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BINDERSBy: Gracy C. Espino RN, MAN
NCM 104a -Skills
Prelims:
1. GCS – Mam Reyes
2. Application of Binders - G. Espino
2. Bandaging - G. Espino
NCM 104a -Skills
Midterms: C. Reyes
4. Application of Sling & Splint
5. Caring for Patient with Cast
6. Transfer of patient from wheelchair to bed/ Bed to wheelchair &
stretcher – G. Espino
NCM 104a -Skills
Finals: J. Balcita
7. Assisting with ambulation & side
walking
8. Crutchwalking
9. Post Mortem Care
Definition:• A type of bandage
applied to large
body areas.
• length of cloth or
elasticized material
that encircle the
chest, abdomen or groin.
• most binders are made of elastic cotton, soft muslin, flannel or a strip of lightweight canvass material.
• Cloth binders are fastened with safety pins.
• Elasticized binders are fastened with velcro.
• A properly applied binder provides support and comfort so the client can resume normal activities early.
Purposes:
for support
for immobilization
to hold dressings in place
TYPES:• STRAIGHT ABDOMINAL BINDER - A rectangular material long enough to encircle the patient’s abdomen with some overlap fasten with safety pins or velcro.- can be made by any material- bath blanket or towel.
TYPES:• SCULTETUS OR MANY-TAILED BINDER
- with tails of fabric at each end; these are interlaced upward to give strength & added
support to the abdomen
especially after abdominal surgery.*
TYPES:
• T-BINDER OR PERINEAL BINDERS
- designed to hold pads or dressings in the perineal
area or rectal area.
Double T-Binder Single T-Binder (male) (female)
Breast Binder
Reduces Breast engorgement in the non Breastfeeding mother
Assessment:1. Assess the body area to which the binder
is to be applied: Check for swelling, discoloration, discomfort.
2. Assess the dressing to determine whether it needs changing or reinforcing, depending on the physician’s order.
3. Assess the patient’s skin under the binder for abrasions.
Equipment
• Tape measure
• Binder of appropriate size and
type
• Gloves if necessary
• Safety pins
Preparation:
1. Explain the purpose
2. Provide privacy
3. Assist client to a comfortable lying or sitting position.
4. Raise the bed to its highest position*
ProcedureAction
1. With the patient in a supine position, place the binder smoothly under the patient’s waist and the lower border at the level of gluteal fold
Explanation
• A binder above the waist interferes with respiration, while one placed too low interferes with elimination and walking
ProcedureAction
2. Applying padding over the iliac crests
if the patient is emaciated.
Explanation
• To prevent skin surfaces from rubbing together & becoming excoriated.
ProcedureAction
3. For straight abdominal binder, bring the ends around the patient, overlap them, and secure them with pins.
Explanation
• Place the top pin horizontally at the waist to allow comfort when moving.
ProcedureAction
4. For a scultetus binder, bring the tails over the center from alternate sides. The last tail is secured with a safety pin.
Explanation
Each tail should overlap the preceding one by about half of the width of the tail for maximum support. In thin people the tails may extend beyond the other
side & will require
folding back.
ProcedureAction
For patients who have had abdominal surgery, lace the tails from the bottom upward.
Explanation
This provides maximum upward support
ProcedureAction
For the post-partum patients, lace the tails from the top downward.
Explanation
This provides downward pressure on the uterus
Special consideration:• For maximum support, wrap the binder so
that it applies even pressure across the body section.
• Eliminate wrinkles and avoid pressure on bony prominences.
• Be careful not to compress drains, tubes, catheters.
• Don’t allow binder to interfere with elimination.
Special consideration:• Check binder placement every 8 hours.
• Check the skin color, palpate for warmth, check pulses and assess for tingling or numbness.
• Reapply the binder when a dressing needs changing, when the binder becomes loose or too tight.
