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BANDAGING – NURSING
PROCEDURE
BANDAGING (Definition, Purpose,
General Principles, Types and
Techniques)
INTRODUCTION
A bandage is a portion of texture used to dress and tie up injuries. In medication, swathe refines and explains upon this essential structure, joining it with projects, slings, and supports to mend a wide range of wounds. It is critical to do the appropriate dressing strategy while utilizing and directing medical aid on an injury or injury. The principal objective of putting a swathe on a physical issue is for immobilization, assurance, backing or pressure. On the off chance that the wrapping method isn't done as expected, it could fuel the harm.
DEFINITION
A swathe is any bandage or fabric material utilized for any of the reason to help or to hold or to immobilize the body part. Gauzing is a strategy of use of explicit roller wraps to various pieces of body
PURPOSE
To control draining by pressure To immobilize hyper-extended or broke appendage
To hold a dressing or pack set up To get braces if there should arise an occurrence of break of disfigurement To shield serious injury from impurities To offer help and help if there should arise an occurrence of varicose veins or hindered course
GENERAL PRINCIPLES
The patient ought to be set in an agreeable position and it ought to advantageous for the medical attendant The place of the part to be boycott matured ought to be very much upheld and raised if essential The medical attendant ought to stand straightforwardly before the patient or confronting part to be harmed A gauze ought to achieve its motivation. It very well might be utilized to hold dressing set up, to help a section or to immobilize Apply and fix wrap no less than two round pivots part is its littlest width, so it can remain set up Skin surfaces ought to be isolated. They might be isolated. They might be isolated by one or the other dressing or cotton. In the use of projects, unique cushioning is utilized over hard prominences Continuously swathe to one side Apply even strain quite far. The swathe ought to be done toward the venous course Try not to cover the closures of the finger or toes, except if it is vital to cover the injury. Noticing circulatory changes is essential Never apply a wet wrap. At the point when wet gauze applied, terms to shrivel and turn out to be tight as it dries
isn't to be utilized on regions inclined to scraping like shoulders, elbows, crotch and other jointed regions. It is utilized essentially on draining wounds on the upper arm, lower arm, thigh and lower leg Elastic Roller Bandage : the versatile roller swathe is made out of material and versatile that permits it to extend and withdraw. It adjusts to lopsided surfaces and applies even strain to the area covered. It is utilized to apply pressure or potentially confine development. The versatile swathe is ordinarily utilized when an injury should be immobilized. Ensure the swathe isn't adequately correct to limit blood stream except if it is utilized as a strain dressing
TYPES
Circular bandage : the swathe is folded over the part with complete covering of the past wrap turn. This is utilized essentially for securing a gauze where it is started and where it is ended Spiral bandage : the swathe climbs in a twisting way so that each turn covers the former individually half or 66% the width of the gauze. The twisting turn is helpful for the wrist, the finger and the storage compartment Figure-of-eight : the figure-of-eight turn comprises of making angled covering turns that rise and plummet on the other hand. It is successful for use around joints, like the knee, the elbow, and the lower leg.
Recurrent stumps bandage : after a couple of round goes to moor the wrap the underlying finish of the gauze is put in the focal point of the body part being wrapped, well back from the tip to be covered. Repetitive swathes are utilized for gingers for the hand and for the stump of a severed appendage T-wrap : getting rectal or perineal dressing is utilized. The twofold "T" gauze is utilized for guys and single "T" wraps is for the females. The segments of the "T" swathe are brought between the patients leg and is stuck to the midriff band in front
MATERIALS
Bandage Muslin Elastic Versatile Wool Crinoline for mortar Adhesive
ASSESSING BEFORE APPLYING BANDAGE
Examine and touch the region for enlarging Examine for the presence of and status of wounds Note the presence of waste (sum, variety, smell, and speed)
SPECIAL BANDAGES
Eye bandage (monocular): gauze of 1.5-2 width is required. Place the free finish of swathe at transient district on a similar side of eye to be gauzed. A piece of tape is passed under gauze on side of eye and tie to keep wrap from sliding over great eye Binocular bandage: figure-of-eight method is utilized. Begin from right fleeting locale take one turn. Around head, down over the left eye, under right ear right eye to right to left sanctuary. Rehash around mend to right sanctuary following past example until the two eyes are covered Ear-mastoid bandage: gauze with 2 feet width and 5 yards length is required make round pivots head above ears, starting on impacted side. Follow with roundabout turns. The principal turn is taken underneath occiput, and conveyed high over to inverse side of head beneath ear Jaw Barton bandage: utilized in break of lower jaw and to hold dressing on jaw. Wrap of 2 inches width and 5-6 yards length is required. Start at scruff of neck underneath occiput, convey wrap at a slant up, behind and near ear, then under jaw and up before passed on ear to top of head Cape line bandage (head wrap): a twofold roller gauze of 2 feet width and 8 yards length is required. Place focal point of swathe in center of brow and convey roller in inverse course to occipital. Get rollers one over other. The roller in mediocre situation in brought over head to center of temple Shoulder spica: a swathe of 2 ½ inches width and 8 yards is required. The spica might be either plunging or rising. The climbing type is generally ordinarily utilized. While applying swathe, stand at side which is to be gauze. A cushion should be set in axilla.
BANDAGING TECHNIQUES
Rules in Using Dressing and Bandages There are sure rules to observe to guarantee appropriate wrapping procedure. Utilize a dressing that is adequately huge to go past something like 1 inch of the injury edges For uncovered body tissues or organs, try to cover the injury with non-stick dressing, for example dampened bandage or plastic. Secure the dressing utilizing glue tapes or wraps For wraps over a point, keep the joint immobilized by making a massive dressing Guarantee that the gauze is tight yet not too close to even consider removing dissemination. Signs that dissemination is cut off incorporate variety change (to somewhat blue) particularly of the limits, shivering sensation, feeling cold, or enlarging. When these start to show, release the gauze. Gauzing procedure will rely upon, the principal aider's abilities, the size and area of the injuries, and the materials accessible
Triangular Bandage
The principal bounding procedure to be talked about is the three- sided swathe. The three-sided gauze is one of the most standard items in an emergency treatment unit. It has a lot of purposes, for example, a sling to help a physical issue to the chest area, cushioning for significant injuries and a gauze for immobilization purposes. It is very simple to make and they are as per the following:
One has two choices, whichever is more pertinent. Start from the center piece of the impacted part or appendage pushing toward an outward bearing. The subsequent choice is in any case the tightest part, beneath the dressing, and moving vertical Guarantee that each turn of swathe will cover 66% of the earlier turn of gauze Cover the dressing or cushioning utilized totally Get done with a straight turn toward the finish of the gauze. Utilize a sticky tape to get the roller wrap set up
CONCLUSION
Many swathes are easy to utilize and are accessible in hospital and the community. A considerable lot of the items can be purchased over the counter and utilized with practically no management from a medical services proficient. Due to the scope of items accessible today, it is presently not important to have the option to complete the many muddled swathing strategies that used to be educated in nurture preparing, like the use of the many-followed gauze or the thumb spica. In any case, this doesn't bring down the way that gauzing is an expertise and the use of appropriate wraps requires exhaustive preparation and evaluation of ability. Choosing a suitable technique for obsession requires thought, recognizable proof of the fundamental targets, and good judgment. The abrogating objective should be to hold a dressing or backing an
appendage yet thought should likewise be given to the reasonable items of the patient's everyday existence.
