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The Combination of Polyhexamethylene Biguanide and Cadexomer Iodine in Healing Chronic Venous Leg Ulcers: A Case Report Asmat Burhan; Septian Mixrova Sebayang
Viva Medika Vol 16 No 1 (2022): VOLUME 16 / Nomor 01 /SEPTEMBER/ 2022
Publisher : Universitas Harapan Bangsa Purwokerto

Chronic Venous Leg Ulcers (CVLUs) are vascular diseases and require complex wound care from a patient, wound, health personnel and dressing factors. Cadexomer Iodine (CI) and Polyhexamethylene Biguanide (PHMB) are antimicrobial and broad-spectrum wound washing fluids. The uncontrolled infection will complicate wound healing due to bacteria or plankton from the biofilm stage to infection, which causes a long healing time. Purpose: to determine the effectiveness of the combination of Polyhexamethylene biguanide and Cadexomer Iodine on venous leg ulcer wound healing. Methods: This study is a case study using CVLUs as a sample, with pre-test and post-test designs, patients with CVLUs received topical antimicrobial CI and PHMB interventions on wounds for 7 weeks. The sample in this study used one sample with a pre-post treatment design for seven days.. The instrument uses the Bates Jensen Wound Assessment Tool. Results: The combination of CI and PHMB was shown to improve the healing of CVLUs by controlling bacterial infection in wounds. In the 2nd week, the wound was 26cm x 15cm, the slough was reduced, and the red base wound increased. In the 3rd week, the wound was stage 4, and the granulation increase was 75%. In the 7th treatment, the wound size scale increased 7cmx4cm, the wound became stage 2, and a significant increase in epithelialization was 75%. Conclusion: The combination of PHMB and CI has been shown to control infection at the biofilm stage to critical colonization, reduce odour and significantly control infection, and increase granulation and epithelialization in CVLUs

ASUHAN KEPERAWATAN KETIDAKSTABILAN GLUKOSA DARAH PADA PASIEN TN. D DENGAN DIABETES MELITUS TIPE II DI RSI BANJARNEGARA Han Adam Renaldi; Amin Susanto; Asmat Burhan
Jurnal Inovasi Penelitian Vol 3 No 5: Oktober 2022
Publisher : Sekolah Tinggi Pariwisata Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47492/jip.v3i5.2079

Diabetes mellitus is a metabolic disorder characterized by high sugar levels associated with abnormal carbohydrate, fat, and protein metabolism caused by decreased insulin secretion or decreased insulin sensitivity effectively. One of the nursing problems that always arise in people with Diabetes Mellitus is the risk of unstable blood glucose levels. Ignorance of diet is one of the efforts to achieve treatment goals in type 2 diabetes mellitus patients. Therefore, health education is needed for type 2 DM patients. The author's aim is to provide nursing care for blood glucose instability in Mr D with Type II Diabetes Mellitus. Actions by providing implementation The implementation of nursing care actions carried out is conducting a diet therapy program for clients which is carried out for 3 days, accompanied by daily GDS measurements. Education is education or training regarding knowledge and skills in the management of diabetes mellitus given to every patient with diabetes mellitus. Providing education includes basic knowledge about diabetes mellitus, meal planning, physical activities and foot care

ASUHAN KEPERAWATAN KETIDAKSTABILAN GLUKOSA DARAH PADA PASIEN TN. D DENGAN DIABETES MELITUS TIPE II DI RSI BANJARNEGARA Han Adam Renaldi; Amin Susanto; Asmat Burhan
Jurnal Inovasi Penelitian Vol 3 No 6: Nopember 2022
Publisher : Sekolah Tinggi Pariwisata Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47492/jip.v3i6.2143

Diabetes mellitus is a metabolic disorder characterized by high sugar levels associated with abnormal carbohydrate, fat, and protein metabolism caused by decreased insulin secretion or decreased insulin sensitivity effectively. One of the nursing problems that always arise in people with Diabetes Mellitus is the risk of unstable blood glucose levels. Ignorance of diet is one of the efforts to achieve treatment goals in type 2 diabetes mellitus patients. Therefore, health education is needed for type 2 DM patients. The author's aim is to provide nursing care for blood glucose instability in Mr D with Type II Diabetes Mellitus. Actions by providing implementation The implementation of nursing care actions carried out is conducting a diet therapy program for clients which is carried out for 3 days, accompanied by daily GDS measurements. Education is education or training regarding knowledge and skills in the management of diabetes mellitus given to every patient with diabetes mellitus. Providing education includes basic knowledge about diabetes mellitus, meal planning, physical activities and foot care

MANAGEMEN NYERI UNTUK MENGATASI MASALAH NYERI AKUT POST OPERASI PADA PENDERITA BENIGNA PROSTAT HYPERPLASIA Farah Nuri Azizah; Amin Susanto; Asmat Burhan
JURNAL PENGABDIAN MANDIRI Vol. 1 No. 10: Oktober 2022
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar

Benign Postat Hyperlasia (BPH) is the use of the prostate gland that is benign only in men, usually in middle or old age. The incidence of benign prostatic hyperplasia (BPH) in Indonesia has placed BPH as the number two cause of urinary tract stones. This paper uses a descriptive case study in the form of a nursing care case study which includes assessment, nursing diagnosis, nursing plan, nursing implementation, and nursing evaluation. Data collection techniques were carried out by interview, observation, and documentation. The results of the case study Mr. A with postoperative TURP obtained one nursing diagnosis, namely acute pain. After nursing actions, the patient shows a change in condition for the better, namely the client can adapt to postoperative pain. conclusion of the case study on Mr. A with acute postoperative pain TURP is a problem resolved according to the goals and expected outcome criteria.

Penerapan Kompres Hangat dan Tarik Nafas dalam Mengatasi Nyeri Akut Pasien Hipertensi Wahyu Utami Mauliddia; Suci Khasanah; Asmat Burhan
ABDISOSHUM: Jurnal Pengabdian Masyarakat Bidang Sosial dan Humaniora Vol. 1 No. 3 (2022): September 2022
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/abdisoshum.v1i3.1013

Pain conditions are very often complained of in hypertensive patients. Pain often occurs in the nape of the neck due to increased pressure on the walls of blood vessels around the neck, increased vascular pressure to the brain so that there is an emphasis on the neck muscle fibers. This study aims to describe the nursing care process and the use of a warm compress intervention combined with deep breathing relaxation techniques. The results showed that the patient was diagnosed with hypertension. The patient complained of dizziness and neck pain like being crushed by a heavy object, a scale of 5 due to stress and a lot of pressure. Pain occurs approximately 1 hour and always occurs on every wake. Blood pressure reached 190/100 mmHg, pulse 91 beats per minute, RR 20 beats per minute, and temperature 36.30C. The warm compress intervention combined with deep breathing was carried out for 3 days and was proven to be able to reduce the pain scale felt by hypertensive clients.

The Overview Of Management Documentation Hypertension Patients: A Qualitative Study Indah Susanti; Paulus Subiyanto; Asmat Burhan
Viva Medika Vol 16 No 3 (2023): VOLUME 16 / Nomor 03 /JULI/ 2023
Publisher : Universitas Harapan Bangsa Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35960/vm.v16i3.1042

Latar belakang: Hipertensi adalah terjadinya peningkatan tekanan darah diatas normal. Prevalensi hipertensi di kota Yogyakarta sebesar 25%. Tujuan: Untuk mengetahui prinsip-prinsip dokumentasi asuhan keperawatan pada pasien hipertensi. Metode penelitian: Desain penelitian yang digunakan dalam penelitian ini dengan pendekatan kualitatif dengan model multikasus terpancang. penelitian dilakukan di ruang Elisabeth Gruyter’s 3 Rumah Sakit Panti Rapih Yogyakarta pada bulan Januari- September tahun 2017 sebanyak 161 pasien hipertensi. Jumlah sampel yang di ambil pada penelitian ini adalah dua Rekam Medis pasien yang menderita hipertensi disertai komplikasi dan hipertensi tanpa komplikasi. Kesimpulan dan Saran: Pasien kasus 1 menderita hipertensi tanpa komplikasi dan terkontrol dengan riwayat CA Cerebri, sedangkan pasien kasus 2 menderita hipertensi disertai dengan komplikasi CKD (chronic kidney disease) dan tidak terkontrol. Prinsip-prinsip dokumentasi sudah sesuai dengan data yang ada pada pasien. Diharapkan hasil penelitian ini dapat menjadi referensi untuk meningkatkan pelayanan optimal tentang penatalaksanaan untuk penderita hipertensi.

Implementation of LoRa Wireless Communication in Smart Diabetic Shoes Design Purwono Purwono; Asmat Burhan; Lutviana Lutviana
International Journal of Robotics and Control Systems Vol 3, No 4 (2023)
Publisher : Association for Scientific Computing Electronics and Engineering (ASCEE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31763/ijrcs.v3i4.1152

Diabetes is a widespread medical condition affecting a substantial portion of the global population. It is a metabolic disorder known as diabetes mellitus, characterized by severe fluctuations in blood glucose levels due to inadequate insulin production in the human body. The effective monitoring of diabetes is of paramount importance to researchers as it holds the potential to enhance the quality of healthcare services. Among the challenges faced by individuals with diabetes, one prevalent issue is the development of ulcers, which can be challenging to detect promptly. Technological advancements offer a promising avenue for cost-effective and continuous monitoring of chronic diseases like diabetes. This study centers on the development of IoT-based intelligent diabetic footwear that incorporates pressure sensors and temperature monitoring for individuals with diabetic feet. In the evaluation of SX1278 (Ra-02) Lora Module communication, deployed at eight different locations, it was observed that two of these points achieved a flawless transmission success rate of 100%. Conversely, the communication failed at points 6 and 7, with a success rate falling below 50%. Some of these failures can be attributed to signal obstructions, including natural elements such as trees and terrain, as well as man-made structures like buildings and machinery workshops, which hinder the efficient transmission of signals from the end node to the gateway. The results of this research provide positive implications in the form of developing IoT-based diabetes shoes that can be applied with alternative Lora communication connections in areas with poor internet signal.

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