Indian Journal of Surgical Nursing

Early exclusive breast feeding and close contact help infants to thrive, promote sensory and cognitive development, protect the infant against infectious and chronic diseases, and lower infant mortality from diarrhea, pneumonia, or other common childhood illnesses (WHO). It is still unclear, whether the vertical transmission of SARS-CoV-2 can occur from mother to child. Breast feeding decisions for women with COVID-19 must counter balance the risk for infection to the infant with the known health benefits. Even in the communities where, COVID-19 is prevalent, mothers can breastfeed because it improves not only the survival and lifelong health and development advantages to newborns and infants but also improves the health of mothers.COVID-19 virus has not been found in breast milk, no samples of amniotic fluid, breast milk, cord blood, or neonatal pharyngeal swabs tested positive. Hence women can start to breast feed when she feels well enough to feed her baby. According to the CDC, it may be wise for the mother with COVID-19 and her infant to be in separate rooms until the mother’s transmission-based precautions are discontinued. Mothers should follow infection prevention measures, such as washing hands, cleaning surfaces, sneezing or coughing into a tissue while feeding the infant.

Keywords: Breast Feeding; COVID 19; Mother and breast feeding.
 

Extracorporeal membrane oxygenation (ECMO) is a revamping techniques of conventional cardiopulmonary bypass which provide cardiopulmonary support. It is a form of extra corporeal life support when the persons heart and lungs are fail to provide gas exchange and circulation. In this system a cannula is placed in a large vein which
carries deoxygenated blood from patient to a gas exchange device where blood enriched with oxygen and returned to the patient through other circuit. ECMO does not a definitive treatment option for the underlying disease, but it provides physiologic cardiopulmonary support to reversible aspects of the disease process and it promote recovery.
Currently the indications for ECMO support ranging from acute respiratory failure to acute cardiac failure when patient is unresponsive to conventional treatments and using it for wide patient subsets involving neonates to adults.1 The modes of support are either veno-venous or veno-arterial ECMO.

Keywords: Extracorporeal Membrane Oxygenation; Physiology; Venous–Arterial ECMO; Venous–Venous extracorporeal membrane oxygenation; Oxygenation.
 

“A study to assess the effectiveness of ice pack application on pain and inflammation response during intravenous cannula insertion among patients admitted in Government General Hospital, At Puducherry.”
Intravenous fluid therapy is an invasive procedure which may increase the risk of patient complications. One of the most common of these is phlebitis, which may cause discomfort and tissue damage. Therefore, a nursing intervention is needed to effectively treat phlebitis. The purpose of this study was to investigate the effectiveness of applying a warm compression intervention to reduce the degree of phlebitis. A quasi-experimental study with nonequivalent control group pre-test-post-test design was used for the study with objective to compare the efficacy
of cold application in relieving phlebitis among patients receiving intravenous therapy. Convenient sampling technique was used for selecting 30 patients having phlebitis; phlebitis was assessed using visual infusion phlebitis scale. The findings of the present study suggest that ice pack application was effective on phlebitis.

Keyword: Intravenous therapy; Ice pack application; phlebitis.
 

Restless Legs Syndrome (RLS) is a disorder related to some neurological dysfunction.Inwhich an individual suffers severe impulses to shake their legs from left to right. They always experience a very discomfort sensation in their legs when theyremain still. People who are suffering from Restless Leg Syndrome have trouble sleeping because of this discomfort sensation and may experience these impulses several times during the night time. This reduces the quality of their sleep and making them feel drowsy during the day time. Restless Leg Syndrome also makes it difficult for those people who travel long distances by car or travel by air. RLS sometime becomes very stressful but with some
medicinal treatment and lifestyle changes, it is almost always treatable and curable.

Keywords: Restless leg syndrome; Impulses; Neurological dysfunction.
 

Introduction: In most ofthe medical and surgical interventions intravenous infusion plays very essential role.The fluids imbalances may result from many factors like injury, surgery and differentkinds of medical illnesses. These imbalances can be corrected by intravenous therapy. Due to the presence of in situ intravenous catheter for long time often inflammatoryreactions occur at that site leading to redness, swelling, pain and fever, that is howphlebitis manifests. Later if phlebitis not treated early this can lead to the formation of thromboembolism. Method: In this study quasi-experimental research approach was used. Non probability purposive sampling technique was used to select the sample from the selected hospital. The research design adopted for the study was pre-test, post-test control group design. In the present study a sample of 60 hospitalized patients and who met the inclusion criteria was selected from the target population. In this study the instruments used are baseline Performa, structured interview schedule to assess the subjective symptoms and observation scale to observe the objective symptoms. Result: In experimental group post test mean score 1.10, Standard deviation was 0.71 respectively. In control group post test
mean score 2.53, Standard deviation was 0.78 respectively. The obtained value 7.454 statistically was significant at 0.001 levels. So research hypothesis was acceptd. So there was significant difference between post intervention phlebitis among the experimental group and control group. Discussion: In the research study findings revealed that
Magnesium sulphate with Glycerin dressing is highly effective in decrease phlebitis level to the patients.

Keywords: Magnesium sulphate with Glycerin dressing; Peripheral Intravenous infusion induced Phlebitis; Effectiveness.
 

Background: Varicose veins are permanently distended veins that develop from the loss of valvular competence. Faulty valves elevate venous pressure causing distension and tortuosity of the superficial veins. The greater and lesser saphenous veins and perforator veins in the ankle are common sites of varicosities.1 Varicose vein is more common in women. However, the gender ratio decreases with advancing age and almost disappears in client older than 70 years. Prolonged standing has been implicated as a cause of varicose veins, but epidemiologic studies have not demonstrated an association between standing at work and an increased incidence of varicose veins.2 Nursing profession is perceived as a high-risk occupation, in which positions such as long-time standing and sitting are inevitable during the work. In spite of varicose appearance, as the main patients’ complaint, other symptoms such as dull pain, feeling heavy in legs, night cramps and sometimes varicose inflammation as thrombophlebitis are
observed.3. Objective: To assess the pre test and post test knowledge regarding varicose veins, and to associate the knowledge score with demographic variables. Methodology: A pre experimental one group pre testpost test design was adopted for the study. It was conducted over 60 staff nurses and was selected by using non probability purposive sampling technique. Pre test was done using self structured questionnaire for knowledge. After pre test the researcher administered self instructional module regarding knowledge. Post test was done after seven days and analysis showed that there was significant increase in knowledge after administering self instructional module. The analysis reveals that post test mean knowledge score value which was 25.16 with SD of ±3.74 when compared with the pretest mean knowledge score value which was 13.10 with SD of ± 3.54. The calculated‘t’ value 30.13 is greater than table value 2.00 at 0.05 level of significance. Thus the H1 is accepted and H0 is rejected. Conclusion: The significantly association was found on knowledge with present work area. Thus, the study concluded that self instructional module was effective in improving knowledge regarding varicose vein.

Keywords: Varicose Vein; Staff Nurse; Intensive Care Unit; Self Instructional Module, Knowledge.
 

Good body mechanics is the efficient co-ordinated and safe use of the body to produce motion and maintain balance during activity. Based on the problem selected and objectives of the study an evaluative research approach was used.5 The design adopted for this study was pre- experimental one group pre-test post-test design; Sample of 30 staff nurses were selected by Non-probability convenient sampling technique. Data was collected by using self administered knowledge questionnaire before and after the implementation of Video Assisted Teaching Program. Paired‘t’ test was used to compute the difference between mean pre-test and mean post-test knowledge scores of the Staff Nurses reveal that 46.67 per cent of Staff Nurses had inadequate knowledge, 53.33 per cent had moderate knowledge and none of them had adequate knowledge in pre-test. In post test the knowledge scores of the Staff Nurses reveal that 13.33 per cent of them had inadequate knowledge, 46.67 per cent had moderate knowledge and 40 per cent of them had adequate knowledge regarding Body Mechanics on selected Nursing Procedures and prevention of back pain. Hence teaching programme regarding Body Mechanics on selected Nursing Procedures
and prevention of back pain followed by pre test was effective. Chi-square test was applied to find out the association between selected demographic variables and post-test knowledge score. There was no significant association found between the post-test knowledge score and socio-demographic data. The overall findings of the study revealed that the Video Assisted Teaching Program is significantly effective in improving the knowledge scores of staff nurses regarding of Body Mechanics on selected nursing procedure and prevention of back pain among Staff Nurses

Keywords: Video Assisted Teaching Program; Staff nurses; Effectiveness; Knowledge; Body Mechanics.