Literature Review : Pengaruh Kompres Air Dingin Untuk Menurunkan Intensitas Nyeri Pada Pasien Fraktur Tertutup

Coldwater compression is one of the non-pharmacological therapies to reduce pain in closed fracture patients. This study highlights the application of cold compress therapy in closed fracture patients by finding research articles from google-scholar. Key words for the search included “kompres air dingin untuk pasien patah tulang” and “patah tulang tertutup” published between 2014 and 2018. Three articles were analyzed. Those articles conclude a similar result. That is, cold water compression effectively reducing pain in closed fracture patients. Hence, healthcare providers are suggested to promote cold water compress therapy as an alternative to reduce pain among closed fracture patients.Keywords : cold compression, pain, closed fracture. AbstrakSalah satu terapi non farmakologis untuk menurunkan intensitas nyeri pada pasien fraktur tertutup adalah kompres air dingin. Penelitian ini bertujuan untuk mendeskripsikan penerapan terapi kompres air dingin pada pasien fraktur tertutup berdasarkan tinjauan pustaka. Rancangan karya tulis ilmiah berupa tinjauan pustaka dengan tiga artikel yang diambil dari halaman jurnal Google Scolar dengan kata kunci “kompres air dingin untuk pasien patah tulang” dan “patah tulang tertutup” dengan publikasi tahun 2014 - 2018. Hasil analisis ketiga jurnal tersebut memiliki hasil yang sama. yaitu berkurangnya nyeri saat pemberian kompres dingin. Kesimpulannya terapi kompres air dingin dapat menurunkan intensitas nyeri pada pasien fraktur tertutup. Saran bagi pelayanan kesehatan hendaknya mengedukasi tentang terapi kompres air dingin sebagai alternatif untuk mengurangi intensitas nyeri pada pasien patah tulang tertutup.Kata kunci: kompres air dingin, nyeri, fraktur tertutup.

Literatur Review: Efektifitas Kompres Dinginterhadap Penurunan Intensitas Nyeri Pada Pasien Fraktur Tertutup

Fractures cause physiological disturbances, one of which is pain. Pain in fracture patients is caused by muscle spasms. Cold compression is the easiest method to reduce pain. This study identifies cold compresses’ effect in reducing closed fracture patients by finding research articles from Google Scholar. Keywords for the search include “closed fracture”, “pain intensity”, and “cold compress”, published in 2011-2020. Three articles were analyzed. The results showed that 57 total respondents were male (68.09%) and female (31.91%). Before the intervention was 6.72, pain intensity dropped to 3.50 after the intervention with a p-value <0.01. This Literature Review concludes that cold compress therapy is effective in reducing pain among closed fracture patients. Nurses are expected to apply cold compress therapy as an intervention to reduce pain in fracture patients.Keywords: cold compress; pain intensity; closed fracture; AbstrakFraktur merupakan ancaman potensial maupun aktual terhadap integritas seseorang, sehingga akan mengalami gangguan fisiologis salah satunya respon berupa nyeri. Nyeri pada pasien fraktur disebabkan karena spasme otot. Upaya menurunkan nyeri pada pasien fraktur tertutup dengan cara memberikan terapi kompres dingin. Tujuan dari penulisan ini untuk menggambarkan pengaruh pemberian kompres dingin terhadap nyeri pasien fraktur tertutup. Desain karya tulis ini berupa Literature Review dengan jumlah tiga artikel yang diambil dari laman google scholar dengan kata kunci “fraktur tertutup”, “intensitas nyeri”, dan “kompres dingin”, terbit tahun 2011-2020. Hasil analisa karakteristik responden dari ketiga artikel menunjukkan jumlah responden 57 pasien, sebagian besar laki-laki (68,09%) sedangkan perempuan (31,91%). Nilai rata-rata nyeri sebelum intervensi 6,72 setelah intervensi 3,50 dengan p-value 0,000. Simpulan dari Literature Review ini adalah terapi kompres dingin efektif dalam menurunkan tingkat nyeri pasien fraktur tertutup. Saran bagi perawat diharapkan dapat menerapkan terapi kompres dingin sebagai salah satu intervensi untuk menurunkan nyeri pasien fraktur.Kata kunci:kompres dingin; intensitas nyeri; fraktur tertutup;

Traumatic Avulsion Fracture of the Origin of the Brachioradialis Muscle: A Case Report and Review of the Literature

Avulsion fracture of the brachioradialis muscle origin at the proximal two-thirds of the lateral supraepicondylar ridge of the humerus is an extremely rare fracture with only 4 reported cases in the literature so far. In this article, we describe the case of a 50-year-old male patient who had sustained a closed fracture of the latter after falling from a height of 1.5 m on a flexed elbow and pronated hand. The patient was managed with immobilization of the elbow and wrist with a posterior splint in neutral position for 3 weeks, followed by wrist and elbow therapeutic mobilization sessions for 3 months. At the final follow-up, the patient had painless active and passive full range of motion of the elbow along with good flexion strength. The unique mechanism by which this avulsion fracture occurred is explained on the basis of the mode of injury, position of the limb, and structure and function of the brachioradialis muscle.

ASUHAN KEPERAWATAN PADA TN. M DENGAN FRAKTUR FEMURTERTUTUP 1/3 DISTAL SINISTRA DENGAN PENERAPANINTERVENSI INOVASI TERAPI ASMAUL HUSNA UNTUK MENGATASI MASALAH NYERI AKUT

The World Health Organization (WHO) noted that in 2017 there were 5.6 million people died and 1.3 million people suffered fractures due to traffic accidents. Femur fracture is one of the emergency cases, which at the beginning will give a severe pain response due to discontinuity of bone tissue. . The purpose of this paper is to provide nursing care to Mr. M with closed fracture of the femur 1/3 distal left with the application of the Asmaul Husna innovation intervention to overcome acute pain problems in Surgery Room III of dr. Reksodiwiryo Padang. The method is carried out by carrying out comprehensive care starting from assessment to evaluation. The results of Asmaul Husna's therapeutic innovation on reducing pain intensity, therapy was given 3 times a day for 15 minutes, the client said that after listening to Asmaul Husna the pain he experienced was reduced from a pain scale of 6 to 3. It is hoped that the results of this writing can be a reference for nurses, namely applying Asmaul Husna therapy to treat acute pain problems.

Comparison of the Colonies Number of the Germs Formed Post Operation between the Utilization of Single, Double, and Orthopedic Gloves in Closed Fracture Operations More Than 2 Hours

Post-operative infection is still one of the most common nosocomial diseases that can cause great losses because it will increase the length of stay, use of drugs, and reduce the quality of life of the patients. The risk will increase if the number of colonies is> 105 bacteria per gram of tissue. Various ways have been done to reduce the number of bacteria in the operation area, including the use of surgical gloves. This study analyzed the comparison of the level of bacterial colonies that grew on the surface of single, double, and orthopedic surgical gloves in closed fracture management for more than 2 hours at Hasan Sadikin Hospital. The statistical analysis was done with p-value = 0.011 (<0.05), which means a significant difference in the number of germ colonies that grow between single, double, and orthopedic gloves. Double gloves and orthopedic gloves have a better ability to reduce bacterial colony growth. Meanwhile, there was no significant difference in the number of bacterial colonies formed between double gloves and orthopedics. Perforation is a factor affecting the number of germ colonies that formed. The use of double gloves and orthopedic gloves in closed fracture surgery for more than 2 hours shows the number of bacterial colonies formed is less than single gloves. There was a significant difference in the rate of perforation between standard surgical gloves and orthopedic gloves. Keywords: Bacteria colony, Single glove, Double glove, Orthopaedic glove, Perforation

Comprehensive Fracture Characterization in Tight Carbonate Reservoir Using LWD High-Resolution Image and Multi-Pole Sonic Measurement; A Case Study from Offshore North West Java, Indonesia

Tapping into an unconventional reservoir such as naturally fractured tight carbonate or basement has become more common in the industry. Open natural fractures, when present are the major contributor to production flow in such formation. Therefore, a comprehensive understanding of fracture properties including aperture, intensity, and permeability is required to identify the productive fractures and optimize production. In this paper, we discuss the first application of the latest Logging-While Drilling (LWD) high-resolution laterolog resistivity image in combination with LWD multi-pole sonic to provide comprehensive fracture characterization in Pre-Talang Akar Formation tight carbonate reservoir, in the offshore North West Java Basin, Indonesia. The methodology involved identification of borehole breakouts, natural or drilling-induced fractures, faults and vugs from the high-resolution LWD image data, which were then interpreted further to provide the fracture attributes and the secondary porosity distributions from each of the identified features. The Stoneley measurement from LWD multi-pole sonic log enabled the analysis of the fracture system producibility using the sonic fracture technique. The characterization of fractures and faults (open/closed) from the integration of these two independent methods were complemented by the triple combo measurements, caliper, and drilling loss data, as well as sonic compressional and shear data. This methodology has successfully managed to differentiate open fracture zones and closed fracture zones along with their computed fracture properties. The open fracture zones were characterized by a cluster of conductive fractures with large fracture aperture and fracture porosity value. These fractures were also associated with positive fracture indication from the sonic data, decrease in density logs, shallow - deep resistivity log separation and drilling loss occurrence. Whereas, closed fracture zones were characterized with minor fracture dip development. It also showed negative open fracture indication from sonic data, flat density log response and overlaying resistivity log response with no drilling loss occurrence. The case study in this paper shows excellent LWD data quality and fracture characterization result, on par with wireline conveyed data that were commonly used to quantify fracture attributes. The results provide invaluable information for volumetric calculation, well completion and production planning in this area.

Customized treatment protocols for patients with closed fracture in hospitals at varying coronavirus disease 2019 (COVID-19) risk

Background To determine an optimized treatment protocol during the COVID-19 epidemic for patients with closed fracture and delayed surgery. Methods The epidemic data of three hospitals, randomly selected from different administrative regions of Wuhan, were analyzed retrospectively from 23 January to 31 March 2020. Changes in the number of confirmed cases per day (cumulative and new) of each region were tracked as a reflection of changing epidemic risk levels. The risk level map was drawn. The epidemic status, treatment protocols, and treatment efficiencies for patients with closed fracture in the three hospitals were compared. Results Overall, 138 patients with closed fracture were admitted. Each hospital had established its own protocol, according to the initial perceived risk. Based on the risk level map, over the study period, the risk levels of the three regions changed independently and were not in sync. All patients recovered and were timely discharged. No staff member was detected with COVID-19. Conclusions The COVID-19 risk level of each area is dynamic. To optimize medical resources, avoid cross-infection, and improve efficiency, changes in epidemic risk should be monitored. For patients with closed fracture, treatment protocols should be adjusted according to changes in epidemic risk.