Indian Journal of Surgical Nursing

Buerger’s disease is a Nonatherosclerotic, segmental, recurrent inflammatory vasoocculusive disorder of the small & medium sized arteries, veins & nerves of the upper & lower extremities. Smoking or tobacco plays a central role in the initiation & progression of the disease. Initial symptom is pain typically begins in the extremities but may radiate to other part of the body. There is no laboratory or diagnosis test specific to Buerger disease. It is diagnosed on the basis on age of onset, history of tobacco use & clinical symptoms. There is a complete cessation of tobacco use in any form including second hand smoke also is only the prevention of Buerger’s disease.

Keywords: Thromboangiitis Obliterans Buerger’s Disease; Peripheral arterial disease

Esophageal and gastric varices are one among many complications of Cirrhosis of liver. It occurs in 1/3rd of patients with cirrhosis. First bleeding episode has mortality of 30–50%. Bleeding varices are due to structural changes in the liver from cirrhosis. Esophageal varices are a complex tortuous veins at the lower end of the esophagus, enlarged and swelled due to portal hypertension. Gastric varices are located in the upper portion (cardiac and fundus) of the stomach. Manifestations include hematemesis, melena, general deterioration and shock. Patients with varices must undergo screening endoscopy every two years. Management of bleeding varices includes emergency, therapeutic and prophylactic interventions.

Keywords: Esophageal varices; Variceal ligation and transjugular intrahepatic portosystemic shunt (TIPS).

Advances in the field of technology and sciences improved the patient care by using highly sophisticated machines. Application of these machines in the intensive care units created a serious problem that has been recently attracted much attention of the health care providers. The patients in ICU experiences a cluster of serious psychiatric symptoms named as ICU psychosis. ICU psychosis is also a form of delirium, or acute brain failure and is also known as ICU syndrome.

Keywords: Psychosis; Delirium; Sensory deprivation.

Diabetes is the third leading cause of death by disease, people with diabetics are prone to foot problem because of the disease can cause damage to the blood vessels and nerve. This in turn may result in decrease ability to sense trauma or pressure on the foot. So it is important to create awareness about foot care among diabetic patients. The present study was to assess the knowledge of foot care among diabetic patients visiting selected government hospitals in Puducherry. The qualitative approach was used for the study. The study reveals that 40 (66.66%) of the subjects are belongs to the moderately adequate knowledge about the diabetic mellitus and also states that the Ages, sex, education, marital status, habits, diet, family history, duration, availability of treatment are non-significant to knowledge on diabetic foot care.

Keywords: Knowledge; Foot care; Diabetic; Selected government hospital.