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Fitting a Jewett Brace - Hospital Visit
The Jewett brace is designed to give support to the thoracic and lumbar spine by preventing twisting and flexion (bending forward). It will keep the spine in the proper position while it is healing from surgery and/or injury. On average, most people wear the brace for 6 to 12 weeks.
Our Certified Orthotists are available for on-call hospital site visits, including fitting a Jewett Brace.
Please feel free to give us a call if your patient needs brace fitting services.
Donning Procedure
Step One
Move the wearer to the side of their bed. Position the front half of the Jewett brace while the wearer is on their back. The upper pad is 3 fingers lower than the sternal notch.
Step Two
With the wearer holding the front half of the Jewett brace, roll them, with knees bent and pillow between knees, towards the center of the bed. DO NOT let the wearer twist at the waist. Roll like a log, and keep their back straight (roll their chest, pelvis and legs all at the same time).
Step Three
Position the back pad of the Jewett brace around the wearer’s back and slide the buckle end under the opposite side of their body.
Step Four
With the wearer holding the Jewett brace in position, log and roll them onto their back.
Step Five
Pull the strap from the back piece and latch the plastic piece over the screw to lock it in place. Close the lever on the wearer’s left side to tighten the Jewett brace.
Checking the Fit
- Shoulders, trunk and hips should be in a neutral position.
- The Jewett brace should appear level and symmetrical.
- The Jewett brace should be snug on the wearer’s body.
Help Getting Out of Bed
1. Log roll the wearer onto their side.
2. Drop the wearer’s legs over the side of their bed and assist.
Help Getting Out of Bed
3. Assist the wearer into a sitting position, leaning onto the elbow and forearm on one side.
4. Lift the wearer’s legs onto the bed, staying in the side-lying position.
5. Log roll the wearer onto their back.
Washing & Skin Care
Pressure, moisture, heat and dirt can lead to redness and soreness of your skin. To avoid skin breakdown, keep the wearer’s skin clean, dry, and cool. If redness is noticed (that remains even after the Jewett brace has been off for 10-15 minutes) or skin breakdowns, alert the Orthotist.
At least once a day, remove the Jewett brace for cleaning. If there are instructions to wear the Jewett brace at all times, the wearer may remove it once daily to clean the Jewett brace and wash the skin.
- Prior to taking off the Jewett brace, gather necessary supplies: washbasin, soap, washcloth, and dry towels.
- Remove the Jewett brace as instructed.
- While washing the wearer’s skin, keep their trunk and hips straight and still. To wash their back, a log roll may be needed.
- Put the Jewett brace back on as instructed.
Cleaning the Jewett Brace
The Jewett brace may be washed with mild soap and water. Rinse and towel dry the Jewett brace before wearing it again.
Friendly Remember from Pentland's
- The wearer should not expect to be able to move in all directions or sit in all chairs. The Jewett brace is made to limit some motions and positions.
- Slightly reddened areas on the skin, near or under the Jewett brace, are normal for many people. If the redness does not dissipate after 10-15 minutes, the Orthotist may be called for adjustments.
- The wearer should avoid using creams, lotions, or oils on the skin near the Jewett brace.
- Any other problems or questions should be referred to the Orthotist, Nurse, Physiotherapist, or Occupational Therapist.
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