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Care of the school-aged child in 90/90 traction
1Health Promotion and Development, University of Pittsburgh School of Nursing, Pennsylvania, USA.
Insights
School-aged children with fractured femurs often require 90/90 traction. Nursing care must address their specific physiological and psychosocial needs, focusing on developmental tasks and facilitating mastery of hospitalization.
Area of Science:
- Pediatric Orthopedics
- Pediatric Nursing
Background:
- Fractured femurs are common in school-aged children.
- Immobilization in 90/90 traction is a primary treatment method for this demographic.
Purpose of the Study:
- To discuss the specific needs of school-aged children undergoing 90/90 traction for femur fractures.
- To identify nursing problems associated with this treatment.
- To address the physiological and psychosocial aspects of care.
Main Methods:
- Review of nursing care strategies for pediatric femur fractures.
- Identification of developmental tasks relevant to school-aged children experiencing hospitalization.
- Consideration of therapeutic play as an adjunct to care.
Main Results:
- Nursing care must integrate physiological and psychosocial support.
- Addressing developmental tasks is crucial for patient coping.
- Therapeutic play can enhance the treatment and nursing experience.
Conclusions:
- Effective nursing care for school-aged children with femur fractures in 90/90 traction requires a holistic approach.
- Facilitating mastery of illness and hospitalization is key.
- Integrating therapeutic play is beneficial for patient outcomes.
Abstract:
Children in the school-aged period are those most likely to sustain a fractured femur. One method of treatment for this age group is immobilization of the fracture in 90/90 traction. Specific needs of these children are discussed, and related nursing problems are identified. The physiologic and psychosocial aspects of nursing care are also addressed. Emphasis is placed on the developmental tasks inherent in this age group. Mastery of illness and hospitalization are central issues for the school-aged child and can be facilitated through the efforts of nursing and hospital staff. A therapeutic play program is also a beneficial adjunct to treatment and nursing care.