RESUMO
BACKGROUND: A professional nurse, employed mainly on gypsum cutting operations, developed a hand-arm vibration syndrome with Raynaud's phenomenon, neurosensitive disorders and impairment of the bone and joints apparatus of the hand and arm. METHODS: The nurse underwent diagnostic investigations (cold test, X-ray of the upper limbs, blood tests); also the vibration levels transmitted from instrument were measured and the exposure times were established. RESULTS AND CONCLUSIONS: Clinical investigations showed the presence of a hand-arm vibration syndrome with secondary Raynaud's phenomenon and environmental surveys revealed very high vibration levels, such as could be associated with the disease with a causal relationship. In the literature no reports exist of the vibration syndrome being associated with health care workers in orthopaedic departments. The case described in this study occurred because of peculiar organisational factors that most likely have never occurred in other hospitals or orthopaedic departments.
Assuntos
Traumatismos do Braço/etiologia , Moldes Cirúrgicos , Traumatismos da Mão/etiologia , Hipestesia/etiologia , Doenças Profissionais/etiologia , Enfermagem Ortopédica , Parestesia/etiologia , Doença de Raynaud/etiologia , Vibração/efeitos adversos , Traumatismos do Braço/diagnóstico , Traumatismos da Mão/diagnóstico , Humanos , Hipestesia/diagnóstico , Masculino , Pessoa de Meia-Idade , Enfermagem Ortopédica/instrumentação , Enfermagem Ortopédica/organização & administração , Parestesia/diagnóstico , Doença de Raynaud/diagnósticoRESUMO
Personal Digital Assistant devices are becoming a frequently used device for the bedside care of the patient. Ways of application are many, but limitations are also numerous. Input device and monitor resolution are limited by the device size. Moreover, the choice of specific programs and the amount of storable data are limited by the quantity of memory. During HandHealth project a system was developed using a different point of view. Personal Digital Assistant is only a means to access data and use functionalities that are stored in a remote server. Using that system patient ward note can be showed and collected on the handheld device but saved directly on the Hospital Information System. Medical images can be showed on the device display, but also transferred to a high-resolution monitor. Large amount of data can be dictated and translated by remote continuous speech recognition.