Pressure ulcers are a complication that becomes more complex when experienced by patients with multimorbidity such as Congestive Heart Failure (CHF), Chronic Kidney Disease (CKD), and thrombocytopenia. These conditions can lead to prolonged healing, high risk of infection, systemic complications, and even death. Interventions must be accompanied by appropriate tools to evaluate wound healing optimally. The Pressure Ulcer Scale for Healing (PUSH) is a tool for accurately, practically, and simply assessing the progression of pressure ulcers. However, its use for evaluating pressure ulcers remains limited. The objective to describe the use of PUSH in patients with pressure ulcers and multimorbidity. Method: This study used a case study design involving a 56-year-old patient with a grade III pressure ulcer on the buttocks measuring 121.5 cm2 with granulation tissue, minimal necrosis tissue, pus, and active bleeding. Wound progression was evaluated using PUSH over 4 days during wound care. The results that the PUSH score increased to 16 with a wound size of 150 cm2 moderate exudate, and extensive necrosis tissue. This indicates that the wound condition has not improved, prompting an evaluation of the wound care and factors hindering wound healing. Although PUSH aids clinical decision-making, it has limitations in assessing wound depth and systemic conditions as it only evaluates three parameters. The PUSH instrument is a simple and efficient tool for monitoring the healing of pressure ulcers and has the potential to indicate changes in wound condition as a result of an intervention, thereby aiding clinical decision-making. PUSH is recommended for routine use in clinical practice, while continuing to evaluate systemic conditions comprehensively and involving a multidisciplinary team.

Acute coronary syndrome (ACS) menjadi penyebab utama kematian di seluruh dunia termasuk di Indonesia. Health education merupakan suatu program edukasi yang diberikan oleh perawat kepada pasien yang bertujuan untuk meningkatkan status kesehatan melalui peningkatan dan pemeliharaan perilaku kesehatan. Penelitian mengenai manfaat health education pada pasien ACS saat ini masih terbatas. Hal tersebut menunjukkan kebutuhan untuk mengumpulkan bukti manfaat dari program health education pada pasien ACS. Tujuan dari literatur ini adalah untuk mengidentifikasi manfaat health education berdasarkan literatur. Pencarian literatur dilakukan pada database elektronik Medline, PubMed, CINAHL, PsycInfo dan Cochrane Library dengan kata kunci acute coronary syndrome AND health education. Kriteria inklusi terdiri dari: pasien dengan ACS, jenis penelitian true experiment, publish dari tahun 2014-2019 dalam Bahasa Inggris. Penilaian kualitas artikel dilakukan dengan menggunakan instrumen dari CONSORT. Hasil pencarian pertama ditemukan 6.028 artikel dan setelah dilakukan skrining serta evaluasi, didapatkan 5 artikel yang memenuhi kriteria inklusi. Hasil tinjauan menunjukan bahwa health education terbukti efektif dalam menurunkan gejala depresi, meningkatkan self-efficacy, meningkatkan self-care dan meningkatkan quality of life pada pasien ACS. Dengan demikian, health education penting  untuk diberikan pada pasien ACS sedini mungkin sesuai dengan karakteristik, budaya, dan sumber daya yang tersedia sebagai upaya untuk meningkatkan keyakinan diri dalam melakukan perawatan mandiri

COVID 19 has become a world health problem, and Indonesia has declared an emergency status for an outbreak. To prevent transmission of COVID 19, the government has set three policies that are increasing the availability and reliability of infrastructure, involving the industrial world and social education. However, COVID 19 transmission still occurs. Preparedness for COVID 19 transmission starts with the family as a minor system in the community. The Healthy Indonesian Program with a Family Approach is considered an excellent effort to carry out health functions to prevent COVID 19 transmission. This study aimed to optimize family functions in preventing COVID 19 transmission. This study used a descriptive-analytic design. Two hundred and fifty-eight samples were recruited using a consecutive sampling technique. To measure family function using a questionnaire. Data were analyzed by descriptive statistics (i.e., frequency statistics). The frequency statistics showed that most of the respondents have optimally performed family functions in the health sector. Most of the respondents understand COVID 19 (88,4%), they are capable of making decisions (96,9%), they can care for the family (88,8%), they can modify the environment (75,2%), and they can take advantage of health services (81%). This study only captures the extent to which the family optimally performs health functions; it does not provide any form of intervention. The results of this study prove that the family has an important role to play in breaking the transmission of COVID 19.

Stroke is a global health problem and deaths. Stroke with hemiparesis can cause long-term disability if not treated properly. Intervention with the right therapy can prevent various obstacles, one of which is mirror therapy which is an intervention method that is cheap, easy, safe, and can be done independently. However, the review of comprehensive studies is limited. This study aimed to determine the benefits of mirror therapy on the extremity function of post-stroke patients who had hemiparesis. This study used a narrative review approach basaed on PRISMA 2020 guidelines. Searching article were conducted in four databases, namely PubMed, CINAHL, Sage Journal, and Google Scholar, with the keywords were mirror therapy, Stroke rehabilitation, post-stroke, hemiparesis, and stroke. Inclusion criteria in this study were stroke patients with hemiparesis, randomized controlled trial (RCT) research design, quasi-experimental and clinical trials, using English and Indonesian, full-text articles available in 2012-2022, with the outcome of the study were quality of life, increased extremity motor function, cognitive, emotional and reduce the patient's pain. Results: twelve articles show the effect of mirror therapy in post-stroke patients who experience hemiparesis and the review notes that mirror therapy has a positive effect on motor improvement which has an impact on increasing the ability to carry out daily activities, preventing depressive disorders, and improving the quality of life of patients. The combination of the application of conventional rehabilitation therapy, neuromuscular electrical stimulation, and the use of virtual reality-based mirror therapy can enhance the therapeutic effect. Conclusion: Mirror therapy can be used as a therapeutic recommendation that can improve limb function in post- stroke patients. More research is needed by meta-analysis to find more comprehensive evidence.Keywords: Hemiparesis, Mirror Therapy, Post Stroke

Gluten Free Casein Free (GFCF) is a diet recommendation to reduce hyperactivity in children with autism. Lack of adherence and knowledge can lead to improper dietary application which will result in remaining health problems and hyperactive behavior of autistic children. The purpose of this study is to examine knowledge and perception of parents towards GFCF diet in children with autism. This descriptive-quantitative study used a total sampling technique to 57 parents of autistic children in 3 Bandung District Extraordinary Schools. Data was obtained through questionnaire with validity ranging from 0.315-0.912 and reliability of 0.788 and 0.932. Data was analyzed using frequency and percentage in descriptive statistics. Results showed that some parents lacked of knowledge (n = 28), and 67% of subjects (n = 38) had a positive perception of GFCF diet. Positive perception includes perception of benefits, perception of susceptibility, perception of self efficacy, and perception of severity. In the perception of barrier, some subjects had negative perception. Based on the results, several parents had positive perception of GFCF diet, although the parental knowledge related to this diet was in the low category. That is likely because of parents have not received sufficient information related to GFCF diet. Therefore, health workers especially community nurses are expected to collaborate with nutritionists in making regular visits in order to provide parents of autistic children with health education related to GFCF diet in extraordinary schools.

Fatigue is a common and persistent symptom in patients with tuberculosis (TB), particularly in recurrent cases and when accompanied by pneumonia. Increased systemic inflammation and reduced activity tolerance often lead to functional decline, while pharmacological treatment alone may not sufficiently address fatigue. Progressive muscle relaxation (PMR) is a non-pharmacological intervention that reduces muscle tension and stress, support physiological recovery. This study describes the effect of PMR to reduce fatigue in a patient with recurrent tuberculosis and pneumonia. This study is a case review involving a 65-year-old female patient diagnosed with pulmonary TB and pneumonia. PMR was administered over four consecutive days, with one session lasting 15–20 minutes per session. The sessions were conducted at varying times, including in the morning, afternoon, or before bedtime. Fatigue levels were measured after each session using the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) Scale. The patient showed improvement in vital signs, with blood pressure increasing from 108/65 mmHg to 116/61 mmHg, heart rate decreasing from 111 to 62 beats per minute, and the FACIT-F score improved from 12 (severe fatigue) to 36 (mild fatigue), indicating a reduction in fatigue severity. Functionally, the patient was able to walk to the bathroom independently and no longer experienced weakness or dyspnea post-activity. These findings indicate that PMR contributed to a reduction in the patient’s fatigue level. This intervention has potential as a supportive rehabilitative strategy, with adjustments in duration and frequency based on patient condition.

Pengukuran kualitas hidup pada korban bencana banjir menjadi penting karena bencana tidak hanya memberikan dampak fisik namun juga menyebabkan trauma psikologis seperti masalah emosional, ekonomi dan kesehatan. Perubahan tersebut dapat mempengaruhi kualitas hidup mereka. Penelitian ini bertujuan untuk mengetahui gambaran kualitas hidup masyarakat korban bencana banjir di Desa haurpanggung Kecamatan Tarogong Kidul Kabupaten Garut. Metode penelitian ini yaitu desktiptif kuantitatif. Penelitian ini menggunakan teknik purposive sampling yang melibatkan 93 responden. Instrumen yang digunakan yaitu World Health Organization (WHOQOLBREF) yang terdiri dari 26 pertanyaan. Analisa data menggunakan distribusi frekuensi dan persentase. Hasil penelitian ini menunjukkan bahwa korban bencana banjir memiliki kualitas hidup sedang 35,5% dan memiliki persepsi kepuasan terhadap kesehatan yang biasa-biasa saja 37,6%. Adapun kualitas hidup berdasarkan tiap dimensi, sebagian besar responden memiliki kualitas hidup yang baik pada dimensi fisik 68,8%, memiliki kualitas hidup yang sedang pada dimensi psikologis 54,8%,, memiliki kualitas hidup yang sedang pada dimensi sosial 67,7% dan memiliki kualitas hidup yang sedang pada dimensi lingkungan 65,6%. Meskipun kualitas hidup masyarakat korban bencana banjir baik dan sedang namun ditemukan sebagian korban memiliki masalah pada indikator dimensi lingkungan terkait kebutuhan uang dan kesempatan rekreasi. Diperlukan intervensi bagi pemerintah daerah dan perawat yaitu mendorong peningkatan ekonomi keluarga dan melakukan trauma healing bagi para korban

The coronavirus 2019 (Covid- 19) pandemic offers incredible challenges to child and adolescent health because the school closure and the impracticability of activities outside the house have been challenging for parents. When schools are closed, they lose an anchor in life, and their symptoms could relapse; these unstoppable circumstances, which are beyond average experience, are primary to stress, anxiety, and a feeling of helplessness in all. This research aimed at identifying, analysing, and examining children's mental health during pandemic articles published in several reputable international journals issued in the 2019-2020 timeframe, which was led using bibliometric studies. This research hires a bibliographic study using systematic and explicit mapping methods. The research was conducted using a 4-stages systematic mapping method: (1) searching for articles using the Publish or Perish application in the Scopus database, (2) classifying the articles for the bibliometric analysis, (3) checking and completing the metadata of those articles, and (4) conducting bibliometric analysis using VOSviewer application. The bibliometric analysis produced four findings, as follows: (1) the trend of mental health children’s publications 2019-2020; (2) the ten most contributive journals has published; (3) the ten most cited articles has produced 170 citations; (4) the five highest order of author keywords most widely used in mental health children’s articles were mental health, children, human, school, and covid- 19. Children's mental health can be concluded as the term of research is currently popular among researchers.

Coronary Heart Disease (CHD) was the number two cause of death; one of the treatments for CHD was Coronary Artery Bypass Graft (CABG). Patients after undergoing CABG will undergo treatment in the Intensive Care Unit (ICU). In patients who experience treatment in the ICU, many patients experience sleep disturbances related to therapy regime rhythm in the ICU. This literature review aims to identify the intervention for managing sleep quality in post-CABG patients undergoing treatment in the ICU. The method use was a narrative review study, The review was conducted two databases, PubMed and ScienceDirect, to search data from 2012 to 2022. The keywords used were Coronary Artery Bypass Graft, Intensive care unit, and Sleep Quality. The results of this study included nine articles reviewed, which were entirely randomized control trials and randomized clinical trials. The review found that the interventions to manage sleep quality are deep breathing therapy, aromatherapy with roses, acupressure, self-care, and drug administration. From the results of the review, it was found that all articles reported using several specific interventions in the intervention group that were proven to improve sleep quality in post-CABG patients. The study results provide information for nurses regarding sleep quality in post-CABG patients.

Introduction, early detection of cancer is an important action in addressing the high incidence breast cancer cases. The easiest early detection that women could do is breast self-examination(BSE). Previous research indicated a gap between knowledge and behavior towards breast self-examination. Intrinsic motivation is needed by women to perform breast self-examination. This study aimed to identify the intrinsic motivation of women reproductive age in performing breast self-examination in Kebonwaru District Bandung. Methods, this study was a descriptive quantitative study, the study population was women in reproductive ages. The samples were chosen using the simple random technique (n = 344). Data was collected using Intrinsic Motivation Inventory instrument which has been back-translated. Data were analyzed using descriptive analysis of frequency distribution and percentage. The results showed that the proportion of respondents who had the high intrinsic motivation and low intrinsic motivation were almost the same (54.1% and 45.9% respectively). The majority of respondents (84% of) had a high perception of importance and usability of BSE. 66.3% of respondents had a perception of suitability and interest along with high competence perception. In addition, 56.4% of respondents had a high perception of effort and choice. However, 57.4% of respondents reported an increased sense of stress and nervous when performing BSE. Conclusion, there is a need to maximize cancer prevention and promotion programs.  For example, health education related to cancer prevention and treatment,  accompaniment, and counseling, and providing information about the importance of early detection.  That information could increase the intrinsic motivation of women to perform breast self-examination so a number of women’s mortality caused by breast cancer could be decreased and breast cancers could be detected earlier.

Tuberculosis (TB) is a disease caused by Mycobacterium tuberculosis, causing coughing, fever, and chest pain. There were 50 people suffering pulmonary TB                                                In Public Health Center in Siantan Hilir Pontianak who must be treated immediately. Intervention is crucial because of many cases of TB recurrence. This study aimed to determine the effectiveness of family empowerment in latent screening for TB Infection based on WHO guidelines on the level of TB patient obedience and family burden. The research method was a quasi experimental study involving 36 people (family) of TB sufferers with consecutive sampling technique. As many as 18 people received empowerment (treatment) interventions, and 18 others were not treated. Before, they given informed consent in each group. The study was conducted for two months and have given three visits therapy during the study for the intervention group. The instruments used were Morisky Medication Obedience Scale-8 (MMAS-8) and Caregiver Burden Scale (CBS). The results showed that there were significant differences related to family empowerment in WHO-based latent screening on TB Infection in increasing patient obedience with p = 0,000 and for caregiver burden with p= 0,000 (p <0.005). It is expected by applying the family empowerment in screening could prevent and reduced the morbidity of TB sufferers. The family empowerment can increase the obedience of patients with pulmonary TB and reduce the burden on the family.

HIV is a severe health problem. Pangandaran is a West Java tourist spot with a high risk of HIV transmission among adolescents. Knowledge about HIV, attitudes towards HIV transmission behavior, and HIV risk behaviors are essential for every individual because adolescents are a vulnerable population. This study aims to identify knowledge, attitudes, and risk behaviors for HIV transmission. This descriptive research with the research population is teenagers class XI and XII in SMK "X" Pangandaran, as many as 915 people. Data collection using proportionate stratified random sampling technique with a sample of 278 students online. Data collection was carried out within one month and distributed using Google Form using a modified Knowledge, Attitudes, and Risk Behavior related to HIV (PSP-HIV) questionnaire, which had been tested for validity and reliability. Data were analyzed using univariate in the form of frequency distribution for knowledge and attitudes. Risk behavior is grouped based on the frequency and percentage of respondents' answers to each statement. The results of this study found that (71.6%) of adolescents had less knowledge about HIV. A total of (54.7%) of adolescents have a terrible attitude toward HIV transmission behavior. The three risk behaviors for HIV transmission with the highest scores among students in this study were: 1) using protection or condoms during sexual intercourse as much as 5.4%; 2) having sex with girlfriends as much as 5%; 3) having sex with friends as much as 3.2%Adolescents must be provided with accurate and complete information so that they do not become a vulnerable group to suffer from HIV.

Management of atrial fibrillation (AF) is limited to low detection, treatment non-adherence and several other considerations, resulting in the utilization of mobile health devices  (mHealth) for comprehensive and continuous telemonitoring  of atrial fibrillation. This study aims to identify the use of mHealth in atrial fibriullation telemonitoring. The reseach design is a literature review using the PRISMA method approach. Literature search used the keywords “mHealth” and “telemonitoring” and “atrial fibrillation” from the PubMed, Science Direct, Scopus and ProQuest databases, with inclusion criteria namely article on the use technology or mobile health-based applications in telemonitoring atrial fibrillation (AF), articles less than 5 years, fulltext and open access. The seven articles analyzed, six articles on the use of mHealth can be used for atrial fibrillation telemonitoring and one article shows the use of applications for educational media. Further development is needed in line with increasing needs, ease of use and technological developments in the health sector.

Sudden deaths from acute myocardial infarction have been  a current trend of health care problem of Indonesians. This condition may have impacted on the patient’s quality of life. The aim of this literature review was to identify factors that affected quality of life patient after acute myocardial infarction event. This review used a scoping review method. Literature searching was conducted using Google Scholar, Pubmed and Science Direct utilizing keywords: acute myocardial infarction, quality of life and questionnaire. The inclusion criteria were quantitative or qualitative study, peer-reviewed, published in 2008 – 2018. There were 18,035 papers retreived, only 19 papers met the inclusion criteria. Data were analyzed using content analyses. The findings of this study indicate that the quality of life of patients has decreased after experiencing acute myocardial infarction. Quality of life is influenced by 5 major factors, namely biological factors, emotional factors, physical factors, social factors and psychometric factors.  There are 5 major factors that are proven to still affect the quality of life of patients with acute myocardial infarction. Further research is needed to determine psychometric factors in influencing quality of life. The instrument that can be used is macnew quality of life after myocardial infarction because it meets the psychometric criteria.

Background: Cognitive changes in the elderly are a natural consequence of the degenerative process. In this process, sleep quality becomes an important factor affecting cognitive function. While it is known that prolonged sleep disturbances can increase the risk of cognitive impairment in the elderly, few studies have specifically explored the relationship between sleep quality and cognitive function in the context of the elderly in elderly residents. Aim: To determine the relationship between sleep quality and cognitive function in elderly residents. Methods: This study used a quantitative method with a descriptive-analytic design and a cross-sectional approach. The research population comprised all elderly residents of Tresna Werdha Social Institution Budi Mulia 3 in Jakarta, totaling 282 individuals, with a sample size of 80 elderly individuals selected using simple random sampling. Data collection was conducted using questionnaires, and data analysis was performed using the Chi-square test. Results: The results showed that the majority had good sleep quality (55%) and normal cognitive function (51.2%). There is a significant relationship between sleep quality and cognitive function (p=0.000) with an OR value of 19.444. Conclusion: There is a significant relationship between sleep quality and cognitive function in the elderly. Recommendations: Based on the results of this study, it is recommended that nurses carry out community-based interventions, such as sleep health education activities and stress management, to support comprehensive elderly health. Further research is recommended to develop and test the effectiveness of non-pharmacological-based interventions, such as cognitive behavioural therapy and meditation techniques, in improving the quality of elderly sleep. Keywords: cognitive function; elderly; sleep quality.

Menstruation is the normal cycle experienced by all women’s, however it’s causes unstable emotions, irritable, crying, aggressive, provoking, pain, bleeding a lot of bleeding in a long duration. These problems would influence women’s well-being, so interventions are needed for women’s with menstrual problems. This systematic review aimed to describe the findings from studies about the interventions to deal with menstrual problems. The review process was conducted using electronic databases: PubMed, Proquest, Google scholar and EBSCO. The keywords used were Quality of life, Menstruation problems, Menstruation periods, Teenage, and Urban. The inclusion criteria of articles were taken from 2015 to 2018 while the exclusion criteria were articles that were non-English. The review identified a total of 12 articles. However, according to the inclusion and exclusion criteria, 5 articles were obtained. The method used was experimental and cross sectional study. In addition, the analysis was used content analysis process. Menstrual problems can be minimized by doing various physical exercises continuously and intensively, the factors of age and counseling from the closest person greatly determines the quality of life in adolescents with menstrual problems. In addition, providing TENS therapy and drug therapy among adolescent can help to improve the quality of life in adolescents with menstrual problems. Conclusions: Menstrual problems can be reduced in various ways, including physical, pharmacological and non-pharmacological treatments.

Online game is increasingly popular entertainment for all ages, especially on adolescents. Previous study had shown that the most internet users in Indonesia are adolescents and playing online game is the most activities frequently accessed by adolescents. Previous research also showed that online game addiction among Indonesian students was estimated at 10,15%. This study aimed to identify the level of online game addiction in adolescents. This research was in form of quantitative descriptive. The study population was all students of class X dan XI who obtained students from screening results and have met certain criteria with total of 241 people. The population and sample criteria in this study were adolescents who played online games for at least 6 months starting from the first time playing online game. The sampling technique used was total sampling, that all members of the population were used as sample. Data was collected within a month using The Indonesian Online Game Addiction Questionnaire and data obtained directly through google form. The result of the study was analyzed by univariate analysis then grouped into groups of respondents with a score of 7-13 no addiction, 14-21 on mild level of addiction, and 22-35 on high level of addiction. Base on the data analysis, the result of this study showed that almost all respondents were male (87,1%) with duration of ≤ 3 hours/day atau ≤ 21 hours/week to play online game (69,3%). Nearly half of respondents were addicted at a mild level (49,8%) and partially at a high level (10,8%). The conclusion of this study was that the level of addiction in adolescent was dominated at a mild level. The suggestion for school and school health nurses are to collaborate in prevention and treatment efforts by providing education about time management and the dangers of online game addiction to students.

Virtual Reality is a technology that can simulate a virtual environment like a real one and make it seem like if users can interact in it. The development of learning to use Virtual Reality has begun to be used as a medium for learning skills to increase students' clinical knowledge and reasoning in nursing practice, so that students can show reasonable learning satisfaction in the learning process. Student satisfaction is needed to determine the effectiveness of using VR in nursing practice. Satisfaction with using virtual reality for  student learning experiences can be evaluated using the SCSES (Student Satisfaction with Cultural Simulation Experience Scale), but there is no Indonesian language version for this instrument. This study aimed to translate and adapt the SCSES (Student Satisfaction with Cultural Simulation Experience Scale) instrument in the Indonesia context for nursing students. Methods: The SCSES translation uses the cross-sectional method and in the translation process refers to the five stages of international standard guidelines for translation. Results: The reliability and validity test of the SCSES instrument was tested on 92 Padjadjaran University nursing students. Confirmatory Factor Analysis (CFA) was carried out to measure construct validity. It was found that all items of the Indonesian version of the SCSES instrument were declared valid with the value of all factor loading items > 0.50 and the Cronbach's α test was performed to measure the consistency of measurements (α = 0.964). Conclusions: The Indonesian version of SCSES has good item validity and reliability as a measure of satisfaction in cultural simulation experiences. .

Diabetes mellitus type 2 is a chronic disease that requires self-management. Self-efficacy of patients with type 2diabetes focuses on improving management education and support services. This study aimed to determine theeffect of diabetes self-management education and support on self-efficacy in patients with type 2 diabetes mellitusin Dr. Soebandi hospital Jember. This type of research was a quasi-experiment using a two-group pre-post-testdesign. The research sample consisted of 30 respondents from 15 controls and 15 consecutive sampling groups.Technique sampling used. Inclusion criteria included 1) diagnosed with type 2 diabetes mellitus; the level ofconsciousness is compos mentis; 2) aged 30–65 years. The statistical test used t-tests dependent and independentt-test. Stages there were 6 sessions. Implementation of 1-4 sessions in the hospital and at home 5–6 sessions patients.The results showed that a score of self-efficacy increased by 17:53 in the treatment group and 4.93 in the controlgroup (p=0.001). The results showed that there was a significant difference between self-efficacy, the treatmentgroup and the control group after administration amounted to 10.495 (p=0.001). The conclusion suggests that thereis a significant influence on the self-efficacy of patients with type 2 diabetes in Dr. Soebandi hospital Jember. It isexpected that this study found is a recommended intervention for health workers to improve the self-efficacy ofpatients with type 2 diabetes so as to improve healthy lifestyles, reduce complications, and improve quality of life.

Lung cancer is one of the leading causes of cancer-related deaths worldwide. In advanced stages, patients often experience pain and shortness of breath, which significantly reduce their quality of life. Non-pharmacological interventions such as foot massage with lavender essential oil and pursed lip breathing (PLB) exercises offer potential supportive therapy, but evidence on their effectiveness remains limited. This case study aimed to describe the application of foot massage and PLB techniques in reducing pain and dyspnea in a 64-year-old male diagnosed with stage IVA squamous cell lung carcinoma. The intervention was conducted over six consecutive days. Foot massage was performed using five standard techniques—effleurage, petrissage, friction, tapotement, and vibration—while PLB was practiced for 10 minutes prior to each session. Pain intensity and oxygen saturation were measured using the Numeric Rating Scale (NRS) and pulse oximetry, respectively. The results showed a decrease in pain score from 7 to 3 and an improvement in oxygen saturation from 92% to 96%. The patient also reported improved comfort and the ability to perform light activities with assistance. These findings suggest that the combination of foot massage and PLB may be effective in managing pain and respiratory symptoms in advanced lung cancer. Further research with larger sample sizes and controlled study designs is recommended to confirm these outcomes and support broader clinical use.Keywords: Foot Massage Therapy, Lavender Oil , Lung Cancer, Pain, Pursed Lip Breathing, Shortness of Breath