Page 94 - BSAVA Guide to Pain Management in Small Animal Practice
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6   |  Physical methods used to alleviate pain: nursing considerations



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                                           (ii)                 (iii)






             (ai)                          (iv)        (v)                (vi)









             (b)               (c)                     (di)
                     here are a variety of harnesses on the market. It is important to  nd one that
                3   provides the best  t and support for the individual patient s needs and any
             conformational challenges. (ai–vi) Pet Support Suit™. (b,c) Examples of harnesses in
             use. (di) An improvised device using two slip leads, padding and cohesive bandage to
             form (dii) a harness for the hind legs. This is great in ambulatory paretic patients that are
             weak and wobbly in the rear legs. It helps prevent the back legs crossing when walking,   (dii)
             splaying out, knuckling over or stumbling.




                                                   absorbent dressings to capture excessive
                                                   exudate from wounds, and by wiping away
                                                   saliva   igure 6.  , food and water that may
                                                   collect around Elizabethan collars or other
                                                   movement-restricting devices.
                                                      Any friction or shearing of integument across
                                                   a surface will increase the likelihood of skin
                                                   breakdown. This is especially relevant when
                                                   considering both moving patients and the type
                                                   of bedding provided. Interestingly, the use of
                                                   doughnut-type cushions and devices is not
                                                   recommended. They may increase pressure
                                                   where the doughnut ring sits, potentially causing
                                                   further skin breakdown. Additionally, the
                    A kennel padded out using a mattress and
                    pillows for the recumbent patient to be able   doughnut may become displaced and increase
             to lean against and remain upright.   risk to areas of otherwise una ected skin.
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