Prophylaxen: Kontrakturenprophylaxe | Fachfortbildungen Pflege | Fortbildungen Pflege | smartAware

Introduction

This tutorial focuses on the prevention of contractures, specifically in the context of nursing and healthcare. Understanding contractures, their risk factors, and effective preventive measures is essential for healthcare professionals to enhance patient care and mobility.

Step 1: Understand the Definition of Contractures

• What are Contractures?
  • Contractures are the permanent tightening of muscles, tendons, ligaments, or skin that restricts movement.
• Importance in Care
  • They can lead to significant mobility issues and discomfort for patients, making prevention a priority in healthcare settings.

Step 2: Identify Risk Factors

• Common Risk Factors
  • Prolonged immobility due to illness or injury.
  • Neurological conditions such as stroke or cerebral palsy.
  • Inadequate positioning of patients during rest.
  • Aging, which can result in decreased flexibility.
• Assessment
  • Regularly assess patients for these risk factors to implement timely preventive measures.

Step 3: Implement Preventive Measures

• Positioning Techniques
  • Change patient positions every 1-2 hours to avoid prolonged pressure on any one area.
  • Use pillows or wedges to maintain proper alignment and support.
• Range of Motion Exercises
  • Encourage passive and active range of motion exercises to maintain joint flexibility.
  • Consider creating a regular exercise schedule tailored to each patient’s needs.

Step 4: Use Assistive Devices

• Types of Devices
  • Braces or splints can be used to support limbs and maintain proper positioning.
  • Mobility aids such as walkers or canes help encourage movement and independence.
• Application
  • Ensure correct fitting and usage of devices to maximize effectiveness.

Step 5: Educate Patients and Caregivers

• Importance of Education
  • Inform patients and their families about the importance of movement and regular repositioning.
• Training Sessions
  • Conduct training for caregivers on proper techniques for positioning and exercises to prevent contractures.

Conclusion

Preventing contractures is crucial in maintaining patient mobility and comfort. By understanding the definition, identifying risk factors, and implementing effective preventive measures, healthcare providers can significantly enhance the quality of care. Remember to regularly assess your patients and educate both patients and caregivers on best practices. For further learning, consider exploring additional resources offered by smartAware for ongoing education in healthcare.