Skeletal traction is a type of treatment that is used to stabilize and align bones in order to promote healing following a fracture or injury. It involves the use of pins, wires, or screws that are surgically inserted into the bone and attached to a traction device, which applies a gentle pulling force to the affected limb. Skeletal traction is typically used for fractures that are difficult to treat with traditional methods, such as those that involve the joints or those that are displaced or angulated.
One of the key components of nursing care for patients undergoing skeletal traction is the development and implementation of a nursing diagnosis. A nursing diagnosis is a clinical judgment about the patient's health status and the nursing interventions that are needed to address the identified health problem. In the case of skeletal traction, the nursing diagnosis will focus on the patient's pain management, mobility, and overall rehabilitation.
One common nursing diagnosis for patients undergoing skeletal traction is impaired physical mobility. This diagnosis is based on the fact that the traction device limits the patient's ability to move around and perform activities of daily living. The nurse may work with the patient to develop a plan of care that includes strategies for maintaining mobility and independence, such as the use of assistive devices and exercises to maintain muscle strength and flexibility.
Another nursing diagnosis that may be relevant for patients undergoing skeletal traction is pain. Fractures can be extremely painful, and the traction device itself may also cause discomfort. The nurse will work with the patient to assess the intensity and location of the pain and to develop a plan for managing it, which may include the use of medications, relaxation techniques, and other non-pharmacologic interventions.
A third nursing diagnosis that may be applicable to patients undergoing skeletal traction is risk for infection. The pins, wires, or screws that are used to secure the traction device can introduce bacteria into the body, increasing the risk of infection. The nurse will closely monitor the patient for signs of infection and implement appropriate preventive measures, such as wound care and administration of antibiotics as prescribed.
Overall, the nursing diagnosis for patients undergoing skeletal traction will focus on addressing the patient's pain, mobility, and rehabilitation needs. By working closely with the patient and other members of the healthcare team, the nurse can help ensure that the patient receives the care and support they need to recover and return to their previous level of function.
Impaired Physical Mobility Nursing Diagnosis and Nursing Care Plans
Ascertain that all clamps are functional. A Place slight additional tension on the traction cords. Place support pads under bony prominences, such as under the elbows, as needed. Some assessment forms allow the nurse to draw the area of concern on it to graphically show both the location and the relative size of the skin area that is affected with impaired skin integrity. The appropriate use of wheelchairs, canes, transfer bars, and other assistive devices can increase mobility and lessen the danger of falling Evaluate the necessity of home health care, such as physical and occupational therapy.
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No foreign object should be inserted inside the cast because of the risk of cutting the skin and causing an infection. Back pain has been linked to depression, anxiety, stress, and avoidance behaviors due to mentally not being able to cope with the physical pain. A new reddened area is protected from further harm and damage with interventions such as turning and positioning the client, keeping the client's skin clean and dry, keeping bed linens wrinkle and object free and avoiding all pressure, friction and shearing. Circulatory System The circulatory system is jeopardized by immobility; some of these respiratory complications and risks include venous stasis, venous dilation, decreased blood pressure, edema, embolus formation, thrombophlebitis and orthostatic hypotension which is a risk factor that is often associated with client falls. D Seat the patient in a low chair as soon as possible.
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