Bandages

Eye
Before performing any eye procedure:
1. Wash your hands (and afterwards too).
2. Position the patient comfortably
with head supported.
3. Avoid distraction for yourself and the
patient.
4. Ensure good lighting.
5. Always explain to the patient what
you are going to do.

Eye pad
Reasons for applying an eye pad
to rest the eye
e.g., hyphaema, vitreous haemorrhage.
to aid healing following trauma
e.g., corneal abrasion.
to protect the eye
e.g., following surgery and procedures
requiring corneal anaesthesia.

Procedure

You will need

eye pad
eye shield
scissors
adhesive tape
Preparation
It is important to remind the patient not to open
the affected eye under the pad. If the eyelids do
not close naturally over the cornea it will be
necessary, before padding, to tape the eyelids
closed.

 Method
Apply a piece of adhesive tape, about 15
centimetres long, to the eye pad
Ask the patient to close both eyes.
Position the eye pad diagonally over the closed
lids of the affected eye and tape firmly, but
gently, to the forehead and cheek.
Apply a second and third piece of tape to ensure
the pad lies flat.
Extra protection can be given by taping a shield
over the pad in the same way. The shield shown
Figure is produced commercially and is called a
Cartella shield.

Eye bandage
Reasons for applying an eye
bandage
To maintain gentle pressure over an
eye pad:
to arrest haemorrhage
to reduce swelling after eyelid
surgery
following eye surgery, e.g.,
enucleation
for a child, to ensure the pad is not

Procedure

You will need

bandage 5 centimetres wide
eye pad
adhesive tape
small safety pin
Method
Apply an eye pad as described above.
Hold the rolled bandage in one hand with the
opened end, held by the other hand, on the
forehead above the affected eye

 Take the bandage, directed away from the affected

eye, twice around the head firmly, but not tightly.
On the second circuit, bring the bandage below the
ear and up over the eye and around the head again.
The bandage can partially obscure the other eye. To
avoid this happening, place the index finger above
the eyebrow and hold up the edge of the bandage

Continue the two circuits described above until the

bandaging is complete.
Secure with adhesive tape and/or small safety pin
(but do not use a pin in the case of a child).

Triangular bandage
It is made cutting diagonally a square
piece of material 100-110cm in
length

There are 4 parts-the base, the apex,

the sides and the ends.

 Uses
1. To secure dressings in position
2. To form slings for the support of the
upper limb
3. To fix splints
4. To secure pads

Uses

Cravat formation

Ear bandage
Make a cravat or close bandage, place
the center of base on top of injury
either ear or cheek

Bring the two points on the opposite

side, making one point passing through
the chin and the other point through
top portion of the head

 Make a twist of bandage using the

two points

Bring back the two points to the

injured side, passing one point from
the back portion of head and the
other on forehead

 Make a square knot on top of injured

side, this is to add more pressure

Insert the two points on sides for

housekeeping purpose, you now
have the complete set-up for ear or
cheek bandaging

Jaw bandage
Before applying a bandage to a victim's jaw,
remove all foreign material from the
victim's mouth including dentures. If the
victim is unconscious, check for obstructions in
the airway. When applying the bandage, allow
the jaw enough freedom to permit passage of
air and drainage from the mouth.
The dressing and bandaging procedure outlined
for the jaw serves a twofold purpose. In addition
to stopping the bleeding and protecting the
wound, it also immobilizes a fractured jaw.

1. Place the bandage under the chin and carry its ends upward.
Adjust the bandage to make one end longer than the other.
2. Take the longer end over the top of the head to meet the
short end at the temple and cross the ends over.
3. Take the ends in opposite directions to the other side of the
head and tie them over the part of the bandage that was
applied first.

.This bandage technique is used to immobilize a

fractured jaw or to maintain a sterile dressing

 FOUR-TAILED BANDAGE.A piece of roller bandage

may be used to make a four-tailed bandage.
The four tailed bandage is good for bandaging
any protruding part of the body because the center
portion of the bandage forms a smoothly fitting
pocket when the tails are crossed over.
This type of bandage is created by splitting the
cloth from each end, leaving as large a center area
as necessary.
The four-tailed bandage is often used to hold a
compress on the chin, or on the nose.

BARTON BANDAGE.The Barton bandage is

frequently used for fractures of the lower jaw and to
retain compresses to the chin.
The initial end of the roller bandage is applied to the
head, just behind the right mastoid process.
The bandage is then carriedunder the
bonyprominence at the back of the head,upward
and forward back of the left
ear, obliquely across the top of the head.
Next bring the bandage downward in front of the
right ear. Pass the bandage obliquely across the top
of the head, crossing the first turn in the midline of
the head, and then backward and downward to the
point of origin behind the right mastoid.

 Now carry the bandage around the back of

the head under the left ear, around the
front of the chin, and under the right
ear to the point of origin.
This procedure is repeated several times,
each turn exactly overlaying the
preceding turn.
Secure the bandage with a pin.

Shoulder Spica

Also known as a shoulder spica,

shoulder wraps prevent excessive
motion and provide joint comfort to
an unstable shoulder. Shoulder wraps
are versatile and can be worn
comfortably during athletic events or
activities of daily living

Procedure
Step 1
Stand facing the individual who will
be wrapping the shoulder. Wrap
elastic bandage around top of the
bicep two times, creating an anchor.
Pull moderately tight but do not take
the stretch out of the bandage

 Step 2
Wrap underneath the armpit, over the top
of the shoulder and across the chest,
pulling tightly. Follow the wrap underneath
the unaffected armpit and across the back
and pull tightly over the shoulder, loop
underneath the affected armpit and over
the shoulder again, back across the chest.
Step 3
Overlap the bandage at least one-half
width of the previous pattern. Repeat the
pattern until the elastic bandage runs out.

 Step 4
Tape the finished end of the elastic
wrap and follow the pattern back.
Tape around the anchor on the arm
for an extra support wrap. The spica
should resemble a figure-8 pattern.

Abdominal Binder

Widely used by Physical Therapist, The

Custom Abdominal Binder provides support
for weak or paralyzed muscles in the
abdominal region, while remaining
customizable to fit the patient.
-Improves the bio-mechanical support
-Improves the mid-trunk stability and
postural support
-Fosters normal development of the chest
wall by reducing rib flaring

 With the patient measure the

distance from the Zyphoid Process to
Sacroiliac Crest, or basically where
the ribs come together at the
breastbone to the hip-bones or the
tail-bone for the height of the binder.

Thank
You