BINDER

- a type of bandage, worn snugly around the trunk or body that provides support.

RATIONALE:
1. To provide protection and support to the abdomen.

2. To protect suture lines from tension or stress.

EQUIPMENT:
Scultetus Abdominal Binder

Straight Abdominal Binder

PLANNING AND IMPLEMENTATION
ACTION RATIONALE
To ensure accuracy and
1. Identify the client and explain the procedure.
cooperation of the client.
To make placement of the binder
2. Fanfold half of the binder lengthwise.
under the client easier.
To prevent the client from falling
3. Raise the siderails opposite you.
off the bed.
To help you to place the binder
4. Help the client to roll onto her side facing the raised rail.
under the client.

5. Place a folded binder under the client and have the client To conserve your energy and
roll back onto the binder and to the other side. facilitates application of the binder

6. Help the client to assume a supine position with his or her To reduce tension and stress on the
head slightly elevated and knees slightly bent. abdominal suture line.

7. Apply binder.

TO APPLY A STRAIGHT ABDOMINAL BINDER:

ACTION RATIONALE

8. PULL THE SIDES OF THE BINDER

TOGETHER TO MEET VERTICALLY IN THE
MIDDLE. TO MAINTAIN CONTINUOUS AND EVEN
SUPPORT TO THE ABDOMINAL WALL
NOTE: THE BINDER SHOULD BE BETWEEN AND SUTURE LINE.
THE CLIENT’S SYMPHYSIS PUBIS AND THE
LOWER RIB CAGE.

TO MAINTAIN CONTINUOUS AND EVEN

9. SECURE THE BINDER WITH VELCRO OR
SUPPORT TO THE ABDOMINAL WALL
SAFETY PINS
AND SUTURE LINE.
\

To apply scultetus abdominal binder:

 8. Starting at the left bottom tail of the binder, pull the tail to the midline. Maintain tension
and overlap the tail with the bottom tail.

9. Continue overlapping each pair of tales with tension until all are secured in the midline.

10. Secure the top set of tails with a safety pin.

11. Record the procedure and include your evaluation of the client.

EVALUATION AND DOCUMENTATION:

1. The bandage is applied in a smooth manner with even pressure to the body part.
2. The client is comfortable and does not have signs of nervous impairment such as pain,
numbness or tingling of the bandaged areas