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All Journal Indonesian Journal for Health Sciences (IJHS) COMMUNITY : Jurnal Pengabdian Kepada Masyarakat Journal of Management Nursing Health Access Journal
Suwanto, Agus Wiwit
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Dentistry Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Journal : Health Access Journal

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Case Study Report: Nursing Intervention to Improve Physical Mobility in a Postoperative Tibial Fracture Patient Suwanto, Agus Wiwit; Purwaningsih, Endang; Wiratmoko, Heru; Octavia, Nataya Rizka
Health Access Journal Vol. 2 No. 2 (2025): Vol. 2 No. 2 (June 2025)
Publisher : Poltekkes Kemenkes Malang, Campus III Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/haj.v2i2.5355

Abstract

Surgery is an invasive medical procedure performed to restore the anatomy and physiology of impaired body organs. One type of surgery is fracture surgery, which aims to restore the anatomy and physiology of bones that are broken for various reasons. The purpose of this study was to provide nursing care to a post-operative tibial fracture patient with a physical mobility disorder in the Flamboyan Room of Dr Harjono Ponorogo Hospital. This study used a descriptive design with a case study approach involving a participant who met the criteria. Data collection techniques included interviews and observation of muscle strength and range of motion (ROM) values. The results of the assessment found that the patient had grade 2 muscle strength in the left extremity, and the ROM value was reduced. The nursing diagnosis was Physical Mobility Disorder. Nursing interventions according to SIKI included early mobilisation and early ambulation for seven days. The evaluation results showed that muscle strength increased from grade 2 to grade 5 by the sixth day, and the ROM value improved to reach the average normal limit by the sixth day. ROM exercises and the use of crutches were effective in improving physical mobility. ROM exercises are effective for improving physical mobility because they can reduce pain levels, thus decreasing concerns related to mobility.
A Case Study: Nursing Care in Stroke Patients with Impaired Skin Integrity Suwanto, Agus Wiwit; Endang Purwaningsih; Heru Wiratmoko; Marcella Linda Indriani
Health Access Journal Vol. 2 No. 3 (2025): Vol. 2 No.3 (October, 2025)
Publisher : Poltekkes Kemenkes Malang, Campus III Blitar

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Abstract

Stroke is one of the leading causes of long-term disability that often results in impaired skin integrity due to immobilization. This study aimed to analyze nursing care for stroke patients with impaired skin integrity at Dr. Harjono Regional Hospital, Ponorogo. A case study with a descriptive qualitative approach was conducted on a 66-year-old patient who experienced stroke and pressure ulcers. Data were collected through interviews, observation, physical examination, and risk assessment using the Braden Scale. Nursing interventions included pressure ulcer management, skin condition monitoring, adequate nutritional support, and repositioning every two hours to prevent further tissue damage. The results showed an improvement in the Braden Scale score from 11 (high risk) to 16 (low risk) after seven days of nursing care, indicating better skin condition and reduced tissue impairment. Evaluation revealed that impaired skin integrity problems were resolved following consistent implementation of nursing interventions. This study concludes that a holistic nursing approach, including nutritional support and family involvement, plays an essential role in preventing further complications and enhancing the quality of nursing care in stroke patients.
Co-Authors Endang Purwaningsih Endang Purwaningsih Hartanto, Agung Eko Hendrawati, Gandes Widya Heru Wiratmoko Kartika, Amelia Agnes Marcella Linda Indriani Octavia, Nataya Rizka Purwaningsih, Yustina Wiratmoko, Heru