Doctor : Yulia Ajeng Kartikas

Patient : Khairunnisa Fitria Abdillah

Therapist : Vanny Aulia Rachman

Patient : "Good morning. Doctor Ajeng? "

Doctor : "Yes, please come in."
Patient : "Thank you. My name is Nisa. "
Doctor : "What are you for today, Nisa?"
Patient : "I have difficulty moving my right hand"
Doctor : "How long have you been experiencing this?"
Patient : "I say it began three or four months ago. It's been getting worse recently. "
Doctor : "Do you have other problems such as weakness, fatigue, or headaches?"
Patient : "Yes, I definitely feel under the weather."
Doctor : "Right. How many activities can you do right now with your right hand? "
Patient : "Some. I happen to be a housewife "
Doctor : "Okay. Let's see. How much can you raise your right hand"
Patient : (raising hands) "Ouch!"
Doctor : I think you can only raise your hand to this extent. "
Patient : "Therefore I find it difficult to carry out daily activities"
Doctor : "oh yes ... yes ... Maybe after this I will refer you to do therapy to an
occupational therapist"
Patient : "What do I need to do for doctor therapy?"
Doctor : "Later you will do therapy so that you can do activities on your right hand"
Patient : "Oh like that doc, good doc! Thank you!"
Doctor : "You're welcome"
Doctor: Good morning Mrs. Nisa?
Patient: Good morning doctor
Doctor: Well today, my mother's schedule for therapy, by occupational therapy in this hospital.
Later he will come in.
Patient: Good Docter
(The therapist enters the room)
Therapist: "Assalammualaikum, good morning doctor? "Button.
Doctor: "Waalaikumsalam, yes good morning. Please enter. Ok maam, this therapist, her name is
Mrs. Vanny. I will wait outside.
Therapist: "Good, thanks doctor"
............................................................................................................................................................
............
Therapist: "Good morning mom"
Patient: "Good morning"
Therapist: "I am a vanny I happen to be an occupational therapist at this hospital, so before we
begin the therapeutic activities. May I check your mother's blood pressure first? "
Patient: "Yes, of course."
Therapist: "Mother, before I get therapy, I will check your mother's data first"
Patient: "Okay, miss"
Therapist: "Okay, mother's name, Mrs. Nisa. 35 years old. Complaints can not move the right
hand. His history of hemorrhagic stroke hemiprase dextra. Now we begin for the next
examination. Starting from checking his blood pressure, mom "
Patient: "Yes ma'am, please"
Therapist: "I'll borrow my mother's hand"
Patient: "Good mom"
Therapist: "Ma'am, sorry, what is your blood pressure?"
Patient: "Last 160/110, MBA"
Therapist: "Oh, you're tall too mom"
Patient: "Yes, ma'am"
Therapist: (after the blood pressure) "OK mom, this is 170/110, right? Hmm, it's still high, right
pressure mom. "
Therapist: "Okay mom, now I will measure the range of movement of the mother's hand"
Therapist: "Now you try to stretch out your arms like this (abduction)"
Patient: (raising hands) "Ouch, I think I can only raise my hands like this"
Therapist: "Okay mom, it's okay mom. Now you follow my movements, ma'am (flexion) "
Patient: "How are you, the result?"
Therapist: "For the mother's movement that stretches out your hand, you can only get seventy-
five degrees, for normally one hundred and fifty degrees. For movements like this (flexion) the
mother can only get one hundred and twenty degrees, for normally one hundred and fifty degrees
"
Patient: "Wow, there is still a long way to go"
Therapist: "No, it's okay mom, little by little will be able to move again. That was accompanied
by routine and patient practice. Cheer up mom. You can do it."
Patient: "Yes, ma'am. I will continue to enthusiasm and practice diligently so that I can move
again. How long will it take for this therapy process? "
Therapist: "Approximately three months can be done, but if the mother often exercises it can be
faster than I expected"
Patient: "I see"
Therapist: "Yes ma'am, now you have to be enthusiastic"
Therapist: "Now we start training ya buu"
Therapist: "For the first exercise, we will practice eating using a spoon yes ma'am (the therapist
gives a spoon)"
Therapist: "Mother now hold this spoon. I eat using a spoon like you normally do "
(patient has difficulty doing)
Therapist: "Mother, slow down"
Patient: "Yes ma'am, my hands are still having trouble doing movements"
Therapist: "It's okay ma'am, the name is also still the beginning of the meeting. We will slowly
practice, buuuu ”
(a few minutes later)
Therapist: "Okay mom, just practice enough for today, at home don't forget to move your hands
a bit so that your hands are trained so that they aren't stiff"
Patient: "Okay "

Therapist: "Ma'am, we will meet at the next meeting, Ma'am"

(Last meeting)
Therapist: "Good morning mom"
Patient: "Morning MBA"
Therapist: "Don't feel it, ma'am, we were at the last meeting. I see the development of the
mother, day by day it is increasing yes ma'am "
Patient: "Thank God, ma'am, although there are still a few obstacles"
Therapist: "Yes ma'am it's okay, it's a process. Later mom for activities at home I will
accompany as well. So that the mother does not need to worry.
Patient: okay mba
Therapist: "Good mother, because today my last meeting may be the mother's tension again. I
will compare my mother's blood pressure for the first time when I start therapy, and arrive at the
last therapy meeting. "
Patient: "May you please" (while giving his hand)
Therapist: (installing blood pressure measuring devices & measuring blood pressure) "Good
mother's blood pressure examination is complete"
Patient: "How's the result?"
Therapist: "Thank God, there was a decrease in blood which was originally 170/110, now it is
130/80. Look after your mother's diet
Patient: "Thank God, thank you, ma'am"

PART THREE AT HOME

Therapist: "Assalammualaikum"
Patient: "Waalaikumsalam"
Therapist: "Good morning mom, how are you, mom?"
Patient: "Good morning, thank God, healthy"
Therapist: "How can you now do your daily activities using your right hand properly?"
Patient: "Thank God, now I am able to do my daily activities using my right hand well, even
though sometimes it is still a bit difficult"
Therapist: "Oh, my mother. Shall we just start the activities of the therapist? "
Patient: "Yes, ma'am please"
Therapist: "Mother now take and hold this spoon. I eat using a spoon like you normally do "
(the patient takes the spoon and starts using the spoon to eat. The patient starts using the spoon,
and has no difficulty)
Therapist: "Yes, good mother, okay slowly"
( Some time later )
Therapist: "Good mother, thank God I have seen that you have improved a lot, mom."
Patient: "Yes, thank God, although sometimes it's still a mess to take food"
Therapist: "Okay mom, now I will measure the range of movement of the mother's hand"
Therapist: "Now you try to stretch your hand like this (abduction) to the maximum possible"
Patient: (raising hands)
Therapist: "Okay, hands can be lowered. Now you follow my movements, ma'am (flexion) "
Patient: "How are you, the result?"
Therapist: "For the movement of the mother who stretched out the hand of the mother can be one
hundred twenty degrees, for normal one hundred and fifty degrees. For movements like this
(flexion) the mother can be one hundred and forty degrees, for normally one hundred and fifty
degrees. Alhamdulillah there has also been an increase, O Mother. "
Patient: "Thank God. Thank you, mba for patiently treating me until I can move using my hands
normally again.
Therapist: "For further action. Mother, please go to the doctor Ajeng to go back to check the
health condition of the mother. "
Patient: "Yes, ma'am tomorrow I will go to the doctor Ajeng"
Therapist "Well, my mother will leave first"
.................................................. .................................................. .................................................. ...
...............
The next day at the hospital
Patient: "Good morning doctor"
Doctor: "Good morning, mother Nisa. Wow, it looks like now his right hand has recovered,
right? "
Patient: "Yes, thank God, doctor, now my right hand has recovered quite well"
Doctor: "Alhamdulillah, it means that the therapy process is going well, Ma'am. Now do you still
feel complaints in the right hand, dizzy, tired? "
Patient: "Now my right hand has improved and my body condition has also begun to improve.
As for the blood pressure, the doctor checked normal yesterday.
Doctor: "Good, my mother was very happy to hear that. Later I will prescribe medication for
mother, so that the healing process will get faster, yes, mother. "
Patient: "Good doctor"
(The doctor writes a prescription)
Doctor: "Okay, mother, prescribe the medicine, please get the obtain mother at the pharmacy. I
hope you get well soon mom ”
Patient: "Thank you doctor"

Patient : Khairunnisa Fitria Abdillah

Therapist : Vanny Aulia Rachman

Patient : "Good morning. Doctor Ajeng? "

Doctor : "Yes, please come in."
Patient : "Thank you. My name is Nisa. "
Doctor : "What are you for today, Nisa?"
Patient : "I have difficulty moving my right hand"
Doctor : "How long have you been experiencing this?"
Patient : "I say it began three or four months ago. It's been getting worse recently. "
Doctor : "Do you have other problems such as weakness, fatigue, or headaches?"
Patient : "Yes, I definitely feel under the weather."
Doctor : "Right. How many activities can you do right now with your right hand? "
Patient : "Some. I happen to be a housewife "
Doctor : "Okay. Let's see. How much can you raise your right hand"
Patient : (raising hands) "Ouch!"
Doctor : I think you can only raise your hand to this extent. "
Patient : "Therefore I find it difficult to carry out daily activities"
Doctor : "oh yes ... yes ... Maybe after this I will refer you to do therapy to an
occupational therapist"
Patient : "What do I need to do for doctor therapy?"
Doctor : "Later you will do therapy so that you can do activities on your right hand"
Patient : "Oh like that doc, good doc! Thank you!"
Doctor : "You're welcome"