Claire Dawson
A hospital sling is a device used to support and immobilize an injured arm, shoulder, elbow, or wrist during the recovery process. It is often utilized for injuries such as sprains, dislocations, tears, and fractures. When wearing a sling, individuals may require assistance with daily tasks and should be cautious when navigating stairs or performing activities that require balance. This paragraph will discuss the correct way to put on and utilize a hospital sling, ensuring comfort and promoting healing.
| Characteristics | Values |
|---|---|
| When to use a sling | After an injury or surgery, especially for sprains, dislocations, tears, or fractures |
| Purpose of a sling | To limit arm movements and aid healing by preventing further injury or strain |
| Self-care with a sling | Practice using your non-dominant arm for tasks like brushing teeth or bathing |
| Dressing with a sling | Wear clothes without fasteners (buttons/zippers) and slip-on shoes |
| Mobility with a sling | Cannot drive or ride a bicycle; use banisters for balance when navigating stairs |
| Daily activities with a sling | Avoid strenuous tasks; modify activities like eating or dressing to accommodate limited mobility |
| Precautions with a sling | Avoid activities that may compromise safety, such as falling or burning oneself |
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What You'll Learn
When to use a sling: sprains, dislocations, tears, and fractures
A sling is used to support and immobilize an injured arm or shoulder. It is designed to keep the arm bent and supported in front of the body, with the wrist slightly higher than the elbow, limiting arm movement to facilitate healing.
Sprains, dislocations, and tears are common injuries that may require a sling. For example, a rotator cuff tear can benefit from a sling as it heals. A sling can also be used after shoulder surgery to restrict arm movement and prevent further injury.
In the case of fractures, a sling is often necessary to immobilize the affected area and promote healing. A broken arm occurs when any of the three bones in the arm—the ulna, radius, or humerus—are fractured. The type of fracture will determine the treatment and recovery time. Most broken arms will exhibit visible symptoms such as swelling, discoloration, bruising, or a noticeable bump.
It is important to note that severe injuries or complete immobility may require an immobilizer instead of a sling. An immobilizer is similar to a sling but keeps the arm closer to the body and includes bands that wrap around the chest, arm, and wrist for additional support.
After an injury or surgery, it is common to need assistance with daily tasks such as washing up and dressing, especially while adjusting to wearing a sling. Practicing good self-care during this time is crucial, and adapting to using your non-dominant hand for tasks like brushing your teeth or bathing can be helpful. Wearing loose-fitting clothing and slip-on shoes can also make managing day-to-day activities easier.
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How to put on a sling
Wearing a sling is often necessary after an injury or surgery to limit arm movements and allow broken bones to heal. It is important to remain careful when wearing a sling, as your balance may be affected. When navigating stairs, always use the banister to keep yourself steady and safe. You may also need assistance with tasks that require lifting and pulling, such as making your bed or bringing in groceries.
To put on a sling, it is best to have someone assist you, especially if you are still in pain. The sling should be worn on the injured side of your body, supporting the arm, shoulder, wrist, or elbow. Ensure that the sling is snug and comfortable, limiting movement without being too restrictive.
If you are right-handed and your right arm is in a sling, practice using your left hand for tasks such as brushing your teeth or eating. Consider bathing with a sponge in your non-injured hand and wearing clothes that don't require fastening, such as buttons or zippers. Slip-on shoes are also easier than tying laces.
While wearing a sling, it is essential to avoid any activities that could be dangerous, such as driving or riding a bicycle. You should also avoid any strenuous activities that could hinder your recovery or cause further injury. Focus on resting and allowing your body to heal.
Remember to follow any specific instructions provided by your healthcare professional regarding the use and care of your sling for optimal healing.
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Adjusting to daily life: getting dressed, bathing, and cooking
Adjusting to daily life with a sling can be challenging, especially when it comes to getting dressed, bathing, and cooking. Here are some tips to help you navigate these activities:
Getting Dressed
Putting on clothes with a sling can be tricky, but there are ways to make it easier. Firstly, opt for loose-fitting or front-opening garments, such as shirts or blouses, as they are simpler to put on and take off. If possible, choose clothing that doesn't require fastening, like items without buttons or zippers. Remember to dress your upper body first and then place your injured arm into your clothes, ensuring it remains close to your body to limit movement. Finally, once you've dressed your upper body, place your arm back into the sling.
Bathing
Bathing can be a concern when wearing a sling, but there are ways to maintain your hygiene. You can remove your sling when bathing or showering, but always keep your injured arm close to your body to restrict movement. If you're showering, a detachable showerhead can help direct water away from your injured shoulder. Non-slip bath mats in the shower and on the floor outside the tub or shower can also enhance safety. You may find it easier to perform a strip wash, resting your injured arm on a table while you clean yourself. Drying off with a fluffy robe can be simpler than managing a towel.
Cooking
Cooking with one arm can be challenging, so planning is essential. Prepare meals ahead of time, or stock up on frozen, packaged foods that require minimal preparation. You may not be able to open cans or jars or handle fresh foods with one hand, so consider purchasing pre-cut or easy-to-prepare options. If possible, have groceries delivered or ask someone to pick them up for you. Remember to avoid any activities that could be dangerous, such as lifting heavy pots or pans, as you don't want to risk injury during your recovery.
General Tips
- Maintain correct posture while wearing your sling to ease pain and avoid stressing your shoulder.
- Practice using your non-dominant arm for tasks like brushing your teeth.
- If you have stairs, use the banister with your non-injured hand to keep your balance and prevent falls.
- If possible, have someone assist you with tasks like getting groceries and house cleaning.
- Consult with your doctor or physiotherapist for specific exercises to aid your recovery.
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Moving around: navigating stairs and keeping balance
When moving around with a sling, it is important to be cautious and take your time. Here are some tips for navigating stairs and keeping your balance:
Navigating stairs
If you are using crutches, it is important to practice using them on stairs before attempting to climb or descend a staircase. Here are some key points to keep in mind:
- Ensure that the staircase is clear of any hazards, such as toys or books, that could cause you to trip and fall.
- Check for handrails and whether they switch sides, as well as any curves in the steps.
- If there is a handrail, remove the crutch from the side that the handrail is on. For example, if the handrail is on your right, remove the crutch from your right hand.
- Hold onto the handrail with your free hand and ensure you have a good grip.
- To climb a step, push down on the crutch to transfer your weight and hop onto the step with your good leg. Then bring your injured leg up to join it.
- To descend, your injured leg should go down first, followed by your good leg.
- Take the stairs slowly and avoid climbing them in a fast-moving crowd.
If you are not using crutches and are allowed to place weight on your injured leg or foot, use a cane to help you navigate the stairs. Hold onto the railing with one hand and climb a step with your good leg, then follow with your injured leg, leaning on the cane for support.
Keeping your balance
To keep your balance with a sling, it is important to maintain your centre of gravity and avoid putting too much weight on your injured arm. Here are some tips:
- Keep your wrist elevated above your elbow in the sling. This will help prevent blood and fluid from pooling in your hand and wrist.
- Ensure the sling is fitted comfortably and is not putting undue stress on your neck or shoulder.
- Avoid putting any strain or weight on your injured arm.
- If you need to carry items, use your non-dominant hand or a backpack.
- Consider using a swathe, which is a cloth band that goes over the sling and across your chest or abdomen to prevent you from lifting your arm.
- Practise good posture by standing up straight and keeping your body aligned.
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Driving and getting around
While there are no laws prohibiting driving with a sling, it is not recommended. If you are involved in an accident, your insurance company may not cover the expenses, especially if your broken bone was a leading cause of the crash. It is best to check your insurance policy to ensure that there is no exclusion for medical conditions.
If you are taking pain medication, you should not drive. Additionally, if your doctor specifically says "don't drive", it is important to follow their instructions. Driving with a sling can be unsafe, especially if you need to react quickly to surprises on the road. It may be difficult to control the brake, gear shift, and other controls simultaneously with a sling.
If you have had shoulder surgery, your doctor will likely recommend that you do not drive for a minimum of four weeks. During this time, you can prepare by setting up carpools and stocking up on supplies. If possible, it is best to utilize public transportation or taxis, or ask a friend or family member for help with transportation.
If you choose to drive with a sling, ensure that you are competent and fit to operate your vehicle. Make sure you can easily access all vehicle controls and keep an arm on the wheel. Avoid distractions such as mobile phones, messy foods, and adjusting mirrors or music while driving.
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Frequently asked questions
First, you need to position the sling correctly. Ensure the fabric goes across your body and the sling's pouch is positioned at your elbow, with your arm bent at a 90-degree angle. Then, place your arm inside the pouch, ensuring your elbow is snug and supported. Finally, adjust the straps so the sling is secure and comfortable.
You will need assistance with tasks that require two hands, such as making the bed or bringing in groceries. You may be able to do some tasks one-handed as you heal, like vacuuming, but be careful to avoid anything too strenuous or dangerous. If you have stairs, be cautious when going up and down, as your balance may be affected.
You will need help with washing up and dressing, especially if your dominant arm is in the sling. Practice using your non-dominant arm for tasks like brushing your teeth. Wear clothing that doesn't require fastening, like buttons or zippers, and slip-on shoes. You won't be able to drive or ride a bicycle, so arrange alternative transportation.
