Beruflich Dokumente
Kultur Dokumente
Prepared By:
Bayoumi
Purpose:
to minimize muscle spasms; to reduce, align, and immobilize fractures; to reduce deformity; and to increase space between opposing surfaces
Types:
Straight or running traction Balanced suspension traction
(skeletal traction).
Skin Traction:
Skin traction is used to control muscle spasms and to immobilize an area before surgery. Skin traction is accomplished by using a weight to pull on traction tape or on a foam boot attached to the skin. The amount of weight applied must not exceed tolerance of the skin.
No more than 2 to 3.5 kg (4.5 to 8 lb) of traction can be used on an extremity. Pelvic traction is usually 4.5 to 9 kg (10 to 20 lb), depending on the weight of the patient. Types of skin traction: used for adults include Buck's extension traction (applied to the lower leg), the cervical head halter (occasionally used to treat neck pain), and the pelvic belt (sometimes used to treat back pain).
Nursing Intervention:
Ensuring Effective Traction: Monitoring and Managing potential Complication
Skeletal Traction:
to treat fractures of the femur, the tibia, and the cervical spine. The traction is applied directly to the bone by use of a metal pin or wire
Nursing Interventions:
Maintaining Effective Traction. Maintaining Positioning. Preventing Skin breakdown. Monitoring Nurological Status. Providing Pin Site Care.
Diagnosis:
Deficient knowledge related to the treatment regimen Anxiety related to health status and the traction device Acute pain related to musculoskeletal disorder Self-care deficit: feeding, bathing/hygiene, dressing/grooming, and/or toileting related to traction Impaired physical mobility related to musculoskeletal disorder and traction
Potential complication:
Pressure ulcer Pneumonia Constipation Anorexia Urinary stasis and infection Venous stasis with DVT
Nursing Intervention:
promoting understanding of treatment regimen: Reducing Anxiety. Achieve a maximum level of comfort. Achieving Maximum self care. Attaining maximum Mobility with traction. Monitoring and managing potential complication.
Evaluation:
Demonstrates knowledge of traction regimen Exhibits reduced anxiety States increased level of comfort Performs self-care activities Demonstrates increased mobility Experiences no complications