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Titi Iswanti Afelya
Penerapan teori self care Dorothea Orem pada pasien dm dengan multipel ulkus, CKD stage V, dan hipoglikemia berulang di RSUPN Cipto Mangunkusumo Jakarta = Orem's self care theory application in type 2 diabetes mellitus patient nursing care with multiple ulcers kidney failure and recurrent hypoglycemia in RSUPN Cipto Mangunkusumo Jakarta
"Salah satu kelompok penyakit metabolik yang terjadi karena kelainan sekresi insulin, kerja insulin atau keduanya adalah Diabetes Melitus (DM) yang ditandai dengan hiperglikemia. Kondisi hiperglikemia yang berkepanjangan menyebabkan DM menjadi salah satu masalah kesehatan yang besar di seluruh dunia karena komplikasinya dapat muncul secara akut maupun kronik. Perawat berperan penting dalam menurunkan angka morbiditas dan mortalitas melalui Diabetes Self- Management Education (DSME) dan Diabetes Self-Management Support (DSMS) untuk mencegah komplikasi dan membantu meningkatkan perubahan gaya hidup yang penting bagi individu. Penerapan DSME dan DSMS dapat dilakukan perawat dengan mengaplikasikan teori Self Care Dorothea Orem pada proses keperawatan. Penerapan teori ini berfokus pada kemampuan individu dalam melakukan tindakan keperawatan mandiri, mengenali dan mengatur kebutuhan perawatannya. Penerapan evidence based practice sesuai program DSME dan DSMS dalam upaya meningkatkan self care pasien DM adalah melalui penggunaan buku harian Pemantauan Gula Darah Mandiri (PGDM). Proyek inovasi latihan kekuatan otot dan keseimbangan dilakukan pada pasien DM lansia untuk mencegah jatuh, meningkatkan kekuatan otot dan keseimbangan berjalan.
One of metabolic diseases that occurs due to abnormalities in insulin secretion, insulin action or both is diabetes mellitus (DM). It is characterized by hyperglycemia. Prolonged of hyperglycemia causes various complication become major health problem worldwide. Nurses play an important role in reducing morbidity and mortality through the Diabetes Self-Management Education (DSME) and Diabetes Self-Management Support (DSMS) to prevent the complications and improve lifestyle changes. Framework of DSME and DSMS were applied using Dorothea Orem's Self Care. The application of this theory focuses on the individual's ability to independently perform nursing actions, identify and manage the treatment needs. Evidence-based practice related to DSME and DSMS programs by using Self Monitoring Blood Glucose Diary (SMBG). The inovation project was muscle strengths and balances exercises in elderly diabetic patients with neuropathy, in other to prevent falls and improve the muscle strengths and balances."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2014
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UI - Tugas Akhir  Universitas Indonesia Library
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Handono Fatkhur Rahman
Analisis penerapan teori Self Care Orem pada pasien diabetes melitus di RSUPN Cipto Mangunkusumo Jakarta = Analysis of the application of Orem Self Care theory on patient with diabetes mellitus in Cipto Mangunkusumo Hospital Jakarta
"[ABSTRAK
Diabetes mellitus (DM) merupakan salah satu dari penyakit kronis. Penanganan DM tidak hanya membutuhkan pendekatan medis, tetapi juga membutuhkan pendekatan multidisiplin termasuk pendekatan keperawatan. Salah satu pendekatan keperawatan yang digunakan adalah teori self care Orem. Tujuan dari teori self care Orem ini adalah memberikan asuhan keperawatan untuk meningkatkan kemandirian pasien dalam perawatan diri. Ners spesialis adalah perawat yang memiliki keahlian dalam bidang klinik, mampu memberikan asuhan keperawatan kepada pasien secara langsung atau tidak langsung dengan mempengaruhi tenaga keperawatan dibawahnya. Ners spesialis dalam memberikan asuhan keperawatan harus berdasarkan pada evidence based nursing. Salah satu evidence based nursing pada pasien DM adalah diabetes self management education (DSME). Sebagai inovator, Ners spesialis melalukan inovasi promosi kesehatan pada pasien DM berupa pemeriksaan dan pemantauan kesehatan mandiri. Hasil dari penerapan teori self care Orem menunjukkan bahwa teori self care Orem dapat dijadikan sebagai panduan dalam pemberian asuhan keperawatan pada pasien DM.ABSTRACT Diabetes mellitus (DM) is one of the chronic diseases. Management of diabetes requires a multidisciplinary approach, one of them is nursing approach. One approach is Orem?s self care Theory. The purpose of the Orem?s self care theory is to improve patient self-care. Clinical nursing specialist is nurse at the clinic experts, able to provide advance nursing care to patients directly or indirectly by influencing subordinates. Clinical nursing specialist in providing nursing care have to use evidence based nursing. evidence based nursing in diabetes patients is diabetes self-management education (DSME). As an innovator, clinical nursing specialist pass health promotion innovations in diabetic patients form self health asessment. Results of the application of Orem self-care theory showed that this theory can be used as a guide to nursing care in diabetic patients.;Diabetes mellitus (DM) is one of the chronic diseases. Management of diabetes requires a multidisciplinary approach, one of them is nursing approach. One approach is Orem?s self care Theory. The purpose of the Orem?s self care theory is to improve patient self-care. Clinical nursing specialist is nurse at the clinic experts, able to provide advance nursing care to patients directly or indirectly by influencing subordinates. Clinical nursing specialist in providing nursing care have to use evidence based nursing. evidence based nursing in diabetes patients is diabetes self-management education (DSME). As an innovator, clinical nursing specialist pass health promotion innovations in diabetic patients form self health asessment. Results of the application of Orem self-care theory showed that this theory can be used as a guide to nursing care in diabetic patients., Diabetes mellitus (DM) is one of the chronic diseases. Management of diabetes requires a multidisciplinary approach, one of them is nursing approach. One approach is Orem’s self care Theory. The purpose of the Orem’s self care theory is to improve patient self-care. Clinical nursing specialist is nurse at the clinic experts, able to provide advance nursing care to patients directly or indirectly by influencing subordinates. Clinical nursing specialist in providing nursing care have to use evidence based nursing. evidence based nursing in diabetes patients is diabetes self-management education (DSME). As an innovator, clinical nursing specialist pass health promotion innovations in diabetic patients form self health asessment. Results of the application of Orem self-care theory showed that this theory can be used as a guide to nursing care in diabetic patients.]"
Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
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UI - Tugas Akhir  Universitas Indonesia Library
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Jon Hafan Sutawardana
Penerapan model keperawatan Self Care Orem pada asuhan keperawatan pasien diabetes melitus dengan ulkus DM dan post amputasi di RSUPN Cipto Mangunkusumo Jakarta = Application of Self Care Orem's model in diabetes mellitus patients with ulcers diabetic and post amputation
"Laporan ini bertujuan untuk memaparkan analisis perawatan pasien diabetes melitus (DM) dengan ulkus diabetes post amputasi yang menggunakan model self care Orem sebagai kerangka kerjanya. Tiga puluh pasien DM juga terlibat dalam perawatan ini. Proyek tindakan keperawatan berbasis pembuktian ilmiah (evidence based nursing practice) dilakukan untuk melihat efektifitas program edukasi self efficacy dalam memperbaiki self care pasien DM tipe 2 saat berada di rumah. Proyek inovasi menghasilkan panduan berupa booklet latihan kekuatan dan keseimbangan pada pasien DM dengan nuropati perifer. Hasil analisis menunjukkan bahwa model self care Orem dapat diterapkan pada perawatan pasien DM dan program edukasi self efficacy menunjukkan hasil ada peningkatan perilaku self care pasien DM saat berada di rumah. Pasien DM dengan neuropati perifer memperoleh manfaat dari latihan kekuatan dan keseimbangan melalui pemberian booklet.
This report aims to describe the analysis of nursing care for diabetic patients with ulcus diabetic post amputation using self care Orem?s model as a framework. Thirty diabetic patients involved in this care. The Evidence Based Nursing Practice (EBNP) project was an education self efficacy program intervention toward self care in type 2 diabetes mellitus patients. The innovation project produced guideline booklet regarding strengths and balances exercise in patients with diabetic peripheral neuropathy. The analysis showed that self care Orem model could be applied in the care for patients with diabetes and the self efficacy program could improve self care for patients with diabetes at home. Diabetic patients with peripheral neuropathy are benefited from the strengths and balances exercise training given from the booklet."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2014
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UI - Tugas Akhir  Universitas Indonesia Library
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Widia Wati
Penerapan asuhan keperawatan model self care orem pada pasien diabetes melitus dengan ulkus di rsupn cipto mangunkusumo = Nursing care by orem's self care model application for diabetes mellitus patient with diabetic ulcer in rsupn cipto mangunkusumo
"[ABSTRAK
Nama WidiaWatiNPM 1206195810Program Studi Ners Spesialis Keperawatan Medikal BedahJudul Penerapan Asuhan Keperawatan Model Self Care Orem pada Pasien Diabetes Melitus dengan Ulkus di RSUPN Cipto Mangunkusumo Diabetes melitus merupakan penyakit metabolik yang terjadi karena kelainan sekresi insulin kerja insulin atau keduanya yang ditandai dengan Hiperglikemia Kondisi hiperglikemia yang tidak teratasi dapat menimbulkan berbagai komplikasi baik komplikasi akut maupun kronik Salah satu komplikasi kronik adalah ulkus diabetes Seiring dengan meningkatnya jumlah kejadian DM maka prevalensi ulkus diabetes akan meningkat juga Di Indonesia ulkus diabetes dan ganggren merupakan komplikasi diabetes yang paling banyak dirawat di rumah sakit Penanganan ulkus diabetes yang tidak optimal menyebabkan meningkatnya hari rawat inap Kondisi luka menimbulkan gangguan pemenuhan kebutuhan perawatan diri bagi pasien Perawat berperan penting dalam membantu pemenuhan Self Care pasien Untuk itu penerapan asuhan keperawatan model Self Care Orem berfokus pada kemampuan individu dalam melakukan tindakan perawatan mandiri mengenali dan mengatur kebutuhan perawatannya Penerapan Evidence Based Nursing adalah terapi Progressive Muscle Relaxation PMR dan latihan nafas merupakan latihan untuk meningkatkan kontrol glikemik dan menurunkan tingkat stress pada pasien DM tipe 2 Sedangkan Inovasi Keperawatan yang diberikan bertujuan meningkatkan Self Care dengan cara meningkatkan kemampuan pasien dalam Self Health Assessment Kata kunci Diabetes melitus Ulkus diabetes Model Self Care Orem ABSTRAK Nama WidiaWatiNPM 1206195810Program Studi Ners Spesialis Keperawatan Medikal BedahJudul Penerapan Asuhan Keperawatan Model Self Care Orem pada Pasien Diabetes Melitus dengan Ulkus di RSUPN Cipto Mangunkusumo Diabetes melitus merupakan penyakit metabolik yang terjadi karena kelainan sekresi insulin kerja insulin atau keduanya yang ditandai dengan Hiperglikemia Kondisi hiperglikemia yang tidak teratasi dapat menimbulkan berbagai komplikasi baik komplikasi akut maupun kronik Salah satu komplikasi kronik adalah ulkus diabetes Seiring dengan meningkatnya jumlah kejadian DM maka prevalensi ulkus diabetes akan meningkat juga Di Indonesia ulkus diabetes dan ganggren merupakan komplikasi diabetes yang paling banyak dirawat di rumah sakit Penanganan ulkus diabetes yang tidak optimal menyebabkan meningkatnya hari rawat inap Kondisi luka menimbulkan gangguan pemenuhan kebutuhan perawatan diri bagi pasien Perawat berperan penting dalam membantu pemenuhan Self Care pasien Untuk itu penerapan asuhan keperawatan model Self Care Orem berfokus pada kemampuan individu dalam melakukan tindakan perawatan mandiri mengenali dan mengatur kebutuhan perawatannya Penerapan Evidence Based Nursing adalah terapi Progressive Muscle Relaxation PMR dan latihan nafas merupakan latihan untuk meningkatkan kontrol glikemik dan menurunkan tingkat stress pada pasien DM tipe 2 Sedangkan Inovasi Keperawatan yang diberikan bertujuan meningkatkan Self Care dengan cara meningkatkan kemampuan pasien dalam Self Health Assessment Kata kunci Diabetes melitus Ulkus diabetes Model Self Care Orem ABSTRACT Name WidiaWatiNPM 1206195810Study Program Postgraduate of Nursing Science programTitle Nursing care by Orem rsquo s self care model application for diabetes mellitus patient with diabetic ulcer in RSUPN Cipto Mangunkusumo Diabetes mellitus is metabolic disease because alter secretion act of insulin or both showed by hyperglycemia Hyperglycemia uncontrolled can cause complication either acute or chronic One of chronic complication is diabetic ulcer Increasing prevalence of diabetes could be assumed that could increase prevalence of diabetic ulcer either In Indonesia diabetic ulcer and gangrene were the most diabetes complication that was hospitalized Care of diabetic ulcer that was not optimal could cause length of stay LOS in hospital Diabetic ulcer could cause needs of self care demand disturbance for patient Nurse had important role in help self care demand for patient For that reason application of nursing care with self care Orem model focused on individual ability to do self care recognize and regulate care requirement Evidence Based Nursing about Progressive Muscle Relaxation PMR therapy and breathing exercise for enhance blood glucose control and reduce stress level in diabetes type 2 patient whereas nursing innovation purposed to enhance self care through increasing patient ability for Self Health Assessment Keywords Diabetes mellitus diabetic ulcer Orem rsquo s Self Care Model;ABSTRACT Name WidiaWatiNPM 1206195810Study Program Postgraduate of Nursing Science programTitle Nursing care by Orem rsquo s self care model application for diabetes mellitus patient with diabetic ulcer in RSUPN Cipto Mangunkusumo Diabetes mellitus is metabolic disease because alter secretion act of insulin or both showed by hyperglycemia Hyperglycemia uncontrolled can cause complication either acute or chronic One of chronic complication is diabetic ulcer Increasing prevalence of diabetes could be assumed that could increase prevalence of diabetic ulcer either In Indonesia diabetic ulcer and gangrene were the most diabetes complication that was hospitalized Care of diabetic ulcer that was not optimal could cause length of stay LOS in hospital Diabetic ulcer could cause needs of self care demand disturbance for patient Nurse had important role in help self care demand for patient For that reason application of nursing care with self care Orem model focused on individual ability to do self care recognize and regulate care requirement Evidence Based Nursing about Progressive Muscle Relaxation PMR therapy and breathing exercise for enhance blood glucose control and reduce stress level in diabetes type 2 patient whereas nursing innovation purposed to enhance self care through increasing patient ability for Self Health Assessment Keywords Diabetes mellitus diabetic ulcer Orem rsquo s Self Care Model;ABSTRACT Name WidiaWatiNPM 1206195810Study Program Postgraduate of Nursing Science programTitle Nursing care by Orem rsquo s self care model application for diabetes mellitus patient with diabetic ulcer in RSUPN Cipto Mangunkusumo Diabetes mellitus is metabolic disease because alter secretion act of insulin or both showed by hyperglycemia Hyperglycemia uncontrolled can cause complication either acute or chronic One of chronic complication is diabetic ulcer Increasing prevalence of diabetes could be assumed that could increase prevalence of diabetic ulcer either In Indonesia diabetic ulcer and gangrene were the most diabetes complication that was hospitalized Care of diabetic ulcer that was not optimal could cause length of stay LOS in hospital Diabetic ulcer could cause needs of self care demand disturbance for patient Nurse had important role in help self care demand for patient For that reason application of nursing care with self care Orem model focused on individual ability to do self care recognize and regulate care requirement Evidence Based Nursing about Progressive Muscle Relaxation PMR therapy and breathing exercise for enhance blood glucose control and reduce stress level in diabetes type 2 patient whereas nursing innovation purposed to enhance self care through increasing patient ability for Self Health Assessment Keywords Diabetes mellitus diabetic ulcer Orem rsquo s Self Care Model;ABSTRACT Name WidiaWatiNPM 1206195810Study Program Postgraduate of Nursing Science programTitle Nursing care by Orem rsquo s self care model application for diabetes mellitus patient with diabetic ulcer in RSUPN Cipto Mangunkusumo Diabetes mellitus is metabolic disease because alter secretion act of insulin or both showed by hyperglycemia Hyperglycemia uncontrolled can cause complication either acute or chronic One of chronic complication is diabetic ulcer Increasing prevalence of diabetes could be assumed that could increase prevalence of diabetic ulcer either In Indonesia diabetic ulcer and gangrene were the most diabetes complication that was hospitalized Care of diabetic ulcer that was not optimal could cause length of stay LOS in hospital Diabetic ulcer could cause needs of self care demand disturbance for patient Nurse had important role in help self care demand for patient For that reason application of nursing care with self care Orem model focused on individual ability to do self care recognize and regulate care requirement Evidence Based Nursing about Progressive Muscle Relaxation PMR therapy and breathing exercise for enhance blood glucose control and reduce stress level in diabetes type 2 patient whereas nursing innovation purposed to enhance self care through increasing patient ability for Self Health Assessment Keywords Diabetes mellitus diabetic ulcer Orem rsquo s Self Care Model, ABSTRACT Name WidiaWatiNPM 1206195810Study Program Postgraduate of Nursing Science programTitle Nursing care by Orem rsquo s self care model application for diabetes mellitus patient with diabetic ulcer in RSUPN Cipto Mangunkusumo Diabetes mellitus is metabolic disease because alter secretion act of insulin or both showed by hyperglycemia Hyperglycemia uncontrolled can cause complication either acute or chronic One of chronic complication is diabetic ulcer Increasing prevalence of diabetes could be assumed that could increase prevalence of diabetic ulcer either In Indonesia diabetic ulcer and gangrene were the most diabetes complication that was hospitalized Care of diabetic ulcer that was not optimal could cause length of stay LOS in hospital Diabetic ulcer could cause needs of self care demand disturbance for patient Nurse had important role in help self care demand for patient For that reason application of nursing care with self care Orem model focused on individual ability to do self care recognize and regulate care requirement Evidence Based Nursing about Progressive Muscle Relaxation PMR therapy and breathing exercise for enhance blood glucose control and reduce stress level in diabetes type 2 patient whereas nursing innovation purposed to enhance self care through increasing patient ability for Self Health Assessment Keywords Diabetes mellitus diabetic ulcer Orem rsquo s Self Care Model]"
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
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UI - Tugas Akhir  Universitas Indonesia Library
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Kartini
Analisis Praktek Keperawatan Medika Bedah Pada Pasien Diabetes Melitus Dengan Ulkus Menggunakan Pendekatan Teori Self Care Orem di RS. Cipto Mangunkusumo Jakarta = Analysis of Application of Medical Surgical Nursing Practice in Patients Diabetes Mellitus With Ulcer Using Orem's Self Care Theory in Cipto Mangunkusumo Jakarta
"Diabetes mellitus merupakan penyakit kronik pada system endokrin yang paling banyak dijumpai dipelayanan kesehatan. Perawat dalam memberikan asuhan keperawatan dapat menggunakan berbagai metode pendekatan, salah satunya dengan model pendekatan Self Care Orem yang menggunakan pendekatan untuk memandirikan pasien diabetes melalui manajemen diabetes secara mandiri.Residensi keperawatan medikal bedah peminatan keperawatan endokrin bertujuan melakukan analisis terhadap penerapan model pendekatan Self Care Orem dalam melakukan kegiatan pemberian asuhan keperawatan. Selain itu juga dilakukan penerapan praktek berbasis bukti dengan pengkajian 3 menit kaki diabetesdi poliklinik penyakit dalam diharapkan dapat menjadi skrining terhadap pencegahan terjadinya ulkus diabetik. Selain penerapan Evidence Based Nursing Practice juga dilakukan penerapan inovasi promosi kesehatan dengan tujuan untuk memandirikan pasien dalam melakukan perawatan diri sehari-hari dalam mencegah terjadinya komplikasi diabeti yang dilakukan dipoliklinik penyakit dalam RS. Ciptomangunkusumo, Jakarta. Diharapkan dengan penerapan asuhan keperawatan dengan menggunakan pendekatan Self Care Orem, serta penerapan pengkajian 3 menit kaki diabetik dan promosi kesehatan dapat menjadi acuan dalam penerapan asuhan keperawatan yang komprehensif dan terintegrasi, sehingga pada akhirnya diharapkan dapat meningkatkan kulaitas asuhan keperawatan.
Diabetes mellitus is a chronic disease in the endocrine system of the most prevalent in health care system. Nurses in providing nursing care can use various methods for approach , one of them with models of Orem Self Care approach.
That uses approach for diabetic patients through independent diabetes management. Nursing specialist of Medical-Surgical practice for endocrine conduct an analysis of the application models of Orem Self Care approach in the provision of nursing care activities. It also made the application of evidencebased practice with an assessment of the diabetic foot in 3 minutes in outpatient
with diabetic, with the aims to be screened foot problems for prevention of diabetic ulcers.
In addition to the application of evidence -based nursing practice is also carried
out the implementation of inovation prgramme health promotion. The purpose of
this programme is promote patient ability to be independent for perform daily
self-care and prevention from diabetic complication in Cipto Mangunkusumo
Hospital at Jakarta. The cxpectation of implementation of nursing care by using Orem Self Care Approach, 3 minutes diabetic foot assessment and health promotion can be a reference in the implementation of nursing care is comprehensive and integrated , which in turn is expected to improve the quality of nursing care ."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
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UI - Tugas Akhir  Universitas Indonesia Library
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Alfani Prima Kusumasari
Aplikasi teori self-care orem pada klien anak dengan kanker yang mengalami defisit perawatan diri: perawatan mulut di RSUPN Cipto Mangunkusumo Jakarta = Application of orem s self care theory on children with cancer performing self care deficit oral hygiene in RSUPN dr Cipto Mangunkusumo Jakarta
"Kanker merupakan penyakit degeneratif yang dapat diderita oleh orang dewasa dan anak-anak dengan angka kejadian cukup tinggi di dunia. Sebanyak 50 anak dengan kanker mengalami gangguan dalam melaksanakan aktivitas perawatan diri sebagai akibat dari kanker tersebut maupun efek samping dari terapi kanker. Tujuan dari pembuatan karya ilmiah akhir ini adalah untuk memberikan gambaran mengenai aplikasi teori self-care Orem pada klien anak dengan kanker yang mengalami defisit perawatan diri: perawatan mulut di RSUPN Dr Cipto Mangunkusumo Jakarta. Selain itu, karya ilmiah akhir ini juga bertujuan untuk memberikan gambaran mengenai peran perawat spesialis anak di ruang rawat anak non infeksi. Terdapat lima kasus kelolaan yang dibahas dalam karya ilmiah ini yang semuanya memiliki masalah defisit perawatan diri: perawatan mulut. Asuhan keperawatan diberikan menggunakan pendekatan teori self-care Orem mulai dari pengkajian sampai dengan evaluasi. Hasil evaluasi menunjukkan ada klien yang dapat lebih mandiri dalam melakukan higiene oral namun ada pula yang tidak berhasil. Penulis merekomendasikan untuk memperhatikan usia dan tahap tumbuh kembang klien yang akan diberikan intervensi dengan aplikasi teori self-care karena hal tersebut berpengaruh terhadap keberhasilan intervensi.
Cancer is a degenerative illness suffered by adults and children with high incidence in the world. Around 50 children with cancer are having difficulties in performing daily activities as a result of cancer itself or side effect of cancer therapy. This final report is a description of Internship Pediatric Nursing Program clinical practice. The aim of this final report is to give a brief description about the application of Orem rsquo s self care theory on children with cancer performing self care deficit oral hygiene thus giving description about the role of pediatric nurse in non infection children ward. There are five cases of children who are performing self care deficit oral hygiene explained here. Nursing care was performed using self care theory approach from assessment to evaluation. The result is that there are children who finally able to do oral hygiene independently, but there are also children who can not do oral hygiene independently. The recommendation of this report is that the children must be selected based on their age and developmental stage because those two factors contribute to the success of intervention."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
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UI - Tugas Akhir  Universitas Indonesia Library
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Sri Dewi Megayanti
Analisis praktek asuhan keperawatan pada pasien diabetes melitus dengan CHF, riwayat kad dan cap menggunakan pendekatan teori self care dorothea orem = Analysis of nursing practice application of the dorothea orem self care theory in patient with diabetes patients melitus with CHF, history kad and cap
"ABSTRAK
Penyakit penyulit akibat komplikasi diabetes 80 dapat dicegah. Pencegahan dapat dilakukan dengan pengontrolan diabetes salah satunya melalui peningkatan self care pasien. Laporan ini bertujuan untuk menganalisis penerapan teori self care Orem dalam pemberian asuhan keperawatan pada pasien diabetes dengan berbagai komplikasi melalui metode case study dan literature review. Hasil menunjukkan mayoritas masalah keperawatan yang muncul pada pasien diabetes adalah resiko ketidakstabilan glukosa darah, resiko perluasan infeksi dan manajemen kesehatan self care tidak efektif. Kesimpulan : konsep teori self care Orem dapat diterapkan dalam asuhan keperawatan yang bertujuan untuk memberdayakan pasien dalam mengontrol penyakitnya. Dalam laporan ini juga terdiri dari penerapan Evidence Based Practice dan Proyek Inovasi pada pasien dengan gangguan endokrin.ABSTRACT
80 complications of diabetes can be prevented. Prevention can be done by controlling the diabetes, one of them is through increasing self-care patients. This report aims to analyze the application of Orem self care theory in the nursing care provision on diabetes patients with various complications through case study and literature review method. The analysis results show that the majority of nursing problems which arised in diabetes patients are the blood glucose instability risks, infection expansion risk and the ineffective health management self care . Conclusion the Orem self care theory can be apllied in nursing care of diabetes patients aims to empower patients in controlling their diabetes. In this report also consists of the application of Evidence Based Practice and innovation prijects in Endocrine disorders"
2018
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UI - Tugas Akhir  Universitas Indonesia Library
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Irma Hermalia
Analisis praktik residensi keperawatan medikal bedah pada pasien nefropati diabetik dengan penerapan Teori Self Care Dorothea Orem di Rumah Sakit Umum Pusat Fatmawati Jakarta = Analysis of the application of Dorothea Orem's Self Care Theory on Patients with Nephropaty Diabetic in Fatmanati Hospital Jakarta
"Nefropati diabetik merupakan salah satu gangguan sistem perkemihan yang
diakibatkan oleh komplikasi dari diabetes melitus. Analisis praktik residensi
keperawatan ini menggambarkan pengalaman penulis dalam melakukan asuhan
keperawatan pada pasien khususnya pasien dengan gangguan sistem perkemihan.
Adapun fokus kegiatan yang dilaksanakan yaitu penerapan teori self care pada 30
asuhan keperawatan pasien dengan gangguan sistem perkemihan, pelaksanaan
intervensi keperawatan berdasarkan bukti ilmiah yaitu penerapan kompres hangat
lembab untuk mengurangi intensitas dan nyeri kram otot pada pasien hemodialisis serta
penerapan program inovasi berupa upaya peningkatan adekuasi pasien melalui
pemenuhan durasi hemodialisis. hasil yang diperoleh menunjukkan bahwa penerapan
kompres hangat lembab dapat menurunkan intensitas kram dan nyeri otot pada pasien
hemodialisis dan pemenuhan durasi hemodialisis l0 - 12 jam per minggu dapat
meningkatkan capaian adekuasi pasien hemodialisis.
Disbetic nephropathy is one of the urinary system disorders caused by complications from diabetes mellitus. Analysis of nursing practice residency describes tlte author's experience in performing nursing care to patients, especially patients with urinary system disorders. The focus of activities include the application of self-care theory to 30 nursing care of patients with urinary system disorders, the implementation of nursing interventions based on scientific evidence, that the application of moist u)arm
compresses to reduce the intensity and pain of muscle cromps in hemodialysis patients
and the opplication of innovation progrqffis in the form of efforts to increase patient adequacy through fulfilling the duration of hemodialysis. The results obtained indicate
that the application of moist warm compresses can reduce the intensity of cramps and
muscle pain in hemodialysis patients and the fuffillment of the duration of hemodialysis
10-12 hours per week can improve the achievement of adequacy of hemodialysis
patients."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2020
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UI - Tugas Akhir  Universitas Indonesia Library
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Shanty Chloranyta
Analisis praktik residensi keperawatan medikal bedah menggunakan penerapan teori self care dorothea orem pada asuhan keperawatan pasien diabetes melitus tipe 2 dan sepsis = Analysis of medical surgical nursing residency practice using the application of self care dorothea orem theory of patients with type 2 diabetes melitus and sepsis.
"Diabetes melitus dengan masalah utama hiperglikemia kronis meningkatkan berbagai resiko komplikasi. Analisis praktik residensi dilakukan terhadap 31 kasus kelolaan diabetes melitus tipe 2 dengan komplikasi, evidence based nursing dan proyek inovasi gangguan pada endokrin. Tujuan menganalisis penerapan teori self care Orem dalam pemberian asuhan keperawatan pada pasien diabetes melitus tipe 2 yang mengalami sepsis. Metode penulisan terdiri dari pendahuluan, proses residensi, pembahasan proses residensi dan refleksi. Hasil menunjukkan mayoritas masalah keperawatan yang muncul pada pasien diabetes melitus tipe 2 yakni resiko ketidakstabilan kadar glukosa darah. Kesimpulan. konsep teori self care Orem dapat diterapkan selama praktik residensi pada kasus diabetes melitus tipe 2.
Diabetes mellitus with a major problem of chronic hyperglycemia increases the risk of complications. Analysis of residency practice was performed on 31 cases of diabetes mellitus type 2 with complications, evidence based nursing and endocrine disruption innovation project. The purpose of analyzing the application of Orem self care theory in the provision of nursing care in patients with type 2 diabetes mellitus who have sepsis. Writing method consists of introduction, residency process, discussion of residency process and reflection. Results show the majority of nursing problems that arise in patients with type 2 diabetes mellitus risk of blood glucose level instability. Conclusion. Orem self care theory concepts can be applied during residency practice in cases of type 2 diabetes mellitus."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2018
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UI - Tugas Akhir  Universitas Indonesia Library
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Katuuk, Mario Esau
Analisis penerapan teori Self Care Orem dalam asuhan keperawatan pasien diabetes melitus dengan komplikasi congestive heart failure, efusi pleura, dan ulkus kaki diabetik = Application of Orem's theory of Self Care in caring for diabetes mellitus patient with complications of congestive heart failure, pleural effusion, and diabetic foot ulcer : An analysis
"[ABSTRAK
Diabetes melitus merupakan sekelompok gangguan metabolisme tubuh, ditandai
dengan hiperglikemik kronis yang dapat mengakibatkan komplikasi akut dan
kronis. Salah satu peran perawat sebagai pemberi asuhan adalah memberikan
asuhan keperawatan yang berkualitas melalui pendekatan Teori Self Care Orem.
Penggunaan pendekatan teori ini diharapkan dapat membantu perawat dalam
menanggulangi keterbatasan yang dimiliki pasien dan melibatkan pasien secara
aktif dalam proses perawatannya melalui peilaku perawatan mandiri. Tujuan
penulisan karya ilmiah akhir ini adalah menganalisis hasil proses belajar residensi
keperawatan medikal bedah melalui penerapan asuhan keperawatan, penerapan
evidence based nursing practice, dan inovasi keperawatan. Data yang diperoleh
selama praktik klinik menunjukkan sebagian besar pasien diabetes melitus
mengalami komplikasi ulkus kaki diabetik yang disebabkan oleh perilaku
perawatan kaki mandiri belum optimal. Hasil penerapan evidence based nursing
practice berupa kegiatan edukasi perawatan kaki mandiri dapat meningkatkan
pengetahuan dan membentuk perilaku perawatan kaki sebagai tindakan
pencegahan dini. Hasil kegiatan inovasi keperawatan melalui pengkajian
kesehatan mandiri adalah pasien dapat melakukan pengkajian mandiri terhadap
kebutuhan edukasi dan mendapatkan edukasi sesuai kebutuhan mereka.
Kesimpulan dari karya ilmiah akhir ini adalah perlunya peningkatan kualitas
asuhan keperawatan pada pasien diabetes melitus melalui pendekatan teori keperawatan untuk meningkatkan kemandirian pasien dalam pengelolaan penyakitnya.ABSTRACT Diabetes mellitus is a metabolic disorder that characterized by chronic
hyperglycemia which could lead to acute and chronic complications. One of nurse
roles in managing diabetes mellitus is deliver nursing care using Orem?s Theory
of Self Care as guide of nursing practice. With this theoretical approach, nursing
is expected to be able to overcome the limitations and inability of the patients and
actively involve patients in the treatment process through self-care behaviors. The
aims of this paper is to analyze the implementation of nursing care, application of
evidence based nursing practice, and innovation program which integrated to
clinical practice. Based on patient collective data, that was found that the majority
of diabetes mellitus patients had been hospitalized with diabetic foot ulcers
complications that caused by non-optimal foot self-care behavior. The results of
evidence based nursing practice showed that the diabetic foot care education
program can improve the knowledge and build the foot self-care behavior as early
prevention action. The results of innovation program through self-health
assessment program are patients could assess their needs of educations and get
health education according to assessment results. In conclusion, it?s needed to
improve the quality in caring for diabetes mellitus patients through application of nursing theory to increase the self-care behaviors in management of disease. ;Diabetes mellitus is a metabolic disorder that characterized by chronic
hyperglycemia which could lead to acute and chronic complications. One of nurse
roles in managing diabetes mellitus is deliver nursing care using Orem?s Theory
of Self Care as guide of nursing practice. With this theoretical approach, nursing
is expected to be able to overcome the limitations and inability of the patients and
actively involve patients in the treatment process through self-care behaviors. The
aims of this paper is to analyze the implementation of nursing care, application of
evidence based nursing practice, and innovation program which integrated to
clinical practice. Based on patient collective data, that was found that the majority
of diabetes mellitus patients had been hospitalized with diabetic foot ulcers
complications that caused by non-optimal foot self-care behavior. The results of
evidence based nursing practice showed that the diabetic foot care education
program can improve the knowledge and build the foot self-care behavior as early
prevention action. The results of innovation program through self-health
assessment program are patients could assess their needs of educations and get
health education according to assessment results. In conclusion, it?s needed to
improve the quality in caring for diabetes mellitus patients through application of nursing theory to increase the self-care behaviors in management of disease. ;Diabetes mellitus is a metabolic disorder that characterized by chronic
hyperglycemia which could lead to acute and chronic complications. One of nurse
roles in managing diabetes mellitus is deliver nursing care using Orem?s Theory
of Self Care as guide of nursing practice. With this theoretical approach, nursing
is expected to be able to overcome the limitations and inability of the patients and
actively involve patients in the treatment process through self-care behaviors. The
aims of this paper is to analyze the implementation of nursing care, application of
evidence based nursing practice, and innovation program which integrated to
clinical practice. Based on patient collective data, that was found that the majority
of diabetes mellitus patients had been hospitalized with diabetic foot ulcers
complications that caused by non-optimal foot self-care behavior. The results of
evidence based nursing practice showed that the diabetic foot care education
program can improve the knowledge and build the foot self-care behavior as early
prevention action. The results of innovation program through self-health
assessment program are patients could assess their needs of educations and get
health education according to assessment results. In conclusion, it?s needed to
improve the quality in caring for diabetes mellitus patients through application of nursing theory to increase the self-care behaviors in management of disease. , Diabetes mellitus is a metabolic disorder that characterized by chronic
hyperglycemia which could lead to acute and chronic complications. One of nurse
roles in managing diabetes mellitus is deliver nursing care using Orem’s Theory
of Self Care as guide of nursing practice. With this theoretical approach, nursing
is expected to be able to overcome the limitations and inability of the patients and
actively involve patients in the treatment process through self-care behaviors. The
aims of this paper is to analyze the implementation of nursing care, application of
evidence based nursing practice, and innovation program which integrated to
clinical practice. Based on patient collective data, that was found that the majority
of diabetes mellitus patients had been hospitalized with diabetic foot ulcers
complications that caused by non-optimal foot self-care behavior. The results of
evidence based nursing practice showed that the diabetic foot care education
program can improve the knowledge and build the foot self-care behavior as early
prevention action. The results of innovation program through self-health
assessment program are patients could assess their needs of educations and get
health education according to assessment results. In conclusion, it’s needed to
improve the quality in caring for diabetes mellitus patients through application of nursing theory to increase the self-care behaviors in management of disease. ]"
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2015
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