The  Beautiful Mind : A Case Report

Nik Him Nik Ahmad Shaiffudin; Nik Arif  Nik Mohamad; Azizul Fadzli Jusoh; Rosliza Yahaya; Ismawati; Mohd Adib Aiman Rashid

doi:10.37231/myjas.2022.7.1.328

Nik Him Nik Ahmad Shaiffudin Faculty of Medicine, Unversity Sultan Zainal Abidin, Kampus Perubatan, Jalan Sultan Mahmud 20400 Kuala Terengganu, Terengganu, Malaysia
Nik Arif Nik Mohamad Faculty of Medicine, Unversity Sultan Zainal Abidin, Kampus Perubatan, Jalan Sultan Mahmud 20400 Kuala Terengganu, Terengganu, Malaysia
Azizul Fadzli Jusoh Faculty of Medicine, Unversity Sultan Zainal Abidin, Kampus Perubatan, Jalan Sultan Mahmud 20400 Kuala Terengganu, Terengganu, Malaysia
Rosliza Yahaya Faculty of Medicine, Unversity Sultan Zainal Abidin, Kampus Perubatan, Jalan Sultan Mahmud 20400 Kuala Terengganu, Terengganu, Malaysia
Ismawati Faculty of Medicine, Unversity Sultan Zainal Abidin, Kampus Perubatan, Jalan Sultan Mahmud 20400 Kuala Terengganu, Terengganu, Malaysia
Mohd Adib Aiman Rashid Hospital Pengajar Universiti Sultan Zainal Abidin, Kampus Gong Badak, Kuala Nerus, Terengganu, Malaysia

DOI: https://doi.org/10.37231/myjas.2022.7.1.328

Abstract

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