The patient is confined to bed in traction.To prevent the development of complications,the nurses encourages:

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Patients in casts or traction who are confined to bed frequently develop anorexia,constipation,and fecal impaction.Maintaining a high (3000 mL or more)fluid intake plus a high-bulk or high-residue diet fosters proper bowel elimination.Fluid intake also facilitates renal circulation and urinary output to lessen the possibility of a urinary tract infection or the development of renal calculi.
When serum calcium levels decrease,parathyroid hormone (PTH)is released.This stimulates bone resorption,calcium is released from the bone,and the serum calcium level rises.This can lead to poor bone replacement and the development of osteoporosis and renal calculi.Low-fiber diets can lead to constipation.Diets should be high in protein,carbohydrates,vitamins,fiber,and fluids and should contain a moderate amount of fat,unless contraindicated.

The Patient Is Confined to Bed in Traction