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All Journal Indonesian Journal of Global Health research MAHESA : Malahayati Health Student Journal
Masruroh, Rurin
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Dentistry Education Health Professions Languange, Linguistic, Communication & Media Nursing Public Health

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A Case of Electrical Burns Injury with A History of Heart Disease: A Case Report Rahman, Lutfi; Yuliandani, Erin; Masruroh, Rurin; Mirwanti, Ristina; Priambodo, Ayu Prawesti
Indonesian Journal of Global Health Research Vol 6 No 4 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i4.3349

Abstract

Burns are serious injuries that can have significant physical and psychological impacts on individuals. Burns due to electric shock are relatively rare but carry a high risk of serious complications, including respiratory problems and fluid loss that can be life-threatening. Purpose: The purpose of this study is to present the case study of burn electrical burns injury with a history of heart disease. Methods: This study used a case report approach on one patient. Data were collected by conducting interviews and assessments to one patient with electrical burn injury with a history of heart disease. Data analysis was carried out by comparing the results of the assessment with the theory of electrical burn injury. Results: The results of this study indicate that Mr. P, aged 35 years, showed burns covering 65% of the total body surface, with grade III severity. The patient also experienced respiratory problems with SpO2 85%. In addition, other nursing diagnoses were found such as impaired airway clearance due to edema in the larynx, hypovolemia due to active fluid loss, and acute pain due to physical injurious agents. This is the importance of proper and rapid assessment to reduce the risk of more serious complications. Conclusions: Holistic therapy and a multidisciplinary approach are key in providing optimal care and minimizing the risk of complications in patients with complex conditions such as this.
Use of Augmentative and Alternative Communication (AAC) in the Intensive Care Unit: a Scoping Review Masruroh, Rurin; Trisyani, Yanny; Emaliyawati, Etika
MAHESA : Malahayati Health Student Journal Vol 5, No 12 (2025): Volume 5 Nomor 12 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i12.19990

Abstract

ABSTRACT Patients in the Intensive Care Unit (ICU) often experience limitations in verbal communication due to ventilator use, sedation, or other medical conditions. These communication barriers can interfere with the delivery of medical information and affect the quality of patient care. Augmentative and Alternative Communication (AAC) is a potential solution to improve interactions between patients, healthcare providers, and families in the ICU environment. This review aimed to explore the implementation of AAC in the ICU, including its effectiveness, challenges, and impact on the quality of communication and patient care. This study used a scoping review approach following the PRISMA-ScR guidelines. A literature search was conducted through the EBSCOhost Medline, PubMed, and Google Scholar databases, using relevant keywords related to AAC and ICU. Studies that met the inclusion criteria were analyzed thematically to identify key findings. Of the 386 articles identified, 11 articles met the criteria for further analysis. The results showed that implementing AAC in the ICU can improve communication between patients and healthcare providers, reduce patient anxiety, and strengthen the therapeutic relationship. However, there are obstacles to its implementation, such as a lack of training for healthcare providers, time constraints, and a lack of institutional policies that support the systematic use of AAC. Despite the challenges in implementing AAC in the ICU, this technology has great potential to improve patient communication and quality of care. Therefore, a more comprehensive strategy is needed, including training health workers, developing institutional policies, and procuring communication devices that are appropriate to patient needs to support optimal implementation of AAC in the ICU. Keywords: Augmentative and Alternative Communication, ICU, Communication, Critical Care, Scoping Review.
Co-Authors Ayu Prawesti Priambodo Etika Emaliyawati Rahman, Lutfi Ristina Mirwanti, Ristina Yanny Trisyani Yuliandani, Erin