Browsing by Author "Dasanayake, C.D.K."

Now showing 1 - 2 of 2

Embargo
Necrotizing Fasciitis: Following Uncontrolled Blood Glucose Level: A case report
(Faculty of Humanities and Sciences, SLIIT, 2022-09-15) Siriwardhana, S.W.P; Subasinghe, S.M.N.; Dasanayake, C.D.K.
Necrotizing fasciitis is a rare bacterial infection that primarily involves the fascia and subcutaneous tissues. Diabetes mellitus, advanced age, and immune suppression are some of the predisposing causes of necrotizing fasciitis. A 56-year-old lady presented with fever, diarrhea, and left lower limb knee joint pain, swelling, and high random blood glucose level, which was 564mg/dl on admission. She was diagnosed with diabetes mellitus twenty-five years ago and regular treatments were taken for twenty years then defaulted for three years. Two years back again she started to take the treatments from a local hospital. Pain over the left knee joint gradually increased within two days and suddenly she got a septic shock while her blood investigations were showing changes of sepsis while blood pressure became lower. Knee joint exploration was done on the fifth day of hospital admission and altogether three wound toilets were completed within 10 days and treated with broad-spectrum antibiotics. Hence the patient clinically improved, and blood investigations became normal. Necrotizing fasciitis spreads rapidly in the body if not diagnosed and treated immediately. Early diagnosis is a golden fact for optimizing the disease condition as necrotizing fasciitis is a fatal disease condition. Strong antibiotics coverage, surgical interventions, proper wound care, and controlling blood glucose level lead to successful recovery from necrotizing fasciitis while reducing mortality and morbidity. In nursing management, nurses can collaborate with wound management, nutritional support, and psychosocial support, as well as encourage mobilizing and educating the patient regarding diabetes mellitus and its complications.
Embargo
Psychosocial Impact of a Young Adult Undergone a Permanent Colostomy Caused by a Perineal Injury following a Road Traffic Accident: A Case Report
(Faculty of Humanities and Sciences, SLIIT, 2022-09-15) Karunasingha, U.D.A.D; Rajapaksha, R.W.M.K.G.H.N; Dasanayake, C.D.K.
Many traumatic injuries to the perineal area cause to live with colostomies throughout the lifetime of a person. Living with a permanent colostomy brings severe changes to the patient’s life in terms of physical, social, spiritual, sexual, and psychosocial health. The aim of the present study was to explain the importance of understanding the psychosocial aspects of a young adult during a hospital stay with a permanent colostomy. This is a qualitative case study based on interpretive phenomenology. Interviews and direct observations were conducted as the data collection methods to obtain in-depth information regarding the case study topic and gathered data through patient direct observation. The study was about a 28-year-old male engineer who met with a road traffic accident that severely damaged his perineal area and finally undergone a permanent colostomy due to loss of anal sphincter muscles and anal opening. The data analysis was performed by the method of content analysis. This incident was a huge psychological disaster for him to accept the reality and adjust his permanent colostomy. Young people may have profoundly negative impacts on permanent colostomies. Adaptation is a long-term process that requires effective communication, acceptance and understanding. Nurses should be vigilant to do careful assessment on psychosocial needs of patients with permanent colostomies in order to improve the quality of their lives. Therefore, it is suggested that the nurses should acquire specialized knowledge, skills, and training on stoma care in order to provide personalized holistic care to the patients who have undergone permanent colostomies.