Carpal Tunnel Disorders

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    o Is nerve compression of the me

    nerve that passes through the

    tunnel of the wrist.

    Carpal Tunnel Syndr

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    Signs and Symptoms

    o Tingling, numbness, or burning

    sensation

    o Weakness

    o Pain

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    Causes

    o Anything that crowds, irritates or compre

    median nerve in the carpal tunnel space c

    to carpal tunnel syndrome.

    o In many cases, no single cause can be ide

    It may be that a combination of risk fact

    contributes to the development of the con

    Such as Anatomic factors, Sex, Nerve-d

    conditions, Inflammatory conditions,

    Alterations in the balance of body flu

    Other medical conditions.

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    Treatment

    Nonsurgical therapy

    If the condition is diagnosed early,

    nonsurgical methods may help improve

    tunnel syndrome

    oWrist splinting

    o !onsteroidal anti"inflammatory d

    #!SAI$s%

    o &orticosteroids

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    Surgery

    If your symptoms are severe or persis

    trying nonsurgical therapy, surgery m

    the most appropriate option.

    o'ndoscopic surgery

    o (pen surgery

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    NURSING DIAGNOSES

    o Pain related to pressure on median ne

    o Impaired physical mobility related

    neuromuscular impairment and pain.

    o $isturbed sensory perception tactile

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    Intervention

    o Assist the patient with hygiene if necessary be

    surgical correction and with postoperative dres

    after surgery.

    o Patients wearing wrist splints may need assist

    certain activities of

    daily living #A$)s%.

    o Assist the patient in e*ercising the hand+ encperformance of activities through physical ther

    o onitor the motion and sensation in the hand f

    surgery-check capillary refill, color, and sens

    fingers.

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    o 'ncourage movement of fingers after surgery.

    o onitor postoperative dressing for drainage.

    o '*plain to the patient

    o se, interactions, and side effects of ant

    inflammatory medications.

    o Proper use of wrist splints.

    o 'ncourage appropriate e*ercises.

    o se of ergonomic devices, such as wrist re

    keyboard trays for computer work.

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    Quiz

    /.What is &arpal Tunnel Syndrome0

    a. &ompression of the median nerve t

    passes through the carpal tunnel o

    wrist.

    b.!arrowing of the median nerve tha

    through the carpal tunnel of the w

    c.'nlargement of the nerve that pass

    through the carpal tunnel of the w

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    1. All are a nonsurgical therapy for &

    Tunnel Syndrome, e*cept0

    a. Wrist splinting

    b. &orticosteroids

    c. 'ndoscopic

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    2. What is a &arpal Tunnel and it

    purpose0

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    3. 4ive a !ursing Interventions for &ar

    Tunnel Syndrome #2%

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    Thank You