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All Journal Malahayati International Journal of Nursing and Health Science
I Made Jaya Kusuma
Fakultas Kesehatan, Institut Teknologi dan Kesehatan Bali
Health Professions Nursing Public Health

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Emergency care for palliative patients in the emergency room: A literature review Ni Luh Putu Inca Buntari Agustini; Ni Luh Dwi Indrayani; I Nyoman Widiadnyana; Ni Luh Putu Yudi Aprianini; Putu Indah Jelita Lestari; Ni Ketut Erawati; I Made Jaya Kusuma; Vinda Ekabudiningsih
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 4 (2025): Volume 8 Number 4
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i4.743

Abstract

Background: A lot of research has been done on the treatment of palliative patients who come to the emergency department. Although there are several models, it is still difficult to integrate palliative care into the ED. Purpose: To determine how emergency care for palliative patients is implemented in the emergency department.   Method: The PCC framework (Population: palliative patients, Concept: emergency care, Context: emergency department) was used to generate the article questions for this literature review. A search for articles was conducted during November and December, 2024. Pubmed, the ScientDirect database and other resources were used as data sources. “Palliative care" OR "palliative medicine" OR "hospice and palliative care nursing" AND "emergency treatment" OR "emergency medical services" AND "emergency room" OR "ER" were used as keywords. Results: Emergency care for palliative patients in emergency room has been implemented with a focus on symptom management and reducing the patient's suffering, maintaining patient comfort and involving families in decision making, with effective communication being essential. However, there are still serious barriers and challenges such as lack of staff education, problems with current emergency department systems and processes. Conclusion: The knowledge and skills of nurses and other health workers need to be improved and more in-depth studies need to be carried out so the implementation of palliative patient care in emergency cases can be optimized.
Video-guided range of motion for functional recovery in non-hemorrhagic stroke: A literature review Sri Dewi Megayanti; Putu Vera Megawati; Ni Wayan Deani; I Made Jaya Kusuma; Ni Luh Putu Yudi Apriani
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 2 (2026): Volume 9 Number 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i2.2631

Abstract

Background: Non-hemorrhagic stroke is a major cause of long-term disability, often resulting in motor impairment, reduced muscle strength, limited range of motion, and decreased independence in activities of daily living. Consistent and accessible rehabilitation strategies are therefore needed, especially during the transition from hospital to home care. Video-guided range of motion has emerged as a nursing-led approach to support home-based rehabilitation. Purpose: To describe the application of Evidence-Based Nursing through video-guided range of motion as an independent nursing intervention to improve functional recovery in patients with non-hemorrhagic stroke. Method: An Evidence-Based Nursing approach was conducted using the PICO framework. Literature searching was performed through PubMed, ScienceDirect, ProQuest, and Google Scholar. A total of nine relevant studies were critically appraised, including randomized controlled trials, feasibility studies, and comparative studies related to video-guided range of motion interventions in patients with non-hemorrhagic stroke. Results: The evidence indicated that video-guided range of motion improved exercise adherence, motor function, mobility, balance, and functional independence. Improvements were reported using validated outcome measures, including the Berg Balance Scale, Motor Functional Scores, and the Modified Barthel Index. Video-based range of motion showed effectiveness comparable to conventional face-to-face rehabilitation without increasing adverse events. Conclusion: Video-guided range of motion is a feasible and effective Evidence-Based Nursing intervention to support functional recovery and strengthen nursing practice in patients with non-hemorrhagic stroke, particularly in community and home-care settings.
Co-Authors I Nyoman Widiadnyana Ni Ketut Erawati Ni Luh Dwi Indrayani Ni Luh Putu Inca Buntari Agustini Ni Luh Putu Yudi Apriani Ni Luh Putu Yudi Aprianini Ni Wayan Deani Putu Indah Jelita Lestari Putu Vera Megawati Sri Dewi Megayanti Vinda Ekabudiningsih