Ramirez Elda G, Hoyt K Sue
Emergency/Trauma NP Specialty, The University of Texas Health Science Center at Houston (Dr Ramirez) and St. Mary Medical Center, Long Beach, California (Dr Sue Hoyt).
Adv Emerg Nurs J. 2014 Jan-Mar;36(1):9-21. doi: 10.1097/TME.0000000000000001.
More than 140,000 hand injuries occur yearly, and an estimated 5 days of loss of work per patient occurs (Bureau of Labor Statistics, 2012). Advanced practice registered nurses (APRNs) are responsible for managing many of these injuries in primary and emergency care settings. Hand injuries are responsible for approximately 10% of all emergency department visits annually (P. Shayne, S.H. Plantz, & F. Talavera, 2012). This article reviews approaches to the assessment of the patient with a hand injury and establishes a process for basic identification of the hand structures and function. Approaches to history taking and specific evaluations for the hand will be discussed and examples of the assessments will be provided. Diagnostic approaches to support physical findings will be discussed, and methods of radiologic assessment will support the audience in making appropriate diagnosis in relation to hand injuries. This is Part I of a three-part series that will validate the approaches to hand assessment for adults and children and identify specific injuries and their management for the APRN.
每年发生超过14万例手部损伤，据估计每位患者会损失约5个工作日（美国劳工统计局，2012年）。高级执业注册护士（APRN）负责在初级和急诊护理环境中处理许多此类损伤。手部损伤约占每年急诊科就诊病例的10%（P. 谢恩、S.H. 普兰茨和F. 塔拉韦拉，2012年）。本文回顾了手部损伤患者的评估方法，并建立了手部结构和功能基本识别流程。将讨论病史采集方法和手部的具体评估方法，并提供评估示例。将讨论支持体格检查结果的诊断方法，放射学评估方法将帮助读者对手部损伤做出适当诊断。这是一个三部分系列文章的第一部分，该系列将验证成人和儿童手部评估方法，并为APRN识别特定损伤及其处理方法。
