An Idea Nursing Journal

Wound Care Using 0.9% Cadexomer Iodine as a Primary Dressing in a Grade II Diabetic Ulcer: A Case Study

Salvatika Rosare, Haeril Amir, Andi Mappanganro — Sun, 25 May 2025 00:00:00 +0000

Diabetic ulcers are wounds that arise as a complication of microangiopathy and macroangiopathy. Peripheral neuropathy leads to a loss of sensation in the distal areas of the feet. This study aims to evaluate wound care using modern dressing with 0.9% Cadexomer Iodine in a Grade II diabetic foot ulcer with the nursing problem of impaired tissue integrity. The research method used was a case study, conducted at the Griya Afiat Makassar independent wound care clinic on October 14th, 16th, and 18th, 2024. The diabetic ulcer wound was assessed and monitored for healing progress using the Bates-Jensen Wound Assessment Tool (BWAT). Wound progression was also documented using an Android camera to visually compare the condition from the initial treatment to the final visit. The results of this study, based on wound care implementation three times a week, showed noticeable changes. These changes were observed in both the appearance and size of the wound across the three visits. On the first visit, granulation tissue covered 75% of the wound and epithelial tissue 25%, with a wound depth of 2.4 cm and dimensions of 1.5 × 0.9 cm. On the second visit, granulation increased to 80% and epithelial tissue decreased to 20%, with a depth of 2.2 cm and size of 1.3 × 0.7 cm. On the third visit, granulation further improved to 85% and epithelial tissue to 15%, with a wound depth of 1.6 cm and dimensions of 1 × 0.4 cm.Based on the wound care performed using modern dressing with 0.9% Cadexomer Iodine, it can be concluded that Cadexomer Iodine 0.9% is effective in promoting the healing of diabetic ulcers.

Improving Clinical Nurses' Competence through Peer Teaching

Hendra Ari Wibawa, Potawan Witwaranuu — Sun, 01 Jun 2025 00:00:00 +0000

Background: Nurses continuously interact with patients and provide interventions according to their needs and responses over a 24-hour period. Given this vital role, clinical nurses must maintain a high level of competency to ensure the quality and safety of patient care. Hospitals are therefore required to establish training programs that address the developmental needs of their staff, aiming to meet a service standard of at least 20 hours of training per year. However, the average training achievement among external employees often falls short, making it essential to explore alternative strategies to enhance learning hours and workforce competencies. One such method is peer teaching. Method: This study employed a descriptive analysis approach. The implementation of peer teaching activities was conducted in several phases: the preparation phase, the implementation phase, and the evaluation phase. Results: The findings revealed that the average pre-test score was 75, while the average post-test score increased to 91. Observations during the process indicated that clinical nurses actively participated in discussions throughout the peer teaching sessions.Discussion: The peer teaching method significantly enhances learning motivation and encourages active student engagement. Rather than passively listening and taking notes, students become directly involved in the learning process, contributing ideas and interacting with peers. This engagement supports improved long-term retention of knowledge.Conclusion: Peer teaching positively influences the improvement of clinical nurses’ competencies. Further in-depth studies are recommended to explore the impact of this method on learning satisfaction.

Implementation of an Emergency Department Boarding Time Monitoring Dashboard to Reduce Patient Retention

Sri Rejeki, Perawati Perawati — Sat, 02 Aug 2025 00:00:00 +0000

Background: rolonged waiting times in hospital emergency departments (EDs) are widely recognized as a major barrier to timely inpatient care and patient satisfaction. Efficient transition processes from the ED to inpatient units can reduce crowding and improve care outcomes. Methods: This study employed a descriptive survey design in Hospital X, Riau Islands, with a sample of 200 participants including ED nurses, administrative staff, and inpatient unit personnel. Data were collected using structured questionnaires and analyzed descriptively to assess the perceived impact of implementing a boarding time monitoring dashboard in the ED. Results: Prior to dashboard implementation, the proportion of patients transferred to inpatient wards within the target time (<120 minutes) was 53%. Post-implementation, compliance rose to 83.39%. Participants reported improved interdisciplinary communication, decision-making, and workflow efficiency. Dashboard color indicators were also found helpful in enabling real-time responses. Conclusion: The implementation of a boarding time monitoring dashboard significantly enhanced the ED's ability to reduce patient retention times. Results support the broader adoption of digital monitoring systems to improve patient flow and satisfaction.

Modern Wound Care Using Cadexomer Iodine 0,9% Dressing in the Granulation Process of a Grade 4 Diabetic Foot Ulcer: Case Study

Della Safitri, Andi Mappanganro, Haeril Amir, Wa Ode Sri Asnaniar — Mon, 25 Aug 2025 00:00:00 +0000

Diabetic foot ulcers are a serious complication of diabetes mellitus that require comprehensive management to prevent further adverse outcomes. This study aimed to evaluate the effect of modern wound management using 0.9% cadexomer iodine on the granulation process in a grade 4 diabetic foot ulcer. A case study was conducted involving a 54-year-old male patient, referred to as Mr. “Z,” who received 0.9% cadexomer iodine as part of his wound care intervention three times per week. The findings demonstrated an increase in granulation tissue of up to 75% as measured by the Bates-Jensen Wound Assessment Tool (BWAT) during the treatment period. The use of 0.9% cadexomer iodine was found to be effective in enhancing granulation tissue formation and promoting wound healing in diabetic foot ulcers.

Effectiveness of Metcovasin Modern Dressing on Grade II Diabetic Ulcers: A Case Study

Ribi Ananda, Haeril Amir, Waode Sri Asnaniar, Nurwahidah Nurwahidah — Wed, 24 Sep 2025 00:00:00 +0000

Diabetic foot ulcers are among the most common complications experienced by individuals with diabetes mellitus, primarily caused by neuropathy (nerve cell damage). This study aimed to evaluate the effectiveness of modern alginate Metcovasin dressing in managing Grade 2 diabetic foot ulcers with impaired skin integrity. A case study design was employed. The intervention involved the application of modern alginate Metcovasin dressing for wound care in a patient with a Grade 2 diabetic ulcer at the ETN Centre Clinic in Makassar. The study was conducted on a single respondent. After establishing the nursing diagnosis, a wound care plan using modern alginate Metcovasin dressing was implemented once a week. Following the first week of treatment, notable improvements were observed, including reduced exudate (approximately 10%) and increased pink epithelial tissue (55%). By the second visit, the wound showed further improvement, with no exudate present and approximately 75% epithelialization. Based on the findings and nursing care provided, this study concludes that the use of modern alginate Metcovasin dressing is effective in promoting the healing process of diabetic foot ulcers.

Assessment of Early Pain Management in Fracture Cases in the Emergency Department: Evidence from Clinical Practice

Waode Ryanti Yakut, Haeril Amir, Rahmat Hidayat — Thu, 09 Oct 2025 00:00:00 +0000

Open fractures are serious injuries in which bone fragments are directly exposed to the external environment, resulting in a significantly higher risk of infection compared to closed fractures. Patients presenting with fractures to the emergency department (ED) are initially assessed using the airway, breathing, circulation, disability, and exposure (ABCDE) approach. This serves as one of the strategies to reduce the pain experienced by patients with fractures. This study employed a descriptive approach with a descriptive case study method, aiming to provide an overview of the initial management of a patient with an open fracture of the right tibia. General initial management of pain included immobilization techniques, hemorrhage control, and the administration of analgesics, which were found to reduce pain levels and prevent further complications. The study concludes that general initial management is an essential and effective approach in the early treatment of open fracture patients. This process not only focuses on medical aspects but also addresses the holistic nursing needs of patients. Further research is recommended to evaluate the long-term effectiveness of general initial management.

Application of Moist Wound Healing Technique in Post-Cesarean Section Patients: A Case Study

Nur Israwati, Haeril Amir, Andi Mappanganro — Fri, 17 Oct 2025 00:00:00 +0000

Cesarean section is a surgical procedure involving an incision through the abdominal wall and uterus to deliver the baby. Although it is widely performed to ensure the safety of both mother and infant, this procedure often results in wounds that require specific care for optimal healing. This study aimed to explore the application of the Moist Wound Healing (MWH) technique in post- cesarean section wound management. A case study design was employed, focusing on a patient (Mrs.D) who underwent post-cesarean wound care using the MWH technique at Griya Afiat Gowa independent practice clinic. Following diagnosis, the planned nursing intervention involved wound care using theMWH approach. After three sessions of wound care, notable improvements were observed: during the first and second visits, the wound exhibited >25% serous exudate, 80% granulation tissue, and 20% slough. By the third visit, the wound showed 80% granulation, a reduction of slough to 15%, and the presence of 5% epithelial tissue. These findings indicate that the Moist Wound Healing technique is effective in promoting wound healing following cesarean section.