Plastic surgical nursing : official journal of the American Society of Plastic and Reconstructive Surgical Nurses
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The specialty of hand therapy was developed in response to advances in surgical techniques that enabled greater functional restoration of injured and diseased upper extremities. Such restoration requires the therapeutic intervention of a skilled, specialized practitioner who is able to integrate the principles of rehabilitation with these surgical interventions (Chai, Dimick, & Dasach, 1987). This article will provide a general overview of hand therapy as practiced by one midwestern institution.
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The hand dressing is a vital part of postoperative care and treatment of hand injuries. Changing a hand dressing can be a frustrating and traumatic experience for the patient and the person changing the dressing. By applying the basic principles and following the steps found in this article, changing a hand dressing becomes a simple procedure that facilitates healing.
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Practice Guideline Guideline
American Nurses Association position statement on promotion of comfort and relief of pain in dying patients.
Nurses should not hesitate to use full and effective doses of pain medication for the proper management of pain in the dying patient. The increasing titration of medication to achieve adequate symptom control, even at the expense of life, thus hastening death secondarily, is ethically justified.