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"Praktik klinik lanjut di ruang neurologi untuk memberikan asuhan keperawatan pada pasien gangguan neurologi menggunakan teori keperawatan Model Adaptasi Roy, menerapkan praktik keperawatan berdasarkan pembuktian dan melakukan inovasi keperawatan. Masalah keperawatan terbanyak akibat respon perilaku inefektif pada mode adaptasi fisiologis yaitu perfusi jaringan serebral tidak efektif, dan mode fungsi peran yaitu manajemen kesehatan diri tidak efektif. Intervensi keperawatan berdasarkan pembuktian yang telah diterapkan yaitu Skrining Malnutrisi menggunakan Mini Nutrional Assesment (MNA) dan Barthel Index (BI) yang dapat mendeteksi risiko kejadian malnutrisi pada pasien gangguan neurologi yang di rawat inap, sehingga dapat mencegah malnutrisi dengan kolaborasi dengan tim gizi. Inovasi keperawatan yaitu Bladder Training dengan menggunakan chart Bladder diary untuk mencegah kejadian infeksi nosokomial dan melatih pasien gangguan neurologi agar dapat berkemih mandiri tanpa bantuan alat. Perawat dapat menerapkan Model Adaptasi Roy, menerapkan skrining malnutrisi untuk mendeteksi awal risiko kejadian malnutrisi serta melakukan kegiatan inovatif dalam memberikan asuhan keperawatan pada gangguan neurologi.

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Advanced clinical practice in neurology ward is conducted to give nursing implementation on patients with neurological system disorder by using Roy’s Adaptation theory, implementing nursing practice based on evidence and implementation of nursing innovation. The most frequent nursing problems that occurred resulted from ineffective behavior response on physical adaptation mode were ineffective cerebral tissue perfusion and role function mode, ineffective self-care management. Nursing intervention based on evidence-based practice on Malnutrition Screening by using Mini Nutritional Assesment (MNA) and Barthel Index (BI) is used to know the risk of malnutrition on patients with neurological in the ward, so we can prevent malnutrition by collaborating with the nutrition team. Nursing innovation with Bladder Training by using Bladder diary is used to prevent infection in hospital and to train patients with neurological system disorder, so that the patients can be autonomous without using any equipment. Nurses can implement Roy’s Adaptation Theory with Malnutrition Screening application to prevent malnutrition, and at the same time it can execute innovation in nursing implementation on patients with neurological system."

"Sistem persarafan manusia adalah sistem khusus yang mengontrol dan mengintegrasi bermacam aktivitas sel tubuh. Gangguan sistem saraf merupakan Global Burden of Disease (GBD) karena dapat menyebabkan kecacatan dan kematian. Praktik Residensi Keperawatan Medikal Bedah merupakan wadah untuk menerapkan peran sebagai Advanced Practice Nurse (APN) dalam memberikan asuhan keperawatan pada pasien dengan gangguan neurologi. Pada asuhan keperawatan pada Stroke iskemik dan gangguan sistem saraf dengan pendekatan Model Adaptasi Roy ditemukan masalah keperawatan akibat perilaku tidak adaptif pada mode fisiologis adalah risiko ketidakefektifan jaringan perfusi serebral, kerusakan mobilitas fisik dan padamode adaptasi psikologis adalah ansietas. Hasil penerapan Evidence Based Nursing (EBN) menunjukkan bahwa minyak lada hitam meningkatkan kemampuan menelan pasien stroke. Hasil penerapan inovasi bladder trainingdapat meningkatkan fungsi berkemih pasien dengan gangguan neurologi.

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Human nervous system is a special system that controls and integrates a variety of body function activity through electrical impulses. Neurological disorder is the Global Burden of Disease (GBD) as it can cause disability and mortality. Medical Surgical Nursing Practice Residency is a chance to apply the role of Advanced Practice Nurse (APN) to provide nursing care to patients with neurological disorders. In nursing care to Ischemic stroke and number of neurological disorder to approach Roy Adaptation Model nursing due to behavioral problems are found to be ineffective at physiological mode is the risk of cerebral perfusion ineffective tissue, impaired pyhsical mobility and the psychological adaptation mode is anxiety. The results of the application of Evidence Based Nursing (EBN) show that black pepper oil improve swallowing ability of stroke patients. The results of the application of innovation bladder training can improve voiding function of patients with neurological disorders."

"Praktik klinik lanjut di ruang neurologi untuk memberikan asuhan keperawatan pada pasien gangguan neurologi menggunakan teori keperawatan Model Adaptasi Roy, menerapkan praktik keperawatan berdasarkan pembuktian dan melakukan inovasi keperawatan. Masalah keperawatan terbanyak akibat respon perilaku inefektif pada mode adaptasi fisiologis yaitu perfusi jaringan serebral tidak efektif, mode adaptasi psikologis yaitu ansietas dan berduka, sedangkan mode fungsi peran yaitu manajemen kesehatan diri tidak efektif. Intervensi keperawatan berdasarkan pembuktian yang telah diterapkan yaitu Slow-Stoke Back Massage (SSBM) yang dapat meningkatkan relaksasi pada pasien stroke. Inovasi keperawatan yaitu penggunaan pengkajian indeks barthel untuk menegakkan diagnosa keperawatan yang berhubungan dengan ketidakmampuan fungsional. Perawat dapat menerapkan Model Adaptasi Roy, menerapkan SSBM untuk meningkatkan relaksasi serta melakukan kegiatan inovatif dalam memberikan asuhan keperawatan pada gangguan neurologi.

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Advanced clinical practice on patient with neurological system disorder using Roy's Adaptation theory is the implementation of nursing practice based on evidence and implementation of nursing innovation. The most frequent nursing problems occured was ineffective cerebral tissue perfusion caused by ineffective behavior response on physical adaptation mode, and anxiety and grieving from psychological adaptation mode. Ineffective self-care management was the nursing problem from role function mode. Nursing intervention based on evidence based practice on Slow-Stoke Back Massage (SSBM) can improve relaxation on stroke patient. Nursing innovation in this clinical practice was the use of Barthel index assessment to formulate nursing diagnosis that related with functional disability. Nurse can implement Roy’s Adaptation Theory with Slow-Stoke Back Massage (SSBM) application to improve relaxation, and at the same time can execute innovation activities in delivering nursing care on neurological disorder."