Explain 5 immediate and subsequent nursing care intervention with rationales for a patient in a POP cast.

1-Assess the distal part of cast for neuro-vascular function

2-Assessed for capillary refill by applying pressure to one of client’s toenails or fingernails. after stopping pressure, observed nail to see

how rapidly color returned. 

3-Used ONLY palms of my hands on cast when turning and positioning until cast is dry.

4-Avoided handling over joints where nerves and blood vessels are superficial.

5-Supported cast with pillows as necessary, with extremity elevated above level of heart.

6-If cast edges were rough or crumbly, pulled inner stockinet over edge of cast and secured with tape