1-43
1-43. DISLOCATIONS
a. A dislocation is the displacement of the normal association of the surface of the bones that make up the joint. Dislocations can be defined further as being partial or complete. A partial dislocation is one in which the surfaces of the joint are not completely separated. A complete dislocation is one in which the surfaces of the joint are fully separated.
b. A dislocation may occur in any bone joint. It may be traumatic, that is, caused by an injury or violence, or the injury may be caused by abnormal twisting or stretching. In addition, a dislocation may accompany a fracture. Symptoms include pain and deformity at the joint, loss of movement, swelling and discoloration around the joint, and even shock in severe cases.
c. Treatment of dislocation involves reduction and immobilization of the affected joint. Administration of analgesics for pain relief will be necessary. After reduction by the physician, an immobilization device is normally applied in order to prevent further injury.
d. Nursing management involves observation for complications and administration of ordered medications. If the dislocation has involved a major joint, the patient will require the same care and assistance given to any other immobilized patient.
