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IntroductionFemoral fractures are often managed using skin traction prior to their definitive surgical management. Some require short term traction i.e. 24 hours whereas others require it for a number of weeks i.e. 6 weeks. Traction limits movement and reduces the fracture to help decrease pain, spasms and swelling. The purpose of traction is to restore and maintain straight alignment and length of bones following fractures. AimThis clinical guideline aims to ensure that the application and management of skin traction is consistent and that potential complications are identified early and managed correctly. Definition of terms
ManagementAcute management
Image 1: Traction kit in adult and child
Image 2: Traction weight bag Pain relief medications
Education
Application of tractionPreparation
Apply traction
Image 3: foam stirrup applied to patients’ leg.
Image 4: Stirrup and crepe bandage applied to leg Ongoing managementMaintain skin integrity
Traction care
Observations
Pain Assessment and management
Activity
Theatre time
Special considerations
Potential complications
Companion documents
References
Evidence tableThe evidence table for this guideline can be viewed on the linked pdf. Please remember to read thedisclaimer. The development of this nursing guideline was coordinated by Holly Pannell, RN, Platypus Ward, and approved by the Nursing Clinical Effectiveness Committee. Updated December 2022. For which of the following clients might skeletal traction be indicated?Skeletal traction is indicated for those with shortened unstable fractures/dislocations of the extremity. This is particularly relevant for the lower limb where it may be difficult to immobilize with splinting alone or require greater force than what skin traction could provide [21,22].
Which of the following assessment findings indicates increased intracranial pressure?Signs and symptoms of increased ICP include change in level of consciousness, headache, irregular respirations, widening pulse pressure, bradycardia, projectile vomiting, abnormal pupils, and decerebrate or decorticate posturing.
Which of the following is a ball and socket joint quizlet?Ball-and-socket joints. These are the shoulder and hip joints—the only multiaxial joints in the body.
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