gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

Understanding adaptive experiences following hand injury: Supporting patients to manage their expectations

Meeting Abstract

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  • presenting/speaker Niall Fitzpatrick - Outpatient therapies, Royal London Hospital, Whitechapel, London, United Kingdom

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSHT19-1249

doi: 10.3205/19ifssh1527, urn:nbn:de:0183-19ifssh15271

Published: February 6, 2020

© 2020 Fitzpatrick.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.


Outline

Text

Objective: The effect of a traumatic hand injury on an individual can be wide ranging and include both physical and psychological dimensions. Managing the injury as well as expectations around recovery is often challenging. A study was completed to explore individuals' experiences of recovery.

Materials and Methods: A reflective lifeworld research methodology, with a longitudinal perspective, was used to gain patients' insights around the recovery process. Seven adults in full-time work were interviewed at three distinct time points following their traumatic hand injury. Many participants initially expected to make a full and speedy recovery. It was with this view that participants made decisions concerning ways of managing the rehabilitation programme and their usual day-to-day activities.

Results: This study highlighted that a reflective lifeworld research methodology with a longitudinal perspective afforded an opportunity to explore individuals' experiences while managing a traumatic hand injury. Looking closely into their lived experiences provided an opportunity to gain insights into the complexities participants experienced when making decisions about, for example, returning to work. The impact of the injury was wider ranging than they anticipated.

Conclusions: A greater level of information is required to increase patient understanding, to help manage their expectations following traumatic hand injury. To embed this learning within the general hand injured patient population, an infographic was developed for patient distribution.