第三章 第四节 锁骨骨折患者护理指引(国外英文资料).docVIP

第三章 第四节 锁骨骨折患者护理指引(国外英文资料) Section 4 care guidelines for patients with clavicular fracture A, L general assessment Evaluate the patients awareness of vital signs and symptoms. Assess general data, present medical history, history of trauma, history of history, history of allergies. Have coronary heart disease, hypertension, diabetes and other systemic disease. L specialist assessment Assess the local symptoms of injury, such as partial swelling, hypodermal congestion, and pressure of shoulder drooping Limits of upper arm activity, etc. Assess the pain area, degree, and nature of the affected limb, and have no obvious relationship with the abdominal pressure, activity, or body position Assess the type of fracture of the patient, have deformity, have fracture shift, overlap the head, have not to be inclined to the patient. Evaluate the functional status of patients, such as the presence of vascular nerve damage. Psychosocial support assessment Assess the state of mind, family and social support, the patients knowledge of the disease. Second, preoperative care L psychological care Establish a good relationship. Explain the importance of operation, guide before and after operation. Adjust the expectations of the patients and their families Be patient in answering questions and eliminating bad psychology. L suspension limb The fracture of the green branch, incomplete fracture or 1/3 shift of the inside, the suspension of the triangle towel, or the use of the clavicular fixation with fixation, time 1 to 2 weeks. L reset fixed There is a displaced fracture, helping the doctor to restore the technique, the 8 form of plaster or bandage for four to five weeks. L position Take a semi-lying or flat position to avoid a side position; Without a pillow, lay a narrow pillow between the shoulders of the two shoulders, so that the two shoulders can be spread out after the two shoulders, and put a pillow on the side of the side of the chest wall, and the elbow and upper arms fall. L