Patient Case Study

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Priority problem #1: safety; moderate risk of injury related to frequent episodes of numbness and weakness in the right arm related to possible signs of carpal tunnel syndrome
Interventions to reduce risks of injury
(1) Encourage the patient to diminish individualized risk factors that put her at risk for injury related to the symptoms of her carpal tunnels (numbness & weakness in right arm)

(2) Teach patient on ways of managing her symptoms during an acute episode to prevent the risk of developing an injury

Interventions and evidenced based rationales

(1) The patient has identified many factors in her life that can put her at risk for injury when she’s experiencing the numbness in her right hand and weakness. For
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During an episode, she can try do exercises suggested like squeezing hands in and out to try and relieve that pressure, which has proven to help alleviate the pain and restore sensation because, simple “exercise acts through many mechanisms to relieve pain: It enhances circulation and cardiovascular fitness, reduces edema, increases muscle strength and flexibility” to enhance her right arm’s physical function and prevent risk of injury. (Lewis et al., 2014, p. 174)
-If the nerve compression is caused by excessive swelling the patient can be instructed to use OTC NSAID if not contradicted to decrease swelling which will alleviate some of the numbness.
Priority problem #2: moderate pain related to persistent, progressive neuropathic pain in the right arm accompanied with numbness
Interventions to alleviate pain
(1) Teach patient to properly splint her right hand to help reduce pain to ease her activities of the daily living.

(2) Teach patient nonpharmacological strategies to manage pain

Interventions and evidenced based rationales

(1) By exposing the patient on how to properly splint her right arm and what to use it can enable the patient to preserve function in her right and reduce pain associated with pressure, “adaptive devices such as wrist splints may be worn to hold the wrist in slight extension to

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