Economics

•Chapter 67

Musculoskeletal Care Modalities

•Question

What is a cast?

A.Bandage used to support a body part.

B.Rigid external immobilizing device molded to contours of body part.

C.Device designed specifically to support and immobilize a body part in a desired position.

D.Externally applied device to support the body or a body part, control movement, and prevent injury.

•Answer

B

A sling is a bandage used to support a body part. A cast is a rigid external immobilizing device molded to contours of body part. A splint is a device designed specifically to support and immobilize a body part in a desired position. A brace is an externally applied device to support the body or a body part, control movement, and prevent injury.

•Cast

•A rigid, external immobilizing device

•Uses

–Immobilize a reduced fracture

–Correct a deformity

–Apply uniform pressure to soft tissues

–Support to stabilize a joint

•Materials—nonplaster (fiberglass), plaster

•Long-Arm and Short-Leg Cast and Common Pressure Areas

•Teaching Needs of the Patient with a Cast

•Prior to cast application

–Explanation of condition necessitating the cast

–Purpose and goals of the cast

–Expectations during the casting process- for example heat from hardening plaster

•Cast care: keep dry, do not cover with plastic

•Positioning: elevation of extremity, use of slings

•Hygiene

•Activity and mobility

•Teaching Needs of the Patient with a Cast

•Exercises

•Do not scratch or stick anything under cast

•Cushion rough edges

•Signs and symptoms to report: persistent pain or swelling, changes in sensation, movement, skin color or temperature, signs of infection or pressure areas

•Required follow-up care

•Cast removal

•Splint and Braces

•Contoured splints of plaster or pliable thermoplastic materials may be used for conditions that do not require rigid immobilization, for those in which swelling may be anticipated, and for those that require special skin care.

•Braces (ie,...