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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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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

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

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.

Optimalisasi Asuhan Keperawatan Untuk Meningkatkan Konsep Diri Pada Pasien Skizofrenia Dengan Harga Diri Rendah Kronis Oktoviani, Dewi; Fadila, Erida; Nurmala Fia, Evi; Ameliya, Kiki; Nova Jalaludin, Rizal
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.v2i4.249

High-quality nursing care is key to improving the overall quality of health services and the image of healthcare institutions in the eyes of the public. This study highlights the importance of continuous assessment and improvement of nursing practice on professional standards. The research methodology employed was descriptive qualitative, focusing on holistic nursing care for patients with Paranoid Schizophrenia at Room Lily 12 of RS Soerojo. Through comprehensive observation and interviews with patients, families, and the healthcare team, along with medical record analysis, this study explores the patients' experiences in various aspects of social interaction and responses to interventions, aiming to develop individualized and holistic care strategies. Therapeutic approaches utilized include Cognitive Behavioral Therapy (CBT), psychoeducation, and schizophrenia counseling. Nurses play an active role in the formulation of a comprehensive care plan that includes medication, cognitive behavioral therapy, and family support, which has been shown to strengthen self-concept. Collaboration with psychiatrists and other health professionals adds a medicinal and holistic dimension to the care plan.

Penatalaksanaan Manajemen Nyeri Pada Ibu Bersalin Nova Jalaludin, Rizal; Fadila, Erida; Oktoviani, Dewi; Nurmala Fia, Evi; Ameliya, Kiki
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.v2i4.253

Pain and discomfort in pregnant women arise due to uterine contractions which are a physiological response to labor. The pain that arises after childbirth is the body's natural response to tissue damage during labor. Childbirth pain can be caused by uterine contractions, cervical dilatation, fetal expulsion or birth canal tears. As many as 99% of maternal deaths are caused by childbirth problems that occur in developing countries. Based on the problems and impacts caused, pain management is needed to reduce the pain. The purpose of this case study is to provide nursing care to G1P0A0 patients who experience labor pain. Using a qualitative approach with case studies as the main method, using observation sheets, interviews, and documentation studies. The case study selected 1 patient as the subject of study, namely a patient with G1P0A0 in the Maternal Emergency Room, RSUD Waled Cirebon. Nursing care management is based on the fulfillment of patient needs carried out in 1 day. The case study results indicate that after nursing care was provided, there was a reduction in pain levels. It is concluded that nursing care is effective for G1P0A0 patients experiencing labor pain, in meeting the patient's needs.

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