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"Karya Ilmiah Akhir ini merupakan gambaran pelaksanaan praktik ners spesialis keperawatan anak selama 2 semester. Karya Ilmiah Akhir ini memfokuskan pada aplikasi Self-Care Deficit Nursing Theory (SCDNT) yang dikembangkan oleh Orem pada klien anak dengan gangguan pemenuhan kebutuhan cairan. SCDNT terdiri dari 3 teori yang saling berhubungan yaitu teori self-care, self-care deficit, dan nursing system. Asuhan keperawatan dimulai dengan pengumpulan data. Diagnosa keperawatan yang ditetapkan berdasarkan pada therapeutic self-care demands dan keadekuatan dari self-care agency. Prescriptive operations dibuat dengan melibatkan klien anak dan keluarga sehingga dapat ditetapkan nursing of methods yang tepat berdasarkan nursing system yang dibutuhkan klien anak. Residen melaksanakan regulatory operations dan menerapkan Family Centered Care (FCC). Selanjutnya residen melakukan control operations, dimana dari kelima kasus yang dikelola oleh residen 3 klien telah teratasi dan 2 klien belum teratasi (masih dirawat di rumah sakit). Berdasarkan hal tersebut residen merekomendasikan bahwa SCDNT dapat diaplikasikan pada klien anak dengan gangguan pemenuhan kebutuhan cairan.

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This Final Scientific Work describes of specialist nursing practice in pediatric nursing for 2 semesters. This Final Scientific Work focuses on the application Self-Care Deficit Nursing Theory (SCDNT) developed by Orem on the child client with fluid imbalances. SCDNT consists of three interrelated theories, namely the theory of self-care, self-care deficit, and nursing system. Nursing care begins with data collection. Nursing diagnosis is determined based on therapeutic self care demands and the adequacy of self-care agency. Prescriptive operations made with the involvement of children and families so that clients can set the proper nursing of methods based on the nursing system required the child client. Resident had done regulatory operations and implement Family Centered Care (FCC). The next resident to control operations, which of the five cases are managed by the resident 3 clients have been resolved and 2 clients have not been resolved (still being treated in hospital). Based on the resident recommended that SCDNT can be applied to a client meeting the needs of children with fluid imbalances."

"Klien bedah beresiko mengalami ketidakseimbangan cairan dan elektrolit akibat asupan cairan preoperatif yang tidak adekuat atau banyaknya kehilangan cairan selama pembedahan. Penerapan model adaptasi Roy dalam memberikan asuhan keperawatan pada anak post operasi adalah membantu beradaptasi terhadap pemenuhan kebutuhan fisiologis khususnya cairan. Karya ilmiah akhir ini bertujuan untuk menggambarkan pemenuhan kebutuhan cairan pada anak post operasi dengan pendekatan model adaptasi Roy. Jumlah klien yang dikelola sebanyak 5 klien anak post operasi di ruang perawatan bedah anak. Model adaptasi Roy merupakan model dalam keperawatan yang mampu menguraikan bagaimana seorang individu mampu meningkatkan kesehatannya dalam rentang respon adaptif, sehingga sesuai untuk diterapkan pada anak dengan pemenuhan kebutuhan cairan post operasi. Kompetensi yang sudah dicapai selama kegiatan praktik Ners Spesialis Anak yaitu sebagai pemberi asuhan keperawatan, pendidik, manager dan peneliti. Rekomendasi hasil karya ilmiah ini adalah mengaplikasikan model adaptasi Roy dalam proses keperawatan dan pentingnya penerapan pelayanan asuhan keperawatan yang komprehensif dengan berfokus pada tumbuh kembang anak, sikap empati perawat, atraumatic care, family centered care sebagai bagian yang tidak terpisahkan.

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Surgical patients have risk to suffer fluid and electrolyte imbalance. It is caused by inadequate fluid distribution before surgery (pre-operative) or lost of fluid during surgery process. The application of adaptation model of Roy in giving nursing care on children post surgery is to help children in distributing physical need, especially fluid. This final scientific research aimed to describe distribution of fluid need on children post surgery by approaching Roy adaptation model. Numbers of cared client were 5 clients of children post surgery in pediatricsurgical care room. The adaptation model of Roy is a model in nursing that can explain how the individu is able to increase his health into adaptive respond, so it was appropriate to be applied in children for distributing fluid need post surgery. The reached competency during practice of pediatric nurse specialist was as a nursing care giver, educator, manager, and researcher children specialization as giving care for nursing, teacher, manager, and researcher. Recommendation of this research were to apply the Roy adaptation model into nursing process and the importance of applying nursing care service comprehensively by focusing on children development and growth, empathy, atraumatic care, family centered care as a part cannot be aside."