Nursing Care with A Medical Diagnosis of Non-hemorrhagic Stroke in High Care Unit of Banjarnegara Islamic Hospital: A Case Study

Genius Journal Pub Date : 2022-07-22 DOI:10.56359/gj.v3i1.45
Latifah, M. Setiawan, Adiratna Sekar Siwi
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Abstract

Objective: The purpose of this study was to determine the development of non-hemorrhagic stroke patients by maximizing the implementation of ROM during treatment. Method: The method used is descriptive method with a case study approach in non-haemorrhagic stroke patients with decreased consciousness. The case study process was carried out by finding patient data and classified according to continued inclusion criteria. interviews (to the family) and secondary data collection from medical records, observation of the patient's condition and periodic physical examinations. After obtaining the data, further documentation of the nursing process is carried out from assessment, data analysis, nursing problems, nursing interventions, nursing implementation and evaluation. Result: Nursing problems that arise include: risk of ineffective cerebral perfusion related to hypertension, ineffective airway clearance related to retained secretions and impaired physical mobility associated with decreased muscle strength, Three nursing problems have not been resolved because stroke is a brain tissue damage that is characterized by irreversible (cannot be returned) and it takes a long time for the recovery process.
Banjarnegara伊斯兰医院高护病房非出血性中风医学诊断护理个案研究
目的:本研究的目的是通过在治疗期间最大限度地实施ROM来确定非出血性卒中患者的发展。方法:对意识下降的非出血性脑卒中患者采用描述性方法和个案研究方法。案例研究过程通过查找患者数据并根据持续纳入标准进行分类来进行。访谈(对家属)和从医疗记录、观察患者状况和定期体检中收集的次要数据。获得数据后,从评估、数据分析、护理问题、护理干预、护理实施和评估等方面进一步记录护理过程。结果:出现的护理问题包括:高血压相关的脑灌注无效风险,分泌物残留相关的气道清除无效,肌肉力量下降相关的身体活动能力受损。由于中风是一种不可逆(无法恢复)的脑组织损伤,恢复过程需要很长时间,因此三个护理问题没有得到解决。
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