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Traction Application Nursing Management

  • Traction is an orthopedic tenor that involves placing effort on a portion, annoyance or muscle collocation using diverse impressiveness and hauley systems.
  • Straight or exoteric hinder (e.g. Buck’s hinder, pelvic hinder) involves a rectilinear hauling sinew in one roll.
  • Balanced deprivation hinder (e.g. pelvic sling, Thomas leg splint) involves toil a haul suitableness the portion is attended by a hammock or splint held by balanced impressivenesss, which allows for some disturbance extraneously alienation of the line of haul.
  • Skin hinder (e.g. Buck’s hinder, pelvic hinder) involves impressiveness applied and held to the peel delay a Velcro splint.
  • Skeletal hinder involves impressiveness applied and solid to metal inserted into annoyance (e.g. pins, wires, tongs).
Traction is applied to:
  • Decrease muscle spasms
  • Reduce, align, and immobilize fractures (e.g. femur fractures that cannot be immobilized in a aspect).
  • Correct or intercept deformity
  • Increase distance betwixt elbow surfaces
Assessment. Assess the client for the subjoined suitableness in hinder.
  • Monitor peel truthfulness of the fictitious bisect precedently and following hinder importation.
  • Assess the peel, especially gaunt prominences for breakdown.
  • Assess neurovascular foundation.
  • Monitor respiratory foundation, including scold and patter, life and lung sounds, force to cough and lifee deeply.
  • Evaluate muscle ability and effect and disturbance in fictitious and unfictitious areas.
  • Assess spiritual foundation, noting raze of orientation, efficiency of coping and proceeding.
  • Regularly hinder the predicament of the hinder equipment: ropes, hauleys, and impressivenesss.
  • For the client in skeletal hinder, assess the pin top for signs and symptoms of corruption.
Nursing Diagnosis
  • Deficient recognition allied to the tenor regimen
  • Anxiety allied to sanity foundation and the hinder device
  • Acute trouble allied to musculoskeletal quackery
  • Self-thrift deficit: alimentation, bathing/hygiene and/or toileting allied to hinder
  • Impaired corporeal disturbance allied to musculoskeletal quackery and hinder
  • Impaired peel truthfulness allied to hinder
Nursing Management
  1. Promote measures to intercept complication of imperturbability.
    • Place a bedboard beneath the client’s mattress to secure extra rooted influence. Turn and reposition the client constantly delayin the constraint of hinder.
    • Prevent constipation by increasing the client’s watery intake to 2,000 to 2,500ml and contribute a balanced viands eminent in fiber.
  2. Promote peel truthfulness.
    • Use a eespecial mattress to defend peel truthfulness.
    • Keep bed linen at-liberty of wrinkles to intercept peel breakdown.
    • Provide many peel thrift to areas of immanent pressures
    • Inspect the peel hinder for signs of peel breakdown. Assess areas balance hinder tape for delicacy or peel impatience. Always dedicate impressivenesss following the client is in the hinder accoutrements, and migrate the impressivenesss precedently removing the hinder accoutrements.
    • Inspect the skeletal hinder tops for signs of impatience or corruption. Assess pin admission and egress tops and areas excluded pin tops at last twice each day. Clean pin tops as prescribed; never migrate impressivenesss.
  3. Provide client teaching
    • Encourage free exercises for unfictitious matter bisects.
    • Encourage the use of a trapeze, if implied.
    • Promote deep-breathing exercises hourly
  4. Promote self-thrift delayin hinder constraints.


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