As Sobireen Nursing Care

As Sobireen Nursing Care Kami membekalkan jururawat terlatih dan berpengalaman untuk keperluan pesakit dengan kasih sayang.

Sejak dari tahun 2014 kami menawarkan khidmat jururawat, fisioterapi & penjagaan warga emas ke rumah dengan perawat terlatih dan berpengalaman untuk keperluan pesakit. As Sobireen memahami keperluan anda yang memerlukan perawatan medikal dan kejururawatan bagi memastikan proses dari hospital ke rumah menjadi tidak membebankan dan kurang stress. Kami percaya bahawa pesakit kami memerlukan pertolong

an bukan sahaja dari aspek perubatan, tetapi perhatian turut fokus pada aspek kerohanian . Malahan kami berusaha untuk meningkatkan mutu perniagaan bukan sahaja dari segi professionalisme tetapi juga mengikuti hukum syari'ah. Kami menawarkan pelbagai perkhidmatan di rumah :
-Pemeriksaan dan pemerhatian tanda vital
-Fisioterapi asas dan intensif
-Penjagaan paliatif
-Penjagaan sebelum dan selepas pembedahan
-Penjagaan diri
-8-10 jam untuk penjagaan respite
-Penjagaan peribadi, warga emasdan pesakit Alzheimer
-Pengurusan kesakitan, luka dan nutrisi

Selamat Hari Jururawat kepada semua jururawat di Malaysia yang bertungkus lumus setiap masa. Semoga Allah swt terima ama...
12/05/2026

Selamat Hari Jururawat kepada semua jururawat di Malaysia yang bertungkus lumus setiap masa.

Semoga Allah swt terima amalan kita semua!

lumbar puncture (sometimes called a spinal tap) is a procedure where a doctor inserts a thin needle into the lower back ...
26/04/2026

lumbar puncture

(sometimes called a spinal tap) is a procedure where a doctor inserts a thin needle into the lower back to collect cerebrospinal fluid (CSF)—the fluid surrounding the brain and spinal cord.

It may be done to help diagnose conditions such as:

Meningitis
Encephalitis
Multiple Sclerosis
Bleeding around the brain (such as after a suspected subarachnoid hemorrhage)

It can also be used to:

Measure pressure in the spinal fluid
Inject medications (like spinal anesthesia or chemotherapy)

How it’s done

You lie curled on your side or sit leaning forward.
The lower back is cleaned and numbed.
A needle is placed between lumbar vertebrae (usually below where the spinal cord ends).
A small amount of fluid is collected.

Common after-effects

Mild back soreness
Headache afterward (called a post-lumbar puncture headache)
Risks (uncommon)
Bleeding
Infection
Nerve irritation (rare)

www.sobireen.com

brain MRI (Magnetic Resonance Imaging) is a noninvasive scan that uses powerful magnets and radio waves to create detail...
25/04/2026

brain MRI (Magnetic Resonance Imaging)

is a noninvasive scan that uses powerful magnets and radio waves to create detailed images of your brain and surrounding structures. It’s one of the most common and informative imaging tests in neurology.

What a brain MRI looks like

Why it’s done

Doctors order a brain MRI to look for things like:
Tumors or abnormal growths
Stroke or bleeding
Multiple sclerosis (MS) lesions
Infections (e.g., abscess, encephalitis)
Structural problems (like hydrocephalus)
Causes of headaches, seizures, or memory issues

What happens during the scan

You lie still on a table that slides into a large tube-shaped machine
The scan is painless but can be noisy (you’ll hear knocking sounds)
It usually takes 20–60 minutes
Sometimes a contrast dye (gadolinium) is injected to highlight abnormalities

Types of brain MRI sequences

Different sequences highlight different things:
T1-weighted: anatomy detail
T2/FLAIR: fluid and inflammation
DWI (diffusion): early stroke detection

Contrast-enhanced MRI: tumors, infections
Is it safe?

No radiation (unlike CT scans)
Generally very safe
Not suitable if you have certain metal implants or devices (like some pacemakers)

www.sobireen.com

Alzheimer disease (Alzheimer's disease) is a progressive brain disorder that slowly damages memory, thinking, and the ab...
24/04/2026

Alzheimer disease (Alzheimer's disease)

is a progressive brain disorder that slowly damages memory, thinking, and the ability to carry out daily tasks. It is the most common cause of dementia.

What happens in Alzheimer’s?

In Alzheimer’s, brain cells are damaged and die over time. Two classic changes seen in the brain are:
Amyloid plaques (abnormal protein deposits)
Tau tangles (twisted fibers inside brain cells)
These changes interfere with communication between brain cells.

Symptoms

Early symptoms:
Forgetting recent events or conversations
Misplacing items
Difficulty finding words
Trouble planning or solving problems
Later symptoms may include:
Confusion about time or place
Personality or behavior changes
Difficulty recognizing loved ones
Trouble eating, walking, or swallowing (advanced stages)

Risk factors

Age (risk rises with aging)
Family history
Genetics
Heart and blood vessel risk factors (high blood pressure, diabetes)
Diagnosis

Doctors may use:

Medical history and memory testing
Neurological exam
Brain imaging (such as MRI or CT)
Sometimes blood or spinal fluid tests

Treatment

There is no complete cure yet, but treatments may help manage symptoms:
Medicines to support memory or slow progression in some people
Cognitive and supportive therapies
Safety planning and caregiver support
When to seek evaluation

If memory problems are affecting daily life, it is worth seeing a doctor. Not all memory loss is Alzheimer’s—some causes can be treatable.

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Bunion (Hallux Valgus) is a bony bump that forms at the base of the big toe when the big toe gradually shifts toward the...
23/04/2026

Bunion (Hallux Valgus)

is a bony bump that forms at the base of the big toe when the big toe gradually shifts toward the second toe. This can make the joint stick out and become painful.

Common symptoms

Pain or tenderness at the base of the big toe
Swelling and redness
Visible bump on the side of the foot
Difficulty wearing tight shoes
Corns or calluses from toes rubbing
Stiffness in the big toe joint

Causes and risk factors

Inherited foot shape
Tight or narrow shoes
Flat feet
Arthritis, including Rheumatoid Arthritis
Long-term pressure on the joint

Treatment

Conservative treatment:
Wider, supportive shoes
Padding over the bunion
Ice for swelling
Pain relievers (if appropriate)
Orthotics or toe spacers
Activity modification

Surgery:

If pain is severe or walking is affected, bunion surgery may be considered.

www.sobireen.com

Plantar fasciitis is one of the most common causes of heel pain. Diagnosis is usually clinical (based on history + physi...
22/04/2026

Plantar fasciitis

is one of the most common causes of heel pain. Diagnosis is usually clinical (based on history + physical exam) rather than relying heavily on scans.

🔍 How it is diagnosed

1. Typical Symptoms
A doctor will first ask about your pain pattern:
Sharp pain at the bottom of the heel
Worse with the first steps in the morning or after rest
Improves slightly with walking, then may worsen after long standing
Pain after exercise (not usually during)

2. Physical Examination
The doctor checks:
Point tenderness at the heel (medial calcaneal tubercle)
Pain when pressing along the plantar fascia
Increased pain when the toes are dorsiflexed (pulled upward)
Tight calf muscles or Achilles tendon

3. Windlass Test (Key Clinical Test)
The doctor lifts your big toe upward while you stand
If this reproduces heel pain → suggests plantar fasciitis

4. Imaging (only if needed)
Not always required, but used if diagnosis is unclear:
X-ray
May show a heel spur (but this doesn’t confirm the condition)
Ultrasound
Thickened plantar fascia
MRI
Used in complex or chronic cases to rule out other problems

⚠️ Conditions to rule out (Differential Diagnosis)

Doctors also consider:

Heel stress fracture

Achilles tendinitis

Nerve entrapment

Fat pad atrophy

Systemic conditions (e.g., arthritis)

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metacarpal fracture is a break in one of the five long bones in your hand (the metacarpals), which connect your wrist to...
21/04/2026

metacarpal fracture

is a break in one of the five long bones in your hand (the metacarpals), which connect your wrist to your fingers. These fractures are quite common, especially after trauma to the hand.

🦴 Common Causes

Direct blow to the hand (e.g., punching something — often called a “boxer’s fracture”)
Falls onto the hand
Sports injuries
Road accidents

⚠️ Symptoms

Pain and tenderness in the hand
Swelling and bruising
Difficulty moving fingers
Deformity (finger may look bent or shortened)
Weak grip strength

🔎 Types of Metacarpal Fractures

Neck fracture (common in 5th metacarpal – boxer’s fracture)
Shaft fracture (middle part of the bone)
Base fracture (near the wrist)
Head fracture (near the knuckle)

🏥 Diagnosis

Physical examination
X-ray (main test)
Sometimes CT scan for complex fractures

💊 Treatment

1. Non-Surgical (most cases)
Splint or cast immobilization
Pain relief medication (e.g., Paracetamol or Ibuprofen)
Elevation and ice
2. Surgical (if severe)
Bone misalignment
Multiple fractures
Open fractures
Procedures may include pins, screws, or plates

⏳ Healing Time

Usually 4–6 weeks for bone healing

Full recovery (strength & movement): 6–12

weeks

www.sobireen.com

metatarsal fracture is a break in one of the long bones in your foot (the metatarsals), which connect your ankle to your...
20/04/2026

metatarsal fracture

is a break in one of the long bones in your foot (the metatarsals), which connect your ankle to your toes. These fractures are quite common, especially from injuries or repeated stress.

🔍 Types of Metatarsal Fractures

Acute fracture – caused by sudden injury (e.g., fall, twist, heavy object dropping on foot)
Stress fracture – small cracks from repeated overuse (common in athletes)
Avulsion fracture – a tendon or ligament pulls a piece of bone away
Jones fracture – specific fracture at the base of the 5th metatarsal, slower healing

⚠️ Symptoms

Pain in the foot (worse when walking or standing)
Swelling and bruising
Difficulty bearing weight
Tenderness when touching the area
Possible deformity (in severe cases)

🩺 Causes

Direct trauma (e.g., sports injury, accident)
Twisting of the foot
Overuse (running, jumping)
Weak bones (e.g., osteoporosis)

🧪 Diagnosis

Physical examination
X-ray (most common)
Sometimes CT scan or MRI for stress fractures

💊 Treatment

Depends on severity:
Mild fractures
Rest and avoid weight-bearing
Ice and elevation
Pain relief medication
Supportive footwear or stiff-soled shoe
Moderate fractures
Cast or walking boot
Crutches to reduce weight on foot
Severe fractures
Surgery (if bones are displaced

⏳ Healing Time

Usually 6–8 weeks, but stress fractures may

take longer

www.sobireen.com

ankle injury refers to damage involving the ligaments, bones, or tendons around the ankle joint. It’s very common during...
19/04/2026

ankle injury

refers to damage involving the ligaments, bones, or tendons around the ankle joint. It’s very common during sports, walking on uneven ground, or sudden twisting movements.

🔎 Types of Ankle Injuries

1. Sprain (most common)
Stretching or tearing of ligaments
Usually caused by twisting the ankle inward
Severity:
Mild (Grade I): slight stretch
Moderate (Grade II): partial tear
Severe (Grade III): complete tear

2. Strain
Injury to muscles or tendons
Less common than sprains

3. Fracture
Break in one or more ankle bones (e.g., tibia, fibula, talus)
More serious; may need a cast or surgery

4. Dislocation
Bones move out of position
Often occurs with fractures

⚠️ Common Symptoms

Pain (especially when standing or walking)
Swelling
Bruising
Limited movement
Instability (feels like ankle may “give way”)
Deformity (in severe injuries)

🩺 First Aid (R.I.C.E Method)

Rest – avoid putting weight on the ankle
Ice – 15–20 minutes every 2–3 hours
Compression – elastic bandage
Elevation – keep ankle raised above heart level

💊 Treatment

Mild injuries: rest, ice, pain relievers (e.g., Ibuprofen)

Moderate: brace or physiotherapy

Severe: immobilization (cast) or surgery

www.sobireen.com

Fibula fracture is a break in the fibula, the thinner of the two bones in your lower leg (the other is the tibia). It of...
18/04/2026

Fibula fracture

is a break in the fibula, the thinner of the two bones in your lower leg (the other is the tibia). It often happens with ankle injuries or alongside a tibial fracture.

🦴 What is the fibula?

The fibula runs along the outside of your lower leg and helps stabilize the ankle, even though it carries less body weight than the tibia.

⚠️ Common causes

Twisting injuries (e.g. sports accidents)
Falls or direct blows to the leg
Road traffic accidents
Severe ankle sprains

🔍 Symptoms

Pain on the outer lower leg or ankle
Swelling and bruising
Difficulty walking or bearing weight
Deformity (in severe fractures)

🩺 Diagnosis

Physical examination
Imaging like X-ray (most common)
Sometimes CT scan for complex fractures

💊 Treatment

Depends on severity:

1. Non-surgical

Rest, ice, compression, elevation (RICE)

Splint or cast

Pain relief medication

Crutches to avoid weight-bearing

2. Surgical (if severe or displaced)

Metal plates and screws to fix the bone

Followed by rehabilitation

⏳ Recovery time

Mild fractures: ~6–8 weeks

Severe fractures: 3–6 months or longer

Physiotherapy helps restore strength and movement

www sobireen.com

Tibia fracture is a break in the tibia (shin bone)—the larger and stronger bone in your lower leg. It’s one of the most ...
17/04/2026

Tibia fracture

is a break in the tibia (shin bone)—the larger and stronger bone in your lower leg. It’s one of the most common long-bone fractures because the tibia bears most of your body weight.

🔍 Types of Tibia Fractures

Stable fracture – bone pieces remain aligned
Displaced fracture – bone ends move out of position
Open (compound) fracture – bone breaks through the skin (serious risk of infection)
Comminuted fracture – bone shatters into multiple pieces
Spiral fracture – caused by twisting force
Stress fracture – small cracks from repetitive stress (common in athletes)

⚠️ Causes

Road traffic accidents 🚗
Falls from height
Sports injuries ⚽
Direct blows (e.g., trauma)
Overuse (in stress fractures)

🩺 Symptoms

Severe pain in the lower leg
Swelling and bruising
Difficulty or inability to walk
Visible deformity (in severe cases)
Bone protruding through skin (in open fractures)

🧪 Diagnosis

Physical examination

X-ray (most common)

CT scan (for complex fractures)

💊 Treatment

1. Non-Surgical

Casting or splinting

Rest and elevation

Pain medications

2. Surgical (if severe)

Internal fixation (metal rods, plates, screws)

External fixation (metal frame outside the leg)

⏳ Recovery Time

Usually 3–6 months, depending on severity

Physiotherapy often needed to regain strength

and movement

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Address

B2-19-G SPACE U8, PERSIARAN PASAK BUMI, BUKIT JELUTONG, SEKSYEN U8
Shah Alam
40150

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