BANDAGING & SLINGS

BY:- FIROZ QURESHIDEPT. PSYCHIATRIC

NURSING

DEFINITIONA bandage is any gauze or cloth

material used for any of the purpose- to support, to hold or to immobilize the body part.

Bandaging is a technique of application of specific roller bandages to different parts of the body.

PURPOSE OF BANDAGING

Supports in varicose veins

Protect open wound

Secure splints

Immobilize limbs

Control bleeding

FUNCTION OF BANDAGESCreating pressure over the body.Supporting a wound.Reducing or

preventing oedema.Securing dressing.

PRINCIPLES Provide comfortable position. The position of the part to be bandaged

should be supported and elevated. Stand directly in front of the patient. Apply two circular turns. Done in direction of venous circulation Do not cover the ends of fingers or toes. Never apply a wet bandage.

PRINCIPLES

Do not apply a bandage too loosely. Turns of bandage be made clockwise. Secure terminal extremity by pinning. Examine the bandage part frequently.

TYPES OF BANDAGES Circular bandage Spiral bandage

TYPES OF BANDAGESFigure of eight T- bandage

TYPES OF BANDAGESRecurrent bandage of stamp

GENERAL RULES

Place pad between skin surfaces and over bony prominences .

Bandage from the distal tothe proximal end.

Bandage with even pressure .Leave the end of the finger

or toes exposedPlace pins or knots away from the wounds

ASSESSING BEFORE APPLYING BANDAGE

Inspect and palpate the area of swelling. Inspect for the presence of and status of wounds Note the presence of drainage. Inspect and palpate for adequacy of circulation. Ask the patient about any pain experienced. Assess the ability of patient to reapply the bandage

when needed. Assess the capabilities of the patient regarding

activities of daily living.

EQUIPMENTS

BANDAGE

SPECIAL METAL CLIPS

SAFETY PIN

ADHESIVE TAPE

WIDTH OF THE BANDAGES

S.No WIDTH OF THE BANDAGE

BODY PART

1. 1 Inch Finger

2. 2 Inches Arm

3. 3-4 Inches Leg

4. 4-6 Inches Thigh

PROCEDUREExplain to patient

Clean & dry the area to be bandaged

Stand opposite to patient

Support the affect part adequately

Bandage from below to upward

Cover two- third of previous turn, avoid loose edges.

Secure the end of the bandage

SPIRAL BANDAGESpiral turns are used to bandage parts of the body that have uniform width e.g. upper arm or upper leg.

Spiral turns are used to bandage parts of the body that have uniform width e.g. upper arm or upper leg.

PROCEDUREAnchor bandage at distal end of body part

with two circular turns.Make spiral turns and each turn overlapping

the previous one by two – third the width of the bandage.

Terminate the bandage with two circular turns and secure the end of bandage.

FIGURE-OF- EIGHT BANDAGE

It is effective for use around joints such as knee, elbow, ankle and wrist.

PROCEDUREAnchor bandage at the centre of joint.Ascend obliquely around upper half of

circular turn above joint followed by turn that descent obliquely below joint.

Continue in same manner, overlapping half of previous turn.

Terminate the bandage above the joint and secure the end.

SLINGS Slings are used to support or to limit

movement of the upper limb ,in cases of injury or inflammation .

TYPES OF SLINGLarge Arm Sling

Collar and Cuff Sling

Triangular Sling

USES OF SLINGS

To support injured arms.

To prevent the pull by upper limb to chest, Shoulder and neck ,injuries .

COLLAR AND CUFF SLING

Used to support the wrist in cases of upper arm injury.

Application of cuff & collar sling

Make a clove hitch round the wrist with the triangular bandage.

To make a clove hitch, take a narrow bandage and make a loop.

Bend the elbow and place the forearm over the chest with fingers touching the opposite shoulder.

Pass the clove hitch round the wrist.

Tie the ends of the triangular bandage above the collar bone.

APPLYING THE ARM SLING

Put one end of the spread triangular bandage over the uninjured shoulder with the point on the injured side.

Pass the end around the neck and bring it over the injured shoulder. The other end will , now, be hanging down over the chest.

APPLYING THE ARM SLING

Place the forearm horizontally across the chest and the hanging end up. The forearm is now covered by the bandage.

Tie the two ends in such a way that the forearm is horizontally or slightlytilted upwards and theknot is placed in the pit,above the collar bone

APPLYING THE ARM SLING

Tuck the part of sling, which is loose at the elbow, behind the elbow and bring the fold to the front and pin it up to the front of the bandage.

The nails of all the fingers should be exposed.

THANK YOU