Death rate of patients with liver cirrhosis is 41.6% in Egypt. It is important to assess the nutritional status of this group of patients because these patients suffer from protein-calorie malnutrition. Aim: Assessment of nutritional status in patients with liver cirrhosis in Assiut university hospital.Patient and Methods: 60 adult patients with liver cirrhosis as a study group were conducted at Tropical Medicine and Gastroenterology Department at Assiut University hospital. Tools utilized for data collection were :( I) patient assessment and (II) nutritional assessment. Results: The main causes of patients with liver cirrhotic were HCV and HBV infection. Malnutrition was prevalent in 85% of patients. The most common malnutrition risk factors were dry mouth, taste alteration, food intolerance, multiple medications and the presence of ascites. Conclusions: the majority of patients with decompensated liver cirrhosis were malnourished regardless the etiology of liver cirrhosis. Identifying the patients that are approaching the state of malnutrition by simple and easily applied methods is necessary in order to provide nutritional support. Recommendations: Nutritional support and regimen, advice and guidelines by dietitian should be undertaken for all cirrhotic patients to prevent the occurrence of complications of malnutrition and improve clinical outcome.

Abstract:Stroke is a leading cause of disability. The study aimed to: assess musculoskeletal complications for immobilized stroke patients. Methods: Descriptive research design carried out in AssiutUniversityhospital.It included30 patientsconducted at neurological departmentsatAssiut University Hospital. Tools:Data collected by using three tools; Firsttool: part I;includedSociodemographic patient characteristics, part II;assessment of the past and present health history, second toolincluded: Assessment of patient's knowledge regarding stroke and musculoskeletal complications resulting from immobility,while the third toolincluded patient’s assessment for the musculoskeletal complications. The main results of present study The incidences of musculoskeletal complications in studied sample were higheramong the stroke immobilized patient and hadunsatisfactory knowledge regarding to stroke. It concluded that:The majority of store immobilized patients after prolonged immobilization suffer from sever musculoskeletal complications and had unsatisfactory knowledge. It was recommended that:the exercise programme should be applying early as possible as from at time of admission to the hospital.

Abstract:Stroke is a leading cause of disability. The study aimed to: assess musculoskeletal complications for immobilized stroke patients. Methods: Descriptive research design carried out in AssiutUniversityhospital.It included30 patientsconducted at neurological departmentsatAssiut University Hospital. Tools:Data collected by using three tools; Firsttool: part I;includedSociodemographic patient characteristics, part II;assessment of the past and present health history, second toolincluded: Assessment of patient's knowledge regarding stroke and musculoskeletal complications resulting from immobility,while the third toolincluded patient’s assessment for the musculoskeletal complications. The main results of present study The incidences of musculoskeletal complications in studied sample were higheramong the stroke immobilized patient and hadunsatisfactory knowledge regarding to stroke. It concluded that:The majority of store immobilized patients after prolonged immobilization suffer from sever musculoskeletal complications and had unsatisfactory knowledge. It was recommended that:the exercise programme should be applying early as possible as from at time of admission to the hospital.

Abstract:Stroke is a leading cause of disability. The study aimed to: assess musculoskeletal complications for immobilized stroke patients. Methods: Descriptive research design carried out in AssiutUniversityhospital.It included30 patientsconducted at neurological departmentsatAssiut University Hospital. Tools:Data collected by using three tools; Firsttool: part I;includedSociodemographic patient characteristics, part II;assessment of the past and present health history, second toolincluded: Assessment of patient's knowledge regarding stroke and musculoskeletal complications resulting from immobility,while the third toolincluded patient’s assessment for the musculoskeletal complications. The main results of present study The incidences of musculoskeletal complications in studied sample were higheramong the stroke immobilized patient and hadunsatisfactory knowledge regarding to stroke. It concluded that:The majority of store immobilized patients after prolonged immobilization suffer from sever musculoskeletal complications and had unsatisfactory knowledge. It was recommended that:the exercise programme should be applying early as possible as from at time of admission to the hospital.

Abstract:Stroke is a leading cause of disability. The study aimed to: assess musculoskeletal complications for immobilized stroke patients. Methods: Descriptive research design carried out in AssiutUniversityhospital.It included30 patientsconducted at neurological departmentsatAssiut University Hospital. Tools:Data collected by using three tools; Firsttool: part I;includedSociodemographic patient characteristics, part II;assessment of the past and present health history, second toolincluded: Assessment of patient's knowledge regarding stroke and musculoskeletal complications resulting from immobility,while the third toolincluded patient’s assessment for the musculoskeletal complications. The main results of present study The incidences of musculoskeletal complications in studied sample were higheramong the stroke immobilized patient and hadunsatisfactory knowledge regarding to stroke. It concluded that:The majority of store immobilized patients after prolonged immobilization suffer from sever musculoskeletal complications and had unsatisfactory knowledge. It was recommended that:the exercise programme should be applying early as possible as from at time of admission to the hospital.

Stroke is a leading cause of disability. Aim: the first assess patient’s knowledge and practice regarding musculoskeletal complications resulting from immobility. The second evaluate the effect of applying for an exercise programme on stroke immobilized patients’ knowledge and practice. Patient methods: 60 patients conducted at neurological departments at Assiut University Hospital. . Tools: Data collected by using three tools; Tool Ι: Patient's health needs assessment sheet: part 1; A- included Sociodemographic patient characteristics, B- socio-demographic scale, according to Fahmy and Al-sherbeny (1983), part 2; assessment of the past and present health history, part 3; patient’s Assessment for the musculoskeletal complications, Part 4: Assessment of patient's knowledge and practice regarding musculoskeletal complications resulting from immobility and importance of these exercises, Tool II-Musculoskeletal assessment sheet: Part 1; by Ashworth scale ,1964, Part 2; Scandinavian stroke scale,1991. Results: The incidences of musculoskeletal complications in the study sample were lesser than the control group and having higher mean score knowledge regarding stroke. Conclusions: providing a successful physical exercise programme for stroke patients was much more effective on the outcome of patients than those patients in the control group who received routine hospital care. Also, the mean score level of knowledge of the study group patients in the time of follow-up was higher than the mean score level of knowledge of control group patients who didn’t receive the exercise programme. Recommendations: the exercise programme should be applying early as possible as from at the time of admission to the hospital.

Stroke is a leading cause of disability. Aim: the first assess patient’s knowledge and practice regarding musculoskeletal complications resulting from immobility. The second evaluate the effect of applying for an exercise programme on stroke immobilized patients’ knowledge and practice. Patient methods: 60 patients conducted at neurological departments at Assiut University Hospital. . Tools: Data collected by using three tools; Tool Ι: Patient's health needs assessment sheet: part 1; A- included Sociodemographic patient characteristics, B- socio-demographic scale, according to Fahmy and Al-sherbeny (1983), part 2; assessment of the past and present health history, part 3; patient’s Assessment for the musculoskeletal complications, Part 4: Assessment of patient's knowledge and practice regarding musculoskeletal complications resulting from immobility and importance of these exercises, Tool II-Musculoskeletal assessment sheet: Part 1; by Ashworth scale ,1964, Part 2; Scandinavian stroke scale,1991. Results: The incidences of musculoskeletal complications in the study sample were lesser than the control group and having higher mean score knowledge regarding stroke. Conclusions: providing a successful physical exercise programme for stroke patients was much more effective on the outcome of patients than those patients in the control group who received routine hospital care. Also, the mean score level of knowledge of the study group patients in the time of follow-up was higher than the mean score level of knowledge of control group patients who didn’t receive the exercise programme. Recommendations: the exercise programme should be applying early as possible as from at the time of admission to the hospital.

Stroke is a leading cause of disability. Aim: the first assess patient’s knowledge and practice regarding musculoskeletal complications resulting from immobility. The second evaluate the effect of applying for an exercise programme on stroke immobilized patients’ knowledge and practice. Patient methods: 60 patients conducted at neurological departments at Assiut University Hospital. . Tools: Data collected by using three tools; Tool Ι: Patient's health needs assessment sheet: part 1; A- included Sociodemographic patient characteristics, B- socio-demographic scale, according to Fahmy and Al-sherbeny (1983), part 2; assessment of the past and present health history, part 3; patient’s Assessment for the musculoskeletal complications, Part 4: Assessment of patient's knowledge and practice regarding musculoskeletal complications resulting from immobility and importance of these exercises, Tool II-Musculoskeletal assessment sheet: Part 1; by Ashworth scale ,1964, Part 2; Scandinavian stroke scale,1991. Results: The incidences of musculoskeletal complications in the study sample were lesser than the control group and having higher mean score knowledge regarding stroke. Conclusions: providing a successful physical exercise programme for stroke patients was much more effective on the outcome of patients than those patients in the control group who received routine hospital care. Also, the mean score level of knowledge of the study group patients in the time of follow-up was higher than the mean score level of knowledge of control group patients who didn’t receive the exercise programme. Recommendations: the exercise programme should be applying early as possible as from at the time of admission to the hospital.

Stroke is a leading cause of disability. Aim: the first assess patient’s knowledge and practice regarding musculoskeletal complications resulting from immobility. The second evaluate the effect of applying for an exercise programme on stroke immobilized patients’ knowledge and practice. Patient methods: 60 patients conducted at neurological departments at Assiut University Hospital. . Tools: Data collected by using three tools; Tool Ι: Patient's health needs assessment sheet: part 1; A- included Sociodemographic patient characteristics, B- socio-demographic scale, according to Fahmy and Al-sherbeny (1983), part 2; assessment of the past and present health history, part 3; patient’s Assessment for the musculoskeletal complications, Part 4: Assessment of patient's knowledge and practice regarding musculoskeletal complications resulting from immobility and importance of these exercises, Tool II-Musculoskeletal assessment sheet: Part 1; by Ashworth scale ,1964, Part 2; Scandinavian stroke scale,1991. Results: The incidences of musculoskeletal complications in the study sample were lesser than the control group and having higher mean score knowledge regarding stroke. Conclusions: providing a successful physical exercise programme for stroke patients was much more effective on the outcome of patients than those patients in the control group who received routine hospital care. Also, the mean score level of knowledge of the study group patients in the time of follow-up was higher than the mean score level of knowledge of control group patients who didn’t receive the exercise programme. Recommendations: the exercise programme should be applying early as possible as from at the time of admission to the hospital.

Limb amputation usually refers to the removal of part of or the entire upper or lower limb with a defined surgical approach. In the united states there is an estimated 1,7 million people living with an amputation in 2008 and approximately 135 ,000 new amputations occurring each year. The aim of this study was to develop standards of post-operative nursing interventions for lower limb amputated patient. Subjects and method: research design descriptive exploratory study was utilized. Setting the study was carried out at trauma unit and vascular surgery department at Assiut University Hospital. The study sample divided into two groups: GroupI: It includes all baccalaureate nurses (4) who working in vascular surgery department and trauma unit. Group II: It includes all diploma nurses (60) who working in vascular surgery department and trauma unit. Tools It utilized for data collection were Tool I post operative cognitive assessment sheet, Tool II post operative competencies opinionnaire sheet, Tool III standards of post operative practice sheet. Results showed that; more than half of nurses had fair knowledge regarding standards of post operative interventions for lower limb amputated patients. The majority of nurses had agreed as regarding prepare the trauma unit and vascular surgery with the necessary equipment, prepare the car/ table with basic instruments according to patient's condition, ensure that continuous monitoring and recording are followed for post operative patients, ensure that all infection control measures are properly followed in all procedures, ensure that all health team are properly attired for patient care, ensure that safety for each patient during transportation from operating room to unit, ensure that all staff members follow ethics and patient rights in the trauma unit and vascular surgery department.. Nurses showed inadequacy in their practice about standards of post operative interventions for lower limb amputated patients. Conclusion: Formulation of standards is the first step toward evaluating nursing care delivery. Recommendation: Implementation of standards of post operative nursing interventions for lower limb amputated patient is necessary for trauma unit and vascular surgery.