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Posterior Mold: Purpose

A posterior mold is used to immobilize and protect injuries to the upper or lower extremities. It provides immobilization, protects the injury from further harm, and allows for swelling. For upper extremities, it is commonly used for fractures of the radius, ulna, or humerus. Application involves using stockinette, wadding, plaster of paris or fiberglass to mold to the posterior of the arm or leg. Nursing care focuses on keeping the mold dry, elevating the extremity, and monitoring for complications.

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Sheryl Ann Barit Pedines
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2K views

Posterior Mold: Purpose

A posterior mold is used to immobilize and protect injuries to the upper or lower extremities. It provides immobilization, protects the injury from further harm, and allows for swelling. For upper extremities, it is commonly used for fractures of the radius, ulna, or humerus. Application involves using stockinette, wadding, plaster of paris or fiberglass to mold to the posterior of the arm or leg. Nursing care focuses on keeping the mold dry, elevating the extremity, and monitoring for complications.

Uploaded by

Sheryl Ann Barit Pedines
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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POSTERIOR MOLD

Used for splinting the affected part of the body wherein there is an open wound,
inflammation, abrasion, swelling, or infection.
Purpose
 Provides immobilization
 Protects the injury
 Prevents further injury
 Decreases pain
 Allows for easy application and removal compared to a cast
 Allows for swelling better than a cast
UPPER EXTREMITIES
Long arm posterior mold
used in a variety of settings for immobilization of both
bony and soft tissue injuries to the upper extremities.
Indication
 fracture of the radius and ulna with open wound swelling and
infection.
 fracture of distal humerus
 Olecranon fracture
Materials:
 Wadding sheet
 Stockinette
 Elastic bandage
 Arm sling
 Bandage scissor
 Basin with water
Procedure:
 Apply stockinette from 2-3 inches from fingers up to auxiliary crease.
 Cut a small hole from the stockinette for the thumb.
 Measure the arm and create a template with a wadding sheet to determine the length
of the cast (measuring along the metacarpal to the supracondylar area)
 Apply the wadding sheet stretching along the wrist going proximally with a 50%
overlapping of the wadding sheet. Apply enough wadding sheet as needed to the elbow
to prevent pressure sore
 Preparing for posterior mold:
o Lay the precut template and use sheet for 3-5 layers.
o Activate the plaster of paris by dipping it in the water basin and make sure that
all bubbles have dissipated so that enough water has zipped through the plaster.
Do not squeeze and let it drain by itself.
o Lay the plaster of Paris by rolling it to the wadding sheet template, make sure it
is flat. Repeat the rolling 8-10 times.
o Cover it with the wadding sheet.
 Apply the mold and gently fit it over the arm.
 Apply the elastic bandage tightly over the mold to ensure proper fitting of the mold to
the arm. (wait for 5-10 mins for the mold to harden).
 Remove the initial elastic bandage.
 Reapply the elastic bandage a bit more loosely.
 Provide an arm sling. Apply it with an elbow that is bent at 90 degrees.
Nursing Interventions
 Keep the posterior mold dry to prevent skin irritation or infection.
 Elevate the extremity above the level of the heart to prevent swelling.
 Inspect the skin around the posterior mold.
 Advise the client to promptly notify health care provider if pain, swelling, feels tight,
sensation of tingling, burning, or tickling, weak or absence of distal pulse occur.

LOWER EXTREMITIES
Short leg posterior mold
Splinting technique that covers the posterior leg to the
plantar surface of the foot to maintain a neutral position.
Indications
 Ankle dislocations
 Ankle sprains and strains
 Achilles’ tendon rupture
 Distal tibial and fibular fracture
 Tarsal and metatarsal injuries
Materials:
 Wadding sheet
 Stockinette
 Elastic bandage
 Bandage scissor
 Basin with water
Procedure:
 Position patient in supine lying.
 Ensure patient is in comfortable position by placing a pillow under the thigh and knees.
 Take accurate measurement with a tape measure start from fingerbreadths under the
popliteal fossa until 4 inches beyond the toes.
 Cut the lower part of the stockinet.
 Apply stockinette from toes up to the knee.
 Cut out the wrinkle in the anterior area of ankle.
 Apply the wadding sheet stretching along the foot up to below of the knee.
 Preparing for posterior mold:
o Lay the precut template and use sheet for 3-5 layers.
o Activate the plaster of paris by dipping it in the water basin and make sure that
all bubbles have dissipated so that enough water has zipped through the plaster.
Do not squeeze and let it drain by itself.
o Lay the plaster of paris by rolling it to the wadding sheet template, make sure it
is flat. Repeat the rolling 12-15 layers.
o Cover it with the wadding sheet.
o make 2 molds.
 Apply the mold and gently fit it over the leg.
 Apply again another mold in U-shaped to cover the side by side of the leg (make sure
the ankle is in 90 degree)
 Wrap it with elastic bandage, snug but not too tight.
 Turn up the stockinette by folding the end over the edge of plaster and exposed the toes
to check for circulation and turn down at the part of below the knee.
 Apply again the elastic bandage and make a turnover the edge like making a figure 8.
 Turn down the stockinette over the top and wrap again another elastic bandage from
the top up to going down.
Nursing Interventions
 Keep the posterior mold dry to prevent skin irritation or infection.
 Elevate the extremity above the level of the heart to prevent swelling.
 Encourage safety precautions (e.g., avoid walking on wet floors, watch throw rugs, be
careful with stairs).
 Advise the client to promptly notify health care provider if pain, swelling, feels tight,
sensation of tingling, burning, or tickling, weak or absence of distal pulse occur.

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