Article

Complex regional pain syndrome
(CRPS) is relatively a common condition in the distal radius fracture (DRF)
population with the effects resulting in many sufferers experiencing persistent
pain and impairment 2 to 6 years after onset. Prevention is desirable as there is
no known proven cure. PURPOSE : This study demonstrates how knowledge
about CRPS and its prevention generated through iterative studies can be
translated into practice in the workplace and how an interdisciplinary community
of practice with therapists at the core can effect change. METHODS: A series of
practice changes were introduced including a patient information leaflet, a local
gold standard for care of DRF, education for staff regarding risk factors and
early warning signs of CRPS, and simple patient and staff visual aids. RESULTS:
The incidence of CRPS was reduced from 25% to 1% in the DRF population at the
study site, and collaborative care pathways were ingrained onto the working
culture. DISCUSSION: The process of learning together fostered the development of
an interdisciplinary team with therapists acting as CRPS champions.
Interdisciplinary team reflective practice facilitated simple but effective
interventions, which reduced the incidence of CRPS in DRF population locally. It
is not yet known whether this is transferable. CONCLUSIONS: Simple interventions
can have a significant impact on the incidence of CRPS in a community of practice
where a culture of team reflection and shared learning occurs.
CI - Copyright (c) 2018 Hanley & Belfus. Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS