scholarly journals Asuhan Keperawatan Pada Lansia Ny.W Dengan Arthritis Gout Dalam Penerapan Implementasi Senam Ergonomis Untuk Menurunkan Nyeri : Studi Kasus

2021 ◽  
Vol 6 (2) ◽  
Author(s):  
Ketut Dewi Budiari ◽  
Nova Natalia Beba ◽  
Wibawani Yunestri Mukti ◽  
Sabarulin Tarigan

Elderly who experience pain needs to get attention with special strategies and techniques in solving problems. Implementation of ergonomic gymnastic becomes one of the right actions. The research objective was to find out and get an overview of nusing care to the elderly, Mrs.W who has arthritis gout in the implementation of ergonomic gymnastics to reduce pain in Tatura Utara Sub-District, Palu City. Descriptive case study research design, responden was 1 person, data was collected by interview, observation and physical, examination. The instrument used was an assessment format for the elderly that focused on pain problems and extremity assessment. Data analysis used was data reduction, presentation and conclusion. The results obtained from the special assessment on the elderly only focused on pain problems. The intervention conducted was the implementation of ergonomic gymnastics. The conclusion of nursing evaluation was obtained after nursing actions were carried out for 3 times which the client’s pain level was decreased. It is hoped that from the results of nursing care case study, the implementation of ergonomic gymnastics can be applied in Home Care practice for elderly.Keywords:  Nursing care, Arthritis gout, Ergonomic gymnastics, Pain, Elderly

2021 ◽  
Vol 6 (3) ◽  
Author(s):  
Ni Luh Sinta Melani ◽  
Nova Natalia Beba ◽  
Wibawani Yunestri Mukti ◽  
Sabarulin Tarigan

AbstrakLansia yang mengalami gangguan kualitas tidur perlu mendapatkan perhatian dengan strategi dan teknik-teknik khusus dalam menyelesaikan masalah. Implementasi hydrotherapy air hangat menjadi salah satu pilihan yang tepat. Tujuan penelitian untuk mendapatkan gambaran tentang asuhan keperawatan pada lansia Ny. R dengan hipertensi dalam penerapan implementasi hydrotherapy air hangat dalam meningkatkan kualitas tidur di Desa Balinggi Kecamatan Balinggi Kabupaten Parigi Moutong. Desain penelitian studi kasus deskriptif, responden sebangak 1 orang, pengumpulan data dengan cara wawancara, observasi dan pemeriksaan fisik, instrumen yang digunakan yaitu format pengkajian PSQI dan benda berupa termometer laboratorium. Analisa data yang digunakan yaitu reduksi data, penyajian dan kesimpulan. Adapun intervensi yang dilakukan yaitu implementasi hydrotherapy rendam kaki air hangat. Kesimpulan evaluasi keperawatan setelah dilakukan tindakan keperawatan selama 3 kali pertemuan dalam 1 minggu didapatkan hasil kualitas tidur klien meningkat. Diharapkan kiranya dari hasil studi kasus asuhan keperawatan penerapan implementasi hydrotherapy air hangat ini dapat diterapkan dalam kegiatan praktek Home Care pada lansia binaan Akper BK Palu.Kata kunci : Hipertensi, Hydrotherapy Air Hangat, Kualitas Tidur, Lansia.ABSTRACKElderly with sleep quality disturbance needs to get attention with specific strategies and techniques in solving the problems. The implementation of warm water hydrotherapy is one of the right choices. The research objective was to get an overview about nursing care of an elderly namely Mrs. R who has hypertension in the implementation of warm water hydrotherapy to improve sleep quality in Gitgit Sari Hamlet, RT 000 / RW 001, Balinggi Village, Balinggi Sub- District, ParigiMoutong District.  Descriptive case study research design, respondent was 1 person, data was collected by interview, observation and physical examination, the instrument used is the PSQI assessment format and laboratory thermometer. Data analysis used is data reduction, presentation and conclusion. The intervention carried out was the implementation of warm watersoaking feet hydrotherapy. The conclusion of the nursing evaluation after conducting nursing action for 3 meetings a week showed that the client's sleep quality improved. It is hoped that from the results of case study in nursing care of the implementation of warm water hydrotherapy can be applied in home care practice for the assistedelderly ofNursing Academy of the Salvation Army Palu (Akper BK Palu).Keywords: Nursing Care, Hypertension, Warm Water Hydrotherapy, Sleep Quality, Elderly


2015 ◽  
Vol 1 (2) ◽  
pp. 92
Author(s):  
Novalia Nastiti ◽  
Imron Mawardi

Amil zaka in zaka institutions has the right as one of eight ashnaf. Their rights are usually used by zaka institutions as operational cost. However, not all of the intitutions which manage zaka take amil’s right, one of them is Yayasan Nurul Hayat. This institution does not take amil’s right and it is independent in its operational cost. To support this operational cost, Yayasan Nurul Hayat establish business unit with utilize its profit.This study aimed to discover the capability of business unit in supporting operational cost of Yayasan Nurul Hayat. This study used a qualitative approach with descriptive case study method. The selections of informant are using purposive sampling method. Data collection was conducted by semi-structured interviews and documentation. This data is analyzed using descriptive method.The result of this study shows that Yayasan Nurul Hayat Employments’ Salary is taken from business unit’s profit. It is also used to give bonus for employments and grow the business unit of Yayasan Nurul Hayat up. From the result of this study, it can be concluded that the business unit which is developed has great capability to support operational cost of Yayasan Nurul Hayat.


Author(s):  
Georg Hodosi ◽  
Robert Kaye ◽  
Lazar Rusu

In this chapter, the Success Factors (SFs) for IT Outsourcing (ITO) are explored. The research literature has a bias towards large companies, neglecting medium-sized companies. Moreover, no comparative studies regarding the SFs were found related to the size of companies. These circumstances force medium-sized buyers to turn to practitioner literature, which is dominated by guidelines produced by the providers. Therefore, this chapter identifies the research problem: the lack of knowledge about ITO SFs for medium size companies, including whether SFs for large companies, are applicable for medium-sized ones as well. The used case study research shows that medium-sized companies should use the SFs from large companies. However, 2 out of 11 studied SFs have better efficiency for large companies. This result helps medium-sized companies' ITO decision makers understand the SFs of ITO and thus closes the research gap. Implementing the right SFs should improve the ITO performance.


2018 ◽  
Vol 12 (2) ◽  
Author(s):  
Nisfi Laili Munawaroh ◽  
Nur Azizah

A harmonious family is the most beautiful treasure in the life of the world. A harmonious family can be a wonderful spirit to do everything. But sometimes life in the family will find problems. So that harmonious family atmosphere is often eroded by these problems. Actually, every problem will find the right solution if a family can communicate intensely.This study focuses on family disharmony in terms of communication intensity. This study uses a qualitative approach to the type of case study research. The subjects of this study were DT, WI, LL, SG, LM, ES, and HT. The data presented is obtained by doing field observation directly with the support of interviews to the related subjects. The data is presented in the form of words, then analyzed to be taken conclusion as the result of research.After the researcher conducted the initial observation and found the family who in the disharmonic condition in Karangpucung village, Purwokerto Selatan subdistrict, the writer do deeper observation and interview related to family disharmony in terms of communication intensity.The results showed that the intensity aspects of communication in DT and WI families were: 1) attention during communication, 2) regularity, 3) message width, and 4) message depth. In addition, the intensity of communication factors in DT and WI families are 1) self-image and image of others, 2) psychological atmosphere, 3) physical environment, 4) tendency to lead together, and 5) dislike trust as a telling place between DT and WI


2019 ◽  
Vol 4 (1) ◽  
pp. 139
Author(s):  
Hamka Hamka ◽  
Wahyudi Wahyudi ◽  
M. Chiar

The purpose of this study was to determine the results of accreditation on the standard aspects of PAUD management. This research method uses a documentary study method with a qualitative approach. This type of research in this study is a descriptive case study research. Based on the evaluation recapitulation of all aspects of the management standard that PAUD institutions on average do not yet have a work inspection and assessment document therefore it is a problem that the low achievement period of 8 standards in PAUD units that apply for accreditation in 2017 due to the low 2 aspects PAUD institutions have not yet been launched.


2021 ◽  
Vol 1 ◽  
pp. 755-759
Author(s):  
Viranika Setyaningsih ◽  
Herni Rejeki

AbstractElderly is one who has more than or equal to the age limit of 55 years, and at this age, physical mobility disorders often occur. It is the one's limitation in performing movements independently. One of the symptoms is getting paralysis or muscle weakness in the limbs. This study aims to observe and invesgate changes in range of motion with weakness in the extremities. The method applied on two families of elderly client after stoke was applying ROM therapy. The results shows on the first family, after applying ROM practices 6 times, there is a changes in range of motion. The client could fully practice ROM. The right leg is lighter when walking and the right arm can shake is hands family. Meanwhile, the result obtained from the later family, after practicing ROM 7 times, there is a change in range of motion. The left leg is lighter when walking and the fingers get better, not clenched. Thus, it could be concluded that this therapy can improve the changes in range of motion on the elderly clients after stroke. Furthermore, is expected to the nurses to teach this therapy on their clients. Keywords: Family Nursing Care, Elderly, Post Stroke, ROM AbstrakLanjut usia merupakan usia yang dimiliki seseorang lebih dari atau sama dengan batasan usia 55 tahun. Gangguan mobilitas fisik adalah suatu keterbatasan seseorang dalam melakukan gerakan secara mandiri. Salah satu gejalanya adalah kelumpuhan atau kelemahan otot pada anggota gerak. Tujuan studi kasus ini adalah untuk perubahan rentang gerak yang mengalami kelemahan pada ekstremitas. Metode yang digunakan pada dua keluarga klien lansia pasca stroke dengan memberikan terapi ROM. Hasil studi kasus ini 2 keluarga terjadi perubahan rentang gerak, pada keluarga I setelah dilakukan latihan ROM selama 6x terjadi perubahan rentang gerak dimana klien dapat melakukan ROM secara penuh. Kaki kanan terasa lebih ringan ketika berjalan dan berjabat tangan dengan kuat. Hasil keluarga II setelah dilakukan latihan ROM selama 7x terjadi perubahan rentang gerak. Kaki kiri terasa lebih ringan ketika berjalan dan jari tangan sudah membaik tidak mengepal. Kesimpulannya adalah terapi ROM dapat meningkatkan perubahan rentang gerak pada klien lansia pasca stroke. Saran bagi perawat diharapkan mengajarkan terapi ROM pada klien pasca stroke.Kata kunci: Asuhan Keperawatan Keluarga, Lansia, Pasca Stroke, ROM


BMJ Open ◽  
2013 ◽  
Vol 3 (8) ◽  
pp. e003506 ◽  
Author(s):  
Karina Aase ◽  
Kristin Alstveit Laugaland ◽  
Dagrunn Nåden Dyrstad ◽  
Marianne Storm

2019 ◽  
Vol 13 (2) ◽  
pp. 91
Author(s):  
Nirva Rantesigi ◽  
Agusrianto Agusrianto

Non-pharmacological actions that can prevent and treat constipation are abdominal massage and therapy to drink 500 cc of warm water in the morning.  Doing massage can help encourage faeces and reduce abdominal muscle tension.  The purpose of this study is the application of nursing care in stroke cases.  This research is a type of case study research by applying comprehensive nursing care to patients.  The results showed data of patients who have not defecated for 4 days, the stomach feels full, there is a desire to defecate but it is difficult to get out, bowel sounds 6 times / minute.  The goal of nursing care is to prevent and overcome constipation, from moderate to mild constipation.  Nursing diagnosis of constipation is related to decreased gastrointestinal.  Nursing interventions Management constipation / impication.  Implementation of nursing doing abdominal massage and therapy to drink 500 cc of warm water in the morning.  Evaluation after 5 times giving patient intervention can defecate.  Conclusion: The application of abdominal massage and 500 cc warm water drinking therapy can prevent and overcome constipation in stroke patients in Poso District General Hospital.


2020 ◽  
Vol 1 (1) ◽  
pp. 20-29
Author(s):  
Gracious Jean Ampumuza ◽  
Wilson Okaka ◽  
Peter W. Obanda ◽  
Titus Bitek Watmon

This article examines the influence of contract life cycle management on procurement performance of Local Governments in Uganda using Bugiri District as the case study. The three specific objectives of this study were to: examine the influence of contract creation on procurement performance; to assess the influence of contract execution on procurement performance and lastly, to determine the influence of contract analysis on procurement performance. The researcher employed a descriptive case study research design. Using a researcher’s made five point Likert scale questionnaire, data was collected from a sample of respondents. Seventy (70) respondents out of a population of eighty (80) were selected using purposive and random sampling techniques (response rate of 94.3%). Data was analyzed using means and the regression analysis. Findings revealed that; the extent to which contract creation predicts performance was low (r2 = 0.36, Sig. Value= 0.000); the extent to which contract execution influences procurement performance was low (r2 = 0.34, Sig. Value = 0.003) and lastly, the extent to which contract analysis influences procurement performance was moderate (r2 =0.44, Sig. Value = 0.001). On the other hand, findings revealed that contract management at Bugiri District local government in Uganda highly and positively influences procurement performance (R2= 0.779 Sig. Value= 0.000). This implies that where each of these variables; contract creation, execution and analysis are handled separately, each has a low influence on procurement performance. However if handled wholesomely, results show that high procurement performance (78%) will be achieved. In light of this, the researcher therefore concludes that; practioneers, managers and civil servants at Bugiri District should adopt a holistic approach in contract management, if procurement performance is to be maximized. Doi: 10.28991/HEF-2020-01-01-03 Full Text: PDF


Retos ◽  
2017 ◽  
pp. 219-223
Author(s):  
Tito Octavio Usma Garzón ◽  
Javier Antonio Tamayo Fajardo

El objetivo fue crear y poner en práctica un programa de periodización inversa de bajo-volumen / alta-intensidad de entrenamiento de resistencia para potenciar tres cualidades físicas: fuerza, resistencia y velocidad, mediante ejercicios que se realicen dentro y fuera de la piscina. La investigación es un estudio de caso descriptivo, dirigido a un deportista de natación con discapacidad funcional motriz de 15 años de edad, que presenta agenesia en miembros superiores derecho e izquierdo y también una dismetría en miembro inferior derecho, más corto en 5 cm. Los resultados del programa muestran mejoras en los 4 tiempos evaluados en 100 metros, aumentos en la fuerza explosiva del salto de potencia y cambios en la composición corporal del deportista. La conclusión de la investigación fue que el programa de resistencia con periodización inversa demostró ser eficiente, y debe ser tenido en consideración para la planificación de trabajos en nadadores en situación de discapacidad donde el mayor progreso se obtuvo en el estilo crol, obteniendo una disminución en el tiempo de la prueba en 5.06 segundos.Abstract. The goal was to create and implement a low-volume / high-intensity resistance training periodization program to enhance three physical qualities: strength, endurance and speed, through exercises performed inside and outside of the pool. The research is a descriptive case study, aimed at a swimming athlete with 15 years of age functional motor disability who presents agenesis in the right and left upper limbs and also a dysmetria in the lower right limb, shorter in 5 cm. The results of the program show improvements in the 4 times evaluated in 100 meters, increases in the explosive power of the jump of power and changes in the corporal composition of the athlete. The conclusion of the research was that the inverse periodization resistance program proved to be efficient, and should be taken into account for the planning of work in swimmers in a situation of disability where the greatest progress was obtained in the crol style, obtained a decrease in test time in 5.06 seconds.


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