Contractures - Splint

Care Plan for Contractures - Splint Use

Category / Primary Body System:

Musculoskeletal System

Problem:

Patient is at risk of complications due to contractures splint use.

Goal:

Patient will tolerate the splint without developing skin breakdown for 90 days.

Plan/Approach:

1. Range of Motion (ROM) Exercises:

   • Step-by-Step Approach: Incorporate ROM exercises during care as needed.
   • Monitoring Strategies: Regularly assess joint flexibility and muscle strength.

2. Pain Monitoring:

   • Step-by-Step Approach: Monitor for any signs or symptoms of pain related to splint use.
   • Educational Efforts: Educate the patient on pain indicators and the importance of reporting discomfort.

3. Repositioning:

   • Step-by-Step Approach: Reposition the patient as needed to prevent pressure sores.
   • Technological Aids: Use pressure-relieving cushions and support devices.

4. Physical and Occupational Therapy:

   • Step-by-Step Approach: Conduct PT/OT evaluations as needed.
   • Engagement in Diversional Activities: Incorporate therapy exercises into daily activities to promote engagement.

5. Splint Application:

   • Step-by-Step Approach: Apply the splint as ordered, ensuring proper fit and comfort.
   • Technological Aids: Use adjustable splints to accommodate any changes in limb size or shape.

6. Skin Assessment:

   • Step-by-Step Approach: Assess the skin for potential new skin breakdown related to splint use.
   • Monitoring Strategies: Perform skin checks at regular intervals and document any changes.

Rationale:

• ROM Exercises: Prevents joint stiffness and muscle shortening.
• Pain Monitoring: Ensures timely intervention and enhances patient comfort.
• Repositioning: Prevents pressure sores and promotes circulation.
• Physical and Occupational Therapy: Maintains or improves physical function.
• Splint Application: Ensures therapeutic benefits while minimizing discomfort.
• Skin Assessment: Early detection of skin issues prevents complications.

Actions:

1. ROM Exercises:

   • Staff will incorporate ROM exercises during care as needed.

2. Pain Monitoring:

   • Staff will monitor for any signs or symptoms of pain related to splint use.

3. Repositioning:

   • Staff will reposition the patient as needed.

4. Physical and Occupational Therapy:

   • Staff will conduct PT/OT evaluations as needed.

5. Splint Application:

   • Staff will apply the splint as ordered, ensuring proper fit and comfort.

6. Skin Assessment:

   • Staff will assess the skin for potential new skin breakdown related to splint use.