WOUND CARE CASES

One man, 50-year-old Mr F, suffered Paraplegy after falling from a coconut tree. As a
result of paraplegia, the client can only be bedridden. It has been a month since the client
was hospitalized for an extensive dicubitutus wound in the sacrum area. During wound
treatment, wounds are visible deep into muscle and bone tissue. On the client's heel, there
is a reddish mark that does not disappear even though it has been pressed.

ROLE CAST

Frengki Patient Holy Nurse

Nuha Patient's Wife Hanum Nurse
Naya Pediatric Patients Diva Doctor
Bernika Children's patients Reza Patient's wife's
Aisha Figure Ulan colleague
Patient's wife's
colleague

In Melati ward, Room number 19 there is a patient named Mr. Frengki aged 50
years. He was paralyzed by falling from a coconut tree. It has been hospitalized for one
month. The patient can only lie in bed and be accompanied by his wife, the patient often
complains of pain due to paraplegy he experienced. At noon came Mr. Frengki named Naya
to visit his father.

Naya : "Assalamualaikum, Father... Mom.."

Frengki & Nuha : "Waalaikumsalam, son.
Nuha : Have you got off work, kid?"
Naya : "Yes, you have, it just so happens that you can go home quickly,
Mom. How is Dad today, Mom?"
Nuha : "That's how son, Dad still often complains of pain from his injuries"
Naya : "Mom has reported this to the nurse?"
Nuha : "I have, but there has been no further action, kid."
Naya : "Yes, then let Naya report to the nurse again."
Nuha : "Well, brat"

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Then Naya immediately went to the nurse's station to report that her father still often
complained of pain from his injuries, and asked to be treated immediately.

Naya : "Excuse me sister"

Hanum : "Yes, can I help you, mba?"
Naya : "Look, nurse, my father, Mr. Frengki still often experiences pain from
his injuries"
Hanum : "What number room is it, Mba?"
Naya : "Room 19 Sisters"
Hanum : "Oh okay mba, there will be a nurse who will come there to see your
condition, and at 3 o'clock in the afternoon there will be a doctor
Diva who comes to visit"
Naya : "Okay, sister, thank you.

Then Naya returned to her father's room, unexpectedly met her mother's colleagues named
Reza and Ulan who happened to want to come to visit Mr. Frengki

Naya : "Aunt Reza...?"

Reza : "Eh Naya, how are you?
Naya "Thank God, good aunt. Auntie, how are you?"
Reza "Thank God, great, it just so happens that Auntie wants to visit your
father"
Naya : "Yes, let's auntie together, I want to go to Dad's room."
Reza : "Come on, come on, kid. Mari Mba Ulan"

Upon arrival in the Room.

Reza, Ulan, Naya : "Assalamualaikum"

Mr.Frengki & : "Waalaikumsalam, wow there are guests it turns out, let's Mba
Nuha Reza Mba Ulan Come In"
Ulan : "Ya Nuha" (shaking hands)
Reza : "Sorry, yes, we just had time to visit Mas Frengki again"

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 Mr. Frengki : "Yes, it's okay"
Ulan : "How is Mas Frengki?"
Father. Frengki : "Look, I still often feel this pain by the wound"
Reza : "Oh... Yes, I see that uda is quite severe, yes. Is there no
treatment?"
Nuha : "Every 3 days mba treatment is done, it's just still like that"
Reza : "This means that more treatment is needed such as MBA, the
danger is that if left unchecked it can continue to be infected and
associated with other MBA.
Nuha : "Yes, Reza will try to tell the nurse again to immediately deal with
Frengki to make it even better.
Naya : "Oh, yes, at 3 o'clock in the afternoon, there will be a doctor to
see Dad"
Nuha : "Yes"
Reza : "Sorry mba, then we say goodbye, mba because this afternoon
there is a family event.
Nuha : "It's so fast"
Ulan : "if we have time we stop by again, Mba"
Nuha : "Yes, then be careful in how you greet your family and husband.
Reza : "Yes, let's Mas Frengki and Naya, let's say goodbye to go home
first. I wish you a speedy recovery."
Mr.Frengki : "Yes, thank you."
Naya : "Thank you auntie, be careful on the road"
Reza : "Yes.. Assalamualaikum"
Mr.Frengki &; : "Waalaikumsalam"
Naya
Nuha : (Escorting Ulya and Elmi out)
Nuha : "Thank you Mba Reza and Mba Ulan for visiting my husband.
Reza : "Yes, you're welcome next time we play here again. If you need
anything, please feel free to contact us, Mba"
Ulan : "Ohya mba N uha, sorry yo in advance, the problem of the wound
mas Frengki is already severe ni and the smell is very strong, if I
may give you this advice, try deh mba N uha roasted coffee, I

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 heard the aroma of roasted coffee is very effective for removing
odors, and my friend also told me that her husband had diabetes
and his injuries were also severe, But he tried to make his coffee
burn, the smell is gone;
Nuha : "It's like that, MBA, thank you, the suggestion is bangus bangus, I
will try it later, duh, sorry, MBA, if it smells like that, it's not good
with MBA."
Ulan : "It's okay2, I'm even happy to be able to share mba knowledge,
just try it. Yes, we said goodbye. Assalamualaikum."
Nuha : "Waalaikumsalam"

After Mr. Frengki colleagues returned home not long after, the nurse came to see Mr.
Frenki's condition. Frengki.

Aisha : "Good afternoon Mr. Frengki"

Mr.Frengki : "Nurse's Day"
Aisha : "I am Aisha's nurse, this is Hanum's nurse, and the Holy nurse is on
duty from 7 to 2 o'clock in the afternoon. According to yesterday's
contract we will provide knowledge about your injuries, the time is
about 20-30 minutes, sir
Mr.Frengki : "Yes, big brother"
Aisha : "How are you? Is there anything to complain about"
Mr.Frengki : "It's a nurse, I often feel pain in the wound"
Aisha : "Is it right tilt or left tilt?"
Mr.Frengki : "Not yet, sister, I feel painful when I am moved by brother"
Aisha : "Well, it doesn't move like that that makes your wound not heal,
sir, and will cause decubitus"
Mr.Frengki : "Decubitus, what is a sister?
Aisha : "Decubitus was injured by too long a pressure, because the father
just lay in bed without moving his body"
Nuha : "Then how is sister, what to do?"
Hanum : "Yes, sir, in a day there must be tilting to the right and left, sir,
about 10 minutes to 15 minutes, it aims to make the wound on

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 your buttocks get air, if only supine the wound is moist, continue to
be depressed and difficult to heal"
Mr.Frengki : "I see, sister, because I often feel pain when moved."
Hanum : Now this movement must be done often so that the wound does
not expand and cause new wounds on other parts of the body.
Aisha : "Okay, sir, now we will help you to tilt to the right first, and then
tilt to the left, I ask you and the MBA to take a look so that later
you can tilt Mr. Fengki independently."
Naya : "Yes, big brother"
Aisha : "Now it's going to tilt right, right, so we straighten the right bed
support so you don't fall, then put pillows on your back and under
your left leg like this." (while doing)
Hanum : "How about it, sir, is it convenient?"
Mr.Frengki : "Yes, it's Sus"
15 minutes later

Hanum : "Now you can be on your back, sir, then continue by tilting left
again, yes later, sir, now tilting right and left is done every 2
hours, sir for 10 to 15 minutes"
Mr. Frengki : "Yes sister, thank you"
Aisha : "Is there anything mom and mba want to ask?"
Nuha : "Already understand Sister"
Aisha : "It's good if it's like that, before when you were sick, what food
did you consume?
Mr. Frengki : "I only eat rice with salted fish and omelet because I like this
food"
Nuha : "Yes, my husband's sister often asks for such food, if I don't stick
to it, my husband sometimes won't eat
Holy : "Then during this time, the food given from the hospital was
eaten, isn't it mom?"
Nuha : "The food given from the hospital is sometimes rarely eaten by
my husband who says he doesn't like the food"
Holy : "Then now I will explain some about the food you should eat"

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 Mr. Frengki : "Good sus"
Holy : "Look, sir, there are some foods that contain a lot of protein that
are useful for speeding up the healing of your wounds. Foods that
contain protein include eggs, fish, milk etc. You should also eat
foods that contain vitamins, calories and minerals. Vitamins
themselves function to maintain a healthy body, these foods such
as fruits and foods that contain calories are useful to be a source
of energy to eat such as vegetable oil, sunflower seed oil.
Nuha : "Oh, I see, Sus, so my husband has to consume a lot of food as Big
Brother explained before, yes, before the fruit is like, what is
Sus?"
Holy : Yes ma'am, such as oranges, apples, grapes etc.
Hanum : "And don't forget to multiply drinking mineral water about 8
glasses a day, this also serves to improve Mr. Frengki blood
circulation and speed up the healing process as well"
Naya : "Oh I see, Sus, I was told to eat like eating fish, but according to
our belief, when eating fish, the wound smells fishy, itchy and
heals for a long time"
Holy : "It's just an MBA myth, otherwise eating fish helps the healing
process"
Naya : "Oh, I see, Sus"
Nuha : "Isn't Big Brother right that coffee can absorb the smell of this
wound? Because my friend, his family was suffering from diabetic
wounds, kept putting coffee on his bed, it wasn't long before the
smell of the nurse began to disappear. So that's how?
Holy : ........................
Aisha : "Okay, do you have anything to ask again?"
Naya : "No Sus"
Aisha : "Well, if there is none, we apologize first, don't forget every 2
hours, Mr. Yosi is done right and left tilted, huh"
Nuha : "Good brother"
Aisha : "Okay, then excuse me first, if there is anything needed, please

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 calluses in the nurse's station, take a good rest, I wish you a
speedy recovery"
Naya : "Yes, sister, please accept it"

Then came Naya's sister named Aifa who had just arrived from the city

A : "Assalamualaikum"
All : "Waalaikumsalam"
Nuha : "Mom's son is at home"
A : "Yes, ma'am, sorry, Aifa just had time to return to Jogja because it
was difficult to get permission in the office, ma'am"
Mr.Frengki : "Yes, kid, it's okay, you understand. Are you healthy, kid over
there?"
A : "Thank God, I am healthy, sir. Dad, how are you?"
Nuha : "Yes, it's like this, you still often feel pain from the wound, just
now there was a nurse who told you about the wound so that it
will heal quickly."
Aifa : "Thank goodness if it has been dealt with. Naya, how is the
deck?"
Naya : "Okay, big brother."

When it was cold to gather, a kori nurse came to see the condition of TN. Frengki is
accompanied by nurse Hanum.

Dr.. Diva : "good afternoon Mr.Frengki"

"Good day"
"How is he doing today? Is there anything to complain about?
Mr.Frengki : "Yes, doc, I still feel very much pain"
Dr.. Diva : "When was the wound last cleaned, sir?"
Mr.Frengki : "Yesterday afternoon Doc"
Dr.. Diva "How many last sisters is TTV? "
Hanum : "TD: 120/80, N: 89x/min, R: 19x/min, and S: 37ͦC dock. "
Dr.. Diva : "Is there nausea and vomiting? "

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 Mr.Frengki "Nausea is a bit doc. "
Dr.. Diva : "How do you eat? unfinished?
Nuha : "Little doctor, my husband rarely wants to eat food from the
hospital, only wants to eat an omelet with salted fish."
Dr.. Diva : "No wonder the injury is not healed, you have to eat nutritiously.
Do you want to get better? If you want to recover, follow the
advice of doctors and nurses. Mothers should also not be too
pampered, should be able to follow the advice of doters and
nurses here. Yes, ma'am..
Nuha : "Yes, doctor, I will follow the doctor's advice later."
Dr.. Diva : "Yes, you definitely want to abstain first, sir, after the new rush,
you can eat such food, but not very often."
Mr.Frengki : "Yes, doctor."
Dr.. Diva : "Yes, I will prescribe it for pain and nausea later. Anything to ask
again? "
Mr.Frengki "No dock"
Dr.. Diva "Then excuse me, take a good rest, get better soon,"
Mr.Frengki "Thank you doc"
Dr.. Diva "You're welcome"

After the doctor examined and the nurse gave education to Mr. Frengki the doctor and
nurse left the room. Day by day Mr. Frengki tried to improve his habits so that his wounds
healed quickly and improved as described by nurses and doctors.

Finish.

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