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7/21/2019 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