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All Journal Vitamedica: Jurnal Rumpun Kesehatan Umum
Saodah Hanim
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Health Professions Public Health

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Asuhan Keperawatan Pada Tn. TS Dengan Diagnosis Medis SOL Intrakranial O/T (L) Temporoparietal Dd/ 1. High Grade Glioma 2. CNS Infection AKI Dd Ckd (CR 2,25) di Rumah Sakit Umum Pusat Haji Adam Malik Medan Sairomaito Harahap; Dudut Tanjung; Edianto Edianto; Dina Afriani; Saodah Hanim
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 3 No. 1 (2025): VitaMedica : Jurnal Rumpun Kesehatan Umum 
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v3i1.262

Abstract

Background : Nurses play an important role in providing nursing care to Space Occupying Lession (SOL) patients. Nurses directly assist patients and educate them about their disease and prevent rehospitalization. During hospitalization, patients require hemodynamic stabilization monitoring, use of various monitoring and life support devices, postoperative patient care, and crisis management in the event of loss of consciousness or sedation programs. Purpose : This case study aims to perform 30ᵒ head elevation with SOL Intracranial o/t (L) Temporoparietal who has head pain. Methods : This research is a case report where the source of research data comes from the patient and the patient's family using interview techniques, observation, physical examination, and documentation study of nursing management prioritized according to the SDKI (Indonesian Nursing Diagnosis Standard), SLKI (Indonesian Nursing Outcomes Standard), and SIKI (Indonesian Nursing Intervention Standard): acute pain, decreased intracranial adaptive capacity and impaired physical mobility. Results : Decreased pain quality, increased intracranial adaptive capacity, and decreased physical mobility impairment indicate improvement in the patient's condition along with the nursing care provided. Conclusion : The results of routine nursing implementation coupled with the application of evidence-based nursing practice 30ᵒ head elevation intervention (30ᵒ head position intervention) to reduce pain along with the collaboration of pharmacological therapy administration of ketorolac injections were found to reduce the pain scale from a scale of 3 - 4 (mild - moderate) NRS to a pain scale of 2 (mild) NRS.
Asuhan Keperawatan Pada Ny.S Dengan Osteoartritis (OA) Genu Grade III Post Total Knee Replacement Sinistra di Rumah Sakit Umum Pusat Haji Adam Malik Medan Dudut Tanjung; Diyan Marsella Sirait; Edianto Edianto; Dina Afriani; Saodah Hanim
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 3 No. 1 (2025): VitaMedica : Jurnal Rumpun Kesehatan Umum 
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v3i1.263

Abstract

Background: Osteoarthritis (OA) is a degenerative disease that often causes pain, disability and limited mobility, especially in the elderly. Total Knee Replacement (TKR) is one of the preferred surgical interventions in severe OA to reduce pain and improve joint function. Objective: This case report aims to evaluate nursing care in a 76-year-old female patient with OA genu grade III postoperative TKR sinistra accompanied by acute pain, impaired physical mobility, and risk of infection. Methods: This study is a case report using interview techniques, observation, physical examination, and documentation study. Nursing management was carried out based on the Indonesian Nursing Diagnosis Standards (SDKI), Indonesian Nursing Outcome Standards (SLKI), and Indonesian Nursing Intervention Standards (SIKI). Prioritized nursing diagnoses include acute pain, impaired physical mobility, and risk of infection. Results: After 3x24 hours of intervention, there was a decrease in the patient's pain scale from 5 to 3 (0-10 scale). Left lower limb muscle strength increased, with active range of motion. The surgical wound remained dry with no sign of infection, and the patient was able to sit on the edge of the bed with minimal assistance. Conclusion: The application of nursing care based on SDKI, SLKI, and SIKI showed significant results in improving the patient's condition. The Evidence-Based Nursing (EBN) approach contributed greatly to the recovery of patients after TKR surgery. This intervention can be a reference for nurses in designing nursing care in similar cases.
Co-Authors Dina Afriani Diyan Marsella Sirait Dudut Tanjung edianto edianto Sairomaito Harahap