Improving hand hygiene after neurological injury
Duke, L.; Gibbison, L.; McMahon, V.
Nursing Times 111(45): 12-15
2015
ISSN/ISBN: 0954-7762 PMID: 26665632 Document Number: 680658
Caring for hands tightened by spasticity after stroke, brain injury or other neurological conditions can be challenging for care staff. Opening and cleaning the hand, managing pressure areas, cutting nails and reducing pain becomes more complex if muscles are tight and short. Hand hygiene is key for staff but literature on patients' hand and nail care is lacking, so specialist education and care planning may be needed to help staff ensure these activities are done well. This article outlines the importance of maintaining patients' hand hygiene, explores the barriers to providing effective care and discusses how they might be overcome.