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Endang Purwaningsih
Department of Anatomy, Faculty of Medicine, Universitas YARSI, Jakarta 10510, Indonesia
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Journal : Health Access Journal

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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 AA Sudharmawan, AA Andriani, Wiwiek Retti Antonius Totok Priyadi Asrori Asrori Astuti Giantini Azriel Al Mushorih Benny Batubara Berliana Effrianti Chandra Yusuf Cindy Tri Putri Dedik Iwan Setiawan Derta . Derta Rahmanto Dewi Ikhfina Karima Dian Ayubi Dinda Taruna Nagara Diniwati Mukhtar Dwikoranto Elis Ratna Dewi Endah purnamasari Ester Ester Etty Widayanti Etty Widayanti Fiky Niswati Yuslihah Firman Arifandi H B Munaf Heni Kuswanti Heru Wiratmoko I Putu Yogi Setia Permana Irwan Santosa Isnanto Isnanto Iwan Ramadhan Kinzoku Nur Alif Krisna Yetti Leo Eladisa Ganjari Marcella Linda Indriani Maria Desinta MARIA ULFAH Markus Diantoro Mirfat Mirfat Moh. Rezqi Maulidhani Mohammad Ryan Bakry Munasir Prasetyowati, Silvia Qomariyah Qomariyah Ragan Varian Antariksa Ratih Larasati Ratna Dewi Ratna Sukowati Reqgi First Trasia Riri Mela Lomika Siregar Samsul Mustofa Sandhi Setya Praptama Shintya Nabilla Trianti Siti Fitria Ulfah Siti Jamilah Soesilaningtyas Soesilaningtyas Sri Hartini Sri Wahyu Herlinawati Sri Wahyuni Supriana, Edi Suwanto, Agus Wiwit Tasya Olivia Natania Tomo Djudin Vina Kuswatun Azizah Warneri . Yolanda Dwi Vivian Karawahenni YULIA AMANATI, ANIS