How to provide scientific care for distal radius fractures?

Distal radius fracture is a fracture within 3cm of the distal radius articular surface. Distal radius fracture can be caused by direct violence and indirect violence, but it is mostly caused by indirect violence. So how to take care of distal radius fracture after surgery?

1. Nursing Assessment

1. The patient's age, injury history, and history of bone disease.

2. Pain in the affected limb, local swelling, skin ecchymosis, functional impairment, deformity, etc.

3. Ability to take care of oneself and psychosocial status.

4. X-ray results.

2. Nursing points

1. General nursing care shall be carried out according to the general nursing routine of the orthopedics department of traditional Chinese medicine.

2. Observe the condition and keep good records

(1) Wrist joint pain, swelling, blood circulation, and functional disorders.

(2) Pay attention to the tightness of the splint and plaster external fixation bandage. If any problems are found, report to the doctor for timely adjustment.

(3) Regularly patrol the ward, listen to the patient's complaints, and closely observe the skin temperature, color, arterial pulsation, and reaction to passive finger movements of the affected limb.

3. Medication and Nursing

Follow the doctor's instructions to apply Chinese medicine patches and fumigation locally. If you are allergic, remove them promptly and pay attention to observe the therapeutic effects and reactions after using the medicine.

4. Dietary care

(1) In the early stage of fracture, the diet should be light, appetizing, easily digestible and easily absorbed. Avoid fatty, sweet and fried foods.

(2) In the middle and late stages of a fracture, you should eat a balanced diet, choose high-nutrition foods, and eat more foods that nourish the liver, kidneys, qi, and blood.

5. Emotional Care

Provide spiritual comfort, provide emotional counseling and life care, relieve patients' ideological concerns and fears, maintain an optimistic mood, establish a harmonious and friendly relationship with patients, gain their trust, and enable them to actively cooperate with treatment and care.

VI. Nursing Based on Clinical Evidence

(1) The upper arm is naturally hanging, the elbow is flexed 90°, the wrist is dorsiflexed 30°, the forearm is in a neutral position, the hand is clenched into a fist, the thumb is in the palm-to-palm position, the patient is suspended with a triangular bandage, and fixed with a small splint and plaster.

(2) In winter, you should pay attention to keeping the extremities of the affected limbs warm to prevent them from getting cold.

(3) If the pain is severe, give acupuncture or medication to relieve the pain as directed by the doctor.

(4) If the affected limb is swollen due to congestion, apply Chinese medicine or perform fumigation and washing according to the doctor’s instructions.

(5) If surgery is required, it should be performed according to routine orthopedic surgical care.