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All Journal Nursing Case Insight Journal
Ridwan Rifai, Mohamad
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Health Professions Medicine & Pharmacology Nursing Public Health

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Improving Family Independence in Hypertension Management through a Nursing Process Approach: A Case Study on Mrs I's Family in Garut Regency Ridwan Rifai, Mohamad; Permana, Gin Gin Sugih; Daniati, Eva
Nursing Case Insight Journal Vol. 3 No. 2 (2025): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/63kf5m76

Abstract

Family independence in managing hypertension is a key factor in achieving optimal quality of life. This study aims to improve the independence of Mrs I's family in Garut Regency through a family-based nursing process approach. The method used is a descriptive case study with data collection techniques including observation, interviews, documentation studies, and physical examinations. The results of the assessment showed that Mrs I's family was included in the Family Independence I (KM I) category, where they were aware of the problem of hypertension but did not understand the proper treatment. Nursing interventions focused on health education, medication management, and psychosocial support with a local cultural approach. Evaluation showed an increase in family independence to KM III, characterised by the family's ability to take preventive and promotive actions independently, such as routine control, low salt diet, and medication adherence. This study concludes that a contextualised family-based nursing approach involving active participation of family members is effective in improving the independence of hypertension management. The implication is that nurses need to master therapeutic communication and culture-based interventions to optimise community nursing practice
Management of Visual Hallucinations in Schizophrenia Patients in Mental Rehabilitation Settings Auditory: A Nursing Case Study Sugih Permana, Gin Gin; Ridwan Rifai, Mohamad; Riansyah, Alvi
Nursing Case Insight Journal Vol. 3 No. 3 (2025): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/z1hrsb04

Abstract

Schizophrenia is a chronic mental disorder that affects the way a person thinks, feels, and behaves. One of the most common positive symptoms is hallucinations, including visual hallucinations, which can significantly interfere with a patient's daily functioning. Proper management of visual hallucinations is essential to improving the patient's quality of life. This case study aims to examine the implementation of nursing care for patients with visual hallucinations due to schizophrenia and to evaluate the effectiveness of the interventions provided in reducing hallucination symptoms. This study uses a case study design with a qualitative approach. The research subject is a 28-year-old male patient who experiences visual hallucinations due to schizophrenia. Data collection was conducted through interviews, observations, and nursing documentation during the treatment period at the Garut mental rehabilitation clinic. The results of the assessment showed that the patient experienced visual hallucinations in the form of black shadows that followed his movements. The main nursing diagnosis that emerged was sensory perception disorder: visual hallucinations. The interventions provided included reality therapy, group activity therapy, health education, and pharmacotherapy. After 14 days of treatment, there was a decrease in the frequency of hallucinations from 8-10 times/day to 2-3 times/day. Comprehensive nursing care with a holistic approach proved to be effective in managing
Co-Authors Eva Daniati Permana, Gin Gin Sugih Sugih Permana, Gin Gin