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"Karya Ilmiah Akhir ini memberikan gambaran tentang pelaksanaan Program Residensi Ners Spesialis Keperawatan Anak dalam bentuk kegiatan praktik Residensi I dan II. Karya Ilmiah Akhir ini bertujuan untuk memberikan gambaran aplikasi Model Konservasi Myra E. Levine pada asuhan keperawatan anak dengan penyakit infeksi dan pencapaian kompetensi baik sebagai pemberi asuhan, advocator, conselor, educator, colaborator, dan agen perubah selama praktik residensi. Ada lima kasus kelolaan yang menjadi pembahasan dalam karya ilmiah ini, dan dari kelima kasus terpilih ditemukan adanya masalah ketidakseimbangan nutrisi kurang dari kebutuhan. Intervensi yang diberikan berdasarkan pinsip-prinsip konservasi sudah mencakup semua masalah yang ditemukan pada klien, walaupun tidak semua masalah dapat terselesaikan Hasil evaluasi pada akhir perawatan dari trophicognosis ketidakseimbangan nutrisi kurang dari kebutuhan pada kelima kasus terpilih, menunjukkan ada yang teratasi, belum teratasi tetapi sudah menunjukkan perbaikan, dan ada juga yang belum teratasi.

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This final assignment provides an overview about the implementation residency practices of the specialist pediatric nurse program in the form practical activities residency I and II. The aim of this final assignment is provide overview application Conservation Model Myra E. Levine on nursing care of children with infectious diseases and the achievement of competencies such as a caregiver advocator, counselor, educator, collaborator, and change agents during practice. There are five cases that discussed in this final assignment, and of the five selected cases found a problem with imbalance nutrition less than demand. Interventions provided by conservation principles have covered all the problems found on the client, although not all problems can be resolved. The evaluation results of trophicognosis imbalance nutrition less than the needs of the five selected cases, indicating there are resolved, not resolved but has shown improvement, and there are also unresolved."

"[Kekurangan nutrisi dan penyakit infeksi merupakan sebuah interaksi yang saling mempengaruhi. Infeksi dapat mempengaruhi status nutrisi dan sebaliknya masalah nutrisi dapat memperburuk kemampuan anak untuk mengatasi penyakit. Karya Ilmiah Akhir ini bertujuan untuk memberikan gambaran aplikasi Model Konservasi Myra E. Levine dalam memberikan asuhan keperawatan pada anak dengan penyakit infeksi yang mengalami ketidakseimbangan nutrisi kurang dari kebutuhan. Model Konservasi Levine diaplikasikan pada lima kasus kelolaan yang mengalami ketidakseimbangan nutrisi kurang dari kebutuhan. Intervensi yang diberikan berdasarkan pinsip-prinsip konservasi sudah mencakup semua masalah yang ditemukan pada klien. Hasil evaluasi pada akhir perawatan dari trophicognosis ketidakseimbangan nutrisi kurang dari kebutuhan pada kelima kasus menunjukkan teratasi sebagian tetapi sudah menunjukkan perbaikan., Under nutrition and infectious diseases is an interaction of mutual influence. The infection can affect nutritional status and than nutritional problems can worsen the child's ability to cope with the disease. Final this study is to give an overview of applications Myra E. Levine's Conservation Model in providing nursing care in children with infectious diseases who have nutritional imbalance less than needs. Levine Conservation Model was applied in five cases managed with nutritional imbalance less than needs. Intervention provided by conservation principle already includes all the problems that are found on the client. The results of the evaluation at the end of the treatment of nutritional imbalance less than the needs trophicognosis of the five cases, showed unresolved but already showing improvement.]"

"Penyakit infeksi dan malnutrisi yang terjadi pada anak merupakan hubungan yang saling timbal balik. Anak dapat mengalami masalah ketidakadekuatan nutrisi sehingga diperlukan konservasi agar anak dapat beradaptasi. Karya ilmiah ini bertujuan memberikan gambaran asuhan keperawatan pada anak dengan menerapkan model konservasi Levine pada anak dengan infeksi yang mengalami ketidakadekuatan nutrisi. Asuhan keperawatan dilakukan melalui tahapan Levine yaitu pengkajian, merumuskan trophicognosis, merencanakan hipotesis, melaksanakan intervensi dan evaluasi respon organismik. Pembahasan dilakukan pada lima kasus, dengan hasil akhir menunjukkan bahwa anak mampu beradaptasi melalui konservasi terhadap perubahan yang terjadi namun evaluasi respon organismik berbeda tergantung pada kemampuan dan keparahan penyakit. Seorang perawat hendaknya memiliki kemampuan berpikir kritis dalam melaksanakan asuhan keperawatan.

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Infectious diseases and malnutrition in children have a reciprocal relationship. Children may experience inadequate nutritional problems. Therefore, conservation in children is important in adaptation. The aim of this paper was to provide an overview of nursing care in children which applied Levine's model of conservation on children with infections who experienced inadequate nutrition. Focus of the discussion was on the use of Levine's theory in meeting the chjldren's nutritional needs. Nursing care was done through the stages of assessment, trophicognosis formulation, hypotheses plan, implementation and evaluation of the organismic responses. The final result showed that the children were able to adapt through the conservation, however the evaluation of organismic responses different among them, depend on the ability and the severity of the disease. Nurses' critical thinking skills are important in implementing nursing care."

"[ABSTRAKAnak malnutrisi membutuhkan energi cukup besar untuk memenuhi kebutuhan metabolisme tubuh. Karya Ilmiah Akhir bertujuan menggambarkan aplikasi model konservasi Levine pada anak dengan penyakit infeksi yang mengalami malnutrisi. Intervensi yang diberikan pada kelima kasus menggunakan empat prinsip konservasi energi yaitu menilai status nutrisi pasien, memonitor intake dan output, mengajarkan keluarga tentang pemberian nutrisi melalui NGT serta kolaborasi dengan tim gizi dalam menentukan kebutuhan nutrisi pasien. Evaluasi menunjukkan adanya peningkatan status nutrisi pada beberapa kasus dengan penyakit penyerta. Model konservasi Levinedapat digunakan dalam memberikan asuhan keperawatan pada anak malnutrisi dengan mempertimbangkan adanya penyakit penyerta yang mengakibatkan tidak tercapainya wholeness.

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ABSTRACTChildren with malnutrition need much energy to fulfill the needs of the body?s metabolism. The final scientific paper aims to describe the application of Levine?s conservation model to children with infectious diseases and malnutrition. The interventions which are given to those 5 cases use 4 conservation principles of energy that is evaluating the status of nutrition of patient, monitoring the intake and ouput, educating the family how to give the nutrition via NGT and collaborating with nutrition team to specify the needs of nutrition of patient. The evaluation shows that there is the rise of nutrition status to some cases with comorbidities. The Levine?s conservation model can be used to give nursing care to children with malnutrition by considering the comorbidities which make the wholeness tough to reach.;Children with malnutrition need much energy to fulfill the needs of the body?s metabolism. The final scientific paper aims to describe the application of Levine?s conservation model to children with infectious diseases and malnutrition. The interventions which are given to those 5 cases use 4 conservation principles of energy that is evaluating the status of nutrition of patient, monitoring the intake and ouput, educating the family how to give the nutrition via NGT and collaborating with nutrition team to specify the needs of nutrition of patient. The evaluation shows that there is the rise of nutrition status to some cases with comorbidities. The Levine?s conservation model can be used to give nursing care to children with malnutrition by considering the comorbidities which make the wholeness tough to reach., Children with malnutrition need much energy to fulfill the needs of the body’s metabolism. The final scientific paper aims to describe the application of Levine’s conservation model to children with infectious diseases and malnutrition. The interventions which are given to those 5 cases use 4 conservation principles of energy that is evaluating the status of nutrition of patient, monitoring the intake and ouput, educating the family how to give the nutrition via NGT and collaborating with nutrition team to specify the needs of nutrition of patient. The evaluation shows that there is the rise of nutrition status to some cases with comorbidities. The Levine’s conservation model can be used to give nursing care to children with malnutrition by considering the comorbidities which make the wholeness tough to reach.]"

"Karya ilmiah akhir ini membahas tentang penerapan model Konservasi Levine dalam pemberian asuhan keperawatan pada pada anak dengan gangguan pernapasan. Infeksi saluran pernapasan akut merupakan suatu gangguan pulmonal yang memiliki efek samping hipoksemia dan kegagalan pernapasan melalui pemberian asuhan keperawatan dengan menerapkan prinsip konservasi untuk mempertahankan keseimbangan energi, konservasi integritas struktural, personal dan sosial. Beberapa masalah keperawatan yang ditemukan antara lain gangguan pertukaran gas, ketidakefektifan pola napas dan ketidakefektifan bersihan jalan napas. Model Konservasi diharapkan menjadi acuan praktik keperawatan pada pada anak dengan gangguan pernapasan.

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The end scientific work is about the application of the Levine's Conservation model in the provision of nursing care to children with respiratory disorders. Respiratory infection acute is a pulmonary disorder that has a side effect of hypoxemia and respiratory failure. The side effects of hypoxemia and respiratory failure can be minimized through the provision of nursing care by applying the principle of conservation of energy to maintain balance, conservation of structural integrity, personal and social. Some nursing problems were found among other disorders of gas exchange, breathing pattern ineffective airway clearance and ineffectiveness. This Conservation model is expected to be a reference of nursing practice in children with respiratory disorders."

"[ABSTRAKAnak dan remaja yang menderita kanker sering mengalami gangguan tidur yang dapat menyebabkan penurunan daya tahan tubuh dan mempengaruhi kualitas hidup. Tujuan penulisan karya ilmiah akhir ini untuk memberikan gambaran penerapan Model Konservasi Levine dalam asuhan keperawatan pada anak dengan kanker yang mengalami gangguan tidur serta pencapain kompetensi sebagai pemberi asuhan, advocator, conselor, educator, colaborator serta inovator selama praktik residensi. Terdapat lima kasus kelolaan yang menjadi pembahasan dalam karya ilmiah ini dan teridentifikasi masalah tidur yaitu gangguan pola tidur dan gangguan kurang tidur. Intervensi keperawatan yang diberikan didasarkan pada prinsip-prinsip konservasi, yaitu konservasi energi, integritas struktural, integritas personal dan integritas sosial. Hasil evaluasi berdasarkan respon organismik menunjukkan ada masalah yang teratasi, teratasi sebagian dan menunjukkan perbaikan serta belum teratasi. Residen merekomendasikan penerapan Model Konservasi Levine dalam asuhan keperawatan pada anak dengan kanker yang mengalami masalah gangguan tidur dengan intervensi sleep hygiene dan terapi komplementer pemberian madu sebelum anak tidur untuk mencapai hasil asuhan yang optimal.

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ABSTRACTChildren and adolescents with cancer often experience sleep disorders that can lead to a decrease in the immune system and affect the quality of life. The purpose of this report is provide an overview Levine's Conservation Model application on nursing care of children with cancer experiencing sleep patterns and of the competencies such as a caregiver, advocator, counselor, educator, collaborator, and inovator during practice. There are five cases which being discussed on this scientific work and from five selected cases founded sleep disorders such as sleep patterns and sleep disturbances. Nursing intervention based on conservation principles such as energy conservation, structural integrity, personal integrity and social integrity. Moreover, evaluation of the intervention based on organismic responses indicate that some problem were resolved, partially resolved with some improvement or unresolved. Resident recommended the applicaton Levine's Conservation Model on nursing care of children with cancer experiencing sleep disorders with the intervention of sleep hygiene and the provision of complementary therapies giving honey before children's sleep to achieve optimal results. , Children and adolescents with cancer often experience sleep disorders that can lead to a decrease in the immune system and affect the quality of life. The purpose of this report is provide an overview Levine’s Conservation Model application on nursing care of children with cancer experiencing sleep patterns and of the competencies such as a caregiver, advocator, counselor, educator, collaborator, and inovator during practice. There are five cases which being discussed on this scientific work and from five selected cases founded sleep disorders such as sleep patterns and sleep disturbances. Nursing intervention based on conservation principles such as energy conservation, structural integrity, personal integrity and social integrity. Moreover, evaluation of the intervention based on organismic responses indicate that some problem were resolved, partially resolved with some improvement or unresolved. Resident recommended the applicaton Levine’s Conservation Model on nursing care of children with cancer experiencing sleep disorders with the intervention of sleep hygiene and the provision of complementary therapies giving honey before children’s sleep to achieve optimal results. ]"

"ABSTRAK Dehidrasi dapat menyebabkan terjadinya hipovolemia, kegagalan organ, danbahkan berakhir dengan kematian. Asuhan keperawatan yang berkualitas sangatdiperlukan dalam mengatasi masalah gangguan cairan pada anak. Karya ilmiahakhir ini bertujuan untuk memberikan gambaran aplikasi Model KonservasiMyra E. Levine dalam memberikan asuhan keperawatan pada anak dengan kankeryang mengalami ketidakseimbangan cairan. Intervensi berdasarkan modelkonservasi Levine yaitu mengkaji tanda-tanda dehidrasi, memantau adanyamuntah, diare dan demam, mengukur tanda-tanda vital, mengukur intake outputcairan dan melakukan analisis terhadap balance cairan. Evaluasi setelahdilakukan intervensi keperawatan pada kasus 1, 2, dan 3 masalah risikokekurangan volume cairan tubuh tidak terjadi, sedangkan pada kasus 4 sampaidengan 5, masalah ketidakseimbangan cairan teratasi. Rekomendasi karya ilmiahini adalah dalam memberikan asuhan keperawatan pada anak dengan kasushemato-onkologi yang mengalami ketidakseimbangan cairan kepada pasien dapatmenerapkan teori keperawatan model konservasi Myra E. Levine.ABSTRACT Dehydration can lead to hypovolemia, organ failure, and even death. Qualitynursing care is of high importance in addressing the problem of fluid imbalancein children. This paper aimed to describe the application of Levine?sConservation Model in providing nursing care to children with cancer whoexperience fluid imbalance. Based on this model, the interventions includereviewing signs of dehydration, monitoring vomiting, diarrhea, and fever,measuring vital signs, measuring the fluid intake and output and analyzing thefluid balance. After the nursing intervention, the problem of risk of body fluidvolume deficiency did not occur in cases number 1, 2, and 3; while in the casesnumber 4 and 5 in which fluid imbalance already happened, this imbalanceproblem was resolved. It can be concluded that Levine?s model is an effectiveapproach to manage the fluid imbalance problem in children with hematooncologycases.;Dehydration can lead to hypovolemia, organ failure, and even death. Qualitynursing care is of high importance in addressing the problem of fluid imbalancein children. This paper aimed to describe the application of Levine?sConservation Model in providing nursing care to children with cancer whoexperience fluid imbalance. Based on this model, the interventions includereviewing signs of dehydration, monitoring vomiting, diarrhea, and fever,measuring vital signs, measuring the fluid intake and output and analyzing thefluid balance. After the nursing intervention, the problem of risk of body fluidvolume deficiency did not occur in cases number 1, 2, and 3; while in the casesnumber 4 and 5 in which fluid imbalance already happened, this imbalanceproblem was resolved. It can be concluded that Levine?s model is an effectiveapproach to manage the fluid imbalance problem in children with hematooncologycases.;Dehydration can lead to hypovolemia, organ failure, and even death. Qualitynursing care is of high importance in addressing the problem of fluid imbalancein children. This paper aimed to describe the application of Levine?sConservation Model in providing nursing care to children with cancer whoexperience fluid imbalance. Based on this model, the interventions includereviewing signs of dehydration, monitoring vomiting, diarrhea, and fever,measuring vital signs, measuring the fluid intake and output and analyzing thefluid balance. After the nursing intervention, the problem of risk of body fluidvolume deficiency did not occur in cases number 1, 2, and 3; while in the casesnumber 4 and 5 in which fluid imbalance already happened, this imbalanceproblem was resolved. It can be concluded that Levine?s model is an effectiveapproach to manage the fluid imbalance problem in children with hematooncologycases.;Dehydration can lead to hypovolemia, organ failure, and even death. Qualitynursing care is of high importance in addressing the problem of fluid imbalancein children. This paper aimed to describe the application of Levine?sConservation Model in providing nursing care to children with cancer whoexperience fluid imbalance. Based on this model, the interventions includereviewing signs of dehydration, monitoring vomiting, diarrhea, and fever,measuring vital signs, measuring the fluid intake and output and analyzing thefluid balance. After the nursing intervention, the problem of risk of body fluidvolume deficiency did not occur in cases number 1, 2, and 3; while in the casesnumber 4 and 5 in which fluid imbalance already happened, this imbalanceproblem was resolved. It can be concluded that Levine?s model is an effectiveapproach to manage the fluid imbalance problem in children with hematooncologycases.;Dehydration can lead to hypovolemia, organ failure, and even death. Qualitynursing care is of high importance in addressing the problem of fluid imbalancein children. This paper aimed to describe the application of Levine?sConservation Model in providing nursing care to children with cancer whoexperience fluid imbalance. Based on this model, the interventions includereviewing signs of dehydration, monitoring vomiting, diarrhea, and fever,measuring vital signs, measuring the fluid intake and output and analyzing thefluid balance. After the nursing intervention, the problem of risk of body fluidvolume deficiency did not occur in cases number 1, 2, and 3; while in the casesnumber 4 and 5 in which fluid imbalance already happened, this imbalanceproblem was resolved. It can be concluded that Levine?s model is an effectiveapproach to manage the fluid imbalance problem in children with hematooncologycases."

"Karya Ilmiah Akhir ini memberikan gambaran tentang pelaksanaan Program Residensi Ners Spesialis Keperawatan Anak. Tujuan penulisan Karya Ilmiah Akhir ini adalah memberikan gambaran penerapan Model Konservasi Levine dalam asuhan keperawatan pada anak dengan kanker yang mengalami masalah ketidakseimbangan nutrisi dan pencapaian kompetensi dalam praktik professional dan bertanggung gugat secara etik dan legal, memberikan asuhan dan manajemen asuhan keperawatan serta mengembangkan profesionalisme dalam peningkatan mutu pelayanan keperawatan. Terdapat lima kasus kelolaan yang menjadi pembahasan dalam karya ilmiah ini, dan dari kelima kasus terpilih ditemukan adanya masalah ketidakseimbangan nutrisi kurang dan lebih dari kebutuhan. Intervensi keperawatan yang diberikan didasarkan pada pinsip-prinsip konservasi, yaitu konservasi energi, integritas struktural, integritas personal dan integritas sosial. Hasil evaluasi berdasarkan respon organismik menunjukkan terdapat masalah yang teratasi, teratasi sebagian dan sudah menunjukkan perbaikan, belum teratasi serta tidak teratasi.

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This final report describes an implementation of Internship Pediatric Nursing Program. The purposes of this report are to provide an overview of Levine’s Conservation Model application on nursing care of children with cancer experiencing nutritional imbalance and of the competencies achievement within these three trajectories: professional, ethical and legal practice; care provision and management; professional development towards the quality of care improvement. This report presents five selected cases with nutritional imbalance problems: less and more than requirement. Nursing intervention were provide based on conservation principles: energy conservation, structural integrity, personal integrity and social integrity. Moreover, evaluation of the intervention based on organismic responses indicate that some problem were resolved, partially resolved with some improvement or unresolved."

"Anak selama dirawat rentan mengalami berbagai masalah kesehatan termasuk kerusakan integritas kulit. Tujuan penulisan Karya Ilmiah Akhir ini adalah memberikan gambaran aplikasi Model Konservasi Levine dalam asuhan keperawatan dan gambaran pencapaian kompetensi serta peran perawat dalam asuhan keperawaatan pada anak yang berisiko mengalami kerusakan integritas kulit. Model Konservasi Levine berfokus pada peningkatan adaptasi melalui prinsip konservasi untuk mencapai keutuhan diri. Hasil evaluasi didapatkan bahwa integritas kulit semua kasus kelolaan dapat terjaga. Hal ini menunjukkan bahwa Model Konservasi Levine dapat diaplikasikan pada pasien yang berisiko mengalami kerusakan integritas kulit. Asuhan keperawatan dilaksanakan oleh residen dengan melaksanakan perannya sebagai pemberi asuhan, pendidik, pengelola asuhan, advokat, peneliti dan agen pembaharu.

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Children over the treated susceptible to a variety of health problems including damage to skin integrity. The purpose of this final scientific writing is to give an overview of applications Levine’s Conservation Model in nursing care and description of the achievement of competence and the role of nurses in the care in children at risk of damage to the integrity of the skin. Levine’s Conservation Model focuses on improving adaptation through conservation principles to achieve wholeness. Evaluation results showed that all cases of skin integrity can be maintained under management. This suggests that the Levine's Conservation Model can be applied to patients at risk of damage to the integrity of the skin. Carried out by the resident nursing care by carrying out its role as caregivers, educators, care managers, advocates, researchers and innovators agent. "

"Penulisan karya ilmiah akhir ini bertujuan untuk mengaplikasikan Model Konservasi Myra E Levine dalam pemenuhan kebutuhan nutrisi pada bayi prematur Nutrisi pada bayi prematur penting untuk kelangsungan hidup dan tumbuh kembang yang optimal Tantangan dalam pemberian nutrisi pada bayi prematur adalah adanya imaturitas organ Cara pemberian nutrisi pada bayi prematur tergantung pada keadaan klinis dan usia gestasi Nutrisi pada bayi prematur dapat diberikan secara enteral maupun parenteral Selama menjalani perawatan tiga dari lima bayi prematur dalam uraian karya ilmiah akhir ini menunjukkan status kardiopulmonal yang stabil tidak terdapat instabilitas suhu dan peningkatan berat badan masih dalam rentang normal yaitu 10 15 gram hari

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The aim of this final scientifict report was to apply Myra E Levine Conservation Model rsquo s in feeding intervention preterm infants Nutrition is important for survival optimal growth and development of preterm infants The challenge in feeding preterm infants is the organ immaturity Feeding in preterm infants depends on clinical status and gestasional age Nutrition in preterm infants can be provides by enteral and total parenteral nutrition During treatments three of five preterm infants in this final scientifict report showed cardiopulmonal stability status stability of body temperature and increase of body weights was in the normal range of 10 15 gram day "