Care of supracylar fractures in children after the onset of the disease

Psychological care after the onset of the disease

Fractures are a painful experience for every child. Therefore, in terms of emotions, the child should be allowed to cry and vent, and not to casually reprimand the child. Parents should use verbal and nonverbal communication skills to talk more to the child and divert their attention to relieve the pain caused by the fracture. By touching and caring for the child, the tone, volume and speed should be paid attention to when talking, and it should be full of childlike fun, providing some toys, drawing boards, children's books, etc., so that its emotions and attention can be transferred to games, paintings and other activities. At the same time, when treating children, parents should avoid panic or use inappropriate language to increase the child's fear.

Dietary care after the onset of illness

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(1) Early fracture (1 to 2 weeks after fracture)

In principle, the diet is mainly light, such as vegetables, eggs, soy products, fruits, fish soup, lean meats and so on. Avoid spicy, sour, hot and greasy food. Do not apply fatty and tonic products too early, such as bone broth, fat chicken, stewed water fish, etc., so as not to delay the formation of scabs, which will affect the recovery of joint function in the future. At this stage, the diet should be blood-activating, light and easy to digest products, such as TianQi lean broth, fish fillet soup, golden needle fungus soup, eat more fresh vegetables and fruits. For children with signs of internal heat, it is advisable to take foods with cold serum heat, such as lotus root juice, horseshoe water, and bitter melon rib soup.

(2) Mid-fracture period (2 to 4 weeks after fracture)

The diet has changed from light to appropriate high nutritional supplementation to meet the needs of bone scab growth. Bone broth, chicken and animal liver can be added to the initial recipe to replenish more vitamin A, vitamin D, calcium and protein. Diet should be tonify qi and blood, bone and tendon products, such as continuous broken pork foot tendon soup, Guiyuan red date quail soup, Beiqi black chicken soup.

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(3) Late fracture (fracture for more than 4 weeks)

Diet can be lifted taboo, it is advisable to supplement the liver and kidneys, strong muscles and bones, such as eucommia, goji berries stewed black chicken or rabbit meat, deer tendon peanut soup, cordyceps stewed lean meat, eucommia beef knee pork bone soup.

Functional workouts

While functional exercise can prevent joint adhesions, stiffness, or increase the range of motion of a restricted joint, it is ultimately up to the muscles under the innervation to move the limbs. Therefore, children should be instructed to carry out more active training. If there is no active, active, and correct functional training, the desired effect will not be achieved, and no treatment method can replace the functional training, and the child must be relied on to take the initiative to complete it. Therefore, through various forms, such as oral explanations, health education manuals, etc., the importance and necessity of functional training should be explained to children in detail, the purpose, methods and precautions of training should be introduced, and the psychology of eagerness and over-caution should be overcome, not only step by step, according to ability, but also to dispel doubts and actively train.

(1) Early fracture

After the injury, the child can be guided by functional training, and the active fist shaking exercise of the hand can be started, up to 150 to 200 times a day, and the wrist joint flexion and extension activity. And with the finger and wrist gentle touch or pressure, push pressure to reduce swelling, to promote the swelling of the injured limb to subside. Children who are bedridden can have hip lift exercises to prevent pressure ulcers and move their lower limbs.

(2) Middle stage of fracture

Continue to strengthen the active fist shaking exercises in the hands, up to 300 to 400 times a day, and cooperate with the light stroke and kneading of the forearm of the injured limb to relax the meridians and improve local blood circulation. With the permission of the condition, bed shruging activity may be feasible to restore the function of the shoulder joint. The intensity of hip lifting exercises can be increased, up to 100 to 200 times a day, to promote the recovery of lower extremity muscle strength.

(3) Late fracture

Elbow-centered flexion and forearm rotation exercises can be performed to the extent that the child is not too painful or tolerant.

The importance of encouraging functional activities in conservation

Supracine humerus fractures are proximal joint fractures, and most of them are caused by larger violent injuries, and the local swelling after injury is obvious, which inevitably leads to muscles around the joints, tendon adhesions, joint cyst contractures, and joint stiffness. Children are afraid to perform elbow flexion and extension exercises for fear of pain, which increases the difficulty of restoring elbow function in the later stages of supracylar fractures. In the treatment process, in addition to the good alignment of the fracture, it is very necessary to encourage functional activities in an early and timely manner, and it is necessary to pay attention to avoid rough and blind passive exercise.

Pediatric bone tissue repair is faster than adults after injury, but the misfortune and unhappiness caused by injury to children coexist. Due to young age, mental function is in the process of growth, poor inhibition, insufficient defense ability in mental activity after suffering from adverse stimuli, so the emotional response is strong, the tension is high, and the pain memory is particularly deep, resulting in excessive danger and fear to the outside world. On the other hand, children do not have durability and tenacity, poor self-control, inability to endure pain for recovery, and lack of adaptability to the environment, which directly affect their treatment. But children are highly dependent and full of potential, as long as they give emotional attention and establish a trustworthy relationship, children will be psychologically stable and cooperate with treatment.

In functional activity training, children's motor control ability and motivation should be taken into account. If the child is unable to master the movements learned, it is easy to lose confidence. It is important to give the child a certain sense of success. Different training programs can be used to have both a sense of success and better learning, and as the child's self-confidence is established and transitions to random training, the child can maintain initiative. In addition, combining training with daily activities, giving them the opportunity to repeat them frequently, allows children to maintain their inner initiative in gaining self-confidence.