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Journal : MEJORA

Asuhan Keperawatan Pada Tn.U Dengan Diagnosa Medis Congestive Heart Failure Dian Cahyawati, Rizki; Sari Purbaningsih, Endah; Sumarni; Sazilli, Dikha; Mahendra
MEJORA Medical Journal Awatara Vol 2 No 2 (2024): APRIL
Publisher : Awatara Publisher

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Abstract

The World Health Organization (WHO) in 2016 showed that in 2015 there were 23 million or around 54% of total deaths caused by Congestive Heart Failure (CHF). Based on a doctor's diagnosis, the prevalence of heart failure is around 1.5% or 29,550 people. Meanwhile, according to diagnosis or symptoms, the estimated number of heart failure sufferers is 0.4% or around 29,880 people. CHF, commonly known as congestive heart failure, is the heart's inability to pump adequate blood to meet the tissue's need for oxygen and sufficient nutrients, causing cardiac output that should be normal to decrease and causing chest pain. This study aims to determine nursing care for CHF patients in the ICCU room at Rsu Gunung Jati, Cirebon City. After applying nursing care to patient Mr. U using a case study method consisting of assessment, nursing diagnosis, intervention, implementation and evaluation which was carried out for 2 days. The results showed that the nursing diagnosis of decreased cardiac output was partially resolved, the problem of gas exchange disorders was resolved, and the final diagnosis, namely anxiety, was resolved on day 2 of treatment.
Pengaruh Pijat Oksitoksin, Untuk Melancarkan Asi Pada Ibu Post Partum P0A1 Dengan Partus Spontan Di Ruang Mawar RSUD Waled Sindia Devi, Nadia; Sari Purbaningsih, Endah; Mamay Maftuha, Indah; Khasanah, Uswatun; Rimawati Nurokhman, Neneng
MEJORA Medical Journal Awatara Vol 2 No 2 (2024): APRIL
Publisher : Awatara Publisher

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Abstract

Newborn babies need to receive optimal care from birth, one of which is ideal food. Breast milk (ASI) is the most recommended food for babies for at least the first 6 months of life. However, in reality, exclusive breastfeeding is not as easy as imagined. Various obstacles can arise in efforts to provide exclusive breastfeeding during the first six months of a baby's life. This research aims to provide the application of oxytocin massage in post-partum maternal care to overcome the problem of ineffective breastfeeding. The research design used in this research is a case study of a post partum mother P0A1 with spontaneous labor in the Mawar room at Waled Hospital, Cirebon Regency. This research was carried out at Waled Hospital, Cirebon Regency, precisely in the Mawar Room on January 5 2024. Breast milk production can be accelerated with non-pharmacological measures, namely through oxytocin massage which can be done by massaging the area around the back (pars thoracic vertebrae) to stimulate the release of breast milk. The mother will feel satisfied, happy, confident, because she can give breast milk to her baby. the problem of ineffective breastfeeding related to inadequate breast milk supply was resolved and a little milk came out and the patient said that after the oxytocin massage the patient felt comfortable and relaxed
Penerapan Kompres Hangat Pada Demam Thypoid Di Ruang Anyelir Rsud Waled Kabupaten Cirebon Mamay maftuha, Indah; Sari Purbaningsih, Endah; Sindia Devi, Nadia; Khasanah, Uswatun; Rimawati Nurokhman, Neneng
MEJORA Medical Journal Awatara Vol 2 No 2 (2024): APRIL
Publisher : Awatara Publisher

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Abstract

Infectious diseases are one of the main health problems in developed and developing countries, one of them is because Typhoid fever. This study aims to Application of Warm Compresses for Typhoid Fever in the Anyelir Ward at Waled District Hospital, Cirebon Regency. The research method used is descriptive research in the form of a case study. The respondents in this study were child patients with typhoid fever in the Anyelir ward at Waled Hospital, Cirebon Regency. The results of a case study of nursing care applied to an.s with typhoid fever in the form of warm compresses for 15 minutes in one day showed that the family said the fever had begun to decrease, anxiety decreased, red skin decreased, body temperature was 37.30C. From the case studies that have been carried out, it can be concluded that warm compresses have an effect on reducing body temperature in children with typhoid fever with the results of the family saying that the fever has started to decrease, anxiety has decreased, red skin is no longer there, body temperature is 37.30C.
Asuhan Keperawatan Pada Ny. S Dengan Gangguan Integritas Kulit/Jaringan Berhubungan Dengan Neuropati Perifer Dm 2 Di Igd Rsd Gunung Jati Mahendra; Sari Purbaningsih, Endah; Dian Cahyawati, Rizki; Sumarni; Sazilli, Dikha
MEJORA Medical Journal Awatara Vol 2 No 4 (2024): October
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v2i4.251

Abstract

According to WHO, diabetes mellitus is a metabolic disorder characterized by increased levels of glucose in the blood (causing hyperglycemia), there are disorders of carbohydrate, fat and protein metabolism caused by damage to insulin (insulin resistance), and as a result the production and performance of insulin does not work properly. If this increase in blood glucose levels lasts for a long time and is not treated properly, this can cause complications, namely neuropathy, diabetic retinopathy, cardiovascular disease, diabetic nephropathy and diabetic ulcers. Diabetic ulcers are a complication that is difficult to treat because it is difficult for oxygen dan white blood cells to reach the tissue. One of the causes of diabetic ulcers is decreased peripheral circulation which is greatly influenced by high blood glucose levels and is closely related to peripheral arterial disease. This research aim to study and understand in depth nursing care for patients with diabetic ulcers. After applying nursing care to Ms. S patients using a case study method consisting of assessment, nursing diagnosis, intervention, implementation and evaluation. The results showed that after the wound was treated, the redness, bleeding and hematoma decreased, the wound looked clean and sterile, the problem was partially resolved, the intervention was continued with changing the bangage every day.
Penerapan Teknik Relaksasi Nafas Dalam Pada Pasien Hipertensi Dengan Nyeri Akut Mamay maftuha, Indah; Sari Purbaningsih, Endah; Sindia Devi, Nadia; Khasanah, Uswatun
MEJORA Medical Journal Awatara Vol 2 No 4 (2024): October
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v2i4.254

Abstract

Hypertension is a condition where there is an increase in blood pressure exceeding 140/90 mmHg cornically. Hypertension is also caused by several factors, one of which is the pattern of consuming salty foods, caffein, consumption of monosodium glutamate (vetsin, soy sauce, shrimp paste).  The method used is a case study approach. The subject in this case study is a patient with a medical diagnosis of hypertension in the Kuta ward of Sumber Kasih Hospital, Cirebon City. The procedure used is providing non-pharmacological deep breathing intervention techniques to hypertensive patients who experience acute pain. The deep breathing relaxation technique is carried out with a frequency of 15 times for approximately 10 – 15 minutes. Repeat if the patient feels pain. On the first day the patient still complained of pain but on the second day the pain began to decrease and on the third day the pain began to disappear. The patient also said that if the head hurts, the patient does deep breathing relaxation techniques and this reduces the pain quite a bit. From the results of the nursing care that has been provided and the interventions that have been carried out, it can be concluded that the deep breathing relaxation technique is effective in reducing pain. These non-pharmacological techniques can be used as companions to pharmacological therapy.