ASUHAN KEBIDANAN KOMREHENSIF PADA NY.J.J DI PUSKESMAS PEMBANTU TENAU KOTA KUPANG TANGGAL 05 JUNI S/D 10 AGUSTUS TAHUN 2020.

Latar Belakang: Asuhan kebidanan komprehensif merupakan penerapan fungsi dan kegiatan yang menjadi tanggung jawab Bidan dalam memberikan pelayanan kebidanan kepada klien secara menyeluruh sejak masa kehamilan, persalinan, nifas, bayi baru lahir serta Keluarga Berencana (Purwoastuti, Endang 2014). Data Profil Dinas Kesehatan Provinsi NTT (2019), menunjukan hasil konversi jumlah Kasus kematian pada ibu mengalami penurunan dari tahun 2018 sampai tahun 2019. Pada tahun 2018 kematian ibu mencapai 42 kasus dengan AKB 912 per 1000 kelahiran hidup. Dan pada tahun 2019 kasus kematian ibu dan bayi menurun yakni AKI 98 kasus dan AKB 822 per 1000 kelahiran hidup Kunjungan K1 Ibu Hamil di Kota Kupang dalam lima tahun terakhir cukup baik Metode penelitian: Studi kasus ini menggunakan metode studi penelaah kasus yang terdiri dari unit tunggal. Populasi dalam penelitian ini yaitu seluruh ibu hamil trimester III yang berada di wilayah kerja Puskesmas Pembantu Tenau dengan sampel Ny.J.J umur 29 tahun G₂P₂A₀AH. Hasil: Asuhan kebidanan pada ibu hamil Ny. J.J umur 29 tahun, G2P1A0AH1, usia kehamilan 38 minggu, janin tunggal hidup, intra uterine, keadaan ibu dan janin baik di Puskesmas Pembantu Tenau, pemeriksaan ANC sebanyak 10 kali tetapi tidak memenuhi standard pemeriksaan ANC. Ny. J.J Melahirkan di Rumah Sakit Bhayangkara Kupang . Kesimpulan:. Penulis dapat melakukan Asuhan Kebidanan pada Ny.J.J dengan hasil keluhan ibu dapat teratasi, ibu melahirkan di fasilitas kesehatan, masa nifas berjalan normal, ibu sudah Akseptor baru KB suntik

Perilaku Minum Sopi pada Remaja di Kecamatan Maulafa, Kota Kupang

Sopi drinking behavior among adolescents in KupangPurposeThis research aimed to identify sopi drinking behavior among adolescents in Maulfa.MethodsThis research was a qualitative study with an exploratory design and phenomenological approach. The main informants were adolescents who drink sopi and supporter informants were religious leaders or community leaders, parents, sopi sellers, health workers and adolescents who did not drink sopi. Data collection used observations, In-depth interviews, and focus group discussions. The informant sampling was obtained by purposive sampling through convenience sampling strategy.ResultResults showed that adolescents start to drink sopi since junior high school and senior high school. They have known sopi since the age of 13-17 years old. The number of sopi consumed is usually about two-six bottles and they drink it together with their friends. Some factors that encourage teenagers to consume sopi are: 1) to obtain many friends and build friendship; and 2) to know each other well and to make a good communication between them.ConclusionSocial factors such as a culture play an important role to build the sopi drinking behavior in adolescents. The adolescents consider that sopi drinking behavior is an easy thing to do because it is easy to obtain and cheap

Maternal colonization with Staphylococcus aureus and Group B streptococcus is associated with colonization in newborns.

OBJECTIVES: Although Staphylococcus aureus and Group B streptococcus (GBS) are major causes of neonatal sepsis in sub-Saharan Africa, it is unclear how these bacteria are transmitted to the neonate. METHODS: In a cohort of 377 Gambian women and their newborns, nasopharyngeal swabs were collected at delivery (day 0), and 3, 6, 14 and 28 days later. Breast milk samples and vaginal swabs were collected from the mother. Staphylococcus aureus and GBS were isolated using conventional microbiological methods. RESULTS: Most women were carriers of S. aureus (264 out of 361 with all samples collected, 73.1%) at some point during follow up and many were carriers of GBS (114 out of 361, 31.6%). Carriage of S. aureus was common in all three maternal sites and GBS was common in the vaginal tract and breast milk. Among newborns, carriage of S. aureus peaked at day 6 (238 out of 377, 63.1%) and GBS at day 3 (39 out of 377, 10.3%). Neonatal carriage of S. aureus at day 6 was associated with maternal carriage in the breast milk adjusted OR 2.54; 95% CI 1.45-4.45, vaginal tract (aOR 2.55; 95% CI 1.32-4.92) and nasopharynx (aOR 2.49; 95% CI 1.56-3.97). Neonatal carriage of GBS at day 6 was associated with maternal carriage in the breast milk (aOR 3.75; 95% CI 1.32-10.65) and vaginal tract (aOR 3.42; 95% CI 1.27-9.22). CONCLUSIONS: Maternal colonization with S. aureus or GBS is a risk factor for bacterial colonization in newborns

Safety risks among frail older people living at home in the Netherlands:A cross‐sectional study in a routine primary care sample

Frail older people face a range of problems and risks that could undermine their ability to live safely at home. A comprehensive overview of these risks, from a multidimensional perspective, is currently lacking. This study aims to examine the prevalence of risks in multiple domains of life among frail older people living at home. We used cross‐sectional data from 824 people aged 65 years and older, who received a comprehensive geriatric assessment (the interRAI Home Care [interRAI‐HC]) between 2014 and 2018, as part of routine care from 25 general practices in the region of West‐Friesland, the Netherlands. The interRAI‐HC identifies amenable risks related to people's clinical conditions, functioning, lifestyle and behaviour, and social and physical environment. Descriptive statistics were used to examine population characteristics (age, gender, marital status, living arrangements and presence of chronic conditions) and prevalence of risks. Most common risks were related to people's clinical conditions (i.e cardio‐respiratory health, urinary incontinence, pain), functioning (i.e. limitations in instrumental activities of daily living and mood) and social environment (i.e. limitations in informal care and social functioning). More than 80% of frail older people faced multiple risks, and often on multiple domains of life simultaneously. People experiencing multiple risks per person, and on multiple domains simultaneously, were more often widowed and living alone. The multidimensional character of risks among frail older people living at home implies that an integrated approach to care, comprising both health and social care, is necessary. Insight in the prevalence of these risks can give direction to care allocation decisions

Unknown makes unloved:A case study on improving integrated health and social care in the Netherlands using a participatory approach

Many initiatives integrating health and social care have been implemented in order to provide adequate care and support to older people living at home. Further development of existing initiatives requires iterative processes of developing, implementing and evaluating improvements to current practice. This case study provides insight into the process of improving an existing integrated care initiative in the Netherlands. Using a participatory approach, researchers and local stakeholders collaborated to develop and implement activities to further improve collaboration between health and social care professionals. Improvement activities included interprofessional meetings focussing on reflection and mutual learning and workplace visits. Researchers evaluated the improvement process, using data triangulation of multiple qualitative and quantitative data sources. According to participating professionals, the improvement activities improved their communication and collaboration by establishing mutual understanding and trust. Enabling factors included the safe and informal setting in which the meetings took place and the personal relationships they developed during the project. Different organisational cultures and interests and a lack of ownership and accountability among managers hindered the improvement process, whereas issues such as staff shortages, time constraints and privacy regulations made it difficult to implement improvements on a larger scale. Still, the participatory approach encouraged the development of partnerships and shared goals on the level of both managers and professionals. This case study highlights that improving communication between professionals is an important first step in improving integrated care. In addition, it shows that a participatory approach, in which improvements are co-created and tailored to local priorities and needs, can help in the development of shared goals and trust between stakeholders with different perspectives. However, stakeholders' willingness and ability to participate in such an improvement process is challenged by many factors

Supporting Older People to Live Safely at Home – Findings from Thirteen Case Studies on Integrated Care Across Europe

Introduction: While many different factors can undermine older people’s ability to live safely at home, safety as an explicit aspect of integrated care for older people living at home is an underexplored topic in research. In the context of a European project on integrated care, this study aims to improve our understanding of how safety is addressed in integrated care practices across Europe. Methods: This multiple case study included thirteen integrated care sites from seven European countries. The Framework Method guided content analyses of the case study reports. Activities were clustered into activities aimed at identifying and managing risks, or activities addressing specific risks related to older people’s functioning, behaviour, social environment, physical environment and health and social care receipt. Results: Case studies included a broad range of activities addressing older people’s safety. Although care providers felt they sufficiently addressed safety issues, older people were often concerned and insecure about their safety. Attention to the practical and social aspects of safety was often insufficient. Conclusions and discussion: Integrated care services across Europe address older people’s safety in many ways. Further integration of health and social care solutions is necessary to enhance older people’s perceptions of safety

Uncovering self-management needs to better design for people living with lymphoedema

This paper reports on the application of design-based tools used to uncover the needs of people living with a chronic condition. It was built on increasing rhetoric calling for greater involvement of patients in the creation of appropriate support mechanisms and presents a means to achieve this using design approaches and tools. The paper presents the development and use of scenario-based design probes to facilitate the participation of People Living with Lymphoedema (PLWL) early in the design process. Lymphoedema is a chronic condition requiring a cumbersome everyday management routine. Self-management is necessary to increase quality of life and decrease complications and hospitalisation. However, consistent practice of self-management among PLWL is low and the need to improve support is recognised. This research explored how PLWL’s transitions towards becoming experts of their condition might be supported. Literature describing the lymphoedema experience was systematically investigated from a behavioural perspective to develop scenario-based probes. These probes provided rich insights by facilitating the envisioning of alternative futures to self-management support with interview participants with lymphoedema. To inform the design of better support for chronic conditions, the stages and components of behaviour change for lymphoedema self-management and the associated support needs are presented

A four-domain approach of frailty explored in the Doetinchem Cohort Study.

Accumulation of problems in physical, psychological, cognitive, or social functioning is characteristic for frail individuals. Using a four-domain approach of frailty, this study explored how sociodemographic and lifestyle factors, life events and health are associated with frailty

The SUSTAIN project: a European study on improving integrated care for older people living at home

Introduction: Integrated care programmes are increasingly being put in place to provide care to older people who live at home. Knowledge of how to further develop integrated care and how to transfer successful initiatives to other contexts is still limited. Therefore, a cross-European research project, called Sustainable Tailored Integrated Care for Older People in Europe (SUSTAIN), has been initiated with a twofold objective: 1. to collaborate with local stakeholders to support and monitor improvements to established integrated care initiatives for older people with multiple health and social care needs. Improvements focus on person-centredness, prevention orientation, safety and efficiency; 2. to make these improvements applicable and adaptable to other health and social care systems, and regions in Europe. This paper presents the overall structure and approach of the SUSTAIN project. Methods: SUSTAIN uses a multiple embedded case study design. In three phases, SUSTAIN partners: (i) conduct interviews and workshops with stakeholders from fourteen established integrated care initiatives to understand where they would prefer improvements to existing ways of working; (ii) collaborate with local stakeholders to support the design and implementation of improvement plans , evaluate implementation progress and outcomes per initiative, and carry out overarching analyses to compare the different initiatives, and; (iii) translate knowledge and experience to an online roadmap. Discussion: SUSTAIN aims to generate evidence on how to improve integrated care, and apply and transfer the knowledge gained to other health and social care systems, and regions. Lessons learned will be brought together in practical tools to inform and support policy-makers and decision-makers, as well as other stakeholders involved in integrated care, to manage and improve care for older people living at home