[ABSTRAK
Karya Ilmiah Akhir ini merupakan kumpulan dari laporan praktik residensi medikal bedah yang terdiri dari laporan kasus kelolaan, penerapan terapi musik berdasarkan evidenced based Nursing dan laporan inovasi tentang pelatihan pengkajian ESAS dan penatalaksanaannya. Praktik ini menerapkan asuhan keperawatan pada pasien kanker dengan menggunakan pendekatan The Corbin and Strauss Chronich Illness Trajectory Model. Fokus dari teori ini adalah menerapkan 9 fase perjalanan penyakit yaitu fase pretrajectory, trajectory, stable, unstable, crisis, acut, comeback, downward dan dying. Tujuan dari pendekatan teori ini adalah untuk mengetahui perjalanan penyakit kanker. Salah satu upaya untuk mengurangi kecemasan pada pasien kemoterapi adalah dengan terapi musik. Pelatihan perawat dapat meningkatkan kemampuan mengkaji ESAS dan memberikan penatalaksanaannya. The Corbin and Strauss Chronich Illness Trajectory Model, terapi musik dan pelatihan pengkajian ESAS dan penatalaksanaannya dapat diaplikasikan pada tatanan klinik untuk meningkatkan kualitas pelayanan keperawatan.

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ABSTRACT
Scientific work is a compilation of the final report medical surgical nursing practice ressidency wich consist of case report under management, the application of music therapy based on evidenced based nursing and innovation report on training of ESAS ( Edmonton Symptomp Assesment System) and it's tretment. This is implement nursing care to cancer patients using theorical approach The Corbin and Strauss Chronich Illness Trajectory Model. The focus of this theory is the apllication of nine phase of chronic illness, consist : pretrajectory, trajectory, stable, unstable, crisis, acut, comeback, downward and dying. The purpose of the theorical approach is to know the trajectory of disease especially cancer. One effort to reduce anxiety related chemotherapy of the patient was music therapy. Training of ESAS and it's treatment will increasing the skill of nurse to asses ESAS and it's treatment. The Corbin and Strauss Chronich Illness Trajectory Model, music therapy and assesment & treatment ESAS training can apllicated in clinical to increse quality of nursing., Scientific work is a compilation of the final report medical surgical nursing practice ressidency wich consist of case report under management, the application of music therapy based on evidenced based nursing and innovation report on training of ESAS ( Edmonton Symptomp Assesment System) and it's tretment. This is implement nursing care to cancer patients using theorical approach The Corbin and Strauss Chronich Illness Trajectory Model. The focus of this theory is the apllication of nine phase of chronic illness, consist : pretrajectory, trajectory, stable, unstable, crisis, acut, comeback, downward and dying. The purpose of the theorical approach is to know the trajectory of disease especially cancer. One effort to reduce anxiety related chemotherapy of the patient was music therapy. Training of ESAS and it's treatment will increasing the skill of nurse to asses ESAS and it's treatment. The Corbin and Strauss Chronich Illness Trajectory Model, music therapy and assesment & treatment ESAS training can apllicated in clinical to increse quality of nursing.]