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All Journal TANJUNGPURA JOURNAL OF NURSING PRACTICE AND EDUCATION
Okatiranti
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Health Professions Immunology & microbiology Nursing Public Health

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Managing Fluid Overload in Chronic Kidney Disease: A Nursing Case Report Pitora, Tobi; Farisianah, Issy; Al Fatih, Hudzaifah; Okatiranti
Tanjungpura Journal of Nursing Practice and Education Vol. 8 No. 1 (2026): May
Publisher : Department of Nursing, Faculty of Medicine, Universitas Tanjungpura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26418/tjnpe.v8i1.108078

Abstract

Background: Chronic kidney disease (CKD) is a major contributor to the global disease burden. Kidney failure can also lead to various other complications, such as swelling due to fluid retention, anemia, infections, cardiovascular disorders, cognitive impairment, and metabolic and endocrine disorders. Objective: To determine the effectiveness of rinsing with boiled water on thirst in kidney failure patients undergoing a fluid restriction program. Method: A case report on an 81-year-old woman with a medical diagnosis of stage IV chronic kidney disease in the Anggrek B Ward of the Bandung City General Hospital. The client complained of swelling in the lower extremities accompanied by pain in the upper abdomen. The swelling occurred due to excess fluid volume. The author established a focused diagnosis of hypervolemia. Implementation was carried out using an Evidence-Based Practice approach through the application of fluid restriction by rinsing the mouth with boiled water. Result: The analysis indicatedthat rinsing the mouth with boiled water is effective in reducing thirst in patients with chronic kidney disease, supports adherence to fluid restriction programs, and can be used as a self-care nursing intervention at home to alleviate symptoms of hypervolemia in patients with chronic kidney disease.
Optimizing Recovery Through Early Mobilization After Herniorrhaphy: A Case Report Aldira, Nadya; Pitora, Tobi; Puspita Ningrum, Tita; Okatiranti
Tanjungpura Journal of Nursing Practice and Education Vol. 8 No. 1 (2026): May
Publisher : Department of Nursing, Faculty of Medicine, Universitas Tanjungpura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26418/tjnpe.v8i1.110766

Abstract

Hernia remains a disease with increasing incidence worldwide and is commonly treated with surgical procedures. In the postoperative period, wound pain is common, leading to immobilization and the risk of pain; therefore, early mobilization is necessary to prevent this. The purpose of this scientific study was to determine the application of early mobilization in pain management in patients after herniorrhaphy surgery. This study used a case report method with a patient, a 72-year-old man diagnosed with a left scrotal hernia. The patient complained of postoperative wound pain and felt unable to move 6 hours after the procedure. The authors determined the primary diagnosis as decreased physical mobility related to pain. Implementation was carried out using an evidence-based practice approach, with early mobilization delivered according to established standards. The results showed that early mobilization effectively reduced pain intensity from an initial score of 6 to 3. Furthermore, there was a gradual increase in the patient's ability to sit, stand, and walk with assistance for at least 24 hours. Analysis showed that the patient's mobility capacity increased significantly after the implementation of early mobilization.
Co-Authors Aldira, Nadya Farisianah, Issy Hudzaifah Al Fatih Pitora, Tobi Puspita Ningrum, Tita