title: Improving hand hygiene after neurological injury.
abstract: 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.
authors.forename: Lynsay
authors.initials: L
authors.lastname: Duke
authors.forename: Lucy
authors.initials: L
authors.lastname: Gibbison
authors.forename: Victoria
authors.initials: V
authors.lastname: McMahon
mesh_terms: D000368:Aged; D001930:Brain Injuries / Q000150:complications*; D003428:Cross Infection / Q000517:prevention & control*; D005260:Female; D019983:Guideline Adherence; D006235:Hand Disinfection / Q000379:methods*; D063373:Hand Hygiene / Q000379:methods*; D006801:Humans; D009128:Muscle Spasticity / Q000188:drug therapy* / Q000209:etiology* / Q000451:nursing; D009465:Neuromuscular Agents / Q000627:therapeutic use*; D016896:Treatment Outcome
chemical_list: D009465:Neuromuscular Agents