Indian Journal of Surgical Nursing

 Apotemnophilia, also known as body integrity identity disorder or amputee identity disorder, is most likely a neurologic disorder in which a person has the overwhelming desire to amputate healthy parts of their body. In extreme cases, sufferers amputate their own limbs or ask others to do this for them. Because few surgeons are willing to amputate healthy limbs, patients often attempt to irrevocably damage the limb in question themselves, necessitating formal amputation. After amputation, most report to being happy with their decision. Apotemnophilia is thought to be related to right parietal lobe damage, as the disorder has features in common with somatoparaphrenia, a type of monothematic delusion secondary to parietal lobe injury where the afflicted person denies ownership of a limb or an entire side of one’s body. The major problem in providing treatment is that most people with apotemnophilia do not seek professional treatment for their condition. Cognitive behavioral and aversion therapies have been tried. 

 Background and Objective: Pain is a ubiquitous experience for any individual; especially for a child. Distraction during painful procedures like veni puncture has been found to reduce child’s response to pain during venipuncture. The study was conducted to assess the effect of Kaleidoscope as a distraction tool on pain in children during venipuncture. Material and Methods: The design used for the study was True Experimental post test only design. The study was conducted among children between 3-12 years admitted in the paediatric ward and attending paediatric outpatient unit of Jipmer, Puducherry. Hundred samples who fulfilled the inclusion criteria were assigned randomly to experimental and control group.Kaleidoscope was shown to child and the care giver in the experimental group before the procedure and its functioning was explained. Then the child was allowed to look through the kaleidoscope during the procedure and the paid assessment was done using FLACC pain scale. The child in the control group underwent venipuncture without having kaleidoscope as a distractor and the pain was assessed using FLACC Scale. Results: The comparison of pain scores between the groups showed that mean pain score in the experimental group and in the control group was 5.46+1.581 and 6.36+1.439 respectively and the differences between the groups were found to be statistically significant (p<0.01).The study showed that pain was associated with the age of children undergoing venipuncture and not found to be associated with other variables. Conclusion: The study concluded that Kaleidoscope is effective as a distractor in reducing pain in children during venipuncture. This technique emphasizes the concept and importance of providing atraumatic care to children.  

 Background and Objective: Pain is a ubiquitous experience for any individual; especially for a child. Distraction during painful procedures like veni puncture has been found to reduce child’s response to pain during venipuncture. The study was conducted to assess the effect of Kaleidoscope as a distraction tool on pain in children during venipuncture. Material and Methods: The design used for the study was True Experimental post test only design. The study was conducted among children between 3-12 years admitted in the paediatric ward and attending paediatric outpatient unit of Jipmer, Puducherry. Hundred samples who fulfilled the inclusion criteria were assigned randomly to experimental and control group.Kaleidoscope was shown to child and the care giver in the experimental group before the procedure and its functioning was explained. Then the child was allowed to look through the kaleidoscope during the procedure and the paid assessment was done using FLACC pain scale. The child in the control group underwent venipuncture without having kaleidoscope as a distractor and the pain was assessed using FLACC Scale. Results: The comparison of pain scores between the groups showed that mean pain score in the experimental group and in the control group was 5.46+1.581 and 6.36+1.439 respectively and the differences between the groups were found to be statistically significant (p<0.01).The study showed that pain was associated with the age of children undergoing venipuncture and not found to be associated with other variables. Conclusion: The study concluded that Kaleidoscope is effective as a distractor in reducing pain in children during venipuncture. This technique emphasizes the concept and importance of providing atraumatic care to children. 

 Background: Bio medical waste (BMW) collection and proper disposal has become a significant concern for both the medical and general community. Effective management of biomedical waste is not only a legal necessity but also a social responsibility. Aims and Objectives:The present experimental descriptive studywas conducted to “a study to assess the effectiveness of planned teaching program on biomedical waste management among staff Nurses working in Dr. Vikhe Patil Memorial Hospital Ahmednagar”. The data were collectedby using the self-preparedstructured knowledge questionnaire. The results were analyzed and interpreted using descriptive, inferential statistics and Paired ‘t’ test. Results: Result revealed that Paired ‘t’ test of correlation analysis between pre test and post test scores shows that there is significant relationship (t; 12.04) which reveals positive relationship between variables. Hence it can be interpreted that the planned teaching programme on biomedical waste management is effective among staff nurses. Thus the stated null hypothesis (H02) was rejected.Conclusion: It is essential to raise awareness on biomedical waste management and its impact on health; and develop health seeking behaviors among the patients and improve the quality of life. 

 A study was conducted to assess the knowledge of mothers of under five children regarding protein energy malnutrition. The sample of this study comprised of 40 mothers. Convenience sampling technique was used to draw the sample for the study. Collected data was analyzed by using descriptive and inferential statistics. In present study the mothers mean value on types of protein energy malnutrition is 0.40 with the mean percentage of 40%. The mean value for the clinical features of protein energy malnutrition is 0.20 with the mean percentage of 20%. The mean value for the management of protein energy malnutrition is 0.29 with the mean percentage of 29%.