Indian Journal of Surgical Nursing

 With today’s critical nursing shortage, it is no surprise that there would be an increase in hospitalinduced pressure sores given the complexity of this issue. Although nurses may complain there is not enough time to get everything done due to an overwhelming workload. Equally important to consider is that proper treatment be implemented routinely and consistently in accordance with the institution’s policy and procedure manual. The responsibility ranges from the chief nursing officer to the bedside nurse to make sure treatment plans are implemented and evaluated. A skin care plan to prevent tissue injury in patients at risk for developing pressure sores and to promote wound healing in patients with existing breakdown must be developed. The staff must be involved in planning, implementing, and evaluating the skin care plan for it to be effective.

Keywords: Pressure Ulcer; Patient; Safety; Prevention.

 Onset of chronic illness requires adjustment in lifestyle in prolonging life and improves the quality of life. Patients with end stage renal disease are faced with complicated and demanding treatment regimen that include dietary and fluid restrictions and medication schedule and regular dialysis they can lead a near normal life provided that they have the good quality of life. Hence the investigator assessed the Quality of life of patients with chronic renal failure on regular hemodialysis in the different aspects of physical, physiological, psychological, social and spiritual, to assess the overall level of quality of life, and to associate the level of quality of life of chronic renal failure patients with selected demographic variables. A descriptive design was chosen to assess the quality of life of patients with chronic renal failure with the help of a standardized questionnaire, data was collected and analyzed using inferential statistics. The findings revealed that in physiological aspects 58% patients were in poor quality of life, in physical status 56% patients were in moderate quality of life, in psychological aspects 58% patients were in moderate quality of life, in social aspects 80% patients were in moderate quality of life, and in spiritual aspects 78% patients were in moderate quality of life. The study concluded that 92% of patients were having moderate quality of life, only 4% of patients were having poor quality of life and 4% of patients were having good quality of life.

 Deep vein thrombosis occurs frequently as a postoperative complication, particularly after orthopedic surgery and increasing number of patients were referred to the outpatient clinic of vascular surgery. The aim of study was to identify the incidence of deep vein thrombosis among post operative major orthopedic surgical patients and to find out the association between the incidence of deep vein thrombosis with the selected background variables. The result revealed that Out of thirty subjects 20% subjects belongs to 10-30 years, 16.7% belongs to 31-40 years, 20% belongs to 41-50 years, 30% belongs to 51-60 years and 13.3% belongs to 60-100 years. With regard to sex 50% were males and 50% were females. As per the number of post operative day 6.7% subjects belong to first postoperative day and 13.3% belongs second POD, 23.3% belong third POD and 26.7% belong fourth POD and 30% belong fifth POD. According to duration of hospital 6.7% belong to 0-7 days, 43.3% belongs to one week to two weeks, 40% belongs to three to four weeks and 10% belongs above a month. The incidence of DVT by using Autar scale among post operative orthopedic surgical patients shows that 3.3% people have the low risk, 46.7% have moderate risk, 50% people have high risk of deep vein thrombosis. The mean and standard deviation of assessing the risk of deep vein thrombosis among post operative orthopedic surgical patients where the mean value was 17.36 and standard deviation was 2.17. there is asignificant association between body mass index and the risk for deep vein thrombosis.

 An experimental study was conducted to assess the effectiveness of pre-operative teaching, on leg exercise and early ambulation, on post-operative recovery of the patient undergoing selected abdominal surgeries, in selected hospital of the Pune city. The research approach used for this was post- test only control group design. The total sample size was 60; experimental group 30 and control group 30. Tools and techniques used to collect data were Demographic data and observational checklist. The samples were divided randomly in experimental & control group. In experimental group preoperative teaching and demonstration on leg exercise and early ambulation was given and immediately re-demonstration was taken from patient. Postoperatively from 1st to 6th postoperative day, morning and evening observation for ability of performance and recovery was done in both groups. Analysis of data in both group revealed that preoperative teaching on leg exercise and early ambulation improves the postoperative ability of performance. It also promotes recovery by regaining independence, reducing pain, rapid wound healing, preventing complication, and reducing hospital stay.

 Background: External fixation is commonly used to correct bone and soft tissue deformities and fracture healing. Pin site infection is one of the most common and troublesome complication among patient with external skeletal fixator. It is important to impart knowledge on pin site care among external fixator patients. Aim of the study: To assess the effectiveness of structure teaching progrmme on knowledge regarding prevention of pin site infection among patient with external fixator. Methods: The study was conducted pre experimental –one group pre test and post test design was adopted .study was conducted in Hosmat hospital, Bangalore sample size was 60 by using non probability conveniences sampling technique. The structure questionnaire was used to collect the data. Results: The findings of the study revealed that the mean score of knowledge regarding prevention of pin site infection was 13.75 in pre test and 25.02 in post test the maximum score of 32. The paired t test was carried out and it was found to significant at P<0.001 level. Conclusion: The present study attempted to assess the effectiveness of structure programme on knowledge regarding prevention of pin site infection . it was found effective in improving the patient knowledge on regarding prevention of pin site infection among patient with external fixator.

Keywords: Structured Teaching Programme; Pin Site Infection; External Skeletal Fixator.