Nursing Care for Patients with Ineffective Cerebral Tissue Perfusion with Non-Hemorrhagic Stroke at RSAU dr. Esnawan Antariksa

Nur Amnah, Fitria Prihatini

Abstract

Non hemorrhagic stroke is a stroke caused by a blockage blood vessel in the brain by thrombosis or embolism so that the supply of glucose and oxygen to the brain is reduced and cell death or brain tissue occurs supplied. Risk factors for non-hemorrhagic stroke are old age, hypertension, diabetes mellitus, heart disease, hypercholesterolemia, smoking and cerebrovascular disorders. The general goal in carrying out nursing care in patients who experience ineffective cerebral tissue perfusion with non-hemorrhagic stroke. From the nursing care performed, 5 nursing diagnoses were found in patient 1, namely ineffective cerebral tissue perfusion related to high blood pressure, ineffective breathing patterns associated with respiratory effort barriers, impaired verbal communication associated with decreased cerebral circulation, impaired physical mobility associated with neuromuscular disorders, self-care deficit related to weakness. In patient 1, 3 nursing diagnoses were found, namely ineffective cerebral tissue perfusion related to high blood pressure, impaired physical mobility related to neuromuscular disorders, anxiety related to lack of exposure to information. At the evaluation stage, the nursing diagnoses that the two patients had had been carried out according to the planning and the evaluation was resolved according to the 3x24 hour time criteria. Elevating the head elevation of 30o which has been done by researchers turns out to be effective in helping to overcome the ineffectiveness of cerebral tissue perfusion which helps stabilize blood pressure in non-hemorrhagic stroke patients.