Open AccessThe Beautiful Mind : A Case Report
Author(s) -
Nik Ahmad Shaiffudin Nik Him,
Nik Arif Nik Mohamad,
Azizul Fadzli Jusoh,
Rosliza Yahaya,
Ismawati Ismawati,
Mohd Adib Aiman Rashid
Publication year - 2022
Publication title -
malaysian journal of applied sciences
Language(s) - English
Resource type - Journals
ISSN - 0127-9246
DOI - 10.37231/myjas.2022.7.1.328
Subject(s) - emergency department , schizophrenia (object oriented programming) , distress , sedation , medicine , psychiatry , depression (economics) , medical emergency , psychology , surgery , clinical psychology , economics , macroeconomics
Caring for a family member diagnosed with schizophrenia will not only impart a lifetime of emotional distress but also social and financial challenges. Failure to anticipate and cope with the burden of care responsibilities will add unnecessary risk to permanent injury resulting in substandard management of the patient and even death. We describe a case of successful removal of nine (9) constricting rings from the finger of both hands in a poorly taken care of an abusive relapse schizophrenia patient using an oscillating saw and ring cutter under procedural sedation combined with wrist block in the emergency department (ED). Early recognition and definitive treatment are of paramount importance to avoid irreversible ischemia and gangrene. The possible risk of negligence should be kept in mind bearing a link with depression among members caring for schizophrenia.
Keywords: Schizophrenia, Emergency Department, Negligence, Early recognition