Nursing care of hand injuries.doc

 PAGE \* MERGEFORMAT 6 Nursing care of hand injuries [Keywords:] hand injuries; Care Hand labor is an important organ, the larger the risk of injury, more refined hand anatomy, function specific, trauma can cause blood vessels, nerves, tendons, bone and joint damage, resulting in varying degrees of dysfunction, serious impact on the lives of patients and work. so superb surgical skills, good preoperative and postoperative care, the correct functional exercise is very important. According to statistics, the total number of hand injuries accounted for 40% of orthopedic emergency department, our department from 2007 to 2008, Statistics 254 cases of hand injury, the prognosis were ideal, now nursing care of the final report is as follows. 1 Preoperative care 1.1 The psychological care of patients seen because of heavy bleeding after injury, accident, abnormal tension, fear, worry about results of operations addition, resulting in anxiety, we give the injured arm wrapped in a timely manner to stop bleeding, it should also give sympathy and understanding, with a high responsibility to serve patients, explain treatment and patient prognosis, and to give relevant personnel and their families to do missionary hospital, sanitary disposal, hospital notes, understanding and support for families, and enhance a sense of confidence and security of patients, as far as possible so that patients out of fear, and enhance confidence in treatment. 1.2 supine position, the injured arm above heart level, on the one hand reduce the bleeding, the other benefit veins, lymphatic drainage, reduce swelling and to relieve pain. 1.3 The risk of symptoms of hand care and observation of skin color, temperature, sensation, capillary reflux, with or without swelling, movement, and note whether the ulnar artery pulse weakened or disappeared, and the pain, rich in nerve endings by hand, feel location of superficial nerves, blood vessels can cause severe spasm of pain, mood and bl