Certified Wound Ostomy Nurse (CWON) Practice Test

What are common challenges faced when managing total contact casting?

1. Frequent adjustments needed

2. Time-consuming application and monitoring

3. Requires advanced materials

4. Easy to manufacture

The correct answer is: Time-consuming application and monitoring

Managing total contact casting indeed poses several challenges, and one of the primary issues is that it can be time-consuming to both apply and monitor the cast. The application process requires careful attention to detail to ensure proper fit and function, which can be labor-intensive, especially in patients with certain conditions. Additionally, ongoing monitoring is essential to prevent skin breakdown, ensure optimal circulation, and assess healing progress. This commitment to time and care is critical, as complications can arise if the cast is not properly managed. While other tasks may involve frequent adjustments due to patient mobility or swelling, or the necessity of advanced materials that can increase cost or complexity, the time-intensive nature of total contact casting is one of the most significant challenges faced by clinicians in ensuring the best outcomes for patients.