Dyah Nuraini Widhiana
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Journal : PROFESSIONAL HEALTH JOURNAL

CASE REPORT: MANAGEMENT OF ISCHEMIC STROKE USING THE CODE STROKE PROTOCOL IN A 60-YEAR-OLD FEMALE Kevin Pratama Diliano Siswoto; Dyah Nuraini Widhiana
PROFESSIONAL HEALTH JOURNAL Vol. 7 No. 2 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v7i2.1183

Abstract

A stroke is defined as a neurological deficit attributed to an acute focal injury of the CNS (i.e., brain, retina, or spinal cord) by a vascular cause. Ischemic stroke is caused by disrupted cerebral blood flow due to thrombotic or embolic events. Stroke risk factors are classified into modifiable factors, such as hypertension, diabetes mellitus, hyperlipidemia, and smoking habits, and non-modifiable factors, such as age, gender, race/ethnicity, and genetic predisposition. This case report discusses a 60-year-old female patient presenting to the emergency department with right-sided body weakness, difficulty swallowing, slurred speech, and a history of uncontrolled hypertension. Physical examination revealed severe hypertension (216/106 mmHg), underweight nutritional status (BMI 17.24 kg/m²), motor weakness, and a positive Babinski reflex. A head CT scan showed infarction in the pons and left external capsule, consistent with a diagnosis of ischemic stroke due to small vessel occlusion. The patient was managed using the Code Stroke protocol, which included fluid administration, antihypertensives, neuroprotectors, and thrombolytic rTPA. Following therapy, clinical symptoms improved, with a reduction in the NIHSS score from 8 to 5, indicating a positive response. Patient education emphasized the importance of controlling risk factors such as hypertension and hypercholesterolemia and adherence to pharmacological treatments and lifestyle modifications. In conclusion, early diagnosis and the appropriate application of the Code Stroke protocol can enhance clinical outcomes, reduce morbidity and mortality, and prevent long-term complications in ischemic stroke patients. Ischemic stroke highlights the significance of an integrated multidisciplinary approach in stroke management.
CASE REPORT: LOW BACK PAIN EC HERNIA NUCLEUS PULPOSUS IN A 44-YEAR-OLD MALE PATIENT Radhiyya Tsabitah Drajat; Dyah Nuraini Widhiana
PROFESSIONAL HEALTH JOURNAL Vol. 7 No. 2 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v7i2.1184

Abstract

This study describes a case of Ischialgia caused by hernia nucleus pulposus (HNP) in a 44-year-old male patient. The patient presented with complaints of pain in the buttocks radiating to the right leg, accompanied by tingling and numbness, particularly after heavy physical activity. The diagnosis was established through anamnesis, physical examinations such as the Lasegue, Bragard and Socard tests, and MRI imaging, which revealed bulging discs at L1-2, L2-3, L3-4, L4-5, and L5-S1. Management was conducted using a holistic approach, including pharmacological therapy (NSAIDs, muscle relaxants, and vitamin B12), physiotherapy, and a lumbar corset to support spinal stability. After four days of treatment, the patient showed significant improvement, with the Visual Analog Scale (VAS) pain score decreasing from 8 to 3, normal motor strength recovery, and improved walking ability. Lifestyle modification education was provided to prevent recurrence, such as reducing heavy physical activities and engaging in controlled physical exercises. These results emphasize the importance of early diagnosis and multidisciplinary therapy in managing HNP cases to enhance the patient’s quality of life. This case contributes significantly to clinical practice by demonstrating the effectiveness of an integrated approach in optimally managing HNP.