scholarly journals ASUHAN KEPERAWATAN PADA SALAH SATU ANGGOTA KELUARGA DENGAN GANGGUAN MOBILITAS FISIK AKIBAT GOUT ARTRITIS DI WILAYAH KERJA PUSKESMAS TAHUNA BARAT

2021 ◽  
Vol 5 (1) ◽  
pp. 9-13
Author(s):  
Rinaldi Adrian ◽  
Yeanneke Liesbeth Tinungki ◽  
Gracia Christy Tooy

Gout Artritis merupakan salah satu penyakit yang telah lama dikenal dan sampai saat ini masih menjadi penyebab berbagai penyakit. Prevalensi gout artritis menurut World Health Organization (WHO) tahun 2018 gout artritis mengalami kenaikan dengan jumlah 1.370 (33,3%). Gangguan mobilitas fisik ini sering menjadi masalah keperawatan pada kasus Gout Artritis akibat kadar purin tinggi dalam darah, maka tubuh akan meresponnya dengan ditandai adanya hambatan mobilitas fisik pada sendi, menggigil dan badan lemah. Tujuan studi kasus diketahuinya asuhan keperawatan pada salah satu keluarga dengan gangguan mobilitas fisik akibat gout artritis di wilayah kerja Puskesmas Tahuna Barat. Metode studi kasus adalah desain studi kasus deskriptif dengan subjek studi kasus satu orang klien yang diamati dan berfokus untuk mengajarkan latihan rentang gerak (ROM) dan melibatkan keluarga untuk membantu klien dalam meningkatkan pergerakan. Hasil yang diperoleh : Diagnosa keperawatan gangguan mobilitas fisik berhubungan dengan ketidakmampuan keluarga dalam merawat anggota keluarga yang sakit, subjek studi kasus ditemukan nyeri pada lutut dan keluarga tidak tahu perawatan yang dibutuhkan untuk menanggulangi masalah kesehatan atau penyakit yang dialami yang menyebabkan gangguan mobilitas fisik. Kesimpulan : Masalah pada klien teratasi karena klien sudah dapat bergerak walaupun nyeri hilang dan sudah dapat melakukan mobilisasi dini dengan adanya dukungan keluarga. Saran : Perawat lebih meningkatkan pelayanan serta dapat memberikan pendidikan kesehatan pada klien yang menderita gout artritis.   Gout artritis is a disease that has been known for a long time and is still the cause of various diseases. The prevalence of gout artritis to the World Health Organization (WHO) in 2018 gout artritis has increased by 1370 (33,3%). Impaired physical mobility was often a nursing problem in cases of Gout artritis due to high levels of purines in the body´s blood which responds to it by being marked by obstacles to physical mobility in the joints, chills and weakness. The purpose of the case study was to find out nursing care in a family with impaired physical mobility due to gout artritis in the work area Puskesmas of the Tahuna Barat. The case study method was a descriptive case study design with a case study subject of one client who was observed and focus on teaching range of motion (ROM) exercise and involve the family to assist the client in improving movement. The result obtained: Nursing diagnosis of impaired physical mobility related to the inability of the family to care of sick family members, case study subjects found knee pain and the family who did not know the treatment needed to overcome health problem or illnesses that caused physical mobility problems. Conclusion: The Problem in the client was resolved because the client was able to move even though the pain was gone and can do early mobilization with family support. Suggestion: Nurse improve services and can provide health education to client who suffering from gout artritis.

2021 ◽  
Vol 1 (3) ◽  
pp. 297-306
Author(s):  
Mawar Saron Simangunsong ◽  
Syaiful Syaiful ◽  
Evamona Sinuraya

ABSTRACT: A CASE STUDY OF WARM COMPRESS TO REDUCE BODY TEMPERATURE IN CHILDREN WITH TYPHOID FEVER IN TK II PUTRI GREEN HOSPITAL, MEDAN Background: Typhoid fever is an acute infectious disease of the small intestine caused by salmonella typhosa bacteria and its only found in humans. Based on World Health Organization (2018) typhoid fever is a life-threatening fever disease. The case fatality of typhoid fever is 10-30%, decreasing to 1-4% with appropriate therapy. Young children are at the greatest risk of common symptoms of fever, shivering, and abdominal pain. It is estimated that there are 11-21 million cases of typhoid fever and about 128,000-161,000 deaths per year. The fever could be reduced by providing a warm compress. Purpose: The purpose of the study was to find out the description of warm compress on decreasing the body temperature in children with typhoid fever at Tk II Putri Hijau Hospital Medan in 2021.Method: The method used descriptive case study design by involving the stages of the nursing process: assessment, diagnosis, intervention, implementation, and evaluation that implemented on 2 patients with typhoid fever. Result: After the nursing care was processed in two patients, the result showed that the fever could be resolved by providing warm compress to the patient's axilla. Body temperature, when admitted to the hospital in the first patient, was from 38◦C to 36.5◦C and in the second patient from 38.5◦C to 36.5◦C. Conclusion: The conclusion after nursing care was implemented on the first and second patient was that the warm compress was effective in decreasing body temperature. Keywords: Typhoid Fever, Body Temperature, Warm Compress. INTISARI: STUDI KASUS KOMPRES HANGAT  DALAM  MENURUNKAN SUHU TUBUH PADA ANAK DENGAN DEMAM THYPOID DI RUMAH SAKIT TK II PUTRI HIJAU MEDAN  Latar Belakang Demam typhoid merupakan penyakit infeksi akut pada usus halus yang disebabkan oleh Salmonella typhosa dan hanya terdapat pada manusia. Berdasarkan data World Health Organization (2018), demam typhoid adalah penyakit demam akut yang mengancam jiwa. Kasus fatalitas tipus demam 10-30%, turun menjadi 1-4% jika sesuai terapi. Anak-anak kecil berada pada resiko terbesar dengan gejala umum demam, menggigil, dan rasa sakit diperut. Diperkirakan 11-21 juta kasus demam thyfoid dan sekitar 128.000-161.000 kematian setiap tahunnya. Demam tersebut dapat berkurang dengan  pemberian tindakan kompres hangat. Tujuan: Tujuan penelitian ini adalah untuk mengetahui gambaran tentang Kompres Hangat Dalam Menurunkan Suhu Tubuh Pada Anak Dengan Demam Thypoid Di Rumah Sakit Tk II Putri Hijau Medan 2021.Metode Penelitian ini merupakan penelitian deskriptif dalam rancangan studi kasus yang terdiri dari tahapan  proses keperawatan: pengkajian, diagnosa keperawatan, intervensi keperawatan, implementasi keperawatan, dan evaluasi keperawatan terhadap 2 pasien penderita demam thypoid.Hasil Setelah dilakukan proses asuhan keperawatan terhadap 2 pasien diperoleh hasil demam dapat teratasi dengan pemberian kompres hangat pada aksila pasien. Suhu tubuh saat masuk RS pada pasien 1 yaitu dari 38◦C menjadi 36,5◦C dan pada pasien 2 dari 38,5◦C menjadi 36,5◦C. Kesimpulan Setelah dilakukan tindakan keperawatan terhadap pasien 1 dan pasien 2, dengan pemberian kompres hangat efektif dalam menurunkan  suhu tubuh. Kata kunci : Demam Thypoid, Suhu Tubuh, Kompres Hangat


2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Fransisca Noya

AbstractData on Sectio Caesarea delivery in the world according to the World Health Organization (WHO) is 5 to 15 percent per 1000 births. The number of mothers giving birth by SC measures according to the 2013 RISKESDAS data amounted to 9.8%, the top rank of DKI Jakarta was 19.9% and the lowest was Southeast Sulawesi 3.3%. Based on data from RSUD Poso 2015-2016 the number of mothers with SC was 451 cases, and in 2016-2017 the number carried out with SC was 505 cases. The purpose of this study was to implement the mobilization to accelerate the decline of uterine fundus by conducting nursing care in the case of post-operative SC in the midwifery room at the Poso General Hospital. The method in this study is a case study in Section Caesarea Patients with mobilization nursing care measures to accelerate the decline in TFU. The results of this study indicate that patients can implement the early mobilization measures gradually and there is a decrease in TFU.Keywords: Physical mobility barriers, Post Sectio Caesarea


2021 ◽  
Vol 1 (4) ◽  
pp. 359-369
Author(s):  
Putri Ananda Salsabilla ◽  
Ricky Riyanto Iksan ◽  
Sri Atun Wahyuningsih

ABSTRACT : APPLICATION OF FAMILY FUNCTIONS IN ABILITY TO CARE FOR MEMBERS FAMILIES WITH STROKES Background: Stroke is a non-communicable disease that is one of the leading causes of death and disability rates in the world. Stroke becomes a health threat due to impaired cerebral function, both focal and global, which lasts quickly and lasts more than 24 hours or ends in death without the discovery of the disease other than vascular disorders (World Health, 2017). World Health Organization (2018) stroke sufferers are increasing every year.. It shows that every year there are 13.7 million new cases of stroke, and about 5.5 million deaths occur from stroke. About 70% of strokes and 87% of stroke deaths and disabilities occur in low- and middle-income countries.Objective: Identified Application of Family Function Intervention in the Ability to Care for Family Members With Stroke in the Puskesmas Area of North Meruya Village of West JakartaMethod: This type of research is case studydesign research that according to Basuki Case Study is a form of research on a problem that has the nature of specificity with individual or group targets, even the wider community. In this study, researchers conducted family function interventions in four families with strokes, namely the same four sufferers were given family function interventions.Results: The results of research conducted the influence of affective function, socialization function, economic function, and health care function with the application of nursing care in stroke patients.Conclusion: The conclusion of this study results in the application of family functions in the ability to care for family members with stroke experienced significant changes to intervention. Keywords: Family Function, Caring Ability, Stroke INTISARI : PENERAPAN FUNGSI KELUARGA DALAM KEMAMPUAN MERAWAT ANGGOTA KELUARGA DENGAN STROKE Latar Belakang: Stroke merupakan penyakit tidak menular yang menjadi salah satu penyebab utama angka kematian dan kecacatan di dunia. Stroke menjadi ancaman kesehatan karena gangguan fungsi serebral, baik fokal maupun global, yang berlangsung dengan cepat dan lebih dari 24 jam atau berakhir dengan kematian tanpa ditemukannya penyakit selain dari pada gangguan vaskular (World Health Organization, 2017). World Health Organization (2018) penderita stroke semakin meningkat setiap tahunnya. Menunjukkan bahwa setiap tahunnya ada 13,7 juta kasus baru stroke, dan sekitar 5,5 juta kematian terjadi akibat penyakit stroke. Sekitar 70% penyakit stroke dan 87% kematian dan disabilitas akibat stroke terjadi pada negara berpendapatan rendah dan menengah.Tujuan: Teridentifikasi Penerapan Intervensi Fungsi Keluarga Dalam Kemampuan Merawat Anggota Keluarga Dengan Stroke di Wilayah Puskesmas Kelurahan Meruya Utara Jakarta BaratMetode: Jenis penelitian ini adalah penelitian case studydesign yaitu menurut Basuki Case Study adalah bentuk penelitian suatu masalah yang memiliki sifat kekhususan dengan sasaran perorangan ataupun kelompok, bahkan masyarakat luas.Pada penelitian ini Peneliti melakukan Intervensi Fungsi keluarga pada empat keluarga dengan stroke yaitu keempat penderita sama – sama diberikan Intervensi Fungsi Keluarga.Hasil: Hasil penelitian yang dilakukan adanya pengaruh fungsi afektif, fungsi sosialisasi, fungsi ekonomi, dan fungsi perawatan kesehatan dengan penerapan asuhan keperawatan pada pasien stroke.Kesimpulan: Kesimpulan dari penelitian ini hasil penerapan fungsi keluarga dalam kemampuan merawat anggota keluarga dengan stroke mengalami perubahan yang signifikan terhadap intervensi. Kata Kunci : Fungsi Keluarga, Kemampuan Merawat, Stroke


Leprosy ◽  
2020 ◽  
pp. 1-19
Author(s):  
Charlotte A. Roberts

This chapter introduces leprosy, an infection that is still misunderstood and considered a neglected tropical disease but declining in frequency, according to the World Health Organization. The bacteria that cause leprosy, Mycobacterium leprae and Mycobacterium lepromatosis, are outlined, as well as how a relative strength of a person’s immune system determines how leprosy affects the body. Although leprosy is curable, associated stigma and disability remain common challenges for people with the disease in parts of the world. The goals and structure of the book are outlined, ten myths that still pervade society at large are listed, and the use of the word “leper” discussed. Based on World Health Organization data, the chapter also explores the frequency of leprosy today, where the infection remains a challenge, and the history of detecting and reporting evidence for leprosy in living populations. Finally, the reasons why bioarchaeologists have an interest in this infection are explored.


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