Fernanda, Ni Putu Mulia
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Evaluation of Pain Management in Post-Spinal Decompression and Posterior Stabilization Patients: Case Study Yudianto, Kurniawan; Fernanda, Ni Putu Mulia
Journal of Nursing Care Vol 7, No 2 (2024): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v7i2.45423

Abstract

Postoperative pain needs to be a concern for nurses because pain causes discomfort, one of the basic human needs. Untreated postoperative pain can affect quality of life and the recovery process. With a management approach, the nursing process can be integrated with the management process. Control and evaluation as part of the management process is important because at this stage the nursing manager can determine the quality of care provided. This case study aims to describe the use of the Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R) in evaluating pain management. Patient was admitted with post-spinal decompression and posterior stabilization e.c tuberculosis spondylitis. Pain management includes observing pain, deep breathing relaxation techniques and praying/dzikir, providing education about the causes, triggers, and strategies to relieve pain, as well as providing collaborative measures of ketorolac analgesics. Evaluation of pain management with this questionnaire was carried by researcher out in the first 24 hours postoperative. After receiving pain management, an overview of the severity and reduction of patient pain, the impact of pain on activity, sleep, and negative emotions, the side effects of using ketorolac, the usefulness of information about pain management, the patient's ability to participate in pain treatment decisions, and use of non-pharmacological strategies. The APS-POQ-R can be used to evaluate of six aspects of patient pain management.
INTERVENTIONS TO REDUCE MENOPAUSE SIGNS AND SYMPTOMS IN MENOPAUSE WOMEN A NARRATIVE REVIEW Hermayanti, Yanti; Alfilatillatifah, Alfilatillatifah; Arrafi, Almay Rayhan; Arafah, Hilwah Nurul; Fernanda, Ni Putu Mulia; Hidayat, Wahyu; Sismayadi, Zahrul Insan
Journal of Maternity Care and Reproductive Health Vol 7, No 1 (2024): Journal of Maternity Care Reproductive Health
Publisher : Ikatan Perawat Maternitas Indonesia Provinsi Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36780/jmcrh.v7i1.12260

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Introduction: Women who experience menopause will experience a decrease in the hormones estrogen and progesterone that occurs before menopause caused by ovarian atrophy, so it needs to be overcome with pharmacological and non-pharmacological therapy. One type of non-pharmacological therapy is complementary therapy. Objective: This study aims to identify interventions that can be taken to reduce menopausal signs and symptoms. Methods: CINAHL, PubMed, and Sage Journal databases were used for searching articles with sample inclusion criteria of menopausal women, Randomized Controlled Trials or quasi experimental study design, published in 2017-2022, in English, and full text. The exclusion criteria used were the focus of articles discussing interventions to reduce menopausal signs and symptoms with pharmacological therapy, protocol study articles, and pre-proof articles. Results: The search results for 14 matching articles were found. Interventions that can be done to reduce menopausal signs and symptoms are grouped into 4 approaches, namely psychological approaches (self hypnosis and mindfulness stress reduction programs), physical approaches (foot soaking and physical activity), nutritional approaches (herbal medicine, administration of magnesium, fluid nutrition, administration of isoflavones), and combined approaches (electroacupuncture, combined diet guidance and anti-resistance exercises). Conclusions: From the 14 articles obtained, it can be concluded that there are 4 categories of therapeutic approaches that can be taken to reduce menopausal symptoms.It is recommended that further research focus on interventions that are effective in reducing menopausal symptoms.