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"Urolitiasis merupakan masalah kesehatan yang cukup bermakna di dunia ataupun di indonesia. Penyakit ini terjadi pada 5-10% populasi di seluruh dunia dengan angka kejadian dan prevalency terkecil terjadi di wilayah Asia khususnya jepang. Di indonesia, batu saluran kemih merupakan salah satu penyakit yang memiliki jumlah pasien terbesar di klinik urologi dan besarnya angka kejadian ini terjadi karena 50% dari penderita batu saluran kemih mengalami kekambuhan dalam 5 tahun dan 70% dalam 10 tahun. Karya ilmiah ini dibuat untuk mengetahui asuhan keperawatan serta discharge planning pada klien dengan urolitiasis. Karya ilmiah ini menggunakan metode studi literatur yang kemudian membandingkannya dengan hasil praktik di lapangan. Hasil dari penelitian ini adalah Ny T mengalami 3 dari 6 tanda dan gejala klien dengan urolitiasis, memiliki 6 dari 10 faktor resiko penyebab urolitiasis, mengalami nyeri pada pre operatif, resiko jatuh pada intra operatif dan mengalami nyeri, hipertermi dan resiko kekurangan cairan pada saat post operasi. Klien menjalani 4 pemeriksaan penunjang, menjalani tidakan medis URS dan pemasangan DJ Stent serta telah diberikan discharge planning. Hasil ini diperoleh karena Ny T telah menjalani proses pengkajian serta intervensi medis dan keperawatan. Akan tetapi, agar asuhan keperawatan dan discharge palnning pada klien dengan urolitiasis dapat dilakukan dengan baik, disarankan agar pihak RS memberikan pelatihan kepada perawat mengenai asuhan keperawatan dan discharge planning, melakukan supervisi dan pengawasan dalam proses pemberian asuhan keperawatan dan discharge planning serta diharapkan adanya kesadaran dari tenaga kesehatan khususnya perawat untuk meningkatkan pengetahuannya mengenai asuhan keperawatan dan discharge planning klien dengan urolitiasis.

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Urolithiasis is a considerable health problem in the world as well as in Indonesia. This disease occurs in 5-10% of the population around the world with incidence and smallest prevalency occurred in areas of Asia, especially Japan. In Indonesia, a urinary stone is one of the disease which has the largest number of patients at the urology clinic and this is occurred because 50% of patients experience a recurrence of urinary tract stones in 5 years and 70% within 10 years. This paper was made to determine nursing care and discharge planning on the client with urolithiasis. This paper used a literature study methods and comparetion with the results of field practice.

Results of this study was Mrs T had 3 over 6 signs and symptoms of urolithiasis, has 6 over 10 of risk factors cause urolithiasis, experiencing pain in pre-operative, had risk of fall and experienced pain in intraoperative, hyperthermia and risk for defecient fluid volume in post operative. The client also endured 4 examination, URS procedure and DJ Stents treatement, and has been given the discharge planning. However, in order to give nursing care and discharge planning on the client with urolithiasis well, training for nurses regarding nursing care and discharge planning and supervision in the process of providing nursing care and discharge planning on the client with urolithiasis should be addressed by hospitals. Besides, awareness of health practitioners especially nurses to improve their knowledge about nursing care and discharge planning on clients with urolithiasis need to be enhanced."

"Masalah masyarakat perkotaan yakni perubahan gaya hidup terkait pola makan dan aktivitas fisik berdampak pada obesitas yang mempengaruhi program rehabilitasi klien post total hip arthroplasty. Obesitas menjadi salah satu faktor risiko terjadinya komplikasi post total hip arthroplasty yang dapat menunda kemajuan pemulihan dan penyembuhan klien. Komplikasi total hip arthroplasty berupa dislokasi dapat menyebabkan nekrosis avaskular. Nekrosis avaskular stase lanjut hanya dapat ditangani melalui operasi total hip arthroplasty. Prosedur total hip arthroplasty dapat menyebabkan kerusakan mobilitas fisik pada klien. Penulisan ini bertujuan untuk menganalisis implementasi pemberian edukasi pencegahan dislokasi dan latihan mobilisasi di rumah sakit pada klien post total hip arthroplasty. Pemberian edukasi pencegahan dislokasi dan program latihan di rumah sakit yang diawasi (supervised in-hospital exercise program) oleh perawat atau ahli fisioterapi kepada klien dan keluarga sebagai bagian dari program rehabilitasi klien post total hip arthroplasty menjadi upaya untuk meningkatkan kualitas hidup klien.

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Urban society problem which is changes in life style related to eating habits and physical activity lead to obesity which influences rehabilitation program of client after total hip arthroplasty surgery. Obesity is one of risk factors for post total hip arthroplasty complication that could delay rehabilitation progress and recovery. Total hip arthroplasty complication such as dislocation could cause avascular necrosis. Later stages of avascular necrosis could only be handled by doing the total hip arthroplasty surgery. Total hip arthroplasty surgery could cause impaired physical mobility in client. The aims of this paper was to analyze the implementation of giving education for preventing dislocation and mobilization exercise in hospital for client after total hip arthroplasty surgery. Giving education of preventing dislocation and supervised in-hospital exercise program by nurses or physiotherapists for client and family as part of rehabilitation program for client after total hip arthroplasty surgery should be addressed to improve clients’ quality of life."

"Salah satu hal yang harus diperhatikan perawat dalam melakukan asuhan keperawatan pada klien post op TURP adalah pemantauan cairan irigasi. Penelitian ini bertujuan untuk mengidentifikasi hal-hal yang perlu diperhatikan dan diketahui perawat dalam melakukan pemantauan irigasi bladder.Hasil penelitian menunjukkan bahwa hal yang harus diperhatikan perawat dalam melakukan pemantauan irigasi bladder antara lain jenis cairan yang digunakan, kecepatan aliran, ballance cairan, pemantauan tanda-tanda penyumbatan kateter, dan meningkatkan intake cairan di atas 3000 ml per hari. Pengetahuan perawat tentang irigasi bladder perlu ditingkatkan untuk menghindari komplikasi yang umum terjadi pada klien post op TURP.

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One of important thing that should be cared by nurse for post TURP patient is monitoring bladder irrigation. The aims of the study was to identify the thing that should be cared by nurse during monitoring bladder irrigation. The result indicated the thing that shuould be cared during bladder irrigation are kind of fluid, rapidity of fluid, fluid ballance, sign of chatheter blockage, and increase fluid intake up to 3000 ml per day. Knowledge about bladder irrigation of the nurse should be increase to avoid complication that commonly happen to post op TURP client."

"Kasus kelainan payudara umum terjadi pada wanita usia dewasa di daerah perkotaan. Perubahan gaya hidup masyarakat perkotaan menyebabkan terjadinya peningkatan jumlah kasus baru setiap tahunnya dan terdeteksi pada stadium lanjut. Untuk mendeteksi secara dini adanya kelainan payudara maka perlu dilakukan pemeriksaan SADARI secara teratur. Penulisan ini bertujuan untuk mengetahui kefektifan pemeriksaan SADARI pada klien dengan kelainan payudara di ruang Bedah Kelas Anggrek Kanan RSUP Persahabatan. Hasil yang didapatkan menunjukkan bahwa SADARI efektif dilakukan sebagai pendeteksian dini terjadinya kelainan pada payudara. Pengetahuan wanita tentang pemeriksaan SADARI perlu ditingkatkan untuk menghindari terjadinya kelainan payudara yang bersifat keganasan.

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Cases of breast abnormalities are common in adult women in urban areas. Changes in urban lifestyle caused an increase in the number of new cases each year and it is detected on later stage. Regular breast self-examination (BSE) is necessary to detect breast abnormalities earlier. The aim of this paper was to determine the effectiveness of breast self-examination on a client with breast abnormalities in Anggrek Tengah Kanan Room RSUP Persahabatan. The results showed that the BSE was effective as early detection of abnormalities in the breast. Knowledge of women about breast self-examination should be improved to avoid incident of breast abnormalities that are malignant."

"[ABSTRAK BPH salah satu penyakit yang sering ditemukan di negara-negara berkembang, prevelansi dan insiden BPH banyak terjadi pada lansia pria yang banyak tinggal di daerah perkotaan dan menempati presentase kasus urologi yang paling umum terjadi dimana kasusnya mencapai 75%. Kasus BPH di perkotaan sering ditangani dengan tindakan Transurethral Resection Prostate (TURP). Salah satu hal yang harus diperhatikan perawat dalam melakukan asuhan keperawatan pada klien post op TURP adalah pemantauan cairan irigasi. Penulisan ini memaparkan dan menganalisis asuhan keperawatan post operasi yang menitikberatkan pada implementasi pemantauan irigasi bladder. Hasil analisis menunjukkan ada hal-hal yang harus diperhatikan oleh perawat dalam melakukan pemantauan irigasi bladder antara lain jenis cairan yang digunakan, kecepatan aliran, dan pemantauan tanda-tanda penyumbatan kateter. Pengetahuan perawat tentang irigasi bladder perlu ditingkatkan untuk menghindari komplikasi yang umum terjadi pada pasien post op TURP; ABSTRACT BPH is one of a common disease in developing country, BPH incident and prevalency mostly found in elderly who live in urban area and and be the most common urology case up to 75% cases. Usually BPH in urban area handled with Transurethral Resection of Prostate (TURP). One of nursing consideration on post TURP care is irrigation fluid monitoring. This research describe and analyze post TURP nursing care which focused implementation on irrigation bladder. The analysis result showed that things such as fluid type, flow velocity, and chatether clearance need to be awared. Knowledge about bladder irrigation of the nurse should be increase to avoid complication that commonly happen to post op TURP client.;BPH is one of a common disease in developing country, BPH incident and prevalency mostly found in elderly who live in urban area and and be the most common urology case up to 75% cases. Usually BPH in urban area handled with Transurethral Resection of Prostate (TURP). One of nursing consideration on post TURP care is irrigation fluid monitoring. This research describe and analyze post TURP nursing care which focused implementation on irrigation bladder. The analysis result showed that things such as fluid type, flow velocity, and chatether clearance need to be awared. Knowledge about bladder irrigation of the nurse should be increase to avoid complication that commonly happen to post op TURP client.;BPH is one of a common disease in developing country, BPH incident and prevalency mostly found in elderly who live in urban area and and be the most common urology case up to 75% cases. Usually BPH in urban area handled with Transurethral Resection of Prostate (TURP). One of nursing consideration on post TURP care is irrigation fluid monitoring. This research describe and analyze post TURP nursing care which focused implementation on irrigation bladder. The analysis result showed that things such as fluid type, flow velocity, and chatether clearance need to be awared. Knowledge about bladder irrigation of the nurse should be increase to avoid complication that commonly happen to post op TURP client.;BPH is one of a common disease in developing country, BPH incident and prevalency mostly found in elderly who live in urban area and and be the most common urology case up to 75% cases. Usually BPH in urban area handled with Transurethral Resection of Prostate (TURP). One of nursing consideration on post TURP care is irrigation fluid monitoring. This research describe and analyze post TURP nursing care which focused implementation on irrigation bladder. The analysis result showed that things such as fluid type, flow velocity, and chatether clearance need to be awared. Knowledge about bladder irrigation of the nurse should be increase to avoid complication that commonly happen to post op TURP client., BPH is one of a common disease in developing country, BPH incident and prevalency mostly found in elderly who live in urban area and and be the most common urology case up to 75% cases. Usually BPH in urban area handled with Transurethral Resection of Prostate (TURP). One of nursing consideration on post TURP care is irrigation fluid monitoring. This research describe and analyze post TURP nursing care which focused implementation on irrigation bladder. The analysis result showed that things such as fluid type, flow velocity, and chatether clearance need to be awared. Knowledge about bladder irrigation of the nurse should be increase to avoid complication that commonly happen to post op TURP client.]"