Abstract:
The risk of pressure ulcers are a risk that can occur in patients with stroke.
Limited activity and disorders of motor nerves make it difficult for patients to
mobilize, resulting in prolonged bed rest. If the risk of pressure sores is left
unchecked, a new problem will emerge, namely pressure sores or what is
known as pressure ulcers. Repositioning is one solution so that patients can
mobilize even in bed. The aim of this research was to conduct a case study
analysis of two stroke patients who experienced immobilization and were at
risk of pressure ulcers. Using descriptive design with interview techniques,
observation, physical examination and documentation. The Braden score
instrument is also used as a basis for assessing the risk of decubitus pressure
ulcers before and after repositioning. The results of the initial assessment
showed that client 1 had a Braden scale score of 10, client 2 had a Braden
score of 13 and client 3 had a Braden score of 14, meaning a high risk of
pressure sores. Next, repositioning intervention was carried out for 3 days
every 2 hours. Other implementations include monitoring weight and changes,
using barriers such as lotion or water-absorbing pads at pressure points or bony
prominences, patients are also given special mattresses, and administration of
corticosteroids is excluded. The results of the 3 day evaluation were that there
were no pressure sores found on the client and a reduction in the risk of
pressure sores with the achievement of an increase in the Braden score, namely
Patient 1 had an increase in the Braden score from a score of 13 (moderate risk
of pressure sores) to 15 (mild risk of pressure sores), patient 2 experienced an
increase in the Braden score from 13 to 15. Patient 3, a score of 14 to 16 which
from a moderate risk to a mild risk of pressure sores. Implementation of
intervention delivery repositioning In patients who comply every 2 hours, it is
very effective in preventing the occurrence of pressure sores (decubitus)
compared to not providing intervention repositioning. So this intervention can
be recommended
