Nursing and Interprofessional management

Nursing Implementation
- Health Promotion
  - Prevention of injury
  - Adequate nutrition
  - Early recognition of inflammation
  - Immediate treatment
- Acute Intervention
  - Observation
  - Vital signs
  - Fever management
  - Drug therapy
    - Aspirin
    - Acetaminophen
    - NSAIDs
    - Corticosteroids
- RICE
  - Rest
    - Helps the body use its nutrients and O2 for the healing process.
    - The repair process is facilitated by allowing fibrin and collagen to form across the wound edges with little disruption.
  - Ice (Cold and Heat)
    - To promote vasoconstriction and decrease swelling, pain, and congestion from increased metabolism in the area of inflammation
    - Heat may be used later to promote healing by increasing the circulation to the inflamed site and subsequent removal of debris and localize inflammatory agents.
  - Compression and immobilization
    - Counters the vasodilation effects and development of edema.
    - Promotes healing by decreasing the tissues’ metabolic needs
    - Evaluate the patient’s circulation after application and at regular intervals.
    - Swelling can occur within the closed space of a cast and compromise circulation.
  - Elevation
    - Elevating the injured extremity above the level of the heart reduces the edema at the inflammatory site by increasing venous and lymphatic return

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