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POST OPERATIVE CARE

Prepared by:
Ilona Rosabel G. Bitalac
Managing the care of client in
traction
q Assess neurovascular status frequently.
Compare assessment findings in the
affected limb with those in the
unaffected limb.
q Check Traction equipment for:
 1. Proper alignment ( position client so
that the body is in an opposite line to the
pull of traction.)
 2. Correct attachment.
 3. Prescribe amount of weight.

Managing the care of client in
traction
 4. Freely hanging weights and freely
moving ropes over unobstructed
pulleys.
 5.Maintainance of counter traction.
qMonitor client for signs of pressure
areas.
qEncourage client to be as mobile as
possible and to perform exercise as
indicated.
qIf traction is applied to lower
extremity, observe foot position and
prevent foot drop.
qIf skeletal traction is applied, follow
Managing the care of client in
traction
 Cover tips of any protruding metal pins or
rods with corks or other protective
material.
Maintaining and Monitoring
Skeletal Traction
q ASSESSMENT:
1. Assess the client for position, alignment,
skin condition, and movement of the
extremity.
2. Assess pain, intensity, and duration.
3. Determine from the chart what type of
traction and how much weight is
ordered for the client.
4. Assess general skin condition and
pressure points. It is important to
record any changes and care for
emerging pressure sores.
Maintaining and Monitoring
Skeletal Traction
q Planning/Expected Outcomes:
1. Traction will be maintained as ordered.
2. Client will maintain body alignment while
in traction.
3. Client will maintain good skin condition.
Maintaining and Monitoring
Skeletal Traction
 Implementation:
1. Assess CSM after placement, hourly for at
least 4 hours, then every 4 hours, and
then every shift.
2. Acquire necessary number of people to
accomplish.
3. Explain the procedure to the client.
4. The traction set up. Be sure the lines and
weights hang freely and the structural
frame is secure.
Maintaining and Monitoring
Skeletal Traction
Implementation:

5. Wash hands.

6. One person will monitor the traction and

fractured extremity.
7. Turn the client:

 ►for a client who is unable to assist, two


people are on the side that will lift the
client’s body, and one person is on the
opposite side to stuff pillows.

Maintaining and Monitoring
Skeletal Traction
 ►for a client who is able to assist, leave
the bed rail up so the client can use it to
pull the upper body across.
 ►for a client with a fractured hip, be
careful where pillows are placed beneath
the fracture. There should be enough
support without misaligning the bones.
8. Reassess CSM, body alignment and pain.
Maintaining and Monitoring
Skeletal Traction
Transferring from bed to Gurney:
9. See actions 1-5

10. Assess the gurney or bed to be sure the

correct traction setup and equipment are


available.
11. On person applies manual traction to the

arch---the metal piece that joints the sides


of the pin where rope attaches– while
another removes the weights and rope.
Maintaining and Monitoring
Skeletal Traction
12. Use a side board to transfer client from
bed to bed. Be certain one person is
monitoring the broken extremity, moving
it with the rest of the body.
13.Once the client is straight in the new bed,

reapply traction slowly. The person holding


,annual traction should not let go until the
weights are freely hanging.

Maintaining and Monitoring
Skeletal Traction
14. Once the client is settled, reassess CMS,
body alignment and pain.
15. Wash hands.