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UNIT-XIII MEETING NEEDS OF PERIOPERATIVE PATIENT

UNIT-XIII MEETING NEEDS OF PERIOPERATIVE PATIENT. PRESENTED BY : JYOTHI RAO Lecturer MSN Department REVIEWED BY: MR. GIREESH G.R Assoc.Professor

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UNIT-XIII MEETING NEEDS OF PERIOPERATIVE PATIENT

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  1. UNIT-XIIIMEETING NEEDS OF PERIOPERATIVE PATIENT PRESENTED BY : JYOTHI RAO Lecturer MSN Department REVIEWED BY: MR. GIREESH G.R Assoc.Professor MSN Department

  2. LEARNING OBJECTIVES At the end of the class students will be able to Define bandaging Explain the purposesof bandaging Explain the principles of bandaging Discuss the types of bandages

  3. INTRODUCTOIN • A bandage is any gauze or cloth material used for any of the purpose to support, hold or to immobilize the body part

  4. BANDAGING

  5. DEFINITION Bandaging is the process of covering a woundor an injuredpart.

  6. PURPOSES: • To prevent contamination of wound byholding dressings inposition. • To provide support to the part that is injured, sprained or dislocatedjoint. • To provide rest to the part that isinjured. • To prevent and control hemmorrhage • To restrict movement / immobilizea fracture or adislocation. • To correctdeformity

  7. PRINCIPLES • The patient should be placed in a comfortable position • The position of the part to be bandaged should be well supported and elevated if necessary • Face the patient while applying the bandage, except when applying it to the head • A bandage should accomplish its purposes. It may be used to hold dressings in place, to support a part or to immobilize. • Apply and fix bandage at least two circular turns around the part is its smallest diameter, so that it can stay in one place. • Skin surfaces should be separated by either gauze or cotton • In the application of casts special padding is used over bony prominences

  8. Always bandage to the right side • Exert even pressure as far as possible • Do not cover the ends of the finger or toes, unless it is necessary to cover the injury. It is necessary to observe the circulatory changes • Do not apply a bandage too loosely because it may slip and expose the wound • All turns of bandage should be made clockwise

  9. Applying bandage, secure terminal extremity by pinning with safety pins or strapping adhesive • Remove bandages by gathering folds in a loose mass passing mass from one hand to the other • Examine the bandage part frequently for pain, swelling etc

  10. TYPES OFBANDAGES • TriangularBandage. • RollerBandage. • Special Bandage. E.g. Many tail bandage, T-bandage

  11. SIZES OFBANDAGE • The size of the bandage varies according to the part it is supposed tobandage

  12. MATERIALS COMMONLY USED FOR BANDAGES • Gauze • Muslin • Rubber • Elastic • Flannel • Adhesive

  13. FOLLOWING TERMS ARE USED IN ROLLER BANDAGING. • Simplespiral • Reversespiral • Figure ofeight. • Spica • 1. Simple Spiral : • This type of bandage is used for uniform thickness part i.e. wrist or finger. Each turn of the bandage overlaps the previousturn.

  14. 2.ReverseSpiral: This bandage is used for the parts where the thickness varies e.g. legs & forearms. It is applied in the same way as the general spiral bandage, but each turn is reversed as necessary to prevent gaping & to make the bandagesmooth. 3 .Figure ofEight This bandage is used for elbow & knee joints.Thisbandage is made by forming two loops or oblique turns over a joint.The turns alternately ascend & descendto cover the part

  15. 4.Spica: • It is a form of the figure of eight bandage.The turn is larger than the other. It is used for joints at right angles to the body, e.g. the shoulder, groin, thumb. • 5.SpecialBandages: • A). Many TailBandage: • This bandage is usually used for abdominal wounds & chest injuries. It is prepared from a number of strips ortails of flannel or cotton material. It is 4 to6 inches wide and has sufficient length to cover the affected part

  16. Assessing before applying bandages: • Inspect and palpate the area for swelling • Inspect for the presence and status of wound • Note the presence of drainage(amount, color, odor and velocity) • Inspect and palpate for the adequacy of circulation(skin temperature, color and sensation) • Ask the patient about any pain experienced(location, intensity, onset and quality) • Assess the ability of the patient to reapply the bandage when needed • Assess the capabilities of the patient regarding activities of daily living

  17. EQUIPMENTS • Clean bandage of appropriate material and width • Safety pin • Adhesive tape • Special metal clips

  18. PROCEDURES • Explain to patient • Make sure that the area to be bandaged is clean and dry • Stand opposite to the patient, if possible • Support the affected part adequately ensuring correct body alignment to prevent deformity and impair circulation • Keep the bandage roll uppermost with free and above site to be bandaged • Bandage from below to upward • Cover two thirds of previous turn, avoid loose edges • Take required number of turns so that purpose is achieved

  19. Secure the end of the bandage with tape. • Metal clips or a safety pin over an uninjured area • Document the site and type of bandage used

  20. CONCLUSION • Bandaging is a technique of application of specific roller bandages to different parts of the body.

  21. EVALUATION SHORT ESSAYS: • Types of bandages and its uses • Principles of bandaging • Figure of eight

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