International Conference of Advancements in Nursing Care

Boosting hemoglobin: The potent impact of erythropoietin administration

2024-08-06T14:14:23+00:00

The prevalence of chronic kidney disease (CKD) is currently increasing. CKD patients experience kidney cell damage, leading to decreased function and insufficient erythropoietin production. This insufficiency causes a reduction in red blood cell production and results in anaemia among CKD patients. Erythropoietin Stimulating Agents (ESAs) stimulate red blood cell formation in the bone marrow. This study aimed to determine the effectiveness of erythropoietin therapy in increasing haemoglobin (Hb) levels in haemodialysis patients. The study is a retrospective observational study with descriptive analysis conducted from April 1 to April 20, 2024, at RSIY PDHI. The sample consisted of 39 respondents selected based on inclusion and exclusion criteria. The results showed that the majority of CKD patients were male (56.4%), with an average age of 55 years and an average weight of 58.32 kg. The most common employment status was self-employed (35.9%). The average Hb level before erythropoietin administration was 8.54 mg/dL. After erythropoietin therapy at a dose of 3000 UI per week for 3 months, the average Hb level increased to 9.38 mg/dL, showing a difference of 0.83 mg/dL. Data analysis using the Wilcoxon test yielded a p-value of 0.000, which is less than the significance level α (0.05), indicating that erythropoietin therapy is effective in increasing Hb levels in haemodialysis patients.

Keywords: Haemodialysis; chronic kidney disease; erythropoietin; nursing care; interprofessional collaboration

Revitalizing movement through Range of Motion (ROM) therapy for non-hemorrhagic stroke survivors

2024-08-13T01:26:58+00:00

Stroke is a systemic manifestation of disease, often linked to aging, characterized by disruptions in blood circulation to the brain, resulting in neurological deficits. Patients may experience motor impairments such as weakness or hemiparesis, which can lead to stiffness, paralysis, and muscle weakness, ultimately reducing joint range of motion and overall extremity function. These mobility challenges can be addressed through early physical mobilization exercises. Implementing Range of Motion (ROM) exercises and proper positioning is crucial in the rehabilitation process, effectively preventing disability among stroke patients. This study aims to explore the impact of ROM exercises on muscle strength in stroke patients facing mobility impairments. A case study methodology was employed, focusing on gradual and regular maintenance interventions. The findings indicate that the application of ROM exercises significantly enhances muscle strength. In conclusion, incorporating supine ROM exercises can effectively improve muscle strength in stroke patients with mobility challenges, highlighting the importance of early intervention in rehabilitation.

Keywords: Stroke; complementary therapy; range of motion; medical surgical nursing; rehabilitation

Application of brain gym exercise on cognitive function in elderly with dementia

2024-08-07T01:27:48+00:00

An elderly person is defined as someone who has reached the age of 60 years and older, entering the final stages of life. Dementia, also known as senility, refers to cognitive decline that is severe enough to interfere with daily living and social activities. This decline typically begins with memory loss or forgetfulness. Cognitive function is essential for individuals in their daily activities, and maintaining it is crucial for overall well-being. Brain exercises are light activities that involve cross movements designed to harmonize and optimize the performance of both the right and left hemispheres of the brain, thereby improving cognitive function. This study aims to determine the effects of brain exercises on cognitive function in elderly individuals with dementia. The research design is a case description, conducted from June 3, 2024, to June 9, 2024. The data collection tool used was the Mini Mental Status Examination (MMSE) questionnaire. The results indicated that the MMSE score for the respondent, Mrs. S, improved from a score of 15, indicating severe cognitive impairment, to a score of 21, reflecting mild cognitive impairment. This finding suggests that brain exercises are effective in enhancing cognitive function in elderly individuals with dementia. It is important for elderly individuals experiencing dementia to engage in brain exercises regularly and effectively, without becoming complacent, even if there is an improvement in cognitive function. This practice can help enhance their quality of life and productivity.

Keywords: Elderly care; brain exercise; community nursing; cognitive function; family nursing

Evaluating the efficacy of cucumber juice in hypertension management among the elderly

2024-08-12T13:30:58+00:00

Hypertension remains a leading cause of death globally, particularly among the elderly, whose condition is often exacerbated by lifestyle factors such as poor diet, smoking, alcohol consumption, and lack of exercise. In addressing this issue, non-pharmacological treatments, such as cucumber juice therapy, offer a promising alternative. This study evaluates the effectiveness of cucumber juice in lowering blood pressure among elderly hypertensive patients in Magelang City. Data collection was guided by the nursing process, including assessment, diagnosis, intervention, implementation, and evaluation. The results revealed that before commencing cucumber juice therapy, patients had an average blood pressure of 160/90 mmHg. Following three days of treatment, their blood pressure improved to 157/87 mmHg. Notably, after a complete three-day regimen, blood pressure readings further decreased to 150/80 mmHg. These findings indicate that cucumber juice can effectively contribute to the reduction of hypertension. It is recommended that patients continue to incorporate cucumber juice into their diet to help maintain optimal blood pressure levels. This study underscores the potential benefits of cucumber juice therapy as a viable, non-pharmacological option for managing hypertension in the elderly.

Keywords: Hypertension care; complementary therapy; cucumber juice; cardiovascular health; nursing care