Non Pharmacological Therapy in Case Study Obstacles to Physical Mobility Post Sectio Caesaria

Sectio Caesarea surgery causes pain and results in changes in tissue continuity due to surgery, earlymobilization can support the patient's wound healing process because moving the limbs will preventthe stiffness of muscles and joints, reducing pain and can accelerate blood circulation to parts thathave injuries that wound healing processes become faster. This study was to explore nursing care inpostoperative Sectio Caesarea with problems with physical mobility barriers through lavenderaromatherapy in the Teratai Room RSUD dr. Hayato Lumajang. Qualitative descriptively throughcase studies. The population in this study was postoperative mothers with Sectio Caesarea in theLotus Room at RSUD Dr. Haryoto, Lumajang Regency, with a total of 10 patients in June 2020. Theuse of aromatherapy dripped onto an oxygen mask for 3 minutes, after 3 hours of analgesicadministration. Both the inhalation method with an oxygen mask and directly inhaled prove thatlavender essential oil aromatherapy can reduce the pain scale of post-section Caesarea. Thisresearch is expected with this case study report to increase knowledge and insight in applying topatients and patients families about postoperative Sectio Caesarea in the implementation of earlymobilization, as well as innovations in giving lavender aromatherapy, can also be done to post SectioCaesarea patients. And it can be used as a new experience and information to reduce pain witharomatherapy.

Use of a Single Wearable Sensor to Evaluate the Effects of Gait and Pelvis Asymmetries on the Components of the Timed Up and Go Test, in Persons with Unilateral Lower Limb Amputation

The Timed Up and Go (TUG) test quantifies physical mobility by measuring the total performance time. In this study, we quantified the single TUG subcomponents and, for the first time, explored the effects of gait cycle and pelvis asymmetries on them. Transfemoral (TF) and transtibial (TT) amputees were compared with a control group. A single wearable inertial sensor, applied to the back, captured kinematic data from the body and pelvis during the 10-m walk test and the TUG test. From these data, two categories of symmetry indexes (SI) were computed: One SI captured the differences between the antero-posterior accelerations of the two sides during the gait cycle, while another set of SI quantified the symmetry over the three-dimensional pelvis motions. Moreover, the total time of the TUG test, the time of each subcomponent, and the velocity of the turning subcomponents were measured. Only the TF amputees showed significant reductions in each SI category when compared to the controls. During the TUG test, the TF group showed a longer duration and velocity reduction mainly over the turning subtasks. However, for all the amputees there were significant correlations between the level of asymmetries and the velocity during the turning tasks. Overall, gait cycle and pelvis asymmetries had a specific detrimental effect on the turning performance instead of on linear walking.

Penerapan Latihan Range Of Motion (ROM) aktif pada pasien pasca stroke di Desa Sampangan Pekalongan

Stroke is a brain functional disorder characterized by nerve paralysis due to obstruction of blood flow to the brain. The frequent impact if a post-stroke client is not carried out with rehabilitation immediately will result in mobility disorder that can impede daily physical activity. One pratice in the rehabilitation process is to prevent disability in a client with post-stroke physical mobility disorder that is, by performing a Range Of Motion rope. The case study is intended to illustrate application of roma exercises to boost muscle strength. The method of writing the case study USES a descriptive design and case studies reported in narration. The instrumrnts used are observation sheets and structured observation sheets covering the assessment of muscle strength. The resulth of the case study have been after the six-meeting application of roma that the roma can increase muscle strength in subject. I the average muscle strength 3.31 to 3.50 and subject II average muscle strength 3.68 to 3,93. The conclusion of the case study increased muscle strength after the practice of roma. Suggestions for the family in order to train ROM for family members who had suffered stroke. Keywords: Stroke, muscle strength, ROM AbstrakStroke adalah penyakit nerulogis terbanyak yang dapat mengakibatkan disfungsi motorik dan sensorik.Dampak yang sering muncul jika klien pasca stroke tidak dilakukan rehabiltasi dengan segera maka akan mengalami gangguan mobilitas yang dapat menghambat aktivitas fisik sehari-hari. Saalah satu bentuk latihan dalam proses rehabilitasi untuk mencegah terjadinya kecacatan pada klien dengan gangguan mobilitas fisik pasca stroke yaitu dengan melakukan latihan Range Of Motion ROM. Studi kasus ini bertujuan untuk menggambarkan penerapan latihan ROM untuk meningkatkan kekuatan otot. Metode penulisan studi kasus ini menggunakan rancangan deskriptif dan hasil studi kasus dilaporkan dalam bentuk narasi. Instrumen yang digunakan yaitu lembar pengkajian dan lembar observasi terstruktur meliputi penilaian kekuatan otot. Hasil studi kasus setelah dilakukan penerapan ROM selama 6 pertemuan bahwa ROM dapat meningkatkan kekuatan otot pada Subyek I nilai rata-rata kekuatan otot 3,31 menjadi 3,50 dan Subyek II nilai rata-rata kekuatan otot 3,68 menjadi 3,93. Simpulan studi kasus ini terjadi peningkatan kekuatan otot setelah dilakukan latihan ROM. Saran bagi keluarga agar dapat melatih ROM pada anggota keluarga yang mengalmi stroke. Kata kunci: Stroke, kekuatan otot, ROM

Appliance Control with IOT-Arduino of Voice Command Detection for Mobility Impaired People

People with physical mobility disabilities experience limited ability to perform daily routine. Integration between home appliances and Internet of Thing (IoT) can be used to support these people. The technology allows tasks to be performed much more easily and enable access to applications and services that would be a challenge with existing digital user interfaces. However, the developed system that is commercially available is costly and equipped with highly specific interfaces which may require considerable technical competency to conduct system interfacing. The purpose of this study is to develop a low cost IOT system for voice-enabled lamp control by utilizing Google Assistant that is available in commercial Android based mobile devices, allowing user to operate lighting appliances without moving. Personal assistance using Google platform embedded with Arduino microcontroller, ESP8266-based NodeMCU development board and integrated Blynk application allow for remote monitoring capability. The system is remotely controlled from a tablet or smartphone to assist disabled people with restricted mobility, in particular those with lower limb disabilities. The system had been tested and demonstrated that the lamp control can be easily accessed by voice command that is then validated using voice pitch analyzer. Test result indicated that capability of the integrated voice control system is verified up to a maximum distance of 24.5 meter, making it a potential implementation in any customized smart home or room system for people with mobile disability.

NAVIGATING THE ILLEGIBLE STATE: EVERYDAY EXPERIENCES OF STATELESSNESS AMONG SHAN YOUTH IN NORTHERN THAILAND

<p>Home to more than half-a-million stateless persons, Thailand provides a unique case study for understanding modern-day statelessness. Since 2005, the country has significantly expanded the rights of non-citizen children to allow access for basic education, civil registration, universal birth registration and healthcare, but still restricts physical mobility of stateless persons to the provincial level and has made the level of education a criterion for citizenship. These new regimes of governing statelessness both marginalise and include stateless people in the formal state systems. This thesis examines the complex dynamics between exclusion and inclusion that stateless Shan youth in northern Thailand experience in their everyday lives. Based on 13-months of ethnographic fieldwork over the course of three years (2015-2018) conducted in the wake of UNHCR’s Global Campaign to End Statelessness, this thesis describes how childhood statelessness in the 21st century is interpreted, determined and governed by the Thai state, and how stateless Shan youth make sense of the label of statelessness, make decisions about their future, challenge the idea of national identity and negotiate their place within the society that simultaneously includes and excludes them. I explore how, despite the Thai state’s public commitment to resolve statelessness in the past few years, the path toward Thai citizenship for many stateless youth is still fraught with various legal obstacles that tie together remnants of the legal and social exclusion from the past with a complex politics of proof in the present. In this thesis, I use the framework of “state illegibility” to capture the Thai state’s past and present opaqueness, inscrutable, contradictory and unpredictable bureaucratic practices, and demonstrate the burdens placed on stateless youth to “read” the state and navigate its opacity in their everyday life. Having learned the roles of documents and aesthetics in mediating membership, I demonstrate how Shan youth negotiate the impact of statelessness through various strategies such as using their bodies to perform “Thainess” and assert belonging, acquiring false documents, emphasising their Shan identity to get scholarships, and secretly obtaining Myanmar citizenship as an alternative option. Through these ethnographic accounts, I not only explore the effects of new regimes of governing statelessness, but also the way such regimes are adopted, manipulated, and enacted by the stateless youth to produce liveable futures for themselves.</p>

NAVIGATING THE ILLEGIBLE STATE: EVERYDAY EXPERIENCES OF STATELESSNESS AMONG SHAN YOUTH IN NORTHERN THAILAND

<p>Home to more than half-a-million stateless persons, Thailand provides a unique case study for understanding modern-day statelessness. Since 2005, the country has significantly expanded the rights of non-citizen children to allow access for basic education, civil registration, universal birth registration and healthcare, but still restricts physical mobility of stateless persons to the provincial level and has made the level of education a criterion for citizenship. These new regimes of governing statelessness both marginalise and include stateless people in the formal state systems. This thesis examines the complex dynamics between exclusion and inclusion that stateless Shan youth in northern Thailand experience in their everyday lives. Based on 13-months of ethnographic fieldwork over the course of three years (2015-2018) conducted in the wake of UNHCR’s Global Campaign to End Statelessness, this thesis describes how childhood statelessness in the 21st century is interpreted, determined and governed by the Thai state, and how stateless Shan youth make sense of the label of statelessness, make decisions about their future, challenge the idea of national identity and negotiate their place within the society that simultaneously includes and excludes them. I explore how, despite the Thai state’s public commitment to resolve statelessness in the past few years, the path toward Thai citizenship for many stateless youth is still fraught with various legal obstacles that tie together remnants of the legal and social exclusion from the past with a complex politics of proof in the present. In this thesis, I use the framework of “state illegibility” to capture the Thai state’s past and present opaqueness, inscrutable, contradictory and unpredictable bureaucratic practices, and demonstrate the burdens placed on stateless youth to “read” the state and navigate its opacity in their everyday life. Having learned the roles of documents and aesthetics in mediating membership, I demonstrate how Shan youth negotiate the impact of statelessness through various strategies such as using their bodies to perform “Thainess” and assert belonging, acquiring false documents, emphasising their Shan identity to get scholarships, and secretly obtaining Myanmar citizenship as an alternative option. Through these ethnographic accounts, I not only explore the effects of new regimes of governing statelessness, but also the way such regimes are adopted, manipulated, and enacted by the stateless youth to produce liveable futures for themselves.</p>

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

Elderly 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

Penerapan Terapi Range Of Motion (Rom) Terhadap Peningkatan Kekuatan Otot Pada Pasien Dengan Stroke

A stroke is an injury to the brain caused by a blockage obstruction of blood flow to the brain. Weakness in the limbs is often found in patients with strokes. Range Of Motion therapy may help to increase the muscle strength that is experencing weakness, avoiding complications from inactivity, such us contractions. This study aims to describe the effect of ROM Therapy in stroke patients with impaired physical mobility. The design of the scientific essay was a case study of two stroke clients who had msucle weakness. A research instrument is an obsevation sheet on the scale of the muscle strength. This case study was conducted for six days of ROM therapy with a frequency of twice a day.The case study result showed that two respondents experienced an increase in muscle strength after ROM therapy. This study concludes that ROM therapy may increase muscle strength among stroke patients. Stroke patient families are expected to assist and support the patient during Range Of Motion exercises.Keywords: Muscle weakness strength, Range Of Motion, Stroke. Abstrak Stroke merupakan keadaan cidera pada otak yang disebabkan sumbatan atau obstruksi aliran darah menuju otak. Kelemahan pada anggota gerak sering dijumpai pada pasien dengan stroke. Pemberian terapi Range Of Motionbermanfaat untuk meningkatkan kekuatan otot yang mengalami kelemahan, menghindari komplikasi akibat kurang gerak, seperti kontraktur. Penelitian ini bertujuan untuk menggambarkan penerapan terapi ROM pada pasien stroke dengan gangguan mobilitas fisik. Desain karya tulis ilmiah berupa studi kasus pada 2 klien stroke yang mengalami masalah kelemahan otot. Instrumen penelitian berupa lembar observasi mengenai skala kekuatan otot. Studi kasus ini dilakukan selama 6 hari dengan frekuensi 2 kali sehari dengan intervensi penerapan terapi Range Of Motion (ROM). Hasil studi kasus menunjukan masalah gangguan mobilitas fisik yang dialami kedua responden mengalami peningkatan kekuatan setelah dilakukan terapi ROM. Kesimpulan terapi Range Of Motion(ROM) dapat untuk mningkatkan kekuatan otot pada pasien stroke. Saran bagi keluarga diharapkan keluarga untuk selalu melakukan pendampingan saat dilakukaSaran bagi keluarga diharapkan keluarga untuk selalu melakukan pendampingan saat dilakukan implementasi agar dapat menjadi supporting sistem bagi pasien dan dapat mengerti sehingga dapat membantu klien dalam melakukan latihan rentang gerak otot.Kata kunci: Kelemahan kekuatan otot, Range Of Motion, Stroke.