Implementing a Tailored Approach for the Hand-Injured Patient: A Prospective Study on the Evolution of the Posttraumatic Psychic DistressTocco, Ilaria MD; Azzi, Mariafrancesca MD; Salini, Elena RN; Bassetto, Franco MDJournal of Trauma Nursing: October/December 2013 - Volume 20 - Issue 4 - p 178–183 doi: 10.1097/JTN.0000000000000009 Clinical Research Study Abstract Author Information Mutilating hand injuries are frequently associated with the development of psychic impairments such as posttraumatic stress disorder, depression, regression of the personality, and refusal of the disease. The psychic distress acts as a source of disability that outweighs the functional loss, causing impairments that may prevent a full recovery after the accident. The present study highlights the need for nurses to be familiar with the emotional response in the patients, to implement a specialized and comprehensive approach and detect stress points that may require early intervention. Clinic of Plastic Surgery (Drs Tussardi and Bassetto and Ms Salini) and Psychiatric Institute and Clinic (Dr Azzi), University Hospital of Padua, Padua, Italy. Correspondence: Ilaria Tocco Tussardi, MD, Clinic of Plastic Surgery, University Hospital of Padua, via Giustiniani n. 2, 35128 Padua, Italy (email@example.com). The authors declare no conflicts of interest. Copyright © 2013 by the Society of Trauma Nurses.