Safety & Infection Control: Care of client with Halo device for spinal injury: Clients who have cervical fractures may be placed in a halo fixation device or cervical tongs. The purpose is to provide traction and/or immobilize the spinal column. Screws are placed through a halo-type bar that encircles the head into the outer table of the bone ofthe skull. This halo is attached to rods that are secured to a vest worn by the client. Ensure that thewrench to release the rods is attached to the vest when using halo traction in the event CPR isnecessary. Maintain body alignment and ensure cervical tong weights hang freely. Monitor skin integrity by providing pin care and assessing the skin under the halo fixation vest asappropriate. Do not use the halo device to turn or move a client. If the client goes home with a halo fixation device on, provide instruction on pin and vest care. Teach the client signs of infection and skin breakdown.Basic Care & Comfort: Fractures & Immobilization devices: Maintaining proper traction:Types of Immobilization Devices: Casts Splints/immobilizers Traction External fixation Internal fixation*Traction uses a pulling force to promote and maintain alignment of the injured area.Goals of traction include: Prevent soft tissue injury. Realign of bone fragments. Decrease muscle spasms and pain. Correct or prevent further deformities.*Traction prescriptions should include the type of traction, amount of weight, and whether traction can beremoved for nursing care.Classification of Traction:Straight or running: The counter traction is provided by the client’s body by applying a pulling force in astraight line. *Movement of the client’s body can alter the traction provided.Balanced suspension: The counter traction is produced by devices such as slings or splints to support thefractured extremity while pulling with ropes and weights. *The client’s body can be moved without alteringthe traction.Types of Traction: Manual: A pulling force is applied by the hands of the provider for temporary immobilization, usuallywith sedation or anesthesia, in conjunction with the application of an immobilizing device.
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