LOGIC March 2018 Vol 17 Vol 1 - Page 37

MANAGING COMMON HAND INJURIES Liz Wyllie, RN, Orthopaedic Outpatient Department, CDHB, Christchurch Annie Tyldesley, RN DOHN Msc PGcert, Family Nurse Specialist, Temuka Most of us agree that hands are an important part of human anatomy and, as healthcare providers, having an understanding of how hand injuries are caused, diagnosed, treated and rehabilitated enables us to provide the appropriate support to our patients/clients. It also enables us to identify problems when they arise and assess the effects of the casts when needed. This article will explore the way to manage bony hand injuries from assessment to healing, including the different types of casts used in the Christchurch Hospital Bone Shop. Liz Wyllie - I trained in the UK and have been an RN for 35 years. For most of my career I have worked in emergency nursing; in the UK, Bermuda and NZ. While working in this area I developed an interest in orthopaedics and casting and after moving to New Zealand in 2001, and working in the ED for 6 months, I transferred to the Bone Shop where I have worked ever since. I apply casts and splints to acute injuries, follow-ups and congenital conditions and in the OR applying casts when required. I work closely with the hand therapists and surgeons when treating hand and finger injuries and am keen to encourage treatments that ultimately result in good hand function. Annie Tyldesley: I trained in the UK and worked in orthopaedics, trauma and emergency nursing before travelling and working abroad. I specialised in Occupational Health in the UK and emigrated to New Zealand in 2002. Since then I have worked mostly in the community/primary healthcare, currently as a Family Nurse Specialist. As a general specialist I offer the full range of care to patients of all ages, cultures and conditions. I also support my nurse colleagues in their professional development. Introduction. Bony hand injuries are caused in many ways; crush injuries, falls, sports injuries, improper use of tools, blunt force trauma, etc. March 2018 L.O.G.I.C They can occur in the home, at recreation, at work, anywhere. 35