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International Journal of Advances In Case Reports

Volume 11, Issue 1, 2024
Mcmed International
International Journal of Advances In Case Reports
Issn
XXX-XXXX (Print), 2349 - 8005 (Online)
Frequency
bi-annual
Email
editorijacr@mcmed.us
Journal Home page
http://mcmed.us/about/ijacr
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Abstract
Title
“NURSE’S CRAMP”: MEDIAN NEUROPATHY AT FOREARM LEVEL RELATED TO TABLET DOSAGE FROM BLISTER PACKS
Author
Jørgen Riis Jepsen
Email
jorgen.riis.jepsen@rsyd.dk
keyword
Median nerve, Nurses, Nerve entrapment, Work-related upper limb disorders.
Abstract
Calculating the number of tablets or capsules to administer to patients is one of the most common tasks that a nurse is required to make. Home care and nursing home staff may dose tablets for clients for up to two hours per day. An increasing proportion of tablets are dispensed in blister packs. Three patients with “nurse’s cramp” related to this task are presented. The patients were referred to a department of occupational medicine due to volar forearm and hand pain related to tablet-dosing from blister packs. A detailed physical examination including a neurological assessment was performed. The physical examination revealed minor pareses of median nerve-innervated muscles, mild sensory deviations in the median nerve territories and mechanical allodynia with palpation of the median nerve trunk at the proximal forearm. The physical findings are in accordance with a median nerve entrapment on forearm level. The symptoms in all three patients were relieved by nerve mobilization and reduced exposure.
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