WIDASARI SRI

GITARJA
- IKRAM BAUK,
SULAWESI
INDONESIA

WOUND
CARE IN
INDONESIA

FACT
90% of the wounds seen by our service in
Indonesia have Diabetic ulcers.
Most of these patients are diagnosed with Diabetes when they
present with their first Diabetic ulcer.
Most of these patients have poor diabetic control, people
eat a lot of carbohydrates and fat and do not adhere to a diet.

Dok. Wocare clinic

wOuNd CarE UpdAte

Modern wound care
Evidence based on wound
management

Old wound care

Traditional wound care

Promotes wound
healing
Proper wound management
WOUND CARE
SAVE DEBRIDMENT : Autolityc, CSWD,
cleansing method with hydro pressure ,
enzimatyc.
topical therapy management : MOISTURE
BALANCE

Physical modalities:

Micro massage surrounding wound location

esspecialy in frozen wound
Exercising (the proximal & distal structures)
Infra red expose for wound vascularization
OZON treatment in wound care
5

WOUND BED PREPARATION

CSWD, cleansing hydro

pressure

Dok. Wocare clinic

INFRA RED THERAPY

MICROMASSAG
E
EXERCISING
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OZONISASI

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MOISTURE BALANCE
BEFORE

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AFTER 10 DAYS

10

CASE : DIABETIC FOOT

ULCER

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Mrs. T, 45 years. One month delayed wound healing in

hospital with uncontrolled blood glucose. She rejected for
amputation and came to wound center for other second
opinion .

Dok. Wocare clinic

She has good motivated to heal. We done prepared the

wound bed until have a good healthy tissue and The
wound become smaller .

Dok. Wocare clinic

27.02.12 24.04.12

Dok. Wocare clinic

27.03.09 09.06.09

Dok. Wocare clinic

11.7.2009 18.11.2009

Dok. Wocare clinic

31.01.09 31.03.09

Dok. Wocare clinic

Indonesian ETNEP
PROGRESIF PROGRAM : CERTIFIED WOUND
CARE CLINICIAN

18

INDONESIA. Consisting of more than 17,000 islands, the vast

Indonesian archipelago spans 5,120 km across the equator, positioned
between the Asian and Australian continents. Four-fifths of the area is
sea with the major islands of Sumatera, Java, Kalimantan (Borneo),
Sulawesi (Celebes) and Papua.

JAKARTA

MAJENE

Community health in Aceh

Transitioning patients into the community following
a hospital stay is very important for the well being
of the wound, patient and family in Indonesia

Majene - Sulawesi
Case : UNIQUE & DIFFERENT
21

Case : UNIQUE &

DIFFERENT
Mr. X, 32 yrs. Blood glucose : 400 mg/dl with Non healed abces for 1
month. Pain, anxiety and bad odor

22

02.05.12 14.05.12
SLOUGH
REMOVE

23

02.03.12 15.03.12
GAUZE
INSIDE

24

26.09.12 11.11.12 :
STORY : IN HOME CARE
SETTING
MAGOT
INSIDE

25

Pasien usia 36 tahun, telah dirawat di RS. Selama 2

bulan, diagnosa ulkus arteri dan amputasi , keluar
dari Rs dan dirawat oleh dukun selama 1 bulan,

26

Keluarga mengantarkan pasien datang ke

klinik dengan LUKA yang terisi penuh belatung
pada luka bagian dalam.

27

CSWD : SAVE
DEBRIDMENT

28

Ini adalah cara kami membungkus luka dengan

tetap mempertahankan kelembaban optimum
pada luka

MOIST DRESSING : GARLIC SALF

29

Ini keadaannya setelah kakinya dapat kami

selamatkan

30

This is ME, MY TEAM AND MY BEST PERCEPTORS at my own

clinic in Majene Sulawesi. I am so proud as an ET nurse,
becuse of their vision to help patient for better quality of
life.SEE YOU IN MENADOJUNE 2013

31

SUMMARY
Chronic wound care management (stage 3
4) will be significant healed for 8 weeks when
we could promote :
T. Wound bed preparation with excellent
method of debridement at least for 2 weeks
I. Management systemic support such us
infection and protein support at least for 4
weeks in between with wound bed preparation.
M. choose the correct dressing for support
granulation and
E. choose the correct dressing for support
epithelization for another 2 weeks

 Since 2007 now, diabetic

ulcer is the highest wound
rating that come to our
clinic for other second
opinion.
And we love to campaign
STOP AMPUTATION,
prevent at the beginning if
you have diabetes.

INDONESIAN WOUND CARE CLINICIAN

SINCE 2009
WITH MORE
THAN 700
MEMBERS

THANK YOU

PLEASE WELCOME AT MENADO, THE PLACE OF FLOWERS APWC 2 JUNE 2013

WOCARE CLINIC
JL. KH. SHOLEH ISKANDAR-KOMP. RUKO CIPTA HUSADA NO.2, WOCARE CLINIC- BOGOR
JAWA BARAT. 16165 INDONESIA
Branch : Klinik Siaga Medika - Jakarta, RS Melia Cibubur, RS Perikasih-Menado,
Majapahit klinik Mojokerto e. clinic.wocare@yahoo.co.id; 0251-8312928 or
02518312346 www.wocare-clinic.co.cc ; 08158843528

REFERENCES
Srigitarja W, Asmi Ch, et. al. Asuhan Keperawatan Sistem integument: Makalah pelatihan singkat
perawatan luka. Bogor : WOCARE Indonesia (2007).
Sri Gitarja.2011. Perawatan Luka Diabet. Edisi3. WOCARE publishing.Indonesia
Bryant A, Ruth, et.al. Acute and Chronic Wounds: Current Management Concepts. 3rd Ed.
Philadelphia: Mosbi Elsevier (2007), p.
Carville, Kerlyn. Wound Care Manual. 3rd Ed. Western Australia: Silver Chain Foundation (1998),
p160-200.
Soegondo Sidartawan, et.al. Penatalaksanaan Diabetes Militus Terpadu. Ed ke-7. Jakarta: FK-UI.
2007.

Haddad L, Steven, et.al. AAOS (American Academy of Orthopedic Sugeons). October 2007
www.orthoinfo.org
http://www.foot.com/info
Comfort Shoe Specialists, 11693 Manchester Rd, St. Louis, MO 63131
www.comfortshoesspecialist.com
Ferry J, Robert . et.al. www.feetforlife.org.
Angsko, Arizona. www.footcaredirect.com.WCET jurnal, Vol 28 No. 2, April-June 2008