- •Methodical indicating to operation of students on practical employment
- •The module 1
- •The thematic module 1
- •Practical employment №3
- •Maintenance of a datum level of knowledge-skills
- •The module 1 The thematic module 1 Practical employment №3
- •I. An urgency of a subject:
- •II. The Basic level of knowledge.
- •III. The Purposes of occupation:
- •III. Maintenance of a datum level of knowledge-skills
- •Tests and problems for checkout of a datum level of knowledge:
- •V. The content of learning:
- •VI. The Rough basis of activity Arrangement of a bed of the patient.
- •Complex prophylaxis of decubituses.
- •Bandages on an inguinal field
- •Turtle a bandage on ulnar and on patellar joints
- •Bandages on a dactyl (spiral, spica)
- •Figure-of-eight bandage on an ankle joint
- •Rotary (return) bandage on stack
- •Applying of elastic rollers on an extremity
- •Applying of firm bandages Kramer's splinting
- •Splinting Diteriksa
- •Preparation of gypseous bandage, londet, applyings and puttings off
- •The indication to application of plaster bandages
- •Assays on quality of gypsum
- •Inventory and toolkit
- •The basic demands to plaster bandages
- •Manufacturing of gypseous bandage
- •Applying gypseous longet
- •Applying gypsies longets from self-made gypseous preparation
- •Applying of a circular plaster bandage
- •Putting off of plaster bandages
- •VIII. The Procedure of carrying out of employment that organizational structure of employment:
- •The procedure sheet of employment
- •The thematic module 1 Practical employment №3
- •Tests and problems for checkout of a datum level of knowledge:
- •1А, 2а, ,3а, 4а, 5b, 6а, 7а, 8а, 9а, 10-, 11а, 12c. 13b, 14f, 15d, 16а,d, 17в,c, 18 в,c
Preparation of gypseous bandage, londet, applyings and puttings off
The most spread shape of bandages which harden, is available a plaster bandage which allows to fix well spalls of bones at fractures as a result of a prompt indurations. Gypsum СаSО4 x 2H2O - the mineral spread in the nature. For plaster bandages use the inciderated gypsum (at an incideration he loses a part of crystal water). After wetting he enters with water a chemical combination and within several minutes is transmuted into firm mass. The medical gypsum should look like a white powder, without blobs, soft at a palpation. If in him its blobs come across is necessary sits through a bolter. To maintain gypsum it is necessary in a dry place as he easily retracts a moisture. If the gypsum has dampened, it is necessary to dry - to pour out it on an iron leaf not thick and to deliver in the heated case for some minutes at temperature +120°С.
The indication to application of plaster bandages
The Immobilization of fractures.
The Immobilization of patholologically variated bones and joints.
Correction of strains.
Prophylaxis of strains.
Urgent gypsuming.
Manufacturing shapes and mould pieces of separate parts of a body with the purpose of a prosthetic repair.
The Immobilization, as a method of treatment of combustions and arrangements of the soft tissues at absence of fractures.
Before applying of a plaster bandage it is necessary to check quality of a gypsum.
Assays on quality of gypsum
The Gypsum and water in the ratio 1:1 admix and make a globule; in 7-10 minutes he should harden and not be broken at slope from height 1м.
It is plotted gypsies mixture from an admixture of a gypsum with water of a consistence of fluid sour cream which smear a lamina on saucer, thus the good-quality gypsum hardens in 5-6 minutes; at pressing by a dactyl the gypsum should not crush and on its surface the moisture should not act.
Impose on a brush or a forearm made of 2-3 stratums gypsum and the bandage moistened by water longet: the good-quality gypsum hardens in 5-7 minutes, and at putting off from an arm such splint is not crumbled, maintaining the shape given to her.
The Gypsum fill in metal ware and preheat on an electrical tile. Above a gypsum hold a pocket mirror. If the pocket mirror has misted over - from a gypsum steam is oozed. Such gypsum for use is unsuitable, for contains a moisture.
The Small part of gypsum to admix with water and to define an odor of gypsum. If the gypsum has an odors of rotten eggs - he oozes a hydrogen sulfide and not applicable to use.
At a tightening of a gypsies powder in a fist he should transit freely between dactyls and at a unclamping of a fist on a palm there should be an inappreciable quantity of a gypsum. At such assay he is considered applicable for use.
At wetting by hot water the gypsum hardens more promptly, cold - more slowly. Normally for wetting gypseous bandage use water of temperature +30-35°С.