Application of the Orlando Nursing Model for Patients with Respiratory Failure with Progressive Mobilization Interventions for Decubitus Incidence in the Intensive Care Unit of the RSU Prof. Dr. RD Kandou Manado

Abstract

Nursing services are a major part of health services with the largest number of health
workers. Quality nursing services can be assessed through several indicators, one of
which is nursing services in the Intensive Care Unit (ICU). Intensive care unit is a
unit that functions to treat patients with critical illnesses who experience acute failure
or more vital organs that can threaten the patient's life so that close monitoring is
needed, special staff and special equipment. The incidence of decubitus in the ICU
room, Prof. Dr. RD Kandou Manado in patients who are on mechanical ventilators
based on the findings and observations during the department of specialization,
namely three patients with pressure sores (16.7%) and two with a risk of pressure
sores (12.5%) out of eighteen patients at this time. The purpose of applying evidence
based nursing is the effect of progressive mobilization in respiratory failure patients
on the incidence of pressure sores through the Orlado nursing theory approach in the
ICU room of RSU Prof. Dr. RD Kandou Manado. The method used is descriptive
with a case study approach. About giving progressive mobilization with a duration of
2-3 minutes every 2 hours for 5 days in 4 patients. The results of the evaluation
carried out by researchers on the four clients, after giving progressive mobilization
actions from the four respondents, the skin conditions of the two respondents showed
no signs of pressure sores. The study concludes that progressive mobilization
intervention can prevent decubitus in patients with respiratory failure in the ICU.