Unit 5 type of bandaging_Neat

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HEALTH ASSESSMENT AND



NURSING PRACTICE (NSHA 2034)





Types and technique of



bandaging






Julie James Abdullah











3 Hour Lecture





1. Simple spiral

2. Reversed spiral

3. Figure of eight

4. Collar and cuff


5. Arm sling

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LEARNING OUTCOME














Understand the types and technique of


bandaging 1

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LEARNING CONTENT OUTLINE


Types and technique of bandaging






Simple spiral 1








Reversed spiral 2







Figure of eight 3








Collar and cuff 4








Arm sling 5

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ROLL ON





BANDAGING















1. SPIRAL BANDAGE




2. REVERSED SPIRAL



3. FIGURE OF EIGHT

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EQUIPMENT


















1. Suitable size



2. Tape / pin



3. Scissor

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Simple Spiral

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INTRODUCTION











DEFINITION








A bandage wound in

oblique turns around an


extremity








Merriam-Webster (2021)

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INDICATION













1. Cylindrical part,



large area



2. Location part



• Upper limbs



• Lower limbs



• Body trunk



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Reversed







Spiral

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INTRODUCTION











DEFINITION









A spiral bandage in which

the oblique turns are

reversed at each turn in


order better to adapt to

the part

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INDICATION









This V-shaped fold allows the

bandage to fit to the tapered shape

of the body part all the way along.




This type of bandaging is required

when using non-elasticated

bandages.




The development of

elasticated fixing bandages, which

are applied to tapered body parts

using the spiral technique, means

that the reverse spiral technique is

far less commonly used nowadays.

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PROCEDURE











Watch the





Video








Reverse Spiral

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Figure Of







Eight

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INTRODUCTION











DEFINITION








A bandage in which the turns

cross each other like the figure

eight

used to retain dressings, to exert

pressure for joints (or to leave

the joint uncovered), to fix

splints for the foot or hand, for

the great toe, and for sprains or

haemorrhage.

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INDICATION










1. Used to retain dressings


2. To exert pressure for

joints (or to leave the

joint uncovered)


3. To fix splints for the foot

or hand, for the great toe,

and for sprains or


haemorrhage.

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PROCEDURE










Watch the





Video








Figure of Eight

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TRIANGULAR





BANDAGING















1. COLLAR AND CUFF




2. ARM SLING

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EQUIPMENT



















1. Triangular


bandage


2. Tape / safety pin

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Collar And







Cuff

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INTRODUCTION






DEFINITION









A bandage in which the turns

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INDICATION











A collar and cuff sling is


frequently used for fracture of

the humerus.





The purpose of the sling is to


rest the arm and to allow


weight to hand through the

arm.

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PROCEDURE










Watch the





Video








Collar and Cuff

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Arm Sling

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INTRODUCTION






DEFINITION









A device to limit movement of

the shoulder or elbow while it

heals.




A sling can be created from a

triangular bandage.

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INDICATION













To stop someone arm moving to

protect and from further

damage.

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PROCEDURE










Watch the





Video








Arm Sling

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RESPONSIBILITY





PRE-PROCEDURE

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RESPONSIBILITY PRE-PROCEDURE









1. Inspection of the skin for abrasions, oedema, discoloration, or

exposed wound edges.









2. Exposed wounds or open abrasions should be covered with a


sterile dressing.









3. Inspect the underlying dressing and if soiled it must be changed.

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RESPONSIBILITY PRE-PROCEDURE









4. Clean and dry the part that is to be bandaged.









5. Except while arresting haemorrhage or correcting deformity,

foremost consideration is given for the comfort of the patient.









6. Face the patient except when applying a capeline bandage.

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RESPONSIBILITY PRE-PROCEDURE









7. See that the patient is placed in a comfortable position with the part

properly supported






8. Position the body part to be bandaged in comfortable position of

normal anatomical alignment.


• Because bandages cause restriction to movement, immobilization in

normal functional position reduces risk of deformity or injury, e.g.,


elbow bent at right angles when applying the elbow bandage

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RESPONSIBILITY PRE-PROCEDURE












9. Give privacy before start the procedure






10.Prepare all equipment as needed

• Which size of bandage


• What type of bandage

• How many bandages needed

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RESPONSIBILITY




DURING





PROCEDURE

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RESPONSIBILITY DURING PROCEDURE









1. Prevent friction between and against skin surfaces by applying

gauze or cotton padding.


• Skin surfaces in contact with each other (e.g., between toes,


under breasts, in the axilla, groin) can rub against each other to

cause abrasion.


• Bandages over prominences may rub against skin to cause

breakdown.






2. Follow the principles of bandaging during performing the procedure.





3. Apply bandage firmly with equal tension exerted over each turn or

layer.

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RESPONSIBILITY DURING PROCEDURE









4. Avoid excess overlapping of bandage layers.

• The margin should be kept parallel.


• The pattern is made on the outer part of the limb.


• Application of even pressure prevents unequal pressure

distribution over bandaged body part.


• Localized pressure can cause circulatory impairment.

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RESPONSIBILITY DURING PROCEDURE









5. Never roll or unroll a bandage and drag it around the limb. It causes

discomfort to the patient. Never unwind more bandage than it is


absolutely necessary.





6. When applying a bandage over a wet dressing, no tension is applied


as it will shrink and become tight.





7. Never ignore any complaints of pain or discomfort experienced by


the patient. This should be investigated and the cause is removed

immediately.

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RESPONSIBILITY DURING PROCEDURE









8. Do not use extra turns in order to use all the bandages.

• Neatness and economy of the bandage should be considered


but the bandage should fulfil its purpose and always must cover


the dressing completely.





9. Pin, knots or ties are placed away from the wound or tender skin

areas because these materials can exert localized pressure and


irritation.

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RESPONSIBILITY




POST





PROCEDURE

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RESPONSIBILITY POST PROCEDURE










1. Skin integrity of the underlying body parts and the parts that are

distal to the bandages are assessed for signs of circulatory


impairment (e.g., pallor or cyanosis, decreased or absent pulse,

swelling, coolness, numbness and tingling).






2. Position patient in comfortable position after procedure done.





3. Document all finding during the procedure in the nursing chart.





4. Report to doctor if any other abnormal finding.

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RESPONSIBILITY POST PROCEDURE




EXERCISES








Advice patient:


• Move limb joint that not injured. To avoid joint stiffness








Advice patient:


• Move fingers and wrist whilst in the sling to prevent them from


becoming stiff.





If allowed

• Whilst in the sling, remove forearm from the sling frequently, and


bend and straighten the elbow


• perform pendular exercises

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REFERENCES









Merriam-Webster, 2021. Retrieved at https://www.merriam-


webster.com/dictionary/spiral%20bandage.





Medical Dictionary, 2021. Retrieved from https://medical-

dictionary.thefreedictionary.com/figure-of-eight+bandage.