Lailiyatul Munawaroh
Faculty of Nursing, Universitas Jember, Indonesia

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Comprehensive Fall Risk Assessment in an Older Adult Male with Diabetes Mellitus, Hypertension, and a History of Transient Ischemic Attack Using the Morse Fall Scale and Berg Balance Test: A Case Report Ummi Malikal Balqis; Rizkiyani Istifada; Agnestria Winarto; Lailiyatul Munawaroh
Journal of Rural Community Nursing Practice Vol. 4 No. 1 (2026): March
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v4i1.666

Abstract

Background: Fall risk in older adults is a multifactorial condition associated with balance impairment, muscle weakness, and chronic as well as neurological diseases, requiring a comprehensive assessment. Purpose: This case report aims to analyze fall risk in an older adult with chronic comorbidities using the Morse Fall Scale (MFS) and the Berg Balance Test (BBT). Method: A descriptive case study was conducted on a 70-year-old older adult male with a history of diabetes mellitus, hypertension, and a transient ischemic attack (TIA) in 2025, accompanied by left upper extremity weakness with a muscle strength of 4. Assessment was performed through direct clinical examination using the MFS and BBT instruments. Results: The patient scored 35 on the MFS, indicating a moderate fall risk, and 38 out of 56 on the BBT, indicating moderate balance impairment, particularly in dynamic activities. Conclusions: These findings suggest that the patient’s fall risk is influenced by a combination of post-TIA neurological factors, muscle strength imbalance, and chronic diseases. The combined use of the MFS and BBT provides a comprehensive overview of fall risk, serving as a basis for planning targeted and sustainable nursing interventions.
Comprehensive Fall Risk Assessment in an Older Adult Male with Diabetes Mellitus, Hypertension, and a History of Transient Ischemic Attack Using the Morse Fall Scale and Berg Balance Test: A Case Report Ummi Malikal Balqis; Rizkiyani Istifada; Agnestria Winarto; Lailiyatul Munawaroh
Journal of Rural Community Nursing Practice Vol. 4 No. 1 (2026): March
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v4i1.666

Abstract

Background: Fall risk in older adults is a multifactorial condition associated with balance impairment, muscle weakness, and chronic as well as neurological diseases, requiring a comprehensive assessment. Purpose: This case report aims to analyze fall risk in an older adult with chronic comorbidities using the Morse Fall Scale (MFS) and the Berg Balance Test (BBT). Method: A descriptive case study was conducted on a 70-year-old older adult male with a history of diabetes mellitus, hypertension, and a transient ischemic attack (TIA) in 2025, accompanied by left upper extremity weakness with a muscle strength of 4. Assessment was performed through direct clinical examination using the MFS and BBT instruments. Results: The patient scored 35 on the MFS, indicating a moderate fall risk, and 38 out of 56 on the BBT, indicating moderate balance impairment, particularly in dynamic activities. Conclusions: These findings suggest that the patient’s fall risk is influenced by a combination of post-TIA neurological factors, muscle strength imbalance, and chronic diseases. The combined use of the MFS and BBT provides a comprehensive overview of fall risk, serving as a basis for planning targeted and sustainable nursing interventions.
What Kind of Technology Devices Can be Used to Improve Agronursing Practice?: A Scoping Review Lailiyatul Munawaroh
Journal of Rural Community Nursing Practice Vol. 3 No. 2 (2025): September
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v3i2.591

Abstract

Background: Agronursing plays an important role in improving health services in rural area. Currently, health services in rural area face various challenges. Technology devices can help nurse to provide community-based health services in this area. This article aims to explore the existing literature related to the use of technology in nursing practice to answer three main questions: (1) what technology devices are commonly used to provide community-based health services, (2) what are the advantages and disadvantages of each devices (3) what are the benefits of these devices in agnonursing practice. Methods: The author conducted an article search using three databases, namely science direct, pubmed, and proquest using “Technology Device AND Nursing Practice” and “Robotic Device AND Nursing Practice” as the keywords. The inclusion criteria for the articles were (1) research articles from Randomized controlled trial and quasi experiment, (2) published between 2020-2025, (3) Published in English while the exclusion criteria was research conducted in hospital setting. Results: The author analyzed 28 articles that met the inclusion and exclusion criteria. The Author found that commonly used devices are monitoring system, robotic devices, mobile app, virtual reality, artificial intelligence, and web-based health intervention. However, these devices have their own advantages and disadvantages that can be considered when applying them in agronursing practice. Conclusions: Digital health technologies can enhance nursing services in agrarian communities. Tailoring these tools to rural needs is vital. Further research is needed to compare which type of device is most effective and efficient in improving agronursing practice.
What Kind of Technology Devices Can be Used to Improve Agronursing Practice?: A Scoping Review Lailiyatul Munawaroh
Journal of Rural Community Nursing Practice Vol. 3 No. 2 (2025): September
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jrcnp.v3i2.591

Abstract

Background: Agronursing plays an important role in improving health services in rural area. Currently, health services in rural area face various challenges. Technology devices can help nurse to provide community-based health services in this area. This article aims to explore the existing literature related to the use of technology in nursing practice to answer three main questions: (1) what technology devices are commonly used to provide community-based health services, (2) what are the advantages and disadvantages of each devices (3) what are the benefits of these devices in agnonursing practice. Methods: The author conducted an article search using three databases, namely science direct, pubmed, and proquest using “Technology Device AND Nursing Practice” and “Robotic Device AND Nursing Practice” as the keywords. The inclusion criteria for the articles were (1) research articles from Randomized controlled trial and quasi experiment, (2) published between 2020-2025, (3) Published in English while the exclusion criteria was research conducted in hospital setting. Results: The author analyzed 28 articles that met the inclusion and exclusion criteria. The Author found that commonly used devices are monitoring system, robotic devices, mobile app, virtual reality, artificial intelligence, and web-based health intervention. However, these devices have their own advantages and disadvantages that can be considered when applying them in agronursing practice. Conclusions: Digital health technologies can enhance nursing services in agrarian communities. Tailoring these tools to rural needs is vital. Further research is needed to compare which type of device is most effective and efficient in improving agronursing practice.