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Pressure ulcers are a common complication in patients with impaired consciousness due to prolonged immobilization. This condition can increase morbidity and prolong the length of stay, thus requiring effective preventive interventions such as progressive mobilization. To determine the outcomes of implementing progressive mobilization on the incidence of pressure ulcers in patients with impaired consciousness at the Anggrek 2 High Care Unit (HCU) of Dr. Moewardi General Hospital. This study employed a case study design involving two participants with impaired consciousness. The intervention, consisting of progressive mobilization, was conducted over 3 days with monitoring of skin condition and pressure ulcer risk. Findings: Following the implementation of progressive mobilization, both participants showed improvement in skin condition and a reduction in the risk of pressure ulcers, as evidenced by the absence of progression to more severe wounds and an increase in skin integrity. The application of progressive mobilization is effective in preventing and reducing the risk of pressure ulcers in patients with impaired consciousness. This intervention can serve as a safe and planned nursing intervention in the intensive care unit.

Background; Progressive Mobilization Level I can affect blood pressure and oxygen saturation in critically impaired patients with reduced consciousness. Progressive mobilization can affect oxygen saturation, this is because after being given level 1 progressive mobilization in the Head of Bed position, gravity will pull the diaphragm down resulting in better lung expansion (distributing oxygen in the lungs) so that the oxygen bound by hemoglobin increases. increase in oxygen saturation values. Objective; Knowing the results of applying level I progressive mobilization to blood pressure and oxygen saturation in patients with decreased consciousness. Method; The application was carried out using a case study descriptive method to 2 respondents in patients with decreased consciousness for 3 days with a frequency of 2 times a day for 15 minutes. Results; Based on the results of the application that has been carried out, there is a decrease in blood pressure and an increase in oxygen saturation before and after the application of level I progressive mobilization. Conclusion; Level I Progressive Mobilization can be used as a non-pharmacological technique or independent intervention in patients with decreased consciousness to reduce blood pressure and increase oxygen saturation.

Patients with Sectio Caesarea in some cases have worsened so they have to be rushed to the ICU to get intensive care. This case study aims to obtain an overview of the application of progressive mobilization to improve functional status and muscle strength in post-sectio patients with eclampsia in the ICU. This case study uses a descriptive design. The application of progressive mobilization performed on patients has been successfully implemented up to level 3. The results of this case study found that progressive mobilization can increase muscle strength from 0 to 56 and functional status from 0 to 65, and can reduce the risk of ICU-AW, speed up the length of release ventilator. Progressive mobilization is effective in increasing muscle strength, and functional status, and can improve the improvement of hemodynamic status and oxygenation status, and prevent the occurrence of ICU-AW. Progressive mobilization can be implemented immediately to shorten the length of stay in the ICU.