1 / 15

Chapter 53 Bandages and Binders

Chapter 53 Bandages and Binders. Bandages. Purposes and therapeutic benefits *To support a limb or joint, a wound or incision *To support a wound or incision *To hold dressings, splint, cold pack or warm pack in place, or to hold a pad to absorb drainage

hamal
Download Presentation

Chapter 53 Bandages and Binders

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Chapter 53Bandages and Binders

  2. Bandages • Purposes and therapeutic benefits • *To support a limb or joint, a wound or incision • *To support a wound or incision • *To hold dressings, splint, cold pack or warm pack in place, or to hold a pad to absorb drainage • *To immobilize a joint or limb or maintain a limb in a specific position • *To provide compression, to promote venous return or prevent edema or prevent contractures • To shape a stump before fitting a prosthesis • *Wrapped around a clients limbs to provide muscle or joint support or to increase or support circulation

  3. Wrapping of Bandages • Type of application • Figure eight • Spiral • Spiral-reverse • Circular • Recurrent

  4. Peripheral Neurovascular Assessment (PNA) • Peripheral neurovascular assessment (PNA) • Observations (CMS-ET) • Color of toes or fingers • Motion or mobility • Sensitivity or sensation • Edema and swelling • Temperature

  5. In Practice: The Client’s Circulation When Using Bandages Refer to Data Gathering in Nursing 53-1 CMS-ET

  6. Types of Bandages • Roller bandages • All cotton elastic (ACE) bandage • Usually provides support • Hold a dressing in place • Exert pressure over a bleeding point • Kerlix-stretchy gauze • Stretch-net bandages-tube gauze

  7. Antiembolism stockings • Thromboembolic disease (TED) stockings • To promote adequate return circulation and prevent clots • Remove the stockings at least once every 4-8 hours ad examine the leg carefully for redness, pitting edema, or skin discoloration • Nursing procedure 53-1

  8. Nursing Care Guideline 53-1 • Applying roller bandage • Use correct size • Elevate extremity to be wrapped just above the level of the clients body • Overlap each layer about ½ the width of the previous strip • Check the clients peripheral neurovascular status at least every 2 hours

  9. The PCD Machine • To provide alternating pressure to the legs • Pneumatic compression device (PCD) • Sequential compression device (SCD) • Intermittent sequential compression device (ISCD) • These machines support circulation and are used primarily for clients immediately after surgery and for those with circulatory disorders.

  10. The PCD Machine

  11. Binders • Binder • Wide, flat piece of fabric that is applied to support a specific body part or to hold a dressing in place. • Arm sling • T-binder • Used to hold rectal or perineal dressings in place • Breast binder • Abdominal binder • Flat piece of fabric that is secured around the trunk of the clients body to support the abdomen or dressings on the abdomen

  12. Applying a binder • Nursing care guidelines 53-3 • Apply firmly but not to tight • Fasten the binder from the bottom up • Rewrap binder every 2-4 hours and check the dressing

  13. Hypoallergenic Tape • Holds a client’s dressings in place • Supports sprained ankles, fractured ribs, or fractured toes • Allows ventilation and helps to prevent skin maceration (skin breakdown)

  14. Montgomery Straps • May be used if frequent dressing changes are needed • Helps prevent skin irritation

  15. Montgomery Straps

More Related