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Umayanah
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Health Professions Medicine & Pharmacology Nursing Public Health

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Nursing Care of Acute Pain in Rectal Cancer Patients Using Non-Pharmacological Approach with Benson Therapy: A Case Study Olifia Nafa Jelita; Hakam, Mulia; Rondhianto; Umayanah
Jurnal Kegawatdaruratan Medis Indonesia Vol. 2 No. 1: February 2023
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkmi.v2i1.63

Abstract

Pain is the main problem experienced by many postoperative patients. One of the therapies for patients with rectal cancer is surgery, so patients with rectal cancer also feel pain after getting surgery. > 80% of patients experience postoperative pain, but appropriate pain management only occurs in approximately 30-50%. Benson's relaxation therapy reduces pain intensity in postoperative patients without causing side effects. This study aims to analyze benson therapy to reduce pain in postoperative surgery for patients with rectum cancer. The method used in this research is a descriptive case study. The research was conducted for three days on one patient with postoperative surgery in the Seruni Room at RSD dr Soebandi Jember. Benson therapy is carried out twice a day for 10-15 minutes. This study found that Benson therapy can reduce the level of acute pain in postoperative patients from the NRS scale 6 to the NRS scale 3, respiration rate 20 x/minute, SpO2 98%, blood pressure 120/80mmHg, pulse 87x/ minute. The result of reducing the pain scale indicates that Benson therapy can be applied to treat acute pain in postoperative patients to make certain patients' conditions feel better.
An Application of Semi-Fowler Positioning to Overcome Nursing Problems Ineffective Breath Patterns in Clients with Chronic Kidney Disease: a Case Study Sari, Dina Setia Indah; Nistiandani, Ana; Siswoyo; Umayanah
Jurnal Kegawatdaruratan Medis Indonesia Vol. 2 No. 1: February 2023
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkmi.v2i1.71

Abstract

Chronic Kidney Disease (CKD) or chronic kidney failure is a disease due to decreased kidney function that causes the body to fail to maintain fluid and electrolyte balance metabolism, resulting in urea retention and other nitrogen waste accumulation in the body. This research aims to analyze given this position to lower oxygen consumption and increase maximum lung expansion, the ineffectiveness of the client's breath pattern is more optimal in CKD patients in the Adenium Room of DR. Soebandi Jember Hospital. This type of research is descriptive using the case study approach method. The subject in this case study was one patient affected by CKD with the ineffectiveness of breath patterns. Semifowler position intervention is performed where the position of the head and body is raised by 45°. Result: The application of a semi-fowler position (45° sitting position) for 3x24 hours according to the standard of procedure helps reduce shortness of breath and helps optimize RR in the client so that the problem of ineffectiveness of breath patterns can be resolved. Interventions in regulating the angle of sleep position can meaningfully produce good respiration, so it can be considered one of the interventions to optimize the ineffectiveness of breath patterns.
Co-Authors Mulia Hakam Nistiandani, Ana Olifia Nafa Jelita Rondhianto Rondhianto Sari, Dina Setia Indah SISWOYO