In daily life, bone diseases are very familiar to many people. Suffering from bone diseases can easily affect normal activities and cause certain damage to physical health. The care of orthopedic diseases is very critical. Generally, it can relieve the patient's pain. At the same time, the affected area should be kept as high as possible to reduce the pain. You can take some painkillers appropriately. 【Key points in nursing care for patients with fractures】 1. Provide timely counseling for patients with abnormal psychological states. 2. Patients with fractures should be fixed first and then moved. 3. If shock occurs, perform anti-shock treatment first and then treat the fracture. 4. In case of limb injury, elevate the affected limb and pay attention to observe the distal arterial pulsation, vascular fullness, skin color and temperature, pain and swelling, etc. 5. If the patient suffers from severe pain due to fracture, give analgesics as soon as possible according to the doctor's orders. 6. For patients receiving conservative treatment, attention should be paid to observing the fixation effect of the fracture site. 【Surgical care】 1. Preoperative care (1) Patients undergoing surgery on the spine and joints below the waist should be trained to defecate and urinate on the bed before surgery. (2) The skin of the surgical area should be prepared 24 hours before the operation. If the skin is not very clean, it should be prepared earlier as appropriate. Patients who can move should take a bath and change into clean clothes. Patients who cannot move should be instructed by their family members to clean and wipe their skin. 2. Postoperative care (1) Implement condition observation and nursing according to different anesthesia methods. (2) Closely observe changes in the patient's vital signs. (3) For patients with plaster immobilization, follow the key care points for plaster patients. (4) Observe the patient’s wound bleeding and exudation. (5) For patients who have undergone spinal surgery, axial turning should be performed to observe the sensation and movement of the limbs. (6) For patients undergoing limb surgery, the affected limb should be elevated and attention should be paid to observing peripheral blood circulation. (7) Provide care to prevent complications for critically ill patients, pay attention to nutrition and water supplementation, and provide intravenous nutrition as directed by the doctor when necessary. (8) Provide targeted psychological care based on the patient’s mental condition. (9) Depending on the surgical site, assist and guide the patient to perform functional exercises to promote recovery. |
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