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All Journal Babali Nursing Research Jurnal Pengabdian kepada Masyarakat Wahana Usada
Putra, Kadek Andika Dwi
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Computer Science & IT Health Professions Nursing Social Sciences Other

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Ethical Dilemma Do Not Ressuscitation (DNR) in Nursing Practice Susanti, Aries; Paramitasari, Ketut Citra; Putra, Kadek Andika Dwi; Cintariasih, Putu; Suryani, Ni Wayan; Wulandari, Ida Ayu Putri
Babali Nursing Research Vol. 5 No. 2 (2024): April
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.52351

Abstract

Introduction: DNR (Do Not Resuscitate) is a condition where the patient experiences cardiac arrest but chooses not to undergo resuscitation. However, the legal consequences of DNR actions, which may either allow or completely prohibit these actions, can vary in different countries. Nurses frequently encounter ethical dilemmas resulting from DNR situations. This literature review explored nurses' ethical dilemmas regarding DNR and strategies to overcome them.Methods: This literature review examined previous research findings published in articles. Article searches were conducted using PubMed, ScienceDirect, and Google Scholar, employing keywords such as "DNR," "Nursing Ethics," and "Ethical dilemma," as well as combinations thereof like "DNR in a nursing ethical dilemma." Fifteen articles meeting the inclusion criteria were selected.Results: Making DNR decisions for patients significantly impacted the continuity of patient care in hospitals. These decisions were influenced by religion/beliefs, life expectancy, limited resources, and past experiences. Nurses stressed the importance of discussing DNR situations openly. Moreover, nurses were crucial in addressing misunderstandings surrounding patient care with DNR orders through practice, education, advocacy, policy implementation, and research.Conclusion: Nurses require adequate training and education in end-of-life ethics and DNR decision-making to prevent detrimental actions and ensure patients' peaceful, dignified terminal care.
Pemberdayaan Lansia Melalui Edukasi Metode Balance, Eyes, Face, Arm, Speech And Time Sebagai Self Awarness Terhadap Deteksi Dini Stroke Suyasa, I Gede Putu Darma; Agustini , Ni Luh Putu Inca Buntari; Sani, Ari Wina; Wahyuni, Ni Wayan Sri; Wangi, Ni Luh Putu Ayu Puspita; Putra, Kadek Andika Dwi
Jurnal Pengabdian kepada Masyarakat Wahana Usada Vol. 6 No. 2 (2024): Desember: Jurnal Pengabdian kepada Masyarakat Wahana Usada
Publisher : Sekolah Tinggi Ilmu Kesehatan KESDAM IX/Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47859/wuj.v6i2.511

Abstract

Background: Hypertension is a common condition in primary health care, affecting approximately 25% of the adult population and more than 50% of those aged over 65 years. As the "silent killer of hypertension", it can cause stroke, which is a major cause of morbidity and mortality worldwide. This study aims to detect early signs of stroke using the BE-FAST method in the elderly in Karangasem, Bali, and to spread the effectiveness of this method in reducing the risk of stroke. Method: This community-based education program uses the POAC (Planning, Organizing, Actuating and Controlling) approach. A total of 79 elderly participants were recruited and underwent health examinations, including blood pressure measurements and the BE-FAST screening test. The BE-FAST method assesses balance, eyes, face, arms, speech, and timing to identify early signs of stroke. Results: The results showed that 55.7% of participants had hypertension, and 67.1% had difficulty moving their legs and arms on one side of their body. Additionally, 36.7% had difficulty opening their eyes or experienced vision problems, and 32.9% experienced facial weakness or numbness. The BE-FAST method is effective in detecting early signs of stroke, with a sensitivity of 92%. Conclusion: This study highlights the importance of early detection of stroke using the BE-FAST method in the elderly population. The research results show that this method is effective in identifying early signs of stroke and can be easily taught and applied in the community. Application of this method can reduce the risk of stroke and associated morbidity and mortality.
Co-Authors Agustini , Ni Luh Putu Inca Buntari Cintariasih, Putu I GEDE PUTU DARMA SUYASA Ida Ayu Putri Wulandari Ni Wayan Sri Wahyuni Paramitasari, Ketut Citra Sani, Ari Wina Suryani, Ni Wayan Susanti, Aries Wangi, Ni Luh Putu Ayu Puspita