BANDAGING

BASIC REQUIREMENTS OF A GOOD BANDAGE



Respect for living tissues



Consider the site and nature of the injury Consider the condition of the circulation Consider the effect(s) of the bandage on the tissues

BASIC REQUIREMENTS OF A GOOD BANDAGE



Functions
  

Protects the injured area Holds dressings and splints in place Exerts external pressure to prevent or reduce edema Supports body parts (slings, surgical bandages)

BASIC REQUIREMENTS OF A GOOD BANDAGE



Functions
 

Restricts or limits motion Supplies or maintains body heat (burn)

Aesthetic value

PRINCIPLES OF GOOD BANDAGING TECHNIQUES



Do not apply bandage directly to the wound Begin bandaging at the distal end of an extremity proceeding proximally Apply the greatest pressure at the distal end (for presence of swelling or in shaping a stump)

PRINCIPLES OF GOOD BANDAGING TECHNIQUES



Do not allow two skin surfaces to come in contact within a bandage Position the patient. The part to be bandaged is in a position of function and comfort, allowing motion at joints unless the main purpose of the bandage is to restrict motion

PRINCIPLES OF GOOD BANDAGING TECHNIQUES



Leave a small portion of the distal extremity exposed so changes in skin color (circulation) can be detected Do not leave too large a portion of the distal extremity uncovered as this may induce swelling

PRINCIPLES OF GOOD BANDAGING TECHNIQUES



Apply bandages evenly and firmly but not too tightly. When applying bandages to the chest area, do not interfere with respiration Observe how a bandage was previously applied (a physician may have a specific reason for a certain application)

PRINCIPLES OF GOOD BANDAGING TECHNIQUES



Reapply elastic bandages three or more times daily Each turn of bandage should be overlapped by at least half of the overlying wrap to prevent gapping which may lead to pinching and skin irritation.

PRECAUTIONS


When edema decreases, the bandage becomes loser Never apply a wet bandage. When wet, the bandages shrink and become tighter constricting the part and interfering with circulation.

PRECAUTIONS


Do not bandage too tightly pain, discoloration, numbness, cold, tingling Do not bandage too loosely for this may increase the possibility of spreading infection through the displacement of dressings

REMOVAL OF BANDAGES


Kerlix (gauze or disposable bandages



cut the bandage off using bandage scissors)

REMOVAL OF BANDAGES


Elastic bandage


transfer the bandage from one hand to another making lose folds if to be reused, roll into a firm cylinder

REMOVAL OF BANDAGES


Contaminated dressing
 

use aseptic techniques dispose of dressing in an appropriate way

BASIC TURNS
     

Circular 3/4 Spiral 1/2 Oblique 1/4 Reverse spiral Figure of eight Recurrent

SIGNS OF IMPROPER BANDAGING




Cyanosis
Swelling

  

 

Pain Coldness

Numbness Tingling Wrinkling

ELASTIC BANDAGE


Uses


Holds a dressing in place Assists in stabilizing a part Keeps the person aware of the part Prevention and treatment of edema

ELASTIC BANDAGE


Advantages
 

Supportive and compressive Easy to apply Loses its resiliency if left on for long period of time

Disadvantage


ELASTIC BANDAGE


Types
 

Rubber warped thread type Twist and weave pattern of the fabric

ELASTIC BANDAGE


Laundering


Cannot be laundered with the standard laundry soap due to the strong alkaline reaction which may irritate the skin Cannot be laundered with a washing machine since it will lose its elasticity and will be useless as a compressing agent and cannot be dried in a dryer due to the multiple wrinkles it may produce

ELASTIC BANDAGE


Proper laundering technique



Use neutral soap (Ivory or its equivalent) in lukewarm water Rinse at least three times to remove all traces of soap

ELASTIC BANDAGE


Proper laundering technique



Dry the bandages in horizontal racks or spread them in flat position

Patient should be taught proper bandaging technique & care

THANK YOU!