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Dilemmatic of Management of Wound Care of Diabetic for Risk Amputation in Rural Areas: A Case Report Harsah Bahtiar Zainudin; Tantut Sutanto; Suhari Suhari
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6893

Abstract

Diabetic wounds are one of the most challenging complications faced by individuals with diabetes. These wounds not only pose serious physical threats, such as infection and limb loss, but also cause significant psychological distress. One ethical dilemma commonly encountered in diabetic wound care involves decision-making about treatment options, especially when patients request amputation due to pain or economic burden, while healthcare providers aim to preserve the limb through advanced wound care techniques. This situation requires careful consideration of both medical and ethical aspects to ensure patient-centered care. The objective of wound care in such cases is not only physical healing but also improving the patient’s psychological well-being. When care is holistic and empathetic, patients are more likely to engage in treatment positively and without fear, especially during painful procedures such as dressing changes. This case highlights a 55-year-old man with a 20-year history of uncontrolled diabetes and a chronic, infected wound on his right leg. The patient's initial desire for amputation was addressed through a multidisciplinary approach using the TIME method Tissue management, Inflammation control, Moisture balance, and Epithelial advancement. The structured, ethical, and compassionate care helped the patient reconsider amputation, demonstrating that rural nurses and health teams can resolve ethical dilemmas and support better patient outcomes.
Strategies to Increase Family Resilience to Disasters Based on Pentahelix Perspectives: A Qualitative Study Suhari Suhari; R Endro Sulistyono; Primasari Mahardhika Rahmawati; Dwi Ochta Pebriyanti
Jurnal Berita Ilmu Keperawatan Vol. 18 No. 2 (2025): July
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v18i2.8655

Abstract

Disasters affect family dynamics as the smallest social unit in society. Disasters that occur in communities have a considerable impact on the lives and property, and mental health of survivors. In addition, it also affects human health, which risks undermining the well-being of families, due to the health problems that can occur. The family's unpreparedness in these tasks can increase the psychological and physical impacts experienced by its members. Therefore, strategies in disaster preparedness are important to reduce the impact. This study aims to explore strategies to improve family resilience in disaster mitigation. The number of interviews is 21 people, consisting of women and men with an average age of 45 years, who have different backgrounds. Including academians, business, community, government, and journalists. The results showed that the strategy to increase family resilience to disaster is based on 5 family tasks from Maglaya's theory, including that families must have a preparedness plan and knowledge about disaster management through education to families about the steps that must be taken before, during, and after a disaster is very helpful in increasing family resilience. The conclusion is that disaster training and simulation programs involving family members have proven effective in building confidence and necessary skills. This research can be concluded that family disaster preparedness depends on good knowledge and planning. Disaster nurses play an important role in education and training, which helps reduce psychological and physical impacts. Thus, community safety and well-being can be improved by exploring strategies to improve family resilience in disaster mitigation  
Co-Authors Achmad Kusyairi Aini, Nur Safitri Ainul Yaqin Salam Ainul Yaqin Salam Akhmad Fajrul Rizqi Alwin Widhiyanto Anggia Astuti Ardho Yuwono Wisnugati Ardiana, Yosinta Dwi Arista Maisyaroh Atik Fitri Ningsih Awalani Riska Badrul Hisyam Dewanti, Reni Anggun Dodi Wijaya Dodik Hartono Dodik Hartono Dwi Ochta Pebriyanti Dwi Ochta Pebriyanti Eko Prasetya Eko Prasetya Widianto Ema Permatasari Erica Sroka Erlina Isnaini Erna Handayani Ervina Almeliayanti Harsah Bahtiar Zainudin Ida Ayu Putu Sri Widnyani Indahati, Munik Tri Irma Septiani Maulana Isnawati, Iin Aini Istiqomah Kiki Maria Laila Ainun Nafi’ah Laksono Trisnantoro M, Mashuri Mashuri Mashuri Maya Handayani Mega Vuriyanti Moch. Fathul Ulum Mohammad Gagan Sukmantoaji Mohammad Gagan Sukmantoaji Muhammad Dafid Alfarizy Musviro Nafolion Nur Rahmat Nafolion Nur Rahmat Nurfika Asmaningrum P.M Rahmawati Prasetya, Eko Primasari Mahardhika Rahmawati Putri Melinda, Putri Putri Riskiya Anandika R Endro Sulistyono Rahmawati, Iis Rizeki Dwi Fibriansari Rizka Yunita Rizka Yunita Rizki Tri Noval Refansya Ro'isah, Ro'isah Rondhianto Rondhianto Suciati Suciati Tantut Susanto Tantut Sutanto Vidia Puspita Sari Wardoyo Wardoyo Widya Addiarto Widya Addiarto Widya Addiarto Yudhi Anggara Kurniawan Yuke Ambarwati Putri Yulia Rachmawati Yulia Rachmawati Yuliati Fatimah Yuni Darmawati Zainal Abidin Zainal Abidin