Rapid Communication - Journal of Intensive and Critical Care Nursing (2025) Volume 8, Issue 2
Supporting Families in Crisis: The Essential Role of Family Nursing
Zohreh Khani *
Imam Ali Hospital, Mazandaran University of Medical Sciences, Iran
- *Corresponding Author:
- Zohreh Khani
Imam Ali Hospital, Mazandaran University of Medical Sciences, Iran
E-mail: zhokhani@gmail.com
Received: 02-Apr -2025, Manuscript No. AAICCN-25-163903; Editor assigned: 03-Apr-2025, PreQC No. AAICCN-25-163903 (PQ); Reviewed:16-Apr-2025, QC No. AAICCN-25-163903; Revised:22-Apr-2025, Manuscript No. AAICCN-25-163903 (R); Published:28-Apr-2025, DOI:10.35841/AAICCN-8.2.262
Citation: Khani Z. Supporting families in crisis: The essential role of family nursing. J Intensive Crit Care Nurs. 2025;8(2):262
Introduction
Orthopedic trauma, including fractures, joint dislocations, and musculoskeletal injuries, requires comprehensive rehabilitation strategies to ensure optimal recovery. Nurses play a crucial role in guiding patients through the rehabilitation process, focusing on pain management, mobility restoration, prevention of complications, and patient education. Effective rehabilitation enhances functional independence, reduces recovery time, and improves overall quality of life. This article explores the key nursing interventions in orthopedic rehabilitation, challenges faced, and evidence-based strategies for optimal patient outcomes [1].
Nurses provide holistic care that encompasses physical, psychological, and social support for orthopedic trauma patients. Their responsibilities include: Pain assessment and management, Monitoring for complications (e.g., deep vein thrombosis, infections), Encouraging early mobilization, Patient and caregiver education, Coordination with physiotherapists and other healthcare professionals [2].
A patient-centered, multidisciplinary approach ensures a smooth recovery and reduces the risk of long-term disability. Pain control is essential for successful rehabilitation. Uncontrolled pain can hinder mobility, delay healing, and lead to chronic pain syndromes. Nursing interventions include: Administration of NSAIDs, opioids (as per guidelines), and muscle relaxants [3].
Cold and heat therapy, transcutaneous electrical nerve stimulation (TENS), and relaxation techniques. Encouraging adherence to prescribed pain management strategies. A multimodal approach combining medications with physical therapy optimizes pain relief while minimizing side effects. Prolonged immobility increases the risk of complications such as muscle atrophy, pressure ulcers, and thromboembolism [4].
Encouraging early mobilization with the help of physical therapists. Assisting patients in using mobility aids (e.g., walkers, crutches). Providing guidance on safe movement techniques to prevent reinjury. Early ambulation enhances circulation, promotes bone healing, and prevents complications like deep vein thrombosis (DVT). Orthopedic trauma patients are at risk of various complications, including: Infections (especially post-surgical infections), DVT and pulmonary embolism due to prolonged immobility [5].
Pressure ulcers from restricted movement, Nurses implement preventive measures such as: Frequent repositioning for bedridden patients. DVT prophylaxis, including leg exercises, compression stockings, and anticoagulants. Monitoring surgical sites for signs of infection and ensuring proper wound care. Proper nutrition accelerates bone and tissue healing [6].
Nurses educate patients on: Protein-rich diets for muscle repair and wound healing. Calcium and vitamin D intake to promote bone strength. Hydration to prevent complications like constipation from immobility and pain medications. Patients with dietary restrictions may require supplementation under medical guidance [7].
Orthopedic trauma can significantly impact a patient’s mental health due to pain, reduced mobility, and lifestyle changes. Nurses support psychological well-being by: Providing emotional reassurance and encouraging positive coping mechanisms. Screening for depression and anxiety, which are common in long-term recovery [8].
Referring patients to counseling or support groups when needed. Addressing mental health is crucial for maintaining motivation and adherence to rehabilitation plans. Education is key to preventing complications and promoting independence. Nurses educate patients and caregivers on: Proper wound and cast care to prevent infections [9].
In rural or underserved areas, access to physical therapy and rehabilitation specialists may be restricted. Signs of complications, such as swelling, fever, or increased pain. Safe home modifications, like installing grab bars and using assistive devices. Empowering patients with knowledge enables them to take an active role in their recovery. Some patients struggle with following rehabilitation protocols due to pain, lack of motivation, or financial constraints [10].
Conclusion
Nurses play a pivotal role in the rehabilitation of orthopedic trauma patients by providing pain management, mobility support, complication prevention, nutritional guidance, and emotional support. By employing evidence-based strategies, they help patients regain independence and improve their overall quality of life. Despite challenges, continuous education, interdisciplinary collaboration, and patient-centered care remain essential in optimizing rehabilitation outcomes. With advancements in nursing practice and rehabilitation techniques, orthopedic trauma patients can achieve better functional recovery and long-term well-being.
References
- Swenson KE, Winslow DL. Impact of sepsis mandates on sepsis care: Unintended consequences. J Infect Dis. 2020;222(2):S166-73.
- Sun J, Cao W, Yang S, et al. Plan, Do, Check, Act (PDCA) cycle nursing model reduces the risk of hemangioma in hemodialysis patients. Iran J Public Health. 2021;50(12):2560.
- Gao Y, Chen X, Kang L. The effect of Plan-Do-Check-Act cycle nursing management of gynecological surgery: a systematic review and meta-analysis. Ann Palliat Med. 2021;10(7):8072-81.
- Demirel A. Improvement of hand hygiene compliance in a private hospital using the Plan-Do-Check-Act (PDCA) method. Pak J Med Sci Q. 2019;35(3):721.
- Meehan CD, Silvestri A, Street ED. Improving blood glucose monitoring in a hospital setting using the PDCA approach. J Nurs Care Qual. 1993;7(4):56-63.
- Chung CR, Yoo HJ, Park J, et al. Cognitive impairment and psychological distress at discharge from intensive care unit. Psychiatry Investig. 2017;14(3):376.
- Danielis M, Palese A, Terzoni S, et al. What nursing sensitive outcomes have been studied to-date among patients cared for in intensive care units? Findings from a scoping review. Int J Nurs Stud. 2020;102:103491.
- Esses SA, Small S, Rodemann A, et al. Post–intensive care syndrome: Educational interventions for parents of hospitalized children. Am J Crit Care. 2019;28(1):19-27.
- Hanifa AL, Glæemose AO, Laursen BS. Picking up the pieces: Qualitative evaluation of follow-up consultations post intensive care admission. Crit Care Nurs Q. 2018;48:85-91.
- Jackson JC, Pandharipande PP, Girard TD, et al. Depression, post-traumatic stress disorder, and functional disability in survivors of critical illness in the BRAIN-ICU study: a longitudinal cohort study. Lancet Respir Med. 2014;2(5):369-79.
Indexed at, Google Scholar, Cross Ref
Indexed at, Google Scholar, Cross Ref
Indexed at, Google Scholar, Cross Ref