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    KP 2

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    This document summarizes nursing care for a patient with a dislocated joint. It describes how dislocations occur when soft tissue surrounding a joint is disrupted, causing the articular surfaces to separate. Common sites include the shoulder, elbow, hip, knee, and thumb. Clinical signs include deformity, pain, swelling, and loss of function. Complications can include open wounds, fractures, avascular necrosis, and nerve damage. Treatment involves reducing the joint, immobilizing it with splints, slings or bracing, restricting motion, and starting gentle range of motion exercises and resistance training to restore function without reinjury.

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    KP 2

    Uploaded by

    nia
    31 views16 pages
    This document summarizes nursing care for a patient with a dislocated joint. It describes how dislocations occur when soft tissue surrounding a joint is disrupted, causing the articular surfaces to separate. Common sites include the shoulder, elbow, hip, knee, and thumb. Clinical signs include deformity, pain, swelling, and loss of function. Complications can include open wounds, fractures, avascular necrosis, and nerve damage. Treatment involves reducing the joint, immobilizing it with splints, slings or bracing, restricting motion, and starting gentle range of motion exercises and resistance training to restore function without reinjury.

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    This document summarizes nursing care for a patient with a dislocated joint. It describes how dislocations occur when soft tissue surrounding a joint is disrupted, causing the articular surfaces to separate. Common sites include the shoulder, elbow, hip, knee, and thumb. Clinical signs include deformity, pain, swelling, and loss of function. Complications can include open wounds, fractures, avascular necrosis, and nerve damage. Treatment involves reducing the joint, immobilizing it with splints, slings or bracing, restricting motion, and starting gentle range of motion exercises and resistance training to restore function without reinjury.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    31 views16 pages

    KP 2

    Uploaded by

    nia
    This document summarizes nursing care for a patient with a dislocated joint. It describes how dislocations occur when soft tissue surrounding a joint is disrupted, causing the articular surfaces to separate. Common sites include the shoulder, elbow, hip, knee, and thumb. Clinical signs include deformity, pain, swelling, and loss of function. Complications can include open wounds, fractures, avascular necrosis, and nerve damage. Treatment involves reducing the joint, immobilizing it with splints, slings or bracing, restricting motion, and starting gentle range of motion exercises and resistance training to restore function without reinjury.

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    of 16

    ASUHAN KEPERAWATAN

    PADA PASIEN DISLOKASI


    ZAQQI UBAIDILLAH
    WHAT’S IT???

    •A dislocation is a severe injury of the ligamentous structures that


    surround a joint.

    •Dislocation results in the complete displacement or separation of the


    articular surfaces of the joint

    •Dislocations characteristically result from forces transmitted to the


    joint that disrupt the soft tissue support structures surrounding it.

    •
    COUNT.....

    • The joints most frequently dislocated in the upper extremity include the
    thumb, elbow, and shoulder

    • In the lower extremity, the hip is vulnerable to dislocation as a result of


    severe trauma, often associated with motor vehicle collisions.

    • The patella may dislocate because of a sharp blow to the kneecap or after a
    sudden twisting inward motion while the planted foot is pointed outward.
    DISLOCATION VS SUBLUXATION

    •A subluxation is a partial or incomplete


    displacement of the joint surface.
    •The clinical manifestations of a subluxation are
    similar to those of a dislocation but are less severe.
    MANIFESTASI KLINIS

    • The most obvious clinical manifestation of a dislocation is deformity.


    • For example, if a hip is dislocated in a posterior (or backward) direction, the
    limb can be shorter and is often internally rotated on the affected side.

    • local pain, tenderness, loss of function of the injured part, and swelling of the
    sof tissues in the joint region
    KOMPLIKASI

    •The major complications of a dislocated joint


    are open joint injuries, intraarticular
    fractures, avascular necrosis (bone cell death
    as a result of inadequate blood supply), and
    damage to adjacent neurovascular tissue.
    DIAGNOSTIK TEST

    •X-ray studies are performed to determine the extent of


    displacement of the involved structures.
    •The joint may also be aspirated to assess for hemarthrosis or
    fat cells.
    •Fat cells in the aspirate indicate a probable intraarticular
    (within the joint) fracture
    NURSING MANAGEMENT

    •Nursing management of subluxation or dislocation is


    directed toward relief of pain and support and protection of
    the injured joint.
    •Afer the joint has been reduced and immobilized, motion is
    usually restricted.
    NURSING MANAGEMENT

    •the extremity is usually immobilized by bracing, splinting,


    taping, or using a sling to allow the torn ligaments and
    capsular tissue time to heal
    •A carefully monitored rehabilitation program can prevent
    fracture instability and joint dysfunction.
    Splinting

    Bracing

    Bracing

    Sling
    Taping Sling
    Taping
    NURSING MANAGEMENT

    •Gentle range-of-motion (ROM) exercises may be


    recommended if the joint is stable and well supported.
    •An exercise program slowly restores the joint to its
    original ROM without causing another dislocation.
    The patient should gradually return to normal
    activities.
    NURSING MANAGEMENT

    •A patient who has dislocated a joint may be at


    greater risk for repeated dislocations because
    of loose ligaments. Activity restrictions may
    be imposed on the affected joint to decrease
    the risk of repeated dislocations.
    Resistance
    band exercises

    Resistive exercise

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