JANUARY 2019
Noviarsih Muslimah
K1A1 13 117
Supervisor :
dr. Saktrio D. Subarno, Sp. BP-RE
IDENTITY
Name : Mr. S
Age : 72 years old
Address : Kendari
Admission : November 4th 2018
Doctor in Charge : dr. Saktrio Darmono Subarno, Sp.BP-RE
HISTORY TAKING
Chief complain : Wound at low back and right heel area
Anamnesis
Since 1 month before admitted to hospital. The wound was getting wider day
by day. Patient spend most of his time lying on bed since 2 months ago .
Patient can’t walk and can’t sit. Patient also felt pain at his wound
continuously.
History of the same complaint (-)
History of the same complaint in family (-)
History of DM (+) uncontrolled medication for 3 years, CKD (+)
hypertension (-)
History of medication (-)
General State
Composmentis
Moderate illness
Normal weight
Vital Sign
BP = 150/90 mmHg
HR = 76x/m, regular, strong
RR = 20x/m, regular, symetris
Temperature = 36,9 oC/axillary
Status Present
Calcaneal Region
Inspection :
Peeled epidermis (+), blood clot (+), slough (-), active
bleeding (-), muscle expose (-), tendon expose(-), bone
expose (-)
Palpation : Tenderness (+)
Clinical Finding
Planning Diagnostic
Routine Blood
Chemistry Blood
Routine Blood
2005
60% - 90% dekubitus dialami oleh pasien dengan usia 65
tahun keatas
2010 :
70% dekubitus terjadi pada orang yang berusia lebih
dari 70 tahun. Seiring dengan meningkatnya usia akan
Pada usia lanjut basalioma lebih banyak pada pria, tetapi pada usia muda lebih
banyak pada wanita.
FAKTOR RISIKO
PREDILEKSI
LOKASI TERSERING
Sakrum 73,3%
Tumit 13,2%,
SCORING
DERAJAT I
Kulit utuh
Lesi superficial
Kemerahan
Reversibel
Tatalaksana
Tatalaksana
Tatalaksana
Tatalaksana
BAGIAN ILMU
BEDAH