Can anyone give a little history regarding nursing's involvement with nipple twisting or pinching in order to elicit a neurologic response? Approx. how long was it a part of our nursing assessment
? Appreciate any information on the subject.
Jul 26, '09
this has been discussed on an recently, apparently some docs still use it ....lol...the reason they do the 12 oclock to 12 oclock nipple twist is to check for response to central pain stimuli. they probably would do sternal rubs if ...if they only had one patient. but most of the trauma docs and neurosurgeons have 10-20 patients with profound neuro injuries and if they wont respond to voice.....well if they did 15 sternal rubs twice a day their knuckles would be sore as hell. difficult to operate on patients when it hurts to flex those fingers. so a 180 twist on the nipple or...the chest wall is the standard to check for central pain response to see if they withdraw or extend. otherwise they 'd be walking around with raw inflammed knuckles bc they not only have your 1 or two patients, but also every patient that lands in the er , every mva with a chi ....and every patient in the unit or the hospital that has a neuro incident. stay around long enough and you get desensitized to it, and keep in mind....they arent doing this if they respond to voice or touch...at least...i hooopppppeeee they arent...
this is a quote from "what you would like to tell a doc and get away with it" thread #142
Last edit by morte on Jul 26, '09