Skin grafting positively influences the quality of patients' lives significantly (p < 0.05). Skin grafting has decreased the limitation of function and improved the dysphoric mood. The coverage of ulcers by autografts of skin thickness, had decreased the leg pain within 6 months, significantly more than by conservative treatment alone (p < 0.05). The amount of patients' personal expenditure on the care and treatment of ulcers, increased within the period of 6 months for 11.2% of patients in whom large CVUL were treated conservatively. The amount of personal expenses decreased to 12.8% of patients in whom skin grafting was applied (p > 0.05).
Nasal tip and septal perforations may lead to significant upper airway problems as well as disturbing esthetic changes in the external contour of the nose. Nasal defects impede normal social contact and create great self-identity problems for the patients. We report the case of a 37-year-old woman, taking drugs for 10 years, who had sepsis and nasal abscess with necrosis of the nasal tip and septum. Using a composite expanded forehead flap for reconstruction of the nose, good esthetic and functional results were achieved.
Work in the operating theatre is carried on under the team principle where division of labour, competence, instant reaction, tolerance, work knowledge and skills as well as associating with team members are of greatest significance. Fluctuation of opera-ting theatre team members results in difficulty in concentration, loss of valuable time and work quality, and has negative influence upon work process.The aim of this work was to evaluate the efficacy of the team work in the Operating Theatre Room from the viewpoint of team members.The sample was (n=21): operating theatre nurses, anaesthesiologists reanimatologists, surgeons, other staff. The gender was not homogeneous; the experience of work of the participants was from 3 to 30 years. The qualitative research was done. The methods of critical analysis and semi-structured interview were used.The research should be significant in the development of the science of nursing and nursing practice in Lithuania, especially in the sphere of surgical nursing. It could also be useful to both nurses and patients as both these groups are interested in the improvement of nursing quality: nurses as suppliers of the service and patients as its receivers.
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