Application of a Combination of Head up 30º Position and Passive Range of Motion (PROM) in Stroke Patients on National Institutes of Health Stroke Scale (NIHSS) : Case Study

Abstract

The primary issue in stroke is cerebral blood flow disruption caused by abnormalities in brain blood circulation. Nursing interventions that can be performed include the 30º Head Up Position and Passive Range Of Motion (PROM), aimed at improving hemodynamic status using the National Institutes of Health Stroke Scale (NIHSS) parameters. Identifying the application of the combination of the 30º Head up Position and PROM in stroke patients regarding the NIHSS score.  A case study was conducted on Mr. J's and Mr. A's in Umar Bin Khatab Room 2, Al-Ihsan Regional Hospital, West Java Province. The result of the nursing evaluation obtained: a risk of ineffective cerebral perfusion and Impaired physical mobility. There is an impact of using the combination of the 30º Head Up Position and PROM on the NIHSS score. The 30º head-up position accompanied by PROM has been proven to improve nerve status through examination with the NIHSS. These results can be directly applied to improve good health services.