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Gambaran Peresepan Obat Pada Pasien Penderita Infeksi Saluran Pernapasan Akut Di Puskesmas Tarogong Kabupaten Garut Setiani, Andra Arista; Permana, Gin Gin Sugih; Suwinda, Dina Nirwana
Jurnal Medika Farmaka Vol 2 No 1 (2024): Jurnal Medika Farmaka
Publisher : LP4M STIKes Karsa Husada Garut

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Infeksi Saluran Pernafasan Akut (ISPA) is a major cause of infectious disease morbidity and mortality in the world. ARI is an acute inflammation of the upper and lower respiratory tract caused by microbial, bacterial or viral infection without or with lung parenchyma. ARI has a disease group with the highest absenteeism rate compared to other disease groups and is also suffered by many people. The purpose of this study was to determine the description of drug prescribing in patients with acute respiratory infections at the Tarogong Health Center, Garut Regency. This research method is descriptive with retrospective data collection, data collection is done by simple random sampling technique. The results of this study were patients with ISPA, which were mostly female patients with a percentage of 52.98% as many as 142 people and men with a percentage of 47.01% as many as 126 people. The data sample regarding the age of late adolescence 17-25 years is the most cases with a percentage of 22.38% as many as 60 people. Based on the classification of ARI drugs that are more widely used are antibiotics with a percentage of 29.77% as many as 268 people, analgesics - antipyretics with a percentage of 27.44% as many as 247 people, expectorants with a percentage of 20.33% as many as 183 people, antihistamines with a percentage of 13, 22% as many as 119 people, corticosteroids with a percentage of 8.22% as many as 74 people, bronchodilators with a percentage of 1% as many as 9 people. Based on the type of ISPA the most widely used drugs were amoxicillin with a percentage of 71.26% as many as 191 people, paracetamol with a percentage of 70.89% as many as 190 people, chlorpheniramine maleate with a percentage of 36.94% as many as 99 people. From these data, it can be concluded that female late adulthood suffers from ISPA, the most widely used drugs are amoxicillin, paracetamol, chlorpheniramine maleate, glyceryl guaiacolate, salbutamol and dexamethasone.

Auditory Hallucination and Bipolar Disorder in a Mental Rehabilitation Patient: Case Study Permana, Gin Gin Sugih; Daniati, Eva; Riansyah, Alvi
Nursing Case Insight Journal Vol. 3 No. 1 (2025): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/enxqpk34

Mental health is a condition in which individuals can develop physically, mentally, spiritually, and socially so that they are able to realise their potential, overcome stress, work productively, and contribute to society. This research was conducted at the Nur Ilahie Assanie Mental Rehabilitation Clinic Samarang, Garut Regency. The purpose of this study was to gain more real experience in carrying out the process of mental nursing care with hallucinatory sensory perception disorders focusing on improving the client's perceptual power and the client can relate to reality which includes assessment, diagnosis formulation, planning, implementation and evaluation. This case shows a holistic approach (biopsychosocial-spiritual) is effective in dealing with cases of hallucinations in bipolar disorder. Structured and sustainable nursing interventions are proven to reduce hallucination symptoms. In addition, the role of family has a significant influence in the long-term rehabilitation process. On the other hand, medication compliance is also a key factor in controlling symptoms and preventing relapse. Thus, a combination of medical therapy, family support, and a comprehensive approach from healthcare professionals is essential in the management of bipolar disorders with hallucinatory symptoms.

Improving Family Independence in Hypertension Management through a Nursing Process Approach: A Case Study on Mrs I's Family in Garut Regency Ridwan Rifai, Mohamad; Permana, Gin Gin Sugih; Daniati, Eva
Nursing Case Insight Journal Vol. 3 No. 2 (2025): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/63kf5m76

Family independence in managing hypertension is a key factor in achieving optimal quality of life. This study aims to improve the independence of Mrs I's family in Garut Regency through a family-based nursing process approach. The method used is a descriptive case study with data collection techniques including observation, interviews, documentation studies, and physical examinations. The results of the assessment showed that Mrs I's family was included in the Family Independence I (KM I) category, where they were aware of the problem of hypertension but did not understand the proper treatment. Nursing interventions focused on health education, medication management, and psychosocial support with a local cultural approach. Evaluation showed an increase in family independence to KM III, characterised by the family's ability to take preventive and promotive actions independently, such as routine control, low salt diet, and medication adherence. This study concludes that a contextualised family-based nursing approach involving active participation of family members is effective in improving the independence of hypertension management. The implication is that nurses need to master therapeutic communication and culture-based interventions to optimise community nursing practice

Nursing Care for Disorders of the Integumental System: Debridement of Cellulitis e.c. Diabetes Mellitus Type II a/r Dextra of the Femur and Fibula Farhan, Zahara; Permana, Gin Gin Sugih
Nursing Case Insight Journal Vol. 2 No. 1 (2024): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/924t1k41

Inflammation of the subcutaneous tissue resulting from Streptococcus aureus and Streptococcus pyogenes bacteria is known as cellulitis. This research study aims to provide practical experience in assessment, diagnosis, planning, execution, and evaluation of direct and comprehensive nursing care for clients with integumentary system issues. When writing in a case study format, descriptive writing is used. These cases had difficulties with restricted physical mobility, poor skin tissue integrity, acute pain, and dietary inadequacies. The study's tactics are tailored to the specific health concerns of each participant, taking into account the predetermined goals and objectives. Addressing the root causes of the issues with the integumentary system is the goal of nursing care. Mr. S showed improvement in the nursing care process evaluation, with three nursing problems fully treated and one partially fixed. The findings of this scientific study align with previously developed tactics. This is inextricably linked to the family's provision of support, guidance from clinical instructors and academic supervisors, and the entire nursing care implementation process for Mr. S, who has integumentary system difficulties

Providing Psychological Nursing Care at Mental Rehabilitation Clinic, Addressing Self-Concept Challenges: Low Self-Worth Alongside a Bipolar Diagnosis Permana, Gin Gin Sugih
Nursing Case Insight Journal Vol. 2 No. 1 (2024): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/h7xsxb11

It is acknowledged that mental health plays a significant role in overall health. A person who is mentally disturbed and unable to function normally is said to have a mental disorder. This case study aims to provide an overview of mental nursing care for clients with low self-esteem, including assessment, diagnosis, intervention, implementation, and evaluation. The study employs a descriptive method, utilizing case studies, data collection techniques, observation, interviews, and a literature review to examine nursing acts that empower clients to recognize and utilize their strengths. The goal is to promote collaboration among rehabilitation clinics, professional organizations, families, and healthcare workers to deliver effective nursing care for mental health conditions, ultimately enhancing the well-being of individuals with low self-esteem and bipolar disorder.

Nursing Care for Mrs. S (P₂A₀) Post Sectio Caesarea Day First Due to Prolonged Labor Indication at Marjan Bawah Room, RSUD dr. Slamet Garut Permana, Gin Gin Sugih; Daniati, Eva
Nursing Case Insight Journal Vol. 2 No. 2 (2024): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/8hvte786

This study discusses the nursing care provided to Mrs. S (P₂A₀) who underwent a Caesarean section on the day of surgery due to prolonged labor. Based on medical records from RSUD dr. Slamet Garut from January to May 2024, there were 908 cases of Caesarean sections, with prolonged labor accounting for 254 cases or 27.97%. The purpose of this case study was to provide direct and comprehensive nursing care for Mrs. S, addressing acute pain, physical mobility impairment, infection risk, self-care deficit, ineffective breastfeeding, and grief. The study employed a descriptive case study method. Interventions included pain management, mobilization support, wound care, self-care support, breastfeeding education, and grief support. The evaluation revealed partial resolution of acute pain, physical mobility issues, infection risk, and ineffective breastfeeding, while the grief diagnosis remained unresolved. The study concludes that the nursing care process was well-executed and documented, and recommends collaboration between nurses, patients, and families to prevent complications in postoperative care.

Nursing Care for Mrs. S With Sensory Perception Disorder: Auditory Hallucinations Due to Schizophrenia Nur Illahi Assani Clinic, Samarang Daniati, Eva; Permana, Gin Gin Sugih
Nursing Case Insight Journal Vol. 2 No. 2 (2024): Nursing Case Insight Journal
Publisher : CV. Literasi Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63166/e4rh1e66

This case study on patients with auditory hallucinations was taken as this scientific research, because hallucinations are a symptom that is often found in people with mental disorders, especially schizophrenia. The purpose of making this scientific paper is to gain knowledge, skills, insights and real experience in providing comprehensive nursing care. The method used by the author is a descriptive method through case studies with data collection and observation techniques. The subject of the study is schizophrenia with auditory hallucination nursing problems which are carried out starting from the assessment, diagnosis, intervention, implementation, and evaluation stages. Hallucinations are a condition that describes the presence of a wrong sensory perception, which may affect one of the five senses. Nursing care was carried out for 5 days (April 26 - May 1). The author found two problems experienced by the patient, namely sensory perception disorder: auditory hallucinations and self-concept disorder: low self-esteem. However, the focus or main goal of providing this nursing care is to improve the patient's perception, and the patient can relate to reality. The author also carried out nursing actions using the principles of therapeutic communication, motivating the patient to control her hallucinations. The author evaluated the nursing implementation so that we obtained data that the patient was able to control her hallucinations even with the support of the nurse.

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