lecture on Care of Patient with Cast.pptx

Helpfull for students

1. Care pf patients with P laster Cast Mr Yogendra Mehta Lecturer, HOD (Adult Health Nursing) TU IOM BRNC, Biratnagar

2. (Congenital Talipes Equinovarus)

3. EQUIPMENTS Stockinette Padding material Cast material Plaster: cheaper, long shelf life, easier to work with May be fragile, disintegrate in water Fiberglass: more durable, lighter, dry quicker, multiple colors, water tolerant Newer synthetic materials

4. PROCEDURE Apply stockinette Protect skin and provide smooth edge Apply padding Protect bony prominence Allows for swelling Wet the casting material Hot water hardens faster Squeeze out excess water Apply splint or cast

5. ALLOW CAST TO DRY : POP 24 – 48 hours Fiberglass Approximately 20 minutes

6. Patient Assessment with Cast ASSESS: Neurovascular status for signs of compromise Skin integrity Positioning and potential pressure sites Cardiovascular, respiratory, GI for possible complications of immobility Psychological reaction

7. Medical Intervention Elevate extremity Avoid resting on hard surface Handle moist cast with palms of hands Turn every 2 hours while cast dries Assess neurovascular status at least per shift

8. IMMEDIATE MANAGEMENT Elevation (at or above heart level) Check tightness of the cast Encourage movement of extremities Monitor neurovascular status Inform Doctor Prepare for open cast

9. PATIENT EDUCATION Keep cast clean Do not stick objects into cast Do not pull out the padding Do not apply powder or deodorant inside cast Watch for skin irritation Do not modify your cast Watch for cracking and breaking of cast Do not drive or lift anything heavy