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THE Asuhan Keperawatan Pada Pasien Stroke Yang Diberikan Terapi Wicara A-I-U-E-O Di Ruang Flamboyan Rsud Kota Banjar Yanti Cahyati; Putri Anggraeni; Arip Rahman
Jurnal Kesehatan Mahardika Vol. 10 No. 2 (2023): Jurnal Kesehatan Mahardika
Publisher : LPPM ITEKES Mahardika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54867/jkm.v10i2.178

Abstract

Background: Stroke is a condition in which clinical symptoms appear in the form of neurological deficits, both focal and global, that last long enough, usually more than 24 hours. One of the impacts that occur is in the form of verbal communication disorders that have a physical and psychological impact on the sufferer.  Purpose:  Explain the nursing care process for stroke patients who are given A,I,U,E,O speech therapy directly and comprehensively.  Methodology: Qualitative the form of a case study approach, with speech therapy intervention techniques A,I,U,E,O in the form of imitation. Results: Two respondent experienced verbal communication disorders, so that they were given implementation in the form of A,I,U,E,O speech therapy for five days with 2x implementation in 1 day and there was an increase in speech in both study subjects characterized by an increase in LAST (Language Screening Test) scores, improved speaking ability, increased expression or facial suitability, increased eye contact and decreased pelo.  Conclusion: A,I,U,E,O speech is effective in stroke patients with verbal communication disorders.
Ability of Activity Daily Living In Stroke Patients Based On Katz Indekz Assessment: Case Study Yanti Cahyati; Alzahra Putri Sejati; Arip Rahman
Journal of Smart Nursing and Health Science Vol 1 No 2 (2023): Journal of Smart Nursing and Health Science
Publisher : Politeknik Kesehatan Kementerian Kesehatan Banten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36743/josnhs.v1iNo 2.542

Abstract

Background: Stroke is a clinical sign in the form of disruption of brain function, which can cause symptoms including balance disorders including muscle weakness, processes in thinking, the brain's ability to store memory, fluency of speech, to loss of body balance. Research results of the Ministry of Health in 2018, the prevalence of stroke patients in Indonesia has increased by 10.9%. Of stroke patients, 80% experience weakness on one side of their body, which results in a lack of muscle contractions due to the cessation of blood supply to the brain. The impact of weakness experienced by stroke patients can cause imbalances and disrupt the ability to carry out daily activities. Conducting an Activities Daily Living (ADL) assessment is one form of measuring independence or functional ability. Aims: The purpose of research is to determine the level of independence of stroke patients in carrying out daily activities. Method: This research uses a qualitative design with a case study approach; the process is carried out for 2 weeks, from April 6, 2023, to April 19, 2023. The presentation of data on these two respondents used the Katz index instrument. Results: The level of independence of Respondent 1 is included in category F, which is dependent on bathing, dressing, going to the restroom, and defecating / bath. In contrast, respondent 2 is included in class G, namely total dependence, where patients cannot eat, continent, move places, go to the restroom, bathe, and dress independently. Conclusion: The case study results obtained the level of independence of the two respondents with the category of Total dependence.