Methodology Article
Assessment of Knowledge, Attitude and Practice of Nurses’ Towards Physical Restraints for Critical Ill Patients in Orotta National Referral Hospital
Hisabu Kidane*,
Merhawi Habtemariam,
Rahel Tewelde,
Sulieman Mahmud,
Eyasu Habte
Issue:
Volume 5, Issue 1, September 2024
Pages:
1-12
Received:
3 April 2024
Accepted:
8 May 2024
Published:
20 August 2024
DOI:
10.11648/j.wjmcr.20240501.11
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Abstract: Background: Physical restraint can be defined as any act that avoids a person's liberated body change to a position of preference and, or regular evaluation to their body by the application of any technique, attached or adjacent to a person’s body that they cannot manage or remove easily. Inappropriate use of physical restraints may cause patients grave damage. Different studies informed that patients faced to physical restraints pass on due to pneumonia, constipation, and incontinence, as well as circulatory and respiratory problems. Critical care nurses should make correct decisions regarding use of physical restraints if they are to guarantee patient safety by the accountable nurse. Aim: the intention of this study was to assess nurses’ knowledge, attitude and practice; towards physical restraints use. Method: study design was a descriptive cross Sectional that used to assess knowledge, attitude and practice of nurses towards physical restraints in Orotta national referral hospital with self-administered questionnaire. Lastly data was analyzed using SPSS version 26. Results: the study was conducted among 100 nurses. 60% of the respondents were females and the median age of the study participants was 28 (IQR=6) years, with a minimum age of 21 and maximum age of 50yrs. Most of the study participants 31% had age of 25 or less years. Majority of them were diploma level and did not take any physical restraint related training 55% and 84% respectively. Except in recovery (12%) and adult ICU (27%) areas, the number of nurses in medical, surgical and adult was similar (each 20%). More than ninety percent (94%) of the study participants were not aware of the presence of guidelines regarding physical restraint in their work area. Conclusion: In this current study we concluded that, there was no correlation between knowledge and attitude and also between attitude and practice. But there was correlation between knowledge and practice. Those who have good knowledge can practice well. Nursing implication: By evaluating the current nurses’ knowledge, attitude and practice, this study will contribute recommendation on the frequent training of nurses on physical restraints and possible avoidance of it or safe practice.
Abstract: Background: Physical restraint can be defined as any act that avoids a person's liberated body change to a position of preference and, or regular evaluation to their body by the application of any technique, attached or adjacent to a person’s body that they cannot manage or remove easily. Inappropriate use of physical restraints may cause patients ...
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Case Report
Costal Amyloidosis: First Case in Literature
Gourti Mouad*
,
Mohammed Hachmi,
Imane Belfkih,
Fatimezzahra Ammor,
Mouhssine Makloul,
Maidi Elmehdi
Issue:
Volume 5, Issue 1, September 2024
Pages:
13-17
Received:
10 July 2024
Accepted:
31 July 2024
Published:
23 September 2024
Abstract: Amyloidosis is a heterogeneous group of diseases characterized by the extracellular deposition of amyloid proteins in various tissues and organs, which leads to significant morbidity and mortality. The most commonly affected organs include the kidneys, liver, spleen, heart, and nervous system, where the deposition of amyloid proteins disrupts normal function and causes a wide range of clinical manifestations. Involvement of osseous structures, particularly the ribs, is exceedingly rare and has not been extensively documented in the medical literature, making it a subject of significant clinical interest. This study aims to present a rare and fortuitously discovered case of costal amyloidosis in a patient who initially presented with a chest wall mass. The patient’s presentation, diagnostic workup, and subsequent management are detailed to provide a comprehensive overview of this unusual manifestation of amyloidosis. Clinical evaluation revealed a firm, non-tender mass on the chest wall, prompting further investigation. Biological analyses included a series of laboratory tests to rule out common differential diagnoses and identify potential systemic involvement. Radiological evaluation comprised of advanced imaging techniques, including chest X-ray, computed tomography (CT), and magnetic resonance imaging (MRI), which highlighted the nature and extent of the osseous involvement. A biopsy of the mass was performed, and histopathological examination confirmed the diagnosis of amyloidosis through the identification of amyloid deposits using specific staining techniques. The case also examines the evolutionary aspects of the disease, discussing the progression and changes observed over time through regular follow-ups. Therapeutic strategies were implemented based on the latest guidelines and tailored to the patient's specific condition, including both pharmacological and surgical interventions. The short-term and long-term outcomes of these interventions are analyzed, highlighting the challenges and successes encountered during the treatment process. By presenting this case, we aim to shed light on the rare occurrence of costal amyloidosis, its diagnostic challenges, and therapeutic considerations. This case underscores the importance of considering amyloidosis in the differential diagnosis of chest wall masses and contributes to the broader understanding of the disease's clinical spectrum. Additionally, it emphasizes the necessity of a multidisciplinary approach in managing such rare and complex cases, ensuring comprehensive care and improved patient outcomes.
Abstract: Amyloidosis is a heterogeneous group of diseases characterized by the extracellular deposition of amyloid proteins in various tissues and organs, which leads to significant morbidity and mortality. The most commonly affected organs include the kidneys, liver, spleen, heart, and nervous system, where the deposition of amyloid proteins disrupts norma...
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