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Iwan Wahyudi
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Journal : Nursing Case Insight Journal

 1 
Gerontic Nursing Care with Hypertension in Mrs. N by Soaking Feet Using Warm Water Siti Sopiah, Nalla; Wahyudi, Iwan
Nursing Case Insight Journal Vol. 3 No. 1 (2025): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/ad5rfp38

Abstract

Hypertension, characterized by elevated blood pressure, is a prevalent cardiovascular disorder influenced by genetic, lifestyle, and socio-cultural factors. Effective management, including non-pharmacological interventions like warm water foot soaking therapy, is crucial to prevent complications. This case study details the nursing care provided to Mrs. N, a geriatric patient with hypertension, using warm water soaking therapy at Tarogong Health Center. A qualitative descriptive method was used to analyze the nursing process, covering assessment, diagnosis, intervention, implementation, and evaluation. The study identified three nursing problems: chronic pain, sleep pattern disturbance, and risk of falls. Warm water foot soaking therapy was implemented based on Evidence-Based Practice (EBP) to alleviate pain and improve peripheral circulation. Following three days of therapy, Mrs. N's blood pressure decreased. This study highlights the potential of warm water foot soaking therapy as a beneficial nursing intervention for managing hypertension in geriatric patients.
Intervention of Slow Stroke Back Massage (SSBM) Therapy at the Garut For Hypertensive Elderly Wulan Purnamasari, Indah; Wahyudi, Iwan
Nursing Case Insight Journal Vol. 3 No. 1 (2025): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/81x4kp29

Abstract

The prevalence of diseases in the elderly increases with age due to declining body functions, including blood vessel function, leading to conditions like hypertension. Hypertension, characterized by systolic blood pressure over 140 mmHg and diastolic over 90 mmHg, is a major risk factor for kidney failure, heart failure, and stroke. This case study examines nursing care with slow stroke back massage (SSBM) therapy as an intervention to reduce blood pressure in elderly hypertensive patients. A descriptive case study approach was used, involving nursing assessment, diagnosis, intervention, implementation, and evaluation. The subject was an elderly patient, Mrs. P, at the Garut Elderly Home Service Unit. The interventions, particularly slow stroke back massage, effectively addressed the patient's discomfort and sleep pattern disturbances. The risk of decreased cardiac output and falls were partially resolved. The sustained management of hypertension requires a longer timeframe for optimal control of blood pressure. Slow stroke back massage significantly impacts lowering blood pressure in patients with hypertension and is recommended as a beneficial therapy
Soaking Feet Therapy with Ginger on Elderly with Arthritis: Case Study Pratiwi, Dinda Nur; Wahyudi, Iwan
Nursing Case Insight Journal Vol. 1 No. 01 (2023): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/xwkc9h69

Abstract

Osteoarthritis, also known as degenerative joint disease, is a condition where the joints feel painful due to mild inflammation caused by friction between the bones that make up the joint. It is a slow-progressing disease with different causes, and it is more common in women aged 60 years and over. There is currently no cure for osteoarthritis, and management is mainly aimed at controlling pain, improving joint movement and function. This case was to analyze nursing care for clients with osteoarthritis with the main intervention applying warm compress therapy boiled with ginger to reduce pain. Using a case study with an osteoarthritis client which was carried out for three consecutive days for 15 minutes per day. The results of the intervention carried out on osteoarthritis clients with chronic pain problems before being given warm compress therapy with boiled ginger, the pain scale was at 5 (moderate pain) from a range of 0-10, after being given warm compress therapy with boiled ginger, the pain scale was reduced to 3. (mild pain). Warm compress therapy boiled with ginger has been shown to have a significant effect on reducing pain in osteoarthritis patients.
Pulmonary Tuberculosis Nursing Care with Management of Airway Clearance: Case Study Surya Pratama, Erlangga; Wahyudi, Iwan
Nursing Case Insight Journal Vol. 2 No. 1 (2024): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/jgs5rv13

Abstract

Pulmonary tuberculosis is a contagious infectious disease with the highest prevalence in the world and the third largest in Indonesia with 10.4 million cases each year. Transmission occurs when a sufferer coughs or sneezes and the sufferer accidentally spreads germs into the air in the form of droplets. A person suffering from pulmonary tuberculosis can infect 10-15 people around him. Therefore, infectious disease management needs to be carried out as an effort to control several disease risk factors to maintain and improve public health. Objective: This case study aims to test the effectiveness of implementing effective coughing as a management method for ineffective airway clearance in pulmonary tuberculosis sufferers. Method: The method used is a case study by taking anamnesis, observation, physical examination and medical records. The participant in this study was Mr. R with pulmonary tuberculosis. Results: The results of this case study show that Effective coughing exercises are useful for managing airway clearance in pulmonary tuberculosis sufferers, this is characterized by sputum that can be expelled through the mouth, which is characterized by reduced shortness of breath, normal respiratory frequency, regular breathing rhythm, no additional breath sounds. Therefore, cough training has been empirically proven to be effective in managing airway clearance in pulmonary tuberculosis patients. Recommendation: Effective coughing can only be applied to pulmonary tuberculosis patients with shortness of breath, cough with phlegm, rhonchi breath sounds, and complaints that sputum is difficult to expel.
Co-Authors Amalia Mastuty Amrina, Hafidza Nash?ul Amrullah, Muhammad andhika, Andhika Lungguh Perceka Annisa, Lale Hurun ‘In Aoladul Muqarrobin Ardiansyah Putra, Yulias Figo Astari Nurisani AstriAmanupunnyo, Notesya Azwar Hadi Bq. Fitrihan Rukmana Buiswarin, Yohanis Bunga Yunita Cencen Hendra Setiawan D. Mustamu Qamal Pa’ni Dian Roslan Hidayat Erwin Wiksuarini Fitrihan Rukmana, Baiq Galuh, Joko Dwi Gina Nafsa Mutmaina Halimatunnisa, Maulin Haluruk, John D. Hamdiana, Lili Handry Khoswanto Hasbi, Hudaini Hasyim, Ibroni Hidayatin, Dina Alafi Hilmi Intan Ibrony Hasyim Ihlasul Amal Iin Patimah Ishmah Hamidah Iskandar Umarie Kholidun Najib L. Hersika Asmawariza Lahiria Wuliana Ahromi Lalu Hersika Asmawariza Lera, Johanis Watson Lia Mar’atiningsih Lita, Bq Fitria Frisma Mahardika Ramadhan, Andito Guruh Mamay Mastuty, Amalia Maulin Halimatunnisa Maulin Halimatunnisa' Meti Rizki Utari Miftahurrahmah Miftahurrahmah, Miftahurrahmah Muhammad Amrullah Muhammad Hadi Sulhan Muhammad Hatta Muhammad Hazmi Muhammad Ramdan Muhammad Sidiq Nurjaman Muqarrobin, Aoladul Mustika Budiarti, Baiq N. Ai Erlinawati Noya, Lucky H. Oktarina Oktarina Pa'ni, Daeng Mustamu Qamal Papilaya, Maritje F. Pa’ni, D. Mustamu Qamal Pebriana, Rauhil Pratiwi, Dinda Nur Rina, Amersthia Rudy Alfyansah Rukmana, Baiq Fitrihan Rukmana, Bq Fitrihan Septin, Wahyu Siti Sopiah, Nalla Sugiah Sulaiman, Lalu Suroso , Bejo Surya Pratama, Erlangga Susanti Melinda Susanti, Suci Rohmi Susyanti, Susan Syamsul Anwar Tanti Suryawantie Toha Muahimin Vera Yulandasari Wahyudin Widiarti, Wiwit Wijaya, Insan Wiksuarini, Erwin Windiyanti, Ira Wulan Purnamasari, Indah Yohanes T.D.S