ABSTRAK
Pelaksanaan praktek klinik selama masa residensi keperawatan peminatan onkologi bertujuan untuk mampu menampilkan peran perawat spesialis sebagai pemberi asuhan keperawatan lanjut, pendidik, advokat, konselor, kolaborator, pembaharu dan peneliti, Peran pemberi asuhan keperawatan lanjut dilakukan dengan menggunakan Model Adaptasi Roy pada pasien Leiomyosarcoma Uterus dan 30 pasien kanker lainnya. Perilaku maladaptif paling banyak adalah mode adaptasi fisiologis dengan diagnosa keperawatan nyeri kronis. Intervensi keperawatan berupa manajemen nyeri ditujukan untuk meningkatkan adaptasi pasien dalam mengontrol nyeri kanker. Evidence Based Nursing dilakukan dengan menerapkan instrumen pengkajian MASCC Antiemesis Tool pada tujuh belas pasien yang menjalani program kemoterapi dan mengalami keluhan mual muntah akibat kemoterapi dengan hasil MASCC Antiemesis Tool merupakan instrumen pengkajian yang spesifik dan sensitif untuk mengkaji mual muntah akibat kemoterapi. Program inovasi kelompok berupa pembuatan media video panduan dan pelaksanaan intervensi kombinasi Progressive Muscle Relaxation dan Guided Imagery terbukti efektif sebagai tindakan mandiri keperawatan dalam manajemen nyeri kanker.

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ABSTRACT<>br>Implementation of clinical practice during the residency of nursing oncology aims to be able to showcase the role of specialist nurse as advanced nursing care provider , educator, advocator, counselor, collaborator, innovator and researcher. Role of specialist as advance nursing care provider is done by using Roy Adaptation Model on Leiomyosarcoma Uterus and 30 other cancer patients. Maladaptive behavior at most is a physiological adaptation mode with a chronic pain nursing diagnosis. Nursing outcome of pain management are aimed at improving patient adaptation in controlling cancer pain. Evidence Based Nursing was performed by applying the MASCC Antiemesis Tool assessment instrument to seventeen patients undergoing chemotherapy and experiencing chemotherapy induced nausea and vomiting. The MASCC Antiemesis Tool is a specific and sensitive instrument for assessing chemotherapy induced nausea and vomiting. The innovation program was making of video guide media and implementation of combination interventions of Progressive Muscle Relaxation and Guided Imagery proved effective as nursing intervention in the management of cancer pain.