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"Kerusakan lingkungan yang terjadi di area perkotaan dapat memicu munculnya berbagai masalah kesehatan. Salah satu masalah kesehatan yang berisiko lebih tinggi terjadi di perkotaan adalah Systemic Lupus Erythematosus SLE . SLE dapat menimbulkan masalah psikososial, salah satunya ketidakberdayaan. SLE juga dapat memengaruhi hubungan pasien dengan keluarga atau pun orang terdekatnya. Karya Ilmiah Akhir Ners ini berutjuan untuk menggambarkan asuhan keperawatan dengan masalah ketidakberdayaan pada pasien dan keluarga pasien dengan SLE. Penulis melakukan asuhan keperawatan yang berfokus pada ketidakberdayaan dan penurunan koping keluarga selama delapan hari. Hasil evaluasi menunjukkan bahwa tanda dan gejala ketidakberdayaan pada pasien sudah berkurang. Namun, kondisi penyakit Bapak S yang memburuk menyebabkan masalah tersebut muncul kembali. Di sisi lain, keluarga pasien sudah lebih mampu dalam merawat pasien.

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Environmental damage in urban areas may cause many health problems. One of health problems which have higher risk to develop in urban areas is Systemic Lupus Erythematosus SLE . SLE may induce psychosocial problems, such as powerlessness. The aim of this paper was to describe nursing care of powerlessness in family and patient with SLE. Author conducted a nursing care which focused on powerlessness and compromised family coping problems for eight days. The evaluation result showed that sign and symptom of powerlessness in patient has decreased. However, the deterioration of patient rsquo;s health conditions causes the powerlessness signs to reappear. On the other hand, patient rsquo;s family already capable of taking cares of the patient."

"Salah satu penyakit tidak menular yang mengancam masyarakat perkotaan adalah systemic lupus erythematosus. Systemic lupus erythematosus adalah penyakit autoimun dimana sistem imun memproduksi autoantibodi yang menyerang jaringan tubuh sendiri dan menyebabkan kerusakan pada organ yang diserang. Penyakit ini dapat menimbulkan masalah psikososial ketidakberdayaan karena systemic lupus erythematosus tidak dapat disembuhkan dan bersifat periodik. Karya Ilmiah Akhir Ners ini bertujuan untuk memberikan gambaran asuhan keperawatan ketidakberdayaan pada klien yang mengalami systemic lupus erythematosus. Evaluasi hasil implementasi menunjukkan berkurangnya tanda dan gejala ketidakberdayaan yang dialami klien.

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Systemic lupus erythematosus is one of non-communicable disease that threaten urban communities. Systemic lupus erythematosus is autoimune disease where immune system produces autoantibodies that attack it own body tissues and cause damage to the organ. This disease can evoke psychosocial problem that is powerlessness because systemic lupus erythematosus can not be cured and periodic. The purpose of this Paper is to describe nursing care of powerlessness in patient with systemic lupus erythematosus. Evaluation of the results of implementation shows that there is a slight decrease in the signs and symptoms of powerlessness that occured on the client. "

"[Kehamilan dengan Lupus Eritematosus Sistemik (LES) merupakan kondisi yang beresiko tinggi. Karya ilmiah ini bertujuan untuk menganalisis pemberian asuhan keperawatan pada penderita LES di perkotaan dalam periode perinatal. Asuhan keperawatan pada klien dilakukan sesuai dengan proses keperawatan. Tiga masalah keperawatan utama pada klien adalah nyeri, resiko cedera dan ansietas. Intervensi yang diberikan antara lain manajemen nyeri, pemantauan kesehatan kehamilan serta active listening untuk mengatasi ansietas. Pada evaluasi asuhan keperawatan ditemukan masalah nyeri teratasi, cedera tidak terjadi dan ansietas teratasi sebagian. Karya ilmiah ini diharapkan menjadi gambaran dalam pemberian asuhan keperawatan bagi penderita LES pada periode perinatal.;regnancy with Systemic Lupus Erythematosus is a high-risk condition. This paper aims to analyze the provision of nursing care to client with SLE during the perinatal period in urban area. Nursing care to client conducted in accordance with the nursing process. Three major nursing problems that appear on the client were pain, risk of injury and anxiety. Interventions performed for client were pain management, control of pregnancy and active listening to reduce anxiety. Evaluation of nursing intervention revealed that the pain has been managed successfully, there was no injury and reduced anxiety. This paper expected be an example to describe the provision of nursing care for client with SLE.;regnancy with Systemic Lupus Erythematosus is a high-risk condition. This paper aims to analyze the provision of nursing care to client with SLE during the perinatal period in urban area. Nursing care to client conducted in accordance with the nursing process. Three major nursing problems that appear on the client were pain, risk of injury and anxiety. Interventions performed for client were pain management, control of pregnancy and active listening to reduce anxiety. Evaluation of nursing intervention revealed that the pain has been managed successfully, there was no injury and reduced anxiety. This paper expected be an example to describe the provision of nursing care for client with SLE., regnancy with Systemic Lupus Erythematosus is a high-risk condition. This paper aims to analyze the provision of nursing care to client with SLE during the perinatal period in urban area. Nursing care to client conducted in accordance with the nursing process. Three major nursing problems that appear on the client were pain, risk of injury and anxiety. Interventions performed for client were pain management, control of pregnancy and active listening to reduce anxiety. Evaluation of nursing intervention revealed that the pain has been managed successfully, there was no injury and reduced anxiety. This paper expected be an example to describe the provision of nursing care for client with SLE.]"

"Sistemik Lupus Eritematosus (SLE) merupakan penyakit kronis yang dapat dirasakan oleh pasien dengan SLE seumur hidup. Manifestasi klinis dari SLE berbeda-beda pada tiap individu, sehingga dibutuhkan perawatan yang tepat agar komplikasi yang parah dapat diminimalisasi. Discharge planning merupakan solusi untuk perawatan anak ketika sudah pulang ke rumah. Discharge planning bertujuan untuk memberikan  pembekalan perawatan di rumah sehingga orangtua atau keluarga dapat merawat pasien secara mandiri. Karya Ilmiah ini ditulis dengan tujuan memberikan informasi tentang hasil implementasi discharge planning pada anak dengan SLE. Metode yang digunakan untuk oenulisan karya ilmiah ini menggunakan studi kasus pada anak dengan SLE yang diberikan intervensi discharge planning sejak pasien pertama kali masuk dan dilakukan pemantauan selama lima hari  dengan pemberian asuhan keperawatan. Hasil discharge planning menunjukkan peningkatan keterampilan orangtua dan keluarga dalam merawat anak dengan SLE yang dibuktikan dengan hasil observasi selama masa perawatan. Sehingga, discharge planning tepat digunakan untuk pasien dengan SLE dalam perawatan lanjutan di rumah sehingga pasien dengan SLE dapat meningkatkan kualitas hidupnya dan mencegah kejadian eksaserbasi berat dan komplikasi yang parah. Discharge planning yang dilakukan memberikan dampak yang positif bagi pasien dan keluarga.

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Systemic Lupus Erythematosus (SLE) is a chronic disease. Clinical manifestations of SLE vary in each, so proper care is needed so that severe complications can be minimized. Discharge planning is a solution for childcare when they have returned home. Discharge planning aims to provide debriefing at home so parents or families can take care of patients independently. This Scientific Work was written to provide information about the results of discharge planning implementation in children with SLE. The method used for writing scientific papers uses case studies on children with SLE who are given discharge planning intervention since the patient first entered and monitored for five days with the provision of nursing care. The discharge planning results show an increase in parental and family skills in caring for children with SLE as evidenced by the results of observation during the treatment period. Thus, discharge planning is appropriate for patients with SLE in continuing care at home so that patients with SLE can improve their quality of life and prevent severe exacerbations and complications. Discharge planning carried out had a positive impact on patients and families.

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"ABSTRAKSLE atau lupus yang mengalami peningkatan dari tahun ke tahun merupakan salah satu penyakit tidak menular yang menjadi masalah di perkotaan. Perjalanan penyakit SLE/lupus yang bersifat episodik berulang yang diselingi periode sembuh membuat klien merasakan kecemasan dan ketidakberdayaan yang diakbatkan dari kondisi penyakitnya. Karya ilmiah akhir ners ini akan menganalisis mengenai asuhan keperawatan masalah ketidakberdayaan dan ansietas pada klien dengan penyakit SLE/lupus selama 4 hari. Tindakan keperawatan bertujuan untuk mengontrol perasaan tidak berdaya dengan membuat klien mampu mengambil keputusan yang efektif untuk mengendalikan situasi kehidupannya serta untuk mengeatasi kecemasan. Hasil evaluasi yang dilakukan terlihat dalam keseharian klien selama klien mendapatkan perawatan, klien menunjukkan perkembangan dan berkurangnya tanda gejala masalah tersebut.Dibutuhkan upaya seperti menjaga keefektifan koping, mengurangi/menjauhi stres, dan sistem dukungan support system yang baik dari lingkungan di sekitar klien untuk membantu klien untuk mengurangi masalah terutama masalah psikososial yang dirasakan klien. Kata Kunci :Ansietas, asuhan keperawatan, ketidakberdayaan, sistemik lupus eritematosus SLE /lupus

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ABSTRACTSLE /lupus is not contagious diseases which prevalence increases each year and causing a problem especially in urban areas. The course of episodic SLE / lupus disease recurrent interspersed with periods of recovery makes the client feel the anxiety and powerlessness implied by the condition of the illness. This final paper will analyze the nursing care of powerlessness and anxiety in clients with SLE / lupus disease for 4 days. Nursing actions aim to control feelings of powerlessness by allowing clients to make effective decisions to control their life situations and to overcome anxiety. The results of evaluations made visible in the client 39;s daily life as long as the client gets treatment, the client shows the development and decrease of symptoms of the problem. It takes efforts such as maintaining the effectiveness of coping, reducing / avoiding stress, and a good support system from the environment around the client to help clients reducing the problem, especially the psychosocial problems felt by the client. Keywords: Anxiety, nursing care, powerlessness, systemic lupus erythematosus SLE /lupus."

"Lanjut usia lansia di perkotaan berisiko mengalami hipertensi. Salah satu faktor yang menjadi penyebab kejadian ini adalah stres. Karya ilmiah ini bertujuan untuk mengetahui keefektifan tehnik relaksasi benson dengan murottal Al-Qur'an sebagai bentuk penerapan teknik relaksasi untuk menurunkan stres dan tekanan darah pada keluarga Bapak F. Hasil intervensi menunjukkan terdapat penurunan tekanan darah Ibu M, pada pengkajian di minggu pertama adalah 160/110 mmHg setelah dilakukan penerapan relaksasi benson dengan murottal Al-Qur'an tiga kali dalam seminggu, nilai ini menurun menjadi 120/80 mmHg pada kunjungan minggu terakhir, serta pengukuran yang dilakukan menggunakan kuesioer Self Reporting Questionnaire WHO menunjukan tidak ada stres pada Ibu M. Hasil penelitian ini mengimplikasikan bahwa tehnik relaksasi benson dengan murottal Al-Qur'an dapat diaplikasikan sebagai salah satu intervensi untuk menangani masalah hipertensi di komunitas.

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Ageing population in urban is at risk for hypertension. Stress is among the factors affecting hypertension. This paper aimed to identify effectiveness of Benson relaxation technique by Koranic murottal as an intervention to reduce stress and blood pressure on Mr. F family. The result indicated that there was a lowered blood pressure in Mrs. M, assessment in the first week revealed blood pressure of 160/100 mmHg and after Benson technique by Koranic murottal 3 times a week. blood pressure dropped to 120/80 mmHg in the last week of visitation. The measurement by Self Reporting Questionnaire of WHO indicated that Mrs. M was not affected by stress. This result suggested that Benson relaxation technique by Koranic murottal is applicable as choice of intervention to reduce hypertension in community. "

"Motor neuropati adalah salah satu komplikasi dari diabetes melitus tipe 2. Tanda dan gejalanya adalah kelemahan otot, atrofi otot, otot berkedut dan kram, kekakuan sendi serta paralisis otot. Kondisi dari motor neuropati yang terjadi terus-menerus tanpa penanganan dapat mengakibatkan ulserasi kaki atau amputasi kaki serta lebih lanjut mengakibatkan penurunan kualitas hidup individu dengan diabetes melitus. Karya ilmiah ini bertujuan untuk mengetahui efektivitas dari latihan ROM sebagai bentuk intervensi untuk menurunkan tanda dan gejala motor neuropati pada pasien selama 30 menit satu kali setiap hari dalam lima hari. Hasil intervensi dievaluasi menggunakan alat ukur Goniometer dan dilakukan pada saat sebelum dan sesudah intervensi. Hasil menunjukkan terdapat peningkatan sudut sendi pergelangan kaki dan jari-jari kaki setelah dilakukan latihan ROM. Berdasarkan penelitian ini dapat disimpulkan bahwa latihan ROM dapat diaplikasikan sebagai salah satu intervensi untuk menangani masalah motor neuropati pada pasien DM tipe II di rumah sakit.

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Motor Neuropathy is a complication of diabetes melitus type 2. The signs and symptoms of motor neuropathy are muscle weakness, muscle athropy, muscle twitch and cramps, joint stiffness and paralysis. The condition of motor neuropathy that occurs continuously without treatment can lead to foot ulceration or amputation of the foot, as well as further, result in decreased the quality of life of individuals with diabetes mellitus. This paper aims to determine the effectiveness of ROM exercises as a form of intervention to reduce signs and symptoms of motor neuropathy in patient for 30 minutes once daily in five days. The results of intervention were evaluated by using the Goniometer measurements and performed at pre and post intervention. The showed an increase in angle of ankle joints and metatarsophalangeal joints. Based on this analysze, can be concluded that ROM exercise can be applied as one of intervention to handle motor neuropathy problem in patient with type II of DM in hospital."

"[ABSTRAKSasana Tresna Werdha (STW) merupakan salah satu pelayanan lansia yang ada di perkotaan. Permasalahn yang sering dialami pada lansia diperkotaan adalah masalah risiko jatuh, karena adanya perubahan pada sistem muskuloskeletal seiring dengan pertambahan usia dan gaya hidup. Karya ilmiah ini bertujuan untuk memaparkan hasil asuhan keperawatan yang diberikan pada salah satu lansia dengan masalah risiko jatuh di STW Budi Mulia 1 Ciracas. Penulis yang berperan sebagai perawat melakukan asuhan keperawatan dengan risiko jatuh kepada klien NH di Wisma Melati STW Budi Mulia 1 Ciracas mulai tanggal 10 Mei -12 Juni 2015. Nenek NH berumur 81 tahun, pernah mengalami jatuh 1x dalam 2 bulan terakhir, postur tubuh bungkuk, fungsi pendengaran dan penglihatan berkurang. Intervensi yang dilakukan latihan keseimbangan dan modifikasi lingkungan. Hasil dari latihan keseimbangan yang dilakukan ialah adanya peningkatan nilai skala keseimbangan Berg (BBS), yaitu dari 35 menjadi 49. Implementasi terkait risiko jatuh yang dilakukan menunjukkan hasil positif yaitu tidak terjadi jatuh selama pemberian asuhan keperawatan. Rekomendasi untuk pihak STW ialah adanya latihan keseimbangan minimal satu kali dalam seminggu dengan durasi minimal 30 menit dan adanya pengukuran MFS dan BBT tiap tiga bulan pada lansia yang berisiko jatuh serta memodifikasi lingkungan secara berkala yang aman bagi lansia sehingga risiko jatuh pada lansia dapat menurun atau meminimalkan angka kejadian jatuh.

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ABSTRACTSasana Tresna Werdha (STW) is one of the elderly services in urban areas. Permasalahn often experienced in the elderly is a problem in urban risk of falls, due to changes in the musculoskeletal system with age and lifestyle. This scientific work aims to present the results of nursing care given to one of the elderly with risk issues falling in STW Budi Mulia 1 Ciracas. Writers who act as nurses perform nursing care at risk of falling to clients NH at Wisma Budi Mulia Bed STW 1 Ciracas began on May 10 -12 June 2015. The 81-year-old grandmother NH, have experienced falling 1x in the last 2 months, stooped posture, hearing and vision is reduced. Balance training interventions and environmental modifications. Results of balance exercises done is an increase in the value of Berg balance scale (BBS), ie from 35 to 49. Implementation of associated risk of falls have shown positive results which do not occur crashed during nursing care. Recommendations for the STW is their balance exercises at least once a week with a minimum duration of 30 minutes and the MFS and BBT measurement every three months on the elderly at risk of falling as well as periodically modifying a safe environment for the elderly so that the risk of falls in the elderly can decrease or minimize the incidence of falls., Sasana Tresna Werdha STW is one of the elderly services in urban areas Permasalahn often experienced in the elderly is a problem in urban risk of falls dueto changes in the musculoskeletal system with age and lifestyle This scientific workaims to present the results of nursing care given to one of the elderly with risk issuesfalling in STW Budi Mulia 1 Ciracas Writers who act as nurses perform nursing careat risk of falling to clients NH at Wisma Budi Mulia Bed STW 1 Ciracas began onMay 10 12 June 2015 The 81 year old grandmother NH have experienced falling1x in the last 2 months stooped posture hearing and vision is reduced Balancetraining interventions and environmental modifications Results of balance exercisesdone is an increase in the value of Berg balance scale BBS ie from 35 to 49 Implementation of associated risk of falls have shown positive results which do notoccur crashed during nursing care Recommendations for the STW is their balanceexercises at least once a week with a minimum duration of 30 minutes and the MFSand BBT measurement every three months on the elderly at risk of falling as well asperiodically modifying a safe environment for the elderly so that the risk of falls inthe elderly can decrease or minimize the incidence of falls ]"

"[ABSTRAKNeuroblastoma merupakan keganasan pada sistem saraf simpatik yang menimbulkan pembengkakanpada bagian tubuh tertentu. Pola hidup tidak sehat dari segi asupan nutrisi dan lingkungan menjadipenyebab utama munculnya neuroblastoma pada masyarakat perkotaan. Masalah nyeri kronikmerupakan komplikasi utama dari hampir semua jenis keganasan, termasuk neuroblastoma. Studi inibertujuan untuk menganalisis intervensi pemberian teknik distraksi dengan media video dan musikdalam mengurangi nyeri pada penderita neuroblastoma. Teknik distraksi memberikan hasil yangpositif berupa penurunan skala nyeri klien. Hasil karya ilmiah ini diharapkan dapat menjadi salah satupertimbangan bagi perawat ruangan untuk meningkatkan pemberian manajemen nyerinonfarmakologis, terutama teknik distraksi, sebagai salah satu intervensi yang telah terbukti efektifdalam menurunkan nyeri.

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ABSTRACTNeuroblastoma defined as a neoplasm of sympathetic nervous system which causes swelling in relatedpart of body. Unhealthy lifestyles such as nutritional and environmental factors are two main causesof neuroblastoma in urban population. Chronic pain is a major complication of any kind of cancers,including neuroblastoma. This study aimed to analyze the distraction technique as given interventionto reduce the pain scale in patients with neuroblastoma. The implementation of distraction techniqueshowed positive result in decreasing patient?s pain scale. The result can be considered as analternative nursing intervention to increase the usage of non pharmacological management of pain,mainly distraction technique, as an effective intervention to decrease pain scale.;Neuroblastoma defined as a neoplasm of sympathetic nervous system which causes swelling in relatedpart of body. Unhealthy lifestyles such as nutritional and environmental factors are two main causesof neuroblastoma in urban population. Chronic pain is a major complication of any kind of cancers,including neuroblastoma. This study aimed to analyze the distraction technique as given interventionto reduce the pain scale in patients with neuroblastoma. The implementation of distraction techniqueshowed positive result in decreasing patient?s pain scale. The result can be considered as analternative nursing intervention to increase the usage of non pharmacological management of pain,mainly distraction technique, as an effective intervention to decrease pain scale., Neuroblastoma defined as a neoplasm of sympathetic nervous system which causes swelling in relatedpart of body. Unhealthy lifestyles such as nutritional and environmental factors are two main causesof neuroblastoma in urban population. Chronic pain is a major complication of any kind of cancers,including neuroblastoma. This study aimed to analyze the distraction technique as given interventionto reduce the pain scale in patients with neuroblastoma. The implementation of distraction techniqueshowed positive result in decreasing patient’s pain scale. The result can be considered as analternative nursing intervention to increase the usage of non pharmacological management of pain,mainly distraction technique, as an effective intervention to decrease pain scale.]"

"Meningkatnya kepadatan penduduk berdampak pada meningkatnya prevalensi hipertensi di area perkotaan. Perawat mempunyai peran dan tanggung jawab dalam mengatasi masalah hipertensi di perkotaan, yaitu dengan memberikan asuhan keperawatan berbasis keluarga. Penulisan karya ilmiah akhir ners ini bertujuan menggambarkan asuhan keperawatan keluarga dengan gaya hidup monoton pada masalah hipertensi di Kelurahan Sukamaju Baru, Depok.Penulisan ini didasarkan pada aplikasi intervensi berupa manajemen olahraga: jalan kaki pada penderita hipertensi dan dianalisis berdasarkan berbagai konsep dan penelitian terkait.Hasil intervensi menunjukkan bahwa manajemen olahraga: jalan kaki berhasil mengatasi hipertensi. Perawat dapat menggunakan olahraga: jalan kaki sebagai intervensi non-medis dalam memberikan asuhan keperawatan keluarga dengan hipertensi.

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The high populations density has impacted on the high hypertension prevalence in the urban areas. The nurses have roles and responsibilities to overcome the hypertension problem in the urban areas by providing family nursing care. The goal of this report was to describe family nursing care for family with sedentary lifestyle and hypertension problem at Kelurahan Sukamaju Baru, Depok.This paper was written based on the application of exercise management: walking to family with hypertension and was analyzed based on some relevant concepts and literatures.The results showed that exercise managements: walking could decrease blood pressure. Nurses can use exercise managements: walking as a non-medical intervention in providing family nursing care to family with hypertension."