OCC Pediatric & Special Population Casting Flashcards

Which modification is typically made when casting an elderly patient with osteoporotic skin?

Answer: Increased padding and lower circumferential pressure

Elderly patients have fragile, atrophic skin prone to tearing and pressure injury, requiring extra padding and careful tensioning.

In a patient with a spinal cord injury who lacks sensation, the primary casting concern is:

Answer: Pressure injury that the patient cannot feel or report

Lack of sensation means pressure sores can develop silently; aggressive padding and very frequent skin checks are mandatory.

When casting a pregnant patient, which body position is recommended during the procedure?

Answer: Left lateral tilt or left lateral decubitus to prevent aortocaval compression

After the first trimester, supine positioning can compress the inferior vena cava; a left tilt maintains cardiac output.

For obese patients requiring lower extremity casting, which casting consideration is most important?

Answer: Using stronger fiberglass layers and ensuring adequate support to prevent cast breakage

Increased body weight places greater mechanical stress on the cast; additional fiberglass layers and structural support prevent early cast failure.

A child is very anxious and uncooperative during casting. The BEST approach is:

Answer: Involve the caregiver, explain each step simply, and work calmly and efficiently

Caregiver involvement, age-appropriate explanations, and a calm demeanor reduce anxiety and improve cooperation without restraint or medication.

Which feature of a pediatric hip spica cast requires specific skin care instructions for parents?

Answer: The perineal opening must be kept clean and dry to prevent skin breakdown

The perineal area is prone to soiling and maceration in a spica cast; parents must receive detailed hygiene instructions to prevent infection.