Professional Documents
Culture Documents
3 4 Cast CAre
3 4 Cast CAre
3 4 Cast CAre
-- A fracture is the disruption in the continuity of bone structure and are classified
according to
Three characteristics:
a.) Location
b.) Type
c.) Degree of Break
Clinical Manifestations:
a.) Pain
b.) Loss of Function
c.) Deformity
d.) Shortening of the Extremity
e.) Crepitus
f.) Localized Edema
g.) Ecchymosis
Types:
i.) Avulsion
-- A fracture in which a fragment of bone has been pulled away by a
tendon and its attachment
ii.) Comminuted
-- Fracture in which bone has splintered into several fragments
iii.) Compression
-- Fracture in which bone has been compressed, most often seen in
vertebral fractures
iv.) Depressed
-- Fracture in which fragments are driven inward, most often seen in
fractures of skull and facial bones
v.) Epiphyseal
-- A fracture through the epiphysis
vi.) Greenstick
-- Fracture in which one side of a bone is broken and the other side is
bent
vii.) Impacted
-- Fracture in which a bone fragment is driven into another bone
fragment
viii.) Oblique
-- Fracture occurring at an angle across the bone, less stable than a
transverse
ix.) Open
-- Damage also involves the skin or mucous membranes, also called a
compound fracture
x.) Pathologic
-- Fracture that occurs through an area of diseased bone
xi.) Simple
-- A fracture that remains contained, with no disruption of the skin
integrity
xii.) Spiral
-- Fracture that twists around the shaft of the bone
xiii.) Stress
-- Fracture that results from repeated loading of bone and muscle
xiv.) Transverse
-- Fracture that is straight across the bone shaft
Assess the client’s neurovascular status every hour for the first 24 hours and
every 1 to 4 hours thereafter to prevent neurovascular compromise
Inform the client that it is imperative to keep the cast from getting wet
Inform the patient properly of the condition and the treatment regimen to ensure
the patient’s active participation in the program
Observe for signs of infection
Assist in isometric exercises hourly while patient is awake
Elevate affected part while sleeping
Do not stick objects into the cast to scratch the skin
Do not apply powders or deodorants to itching skin, if itching persists, inform the
doctor
Inform the patient to move the uninjured fingers and toes of the affected arm to
prevent stiffness and muscular atrophy
Apply ice around the cast and elevate cast when there is swelling