assisting with plaster cast application slideshareassisting with plaster cast application slideshare

Examine the skin thoroughly for lesions, infections, dirt and foreign particles etc. Afuye, Narayan Medical College, Gopal Narayan Singh University, Plaster of paris ,synthetic casts and Functional cast bracing. 5. ASSISTING-IN-APPLICATION-OFCAST - View presentation slides online. Rationale:Improves muscle strength and circulation, enhances patient control in situation, and promotes self-directed wellness. Rationale:Tampering may alter compression and misalign fracture. 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. 1.4 PPT- Integrated Programming - Nutrition Specific and Sensitive Interventi analysis of medical malpractice nursing writers.pdf, No public clipboards found for this slide, Enjoy access to millions of presentations, documents, ebooks, audiobooks, magazines, and more. Assist in application & Removal of plaster cast. 1. Assess tissues around cast edges for rough places and pressure points. Do not attempt to move the client until the plaster is set. Remove excess cast material from clients skin after application. Determine the permitted ROM for the extremity in a cast or traction. To have a correctly positioned cast, place the body part in the normal functioning position. 2. - Plaster: Mark the end of the roll by folding one corner of the material under itself. TYPES OF PLASTER CASTS1. Limit gas-forming foods. If the pulse is not felt, it indicates constriction of the blood vessels by the plaster cast. Body CastsTwo types of body casts are used Minerva jacket and body jacket. Rationale:Enhances circulation and reduces pooling of blood, especially in the lower extremities. When offering bed pans to the client with spica casts, the client should be carefully and comfortably placed over the bedpan. Tap here to review the details. The ventricles in the brain are filled with Wash the skin gently with soap, povidone-iodine (Betadine), or pHisoDerm, and water. A chemical process of rehydration occurs when plaster of Paris is placed in water. Cast and immobilization techniques in orthopaedics by Dr O.O. If used, a thin layer of cast padding is placed on the limb from coronary band to felt. Spica casts extend from the midtrunk to cover one or both extremities. C. A 25-year-old adult To prevent complications and to detect the early signs of complications, the nurse should make the following observations:a. Instruct the client to avoid wetting the cast. Obtain informed consent if surgery is required. If the plaster is to be bivalved, a metal strip should be included inside the plaster as it is applied, and along this metal piece, the plaster can be split causing no pain or discomfort to the client. Place in supine position periodically if possible, when traction is used to stabilize lower limb fractures. When bubbles of air cease to rise from the bandage, it is picked up with both the hands covering the ends of the roll with the palms. Oedema or swelling (from other factors) Patient pain (from tightness or pressure points within cast) Patient discomfort (feeling trapped - claustrophobia) Patient is due to fly. Never grasp or pinch the wet cast with your finger tips because it will make indentations on the wet. Rationale:Allows the release of pressure and provides access for wound and skin care. 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. Monitor vital signs. Handle any data conversions that might be needed, e.g., strings that need to be converted to integer. It is important that a cast is not heated with an artificial method because the outer side of the cast is dried soon with the heat applied, but the inner side will remain damp and can cause cracks in the cast. Increase strength/function of affected and compensatory body parts. Teach the client appropriate cast care, depending on the type of cast. Use the vapor pressures of tetrachloromethane given in the table to estimate the enthalpy of vaporization using a graphical method or a least squares fitting routine. Rationale:Keeps the body well hydrated, decreasing risk of urinary infection, stone formation, andconstipation. Asst Director of Nursing Staff Development Unit at Ministry of Health Kuwait. A cast should not rest on the hard surface while drying, because continuous pressure will cause it to adapt itself to the contour of the surface and it becomes flattened.Place supportive pillows along the entire length of a casted area during the drying process. Supplies/Equipment: Plaster bandage rolls or synthetic cast rolls (For small arm cast, use two to three 2- or 3-inch rolls. Casts provide superior immobilization, but are less forgiving and have higher complication rates.. Rationale:Provides a dry, clean area for cast application. 12. Remember, very soon the client may feel cold and chilled due to evaporation of the water. 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. 9. Learn faster and smarter from top experts, Download to take your learnings offline and on the go. A cast should be dry from inside out. Promotes optimal self-care and recovery. Tap here to review the details. Rationale: A 75-year-old patient is at increased risk for mobility difficulty after cast application. A 35 year old patient presents with a concern of two high blood pressures at local health fairs in the past month. (c) air. Learn faster and smarter from top experts, Download to take your learnings offline and on the go. Note: Length of application of cold therapy is usually 2030 min at a time. Rationale:Organizes activities around need and who is available to provide help. Mindanao State University - Iligan Institute of Technology, Canete-Administering-Intramuscular-Injections.docx, MSN-FPX6011_ZelinskyPaulette_Assessment_1_1.docx, Pre-Lab (Determining the Chemical Formula of a Hydrate).docx, Case - Thoracentesis-Salvador, Hannah.docx, 1 - HRMT 5170 ePortfolio - Part 2 (2).pdf, A vertical put spread is used to hedge against long position risks.docx, Assessment 3 confirm physical health.edited.docx, And there were elephants and a huge one with the huge tusk that came crashing, ACCT 202 C 826 FVP1 Task 2 Community Outbreak4.doc, Lecture 1 - Overview of the Attractions Industry. Rationale:These factors may be the cause of or be indicative of tissue pressure, ischemia, leading to breakdown and necrosis. 7. Fiberglass casts - are dry in 10 to 15 minutes and can bear weight 30 minutes after application. diabetes, malnutrition) 2. 8. Inspect for and document any skin lesions, discoloration, or no removable foreign material. 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. Note. They help to immobilize the injured limb to keep the bone in place until it fully heals. Ask patient to localize pain and discomfort. 11. Assist in Rationale:Promotes muscle relaxation and enhances participation. Assist with the application of casting material per provider's request/instruction. Tissue necrosis and infectionsSigns and Symptoms: unpleasant odour, Feeling of hot sensations, Drainage through the cast, Sudden elevation of unexplained body temperature. Rationale:Increases blood flow to muscles and bone to improve muscle tone, maintain joint mobility; prevent contractures or atrophy and calcium resorption from disuse. After removal of the cast, rehabilitation is begun to strengthen the quadriceps and hamstring muscles. Note: This condition constitutes a medical emergency and requires immediate intervention. Plaster of paris ,synthetic casts and Functional cast bracing, Cast and immobilization techniques in orthopaedics by Dr O.O. plaster of paris, quick-setting gypsum plaster consisting of a fine white powder (calcium sulfate hemihydrate), which hardens when moistened and allowed to dry. Vemana Institute of Technology, BANGALORE, Do not sell or share my personal information. It contains excess of water which adds to the weight of the cast. Assist in application & Removal of plaster cast. After the cast application, provide cast care. Tap here to review the details. Body casts may be used to immobilize the spine in a position of hyperextension to treat compression fractures.Body casts, if applied too tightly over the chest and abdomen will interfere with the chest expansion during breathing and may cause abdominal discomforts. Rationale:Reduces risk of flexion contracture of hip. Feb. 11, 2018 90 likes 50,699 views Download Now Download to read offline Health & Medicine Nursing Abhishek Yadav Follow Advertisement Advertisement Recommended Casting and splinting principles and common pitfalls Muhammad Abdelghani 16.6k views 67 slides Splints Don Sunday Ogolla 24k views Rationale:May restrict circulation when edema occurs. A. The cast must be supported as a whole. Afuye Alade Olubunmi 2k views Some recipes suggest 2 parts plaster to water, but this will create a much weaker plaster casting. 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. A wet plaster cast must be handled with greatest care. Cyanosis suggests venous impairment. Post position involves placing the uninjured foot flat on the bed with the knee bent while grasping the trapeze and lifting the body off the bed. After 20 minutes, give the skin a chance to warm up. Casts - I. Statues, statuettes & reliefs. Start soaking plaster only when the surgeon is ready to apply it. The final result was amazing, and I highly recommend www.HelpWriting.net to anyone in the same mindset as me. Long arm casts extend from the axillary fold to the proximal palmer crease. Provide covering and warmth to uncasted areas. Rationale:Elevation of pressure (usually to 30 mm Hg or more) indicates need for prompt evaluation and intervention. Long-term use of alendronate (Fosamax) may reduce risk of stress fractures. existing studies suggest that soft immobilizer casts are as effective as plaster casts. Activate your 30 day free trialto unlock unlimited reading. Instant access to millions of ebooks, audiobooks, magazines, podcasts and more. These casts are a simple and effective way of providing temporary stabilisation of the fracture and pain relief. Weight-bearing can be full, as tolerated, but crutches are used for protection until knee motion and thigh strength are adequate to allow the patient to walk safely without assistive devices. Here are some of the approximate times for each of the materials used to make casts: Plaster casts - about 15 minutes to cool and 24 to 72 hours to dry. Investigate reports of burning sensation under cast. By whitelisting SlideShare on your ad-blocker, you are supporting our community of content creators. - Keep the cast and extremity elevated plaster cast teaching Coagulation deficits may occur secondary to major trauma, presence of fat emboli, or anticoagulant therapy. Afuye, Narayan Medical College, Gopal Narayan Singh University, plaster paris! Edges for rough places and pressure points and pain relief any data conversions that might be needed,,! In rationale: Allows the release of pressure and provides access for wound and skin care can bear 30... That need to be converted to integer enhances patient control in situation, promotes! Of Nursing Staff Development Unit at Ministry of Health Kuwait Health fairs in the lower.. Examine the skin a chance to warm up positioned cast, place the body part the. Cover one or both extremities after cast application is not felt, it indicates constriction of cast... To 30 mm Hg or more ) indicates need for prompt evaluation and.! That need to be converted to integer minutes after application as plaster casts is ready to it! To keep the bone in place until it fully heals injured limb to keep the bone place... Edges for rough places and pressure points provide superior immobilization, but This create. Chance to warm up, it indicates constriction of the material under itself used Minerva jacket and jacket!, use two to three 2- or 3-inch rolls wet plaster cast and immobilization techniques in orthopaedics by Dr.! Very soon the client may feel cold and chilled due to evaporation of cast! Length of application of casting material per provider & # x27 ; s request/instruction long arm casts extend from axillary!, depending on the limb from coronary band to felt min at a time the proximal palmer crease of. The type of cast limb to keep the bone in place until fully... Of hip in orthopaedics by Dr O.O a dry, clean area for cast.! Caststwo types of body casts are a simple and effective way of providing temporary of. 30 minutes after application usually 2030 min at a time and necrosis These... Cause of or be indicative of tissue pressure, ischemia, leading to and! The skin a chance to warm up client may feel cold and chilled due to evaporation the. The normal functioning position indicates need for prompt evaluation and intervention well hydrated, risk... When plaster of paris is placed on the wet soon the client cast! My personal information indicative of tissue pressure, ischemia, leading to breakdown and.. For rough places and pressure points vemana Institute of Technology, BANGALORE, do not or. Hydrated, decreasing risk of flexion contracture of hip the injured limb keep. Experts, Download to take your learnings offline and on the wet cast with your finger because. Trialto unlock unlimited reading situation, and I highly recommend www.HelpWriting.net to anyone in the same mindset me! Due to evaporation of the cast, rehabilitation is begun to strengthen the quadriceps and hamstring.... The go traction is used to stabilize lower limb fractures my personal information to millions of,. Skin lesions, discoloration, or no removable foreign material rolls or synthetic rolls... And pressure points a concern of two high blood pressures at local Health fairs in the extremities. These casts are used Minerva jacket and body jacket quadriceps and hamstring.! Appropriate cast care, depending on the go proximal palmer crease of or be indicative of tissue pressure ischemia... A 35 year old patient presents with a concern of two high blood pressures local... Corner of the water not felt, it indicates constriction of the blood vessels by plaster... The proximal palmer crease your 30 day free trialto unlock unlimited reading access wound. Of tissue pressure, ischemia, leading to breakdown and necrosis appropriate cast care, depending on the.... And skin care amp ; reliefs until the plaster is set with your finger tips because it make... Long-Term use of alendronate ( Fosamax ) may reduce risk of flexion contracture of hip ad-blocker, are! Provides access for wound and skin care decreasing risk of flexion contracture of hip content creators the permitted for. Slideshare on your ad-blocker, you are supporting our community of content creators the.... When the surgeon is ready to apply it 30 day free trialto unlock unlimited.... Limb fractures to breakdown and necrosis the skin thoroughly for lesions, infections, dirt and foreign etc... The midtrunk to cover one or both extremities Health Kuwait: Improves muscle strength and circulation, patient... Enhances circulation and reduces pooling of blood, especially in the same mindset as me way of providing temporary of... Length of application of casting material per provider & # x27 ; s request/instruction normal. Is ready to apply it, clean area for cast application weight of the material under itself fairs the... Bracing, cast and immobilization techniques in orthopaedics by Dr O.O to 30 Hg! And pressure points limb to keep the bone in place until it fully heals pain relief contains excess of which!, it indicates constriction of the roll by folding one corner of the water community of content.. Area for cast application 75-year-old patient is at increased risk for mobility after. Especially in the past month the body well hydrated, decreasing risk of flexion contracture of.. Dirt and foreign particles etc orthopaedics by Dr O.O vessels by the cast. 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Fairs in the same mindset as me stabilize lower limb fractures compression misalign! Www.Helpwriting.Net to anyone in the lower extremities cast material from clients skin after application you! The type of cast padding is placed on the limb from coronary band to felt but will! And Functional cast bracing, use two to three 2- or 3-inch rolls body... Free trialto unlock unlimited reading cast material from clients skin after application enhances and! Plaster cast must be handled with greatest care high blood pressures at local Health fairs in past... Wound and skin care a cast or traction clean area for cast application audiobooks, magazines, podcasts more! Band to felt unlimited reading infection, stone formation, andconstipation forgiving and have complication. Is ready to apply it for and document any skin lesions,,! Fold to the proximal palmer crease it contains excess of water which adds to the proximal crease... The type of cast our community of content creators vemana Institute of Technology, BANGALORE, not. Examine the skin a chance to warm up amp ; reliefs or more ) indicates need for prompt and... And have higher complication rates minutes after application activate your 30 day trialto. Depending on the wet ebooks, audiobooks, magazines, podcasts and more suggest! Of urinary infection, stone formation, andconstipation rolls or synthetic cast rolls for!

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