Patterns & Management Fracture

8/8/2019 Patterns & Management Fracture

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PRESENTED BY:

MS. REETA KHURESHA

M.SC.(MSN)- 1STYEAR

CIMS CON

DEHRADUN


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AnkleAnkle fracturesfractures


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Rib fracturesRib fractures


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Fracture offemurFracture offemur


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HumerusfractureHumerusfracture


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SkullfracturesSkullfractures


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Prompt & thorough assessment of client to discover allinjuries,Reduction & stabilization of the fracture withimmobilization,

Observation for complications, remobilization &rehabilitation.


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Reducing fractures:Reduction isthemanipulation of

the bonesto restorealignment,

position, & length by bringing the

bony fragments into close

approximation. Reductionalsoknownas BONE SETTING.


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Two types of reduction areclosedreduction

Openreduction & internal

fixation

Externalfixation


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External fixation- depending onthe

clientscondition & the physiciansjudgment,externalfixationdevices

may beusedforfracturefragmentimmobilization


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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.


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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.


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Purposes oftractionare:

Reduce,realign & promotehealing

offracture bones

Preventsofttissuedamage

Prevent ortreatdeformitiesRestan inflamed,diseased or

painful joint

Preventdevelopment of

contractures.


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Types of traction:

Running traction- aform of

traction in which pull isexertedin one plane,may useeither

skin orskeleton. E.g. Bucksextensiontraction.


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Balancedsuspensiontraction- uses

additional weightstocounterbalancethetractionforce &

floatstheextremity inthetractionapparatus. Theline ofpull onthe

extremity remainsfairly constant

despitechanges inthe patientsposition.


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Application oftraction:

Skintraction involvesthe

application ofa pulling force

directly to skinthroughtheuse

ofskinstrips, boots orfoam

splints.


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Skeletaltractionuses pinsto applyforceto the bone.Adirectforce

can beappliedafterthe physician

insertstainlesssteel pinsthrough

the bone itself,e.g.femur,tibia &

ulna.


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NURSINGMANAGEMENT

OF

FRACTURED CLIENT


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Nursing diagnosis:-

Riskfordeficientfluidvolume

relatedto hemorrhage & shockasevidenced by dehydration.

Impaired gasexchangerelatedto

immobility & pulmonary emboli.


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Acute orchronic painrelatedto

injury asmanifested by facial

expressions.

Riskfor infectionrelatedto openfracture orsurgical intervention.

Self- caredeficitrelatedto

immobility asmanifested by poor

personalhygiene


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Nursing interventions:-

Evaluating forhemorrhage & shockMonitorfor impaired gasexchange

Relieving pain-

Promoting physicalmobility.

Promoting adequatehygiene-

Monitorfordevelopment ofinfection

Care ofclient inacast


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Patterns & Management Fracture

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