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Journal : Journal of Applied Nursing and Health

Nursing Care in Complex Congenital Heart Disease and Respiratory Distress Syndrome for Baby in NICU Maulida Dwi Yani; Nova Fajri; Nenty Septiana
Journal of Applied Nursing and Health Vol. 5 No. 1 (2023): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v5i1.123

Abstract

Background: Neonates are at high risk for health problems. Without proper treatment, those problems might lead to either disability or death. Congenital heart disease causes respiratory distress syndrome (breathing distress syndrome), with symptoms of dyspnea, cyanosis, and respiratory arrest due to pathological changes in the heart that disrupt the blood flow cycle throughout the body. This study aimed to discover nursing care for Baby MH with complex congenital heart disease and respiratory distress syndrome. Methods:  This research used a case study design—data collection from assessment to evaluation in the NICU in December 2022. The patient was observed for 4 days. Data collection techniques were carried out through interviews, observation, and documentation. Data analysis was carried out using narrative analysis. Results: Baby MH looks dyspnea with minimal epigastria retraction and hypersecretion in the mouth with CPAP installed. The nursing diagnoses in the case of Baby MH are ineffective breathing patterns, decreased cardiac output, activity intolerance, risk of shock, risk of hypothermia, risk of developmental disorder, and risk of attachment disorders. The interventions provided are based on the Indonesian Nursing Intervention Standards, consisting of observational, therapeutic, and collaborative interventions.  Conclusion: Nursing problems in baby MH after the treatment showed that the problem of ineffective breathing patterns had not been resolved, but the decreased cardiac output was partially handled while the activity intolerance had not been resolved. However, no shock occurred, and the risk of hypothermia was partially resolved.
Nursing Care of Infant with Epilepsy: A Case Study Cut Fella Attaqy; Nova Fajri; Nenty Septiana
Journal of Applied Nursing and Health Vol. 5 No. 1 (2023): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v5i1.124

Abstract

Background: Epilepsy is a number of symptoms of impaired brain function which are characterized by recurrent seizures due to excessive discharge of the brain's electrical charge and it is reversible. The impact caused by epilepsy is growth and development disorders, including impaired intelligence function, language comprehension and cognitive function disorder. Morover, there are very complex disorders on the brain which can cause behavioral and learning disorders, physical and mental disabilities, and death. This study aimed to find out the infant nursing care on A patient with epilepsy. Methods: This research uses a case study design. Data collection from assessment to evaluation in the in Arafah Room 1 of the Hospital in Banda Aceh on December 2022. Epileptic patients was observed or treated for 4 days. Data collection techniques ware carried out through interviews, observation, and documentation. Data analysis was carried out using narrative analysis. Results: Baby A with chief complaint of recurrent seizures. nursing diagnoses in the case of Baby A were ineffective breathing pattern, risk of ineffective tissue perfusion, risk of injury, lack of knowledge, and anxiety. The interventions provided are based on the Indonesian Nursing Intervention Standards which consist of observational, therapeutic and collaborative interventions. Conclusion: Nursing problems in Infant A after 4 days of treatment are show problem of ineffective breathing pattern and the the lack of knowledge about epilepsy was solved, the risk of ineffective cerebral tissue perfusion, the risk of injury, and anxiety were partially solved.