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"Masalah perkotaan yang terjadi akibat kecelakaan lalu lintas adalah fraktur dan degloving injury. Fraktur merupakan rusaknya kontinuitas tulang yang disebabkan oleh trauma secara langsung yang mengakibatkan masalah sistem muskuloskeletal. Masalah muskuloskeletal yang terjadi adalah penurunan kekuatan otot dan kekakuan sendi akibat gangguan mobilitas fisik pada pasien fraktur iliaka. Latihan pergerakan otot dan sendi yang dapat dilakukan secara pasif di ekstremitas bawah ialah ankle exercise. Ankle exercise merupakan salah satu bentuk latihan pergerakan otot dan sendi yang berfokus pada sendi pergelangan kaki. Ankle exercise dapat mempertahankan kekuatan otot betis dan fleksibilitas sendi, serta meningkatkan sirkulasi darah pergelangan kaki bila dilakukan dengan teratur dan adanya peningkatan langkah ankle exercise. Hasil intervensi ankle exercise pada pasien fraktur iliaka kanan dan degloving injury menunjukkan adanya peningkatan langkah dan durasi latihan, serta pengontrolan nyeri saat latihan ankle exercise. Hasil ini menunjukkan bahwa ankle exercise dapat mempertahankan kekuatan otot dan fleksibilitas sendi serta meningkatkan sirkulasi darah pada kaki kanan pasien fraktur iliaka kanan dan degloving injury. Perawat perlu memberikan pengawasan dan memberikan jadwal ankle exercise untuk meningkatkan kepatuhan dan kemampuan pasien mengevaluasi kondisinya.

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Problems of urban community caused by traffic accident is fracture and degloving injury. Fracture is a bone damage continuity caused by trauma himself who caused problem in musculoskeletal system. Musculoskeletal problems that occur is decrease of strength of muscles and stiffness of joints due to impaired physical mobility in patient with right iliac fracture and degloving injury. The exercise to movement of muscles and joints could be passive at lower extremity is ankle exercise. Ankle exercise is one of kind exercise of movement of muscles and joints that focuse on ankle joint. Ankle exercise can maintain of muscles power and flexibility of ankle joint and increase bloods circulations if regular performed and increase in steps of ankle exercise. The result of intervention ankle exercise on patient with right iliac fracture and degloving injury show an increase of steps and durations of exercise, and controlling of pain during ankle exercise. The result show that ankle exercise can maintain of muscles power and flexibility of ankle joint and increase bloods circulations on right knee patient with right iliac fracture and degloving injury. Nurse need to improve controling and make ankle exercise schedule for improve compliance and ability of patient to evaluate their condition."

"Atresia bilier merupakan kondisi obstruksi pada saluran empedu ekstrahepatik. Sebagian besar anak dengan atresia bilier tahap akhir, mengalami gizi kurang dan membutuhkan transplantasi hati. Prosedur tersebut dapat dilakukan apabila status nutrisi baik. Karya ilmiah ini menjelaskan asuhan keperawatan berupa manajemen nutrisi pada anak dengan atresia bilier yang berusia 10 bulan. Asuhan keperawatan dilakukan selama 6 hari dengan monitoring pemberian nutrisi, memastikan asupan yang adekuat, dan evaluasi respon terhadap asupan nutrisi. Hasil menunjukkan dengan total asupan yang tetap, terjadinya peningkatan lingkar lengan atas dari 7 cm menjadi 7,4 cm. Monitor asupan dan haluaran pasien dengan optimal sangat direkomendasikan agar tujuan pemenuhan kebutuhan nutrisi pasien dapat terpenuhi dengan baik.

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Biliary atresia is a condition of obstruction in the extrahepatic bile ducts. Most children with late-stage biliary atresia are malnourished and require liver transplantation. The procedure could be done if the nutritional status is good. This scientific work explains nursing care with nutrition management intervention in children with 10-month-old biliary atresia. Nursing care is carried out for 6 days with nutrition monitoring, ensuring adequate intake, and evaluation of response to nutrition intake. The results show that a fixed total intake total can increase upper arm circumference from 7cm to 7.4cm. Optimal monitor for intake and output of patient is very appropriate for the purpose of fulfilling the patient rsquo;s nutritional needs."

"Fraktur neck femur merupakan salah satu jenis fraktur yang paling umum terjadi pada pasien lanjut usia. Pembedahan menjadi pilihan penanganan medis utama yaitu salah satunya adalah hemiarthroplasty. Salah satu komplikasi utama pada pasien post operasi hemiarthroplasty adalah trombosis vena dalam, yang dapat berkembang membahayakan nyawa pasien ketika trombus lepas menuju paru-paru dan menimbulkan emboli paru. Pembentukan trombosis vena dalam dapat dicegah dengan merujuk pada latihan fisik guna menstimulasi aliran darah pada ekstremitas bawah. Karya Ilmiah Akhir Ners KIAN ini bertujuan untuk mengidentifikasi pengaruh pemberian intervensi ankle pump untuk mencegah pembentukan trombosis vena dalam pada pasien fraktur neck femur post hemiarthroplasty. Hasil intervensi menunjukkan tidak adanya tanda-tanda trombosis vena dalam selama perawatan post operasi fase akut di rumah sakit sehingga tindakan ini dapat menjadi alternatif intervensi keperawatan untuk pencegahan gangguan sirkulasi perifer pada pasien post hemiarthroplasty.

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Femoral neck fracture is one of the most common types of fractures in elderly patients. Surgery becomes the main medical treatment option, one of them is hemiarthroplasty. One of the major complications in post operative hemiarthroplasty patients is deep vein thrombosis, that can develop to be life threatening when the thrombus breaks, travel into the lungs and causes pulmonary embolism. The formation of deep vein thrombosis can be prevented by referring to physical exercise to stimulate the blood flow in the lower extremities.

This case study aimed to identify the impact of ankle pump exercise to prevent deep vein thrombosis in patients with femoral neck fracture post hemarthroplasty. The results of the intervention showed there was no signs of deep vein thrombosis during acute hospital post operative care. In brief, ankle pump exercise could be an alternative intervention to prevent the peripheral vascular disease in patient post hemiarthroplasty."

"Stroke dengan gejala kelemahan fisik menyebabkan gangguan mobilisasi. Kondisi imobilisasi menyebabkan pasien sulit melakukan aktifitas untuk memenuhi kebutuhan hariannya. Ketidakmampuan dalam beraktifitas menyebabkan kondisi tirah baring yang lama sehingga berisiko terhadap kejadian luka tekan. Pencegahan luka tekan dapat dilakukan dengan pemberian pengaturan posisi pada pasien stroke iskemik. Penulisan karya ilmiah ini bertujuan untuk menganalisis asuhan keperawatan pada pasien stroke dan menganalisis penerapan intervensi pengaturan pisisi pada pasien stroke. Pengaturan posisi adalah merubah posisi dari miring kanan, terlentang dan miring kiri secara bergantian setiap 2 jam sekali.Hasil karya ilmiah ini menunjukkan bahwa pengaturan posisi yang diberikan selama 6 hari perawatan berpengaruh terhadap penurunan risiko luka tekan. Skala Braden meningkat dari hari pertama sampai dengan hari terahir yaitu 8,8,9,11,13,13 . Dari peningkatan Skala Braden tersebut, dapat disimpulkan bahwa pengaturan posisi dengan alih baring setiap dua 2 jam efektif untuk meningkatkan sirkulasi jaringan yang tertekan pada pasien stroke yang mengalami kelemahan ekstremitas. Integritas kulit tetap terjaga, tidak ditemukan tanda-tanda kemerahan, udem dan adanya luka tekan. Karya ilmiah ini diharapkan dapat menjadi studi kasus pencegahan luka tekan pada pasien stroke yang kemudian dapat dikembangkan menjadi penelitian dan landasan pemberian intervensi pengaturan posisi pada pasien stroke.

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Stroke with symptoms of physical weakness leads to disruption of mobilization. Immobilization makes patient difficult to perform activities to meet their daily needs. The inability to perform activity in long period increases the risk of pressure ulcer. Prevention of pressure ulcer can be performed by positioning arrangements in patient with ischemic stroke. This paper aimed to analyze nursing care in stroke patients and analyze the application of positioning in patient with stroke. Positioning is to set patient positioning into right sloping, supine and left slant alternately every 2 hours. The results indicated that setting the position given for 6 days of treatment affected the reduction of risk of bed sore. The Braden scale increased from the first day to the last day 8,8,9,11,13,13 . An increase inscore of Braden Scale implied that positioning in two 2 hours were effective to improve the circulation of depressed tissue in stroke patients with limb weakness. The integrity of the skin was maintained, there were no signs of redness, oedema and the presence of pressure sores. This paper is expected to be utilized as study case to prevent pressure ulcer in patients with stroke and may be developed into research and guideline of positioning in stroke patients. "

"Acquired Immune Deficiency Syndrome AIDS merupakan penyakit tahap lanjut dari Human Immunodeficiency Virus HIV yang menyebabkan terjadinya penurunan pada sistem imun. AIDS dapat berdampak pada sistem saraf dengan salah satu manifestasi klinis yang muncul berupa nyeri. Nyeri yang tidak tertangani dapat menimbulkan dampak, diantaranya mengganggu aktivitas, gangguan tidur, dan meningkatkan kecemasan yang dapat menurunkan kualitas hidup penderita. Studi kasus ini bertujuan untuk menganalisis intervensi terapi musik klasik dan instrumental untuk mengurangi nyeri pada pasien dengan HIV/AIDS. Metodologi yang digunakan adalah metode studi kasus dan analisis intervensi keperawatan. Terapi musik diberikan selama 7 hari dengan frekuensi 2 kali sehari selama 30 menit. Hasil intervensi menunjukkan adanya penurunan skala nyeri dari skala nyeri 6 menjadi 4. Hasil penelitian ini menunjukkan bahwa terapi musik dapat menjadi salah satu penatalaksanaan nonfarmakologi yang dapat menurunkan nyeri. Rekomendasi dari penelitian ini adalah pentingnya perawat untuk memberikan manajemen nyeri nonfarmakologi seperti terapi musik sebagai salah satu upaya dalam menurunkan masalah nyeri pada pasien.

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Human Immunodeficiency Virus HIV that damage the immune system. AIDS can affected the nervous system with pain as the symptom. Uncontrolled pain can cause various effects, such as impaired activity, sleep disorders, and increased anxiety, which reduce the quality of life. This case study aimed to analyze nursing interventions to reduce pain on patient with HIV AIDS. This study conducted by the case study method and evidence based practice intervention. Patient was administered the classical and instrumental music twice a day with 30 minutes long in each session for 7 days. The results showed a decrease in pain scale from 6 to 4 out of 10 by using numerical rating scale. The result of this study indicates that music therapy can be one of non pharmacological intervention to reducing pain. The recommendation of this study is the importance of nurses to provide non pharmacological pain management such as music therapy in order to reducing pain in patients with HIV AIDS."

"Fraktur merupakan dampak yang paling sering terjadi akibat cedera baik yang disebabkan karena kecelakaan lalu lintas maupun disebabkan karena penyebab lain seperti terjatuh. Salah satu manifestasi klinik yang disebabkan karena fraktur adalah nyeri. Penatalaksanaan nyeri pada fraktur dapat menggunakan terapi farmakologi dan terapi non-farmakologi. Studi kasus ini menganalisis asuhan keperawatan pada pasien dengan fraktur femoral neck dengan nyeri menggunakan terapi non-farmakologi berupa teknik relaksasi napas dalam. Hasil studi kasus penggunaan teknik relaksasi napas dalam dapat menurunkan nyeri yang ditimbulkan akibat fraktur.

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Fracture is the common impact in accident that caused by traffic accident or other cause such as fall. One of clinical manifestation from fracture is pain. The pharmacology and non-pharmacological therapy can be used in pain management for the patient with fracture. This case study analizing the nursing care of patient with pain in femoral neck fracture by using non-pharmacological technique, deep breathing relaxation technique. The result of this case study show that the deep breathing relaxation technique can reduce the level of pain in patient with fracture."

"[ABSTRAK Keperawatan kesehatan masyarakat perkotaan merupakan bagian keperawatankomunitas yang memfokuskan pelayanan pada penyelesaian masalah kesehatan.Masyarakat perkotaan memiliki karakteristik yaitu padat penduduk, tingginya angkapertumbuhan kendaraan bermotor, dan mobilitas yang tinggi. Karakteristik inimempengaruhi pola aktivitas masyarakat, salah satunya penggunaan alat transportasiuntuk efektivitas waktu. Faktor mobilitas yang tinggi, tingginya angka pertumbuhankendaraan, dan ketidakdisiplinan pengemudi kendaraan menimbulkan risikokecelakaan yang berdampak pada masalah kesehatan salah satunya fraktur. Selamapraktik di ruang bedah RSUP Cipto Mangunkusumo penulis mengambil kasus klienfraktur radius ulna dengan ansietas tinggi selama hospitalisasi. Penulis menganalisissalah satu tindakan keperawatan untuk mengurangi ansietas klien.ABSTRACT Urban health nursing is part of the community nursing service that focuses on

addressing health problems in urban areas. Urban community is characterized by

dense population, a high rates in the growth of motor vehicles, and high mobility of

the society. These characteristics affect the pattern of community activities, one of

which is in the use of motor vehicle for transportation. High mobility factor, a high

rates of growth in motor vehicle and inappropriate behavior may increase the risk of

accidents that may impact on health, one of which is a fracture. During the practice in

the surgery department of Cipto Mangunkusumo Hospital, the author cared for the

patient with fracture of the radius ulna with high anxiety during hospitalization. The

authors analyze done of the nursing intervention provided to reduce client anxiety;Urban health nursing is part of the community nursing service that focuses on

addressing health problems in urban areas. Urban community is characterized by

dense population, a high rates in the growth of motor vehicles, and high mobility of

the society. These characteristics affect the pattern of community activities, one of

which is in the use of motor vehicle for transportation. High mobility factor, a high

rates of growth in motor vehicle and inappropriate behavior may increase the risk of

accidents that may impact on health, one of which is a fracture. During the practice in

the surgery department of Cipto Mangunkusumo Hospital, the author cared for the

patient with fracture of the radius ulna with high anxiety during hospitalization. The

authors analyze done of the nursing intervention provided to reduce client anxiety;Urban health nursing is part of the community nursing service that focuses on

addressing health problems in urban areas. Urban community is characterized by

dense population, a high rates in the growth of motor vehicles, and high mobility of

the society. These characteristics affect the pattern of community activities, one of

which is in the use of motor vehicle for transportation. High mobility factor, a high

rates of growth in motor vehicle and inappropriate behavior may increase the risk of

accidents that may impact on health, one of which is a fracture. During the practice in

the surgery department of Cipto Mangunkusumo Hospital, the author cared for the

patient with fracture of the radius ulna with high anxiety during hospitalization. The

authors analyze done of the nursing intervention provided to reduce client anxiety, Urban health nursing is part of the community nursing service that focuses on

addressing health problems in urban areas. Urban community is characterized by

dense population, a high rates in the growth of motor vehicles, and high mobility of

the society. These characteristics affect the pattern of community activities, one of

which is in the use of motor vehicle for transportation. High mobility factor, a high

rates of growth in motor vehicle and inappropriate behavior may increase the risk of

accidents that may impact on health, one of which is a fracture. During the practice in

the surgery department of Cipto Mangunkusumo Hospital, the author cared for the

patient with fracture of the radius ulna with high anxiety during hospitalization. The

authors analyze done of the nursing intervention provided to reduce client anxiety]"