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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

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Chapter 53 Bandages and Binders

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  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

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