Oktoviani, Dewi
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Asuhan Keperawatan Pada An. H Dengan Gastroenteritis Akut (Gea) Di Ruang Anyelir Rsud Waled Kabupaten Cirebon Oktoviani, Dewi; Fadila, Erida; Nurmala Fia, Evi; Ameliya, Kiki; Nova Jalaludin, Rizal
MEJORA Medical Journal Awatara Vol 2 No 2 (2024): APRIL
Publisher : Awatara Publisher

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Abstract

Acute gastroenteritis (GEA) is one of the most common diseases in children around the world, including Indonesia. The impact of GEA if not treated immediately can cause dehydration. This study aims to apply nursing care to An. H with hypovolemia nursing problems using the nursing process, namely: assessment, nursing diagnosis, intervention, implementation, and evaluation. This type of research is descriptive with a case study form. Data collection was carried out by interview, observation, physical examination, supporting examination, and documentation with focal data of liquid stools ˃5x a day and vomiting ≥3x a day. The interventions applied are hypovolemia management and fluid monitoring with the main nursing actions of fluid rehydration. After taking nursing actions on An. H with acute gastroenteritis in treatment for 3x24 hours shows that the diagnosis/nursing problem of hypovolemia associated with active fluid loss can be resolved. It can be concluded that nursing care by providing rehydration is the first aid to prevent dehydration and restore lost body fluids during diarrhea
Ketidakefektifan Pola Nafas Pada Pasien Tn. M Dengan Chronic Kidney Disease (CKD) Di Ruang Igd Rs Gunung Jati Kota Cirebon Oktoviani, Dewi; Fadila, Erida; Nurmala Fia, Evi; Ameliya, Kiki; Nova Jalaludin, Rizal
MEJORA Medical Journal Awatara Vol 2 No 2 (2024): APRIL
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Chronic kidney disease can cause pulmonary edema, making it difficult for patients with CKD to breathe normally. Nonpharmacological measures that can be taken are teaching deep breath relaxation techniques that aim to increase alveoli ventilation and reduce the work of breathing. The purpose of this study was to provide an overview of nursing care for patients Mr. M with chronic kidney disease in the emergency room of Gunung Jati Hospital, Cirebon City. M with chronic kidney disease in the emergency room of Gunung Jati Hospital, Cirebon City. This type of research uses case studies. Data collection techniques were carried out by interview, observation, and study of medical record documentation. Data analysis in this case study was carried out descriptively including assessment, diagnosis, intervention, implementation, and evaluation while the patient was in the emergency room. Management of deep breath relaxation techniques, monitoring respiration and monitoring oxygen saturation carried out during patients in the emergency room can affect the improvement of the patient's tightness condition as evidenced by decreased dyspnea, improved breathing frequency, and improved oxygen saturation. It is hoped that patients can carry out the diets given and families provide support during the treatment process to improve the patient's quality of life
Nursing Care for Mr. W Diagnosed with Hemorrhoids in the Kemuning Ward of Waled Hospital in Cirebon Regency Ameliya, Kiki; Fadila, Erida; Oktoviani, Dewi; Nurmala Fia, Evi; Nova Jalaludin, Rizal
Al Makki Health Informatics Journal Vol. 2 No. 3 (2024): Al Makki Health Informatics Journal
Publisher : Al Makki Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57185/hij.v2i3.25

Abstract

Hemorrhoids are dilated blood vessels in the anus that originate from the hemorrhoidal plexus, which will cause discomfort resulting in swelling commonly called hemorrhoids or hemorrhoids. The purpose of this study was to describe the identification of nursing care in patients with a medical diagnosis of hemorrhoids in the Kemuning room of Waled Hospital, Cirebon Regency. This research method is a qualitative descriptive research conducted at Waled Hospital. Data was collected through observation, interviews, and medical record documentation studies. The main focus of the research is on the nursing problems that arise, such as acute pain, and the interventions provided, such as relaxation techniques. The results showed that relaxation techniques are one of the effective interventions in reducing acute pain in patients with hemorrhoids. Before the intervention, patients often experience pain with a scale level of 5, which is shown by grimacing expressions. However, after doing relaxation therapy, the patient's pain scale decreased to 3, and the patient's expression seemed calmer. This study implies that non-pharmacological techniques such as relaxation can be a practical companion to pharmacological therapy in pain management in hemorrhoidal patients. Emphasis on holistic and individualized nursing care is essential in improving the quality of care for patients with this medical condition.