scholarly journals NURSING CARE IN MEETING PHYSICAL MOBILITY NEEDS INPATIENTS NON HEMORRHAGIC STROKE IN RSKD DADI MAKASSAR

2020 ◽  
Vol 11 (1) ◽  
pp. 90
Author(s):  
Nurshiyam Nurshiyam ◽  
Muhammad Ardi ◽  
Muhammad Basri
Keyword(s):  
Brain Tissue ◽  
Nursing Care ◽  
Hemorrhagic Stroke ◽  
Self Care ◽  
Recovery Process ◽  
Stroke Patients ◽  
Physical Mobility ◽  
Care Approach ◽  
Care Assistance ◽  
The Right

Stroke is damage to brain tissue caused by a sudden reduction in or supply of oxygen in the blood. Brain tissue that has decreased oxygen supply will experience decreased function and cell death. The purpose of this study is to provide an overview of nursing care to meet the needs of physical mobility in stroke patients at RSKD Dadi Makassar. The study design was a case study in the form of a nursing care approach in two non-hemorrhagic stroke patients. The results showed both patients experienced weakness of the right limb which caused impaired physical mobility and total self-care deficit. Nursing interventions in patients include ambulation support, mobilization support, range of motion exercises and self-care assistance. Nurses should provide care and education to families about the care of stroke patients who experience physical mobility impairments and self-care deficits. Families also need to provide support to stroke patients undergoing treatment to increase motivation, speed up the recovery process and prevent complications. 

scholarly journals Patient Care Approach Using Nursing Theories - Comparative Analysis of Orem’s Self-Care Deficit Theory and Henderson’s Model

2020 ◽  
Vol 25 (2) ◽  
pp. 11-14
Author(s):  
Laura Gligor ◽  
Carmen Daniela Domnariu
Keyword(s):  
Clinical Practice ◽  
Comparative Analysis ◽  
Nursing Care ◽  
Nursing Practice ◽  
Self Care ◽  
Care Approach ◽  
Orem's Theory ◽  
New Perspective ◽  
Care Deficit ◽  
Deficit Theory

AbstractNursing theories have been developed to provide guidance in clinical practice, so their knowledge by nurses is mandatory in order to provide advanced nursing care. This paper presents the relationships between the concepts and major assumptions of Henderson’s model and Orem’s theory and then their comparative analysis. Both, Henderson’s model and Orem’s theory of self-care deficit have a major impact, internationally, in education and research, but also in nursing practice, as a result of which their knowledge can open a new perspective on care, especially in countries where they are not well enough known.

scholarly journals INFLUENCE OF NURSING CLINICAL PATHWAY IMPLEMENTATION TO LENGTH OF STAY OF NON HEMORRHAGIC STROKE PATIENTS IN BUKITTINGGI ACHMAD MOCHTAR HOSPITAL

2018 ◽  
Vol 12 (1) ◽  
pp. 9
Author(s):  
Fitrianola Rezkiki
Keyword(s):  
Length Of Stay ◽  
Nursing Care ◽  
Clinical Pathway ◽  
Hemorrhagic Stroke ◽  
Average Length ◽  
Intervention Group ◽  
Control Group ◽  
P Value ◽  
Stroke Patients ◽  
Nursing Clinical

<p><em>Lenght of stay is indicator of serving quality and nursing care to measure hospital efficiency level. Neurology ward is one of the wards that experience increasing of length of stay from 5,91 to 7,38. The cause of length of stay increasing is nursing care management that according to Calhoun can be formulated to nursing clinical pathway. The purpose of this study is to analyze influence of nursing clinical pathway implementation to length of stay of non hemorrhagic stroke patients in neurology ward Bukitttinggi Achmad Mochtar Hospital. The designs of this study used non-equivalent post test only control group design approach. Sample of this study were taken by purposive sampling with total of 32 samples consist of 16 sample as intervention group and another 16 samples as control group. Data analyzing used t-test independent. The result shows that there is significant influence for average length of stay of stroke non hemorrhagic patients that were given nursing clinical pathway compared to the group that is not given nursing clinical pathway with p value 0,001 (p value ≤ 0,05. According to this study, hospital should implement nursing clinical pathway when doing nursing care to patients in ward and also hospital should make policy related to nursing clinical payhway implementation..</em></p><p><em> </em></p>

scholarly journals Overview of The Head CT-Scan in Stroke Patients who was Treated at Muhammadiyah Hospital Palembang

2021 ◽  
Vol 2 (1) ◽  
pp. 24
Author(s):  
Pratrisna Yusastra ◽  
Indriyani Indriyani ◽  
Budi Utama
Keyword(s):  
Ischemic Stroke ◽  
Ct Scan ◽  
Hemorrhagic Stroke ◽  
Right Hemisphere ◽  
Clinical Symptoms ◽  
Neurological Deficits ◽  
Thalamic Lesion ◽  
Stroke Patients ◽  
Head Ct ◽  
The Right

Background: Stroke is a collection of symptoms of neurological deficits due to sudden acute disturbance of brain function, both focal and global, caused by blockage or rupture of arteries and veins and proven by imaging and/or reflex pathology. Using CT-Scan, the description of acute phase stroke can be easier and can determine the appropriate treatment criteria for stroke. Purposes: To determine characteristic Head CT-Scan image of stroke patients hospitalized in Muhammadiyah Palembang Hospital. Methods: This study was conducted in a retrospective descriptive manner and obtained a sample of 41 stroke patients according to the inclusion and exclusion criteria using total sampling. Result: In this study, there were 28 patients (68.2%) with ischemic stroke and 13 patients (31.7%) with hemorrhagic stroke. Head CT-Scan image of ischemic stroke shows basal ganglia lesion (28.5%) and the right hemisphere lesions (57.1%) as the most predominant area. Head CT-Scan image of hemorrhagic stroke (58.3%) had intracerebral hemorrhage with the dominant thalamic lesion area (66.6%) and the right hemisphere (58.3%) had the most lesions with 8 patients (66, 6%) had a midline shift. Stroke patients were treated as experienced by the elderly (90.2%) and were dominated by the female sex (63.4%) and are dominated by clinical symptoms of hemiparesis (29.2%). Conclusion: Stroke patients at Muhammadiyah Palembang hospital dominated by ischemic stroke and on head CT Scan image predominantly shows lesions on the right cerebral hemisphere.

Penerapan Terapi Rom Terhadap Perubahan Rentang Gerak Pada Klien Lansia Pasca Stroke

2021 ◽  
Vol 1 ◽  
pp. 755-759
Author(s):  
Viranika Setyaningsih ◽  
Herni Rejeki
Keyword(s):  
Range Of Motion ◽  
Muscle Weakness ◽  
Nursing Care ◽  
The Elderly ◽  
Post Stroke ◽  
Physical Mobility ◽  
Family Nursing ◽  
Age Limit ◽  
The Right

AbstractElderly is one who has more than or equal to the age limit of 55 years, and at this age, physical mobility disorders often occur. It is the one's limitation in performing movements independently. One of the symptoms is getting paralysis or muscle weakness in the limbs. This study aims to observe and invesgate changes in range of motion with weakness in the extremities. The method applied on two families of elderly client after stoke was applying ROM therapy. The results shows on the first family, after applying ROM practices 6 times, there is a changes in range of motion. The client could fully practice ROM. The right leg is lighter when walking and the right arm can shake is hands family. Meanwhile, the result obtained from the later family, after practicing ROM 7 times, there is a change in range of motion. The left leg is lighter when walking and the fingers get better, not clenched. Thus, it could be concluded that this therapy can improve the changes in range of motion on the elderly clients after stroke. Furthermore, is expected to the nurses to teach this therapy on their clients. Keywords: Family Nursing Care, Elderly, Post Stroke, ROM AbstrakLanjut usia merupakan usia yang dimiliki seseorang lebih dari atau sama dengan batasan usia 55 tahun. Gangguan mobilitas fisik adalah suatu keterbatasan seseorang dalam melakukan gerakan secara mandiri. Salah satu gejalanya adalah kelumpuhan atau kelemahan otot pada anggota gerak. Tujuan studi kasus ini adalah untuk perubahan rentang gerak yang mengalami kelemahan pada ekstremitas. Metode yang digunakan pada dua keluarga klien lansia pasca stroke dengan memberikan terapi ROM. Hasil studi kasus ini 2 keluarga terjadi perubahan rentang gerak, pada keluarga I setelah dilakukan latihan ROM selama 6x terjadi perubahan rentang gerak dimana klien dapat melakukan ROM secara penuh. Kaki kanan terasa lebih ringan ketika berjalan dan berjabat tangan dengan kuat. Hasil keluarga II setelah dilakukan latihan ROM selama 7x terjadi perubahan rentang gerak. Kaki kiri terasa lebih ringan ketika berjalan dan jari tangan sudah membaik tidak mengepal. Kesimpulannya adalah terapi ROM dapat meningkatkan perubahan rentang gerak pada klien lansia pasca stroke. Saran bagi perawat diharapkan mengajarkan terapi ROM pada klien pasca stroke.Kata kunci: Asuhan Keperawatan Keluarga, Lansia, Pasca Stroke, ROM

RELATIONSHIP BETWEEN FAMILY SUPPORT AND SELF-CARE AMONG NON-HEMORRHAGIC STROKE PATIENTS

2021 ◽  
Vol 10 (2) ◽  
pp. 284-291
Author(s):  
Muhammad Risal ◽  
Adrian Sali
Keyword(s):  
Nursing Education ◽  
Family Support ◽  
Hemorrhagic Stroke ◽  
Self Care ◽  
Rank Correlation ◽  
Rank Test ◽  
P Value ◽  
Stroke Patients ◽  
Cross Sectional ◽  
Spearman Rank

Background: Stroke has several impacts, namely physical limitations and disabilities in self-care, stroke also causes stress and depression. By because it requires family support as a support system, family support can independently train and motivate family members who have suffered a stroke to perform self-care without depending on others. Objectives: This study aimed to determine the relationship between family support and self-care in non-hemorrhagic stroke patients at the Polyclinic Neurological of Lagaligo I Hospital, East Luwu Regency. Methods: This research was conducted at the neurology polyclinic of hospital I Lagaligo, East Luwu Regency from July to August 2020. The design of this study used an analytical survey with a cross sectional approach. The number of samples was 39 respondents with proportional random sampling technique. Data analysis used the Spearman Rank correlation statistic test with a value of = .05. Results: The results of the study with the Spearman rank test showed that the p-value (.000) was significantly lower than .05 or (ρ˂α), so there was a relationship between family support and self-care in non-hemorrhagic stroke patients at the Neurological polyclinic Hospital I Lagaligo, East Luwu Regency. Conclusion: The conclusion of this study is that there is a relationship between family support and self-care in non-hemorrhagic stroke patients and suggestions for nurses in the Neurology Polyclinic Room are expected to provide information and be able to provide nursing education, especially about family support with self-care in patients who have had non-hemorrhagic strokes.

scholarly journals Hasil pemeriksaan CT scan pada penderita stroke non hemoragik di Bagian Radiologi FK Unsrat/SMF Radiologi RSUP Prof. Dr. R. D. Kandou Manado periode Agustus 2015 – Agustus 2016

e-CliniC ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Christian Elim ◽  
Vonny Tubagus ◽  
Ramli Hadji Ali
Keyword(s):  
Ct Scan ◽  
Hemorrhagic Stroke ◽  
Right Hemisphere ◽  
Secondary Data ◽  
Haemorrhagic Stroke ◽  
Descriptive Study ◽  
Body Parts ◽  
Stroke Patients ◽  
The Right ◽  
The Brain

Abstract: CT-scan is used to analyze the structures of specific body parts, mainly to confirm the diagnosis of non-hemorrhagic stroke. Stroke is a neurological deficit that occurs suddenly and caused by the interruption of blood flow to the brain. The symptoms are corresponding to the location of the stroke. This study was aimed to obtain the CT-scan examination of non-haemorrhagic stroke patients. This was a retrospective descriptive study using secondary data such as request letter and data of head CT-scan performed from August 2015 to August 2016. The results showed that there were 89 cases of non-hemorrhagic stroke. The majority were males (60 patients; 67%), elderly ≥65 years old (27 patients; 30%), and location of lesion in the right hemisphere (38 patients; 43%). Conclusion: In this study most patients diagnosed as non-hemorrhagic stroke with CT-scan were males, over 65 years old, and location of lesion in right hemisphere.Keywords: non-haemorrhagic stroke, CT-scan Abstrak: CT scan digunakan untuk menganalisis struktur dalam dari beberapa bagian tubuh tertentu, antara lain untuk memastikan diagnosis dari stroke non hemoragik, Stroke merupakan suatu defisit neurologik yang terjadi secara tiba-tiba diakibatkan oleh adanya gangguan aliran darah ke otak dan gejala yang terjadi sesuai dengan lokasi dari stroke tersebut. Penelitian ini bertujuan untuk mengetahui hasil pemeriksaan CT scan pada penderita stroke non hemoragik. Jenis penelitian ialah deskriptif retrospektif dengan memanfaatkan data sekunder berupa lembar permintaan dan data hasil CT scan kepala yang dilaksanakan sejak Agustus 2015 sampai Agustus 2016. Hasil penelitian mendapatkan sebanyak 89 kasus didiagnosis stroke non-hemoragik dengan CT-scan, terbanyak ialah jenis kelamin laki-laki berjumlah 60 orang (67%); golongan usia manula (≥65 tahun) berjumlah 27 orang (30%); dan lokasi lesi di hemisfer dekstra berjumlah 38 orang (43%). Simpulan: Pada studi ini, majoritas pasien yang didiagnosis stroke non-hemoragik dengan CT-scan Berjenis kelamin laki-laki, usia ≥65 tahun, dengan lokais lesi pada hemisfer kanan. Kata kunci: stroke non hemoragik, CT-scan

scholarly journals INFECTIOUS EXACERBATION OF BRONCHIECTASIS SUCCESSFULLY TREATED WITH CEFTRIAXONE/SULBACTAM/DISODIUM EDETATE-1034 (ELORES™)

2017 ◽  
Vol 10 (2) ◽  
pp. 407
Author(s):  
Ninik Mudjihartini
Keyword(s):  
Brain Tissue ◽  
Hemorrhagic Stroke ◽  
Hypoxic Condition ◽  
Normal Subjects ◽  
The Elderly ◽  
Health Concern ◽  
Stroke Patients ◽  
Significant Difference ◽  
Hypoxia Ischemia ◽  
The Brain

Objective: Strokes remain a significant health concern and are the highest cause of mortality and physical or mental disability in productive and the elderly hospitalized patients in Indonesia. Neuroglobin (Ngb) mostly located in the central and peripheral nervous system, predicted enhanced neuronal survival under hypoxic condition, such as in a stroke. The aim of this study is to observe the response of the brain tissue of hemorrhagic stroke patients against hypoxic/ischemic conditions. The objectives are to recognize the pattern of Ngb expression in the brain tissue and plasma of hemorrhagic stroke patients, and furthermore, to compare the level of Ngb in the brain tissue and plasma of hemorrhagic stroke patients.Methods: This is an observational study with consecutive sampling methods using cerebral cortex and the blood of hemorrhagic stroke patients, who underwent craniotomies to evacuate hematomas at Cipto Mangunkusumo Hospital (RSCM) and other hospitals in Jakarta. Ngb expression was measured in brain tissue and blood using real time reverse transcription polymerase chain reaction, while the ELISA method was adopted to measure Ngb protein in plasma.Results: Hypoxia/ischemia in the brain tissue of hemorrhagic stroke patients increased the expression of Ngb in brain tissue compared to the blood. The level of Ngb protein in plasma of hemorrhagic stroke patients increased significantly compared to normal subjects; however, there is no significant difference between the plasma and brain tissue of hemorrhagic stroke patients.Conclusion: Hypoxia/ischemia in hemorrhagic stroke patients increases the expression of Ngb mRNA and protein level.Keywords: Neuroglobin, Hypoxia, Hemorrhagic stroke.

scholarly journals POLA PENGGUNAAN OBAT PADA PASIEN STROKE HEMORAGIK DI RSUP PROF. DR. R.D. KANDOU MANADO PERIODE JANUARI-DESEMBER 2018

PHARMACON ◽  
2020 ◽  
Vol 9 (1) ◽  
pp. 90
Author(s):  
Nony L. Poana ◽  
Weny I Wiyono ◽  
Deby A Mpila
Keyword(s):  
Drug Use ◽  
Hemorrhagic Stroke ◽  
Patient Characteristics ◽  
Cerebral Blood Vessels ◽  
Stroke Patients ◽  
Duration Of Treatment ◽  
The Right ◽  
Age Range ◽  
The Brain ◽  
Descriptive Method

ABSTRACK Hemorrhagic stroke is a stroke caused by intracerebral hemorrhage or subarachniod hemorrhage due to rupture of cerebral blood vessels in certain areas, so that blood fills the brain tissue. The selection and use of drugs must be rational, so that treatment can achieve maximum therapy with minimal side effects. The purpose of this study was to determine the characteristics and patterns of drug use in hemorrhagic stroke patients at Prof. RSUP Dr. R.D. Kandou Manado. This study uses a descriptive method with a retrospective research design. The sample of this study were 83 patients, including 70 intracerebral hemorrhagic stroke patients and 13 subarachnoid hemorrhagic stroke patients. Patient characteristics were mostly male as many as 46 patients (55.42%) and female as many as 37 patients (44.58%). The largest age range of hemorrhagic stroke patients at the age of 55-64 years was 27 patients (32.52%). The duration of treatment with the highest prevalence was 1-5 days in 37 patients (44.57%). Hypertension is the most common comorbid disease of 60 patients (40.27%), and cholesterol of 15 patients (10.06). The pattern of drug use based on the evaluation of the right indication as many as 83 patients (100%), the right patients as many as 83 patients (100%), the right drugs as many as 82 patients (98.8%), and the right dosage of 73 patients (87.95%). Keywords: Hemorrhagic stroke, drug use ABSTRAK Stroke hemoragik adalah stroke yang disebabkan oleh perdarahan intraserebral atau perdarahan subarakhniod karena pecahnya pembuluh darah otak pada area tertentu, sehingga darah memenuhi jaringan otak. Pemilihan dan penggunaan obat harus secara rasional, sehingga pengobatan dapat mencapai terapi yang maksimal dengan efek samping minimal. Tujuan dari penelitian ini untuk mengetahui karakteristik dan pola penggunaan obat pada pasien stroke hemoragik di RSUP Prof. Dr. R.D. Kandou Manado. Penelitian ini menggunakan metode deskriptif dengan desain penelitian retrospektif. Sampel penelitian ini sebanyak 83 pasien, diantaranya terdapat 70 pasien stroke hemoragik intraserebral dan 13 pasien stroke hemoragik subarakhnoid. Karakteristik pasien sebagian besar adalah laki-laki sebanyak 46 pasien (55,42%) dan perempuan sebanyak 37 pasien (44,58%). Rentang usia pasien stroke hemoragik terbesar pada usia 55-64 tahun sebanyak 27 pasien (32,52%). Lama perawatan dengan prevalensi paling banyak, yaitu 1 – 5 hari pada 37 pasien (44,57%). Hipertensi merupakan penyakit penyerta yang paling banyak diderita sebesar 60 pasien (40,27%), dan kolestrol sebanyak 15 pasien (10,06). Pola penggunaan obat berdasarkan evaluasi tepat indikasi sebanyak 83 pasien (100%), tepat pasien sebanyak 83 pasien (100%), tepat obat sebanyak 82 pasien (98,8%), dan tepat dosis sebanyak 73 pasien (87,95%). Kata kunci : stroke hemoragik, pola penggunaan obat

Diagnosis of cerebral hemorrhage before the era of computed tomography

2013 ◽  
Vol 154 (44) ◽  
pp. 1743-1746
Author(s):  
Gergely Hofgárt ◽  
Rita Szepesi ◽  
Bertalan Vámosi ◽  
László Csiba
Keyword(s):  
Computed Tomography ◽  
Cerebrospinal Fluid ◽  
Positive Predictive Value ◽  
Predictive Value ◽  
Hemorrhagic Stroke ◽  
Cranial Computed Tomography ◽  
Cerebral Stroke ◽  
Daily Routine ◽  
Stroke Patients ◽  
The Difference

Introduction: During the past decades there has been a great progress in neuroimaging methods. Cranial computed tomography is part of the daily routine now and its use allows a fast diagnosis of parenchymal hemorrhage. However, before the availability of computed tomography the differentiation between ischemic and hemorrhagic stroke was based on patient history, physical examination, percutan angiography and cerebrospinal fluid sampling, and the clinical utility could be evaluated by autopsy of deceased patients. Aim: The authors explored the diagnostic performance of cerebrospinal fluid examination for the diagnosis of ischemic and hemorrhagic stroke. Method: Data of 200 deceased stroke patients were retrospectively evaluated. All patients had liquor sampling at admission and all of them had brain autopsy. Results: Bloody or yellowish cerebrospinal fluid at admission had a positive predictive value of 87.5% for hemorrhagic stroke confirmed by autopsy, while clear cerebrospinal fluid had positive predictive value of 90.7% for ischemic stroke. Patients who had clear liquor, but autopsy revealed hemorrhagic stroke had higher protein level in the cerebrospinal fluid, but the difference was not statistically significant (p = 0.09). Conclusions: The results confirm the importance of pathological evaluation of the brain in cases deceased from cerebral stroke. With this article the authors wanted to salute for those who contributed to the development of the Hungarian neuropathology. In this year we remember the 110th anniversary of the birth, and the 60th anniversary of the death of professor Kálmán Sántha. Professor László Molnár would be 90 years old in 2013. Orv. Hetil., 154 (44), 1743–1746.

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