scholarly journals Effectiveness of a conservation energy model for febrile neutropenia in children with cancer

2020 ◽  
Author(s):  
Khoirunnisa Khoirunnisa ◽  
Allenidekania Allenidekania ◽  
Happy Hayati
Keyword(s):  
Febrile Neutropenia ◽  
Energy Conservation ◽  
Structural Integrity ◽  
Nursing Process ◽  
Personal Integrity ◽  
Children With Cancer ◽  
Conservation Of Energy ◽  
Infection Transmission ◽  
Conservation Model

Febrile neutropenia is a complication of chemotherapy that occurs in children with cancer. This paper aimed to provide an overview of the application of the Levine Energy Conservation Model for treating fever neutropenia in children with cancer. The method involved a case study of five children with cancer treated for febrile neutropenia using the nursing process approach. The nursing process, according to the Levine Energy Conservation Model, focuses on increasing the body’s adaptability through four forms of conservation, namely, the conservation of energy, personal integrity, structural integrity, and social integrity. Trophicognosis in the five cases under management identified hyperthermia and the risk of infection transmission. Other nursing problems were nutritional imbalances that were less than the body’s needs and the risk of bleeding. These problems can hinder the process of adapting children with cancer to the challenges of disease and the treatment of side effects in achieving self-integrity.

scholarly journals The Application of Levine’s Conservation Model on Nursing Care of Children with Cancer Experiencing Chemotherapy-Induced Mucositis in Indonesia

2019 ◽  
Author(s):  
Ikeu Nurhidayah ◽  
Tuti Pahria ◽  
Nur Oktavia Hidayati ◽  
Aan Nuraeni
Keyword(s):  
Energy Conservation ◽  
Structural Integrity ◽  
Evaluation Model ◽  
External Environment ◽  
Nursing Intervention ◽  
Common Side Effect ◽  
Nursing Process ◽  
Children With Cancer ◽  
Conservation Model

Background: Mucositis is a common side effect in children with cancer experienced chemotherapy. Levine’s Conservation Theory views children as open individuals who always respond to the environment. Children with cancer undergoing chemotherapy are seen as individuals who adapt to threats from the internal-external environment. The threat from the internal environment is the presence of cancer cells that threaten normal cells, while the external environment is the side effects of chemotherapy and environmental exposure. The nurse is responsible for carrying out a series of nursing processes to prevent the occurrence of mucositis due to chemotherapy. Objectives: Thisstudyaimedtoexplorethenursingprocessthatwasgiventochildrenexperiencing chemotherapy-induced mucositis using Levine’s Conservation Theory. Methods: This study was conducted with a case study. Ten children with cancer who experienced chemotherapy due to mucositis was participated in this study. Nursing process was applying by Levine Conservation Theory for one month at National Referal Hospital in Jakarta. Case studies are carried out by applying the nursing process according to Levine’s Conservation Theory, which consists of trophicognosis, hypothesis, nursing intervention and evaluation. Data analysis within cases and across cases is conducted by content analysis related to Levine’s evaluation model. Results: The results of the case study show that eight clients experienced energy conservation imbalances, ten clients experienced structural integrity disorders and eight clients experienced impaired social integrity. The results of the application of the Levine Conservation Theory for one month showed only two clients who could not achieved energy conservation and structural integrity. Conclusion/Importance: This case study shows that the Levine conservation model can be used in the nursing process in children with mucositis to maintain energy conservation and structural integrity. Nurses are expected to understand the application of Levine’s conservation theory to clients who are prone to conservation problems.

scholarly journals Levin’s Conservation Model And Unpleasant Symptoms Theory In Nursing Care Of Pregnant Women With Preeklamsia : A Case Study

2020 ◽  
Vol 13 (01) ◽  
pp. 12-25
Author(s):  
Nurul Evi ◽  
ImamiNur Rachmawati ◽  
Tri Budiarti
Keyword(s):  
Pregnant Women ◽  
Nursing Care ◽  
Maternal Death ◽  
Supply And Demand ◽  
Morbidity And Mortality ◽  
Nursing Process ◽  
Negative Effects ◽  
Conservation Model

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

scholarly journals Local wisdom in environment conservation: A study on a conservation and energy self-sufficient village

2020 ◽  
Vol 33 (4) ◽  
pp. 405
Author(s):  
Fandi Sudiasmo ◽  
Novi Catur Muspita
Keyword(s):  
Energy Conservation ◽  
Alternative Energy ◽  
Social Institutions ◽  
Economic Factor ◽  
Study Approach ◽  
Community Based Conservation ◽  
Analysis Technique ◽  
Conservation Activity ◽  
Conservation Model

Farmer group of Bendrong Hamlet has conducted a series of reforestation activities to cope with landslides and secure the clean water supply to all villages. Although the attempt has run well, many problems have begun to arise, such as people’s land being sold. The buyers are outsiders, thereby deviating from the specified principles of conservation and people’s awareness of conservation activity decreasing. These problems should be solved immediately, recalling Malang Regency is vulnerable to landslide disaster incidence. The research objectives were to reconstruct the conservation conceptualization model and improve the community-based conservation model using a qualitative research method with a case study approach and interactive data analysis technique. The conservation undertaken by people in Bendrong Hamlet divides into two: green and energy conservations. Green conservation conduct through people planting forests with forestry plants and agroforestry plants below it—energy conservation conduct by processing cow manure into biogas as alternative energy. Besides, the conservation activity is intended to be intended for environmental factors and intended as an economic factor obtained from green and energy conservation activities. Social institutions’ participation, legitimacy, and government, private, and community’s participation, either individually or in the group, are essential to the performance of conservation activity as the attempt of conserving natural resource; also, economic activity should be included in the conservation activity to result in an effective and sustainable community conservation activity.

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
Keyword(s):  
Body Temperature ◽  
Nursing Care ◽  
Human Body ◽  
Model Theory ◽  
Pharmacological Treatment ◽  
Scientific Work ◽  
Pharmacological Therapy ◽  
Nursing Process ◽  
Tepid Water ◽  
Conservation Model

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  

scholarly journals Does Tenure Security Reduce Disaster Risk? A Comparative Study of the Nairobi Settlements of Kibera and Kawangware

2021 ◽  
Author(s):  
Rónán McDermott ◽  
Pat Gibbons ◽  
Dalmas Ochieng ◽  
Charles Owuor Olungah ◽  
Desire Mpanje
Keyword(s):  
Structural Integrity ◽  
Disaster Risk ◽  
Comparative Case Study ◽  
Complex Relationship ◽  
Tenure Security ◽  
Household Level ◽  
Urban Informal Settlements ◽  
The Relationship

AbstractWhile scholarship suggests that improving tenure security and housing significantly reduces disaster risk at the household level within urban settings, this assertion has not been adequately tested. Tenure security can be conceived as being composed of three interrelated and overlapping forms: tenure security as determined by legal systems; de facto tenure security; and tenure security as perceived by residents. This article traces the relationship between tenure security, the quality of housing, and disaster risk on the basis of a mixed methods comparative case study of the settlements of Kawangware and Kibera in Nairobi. Although the findings suggest that owner-occupancy is associated with the structural integrity of dwellings to a greater extent than tenantship, no association was found between the length of occupancy by households and the structural integrity of the dwelling. Moreover, tenantship is not found to be closely associated with fires and flooding affecting the dwelling as extant scholarship would suggest. Formal ownership is linked with greater investment and upgrading of property with significant implications for disaster risk. Our findings highlight the complex relationship between tenure security and disaster risk in urban informal settlements and provide impetus for further investigation.

scholarly journals Application of Levine’s Model in Nursing Care of Patient with Diabetic Foot: A Case Study

2020 ◽  
Vol 4 (1) ◽  
pp. 6
Author(s):  
Ida Ayu Agung Laksmi ◽  
Heri Kristianto ◽  
Tony Suharsono
Keyword(s):  
Nursing Care ◽  
Diabetic Foot ◽  
Single Case ◽  
Hemodynamic Instability ◽  
Design Data ◽  
Tissue Integrity ◽  
Damage Tissue ◽  
Conservation Problem ◽  
Conservation Model

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.

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