About
Compression of a nerve in the hand due to excessive, repetitive use and inflammation.
Assess
Phalen's test, assess for pain in the hands, radiation of pain; numbness or tingling; assess length and extent of use of hands for work or repetitive tasks.
Complications
Chronic pain
Surgery- may need surgery to repair damage and relieve painful symptoms.
Diagnosis
Chronic pain related to pressure on median nerve in hand
Goals
- The client will have pain levels less than 4 on a zero to ten scale.
- The client will demonstrate techniques to reduce strain on joint.
Interventions
- Assess client's pain level on a scale of 0 to 10, 0 being none and ten being the worst imaginable.
- Assess activities that place client at increased risk of repeated injury or impaired rehabilitation ( keyboarding, repetitive hand exercises as in golf, racquetball)
- Teach client exercises and immobilization techniques ( night splinting) to help rehabilitate hand and prevent further injury.
- Administer NSAIDS, analgesics, etc. as ordered.
- Teach client to take NSAIDS with food to prevent gastrointestinal upset.
- Assist physician with interventions, as needed, to improve pain levels ( i.e. corticosteroid injections, splinting)
- Monitor for signs/ symptoms of complications.
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