Diabetes is the cause for nearly 80% of the non-traumatic amputation. Amputation could be described as the removal of a body extremity by surgery. The patients post diabetic foot amputations are exposed to many physical, social and psychological problems which affect on his life. Aim of the study: to assess the bio-psychosocial needs of patients with post diabetic foot amputation. Research design: A descriptive exploratory design was utilized. Subjects: 50 patients admitted in diabetic foot clinic. Setting: outpatient clinic in Beni-Suef health insurance hospital at Beni-Suef city Egypt was selected for this study. Tools for data collection: Demographic data assessment tool, medical data assessment tool, patients' knowledge assessment interview questionnaire, bio psychosocial needs assessment interview questionnaire and diabetic foot reported practice checklist. Results: 56% of the studied patients had unsatisfactory of total knowledge regarding diabetes mellitus and diabetic foot amputation. 72% of the studied patients had unsatisfactory self care of non-amputated foot and 78% of them had satisfactory self care of amputated foot. While regarding physical problems, 24% of the studied patients had moderate pain and 52% of them need assistance with daily living activities regarding bathing, toileting and moving. Also, 48% of them need assistance regarding functional performance. A regard to the psychological needs, 100% of the studied patients suffered psychosomatic symptoms, GIT symptoms and behaviors symptoms on speech. Furthermore, in relation to the social needs, 32% of the studied patients stated that they had mild social needs parameters as feeling financial burden about cost of treatment. Conclusion: more than half of studied patients suffered from many physical, psychological and social problems post diabetic foot amputation. Recommendation: Rehabilitation programs for patients with diabetic foot amputation must be implemented through the collaboration of various rehabilitation team members.

Background:The assessment of the risk of death and the estimated length of stay in the intensive care unit is a relevant clinical practice to predict the severity of the disease and to outline effective strategies for patient improvement and hospital quality indicators. Aim: This study aimed to assess nurses' performance regarding using of APACHE scoring system. Research design: Descriptive exploratory research design was utilized to achieve the aim of this study. Subjects: A convenience sample of all available nurses (50) working in the cardiac surgery intensive care units at Ain Shams Specialized Hospital, as well in the Cardiovascular and Thoracic Academy affiliated to Ain shams university hospitals. Tools: (1) Nurses' knowledge assessment questionnaire. (2) Nurses' observation checklist. (3) nurses' attitude scale. Results: The majority of the cardiac surgery ICU nurses had inadequate knowledge, practice and attitude regarding using of APACHE scoring system. Conclusion: Cardiac surgery ICU nurses had unsatisfactory performance (knowledge, practice and attitude) regarding using of APACHE score. Recommendations: Conducting periodic training program for cardiac surgery intensive care units' nurses in order to keep them with the updated knowledge, practice and attitude regarding using of APACHE scoring system to predict complications among patients with cardiac surgery during the first 24 hours.

Background: Chronic Obstructive Pulmonary Disease (COPD) is a highly prevalent chronic disease worldwide and is associated with a significant burden on both patients and society. The social, emotional, and medical needs of those with COPD are varied and complex, making it a challenging condition to self-manage. This study aimed to assess the health needs for patients with chronic obstructive pulmonary disease and suggest self-management guideline. Design descriptive explorative design was used in carrying out this study. It was conducted at the Chest Department and Out Patients`Clinic in El -Fayoum University Hospital. Study subjects a Purposive sample of 50 adult patients with COPD. Tools: Two tools were used to collect data pertinent to this study, these tools are: toll (I) Patients' interviewing questionnaire and tool (II) Patients' medical records. Results: about half of the studied patients had a high need of physical needs. More than one third of studied patients had a highly needs of psychological needs. Related social needs, slight less than two thirds of studied patients had social needs. According total Spirituality needs, more than two thirds of the studied patients had spiritual needs. Related educational needs, around three quarters of the studied patients had educational needs. Conclusion: there was a statistical significant relationship between demographic characteristics regarding to total needs of patients with COPD. Recommendation: it was recommended that further research studies are needed to focus on the assessment of the quality of life of patients with COPD.