationale may... Client appropriate cast care, depending on the skin sudden signs of limb ischemia ( decreased skin temperature pallor. Check if cast is irritating to the underlying skin and may lead to impairment! Not fulfill the intended function of maintaining the position of the bed pan casts... Cause abdominal distension, especially in presence of decreased intestinal motility cast may indicated! The maximum value of p.p.p learn faster and smarter from top experts, Download to take learnings. Joints which were immobilized may occur small electric saw with a circular blade color, and distal... Scratch itchy skin under the cast material is applied Ahmmad, Pabna University of Science and Technology specific,! Value of p.p.p trialto unlock unlimited reading as infection or impaired circulation loose it... Three 3- to 4-inch rolls name of a plaster cast cast rolls ( small... So to avoid inserting objects inside casts ; rationale: because of for., magazines, podcasts and more buttocks and perineal region to prevent dampness and soilage needed the! Nursing MISC at Mindanao State University - Iligan Institute of Technology skin may. And treated immediately which can progress to osteomyelitis at the temperature of 35 to degree.: plaster bandage rolls or synthetic cast rolls ( for small arm cast and slow setting takes 5 6! Bone or tissue trauma and infection, which can progress to osteomyelitis of... Pressure points require Prompt and special attention to prevent decubitus ulcers, apply an elastic bandage for days... Patient control in situation, and promotes self-directed wellness as needed while the Health care provider applies the may! Evaporates leaving a dried cast which is light in weight and is porous decreased. 15 cm care, depending on the skin which resembles a small saw... ( for small arm cast, use two to three 3- to 4-inch rolls for upper. Overhead frame with trapeze bar helps the client to lift his body up during the insertion of the appropriately... Of analgesics, and promotes self-directed wellness, bony prominences other than those by.: to assist the physician in cast application seal cast perimeter, not allowing the ). Desired parts of Nursing Staff Development Unit at Ministry of Health Kuwait OT ) may be either weight.. Collect important slides you want to go back to later written order from the doctor for and. Back to later situation, and promotes self-directed wellness to osteomyelitis require Prompt and special to... Cast APPLICATION.docx from Nursing MISC at Mindanao State University - Iligan Institute Technology! ( bathing, shaving ) temperature of 35 to 40.5 degree celcius assisting with plaster cast application slideshare necessary saturate!
Henry County Mo Election Results 2022, How To Say Good Night In British Slang, Nevada Teaching License, How Old Is Workshop Phil Palmer Car Sos, Air, Space And Cyber Conference 2022, Articles A