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I Made Mertha
Nursing Department, Ministry of Health Polytechnic, Denpasar, Indonesia
Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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The Nursing Problem for Physical Mobility Impairments in Tibia Fracture Patients Post ORIF Operation with Rom Free Active Exercise (FAE) I Gusti Ayu Ari Rasdini; I Made Mertha; Ni Made Wedri; I Wayan Sukawana; Lina Adhiutami
Nursing and Health Sciences Journal (NHSJ) Vol. 4 No. 3 (2024): September 2024
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v4i3.381

Abstract

Open fracture of the tibia is a complex injury with multifactorial outcomes and variable prognosis. This final scientific work by nurses aims to determine nursing care for physical mobility disorders with range of motion free active exercise in post-ORIF surgery tibia fracture patients. This scientific work uses a descriptive method with a case study approach which was carried out on 30 October – 02 November 2023. The results of the study showed data that the patient said he had pain in his left leg, did not dare to move his left leg, the back of his left leg was swollen. The nursing diagnosis of impaired physical mobility is related to pain. Nursing interventions are ambulation support, mobilization support and pain management with the criteria of increasing physical mobility. Innovation intervention range of motion free active exercise with 2 times the frequency of 2x8 steps. The nursing evaluation showed that physical mobility problems had decreased. Conclusion: range of motion free active exercise can increase range of motion, increase muscle strength, reduce complaints of pain, reduce anxiety when moving, and reduce edema. Suggestions for health workers can apply the results of non-pharmacological therapy research, especially range of motion free active exercise, to treat post-operative patients with complaints of physical mobility problems.
Model of fulfilling basic needs for the elderly at home based on Balinese culture I Ketut Suardana; I Wayan Surasta; Made Liandana; I Made Mertha; Ni Luh Putu Sri Erawati
Nursing and Health Sciences Journal (NHSJ) Vol. 5 No. 1 (2025): March 2025
Publisher : KHD-Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/nhsj.v5i1.433

Abstract

The problems that exist in society related to the elderly are mainly in meeting basic needs, and there is a tendency to get depression. Decreased body function in the elderly can affect physical, mental, and psychosocial changes. This study aims to identify patterns of improvement in the basic needs of the elderly and identify models of basic needs services for the elderly. This research uses a qualitative design where researchers conduct FGDs with in-depth interviews. The sample was taken by purposive random sampling with a sample of 35 people who were divided into six groups. The results of the study showed a discussion rate of 29% for the topic of life support, psychological counseling at 26%, services provided by the family at 18%, care and daily life at 17%, and attitudes of the elderly at 3%. The elderly's life support for walking or toilets is 44%. Tools for asking for help is 31%. The most discussed psychological problem is the exceptional attention level of 77%. The desired service is for families to pay attention to the elderly, which is 38%. Most eating and drinking services are daily care related to defecation assistance (24%), and the attitude of the elderly when they need help is to convey it to trusted people (23%). The importance of integrating comprehensive care models that prioritize the physical, emotional, and social needs of the elderly. By fostering collaboration among families, caregivers, and healthcare professionals, it is possible to create a supportive ecosystem that empowers elderly individuals to lead fulfilling lives.
Co-Authors I Gusti Ayu Ari Rasdini I Ketut Suardana I Wayan Sukawana I Wayan Surasta Lina Adhiutami Made Liandana Ni Luh Putu Sri Erawati Ni Made Wedri