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Journal : proceeding international collaborative conference on multidisciplinary science

Nursing Management of Ineffective Airway Clearance Through Effective Cough Exercise and Warm Water Ad-ministration in Chronic Obstructive Pulmonary Disease Pa-tients at RSUD Dr. Gondo Suwarno Ungaran Suci Indah Lestari; Tri Susilo
Proceeding International Collaborative Conference on Multidisciplinary Science Vol. 3 No. 1 (2026): June : ICCMS (Proceeding International Collaborative Conference on Multidiscipl
Publisher : International Forum of Researchers and Lecturers

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70062/iccms.v3i1.251

Abstract

Chronic Obstructive Pulmonary Disease (COPD) is a chronic respiratory disorder characterized by per-sistent airflow limitation, excessive mucus production, chronic cough, and difficulty in clearing airway secretions. Ineffective airway clearance is one of the common nursing problems experienced by COPD patients due to increased sputum production and decreased ability to perform effective coughing. This article aims to describe nursing management of ineffective airway clearance through effective cough exercise combined with warm water administration in COPD patients. This study used a descriptive case study approach based on the nursing process, including assessment, nursing diagnosis, intervention, imple-mentation, and evaluation. The case was conducted at RSUD Gondo Suwarno Ungaran involving a COPD patient with ineffective airway clearance problems. Nursing interventions included respiratory monitoring, effective cough training, semi-Fowler positioning, and warm water administration to assist sputum mo-bilization. The results showed improvement in airway clearance, characterized by easier sputum expecto-ration, reduced respiratory discomfort, and improved breathing condition. Effective cough exercise combined with warm water administration can be used as a simple non-pharmacological nursing inter-vention to support airway clearance management in COPD patients.
Management of Sleep Pattern Disorders in the Elderly with Hypertension Through Music Therapy at the East Kalongan Ungaran Health Center Anadita Bela Safitri; Lia Nur Bae Sita; Tabir Sarin Indah Hulu; Rizki Hendro Setiawan; Tri Susilo
Proceeding International Collaborative Conference on Multidisciplinary Science Vol. 3 No. 1 (2026): June : ICCMS (Proceeding International Collaborative Conference on Multidiscipl
Publisher : International Forum of Researchers and Lecturers

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70062/iccms.v3i1.298

Abstract

Hypertension is one of the non-communicable diseases that are experienced by many elderly and can cause various health problems, one of which is sleep pattern disorders. Untreated sleep pattern disorders can reduce the quality of life of the elderly. One of the non-pharmacological therapies that can be used to overcome this problem is music therapy. The purpose of this case study is to describe the management of sleep pattern disorders in the elderly with hypertension through music therapy at the East Kalongan Ungaran Health Center. The method used is a descriptive case study with a nursing process approach that includes assessment, nursing diagnosis, intervention, implementation, and evaluation. The study subjects were elderly people aged 60–70 years who had hypertension and sleep pattern disorders. The intervention was in the form of Benson music therapy for 20 minutes every day for 3 consecutive days accompanied by monitoring sleep patterns and blood pressure. The results of the study showed that the patient had difficulty sleeping, often woke up at night, felt dissatisfied with his sleep, and had a blood pressure of 160/110 mmHg. An established nursing diagnosis is that sleep pattern disorders are associated with lack of sleep control. After 3 days of music therapy, patients reported better sleep, less frequent waking up, increased sleep time, and felt more rest. Blood pressure also decreased to 145/90 mmHg. Evaluation shows that the problem of sleep pattern disorders is partially resolved and music therapy can help improve sleep quality and lower blood pressure in the elderly with hypertension.
Emergency Airway Management in COPD Patients Using Nebulizer Therapy at Dr. Ario Wirawan Pulmonary Hospital Salatiga : A Case Study Salma Aulia Ramadhanti; Tri Susilo
Proceeding International Collaborative Conference on Multidisciplinary Science Vol. 3 No. 1 (2026): June : ICCMS (Proceeding International Collaborative Conference on Multidiscipl
Publisher : International Forum of Researchers and Lecturers

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70062/iccms.v3i1.300

Abstract

Chronic Obstructive Pulmonary Disease (COPD) is the third leading cause of death worldwide, characterized by airflow obstruction in the respiratory tract. The primary problem that often arises is ineffective airway clearance due to excess mucus production and increased thick secretions. At Dr. Ario Wirawan Lung Hospital in Salatiga, 482 cases of COPD were recorded in the past year (2024-2025), of which 61.2% required nebulizer therapy intervention. This scientific paper aims to describe the management of ineffective airway clearance through nebulizer therapy in COPD patients in the Emergency Department (ER) of Dr. Ario Wirawan Lung Hospital in Salatiga. The author used a descriptive case study method to address this nursing problem. The study subject was an elderly patient (77 years old) who complained of shortness of breath for 3 days and additional breath sounds, rhonchi. The primary intervention was nebulizer therapy using bronchodilator medication to widen the airways and thin and facilitate the expectoration of secretions. Implementation was carried out for 1 x 3 hours in the emergency room, monitoring breathing patterns and oxygen saturation. The nursing care results showed that after administering nebulizer therapy and supportive measures such as suctioning and oxygen administration, the problem of ineffective airway clearance was resolved. The patient reported feeling lighter in breathing, reduced rhonchi, improved respiratory rate, and increased oxygen saturation (SpO2) from 89% to 93%. It is recommended that healthcare workers in the emergency room consistently implement nebulizer therapy according to standard operating procedures to improve the quality of respiratory care and prevent further complications in COPD patients.