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All Journal Jurnal Kreativitas PKM Cendekia Medika : Jurnal Stikes Al-Ma`arif Baturaja Java Nursing Journal
Fajar, Kana
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Health Professions Medicine & Pharmacology Nursing Public Health

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Integrating Zinc Cream-Chitosan and Cadexomer Iodine for Treating Infections in Diabetic Foot Ulcers: A Case Report Bahri, Khairul; Fajar, Kana; Intan Asri Nurani; Rizki Hidayat
Java Nursing Journal Vol. 2 No. 2 (2024): March - June 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i2.40

Abstract

Background: The incidence of Diabetes Mellitus is reported to be increasing. These wounds can be challenging to heal and may lead to amputation if not treated appropriately. Treating wound infection requires careful antiseptic wound washing, removal of dead tissue, and the use of topical antimicrobial dressings. Aim in this case, we reported a case of diabetic foot ulcer infection used zinc cream-chitosan and cadexomer iodine. Case: A 76-year-old woman with a history of diabetes mellitus presented to the Wound, Ostomy and Continence Care Department at Wocare Indonesia in Bogor with an infected diabetic foot ulcer. The wound is classified as unstageable due to the presence of 100% slough tissue covering the entire wound bed. Additionally, there is erythema and oedema in the wound area, moderate purulent exudate, and slight bleeding. The wound emits an odour detectable within a distance of less than one meter. ABPI 0.67. The wound local infection assessment used NERDS and infection used WIFi classification. The primary dressing used for wound care was zinc cream-chitosan and cadexomer iodine 0.9%. Dressing changes were performed once every three days. Conclusion: The study examined the effectiveness of using zinc cream-chitosan and cadexomer iodine 0.9% to treating infection in diabetic foot ulcer wounds. The NERDS score decreased from 5 to 3, and the WIFi Classification decreased from 4 to 2, indicating an improvement in wound healing and patient quality of life with diabetic foot ulcers.
INFLAMMATION/INFECTION MANAGEMENT WITH TIMERS STEPS ON CLIENT DIABETIC FOOT ULCER Bahri, Khairul; Hidayat, Rizki; Gitarja, Widasari Sri; Fajar, Kana
Cendekia Medika: Jurnal Stikes Al-Ma`arif Baturaja Vol. 10 No. 1 (2025): Cendekia Medika: Jurnal STIKes Al-Ma'arif Baturaja
Publisher : LPPM STIKES Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/cendekiamedika.v10i1.417

Abstract

Diabetic foot wounds are predisposed to infection. These infections are the result of microbial colonization of the wound surface. The development of such infections can also be influenced by factors such as the presence of dead tissue, excessive exudate, and bacterial colonization. Efforts to overcome wound inflammation/infection with inflammation/infection management using the TIMERS steps (Tissue management, Infection/Inflammation, Moisture balance, Epithelization advancement/edge, Repair and regeneration, social factors) involve care actors. The present case study aims to describe the management of inflammation/infection with the TIMERS Step in diabetic foot wound clients involving carers. The research design is a case study, carried out on three clients with diabetic foot wounds from blood sugar tests while meeting the criteria of diabetes mellitus, stage III and IV wounds with granulation, slough and signs of inflammation/infection treated with TIMERS Steps involving caregivers who are trained to identify care needs. The findings of this case study indicated that the management of inflammation and infection in diabetic foot wounds using TIMERS entails three distinct stages. These stages involve the cleansing of the wound with antiseptic fluids, the removal of necrotic tissue through mechanical and autolytic debridement, and the selection of antimicrobial dressings to prevent and treat wound inflammation and infection. The carer's comprehension of the nursing care process was deemed satisfactory. This case study concludes that management of inflammation/infection with the TIMERS step involves the carer in identifying factors that inhibit wound healing and can accelerate the improvement of skin/tissue integrity.
Analisis Asuhan Keperawatan melalui Intervensi Adjunctive Treatment: Ozone Bagging Pada Ny. S dan Ny. N dengan Diabetic Foot Ulcer di Wocare Center Kota Bogor Amelia, Dea; Naziyah, Naziyah; Fajar, Kana
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 5 (2024): Volume 7 No 5 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i5.13665

Abstract

 ABSTRAK Diabetic Foot Ulcer yaitu suatu kondisi kronis yang berkaitan dengan diabetes mellitus dan memengaruhi bagian bawah tubuh, umumnya manifestasi berupa kerusakan pada jaringan yang berhubungan dengan gangguan neurologis dan penyakit pembuluh darah perifer. Hal ini disebabkan oleh berbagai faktor (Kusumaningrum et al., 2020). Masalah utama dalam perawatan pasien Ny. S dan Ny. N ialah gangguan integritas kulit yang dapat dilihat melalui data subjektif dan objektif, termasuk gejala dan tanda utama seperti adanya luka diabetic foot ulcer. Kedua pasien ini menjalani terapi tambahan, yakni terapi ozone bagging sebagai bagian dari perawatan luka mereka. Terapi ozone bagging telah terbukti efektif dalam mendukung proses penyembuhan luka, berkurangnya risiko infeksi, dan menghilangkan bau pada luka. Terapi ozon dilakukan setiap pertemuan perawatan luka, dengan frekuensi tiga kali seminggu, dan durasi 15 menit per sesi untuk Ny. S dan Ny. N. Hal itu bisa kita lihat pada penurunan skor luka memakai winner scale score serta penurunan parameter bau odor menggunakan odor assesment tools. Kata Kunci: Diabetic Foot Ulcer, Terapi ozone bagging ABSTRACT Diabetic Foot Ulcer is a chronic condition related to diabetes mellitus and affecting the lower part of the body, generally manifesting in the form of tissue damage associated with neurological disorders and peripheral vascular disease. This is caused by various factors (Kusumaningrum et al., 2020). The main problem in patient care Mrs. S and Mrs. N is a disorder of skin integrity that can be seen through subjective and objective data, including main symptoms and signs such as the presence of diabetic foot ulcers. These two patients underwent additional therapy, namely ozone therapy as part of their wound treatment. Ozone therapy has been proven effective in supporting the wound healing process, reducing the risk of infection, and eliminating wound odor. Ozone therapy is carried out at every wound care appointment, with a frequency of three times a week, and a duration of 15 minutes per session for Mrs. S and Mrs. N. We can see this in the decrease in wound scores using the winner scale score and the decrease in odor parameters using odor assessment tools. Keywords: Diabetic Foot Ulcer, Ozone Therapy  
Co-Authors Bahri, Khairul Dea Amelia, Dea Hidayat, Rizki Intan Asri Nurani Naziyah, Naziyah Rizki Hidayat Widasari Sri Gitarja, Widasari Sri