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"Perawat sebagai bagian dari tenaga kesehatan memiliki peran untuk memberikan asuhan keperawatan yang komprehensif untuk memantau dan memonitor kondisi ibu. Salah satu peran perawat maternitas adalah memberikan asuhan keperawatan pada pasien dengan penyakit trofoblas dengan menerapkan teori keperawatan. Dari lima kasus kelolaan, dua kasus berumur 40 tahun. Semua kasus mengalami peradarahan. Dua kasus mengalami penyakit trofoblas ganas low risk. Dua kasus dikuretase, satu kasus histerektomi dan dua kasus kemoterapi. Semua kasus mengalami anemia baik anemia ringan sampai berat. Pasien mengalami masalah kekurangan volume cairan, kecemasan, defisit perawatan diri dan kesiapan peningkatan pengetahuan. Teori ini sesuai diterapkan pada pasien dengan penyakit trofoblas untuk memperoleh rasa nyaman selama proses tindakan dan dapat melewati proses kuretase dan kemoterapi dengan risiko minimal. Penanganan sedini mungkin akan meningkatkan peluang hidup ibu cukup besar dan peluang memiliki anak kembali cukup besar.

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Nurse as a part from health worker has role for giving comprhensive nursing care to see and observe the mother condition. One of the maternity nurse role is to give a nursing care to the patient with mola hidatidosa and applied the nursing concept. Five case management, the age of two cases are under 20 years old, one case is 27 years old, and two cases over the 40 years old. All of the cases have the bleeding. Two cases is low risk trofoblast gestational disease. Curettage is done for the two cases, hysterectomy is done for one case, and chemotherapy is done for the two cases. All of the cases get anemia, start from high until low anemia. Patients experience problems of fluid volume deficit, anxiety, self care deficit, and readness to increase knowledge. Both theory are able to be applied for the patient with Mola Hidatidosa to get the comfort feeling along the surgical prosess and can pass the curettage and chemotherapy process with the minimal risk. By early managing will increase the probability of the life and have the next child again."

"Praktik residensi keperawatan maternitas bertujuan untuk meningkatkan pengetahuan ketrampilan dan sikap dalam memberikan asuhan keperawatan pada masalah kesehatan perempuan sepanjang periode kehidupannya baik di rumah sakit maupun komunitas Residensi keperawatan maternitas mencapai tujuan tersebut melalui pengembangan fungsi dan peran perawat Tujuan penulisan laporan ini untuk memberikan gambaran peran spesialis keperawatan maternitas sebagai pemberi asuhan keperawatan konselor advokat edukator koordinator kolaborator komunikator agen pembaharu dan peneliti Spesialis keperawatan maternitas memberikan asuhan keperawatan dengan menggunakan model konsep dan teori keperawatan yang sesuai dengan kondisi klien Penerapan teori self care Orem sesuai untuk memandirikan ibu hamil dengan gestational diabetes mellitus dalam merawat kehamilannya Kata kunci Gestational diabetes mellitus Spesialis keperawatan maternitas Teori keperawatan Daftar Pustaka 37 1995 ndash 2011.

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Maternity nursing residency practice aims to improve knowledge skills and attitudes in providing nursing care to women 39 s health problems during the period of their life either in the hospital or community Maternity nursing residency achieves these goals through the development of nurse rsquo s function and role The purpose of this report is to provide an overview of maternity nursing specialist rsquo s role as a care provider a counselor an advocate an educator a coordinator a collaborator a communicator an innovator and a researcher Maternity nursing specialists provide nursing care with the application of nursing conceptual models and theories suitable to the client 39 s condition The application of Orem rsquo s self care nursing theory is appropriate for pregnant women with gestational diabetes mellitus to meet theirself care needs during pregnancy Keywords Gestational diabetes mellitus Maternity nursing specialist nursing theory Bibliography 37 1995 ndash 2011 "

"[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]"