Fractures Types Nursing Interventions

Fractures Types Nursing interventions

Fracture Definition                         

Fracture is a Crack or Break in a Bone

                                          Or

Complete or Partial breakage of bone or Perioestium

             Or

 Fracture is defined any disruption in the normal Bone continuity of a Perioestium

Causes of fractures

Trauma

Indirect force

Direct force,

Force of ligaments,

Force of Muscular (Muscle Stretching) Action

Types of Fractures

Simple fractures

 Stress fracture

Compound fractures

Complicated fractures

Fracture classification

Oblique fracture

Transverse fractures

Spiral fractures,

Depressed fractures

Impacted fractures

Comminuted

Compressed fracture

Green Stick

 

Fracture Diagnosis

Radio-logical Studies i.e X- Ray, Computerised Tomography Scan, Magnetic Resonance Imaging Scan

Fracture Medical management

Give medications as prescribed

Analgesics and Anti-inflammatory

Calcium and vitamin Supplements

Antibiotics to prevent Infections

Closed reductions

 Applying Bandages and POP Casts

Fracture Surgical Management

Open reduction and implant fixation

External fixation i.e, Illizarow ring fixation

Arthroscopy for ligament injures and repairs

Dietary management

Provide calcium rich diet i.e, Milk and dairy products, green leaf vegetables

Fracture Nursing Assessment

Assess for Pain at Injured part, with Pain Scale,

Assess or Tenderness of injured part and Swelling, Bruising, Cripitus,

Check for Abnormal Mobility of limb or Joint,

Muscle Spasm,

Neurological, Muscular Changes,

Asses for Any Head and Neck, Spinal Injuries,

Remove Dressing and Bandages applied at outside or by others to know severity of injury,

Nursing interventions and Nursing care for fractures

To Make Patient in Comfortable Position

To prevent further injuries

If Any Haemorrhage control bleeding

Minimise or Prevent movements of injured part

Provide comfortable support to fractured part during Transportation to hospital

Remove tight Bangle, clothing,

Fractured limb or part support with Splint

Complications of Fracture

Early compilations

External Bleeding

Internal Bleeding

Shock

Nerve damage,

Choice to get Infection

 Long Term complications

Vascular necrosis

Deformity or Mal Union

DVT- Deep vein thrombosis

Fat Embolism and Pulmonary Embolism

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