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Category: injury

  • What All Nurses Should Have

    What All Nurses Should Have

    As a nurse, it is essential to have personal items to take good care of yourself. It has been said that nurses are like military personnel; not only do they work under pressure, but they also undergo physical stress (mishaps and injuries) on duty. We could also quite possibly, compare the physical side of this job to that of an athlete. That is, a lot of them keep “playing” even when they are injured.

    Bring these items with you whenever you head out onto the field:

    • Lotion

    You will most likely be in a dirty environment that is filled with germs and dirt. You can prevent your skin from getting dry by bringing a lotion bottle. It is also best to bring an unscented lotion since scented lotions can cause allergies, especially when dealing with patients with sensitive skin.

    • Foot massager

    Heel pain is common in nurses since they spend much time on their feet. You can use a foot massager to relieve the tension in your feet and lessen any chances of developing heel pain. A reputable massage equipment company will offer quality and reliable products.  Also, bring an ice pack along; it will be needed for sore muscles.

    • Quality, long-lasting, coffee mug with lid

    Coffee keeps you going during your shift, but if you drink from a paper cup, it can leave stains on your uniform and make the coffee taste bad. Bring a quality coffee mug with a lid to keep your clothes from getting dirty or stained and, most importantly, to keep your coffee hot or cold (whatever way you like it!).

    • Compression socks

    For added protection, bring a pair of compression socks with you. You can try these out before using them during duty hours, so you can determine if they are comfortable or not. This also prevents any possible injury that may occur due to wearing the wrong socks.

    • Stress ball or worry stone

    Easily carried stress balls are helpful for nurses who need to relieve some stress. They can be used at work or even at home, wherever you feel stressed. Worry stones, on the other hand, are smooth rocks that have soothing properties. Rubbing the smooth surface gives a calming effect for those who worry too much, and it can even help you fall asleep. It’s a must-have if you feel anxious about work or family life.

    • Tissues and hand sanitizer (for easy access)

    You need these items at all times to prevent bacteria from spreading to patients and yourself. You can get these items in small travel packs.

    • Healthy snacks

    You don’t want to get caught out during your shift without snacks, especially if you feel weak or tired due to a lack of food. Choose foods that can give you lots of energy, but make sure they are healthy—you don’t want too much sugar! Foods like peanut butter and crackers, cereal bar, or trail mix are all great choices.

    What do nurses need most right now?

    During the COVID-19 pandemic, all nurses need more:

    1. Surgical masks
    2. N95 respirators
    3. Face/eye shields
    4. Gloves
    5. Cleaning supplies
    6. Hand sanitizers
    7. Viral testing swabs

    How do you thank a staff nurse?

    The best way to say thank you to a nurse or healthcare professional is to remember them!

    Nurses are some of the hardest working people in society; without their tireless work, many patients would not be able to receive treatment. One nurse said that there are certain things that he wished all people knew about being a nurse. Here are his thoughts on how you can thank a nurse and what they wish you knew:

    Nurses should never get taken for granted. This is probably true for any profession, but I think nurses get the short end of the stick sometimes because we typically don’t take up as much space or draw attention to ourselves like doctors do (most of the time). So make sure to always say hello and ask how we’re doing (and actually listen when we reply, don’t just pretend like you care and walk away).

    Another thing, every time I get into a patient’s room and introduce myself, I always hear some variation of the following: “what kind of doctor are you?” or “are you a nurse practitioner/physician assistant?” The answer is no. I am not any of those. We’re nurses. Please just call us by our name. Unless we go out of our way to tell you otherwise, assume we are nurses. Our degrees can be from less competitive programs, so it may take us longer to advance in our field, but that doesn’t make us any worse at what we do for your loved one here in the hospital with you today.

    When someone needs help, nursing students step up to the plate and give whatever resource they can to ensure the patient gets their care (and at great cost financially and emotionally for themselves). The nurse should be thanked for showing up every single day. We don’t get to pick our shifts, we take what is given to us. I’ve even had my name put on a cancellation list because someone else didn’t want the shift that was assigned (never mind that I was in school full time at the time so I couldn’t just drop everything for them if they called me in last minute or needed help with something outside of my scheduled hours). I’ve also worked in the ER where sometimes our days are booked solid from 6 am-6 pm without a break unless you count your meal breaks, which are at best 30 minutes long.

    It’s easy to forget that in addition to taking care of your loved one the nurse has other patients and families relying on them. We don’t get paid any extra when we have more than our fair share of work, there are just less nurses working in the hospital every day so it falls on us to do more work without being able to go home until all our tasks are completed for the day.

    The last thing that I want people to know about this profession is that no matter how long or short a shift might be, I always try my best, even if I’m not feeling well, or am extremely busy with other tasks, etc. Nurses will come up with creative ways to make sure you get your medications on time or help you to the restroom and do it safely without hurting yourself in the process. It’s actually pretty amazing but we don’t get enough credit for all that we do. I just want people to know that when you see a nurse, whether it be your nurse or someone else’s, thank them for their work. It makes our day go just a little bit smoother.”

    What every nurse should have in their bag

    1. Stethoscope
    2. Books
    3. Scissors and Micropore Medical Tape
    4. Lotion and Hand Sanitizer
    5. Six saline flushes
    6. Retractable pens
    7. Sanitary items – gauze, sterilized mask and gloves, cotton balls
    8. OTC pharmacy items (cold medicines, ibuprofen, and other emergency meds)
    9. Small notebook – for taking notes from doctors and observations of your patients.
    10. Thermometer
    11. Tongue depressor
    12. Tourniquet
    13. BP apparatus
    14. Watch with seconds hand

  • How to Determine if Its Muscle or Bone Pain

    How to Determine if Its Muscle or Bone Pain

    For many people, it is sometimes difficult to distinguish between bone and muscle pain as they usually affect similar areas of the body and have similar degrees of intensity. In general, pain in bones will feel sharper, deeper, and more debilitating than muscle pain.

    Initially, the best suggested course of action would be to schedule an appointment with a health care professional first before determining what type of “pain” you are experiencing and thus deciding on what therapy will best suit the needs of the injury.  

    The health care pros that might choose to go through a “Movement Science” program are prepared for the work as well as the many challenges facing patients with chronic pain in either the muscles, bones or nerves. Academic preparation in this field provides a foundation for a wide range of careers in fields including, but not limited to, exercise physiologists, personal trainers, fitness managers, worksite wellness coordinators, physical therapists, physical therapist assistants, athletic trainers, and group exercise instructors. A good program will meet the needs of both students seeking career training programs leading to an industry-accepted credentials/certificates (for physical therapy assistants) and those seeking to transfer to a four-year institution (for physical therapy or orthopedics).

    The American Academy of Orthopedic Surgeons reports findings that the most common causes of fractures are: 

    Osteoporosis is a “porous bones” disease that is more common in older adults, with causes that include hyperthyroidism, menopause, cancer treatment with anticancer drugs or radiation, and a family history of osteoporosis. However, it is not necessarily painful unless and until a collapsed vertebra or a fracture occurs.

    Most do not show symptoms, so watch out for early signs of:

    • Severe pain in the back
    • Height loss
    • Hunched or stooped posture
    • Bone injury caused by bruising or minor falls

    Trauma that results from a motor vehicle accident, a sports injury, or a hard fall.

    Bone stress also termed a stress fracture is caused by over usage of a muscle.

    Symptoms of fractures:

    • Intense sharp pain at site of injury
    • Inability to move injured area
    • Bruised
    • Deformity 

    Difference between bone pain and nerve pain

    There is not a direct test that will be able to tell what the difference is between muscle, skeletal, or nerve pain. Health pros such as physical therapists have ways to decipher the difference during an assigned exercise or activity.  

    Nerve – burning or stinging sensation that could be isolated or spread to other parts of the body during activity and is usually accompanied by a loss of strength, coordination, or sensation.

    Skeletal – pain usually occurs while doing weight bearing activities, sudden movements, or sustained inactivity and can be sharp, dull, pressure, or throbbing. If it is a fracture, pain is typically sharp, while it may be dull and achy should it be a bruise on the bone.  Pain could be caused by disorders of bones, joints, muscles, tendons, ligaments, bursae, or a combination.

    Muscle – sharp, tear or pulling sensation which occurs throughout the range of motion or during the transition from inactivity to activity. Muscle trauma usually results in impaired function, weakness, instability, or loss of coordination.

    Muscle injuries are most common in athletes or those involved in high demand sporting activities. However, they could happen as a direct result from a fall, or an external force such as a tackle or a vehicle accident. 

    Muscle injury symptoms:

    1. Stinging pain that may become duller over time
    2. Soreness
    3. Swelling or inflammation
    4. Redness
    5. Impaired movement at site of injury

    Muscle injuries are usually determined by physical exam and may require imaging tests such as an ultrasound or an MRI. Treatment involves cold or heat therapy, physical therapy, exercise, and light stretches (if tolerable), as well as over-the-counter pain relievers and plenty of rest.

    Fibromyalgia is a type of muscle pain that causes widespread intense pain across the body, affecting sleep habits, which could and does cause mental as well as emotional distress.

    Tendon and ligament pain is often less intense than bone pain and is worse when the affected tendon or ligament is stretched or moved, usually relieved by rest. 

    Bursae pain can be caused by trauma, overuse, gout, or infection. Bursae are small fluid-filled sacs that provide a protective cushion around joints. Usually, pain is worse with movement involving the bursa and is relieved by rest. 

    Joint pain (called arthralgia) may or may not be related to joint inflammation (called arthritis). Arthritis may cause swelling as well as pain. A wide variety of disorders can cause arthritis, including inflammatory arthritis (such as rheumatoid arthritis), osteoarthritis, infectious arthritis, gout and related disorders, autoimmune disorders and vasculitis disorders, osteonecrosis , and injuries affecting the part of a bone inside a joint. 

    Arthritic pain can be new (acute, for example, when caused by infections, injuries, or gout), or longstanding (chronic, for example, when caused by rheumatoid arthritis or osteoarthritis). Pain resulting from arthritis is typically worse when the joint is moved but usually is present even when the joint is not being moved. Sometimes pain originating in structures near the joint, such as ligaments, tendons, and bursae, seems to be coming from the joint.

    Some musculoskeletal disorders cause pain by compressing nerves. These conditions include the tunnel syndromes (for example, carpal tunnel syndrome, cubital tunnel syndrome, and tarsal tunnel syndrome). The pain tends to radiate along the path supplied by the nerve and may be burning. It is usually accompanied by tingling, numbness, or both.

    Sometimes, pain that seems to be musculoskeletal is caused by a disorder in another organ system. For example, shoulder pain may be caused by a disorder affecting the lungs, spleen, or gallbladder. Back pain may be caused by a kidney stone, abdominal aortic aneurysm, inflammation of the pancreas, or, in women, pelvic disorders. Arm pain may be caused by a heart attack (myocardial infarction).

    Again, please remember to always consult a physician or health care provider before determining your source of pain or course of action.

  • Lymphedema Products

    Lymphedema Products

    Lymphedema treatments include:

    1. Exercises 

    Light exercises that move the affected limb may encourage fluid drainage and help prepare the body for everyday tasks. The exercises should not be strenuous or tiresome but should focus on gentle contraction of the muscles.

    • Wrapping the affected limb

    When the entire limb is bandaged, it encourages lymph fluid to flow back toward the trunk of the body. Bandages should be tightest around fingers or toes and loosen as it moves up the arm or leg.

    • Massage

    A special massage technique called manual lymph drainage may encourage the flow of lymph fluid out of your arm or leg. Additional various massage treatments such as massage guns or massage chairs may be helpful as well. Make sure to contact a physician before deciding on which techniques work best.

    • Pneumatic compression 

    Includes a sleeve that is worn over affected arm or leg that will connect to a pump that sporadically inflate the sleeve, putting pressure on the limb to move lymph fluid away from fingers or toes.

    • Compression garments

    Long sleeves or socks made to compress the arm or leg to encourage the flow of lymph fluid out of affected area. 

    • Complete Decongestive Therapy (CDT)

    This approach involves combining therapies with lifestyle changes. CDT is not usually recommended for people who have high blood pressure, diabetes, paralysis, heart failure, blood clots or acute infections. Check with a physician.

    Is massage good for lymphedema?

    Massage treatment can benefit a patient with lymphedema. Although, deep tissue massage could potentially be too heavy for someone with lymphedema.  There are certified lymphedema therapists (CLT) and, some physical or massage therapists have had oncology and pathology training.

    Lymphedema refers to an accumulation of lymphatic fluid within one area, also known as swelling.  Gentle massage encourages movement of lymph fluids throughout the body in a specialized lymphedema massage.

    One solution may also be to look into massage chairs as an alternative therapy that could save time and money over the long haul.  A good massage chair should be designed to provide some measure of pain relief and relaxation without the need for person-to-person interaction and, some have the option of controlling the intensity. Some people would agree that opting to go with a massage chair as a potential means to ease their chronic pain allows the user to get a massage in the privacy of their home, on their time, and on their own schedule.   

    Massage therapy increases endorphin levels – conceivably the most valuable aspect of massage. Endorphins are the ‘feel good’ chemicals that run through the body, increasing their levels, inducing positive results. Among other benefits, increasing endorphin levels has been associated with swifter recovery, reduced pain and reduced anxiety. 

    While more research is needed to confirm the benefits of massage, studies have found massage may also be helpful to:

    1.         Lessen depression and anxiety

    2.         Enhance immunity by stimulating lymph flow

    3.         Improve the condition of the body’s largest organ—the skin

    4.         Increase joint flexibility

    5.         Pump oxygen and nutrients into tissues and vital organs, improving circulation

    6.         Paresthesia and nerve pain

    7.         Reduce spasms and cramping

    8.         Release endorphins—amino acids that work as the body’s natural painkiller

    9.         Arthritis

    10.       Relieve migraine pain 

    Why does massage help lymphedema?

    Lymphatic drainage is a specialized, gentle type of medical massage. It may be used as part of your lymphoedema treatment. The aim is to encourage the lymph fluid to move away from the swollen area, so it can drain normally. It also helps lymph fluid drain through the healthy lymph vessels.

    The fluid in the lymphatic system helps remove waste and toxins from bodily tissues. Some health conditions can cause lymph fluid to build up. Lymphatic drainage massages can benefit people with lymphedema, fibromyalgia, and other conditions.

    People can develop lymphedema as a result of infections, cancer treatments that involve the removal of lymph nodes, and any condition that damages the lymphatic system.

    Lymphatic massage can reduce swelling and improve circulation throughout the lymphatic system. Lymphatic massage usually forms part of a treatment program called decongestive lymphatic therapy (DLT).

    Lymphatic drainage massage can benefit people who are experiencing the following:

    1. Lymphedema
    2. Fibromyalgia
    3. Swelling or edema
    4. Skin disorders
    5. Fatigue
    6. Insomnia
    7. Stress
    8. Digestive problems
    9. Arthritis
    10. Migraine episodes

    Negative Effects of Massage Therapy on Lymphedema

    If massage therapy is applied to lymphedematous tissues, an increase in swelling may result. Massage causes an increase in arterial blood flow where applied, resulting in more water accumulating in those spaces. Due to mechanical insufficiency inherent in lymphedema, the lymphatic system will not be able to manage the additional water load. 

    Research shows that, depending on the severity of symptoms, some sufferers may initially experience some pain from the massage. However, it is essential to note that healing is a process; massage therapy will produce the sought-after long-term positive results with some patience. Steadily increased pressure over time is an ideal protocol. Premium massage chairs for home use would provide the ease and frequency of access as well as pressure control, which would be a perfect option for many who suffer.  

    Talk to a healthcare provider first before considering massage for lymphedema; ask about the number of treatments that might be needed, the cost and type, and the insurance coverage if any.  Despite its benefits, massage is not meant to replace regular medical care, and be sure to follow any standard treatment plans already in place.