Group 1 Health Teaching TOPIC: Ilizarov External Fixator Specific Objectives Content Time Frame Methodolog y Resources Evaluation Human Materia L

GROUP 1
HEALTH TEACHING
TOPIC: Ilizarov External Fixator
Specific Objectives Content Time Methodolog Resources Evaluation
Frame y Human Materia
l
After 30 minutes of I. The Ilizarov External Fixator is a special device 30 Lecture Time and Visual After 30 minut
health teaching, the used to correct angulation and rotational defects, to minute effort of the: aids health teaching
patient and significant treat non-union (failure of bone fragments to heal), s I. Student goal is partially
others will be able to: and to lengthen limbs. Tension wires are attached nurse The patient
to fixator rings, which are joined by telescoping II. Patient significant o
I. Define Ilizarov rods. Bone formation is stimulated by prescribed III. Significant shall be able to:
External Fixator daily adjustment of the telescoping rods. It is others. I. Defined
important to teach the patient how to adjust the Ilizarov Ext
II. Identify the telescoping rods and how to perform skin care. Fixator
importance of pin After the desired correction has been achieved, no
site care. additional adjustments are made, and the fixator is II. Identified
left in place until the bone heals. importance o
III. Demonstrate site care.
prescribed pin site II. The importance of pin site care.
care.  Keeping the pins clean helps prevent III. Demonstr
complications. prescribed pin
IV. State signs of III. Pin site care techniques care.
pin site infection.  Clean the pin sites 2 to 3 times each
day with soap and water instead of just IV. Stated
Describe approaches 1 time each day. of pin
to controlling  Do not clean with hydrogen peroxide. infection.
swelling and pain.  Do not place an antibiotic ointment on
pin sites. Also, while treating the V. Described
V. State indicators infection, get the silver discs wet 2 to 3 approaches
of complications to times each day. controlling
report promptly to  Add a sponge dressing to the pin site to swelling and
physician. help stabilize the skin and ease pain at a
particular pin site.
VI. Stated
Steps: indicators
 Wash and dry your hands. complications
 Put on gloves. report promp
 Pour the cleaning solution into a cup and physician.
put half of the swabs in the cup to
moisten the cotton ends.
 Use a clean swab for each pin site. Start
at the pin site and clean your skin by
moving the swab away from the pin.
Move the swab in a circle around the pin,
then make the circles around the pin
larger as you move away from the pin
site.
 Remove any dried drainage and debris
from your skin with the swab.
 Use a new swab or gauze to clean the pin.
Start at the pin site and move up the pin,
away from your skin.
 When you are done cleaning, use a dry
swab or gauze in the same way to dry the
area.
IV. Signs of pin-site infection

Check pin site every day for signs of
infection, such as:
 Pain. This is pain or tenderness around
a pin site that often feels new and
different from other pain or
discomfort your child may have had
with the frame. It is usually pain at a
specific pin site and not pain that is
all over. This is often the first sign of
a pin site infection.
 Redness. If there is a pin site
infection, there will often be redness
that is spreading or getting worse
around a pin site.
 White drainage. White pus draining
from the pin site is a sign of
infection. However, clear, yellow or
bloody drainage is generally not a
sign of infection, but instead is a
body’s normal reaction to the pin.
 Skin at the site is warmer
 Swelling or hardening of the skin
 Fever
 Numbness or tingling at the pin site.
 Movement or looseness of the pin

V. Approaches to control swelling and pain.
 Elevate affected leg to heart level.

 Take analgesics as prescribed.
VI. Complications
 Uncontrolled swelling or pain-
swelling is the result of the increased
movement of fluid and white blood
cells into the injured area and the
compression of nerves in the area of
injury cause pain.
 Cool, pale toes
 Paresthesia- this refers to a burning
or prickling sensation that is usually
felt in the affected area.
 Paralysis- this refers to a loss of
strength in and control over a muscle
or group of muscles in a part of the
body.
 Purulent drainage- is a type of fluid
that is released from a wound. Often
described as being “milky” in
appearance, it's almost always a sign
of infection
 Signs of systemic infection- e.g,
fever, shaking or chills, sweaty skin,
or shortness of breath.
 Loose fixator pins or clamps.

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GROUP 1

IV. Signs of pin-site infection

 Elevate affected leg to heart level.

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