Care of Clients With Traction

8/3/2019 Care of Clients With Traction

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Care of Clients in Traction


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Skin Traction

y Achieved by applying devices to the skin thatindirectly affect the muscles or bones.

Examples:Adhesive type material

Bryant, Dunlop, Bucks extension

Non adhesive material

HeadHalter Traction, Hammocksuspension traction, pelvicTraction, Anklet Traction.


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Manual Traction

y The pulling force is applied by the hands of theoperator.


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Bryant Traction

Legs must be positioned

vertically , hips flexed(right angle) andbuttocks not resting atthe mattress

Checkfor impairedcirculation in the toes

Checkfor the presenceof pimples, blisters, andpurulent discharges onthe tracked legs

Provide the child with atoy


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Bucks Extension Traction

Position the bed in

Trendelenburg

Advise the patient not toturn and remain flat onbed

Checkthe bandagewrappings and moleskinstrips for adhesion

Report immediately ifany part of thewrappings or tractionappears to be out ofplace.


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Russells Traction

Checkpopliteal area for

signs of pressure fromthe sling and ulcers

Checkthe bandagewrappings and moleskinstrips for adhesion

Report immediately ifany part of thewrappings or tractionappears to be out ofplace.


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Cervical Traction Halter

Feed the patient slowly a

nd carefully

Checktobe certain that the chinstrap is not pressingon his throat.

keep suction equipmenton hand for immediate use


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Pelvic Traction Girdle

Keep the girdle and

underlying skin cleanand dry.

Encourage foot exercisesbut there must be nocontact with therope avoid using

padding unless thepatient is very thin.


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HammockSuspension Traction

y The buttocks of the client must not rest on themattress

y Checkfor signs of intra abdominal injury, urinary

and bowel disturbance


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Skeletal Traction

y Applied directly to a bone by using a wire(Kirschner), pin (Steinmann), or cranial tongs(Crutchfield)

y most frequently in the treatment of fractures of thefemur, tibia, humerus and the cervical spine

y Checkthe site daily for infection

y Daily cleaning of the site


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Nursing Management for Clients in Traction

y Determine the activities the patient can do byhimself and which activities requires your assistance.

y Basic considerations are nutritional needs, hygiene,

and elimination needs and the need for some sort ofdiversional activities.

y Always checkthe linen and pillow covers fordampness and wrinkling. change the covers regularly

y When assisting with the bedpan or urinal, provide adequate time and privacy for the patient.

y Assist the patient to take several deep breaths eachhour


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NursingManagement for Clients in Tractioncontinuation

y Eliminate any factors that reduce the traction pull oralter its direction.

y Encourage the patient to use the overhead trapeze in

stead of elbows to move in bed.y Checkthe extremities for color (pallor, cyanosis), nu

mbness, edema, signs of infection, and pain. Lookfor areas of skin breakdown or pressure sores on all s

kin surfaces.y Provide some sort of diversional activity.

Care of Clients With Traction

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