• Skeletal traction is used most frequently in

the treatment of fractures of the femur, the

tibia, the humerus, and the cervical spine.
• The traction is applied directly to the bone
by use of a metal pin or wire inserted into or
through the bone or by tongs inserted into
the skull.
• The pin, wire, or tong is then attached to the
traction apparatus.
Assessment Patient Nursing Intervention Rationale
problems
a) Assess the a) Patient may a) Monitor vital signs a) Patient
postoperative develop and lab reports of free from
wound, for infection. WBC’s. infection.
patients b) Patient b) Patient’s
underwent prone to wound
surgical get heals
repair. i) Use sterile
pressure technique for fast.
sore and dressing changes.
i) Assess any infection.
ii) Assess wound for
break in skin size, color,
integrity. discharge.
iii) Administer
i) Assess signs antibiotics-
of infection, prophylactic for 24
due to hours, per
insertion of physician’s order.
foreign bodies
(pins, wires).
 Assessment Patient Nursing Intervention Rationale
problems
b) Assess factors b) The potential a) Monitor vital signs. a) To lessen
which may causing problem of b) Move client gently pain at
or contributing to pain due to & slowly to site.
pain and general soft tissue prevent b) Patient
muscle wasting damage development of feel
due to with muscle severe muscle comfort-
immobility. spasm & spasm. able.
swelling. c) Encourage
distraction, deep
breathing &
relaxation may
lessen the pain.
Assessment Patient Nursing Intervention Rationale
problems
c) Assess impaired c) Patient’s c) Teach and assist c) To maintain
physical mobility. normal patient with ROM strength&
gait and exercises of the joint function.
mobility unaffected limbs. i) Turning &
altered. i) Encourage shifting weight
i) Patient will ambulation when increase
need to able ; provide circulation &
use assistance. help prevent
assistive ii) Teach patient to skin
devices – shift his or her breakdown.
slings, weight, every ii) Proper use
canes, hour. of asst.devices
crutches. iii) Teach and need for safe
observe the ambulation ;
patient’s use of prevent loss
assistive devices. of joint
function.
Assessment Patient Nursing Intervention Rationale
problems

d) Assess d) Patient may d) Assess pain, pallor, d) To prevent

compartment experience diminished distal incident of
syndrome or impaired pulses, DVT /
deep vein circulation. paresthesia and thrombophlebi
thrombosis. paresis, every 1 to tis.
2 hours. D(i)
i) Apply thigh-high Ambulation
elastic (TED) maintains and
stockings to the improves
legs, observe legs circulation,
for helps prevent
thrombophlebitis muscle
or DVT. atrophy, DVT.
ii) Encourage passive
exercises&
ambulate if
possible.
 Assessment Patient Nursing Rationale
problems Intervention
e) Assess e) Patient may e) Avoid dehydration ; e) Enable
constipation & develop provide 2 litres patient to
urinary constipation /day fluid intake. defecate&
retention due to and urinary e(i) Provide high fibre empty the
immobility. tract food ; encourage bladder
infection, family to bring in without
due to fruits, fruit juices feeling
retention. & cereals. discomfort.
(ii) Give privacy when
using bedpan /
urinal.
Baby Sanggari Sandhya
S.Vigneswari D.Gayathre Lokes
K.Gayathiri Suga
Clothiel Shalini Aarthi