• 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 Rationale
problems Intervention
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 fast.
technique for
sore and dressing
i) Assess any infection. changes.
break in skin ii) Assess wound for
integrity. size, color,
discharge.
ii) Assess signs iii) Administer
of infection, antibiotics-
due to prophylactic for
insertion of 24 hours, per
foreign physician’s order.
bodies (pins,
 Assessment Patient Nursing Rationale
problems Intervention
b) Assess factors b) The potential a) Monitor vital a) To lessen
which may problem of signs. pain at
causing or pain due to b) Move client gently site.
contributing to soft tissue & slowly to b) Patient
pain and damage prevent feel
general muscle with muscle development of comfort-
wasting due to spasm & severe muscle able.
immobility. swelling. spasm.
c) Encourage
distraction, deep
breathing &
relaxation may
lessen the pain.
Assessment Patient Nursing Rationale
problems Intervention
c) Assess c) Patient’s c) Teach and assist c) To
impaired normal patient with ROM maintain
physical gait and exercises of the strength&
mobility. mobility unaffected limbs. joint function.
altered. i) Encourage i) Turning &
i) Patient will ambulation when shifting
need to able ; provide weight
use assistance. increase
assistive ii) Teach patient to circulation &
devices – shift his or her help prevent
slings, weight, every skin
canes, hour. breakdown.
crutches. iii) Teach and ii) Proper use
observe the of
patient’s use of asst.devices
assistive devices. need for safe
ambulation ;
prevent loss
of joint
Assessment Patient Nursing Rationale
problems Intervention

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 thrombophleb
thrombosis. paresis, every 1 itis.
to 2 hours. D(i)
i) Apply thigh-high Ambulation
elastic (TED) maintains and
stockings to the improves
legs, observe legscirculation,
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 patient to
urinary constipatio litres /day fluid defecate&
retention due to n and intake. empty the
immobility. urinary e(i) Provide high bladder
tract fibre food ; without
infection, encourage feeling
due to family to bring in discomfort.
retention. fruits, fruit juices
& cereals.
(ii) Give privacy
when using
bedpan / urinal.
Baby Sanggari
Sandhya
S.Vigneswari D.Gayathre
Lokes
K.Gayathiri Suga
Clothiel Shalini
Aarthi