Care after a fracture has 3 main contraindications, be sure to pay attention
Fractures are a clinically common trauma, most patients need to undergo surgery, and recovery after surgery takes a long time. Proper care is important during the recovery process of a fracture, which is important to accelerate healing and reduce complications. If the operation is incorrect, it can affect the recovery of the patient.
Taboo 1: Excessive Activity and Weight Loss
After a fracture, it takes enough time to reunite and heal the fractured area. In case of excessive activity or negative conditions, the fractured area may be displaced or damaged, resulting in a delay in the healing process, and even poor healing conditions may occur. Therefore, in the early recovery stage, patient activity should be moderate, following the doctor's advice to wear plaster, braces, and limit the movement of the injured area to ensure the stability of the fractured area.
Early rehabilitation training
Within 1 week after self-injury or surgery, according to the patient's fracture site, the degree of recovery can be targeted to carry out rehabilitation training. The main symptoms of this stage are soft tissue swelling, incision pain, fractures are not initially fixed, so it is necessary to limit the patient's limb and joint activity. The rehabilitation measures are as follows: ① Properly raise the patient's limb to eliminate swelling; ② If the patient is a fractured upper limb, it is necessary to perform finger fisting exercises, if the lower limb is fractured, you can perform toe back stretching and bending activities; If the muscles of the fixed limb are contracted for a long time, 15-20min / time, as many times as possible.
After 2-3 days, the patient's pain gradually relieves. For patients with fixed stability, it is possible to assist them with joint activity, and with CPM machine to move the joint, gradually, to promote the recovery of joint function of the patient, prevent joint adhesion, contraction and other adverse events.
Mid-term rehabilitation training
4-6 weeks after surgery, the initial healing of the fractured site is the joint phase of the patient's recovery, also known as the rehabilitation "honeymoon period", rehabilitation intervention should be carried out under the guidance of a rehabilitation doctor, gradually increasing the patient's muscle strength, and appropriately increasing the range of joint activity.
6 weeks to 3 months after surgery. This stage can be called the "golden period" of recovery for fractured patients, which also requires enhancing the patient's muscle strength and joint activity. However, due to many factors, most patients go home to rest and do not receive timely guidance from a professional doctor, coupled with incomplete knowledge of nursing, it is easy to occur undesirable situations of golden period recovery.
3. Late rehabilitation training
After 3-6 months of surgery, the fracture site is basically healed, but there are also very few patients whose fractures have not healed. The main purpose of this phase of patient rehabilitation training is to strengthen muscles, increase joint activity, and overcome contractions. Methods include: ① Strengthening muscles through resistance exercises, such as lifting heavy loads from the upper limbs, tying sandbags on the lower limbs, lifting legs, walking, etc.; ② Active and passive joint activity; ② Physical therapy.
Taboo 2: Ignoring pain and discomfort
Pain and discomfort are common symptoms of fractures, but do not need to be tolerated by the patient. Ignoring pain and discomfort can lead to worsening damage to the fracture site and may even delay treatment. If there is obvious pain, stinging or other discomfort during the rehabilitation process, it is important to inform the doctor immediately to facilitate timely adjustment of treatment and care measures.
This mental state is not conducive to the improvement of the patient's disease, and a positive mental state has a certain role in promoting the healing of the fracture. Therefore, caregivers and the patient's family need to increase their attention to the patient's mental state, encourage the patient to speak proactively about their feelings, communicate more with them, and reduce their psychological burden.
Contraindication 3: Irrational diet and insufficient nutrient intake
In order to promote the recovery of fractured patients, it is necessary to ensure that their diet is reasonable and scientific, and adequate nutrient intake. Irrational diet and insufficient nutrient intake can affect the recovery of the fractured site of the patient. Nutrients such as calcium, vitamin D, and protein should be ensured to promote wound healing.
1, avoid blind calcium supplementation
The main ingredient of human bones is calcium. Many people believe that supplementing with calcium after a fracture can promote the healing of a fracture. However, studies have shown that a large amount of calcium intake is not very beneficial for the recovery of a fractured patient. If the patient is more serious and needs to lie in bed for a longer time, a large dose of calcium supplementation will exacerbate the risk of high blood calcium in the patient and also reduce the blood phosphorus level.
2, avoid eating more meat bones
Some people think that after a fracture should eat more meat bones, which can promote fracture recovery. But in fact, experts have confirmed that eating too much meat bones after a fracture not only will not promote fracture recovery, but even prolong the healing time of the fracture.
3, avoid biased eating
For these conditions, the body itself has a certain resistance and repair ability, but its own repair requires raw materials, this raw material is a supplement to various nutrients. In order to ensure the body's intake of sufficient nutrients, the patient can not choose to eat, to ensure the intake of nutrients is sufficient and balanced.
4, Avoid eating foods that are not easily digested
Usually, the patient needs to fix the patient with plaster or clamps after a fracture, and the patient's activity is clearly limited. In addition, the patient has swelling and pain at the injured site, the mental state is not very ideal, the mood is poor, the appetite is poor, and it is easy to cause constipation. Therefore, during the recovery process, the patient should try to choose vegetables and fruits that are easy to digest, rich in nutrients and multi-fiber. Eat as little as possible from foods that are easy to produce gas, such as pumpkins, potatoes, and glutinous rice.
Additional Tips
In addition to the above three contraindications, a very important, timely rehabilitation training must follow the advice of doctors and rehabilitation doctors. As medical professionals, they have solid medical knowledge and clinical practical experience, can develop the best rehabilitation plan for each patient's situation and give correct, scientific care guidance. If there are any doubts during the rehabilitation process, they should consult the professional in a timely manner and do not change the intervention without authorization.
In short, rehabilitation care after a fracture is very important and will have a direct impact on the recovery of the patient. In this process, moderate exercise should not be overloaded, pain and discomfort should not be neglected, and reasonable, healthy eating habits should be maintained, ensuring adequate nutrient intake. With the right care and reasonable rehabilitation plan, fractured patients can return to normal life and activity levels as soon as possible.
