Nursing Care for Clients Suffering from Non-Hemorrhagic Stroke with Impaired Physical Mobility in the Neurology Room, 6th Floor, Block B Koja Regional Hospital, North Jakarta

Abstract

Non-Hemorrhagic Stroke is a blockage of blood vessels which causes blood flow to the brain to partially or completely stop, causing Non-Hemorrhagic Stroke sufferers to experience muscle weakness in some parts of their body. Based on the number of non-hemorrhagic strokes that occurred at Koja District Hospital from January to July 2017, there were 52 patients. The actions taken by nurses to reduce muscle tone weakness are Range of Motion (ROM) exercises which aim to increase muscle tone strength. In this study the author carried out a case study research design method by comparing 2 clients who experienced Non-Hemorrhagic Stroke with impaired physical mobility. To overcome this physical mobility disorder, the author provided Range of Motion (ROM) nursing actions to 2 clients for 6 days. After carrying out nursing actions for 6 days, the author compared the two clients to determine the client's response to Range Of Motion (ROM) nursing actions. In carrying out data analysis, the author collected data from interviews, observations, physical assessments, supporting data, medical records, nursing actions for 2 clients who would receive nursing care who experienced Non-Hemorrhagic Stroke with impaired physical mobility. The research results obtained were that there was an increase in muscle tone strength in client 1 (Mr. S) because Mr. S has high motivation, there is support from the family, sufficient knowledge, and the family's willingness to train ROM independently. Meanwhile, there was no change in increasing muscle strength in client 2 (Mrs. T) due to the client's low motivation to recover, lack of support from the family, lack of knowledge, and lack of family willingness to train ROM independently. Suggestions for nurses, especially Koja Regional Hospital nurses, are expected to be able to provide ROM exercises to Stroke clients.