What are the principles of traction?
Essential principles The grip or hold on the patient’s body must be adequate and secure. Provision for counter traction must be made. There must be minimal friction on the cords and pulleys. The line and magnitude of the pull, once correctly established, must be maintained.
What are the nursing considerations for a patient in traction?
Traction care
- Ensure that the traction weight bag is hanging freely, the bag must not rest on the bed or the floor.
- If the rope becomes frayed replace them.
- The rope must be in the pulley tracks.
- Ensure the bandages are free from wrinkles.
- Tilt the bed to maintain counter traction.
What are the principles of fracture management?
They are as follows:
- Anatomic reduction of the fracture fragments – For the diaphysis, anatomic alignment ensuring that length, angulation, and rotation are corrected as required; intra-articular fractures demand anatomic reduction of all fragments.
- Stable fixation, absolute or relative, to fulfill biomechanical demands.
What is Buck’s extension traction?
Definition of Buck’s extension : an apparatus for extension of a fractured limb by the application of a weight controlled by a rope and pulley also : the traction so applied.
How traction related complications can be prevented?
Plans to avoid traction table-associated complications should be developed. These may include: Using radiolucent flat-top operating tables for obese patients. Positioning patients appropriately.
Why traction is given?
Most often, traction uses devices such as weights and pulleys to put tension on a displaced bone or joint, such as a dislocated shoulder. The tension helps put the joint back in position and keep it still. Traction is also used to keep a group of muscles (such as the neck muscles) stretched to reduce muscle spasms.
How does traction work in physical therapy?
Traction is a form of decompression therapy that we are happy to offer at Physical Therapy Services. It relieves pressure on the spine and alleviates pain from joints, sprains, and spasms. It can also treat herniated discs, sciatica, degenerative disc disease, pinched nerves, and many other back conditions.
What is rehabilitation in fracture management?
General principles in the rehabilitation of a patient with an extremity fracture include: treat the patient, not the x-ray; move all joints not immobilized; prevent disuse atrophy; use gravity to assist in mobilizing a joint; stabilize proximal joints to avoid reverse action of biarticular muscles; permit early …
What safety principles should you teach clients with a leg fracture?
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- Stop any bleeding. Apply pressure to the wound with a sterile bandage, a clean cloth or a clean piece of clothing.
- Immobilize the injured area. Don’t try to realign the bone or push a bone that’s sticking out back in.
- Apply ice packs to limit swelling and help relieve pain.
- Treat for shock.
What are the principles of care for the patient in traction?
The following are additional principles to follow when caring for the patient in traction: · Traction must be continuous to be effective in reducing and immobilizing fractures. · Skeletal traction is never interrupted. · Weights are not removed unless intermittent traction is pre-scribed.
What is the action rationale of traction therapy?
Action Rationale Explain to the patient and relatives what has happened and what the equipment is for. To ensure the patient and relatives understand and to reduce their level of anxiety. Ensure adequate analgesia. To prevent pain and allow the patient to use a bed pan or bottle without fear. Check cuffs on the traction at least daily.
What are the criteria for effective traction in the treatment of fractures?
· Traction must be continuous to be effective in reducing and immobilizing fractures. · Skeletal traction is never interrupted. · Weights are not removed unless intermittent traction is pre-scribed.
How do you use a traction force on a patient?
the traction as necessary. Maintain the line of pull along the long axis of the leg. The patient should be aligned to the midline at all times • carry out lateral tilting of the patient to prevent pressure sores. Align the patient to the midline and control the hip abduction and rotation by the mechanics of the pulley system