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"Kecelakaan lalu lintas merupakan salah satu masalah yang banyak terjadi pada masyarakat perkotaan. Kasus kecelakaan yang terjadi dapat menyebabkan trauma fisik sehingga pasien harus menjalani operasi Open Reduction and Internal Fixation (ORIF) dan Split Thickness Skin Graft (STSG) serta imobilisasi lengan kiri. Tujuan penulisan ini adalah untuk menganalisis praktik klinik keperawatan kesehatan masyarakat perkotaan pada pasien trauma siku post ORIF dan STSG di RSCM. Salah satu masalah keperawatan pada trauma siku ialah hambatan moblitas fisik akibat nyeri pada daerah post operasi. Evidence based practice keperawatan yang diterapkan pada pasien adalah latihan Range of Motion (ROM) untuk mencegah kekakuan dan meningkatkan rentang gerak pada pasien imobilisasi. Hasil intervensi menunjukkan setelah latihan ROM dua kali sehari selama enam hari, rentang gerak pasien meningkat dan kekakuan berkurang. Perawat hendaknya memberikan intervensi keperawatan latihan ROM pada pasien bedah terutama pasien yang mengalami trauma.

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Traffic accidents are one of the many problems that occur in urban communities. The accidents can cause physical trauma to the patient so they have to undergo Open Reduction and Internal Fixation (ORIF) and Split Thickness Skin Graft (STSG) surgery and also immobilization. The purpose of this paper was to analyzed the clinical practice of urban public health nursing to patients posttraumatic elbow ORIF and STSG in RSCM. One of the nursing problem from elbow trauma was impaired physical mobility that caused by postoperative pain.

Nursing evidence based practice that applied to the patient was Range of Motion (ROM) exercise to prevent stiffness and improve range of motion in patients with immobilization. The results showed that after twice daily for six days ROM exercises, the patient range of motion improved and stiffness decreased. Nurses should provide ROM exercises as the nursing interventions in surgical patients, especially patients who have experienced trauma."

"Kejadian anak dengan fraktur merupakan kasus terbanyak ketiga dalam tiga bulan terakhir. Selain itu, anak dengan post operasi fraktur jarang diberikan terapi nyeri non farmakologi. Hal tersebut menjadikan dasar tujuan karya ilmiah ini untuk memberikan asuhan keperawatan pada anak dengan fraktur dan STSG. Anak dengan post operasi fraktur dan STSG memerlukan intervensi untuk mengatasi nyeri. Intervensi yang dilakukan adalah memberikan terapi nyeri non farmakologi menggunakan teknik relaksasi napas dalam. Nyeri pada anak dikaji menggunakan skala numerik dengan skala 1-10. Anak dilatih teknik relaksasi napas dalam saat anak tidak nyeri. Teknik relaksasi napas dalam dengan istilah "tiup-tiup" dilakukan secara berulang-ulang ketika anak merasa nyeri. Istilah "tiup-tiup" ini efektif digunakan untuk mengingatkan anak ketika sedang merasa nyeri. Hasil penerapan dari intervensi yang telah dilakukan pada anak post operasi fraktur dan STSG dengan diagnosa keperawatan nyeri akut yaitu nyeri teratasi dibuktikan dengan adanya penurunan skala nyeri dari skala 6 ke skala 2.

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Children fracture was third biggest cases in third month ago. Beside that, child with post op fracture and STSG infrequently was given non farmacologic pain theraphy. The purpose of this study was to give nursing care in children with fracture and STSG. Children with fracture and STSG need intervention for pain. This intervention wcould be given with non farmacologic pain theraphy, used breat relaxation. Pain can be assased by numeric rating scale 1-10. Child was gived exercise breat relaxsation if the children not feel in pain. Breat relaxsation with terminology "tiup-tiup" was gived repeatedly which child having pain. This terminology "tiup-tiup" was effective for child to remember it, when the children were in pain. The results of application the interventions in children with post operatif fracture and STSG, pain can be proved a decrease in pain scale from 6 to 2."

"This book describes in detail a unique and very precise operative technique that uses autologous cartilage/bone grafts for the reconstruction of load-bearing joint surfaces and for dowelling of non-unions. The technique, employing diamond instruments and a wet grinding process, has been developed and refined over the past 30 years at the Center for Orthopaedic Sciences (ZOW), first in Bern and later in Munich. A step-by-step description of the method is provided for each indication, with the aid of many high-quality illustrations. Correctly applied, the technique has been very successful in restoring high-level athletes to competition. it can be applied even in ?hopeless cases? and offers excellent late results. "