BINDERS

By: Gracy C. Espino RN, MAN

NCM 104a -Skills

Prelims:
1. GCS Mam Reyes
2. Application of Binders - G. Espino
2. Bandaging - G. Espino

NCM 104a -Skills

Midterms: C. Reyes
4. Application of Sling & Splint
5. Caring for Patient with Cast
6. Transfer of patient from wheelchair
to bed/ Bed to wheelchair &
stretcher G. Espino

NCM 104a -Skills

Finals: J. Balcita
7. Assisting with ambulation & side
walking
8. Crutchwalking
9. Post Mortem Care

Definition:
A type of bandage
applied to large
body areas.
length of cloth or
elasticized material
that encircle the
chest, abdomen or groin.

 most binders are made of

elastic cotton, soft muslin,
flannel or a strip of lightweight
canvass material.
Cloth binders are fastened with
safety pins.
Elasticized binders are
fastened with velcro.

 A properly applied binder

provides support and comfort
so the client can resume
normal activities early.

Purposes:
for support
for immobilization
to hold dressings in place

TYPES:
STRAIGHT ABDOMINAL BINDER
- A rectangular material
long enough to encircle
the patients abdomen with
some overlap fasten with
safety pins or velcro.
- can be made by any
material- bath blanket or
towel.

TYPES:
SCULTETUS OR MANY-TAILED BINDER
- with tails of fabric at
each end; these are
interlaced upward
to give strength
& added support to
the abdomen
especially after
abdominal surgery.*

TYPES:
T-BINDER OR PERINEAL BINDERS
- designed to hold pads or

dressings in the perineal

area or rectal area.

Double T-Binder
(male)

Single T-Binder
(female)

Breast Binder
Reduces Breast
engorgement in
the non
Breastfeeding
mother

Assessment:
1. Assess the body area to which the binder
is to be applied: Check for swelling,
discoloration, discomfort.
2. Assess the dressing to determine
whether it needs changing or reinforcing,
depending on the physicians order.
3. Assess the patients skin under the
binder for abrasions.

Equipment
Tape measure
Binder of appropriate size and
type
Gloves if necessary
Safety pins

Preparation:
1. Explain the purpose
2. Provide privacy
3. Assist client to a comfortable lying
or sitting position.
4. Raise the bed to its highest
position*

Procedure
Action

Explanation

With the patient in

a supine position,
place the binder
smoothly under the
patients waist and
the lower border at
the level of gluteal
fold

A binder above the

waist interferes with
respiration, while
one placed too low
interferes with
elimination and
walking

1.

Procedure
Action

Explanation

2. Applying padding
over the iliac crests
if the patient is
emaciated.

To prevent skin
surfaces from
rubbing together &
becoming
excoriated.

Procedure
Action

Explanation

3. For straight
abdominal binder,
bring the ends
around the patient,
overlap them, and
secure them with
pins.

Place the top pin

horizontally at the
waist to allow
comfort when
moving.

Procedure
Action

4. For a scultetus
binder, bring the tails
over the center from
alternate sides. The
last tail is secured
with a safety pin.

Explanation

Each tail should overlap

the preceding one by
about half of the width of
the tail for maximum
support. In thin people
the tails may extend
beyond the other
side & will require
folding back.

Procedure
Action

Explanation

For patients who

This provides maximum
have had abdominal upward support
surgery, lace the tails
from the bottom
upward.

Procedure
Action

For the post-partum

patients, lace the
tails from the top
downward.

Explanation

This provides downward

pressure on the uterus

Special consideration:
For maximum support, wrap the binder so
that it applies even pressure across the
body section.
Eliminate wrinkles and avoid pressure on
bony prominences.
Be careful not to compress drains, tubes,
catheters.
Dont allow binder to interfere with
elimination.

Special consideration:
Check binder placement every 8 hours.
Check the skin color, palpate for warmth,
check pulses and assess for tingling or
numbness.
Reapply the binder when a dressing
needs changing, when the binder
becomes loose or too tight.