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Investigating the Prevalence of Medication-induced Falls in Older Patients with Ischemic Stroke during Hospitalization Puspita, Nanda; Verawati, Nurul; Hasbi, Fatwa
Clinical and Pharmaceutical Sciences Journal Vol. 1 No. 2 (2025)
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/clips.v1i2.372

Abstract

Stroke is among the most devastating neurological conditions that affect the elderly. In cases of acute ischemic stroke, hospitalised older patients will receive various regimens both for comorbidities and to prevent recurrent stroke. Multiple pathologies are the main reason geriatric patients receive large amounts of drug therapy. This phenomenon, known as polypharmacy, poses a significant issue in geriatric care. This requires monitoring, so it would not be potentially inappropriate medications that aggravate adverse drug reactions, including the risk of falls. Fall is a complex problem in old age, one of which is associated with medication use. This study aimed to identify potentially inappropriate medications according to the Beers Criteria list that are related to fall risk in older ischemic stroke patients in the hospital. A cross-sectional study used electronic health records (EHR) from 342 geriatric patients at the National Brain Centre Hospital, Jakarta, Indonesia. Systematic random sampling was employed to retrieve samples from the population. Demographic and clinical data were documented, and medications prescribed for patients were analysed. The majority of patients were aged 65 to 74 years (73.1%), male (57.9%), had a length of stay of 7 days (86%) and had comorbidities (94.4%). Medication categories that need monitoring for risk of falls are anxiolytics (14.04%), anticonvulsants (9.36%), antipsychotics (9.36%), and antidepressants (4.09%), and opioid analgesics (3.51%). There were no significant differences between patients with and without yellow wristbands who received drug regimens associated with a fall risk (p=0.674). Reviewing medication for older patients before discharge may be imperative to prevent the risk of falls due to taking potentially inappropriate medications. Keywords: Beers criteria, geriatric, medication-induced falls, stroke
Pengaruh Edukasi Pencegahan Stroke terhadap Pengetahuan pada Lansia di Gereja Isa Al-Masih Kota Kediri: The Effect of Stroke Prevention Education on Knowledge of Elderly at the Church of Isa Al-Masih, Kediri City Maharani H, Claudy; Widiastutik, Cornelia; Ayu W, Debora Aurelia; Nugraha, Jonathan Adjie; Ambu K, Maria Aldanita; Devinda P.M, Putri; Puspita, Nanda; Suwardianto, Heru
Jurnal Abdi Keperawatan dan Kedokteran Vol 5 No 1 (2026): Jurnal Abdi Kesehatan dan Kedokteran
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/jakk.v5i1.130

Abstract

Stroke is one of the leading causes of disability and mortality among the elderly. Preventive efforts focusing on increasing knowledge and awareness are essential to reduce stroke risk and improve quality of life. This study used a pre–post-test design with 62 elderly participants who regularly attended the Church Isa Al-Masih in Kediri City. The intervention consisted of stroke prevention education delivered through a standardized procedure (SOP) using leaflets and flipbooks. Knowledge was assessed with a 6-item questionnaire covering hypertension, causes of high blood pressure, normal blood pressure ranges, medication adherence, diet, and breathing relaxation techniques. Data were collected before and after the education and analyzed using descriptive statistics and the Wilcoxon Signed-Rank Test. The Wilcoxon test indicated a significant increase in participants’ knowledge following the stroke prevention education (p < 0.05). Structured, interactive, and community-based education enhanced understanding of stroke risk factors, blood pressure management, medication adherence, diet, and relaxation techniques. Stroke prevention education is effective in enhancing knowledge among elderly individuals and may encourage preventive health behaviors. Community-based approaches can serve as a model for similar health promotion programs targeting older adults.
PENINGKATAN PENGETAHUAN KADER PKK DASAWISMA KELURAHAN JOHAR BARU TENTANG BAHAN KOSMETIKA YANG AMAN MELALUI VIDEO & BOOKLET Elisya, Yetri; Junaedi, Junaedi; Surahman, Surahman; Puspita, Nanda
JMM (Jurnal Masyarakat Mandiri) Vol 8, No 1 (2024): Februari
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v8i1.20357

Abstract

Abstrak: Permintaan pasar akan kosmetik menjadi terus meningkat akan mendorong perkembangan industri kosmetika di Indonesia. Namun, maraknya bermacam jenis kosmetika tanpa ijin edar membawa resiko bagi penggunanya. Sejumlah studi menyebutkan bahwa beberapa sediaan produk kosmetika menunjukkan adanya kandungan pewarna berbahaya rhodamine B. Di samping itu, pemeriksaan pada lotion pemutih juga menunjukkan adanya kandungan logam berat merkuri di atas ambang batas persyaratan dari BPOM. Oleh karena itu, pada kegiatan pengabdian masyarakat ini dilakukan kegiatan penyuluhan pada 23 orangbagi ibu-ibu kader PKK dan dasawisma tentangagar memahami cara memilih kosmetika yang tepat dan aman. KMetode yang digunakan dalam kegiatan pengabdian dilakukan dengan metodeini adalah ceramah presentasi dibantu video dan pemberian booklet berisi informasi tentang bahan kimia berbahaya pada kosmetik ilegal, tanya jawab dan diskusi juga membagikan kueisoner untuk menilai tingkat pemahaman ibu-ibu. Pada awal dan setelah penyuluhan, dilakukan evaluasi Hasil pretest dan postest terhadap pengetahuan kader. tentang kosmetika yang amanHasil evaluasi menunjukkan diketahui adanya penyuluhan dapat meningkatkanpeningkatan pengetahuan skor posttest 19% lebih tinggi dari skor pretest (p=0,01)para ibu PKK dalam memilih kosmetika yang aman. Kegiatan ini sangat diapresiasi oleh para ibu dan pemangku kepentingan, dikarenakan ibu-ibu adalah pengguna kosmetik sehingga diharapkan dapat untuk meminimalkan resiko kesehatan akibat menggunakan penggunaan kosmetik dengan kandungan bahan berbahaya.Abstract: Market demand for cosmetics continues to increase, encouraging the development of the cosmetics industry in Indonesia. However, the proliferation of various cosmetics without distribution permits carries risks for users. Some studies state that several cosmetic product preparations contain the dangerous dye rhodamine B. In addition, examination of whitening lotions also shows that the content of the heavy metal mercury is above the threshold requirements of the BPOM. Therefore, in this community service activity, 23 women from PKK and Dasawisma cadres provided counselling on how to choose safe cosmetics. Community service activities are carried out using the lecture method and giving booklets containing information about dangerous chemicals in illegal cosmetics. At the beginning and after counselling, an evaluation of the cadres' knowledge is carried out. The evaluation results showed an increase in the posttest score, which was 19% higher than the pretest score (p=0.01). This activity is highly appreciated by mothers and stakeholders because mothers are cosmetic users, so it is hoped that they can minimize the risk of using dangerous cosmetics.