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All Journal Indonesian Contemporary Nursing Journal (ICON Journal) Journal of Nursing Care
Ilham, Salsabila Nabilla Puspa
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Health Professions Nursing Physics Public Health

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Use of Silver Dressing on Diabetic Ulcers During Infection: Case Report Ilham, Salsabila Nabilla Puspa; Lestari, Indah; Maryati, Ida
Indonesian Contemporary Nursing Journal (ICON Journal) Vol. 9 No. 1 (2024): Volume 9 Nomor 1 Agustus 2024
Publisher : Faculty of Nursing, Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/icon.v9i1.35190

Abstract

Aims: This study aimed to describe the results of applying silver dressing on diabetic ulcers during infection in patients with infected wounds on digiti one pedis dextra. Methods: This research uses a descriptive design, namely a case study with a nursing approach consisting of assessment, analysis of problem formulation, formulation of nursing diagnosis, intervention, implementation, evaluation, and nursing documentation. The subject of this case study is Mrs. A with diabetic ulcers on Digi 1 pedis extra with infection. Case management was carried out for three days on April 17-19, 2024. Data was collected through anamnesis, wound assessment, supporting examination, and literature study. Wound assessment was performed using the Meggitt-Wagner instrument for assessing wound severity and the SINBAD (Site, Ischemia, Neuropathy, Bacterial infection, Area ulcer, and Depth) system for improving foot ulcer management according to their severity and predicting major adverse foot events. Results: After three days of treatment using silver dressing, the wound condition shows that the infection has been resolved, and the wound has improved significantly from a grade 2 diabetic ulcer with abscess using the Meggitt-Wagner instrument and a SINBAD score of 3 (less severe ulcer) to a grade 2 diabetic ulcer without abscess and a SINBAD score of 2 (less severe ulcer). Conclusion: Wound care using silver dressing significantly accelerates the resolution of infections and supports the overall healing process
Efforts to Establish a TB-Free Area: a Case Report Ilham, Salsabila Nabilla Puspa; Yamin, Ahmad; Mulya, Adelse Prima
Journal of Nursing Care Vol 7, No 2 (2024): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v7i2.55288

Abstract

Four pillars of efforts to accelerate TB treatment in Indonesia have not been implemented optimally in Kota Wetan Village, resulting in a high incidence of TB and non-compliance among people with TB. This can hamper the TB elimination program in Kota Wetan Village. Based on the results of the assessment, a nursing diagnosis of TB-related community health deficits was obtained related to the program not addressing all community health problems. This study aims to describe the efforts made to realize a TB-free pioneering area in Kota Wetan Village. The method used was a case report with a nursing process approach. The research sample was the community of RW 15 Kota Wetan Village totalling 695 people. There was an increase in the pretest and posttest scores of health education from an average of 76.25 to 91.25 with a p-value of 0.001 (p<0.050). RW cadres can carry out their duties as PMOs well, sputum examination (BTA) has been carried out for 58 people with suspected TB and household contacts with TB sufferers, and the declaration of TB-free RW has been carried out. The final evaluation found that the nursing problem of community health deficit was partially resolved. These interventions can raise community awareness to actively contribute to the success of activities that are being carried out for the common good so as to reduce the negative stigma of TB disease, increase the discovery of new cases of BTA positive TB, and reduce drug withdrawal rates in TB patients. Widespread community education and multisectoral collaboration are needed to accelerate TB elimination. Keywords: Infectious disease, Public Health Services, Tuberculosis
Co-Authors Ahmad Yamin Ida Maryati Indah Lestari, Indah Mulya, Adelse Prima