Collaborative Care in Managing Critical Patients at Rumah Sakit Harapan Balik

A casual conversation between two individuals, discussing how their studies are going. They inquire about each other's well-being and the progress of their studies.

One person asks the other about 'kuliah dorasi,' which leads to a discussion on collaboration and interprofessionalism in education. They explore the meaning of collaboration and interprofessionalism in the context of their studies.

One person shares their feelings of sadness on a Saturday night, indicating a need for emotional support or conversation.

Introduction to a medical case study involving a patient named Jola, a 75-year-old individual who was transferred to the ICU at Harapan Balik Hospital due to deteriorating health conditions.

Details about Jola's admission to the hospital on February 20, presenting symptoms of difficulty eating and frequent vomiting. The diagnosis of anorexia keliatrik with fomitus is mentioned.

Description of Jola's transfer to the ICU on February 28 after 8 days of treatment, as her condition worsened, leading to a decrease in consciousness.

After being transferred to the ICU, Jola receives immediate medical attention from Dr. Irna, a specialist in gastrointestinal diseases. The nursing team administers Saksion as part of the treatment.

Jola initially shows improvement with a GCS score of E3M3C1 after 5 days in the ICU. However, her condition deteriorates to E1M2C1 after 6 days of treatment.

Despite fluctuations in Jola's condition, she experiences improvements in her GCS score to E3M2C1 after 6 days of treatment in the ICU.

On the same day, Doctor Irna and Nyajola's attending doctor, Nyajola, were both traveling from out of town. Nurse Kimi and Nurse Ita needed confirmation on the therapy for Nyajola, but Doctor Irna instructed them to contact her. Nurse Kimi's assessment revealed secretions in the airway, prompting Nurse Ita to clear the airway using suction. After the procedure, they returned to the Nurse Station to document the assessment results and actions taken, discussing Nyajola's condition.

On the same day, Doctor Irna was traveling from out of town, and Doctor Ita sought confirmation on the therapy for Nyajola, with Doctor Irna instructing them to contact her. After a discussion, they grew increasingly worried about Nyajola's condition, leading Nurse Kimi to persistently try to reach Doctor Irna.

The Lab Officer from the hospital arrived at the Nurse Station to provide Nyajola's lab results. After receiving the results, Nurse Ita communicated with Doctor Irna via phone to discuss Nyajola's condition.

Nyajola regained consciousness but experienced septic and hypovolemic shock. Doctor and Nurse discussed Nyajola's vital signs, revealing low blood pressure, high heart and respiratory rates, fever, anemia, and altered consciousness. Physical examination showed cold, clammy skin with redness, indicating hypovolemic and septic shock.

Doctor recommended administering oxygen at a high flow rate, crystalloid fluid, and monitoring for gastrointestinal bleeding. Antibiotic ceftriaxone was prescribed due to high infection markers. The plan included close monitoring for allergic reactions.

Nyajola received crystalloid fluid and ceftriaxone antibiotic as prescribed by the doctor. The nurse assured the doctor of preparing the medication for Nyajola's treatment.

After the discussion between Nurse Kimi and Doctor Irna, Nurse Kimi promptly went to the pharmacy to fulfill the medication requirements for Nyajola's treatment.

Nurse Itta is approached by Tuan Rian, the son of Nyajola, to inquire about his mother's current condition and the whereabouts of Dokter Rian. They discuss the stability and current status of Nyajola, awaiting further updates from the medical team.

Nurse Kimi visits the hospital's pharmacy to confirm and collect medication prescribed by Dokter Ina for Nenya Jola. The medication includes antibiotics and other treatments tailored to Nyajola's condition in the ICU.

A nutrition specialist arrives at the ICU to provide liquid nutrition for Nenya Jola, a 75-year-old patient. The meal plan includes blueberry cake, yogurt with probiotics, and green vegetables to aid in recovery and boost the patient's immune system.

Dokter Ina arrives at the hospital and promptly checks on Nenya Jola's condition with Nurse Kimi. They continue to monitor and collaborate to ensure the patient's well-being and recovery.

The discussion emphasizes the significance of interprofessional collaboration in healthcare, highlighting the need for different professions to work together towards a common goal of patient healing. The collaboration between Nurse Kimi and Dr. Ilana exemplifies this teamwork for Nyajola's recovery.