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EVALUATION OF DISCHARGE READINESS IN A PATIENT WITH SECONDARY STROKE: A CASE STUDY Kadir, Afrizal Nur; Septianingrum, Yurike; Wijayanti, Lono
Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kesehatan Vol 9 No 2 (2025): Volume 9 Issue 2, June 2025, Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kes
Publisher : Library Unit collaborates with the Institute for Research and Community Service, College of Health Sciences Husada Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/lkh.v9i2.73

Abstract

Background: Early readmission in stroke survivors remains a critical issue, particularly in patients with mild initial symptoms but who experience early recurrence within a short period. Evaluating both patient and caregiver readiness for discharge is essential to improve home care outcomes and prevent avoidable hospitalizations. Objectives: This case study aims to assess discharge readiness in a post-stroke patient and their caregiver using the PATH-s instrument and examine its implications for readmission prevention. Methods: A descriptive single-case study was conducted involving a 66-year-old male with a secondary ischemic stroke within 30 days of the initial attack. Data were collected via clinical records and interviews. Discharge readiness was evaluated using the Preparedness Assessment for the Transition Home after Stroke (PATH-s) instrument, consisting of 25 items. The assessment was guided through a structured interview due to the patient's limited ability to self-complete the questionnaire. Results: The PATH-s assessment yielded a total score of 69 out of 100, indicating a moderate level of discharge readiness. The average score per item was 2.67 out of 4, suggesting a need for additional support in specific areas. The domains identified for improvement included financial capacity, home and transportation accessibility, long-term prognosis, and patient insight about stroke. Conclusion: Evaluating discharge readiness in the patient and family caregiver helped increase awareness of home care limitations and guided appropriate nursing interventions. These findings highlight the value of structured assessments like PATH-s in supporting clinical decision-making and individualized discharge planning.
Pola Perilaku Pencarian Kesehatan dan Perilaku Swamedikasi oleh Perawat: Sebuah Tinjauan Sistematis Kadir, Afrizal Nur; Muhith, Abdul; Hasina, Siti Nur
Jurnal Penelitian Perawat Profesional Vol 7 No 1 (2025): Februari 2025, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v7i1.5189

Abstract

Perawat merupakan sosok yang memberi asuhan keperawatan secara menyeluruh kepada pasien. Tugas ini datang dengan konsekuensi dan risiko yang besar bagi perawat. Kondisi dilemma dan konflik prioritas internal diri perawat bisa saja terjadi akibat gesekan tuntutan tugas dan kondisi hidup pribadi. Perilaku mencari pelayanan kesehatan atau health-seeking behavior (HSB) merupakan protokol yang harus dijalankan untuk memperoleh pelayanan akibat perubahan status kesehatan. Nyatanya ada berbagai macam penyebab yang menjadikan perawat gagal menjalankan praktik ini sebagaimana semestinya. Praktik ini kemudian dinilai rendah bahkan negatif pelaksanaannya dan mengarahkan perawat mengambil jalan pintas yaitu dengan melakukan pengobatan sendiri/swamedikasi atau self-medication behavior (SMB) yang berisiko. Tujuan dari literature review ini untuk mengetahui kecenderungan prevalensi praktik HSB dan SMB pada perawat. Metode yang digunakan dalam artikel ini yaitu literature review dengan menggunakan database jurnal dari Google scholar, Pubmed, dan Science direct dalam rentang waktu 2019-2024 dengan kata kunci “Health-seeking behavior”, “Self-medication Behavior”, dan “Nurse” didapatkan hasil sebanyak 940 artikel. Artikel diseleksi sesuai kriteria dan didapatkan hasil 20 artikel yang siap untuk ditelaah.