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CIRCULAR AND
SPIRAL BANDAGES INTRODUCTION
Bandages is a process by which a wound or injured part is covered and protected
with the help of bandage . When done correctly it shows the art as well as the knowledge of nurse about the wound . BANDAGING- It is a process of covering wound or injured part using the most appropriate bandage .
PURPOSE-
To immobilize the part
To relieve the pain
To support wound
To prevent contamination
To control haemorrhage
To improve venous blood flow
To reduce and prevent swelling
PRINCIPLES - oMake the patient comfortable
oHold the head of bandage in right hand when bandaging left limb and vice versa
oUse bandage of correct width
oProvide the support to the part which require bandaging
oNot should be too looser too tight
oExpose the finger tips and toes if possible to check the circulation .
oNever apply adhesive tape directly over the wound .
oAlways stand in front of patient while applying bandage except when apply cap line bandage .
oMake the patient comfortable .
oNever unroll more than a few inches of bandage at a time .
oApply bandage from bellow to upward .
oPad the axilla or groin so that two surface of skin do not touch each other beneath the bandage.
oEnd the bandage outer side of body . Do not end on exact wound .
oWhenever possible , have the end of body part exposed so you can check for proper circulation . TYPES OF BANDAGES : I. Triangular bandage
II. Roller bandage
III. Special bandage
T bandage
Many tailed bandage
ARTICLES 1. ROLLER BANDAGES
Finger – 1 inch
Arms – 2- 2.5 inch
Leg – 3- 3.5 inch
Trunk – 4 – 6inches
Head – 2inch 2. SEISSORS
3. ADHESIVE TAPE
4. PADDING MATERIAL
5. KIDNEY TRAY
6. MAKINTOSH WITH TOWEL
7. PILLOW CIRCULAR BANDAGE: It is use to hold dressing on body parts such as arms , legs , chest or abdomen .
The layer of bandages are applied over the top of each layer .
SPIRAL BANDAGE : The bandage ascends in a spiral manner so that each turn overlaps the preceding one by one half or two thirds the width of the bandage .
The spiral turn is use full for the wrist , the figure and the turn .
Simple spiral and reversible spiral.
Reverse spiral bandages : STEPS OF PROCEDURE : PRE PROCEDURAL STEPS :
•Hand wash
•Consent
Inspect the area
Ask for pain dressing
Check for drainage
Check for underlying the dressing
Choose neatly rolled bandage of correct width and length
Clean and dry the part
Provide comfortable position
Keep joints slightly flexed to avoid putting strain on ligaments and muscles INTRAPROCEDURE : •Cover dressing with bandage at least 2 inches beyond the edges
•Never roll and unroll the bandage and drag it around limb
•Do not unwind more bandage
•Never ignore any complaints of pain or discomfort experienced by patient , it
should be investigate .
•Do not use wrinkled bandage
METHODS FOR CIRCULAR BANDAGE The roller bandage encircle hthe part with several layer of bandage on top of previous one
Place end of bandage over dressing covering the wound and wrap around the head/arm .
If wrapping a roller bandage in around the head keep the bandage near the eyebrows in head bandage and low of back of head to prevent it from slipping METHODS FOR SPIRAL BANDAGE •It is use to cover an uniform circumference such as upper arm and upper leg,
•Make two circular turns to anchor the bandage
•Continue spiral turns at about a 30 degree angle , each turn overlap
the preceding one by two third the width . REVERSED SPIRAL Anchor the Bandage Begin the Spiral and reverse it and again begin the spiral Continue Wrapping Secure the End POST PROCEDURE When complete fix the bandage with circular turn and secure it with a safety pin or adhesive tape .
Pins , notes , ties should be away from wound because these
materials can exert localized pressure and irritation . AFTER CARE ARTICLES AND RECORDING •The waste is discarded in respective dust bins .
•The articles are washed and dried .
•Recording done regarding the procedure , comfort of patient , site of
bandage , skin and wound condition , type of bandage material use and time of application ROLE OF NURSE SUMMARY It include that bandaging is a process by which we can cover the injured part and prevent from infection. It helps to relive pain , to support the wound and dressing , to immobilized the fracture or dislocation , to control haemorrhage . There are some principles which we have to follow during bandaging . We discuss three types of bandages triangular , roller and special bandages . In procedure we cover circular and spiral bandage in three steps pre procedure , intraprocedural , and post procedure . Conclusion : Selecting an appropriate method of fixation require through , identification of main objectives . Follow the principle of bandaging outcome will good and wellbeing . REFERENCES : BOOK REFERENCE Ghai Sandhya , Rana Avinash . PGIMER , Chandigarh NINE . A clinical nursing procedures . 1 st edition . New Delhi ; CBS publisher and distributers :2018 .p. 138 – 141. Jacob Annamma , R Rekha , Tarachand Jadhav Sonali . Clinical nursing procedure : The art of nursing practice . 3rd edition . New Delhi ; Jaypee Brother medical publishers : 2015 .p. 308 , 311, 312 NET REFERENCE https://en.wikipedia.org/wiki/Bandage https://aerohealthcare.com/news/articles/different-types-of-bandages-and-their-uses https://www.webmd.com/first-aid/ss/slideshow-bandaging-wounds https://www.slideshare.net/slideshow/bandages-and-its-types/239377491 QUESTIONS ? PURPOSE OF BANDAGING ? PRINCIPLES OF BANDAGING ? DEFINE CIRCULAR BANDAGING ? DEFINE SPIRAL BANDAGING ?
