Asuhan Keperawatan Pada Ny. M dengan Gangguan Sistem Persarafan: Edema Serebri di Ruang Gladiol Atas RSUD Sukoharjo

NURSING CARE OF MRS. M WITH NEUROLOGIC SYSTEM PROBLEM: EDEMA CEREBRI IN GLADIOLWARD SUKOHARJO HOSPITAL (Arief Adhita, 2015, 67 pages) ABSTRACT Background: Head injury is still a global health problem as the cause of death, disability, and mental deficits at a young age. Head injury sufferers often experience edema cerebri i.e the accumulation of excess fluid in the brain extracellular or intracelluler spaces or intracranial hemorraghe resulting in increased intracranial pressure. Objective: Knowing about the study of nursing care with edema cerebri and able to apply it in patiens with edema cerebri includes assessement, diagnose intervention, implementation and evaluation of nursing. Method: The research is an assesment. Data is obtained by using interview and physical examination on edema cerebri patient. Result: After assasment obtained three problems namely, pain, distruption of normal sleep patterns, and anxious. The author makes an intevention to prevent an increase in intracranial pressure, improve sleep quality and anxiety. Implementations have largery done, all problems can be resolved most and need further treatment so that the problem can be completely resolved. Conclusing: On nursing care process all problem are can be overcome but jud partly of problem, so need to continue nursing care and cooperation with medical team, patient and family was very need to successfuly nursing care Key Words: Edema cerebri, tissue perfusion, sleep patterns, anxious

Asuhan Keperawatan Pada Tn. S Dengan Gangguan Sistem Perkemihan: Chronic Kidney Disease Di Ruang Gladiol Atas Rumah Sakit Umum Daerah Sukoharjo

Background : An increasingly consumerist attitudes of humans towards food containing foreign substance harmful to the body the more damning work of the kidney causing disease chronic kidney disease. Globally in 2007 more than 500 million people experiencing chronic kidney disease, in Indonesia 2008 was dead 100.000, in central java 2008 reached 16.954 cases, and in Sukoharjo regency 2008 reached742 cases of chronic kidney disease. Of the various causes leading to chronic kidney disease will bring up various complications and a life time handling therefore nurses is very important in doing the nursing care of patient on chronic kidney disease. Goal : To understand the concept of disease chronic kidney disease as well as able to do nursing care patient chronic kidney disease. Method : The method used is to approach a case study that is the scientific method thay is collect file, analize file, and draw conclusion. Result : The diagnosis appears on the case is a pattern of ineffective breath, excess fluid volume and nutritional imbalances less than body requirements. After nursing care 3x24 hours shortness of breath is reduced, still there is edema, nausea is reduced so that the issue is resolved in part. Conclusion : Nursing care in the conduct of all issues resolved in part so as to require further treatment and cooperation with other medical team, patient and families are indispensable to the success of nursing care

Asuhan Keperawatan pada Ny.T dengan Diabetes Mellitus Tipe II di Ruang AB RSUD Pandan Arang Boyolali

Latar belakang: Diabetes mellitus adalah salah satu diantara penyakit yang tidak menular yang akan menigkat jumlahnya dimasa datang, diabetes mellitus sudah merupakan salah satu ancaman utama bagi kesehatan umat manusaia pada abad 21. Perserikatan bangsa-bangsa atau WHO membuat perkiraan bahwa pada tahun 2000 jumah pengidap diabetes diatas umur 20 tahun berjumlah 150 juta orang dan dalam kurun waktu 25 tahun kemudian, pada tahun 2025, jumlah itu akan membengkak menjadi 300 juta orang. Tujuan : Untuk mengetahui asuhan keperawatan pada pasien dengan diabetes millitus tipe II meliputi pengkajian, intervensi, implementasi, dan evaluasi keperawatan. Metode : Dengan mengunakan asuhan keperawatan pada pasien diabetes mellitus tipe II. Hasil : Setelah dilakukan tindakan keperawatan selama 3x 24 jam didapatkan kebutuhan nutrisi pasien belum terpenuhi, kelelahan pasien belum terpenuhi, kebutuhan tidur pasien dapat terpenuhi, pengetetahuan pasien meningkat tentang penyakit yang diderita. Kesimpulan: Kerjasama sama antara tim kesehatan dan pasien atau keluarga sangat diperlukan untuk keberhasilan asuhan keperawatan pada pasien

Asuhan Keperawatan Pada Ny.S Dengan Gangguan Sistem Pencernaan : Appendisitis Akut Dengan Post Appendiktomi Diruang Cempaka RSUD Pandan Arang Boyolali

Latar belakang : Appendisitis akut merupakan salah satu penyakit penyebab nyeri akut abdomen dan berindikasi untuk di lakukan pembedahan kegawat daruratan. Kejadian appendisitis akut menempati kasus tertinggi pada kasus kegawatan abdomen.Tingkat kejadian appendisitis di negara maju lebih tinggi di bandingkan dengan negara berkembang. Tujuan : Untuk mengetahui asuhan keperawatan medikal bedah pada Ny.S dengan gangguan sistem pencernaan : appendikitis dengan post apendiktomi meliputi pengkajian, diagnosa, intervensi, implementasi dan evaluasi. Hasil : Setelah dilakukan tindakan keperawatan selam 3x24 jam didapatkan hasil nyeri berkurang, kebutuhan nutrisi tubuh, intoleransi aktivitas teratasi sebagian. Kesimpulan : Appendiktomi merupakan salah satu penatalaksanaan pada appendisitis yang biasanya dalam pembedahan. Kerjasama antara tim medis, pasien dan keluarga merupakan faktor pendukung dalam keberhasilan dalam proses keperawatan. Tehnik relaksasi nafas dalam dan kolaborasi dalam pemberian obat analgetik dapat menurunkan intensitas nyeri setelah operasi

Asuhan keperawatan pada Tn. W dengan gangguan sistem hematologi : Anemia defisiensi Fe di ruang gladiol atas RSUD Sukoharjo

Background : Fe deficiency anemia is the most anemic in both developed and developing countries. Fe is and elementof the highest in the earth’s crust, but Fe deficiency is the most common cause of anemia. This is caused by the human body has a limited ability to absorb Fe and body often experience a loss of Fe caused by excessive bleeding. Goal : To know the description of nursing care in patients with Fe deficiency anemia that include assessment, intervention, implementation and evaluation of nursing. Methods : The method used is to make the process of nursing care I patients with Fe deficiency anemia include assessment, intervention, implementation and evaluation of nursing. Results : The results of nursing assessment is emerging issues such as the easy hair loss, conjungtival pallor, his lips pale, acral felt cold, poor skin turgor, returning more than 3 second, capillary refill back more than 3 second, the value of erythrocytes 2,05 10^6/ul (4,40 – 5,90), hemoglobin 5,2 g/dl (13,2 – 17,3), hematocrit 16,8 % (40 - 52), weight : 50 kg, height 169 cm, IMT : 17,5 (weight less), nutritional status lak of demands, patient food look just exchausted half portion and patients are seen lying in bed. The results of the intervension is the diagnosis of pheriperal tissue perfusion inecffectiveness associated with a decrease in Hb concentration and oxigen suplay given for 6 hours, diagnosis of nutritional imbalance less than body requitments related to the intake of less, anorexia given for 3 hours, and diagnosis of physical mobility impairments related to physical weakness given for 6 hours, partially solved the problems experienced. The result of implementation obstacles is an imbalance in nutrition less than body requitments related to the intake less, anorexia. The results of evaluation is done on the last day of evaluation and intervention to continue until the issue is resolved completely. Conclusion : Cooperation between the health care team and patient or family is indispensable for the success of nursing care in patients so patient nursing problems regarding Peripheral tissue perfusion, nutrition less than body requitments and physical mobility impairments can be performed well and some of the problems can be solved in part

Pengaruh Pendidikan Kesehatan Terhadap Pengetahuan Dan Sikap Pasien Tentang Pengelolaan Diet Diabetes Mellitus Di Puskesmas Boyolali I

DM patients enrolled in the clinic boyolali still many who do not know the what the DM disease and what causes it and how to overcome them. It can be seen from the ignorance of the patient in answering questions when done frequently asked questions about DM, besides there are still many patients who do not control their diet, so it can improve blood sugar levels in the body that can worsen the patient's condition. Therefore health education is a good way to provide information, knowledge and attitudes of patients with diabetes mellitus for the better, so as not to 2 worsen the condition of patients with diabetes mellitus. The population in this study were 111 patients suffering from DM. The purpose of this study was to determine whether there is influence of health education on knowledge and attitude of the patients on how to manage diet DM in Puskesmas Boyolali I. This type of research is quantitative data in the form of numbers, using the method of pre experiment with pretest - posttest Design , The samples in this study using a random sampling totaling 53 people. The research instrument used questionnaire, health education leaflets media. Analysis of the data in this study using the Wilcoxon Rank Signeg. Wilcoxon Rank Signeg includes test nonparametric statistics with dependent variables of knowledge and attitude of the client while the variable independenya health education on the management of diet DM. The results showed a significant difference between knowledge and attitudes before and after health education with the Sig 0,000. The results of this study showed that health education leaflets method can effectively increase the knowledge and attitude of DM patients in Puskesmas Boyolali

Asuhan Keperawatan Pada Tn. A Dengan Gangguan Sistem Endokrin: Diabetus Melitus Dengan Ulkus Pedis Sinistra Di Ruang Flamboyan Rsud Pandan Arang Boyolali

Latar belakang : Diabetes melitus (DM) adalah keadaan dimana kadar gula dalam darah tinggi melebihi kadar gula normal. Penyakit ini biasanya disertai berbagai kelainan metabolisme akibat gangguan hormonal dalam tubuh. Kadar gula yang tinggi ini disebut sebagai kondisi hiperglikemia. Tujuan penulisan adalah untuk mengetahuai asuhan keperawatan pada pasien dengan Diabetes melitus dengan ulkus pedis sinistra. Metode : metode yang digunakan adalah asuhan keperawatan, yaitu tidakan keperawatan yang dilakukan secara mandiri maupun kolaboratif, meliputi, pengkajian, analisa data, diagnosa keperawatan, intervensi dan evaluasi. Hasil : setelah dilakukan tindakan keperawatan selama 3x24 jam didapat Diagnosa Keperawatan nyeri dengan hasil nyeri berkurang dari skala 6 menjadi 4, Gangguan Mobilitas fisik dengan hasil dapat merawat diri sendiri, dan pengetahuan tentang DM juga meningkat, Kesimpulan : kerjasama antar tim kesehatan dan keluatga/pasien sangat diperlukan untuk keberhasilan asuhan keperawatan pada pasien, komunikasi terapiutik dapat mendorong pasien lebih kooperatif, tehnik relaksasi distraksi, dapat mengurangi nyeri dan merupakan tindakan yang sering dilakukan untuk mengurangi nyer

Asuhan Keperawatan Pada Tn. S Dengan Gangguan Sistem Pernapasan : ( Tb Paru ) Di Ruang Gladiol Atas Rsud Sukoharjo

Abstrac Background : Tuberculosis (TB) is an infectious disease that is still a concern in the world. The death rate is the caused by the bacteria Mycobacterium tuberculosis is very high. Because this is when people with pulmonary TB cough, sneeze, talk or spit, they splashed pulmonary TB germs into the water. A person can be exposed with pulmonary TB simply by inhaling a small number of TB germs. Then the Data of the Ministry of Health Showed in 2009 1.7 million people Died from TB while there are 9.4 million new cases of TB (3.3 million of them women). Goal : To Determine the nursing care in Patients with pulmonary tuberculosis respiratory system disorders roomates include assessment, intervention, implementation and evaluation. Method : To assess nursing care in Patients with pulmonary tuberculosis that include assessment, intervention, implementation, and evaluation of nursing. Results : after the act of nursing for 3 days diagnoses that Appears 3 that ineffective airway clearance, nutritional imbalance lack of demand, activity intolerance related to the weakness of the body. Conclusion : For the treatment of Patients with pulmonary TB, there must be cooperation between health workers and families in order to always provide information about the development of the patient's health and constantly motivate Patients and families to maintain the health and lifestyle of Patients. Keywords : Tuberculosis, Respiratory Disorders sisem, pulmonary tuberculosis, Nursing, TB

Self Care Relationships With Glychemic Status On Patients Diabetes Melitus Type Ii In The Working Region Of Puskesmas Boyolali I

Background: Diabetes Mellitus (DM) is a group of symptoms that occurs to someone due to the increase of blood glucose level caused by absolute or relative lack of insulin. DM can increase risk of coronary heart disease, stroke, peripheral vascular disease, retinopathy, nephropathy, and neuropathy. Complications associated with diabetes can be prevented through good control of glycemic. Self-care is believed to be able to directly affect to glycemic control of DM type 2 patients. Objective: The study aimed to identify correlation between self-care and glycemic control of DM type 2 patients at the Boyolali I Community Health Center. Methods: This research is quantitative, the research design used is descriptive correlative with cross sectional approach. Data collection using questionnaires . Sample used as many as 60 people with sampling technique Purposive Sampling . The study was conducted 14 December 2017 at Boyolali I Community Health Center. Data analysis using Chi-Square analysis test to self care with fasting blood glucose level. Results: the majority of respondents have a good level of self care and fasting blood glucose level of 52 people (86,7%) with p-value 0,001 (<0.05) which means there is a relationship. Keywords : self care, fasting blood glucose level ,Type 2 Diabetes Mellitu

Hubungan Aktivitas Self Care Dengan Kualitas Hidup Pasien Diabetes Melitus Tipe 2 Di Wilayah Kerja UPT Puskesmas Nusukan

Type 2 diabetes is a metabolic disease in which the quality of the insulin produced is poor so it cannot carry out its role to enter sugar into cells. The condition of diabetes mellitus that is not managed properly has an impact on increasing the incidence of complications and decreasing quality of life. One way to improve the quality of life is by doing good self-care activities including diet regulation, monitoring blood sugar levels, drug therapy, foot care, and physical exercise. The length of time suffering from DM has an impact on decreasing the quality of life, so that if self-care activities are carried out properly, it will prevent complications and improve quality of life and vice versa. The purpose of this study was to identify the relationship between self care activities and the quality of life of patients with type 2 diabetes mellitus in the UPT area of the Nusukan Health Center. The method in this research is descriptive correlation. Sampling using purposive sampling technique with a total of 100 people. Self care activity was measured using a questionnaire (SDSCA) and quality of life was measured by a questionnaire (WHOQOL). The results of this study obtained data analysis using the chi-square test with (p = 0.002), then there is a significant relationship between self care activities and the quality of life of patients with type 2 diabetes mellitus in the UPT area of Puskesmas Nusukan. It is hoped that diabetes mellitus patients will increase their self-care activities so that the quality of life will be better