Caring for patients with fractures?
Hello Doctor, my girlfriend had a car accident two weeks ago and fractured both of her legs, which are now in casts.
I have no experience in caring for someone with fractures, but as a boyfriend, I really want to take care of her.
Could you please advise me on what I should pay attention to? Additionally, if her legs are in casts, does that mean she cannot put any weight on them? I also did some research online and found that it is suggested to massage the toes if the foot feels uncomfortable.
Is this really advisable? Thank you for taking the time to answer my questions.
Hengli, 10~19 year old female. Ask Date: 2017/09/03
Dr. Li Yongheng reply Orthopedics
Hello Henry, if both feet are fractured and in a cast, the principle is to use a wheelchair for mobility and not to walk on them.
The legs should be elevated to reduce swelling, and moving and massaging the toes can also promote blood circulation.
Wishing your girlfriend a speedy recovery.
Reply Date: 2017/09/03
More Info
Caring for a loved one with broken bones can be a challenging yet rewarding experience. It’s commendable that you want to support your girlfriend during her recovery. Here are some essential tips and advice to help you provide the best care possible.
Understanding the Injury
First, it’s important to understand the nature of her injuries. When someone has broken bones, especially in the legs, they often require immobilization through casts or splints. This immobilization is crucial for proper healing, as it keeps the bones in the correct position and prevents further injury.
Key Considerations for Care
1. Mobility Assistance: Since your girlfriend has both legs in casts, she will likely have limited mobility. You may need to assist her with moving around the house. Consider using crutches or a wheelchair if prescribed by her doctor. Ensure that her living space is safe and free of obstacles to prevent falls.
2. Comfort and Positioning: Help her find comfortable positions to rest. Elevating her legs can reduce swelling, so consider using pillows to prop her legs up when she is sitting or lying down.
3. Hygiene: Maintaining hygiene is crucial, especially with casts. Help her with sponge baths or using wet wipes to keep her clean. If her casts are waterproof, you can assist her in bathing more comfortably.
4. Nutrition and Hydration: Encourage her to eat a balanced diet rich in calcium and vitamin D, which are essential for bone healing. Ensure she stays hydrated, as this can help with overall recovery.
5. Pain Management: Be attentive to her pain levels. If she is prescribed pain medication, help her keep track of dosages and times. Encourage her to communicate openly about her pain so that adjustments can be made if necessary.
6. Emotional Support: Recovery from an injury can be emotionally taxing. Be there to listen and provide emotional support. Engage in activities that she enjoys, like watching movies or reading together, to help lift her spirits.
Regarding Casts and Mobility
When a leg is in a cast, it is generally advised not to put weight on it until the doctor gives the go-ahead. This is crucial to ensure that the bones heal properly. Depending on the type of fracture and the healing process, her doctor will provide specific instructions on when she can start bearing weight on her legs.
Massage and Comfort Techniques
As for the advice you found online about massaging her toes, it’s important to be cautious. While gentle massage around the cast can help with circulation, you should avoid massaging directly on the cast or the injured area. Instead, you can gently massage her toes and the foot that is not in a cast, as this can promote blood flow and comfort. Always consult with her healthcare provider before trying any new techniques to ensure they are safe and appropriate for her specific situation.
Conclusion
In summary, caring for someone with broken bones requires patience, understanding, and attentiveness. By providing physical assistance, emotional support, and ensuring her comfort, you can play a significant role in her recovery. Always keep communication open with her healthcare providers to stay informed about her healing process and any specific care instructions. Your support will not only help her physically but also emotionally as she navigates this challenging time.
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