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Assessment of Early Pain Management in Fracture Cases in the Emergency Department: Evidence from Clinical Practice Yakut, Waode Ryanti; Amir, Haeril; Hidayat, Rahmat
An Idea Nursing Journal Vol. 4 No. 02 (2025)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/inj.v4i02.570

Abstract

Open fractures are serious injuries in which bone fragments are directly exposed to the external environment, resulting in a significantly higher risk of infection compared to closed fractures. Patients presenting with fractures to the emergency department (ED) are initially assessed using the airway, breathing, circulation, disability, and exposure (ABCDE) approach. This serves as one of the strategies to reduce the pain experienced by patients with fractures. This study employed a descriptive approach with a descriptive case study method, aiming to provide an overview of the initial management of a patient with an open fracture of the right tibia. General initial management of pain included immobilization techniques, hemorrhage control, and the administration of analgesics, which were found to reduce pain levels and prevent further complications. The study concludes that general initial management is an essential and effective approach in the early treatment of open fracture patients. This process not only focuses on medical aspects but also addresses the holistic nursing needs of patients. Further research is recommended to evaluate the long-term effectiveness of general initial management.
Implementation of Guided Imagery to Reduce Anxiety in Patients with Breast Cancer Irwansjah, Nurhasana; Amir, Haeril; Suharto Putri, Suci Hardianti; Marini , Erna
An Idea Nursing Journal Vol. 4 No. 02 (2025)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/inj.v4i02.603

Abstract

Anxiety is one of the most common psychological problems experienced by preoperative patients, particularly those with breast cancer (Ca Mammae). This condition can increase sympathetic responses, worsen physiological conditions, and reduce patient readiness for surgery. Guided imagery is a non-pharmacological intervention that can help reduce anxiety through directed visualization, promoting relaxation and emotional calmness. This study aims to describe nursing care for patients with preoperative anxiety using the SDKI, SIKI, and SLKI standards and to identify the effectiveness of guided imagery in reducing anxiety levels. This case study employed a descriptive approach involving one patient with Ca Mammae (Mrs. S) scheduled for Modified Radical Mastectomy (MRM). Anxiety levels were measured using the Zung Self-Rating Anxiety Scale (SAS). Initial assessment showed moderate anxiety with a score of 45, accompanied by symptoms of restlessness, tension, difficulty concentrating, and increased motor activity. Nursing interventions followed the SIKI Anxiety Reduction (I.09314), including education, observation, emotional support, and guided imagery implementation. After the intervention, the anxiety score decreased to 35 (mild anxiety), and the patient appeared calmer, more cooperative, and able to better divert attention. The findings indicate that guided imagery is effective in reducing preoperative anxiety in Ca Mammae patients and can serve as a simple, safe, and beneficial complementary nursing intervention in clinical practice..