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Related Concept Videos

Assessment of radial pulse01:11

Assessment of radial pulse

Assessment of Radial Pulse
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
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Assessment of blood pressure in brachial artery(one-step method)

This procedural guide systematically measures blood pressure using an oscillometric digital sphygmomanometer, emphasizing accuracy, patient safety, and comfort.
Prepare for the Procedure:
Pre-Procedural Guidelines for Assessing Blood Pressure01:10

Pre-Procedural Guidelines for Assessing Blood Pressure

Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the patient.
Special considerations while measuring blood pressure01:28

Special considerations while measuring blood pressure

When assessing blood pressure (BP), healthcare professionals must consider various factors and potential unexpected outcomes to ensure accurate readings and provide proper patient care. Adhering to these guidelines is essential to achieving the most reliable results.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Assessment of apical radial pulse01:25

Assessment of apical radial pulse

Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
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Assessment of the Cardiovascular System III: Palpation01:27

Assessment of the Cardiovascular System III: Palpation

Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above the...

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Capturing Representative Hand Use at Home Using Egocentric Video in Individuals with Upper Limb Impairment
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Measuring wrist and hand function: common scales and checklists.

A Hoang-Kim1, F Pegreffi, A Moroni

  • 1St. Michael's Hospital, University of Toronto, Institute of Medical Science, Toronto, Canada. amy.hoang.kim@utoronto.ca

Injury
|December 17, 2010
PubMed
Summary
This summary is machine-generated.

This study reviews patient-oriented instruments for assessing hand and wrist function. The Disability of the Arm, Shoulder, and Hand (DASH) questionnaire is recommended for its wide testing and responsiveness in various hand and wrist injuries.

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Area of Science:

  • Orthopedics
  • Rehabilitation Medicine
  • Health Outcomes Research

Background:

  • Hand and wrist disorders significantly impact patient well-being and health status.
  • Choosing standardized, patient-oriented instruments is crucial for reliable assessment of hand and wrist limitations.
  • This paper evaluates the quality of existing reviews on patient-oriented instruments for hand and wrist function assessment.

Purpose of the Study:

  • To assess the quality of published reviews on patient-oriented instruments for hand and wrist joint function.
  • To highlight features of commonly used scales that enhance reader confidence in instrument selection and application.
  • To provide recommendations for instrument selection in clinical practice and research.

Main Methods:

  • A literature search from 1950 to January 2010 identified relevant studies using MESH terms for hand and wrist injuries and outcome assessment.
  • Titles and abstracts (n=341) were independently screened by two reviewers.
  • The GRADE approach assessed the quality of ten reviews, and the COSMIN checklist evaluated clinimetric properties.

Main Results:

  • Three systematic reviews (moderate to high quality) were included, focusing on hand injury and wrist fracture outcomes.
  • Recommendations and overviews are provided for the Disability of the Arm, Shoulder, and Hand (DASH) questionnaire, QuickDASH, Michigan Hand Questionnaire (MHQ), Patient-Rated Wrist Hand Evaluation (PRWHE), and Carpal Tunnel Questionnaire (CTQ).
  • These instruments possess established measurement properties relevant for assessing hand and wrist function.

Conclusions:

  • The DASH is the most extensively tested instrument for patients with wrist and hand injuries.
  • The MHQ offers value for hand injuries, while the CTQ is most sensitive to clinical change.
  • DASH and MHQ are responsive for carpal tunnel syndrome; PRWHE shows good validity and responsiveness for wrist injuries, comparable to DASH.