Quality of care before, during, and after casting: A cross-sectional study

Adib-Hajbaghery, Mohsen; Mokhtari, Razieh

doi:10.4103/atr.atr_99_18

Cited by 2 publications

(2 citation statements)

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“…However, if plaster casts are incorrectly applied or not properly taken care of by the patient, healing may be delayed and patient safety is threatened. Failure to comply with plaster casting and cast care principles can cause patients a range of immediate and delayed complications, including severe pain, edema, compartment syndrome, tissue necrosis, malunion, delayed union, nonunion, contracture, neurological problems, paralysis, and pressure sores (Adib-Hajbaghery & Mokhtari, 2018; Szostakowski et al, 2017). Orthopaedic patients, and especially those with plaster casts, are susceptible to the side effects arising from immobility.…”

Section: Introductionmentioning

confidence: 99%

“…They thus need quality care and information to prevent or manage these side effects (Ekwall et al, 2018). Nurses play an important role in prevention or early recognition of complications arising from plaster-casting and in providing the patient with information (Adib-Hajbaghery & Mokhtari, 2018; Mokhtari et al, 2020). Orthopaedic nursing requires special skills, knowledge, and clinical judgment to provide patients with plaster casts with safe, quality care and to prevent complications.…”

Section: Introductionmentioning

confidence: 99%

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“It's Not Just a Plaster Cast, My Leg Is in It!”

Aydın

Yılmaz

2022

Orthopaedic Nursing

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Plaster casts have been used in the treatment of fractures since 1850, and they play an important role in the healing of extremity injuries and operative repairs. Despite the high incidence of fractures and the widespread use of plaster casts in patients with fractures, the quality of counseling in patients with plaster casts has been neglected. There are few studies on the quality of this patient advisement and the nonmedical experiences of patients with plaster casts. We believe that understanding the feelings, thoughts, and experiences of patients who have had plaster casts will contribute to holistic patient care and will guide the planning of such care. The aim of this study was to describe some of the nonmedical experiences of being in a plaster cast and to illustrate these difficulties through patient quotes. This qualitative research study used a qualitative, descriptive approach guided by phenomenology to explore and describe the subjective experiences of patients with plaster casts. Participants consisted of 10 patients with lower extremity fractures, all of whom had been in a plaster cast for at least 6 weeks. Data were collected through in-depth individual interviews using semistructured questionnaires. The content analysis method was used to analyze the data. COREQ (Consolidated Criteria for Reporting Qualitative Research) was used in structuring and reporting the study. Six themes that described the experiences of patients with a plaster cast were determined in the study. These themes were the basic physiological and functional concern, self-image challenges, social roles, dependence/independence, emotions, and the experience of being in a plaster cast. We determined that many aspects of the lives of patients had been affected by being in a plaster cast and that they had experienced not only physiological issues but also psychological, social, emotional, and aesthetic issues. In addition, all the participants stated that they sought solutions to these issues by requesting support from a person or persons around them. Understanding the experiences of individuals with a plaster cast will contribute to the holistic healthcare of individuals who suffer fractures, allowing it to be more patient-centered. This understanding will also support the planning and implementation of patient-centered counseling and education.

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Section: Introductionmentioning

confidence: 99%