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Congestive Heart Failure is the inability of the heart to pump blood effectively throughout the body. The heart is said to fail not because it stops working, but because it does not pump as hard as it should. One way to reduce the risk of skin integrity disorders is by using the bed transfer technique. This article uses a case study design and the subjects used in this case are Congestive Heart Failure patients treated at RSI Malahayati Medan with nursing problems at risk of skin integrity disorders. The results of the application which had been carried out for 3 days showed different results with the Braden score assessment on the first day getting a score of 12 and the second day getting a score of 14. Conclusion: giving the bed transfer technique can prevent the risk of damage to skin integrity in Congestive Heart Failure patients who experience total bedrest . Suggestions are given to patients to know and carry out bed transfer techniques to prevent the risk of damage to skin integrity.

Pressure  ulcer is local injury of skin of subtexture it, generally at bump of bone, the effect of pressure or pressure combination with friction or seraping. To preventing the risk of pressure ulcer at total bedrest patient need to treatmen of skin by Nigella Sativa Oil. The purpose of this case study is to be analyze of application by prevention of pressure ulcer pressure sores method at total bedrest patient. The type of this research is descriptive with method of the case study. The subject of this research use two patient who is sustain of total bedrest more than 3 eith enteria for assesment result by Norton 14 scale less than 14 which it is categorized risk of everage pressure ulcer. The result of this research can be conclude at subject I from 10 Norton scale to 13 scale, at subject II from 13 Norton scale to 16 scale. So, at the time from it review with high severe of injury to use the Design from every the category that obtains the result 0 which it means not happens pressure ulcer injury by both of subject. The nurse must be applies by Nigella Sativa Oil therapy at total bedrest patient to can prevent of pressure ulcer risk.