PENURUNAN SUHU TUBUH MENGGUNAKAN TEPID WATER SPONGING DENGAN PENDEKATAN KONSERVASI LEVINE

2019 ◽  
Vol 11 (1) ◽  
pp. 33-40
Author(s):  
Muhammad Khabib Burhanuddin Iqomh ◽  
Nani Nurhaeni ◽  
Dessie Wanda

Peningkatan suhu tubuh  menyebabkan rasa tidak nyaman, gelisah pada anak, sehingga waktu untuk istirahat menjadi terganggu.Tatalaksana pada anak dengan demam dapat dilakukan dengan metode farmakologi dan non farmakologi. Tepid water spongingmerupakan tatalaksana non farmakologi. Konservasi adalah serangkaian sistem agar tubuh manusia mampu menjalankan fungsi, beradaptasi untuk melangsungkan kehidupan. Perawat mempunyai peran untuk membantu anak dalam mengatasi gangguan termoregulasi. Karya ilmiah ini bertujuan untuk mengetahui efektifitas penurunan suhu tubuh menggunakan tepid water sponging dengan pendekatanl konservasi Levine di ruang rawat infeksi. Efektifitas diukur dalam pemberian asuhan keperawatan berdasarkan proses keperawatan yang terdapat dalam model konservasi Levine yaitu: pengkajian, menentukan trophicognosis, menentukan hipotesis, intervensi dan evaluasi. Terdapat lima kasus yang dibahas. Hasil penerapan model konservasi Levine mampu meningkatkan kemampuan anak dalam mempertahankan fungsi tubuh dan beradaptasi terhadap perubahan. Kombinasi tepid water sponging dan terapi farmakologi mampu mengatasi demam dengan cepat dibanding terapi farmakologi.   Kata kunci: termoregulasi, tepid water sponging, teori model konservasi Levine   REDUCTION OF BODY TEMPERATURE USING TEPID WATER SPONGINGWITH THE LEVINE CONSERVATION APPROACH   ABSTRACT Increased body temperature causes discomfort, anxiety in children, so that the time to rest becomes disturbed. Management of children with fever can be done by pharmacological and non-pharmacological methods. Tepid water sponging is a non-pharmacological treatment. Conservation is a series of systems so that the human body is able to function, adapt to life. Nurses have a role to help children overcome thermoregulation disorders. This scientific work aims to determine the effectiveness of decreasing body temperature using tepid water sponging with the approach of Levine conservation in the infectious care room. Effectiveness is measured in the provision of nursing care based on the nursing process contained in the Levine conservation model, namely: assessment, determining trophicognosis, determining hypotheses, intervention and evaluation. There are five cases discussed. The results of the application of the Levine conservation model are able to improve the ability of children to maintain body functions and adapt to changes. The combination of tepid water sponging and pharmacological therapy is able to overcome fever quickly compared to pharmacological therapy.   Keywords: thermoregulation, tepid water sponging, Levine conservation model theory  

2020 ◽  
Vol 13 (01) ◽  
pp. 12-25
Author(s):  
Nurul Evi ◽  
ImamiNur Rachmawati ◽  
Tri Budiarti

Preeclampsia is a multisystem complication that occurs after 20 weeks of pregnancy and may cause maternal and fetal morbidity and mortality. Preeclampsia is the leading cause of maternal death in many countries.A case studywith the application of Levine’s Conservation and unpleasant symptoms theory on the nursing process of pregnant women with severe preeclampsia.Levine’s conservation theory allows individuals to adapt in order to maintain their integrity with conservation as the final result. The main focus of conservation is a balance between supply and demand of energy, in order to preserve all aspects of individual wholeness.While the unpleasant symptom theory is applied in reducing the symptoms of discomfort by increasing the understanding of aset of symptoms of discomfort from various contexts and providing useful information as well asteaching about the negative effects of them. Keywords: Preeclampsia, Levine’s conservation, Unpleasant symptoms


2018 ◽  
Vol 2 (2) ◽  
pp. 114
Author(s):  
Irma Erviana ◽  
Giur Hargiana

Hallucinations are the most common problems in nursing diagnoses of mental disordes. Hallucinations are the distortions of false perceptions that occur in maladaptive neurobiological responses. Hallucinations usually appear in patients with mental disorders the result of the change in reality orientation, patients feel the stimulation that actually does not exist. In this profession program the author has the opportunity to manage directly, by providing nursing care and analyzing the final results that will be documented in the form of final scientific work ners. The care of nursing for a client a of sensory perception disorder: sight and hearing hallucinations that is a symptom of an early  psychosis, the majority of this case which happened in the end of adolescenceor early adulthood , confuse is the role which have affect to the fragile personality disorder so that there is the disorder of self-concept and pulling themselves from a social environment that gradually get the teenager become too deep in fantasy and cause the emergence of hallucinations. The nursing process is performed based on generalist nursing care standard for 9 days of hospitalization, Started from the date of 2 and 10 of May 2018. Theobtained results are the main nursing problems which is  perception sensory disorder: hallucinations.The Implementations that focus on controlling hallucinatory efforts by rebuking and also modalities of therapy: psychoreligious. The nursing order that is provided give good results to the clients on the mark by no longer hearing the voices that often mock clients and the diminishing intensity of dajjal’s presence that be seen by the clients.


2020 ◽  
Author(s):  
Kristin Natal Riang Gea

AbstrakManajemen asuhan keperawatan merupakan suatu proses keperawatan yang menggunakan konsep manajemen secara umum didalamnya seperti perencanaan, pengorganisasian, pengarahan dan pengendalian atau evaluasi. Peningkatan mutu pelayanan adalah derajat memberikan pelayanan secara efisien dan efektif sesuai dengan standar profesi, standar pelayanan yang dilaksanakan secara menyeluruh sesuai dengan kebutuhan pasien, memanfaatkan teknologi tepat guna dan hasil penelitian dalam pengembangan pelayanan kesehatan/ keperawatan sehingga tercapai derajat kesehatan yang optimal. Kualitas pelayanan keperawatan di rumah sakit tidak akan berjalan dengan baik apabila proses keperawatan yang dilaksanakan tidak terstruktur dengan baikKata Kunci : Manajemen Keperawatan, Kualitas Pelayanan,.standar proses keperawatanAbstract Nursing care management is a nursing process that uses general management concepts in it such as planning, organizing, directing and controlling or evaluation. Improving the quality of service is the degree of providing services in an efficient and effective in accordance with professional standards, service standards are implemented thoroughly in accordance with the needs of patients, utilizing appropriate technology and research results in the development of health services / nursing to achieve optimal health. The quality of nursing care in the hospital will not run properly if the nursing process does not properly implemented.Keywords: Management of Care of Nursing, Quality of Service, standard nursing process,


RSC Advances ◽  
2021 ◽  
Vol 11 (41) ◽  
pp. 25731-25737
Author(s):  
Maria Cristina Righetti ◽  
Maria Laura Di Lorenzo ◽  
Patrizia Cinelli ◽  
Massimo Gazzano

At room temperature and at the human body temperature, all the amorphous fraction is mobile in poly(butylene succinate).


2020 ◽  
Vol 4 (1) ◽  
pp. 6
Author(s):  
Ida Ayu Agung Laksmi ◽  
Heri Kristianto ◽  
Tony Suharsono

Diabetic foot is such a life threatening condition for people with Diabetes Mellitus which it can be result in hemodynamic instability and loss of consciousness. In order to improve quality of nursing care in patient with diabetic foot, nurses should apply a nursing model approach. Levine conservation theoretical model is one of comprehensive model theory that can be applied in patients with critical diabetic foot in Emergency Department (ED). This case study describes a nursing care using Levine's Conservation Model to care for a patient with diabetic foot.  This study was a case study with a single case design. Data were collected using physical assessment, written communications with the patient, interviews patient family members, and observing the patient during intensive care in the ED of Lawang General Hospital on December 21th, 2015. Levine's Conservation Model used as the nursing guideline successfully identified patient issues including ineffective breathing pattern as a major priority of energy conservation problem and damage tissue integrity as a problem of structural conservation. Both of conservation problem were caused by patient's personal integrity conservation maladaptive that caused by ineffective therapeutic regimen management. Levine’s conservation model is useful to investigate nursing problem and applicable to solve the emergency condition of damage tissue integrity in patients with diabetic foot. Index Terms— diabetic foot, nursing care, levine’s conservation model.


Author(s):  
Mohamed Rafiullah ◽  
Khalid Siddiqui

: Neuropathy is the most common complication of diabetes. 50% of adults with diabetes will develop neuropathy in their lifetime. Diabetic peripheral neuropathy (DPN) is the major form of neuropathy found in 75% of diabetic neuropathy incidences. Pharmacological treatments are recommended for pain management in DPN. Anticonvulsants like pregabalin and gabapentin are the preferred first-line treatment, followed by amitriptyline, duloxetine, and venlafaxine. Topical agents like capsaicin and isosorbide dinitrate are also useful in treating the DPN and may be considered for the second or third-line treatment. Opioids and related drugs are suggested for short-term use during the acute exacerbation of pain. Combination therapy may be beneficial in patients who do not respond to monotherapy. However, currently, there is no compelling evidence to suggest any specific combination of agents. Disease-modifying agents such as alpha-lipoic acid and epalrestat appear to improve the disease state but are not recommended by any guideline. This review discusses the available pharmacological therapy for treating DPN. Also, we highlight the recommendations from different guidelines about the pharmacological treatment of DPN.


2018 ◽  
Vol 164 ◽  
pp. 01017 ◽  
Author(s):  
Jalinas ◽  
Wahyu Kusuma Raharja ◽  
Bobby Putra Emas Wijaya

The heart is one of the most important organs in the human body. One way to know heart health is to measure the number of heart beats per minute and body temperature also shows health, many heart rate and body temperature devices but can only be accessed offline. This research aims to design a heart rate detector and human body temperature that the measurement results can be accessed via web pages anywhere and anytime. This device can be used by many users by entering different ID numbers. The design consists of input blocks: pulse sensor, DS18B20 sensor and 3x4 keypad button. Process blocks: Arduino Mega 2560 Microcontroller, Ethernet Shield, router and USB modem. And output block: 16x2 LCD and mobile phone or PC to access web page. Based on the test results, this tool successfully measures the heart rate with an average error percentage of 2.702 % when compared with the oxymeter tool. On the measurement of body temperature get the result of the average error percentage of 2.18 %.


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