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Novita Kumalasari, Dian
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Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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STUDI KASUS: DIABETES MELITUS DISERTAI KOMPLIKASI CHRONIC KIDNEY DISEASE (CKD) DAN STROKE NON HEMORAGIK Wulansari, Esti; Novita Kumalasari, Dian
Journal Healthcare Education Vol. 1 No. 1 (2023): Volume 1 No. 1 2023
Publisher : Yayasan Healing and Healthcare Education

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Abstract

The number of patients suffering from Diabetes Mellitus in January - 2023 who were treated in Abimanyu Ward was 74 people. This research aims to obtain a picture and real experience in implementing nursing care for patients with Diabetes Mellitus accompanied by complications of Chronic Kidney Disease and Non-Hemorrhagic Stroke using the nursing process. This research method uses a descriptive method, while to complete the data it uses interviews, observation, physical examination and documentation studies. In providing nursing care, the author uses the nursing process which consists of assessment, nursing diagnosis, nursing planning, nursing implementation and evaluation. The research results showed that there were eight nursing problems that emerged. In theory, there are fifteen nursing diagnoses that appear in patients with Diabetes Mellitus, Chronic Kidney Disease (CKD) and Non- Hemorrhagic Stroke. Meanwhile, in the case, 3 diagnoses emerged that were in accordance with the theory, namely instability of blood glucose levels, risk of ineffective cerebral perfusion and risk of infection. And the diagnoses found in the case but not in theory were: noncompliance, hypervolemia, impaired tissue integrity, ineffective peripheral perfusion and disturbed sleep patterns. The conclusion of the research is that there are three nursing problems, the goals achieved are the risk of cerebral perfusion, while the goals partially achieved are instability of blood glucose levels and risk of infection.
STUDI KASUS: DIABETES MELITUS DISERTAI KOMPLIKASI CONGESTIVE HEART FAILURE (CHF) Supatmi, Supatmi; Novita Kumalasari, Dian; Wulandari, Anisa
Journal Healthcare Education Vol. 1 No. 1 (2023): Volume 1 No. 1 2023
Publisher : Yayasan Healing and Healthcare Education

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Abstract

The International Diabetes Federation (IDF) estimates that at least 463 million people aged 20-79 years in the world have diabetes in 2019, or the equivalent of a prevalence rate of 9.3% of the total population at the same age. Indonesia is ranked 7th among 10 countries with the highest number of DM sufferers, which is 10.7 million.The method used is descriptive method using case studies. The study was conducted in the Abimanyu Room, Panembahan Senopati Regional General Hospital using 1 participant with a Medical Diagnosis of Diabetes Mellitus accompanied by complications of Congestive Heart Failure (CHF) and with the main Nursing Diagnosis of Ineffective Breathing Pattern. After continuous nursing care for three days with good cooperation between the nurse and the patient and the patient's family, as well as with other health teams, it can be concluded that from the results of the study, there were seven nursing diagnoses that appeared in the patient, Mr. M. There are four problems in theory and cases. Two problems exist in theory but not in Mr. M. Three problems do not exist in theory but arise in the case of Mr. M. planning is made and determined according to the nursing problems that arise. The implementation of nursing care in collaboration with other health teams and the patient's family, with the evaluation results of the seven problems, three problems were resolved and four problems were partially resolved. Cconclusions from the nursing care that has been carried out on Mr. M with Diabetes Mellitus accompanied by complications of Congestive Heart Failure (CHF) was found seven nursing problems, out of seven nursing diagnoses three diagnoses were resolved, namely acute pain, sleep pattern disturbance, risk of infection. and there were four partially resolved diagnoses, namely ineffective breathing patterns, decreased cardiac output, unstable blood glucose levels, activity intolerance.
Co-Authors Supatmi Supatmi Wulandari, Anisa Wulansari, Esti