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Abstrak :
ABSTRAK
Dehidrasi dapat menyebabkan terjadinya hipovolemia, kegagalan organ, dan bahkan berakhir dengan kematian. Asuhan keperawatan yang berkualitas sangat diperlukan dalam mengatasi masalah gangguan cairan pada anak. Karya ilmiah akhir ini bertujuan untuk memberikan gambaran aplikasi Model Konservasi Myra E. Levine dalam memberikan asuhan keperawatan pada anak dengan kanker yang mengalami ketidakseimbangan cairan. Intervensi berdasarkan model konservasi Levine yaitu mengkaji tanda-tanda dehidrasi, memantau adanya muntah, diare dan demam, mengukur tanda-tanda vital, mengukur intake output cairan dan melakukan analisis terhadap balance cairan. Evaluasi setelah dilakukan intervensi keperawatan pada kasus 1, 2, dan 3 masalah risiko kekurangan volume cairan tubuh tidak terjadi, sedangkan pada kasus 4 sampai dengan 5, masalah ketidakseimbangan cairan teratasi. Rekomendasi karya ilmiah ini adalah dalam memberikan asuhan keperawatan pada anak dengan kasus hemato-onkologi yang mengalami ketidakseimbangan cairan kepada pasien dapat menerapkan teori keperawatan model konservasi Myra E. Levine.ABSTRACT
Dehydration can lead to hypovolemia, organ failure, and even death. Quality nursing care is of high importance in addressing the problem of fluid imbalance in children. This paper aimed to describe the application of Levine?s Conservation Model in providing nursing care to children with cancer who experience fluid imbalance. Based on this model, the interventions include reviewing signs of dehydration, monitoring vomiting, diarrhea, and fever, measuring vital signs, measuring the fluid intake and output and analyzing the fluid balance. After the nursing intervention, the problem of risk of body fluid volume deficiency did not occur in cases number 1, 2, and 3; while in the cases number 4 and 5 in which fluid imbalance already happened, this imbalance problem was resolved. It can be concluded that Levine?s model is an effective approach to manage the fluid imbalance problem in children with hematooncology cases.;Dehydration can lead to hypovolemia, organ failure, and even death. Quality nursing care is of high importance in addressing the problem of fluid imbalance in children. This paper aimed to describe the application of Levine?s Conservation Model in providing nursing care to children with cancer who experience fluid imbalance. Based on this model, the interventions include reviewing signs of dehydration, monitoring vomiting, diarrhea, and fever, measuring vital signs, measuring the fluid intake and output and analyzing the fluid balance. After the nursing intervention, the problem of risk of body fluid volume deficiency did not occur in cases number 1, 2, and 3; while in the cases number 4 and 5 in which fluid imbalance already happened, this imbalance problem was resolved. It can be concluded that Levine?s model is an effective approach to manage the fluid imbalance problem in children with hematooncology cases.;Dehydration can lead to hypovolemia, organ failure, and even death. Quality nursing care is of high importance in addressing the problem of fluid imbalance in children. This paper aimed to describe the application of Levine?s Conservation Model in providing nursing care to children with cancer who experience fluid imbalance. Based on this model, the interventions include reviewing signs of dehydration, monitoring vomiting, diarrhea, and fever, measuring vital signs, measuring the fluid intake and output and analyzing the fluid balance. After the nursing intervention, the problem of risk of body fluid volume deficiency did not occur in cases number 1, 2, and 3; while in the cases number 4 and 5 in which fluid imbalance already happened, this imbalance problem was resolved. It can be concluded that Levine?s model is an effective approach to manage the fluid imbalance problem in children with hematooncology cases.;Dehydration can lead to hypovolemia, organ failure, and even death. Quality nursing care is of high importance in addressing the problem of fluid imbalance in children. This paper aimed to describe the application of Levine?s Conservation Model in providing nursing care to children with cancer who experience fluid imbalance. Based on this model, the interventions include reviewing signs of dehydration, monitoring vomiting, diarrhea, and fever, measuring vital signs, measuring the fluid intake and output and analyzing the fluid balance. After the nursing intervention, the problem of risk of body fluid volume deficiency did not occur in cases number 1, 2, and 3; while in the cases number 4 and 5 in which fluid imbalance already happened, this imbalance problem was resolved. It can be concluded that Levine?s model is an effective approach to manage the fluid imbalance problem in children with hematooncology cases.;Dehydration can lead to hypovolemia, organ failure, and even death. Quality nursing care is of high importance in addressing the problem of fluid imbalance in children. This paper aimed to describe the application of Levine?s Conservation Model in providing nursing care to children with cancer who experience fluid imbalance. Based on this model, the interventions include reviewing signs of dehydration, monitoring vomiting, diarrhea, and fever, measuring vital signs, measuring the fluid intake and output and analyzing the fluid balance. After the nursing intervention, the problem of risk of body fluid volume deficiency did not occur in cases number 1, 2, and 3; while in the cases number 4 and 5 in which fluid imbalance already happened, this imbalance problem was resolved. It can be concluded that Levine?s model is an effective approach to manage the fluid imbalance problem in children with hematooncology cases.

Abstrak :
Nyeri merupakan salat satu ketidaknyamanan yang sering dialami bayi yang dirawat di rumah sakit. Tujuan dari studi kasus ini adalah untuk mendapatkan gambaran tentang pemenuhan rasa nyaman neoantus dengan Non-nutritive Sucking (NNS) dan pijat ekstremitas berdasarkan penerapan Model Konservasi Levine. Model ini mempertimbangkan konservasi bayi saat prosedur ketidaknyamanan, peningkatan adaptasi bayi untuk mencapai keutuhan. Lima bayi dengan berbagai kondisi yang mengalami masalah nyeri akut diberikan asuhan keperawatan dengan pendekatan model konservasi Levine. Masalah keperawatan lain yang ditemukan adalah ketidakefektifan pola nafas, ketidakefektifan termoregulasi, ikterik neonatus, risiko cidera, risiko pertumbuhan tidak proporsional, ketidakcukupan ASI, dan risiko keterlambatan perkembangan. Masalah-masalah tersebut berisiko meningkatkan ketidaknyamanan dan menghambat proses adaptasi neonatus dalam mencapai keutuhan.

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Pain is a discomfort sensational that felt by hospitalized neonates. The purpose of this case study is to get description about the fulfill comfort of neoantus with Non Nutritive Sucking (NNS) and extremities massage based Levine Conservation Model application. This model considers the conservation of the baby during discomfort procedures, increased infant adaptation to achieve the wholeness. Five infants with various conditions experienced acute pain problems given nursing care with levine conservation model approach. Another nursing problems found were ineffective breathing patterns, neonatal jaundice, ineffective thermoregulation, risk of injury, risk of disproportionate growth, insufficient breastfeeding and risk of developmental delay. Such problems are at increased risk of discomfort and inhibit the neonatal adaptation process in achieving neonatal wholeness.

Abstrak :
Kanker adalah pertumbuhan sel baru yang tidak terkontrol, mampu menyebar danmenginvasi sehingga mengancam kehidupan. Insiden kanker dilaporkan daritahun ke tahun terjadi peningkatan. Berbagai upaya telah dilakukan untukmenurunkan morbiditas dan mortalitas kanker. Karya Ilmiah Akhir KIA iniadalah sebagai laporan praktik residensi keperawatan medikal bedah peminatanonkologi di RS Kanker Dharmais Jakarta. Karya ilmiah ini berisi tentang: 1 penerapan teori Konservasi Levine pada pasien kanker Tiroid, 2 IntervensiMenghirup Aromaterapi untuk mengurangi kerusakan kelenjar ludah selama dansetelah pemberian Terapi Radioactif Iodine 3 proyek inovasi manajemen edukasipre intra dan pasca ablasi pada pasien kanker tiroid yang menjalani terapiradioactive iodine I-131. Kesimpulan: bahwa teori Konservasi Levin tepatdigunakan untuk meningkatkan ketersediaan energy pada pasien kanker tiroid.Intervensi menghirup aromaterapi kombinasi citrus lemon dan jahe dapatdigunakan sebagai salah satu alternatif pilihan manajemen unuk mengurangikerusakan kelenjar ludah pada pasien kanker tiroid selama dan setelah pemberianterapi radioactive iodine. Edukasi berbasis multi median pre inra dan pasca ablasidiharapkan mampu memberikan pendidikan kesehatan yang bermanfaat bagipasien kanker tiroid yang akan menjalani terapi radiactif iodine

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Cancer is the growth of new cells that are not controlled, capable of spreading andinvading so life threatening. The increase of incidence cancer is reported fromyear to year. Various attempts have been made to reduce cancer morbidity andmortality. This Final Scientific Work is a practice report of medical oncologymedical residency of oncology in Dharmais Jakarta Cancer Hospital. Thisscientific work contains 1 the application of Levine Conservation theory inThyroid cancer patients, 2 Aromatherapy Inhalation Intervention to reducesalivary gland damage during and after the administration of Radioactive IodineTherapy 3 innovation project management of intra and post Ablation educationin patients Thyroid cancer through radioactive iodine I 131 therapy. Conclusion Levin conservation theory is appropriately used to increase theavailability of energy in patients rsquo thyroid cancer. Interventions inhalingaromatherapy combinations of citrus lemon and ginger can be used as analternative management option to reduce salivary gland damage in patients withthyroid cancer during and after administration of radioactive iodine therapy. Preintraand post ablative multimedia based education is expected to provide a usefulhealth education for patients with thyroid cancer who will radiodic iodine therapy.

Abstrak :
Masalah kerusakan integritas kulit seperti cedera kulit, luka tekan, dan ruam popokbisa dialami oleh bayi baru lahir. Kerusakan kulit ini bisa menyebabkan infeksisistemik, berdampak psikososial, peningkatan morbiditas, dan peningkatan biayaperawatan. Asuhan keperawatan yang tepat sangat dibutuhkan dalam mengatasimasalah kerusakan integritas kulit pada bayi baru lahir. Karya ilmiah akhir inibertujuan untuk memberikan gambaran penerapan model konservasi Levine dalam memberikan asuhan keperawatan pada bayi baru lahir yang mengalami kerusakan integritas kulit. Trophicognosis kerusakan integritas kulit merupakan masalah pada lima kasus yang dibahas dalam karya ilmiah ini. Konservasi struktural dilakukan dengan mempertahankan keutuhan struktur kulit atau integritas kulit. Evaluasi pada kelima kasus trophicognosis menunjukkan masalah kerusakan integritas kulit dapatteratasi, tetapi pada satu kasus mengalami perbaikan yang lambat karena bayi menderita sepsis. Rekomendasi dari karya ilmiah ini adalah model konservasi Levinedapat diterapkan dalam memberikan asuhan keperawatan pada bayi yang mengalami kerusakan integritas kulit. ......Impared to skin integrity problems such as skin injury, pressure sores, and diaper rashcan be experienced by the newborn. This skin damage can cause systemic infections,psychosocial impact, increased morbidity, and increased maintenance costs. Propernursing care is needed in addressing the problem of damage to skin integrity innewborns. End scientific work aims to illustrate the application of conservation modelLevine in providing nursing care in newborns who suffered damage to skin integrity.Trophicognosis damage to skin integrity is an issue in the five cases discussed in thispaper. Structural conservation by maintaining the structural integrity of the skin or skinintegrity. Evaluation of the five cases trophicognosis indicate damage to skin integrityissues can be resolved, but in one case suffered a slow improvement for infantssuffering from sepsis. Recommendations from this paper is a model of conservationLevine can be applied in providing nursing care to infants who suffered impared toskin integrity.Keywords Levine Conservation, Newborn, Pressure Ulcer, and Skin integrity.

Abstrak :
Anak dengan kondisi penyakit pneumonia yang mengalami gangguan pernapasan jika tidak cepat di tangani dapat menyebabkan kematian atau kecacatan. Pemberian oksigen dan bersihan jalan napas merupakan salah cara yang efektif dan aman untuk mengurangi komplikasi. Tujuan studi kasus ini adalah memberikan gambaran asuhan keperawatan berdasarkan Teori model Konservasi Levine pada anak yang mengalami kecemasan dengan masalah respirasi di ruang gawat darurat. Model Konservasi Levine digambarkan pada 5 kasus pasien anak. Pengkajian di lakukan berdasarkan 4 prinsip yaitu Konservasi individu meliputi konservasi energi, konservasi integritas struktural, konservasi integritas personal, dan konservasi integritas sosial. Trophicognosis, hipotesis dan intervensi dilakukan untuk mencapai adaptasi serta membuat pasien mencapai keutuhan dalam menjalani proses keperawatan di ruang gawat darurat. Model Konservasi Levine di rekomendasikan dalam memberikan asuhan keperawatan pada anak dengan masalah pneumonia. Aplikasi Evidence-Based Nursing Practice (EBNP) menggunakan desain quasi experimental pre-post test in one group dengan melibatkan 68 anak di UGD salah satu rumah sakit rujukan nasional menunjukan bahwa terapi bermain denan mewarnai gambar efektif menurunkan kecemasan anak.

Abstrak :
ABSTRAK
Anak dengan gangguan pernapasan sering mengalami ketidakefektifan bersihan jalan napas akibat sekret yang menumpuk. Pemberian asuhan keperawatan pada anak dengan gangguan oksigenasi dapat dioptimalkan melalui inhalasi menggunakan cairan salin hipertonik. Penggunaan model konservasi Levine dapat diaplikasikan dalam penerapan asuhan keperawatan yang menerapkan prinsip konservasi energi, konservasi integritas struktur, integritas personal dan integritas sosial. Perlunya berkolaborasi dengan tenaga kesehatan lain dalam pelaksanaan intervensi sebagai upaya memperbaiki kerusakan silia yaitu menerapkan konservasi integritas struktural. Dukungan sarana prasarana seperti alat nebuliser, pengadaan kemasan dan penyimpanan cairan salin hipertonik dapat meningkatkan kompetensi perawat spesialis dalam melakukan praktek pada anak dengan gangguan pemenuhan oksigenasi.

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ABSTRACT
Children who experience respiratory distress often encounter ineffective airway clearance caused by secret accumulation. Nursing care in children with oxygenation disturbance can be optimized through the use of hypertonic saline inhalation. The use of Levine?s conservation model applied in the implementation of nursing care facilitated children?s energy conservation, structural integrity conservation, personal integrity and social integrity. There was a need for collaboration with other health professionals in the implementation of the intervention as an effort to repair the damage of cilia, namely implementing structural integrity conservation. Infrastructure support such as nebuliser, packaging procurement and storage of hypertonic saline may improve the competence of specialist nurses in practice in children with impaired oxygenation fulfillment.

Abstrak :
ABSTRAK
Kondisi anak yang sulit untuk dipasang infus berdampak kepada pengobatan yang diberikan antara lain dapat terjadi masalah ketidakseimbangan cairan dan elektrolit. Hal ini dapat menyebabkan dehidrasi dan syok hipovolemik. Anak yang mengalami ketidakseimbangan cairan dan elektrolit memerlukan energi untuk memenuhi kebutuhan metabolisme agar dapat mempertahankan fungsi tubuhnya. Pemberian asuhan keperawatan dan penerapan prinsip konservasi Levine dapat mempertahankan keseimbangan energi, konservasi integritas struktural, personal dan sosial. Intervensi keperawatan yang dapat dilakukan adalah kolaborasi dalam pemberian cairan intravena. Tindakan tersebut dapat diiringi dengan penerapan konsep family centered care dan atraumatic care melalui intervensi dekapan keluarga dan posisi duduk saat pemasangan infus untuk memenuhi kebutuhan cairan dan elektrolit. Hasil ini dapat dijadikan acuan praktik keperawatan pada anak dengan masalah ketidakseimbangan cairan dan elektrolit

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ABSTRACT
The child's condition is difficult to install a drip affect the treatment given, among other things can be problems of fluid and electrolyte imbalance. This can lead to dehydration and hypovolemic shock. Children who experience fluid and electrolyte imbalance requires energy to meet the metabolic needs in order to maintain body functions. Nursing care and the application of the principle of conservation Levine can maintain energy balance, structural integrity conservation, personal and social. Nursing interventions that can be done is collaboration in the provision of intravenous fluids. The action can be accompanied by the application of the concept of family centered care and atraumatic care through the intervention arms of the family and the sitting position when infusion to meet the needs of fluid and electrolytes. These results can be used as reference for nursing practice in children with fluid and electrolyte imbalance problems.;;

Abstrak :
ABSTRAK
Persalinan prematur dapat menimbulkan beberapa masalah pada ibu dan bayi. Salah satu penyebab persalinan prematur adalah kontraksi dini yaitu kontraksi yang terjadi pada kehamilan kurang dari 37 minggu. Pengelolaan pada ibu hamil kontraksi dini dengan mengaplikasikan teori Konservasi Levine dan Kenyamanan Kolcaba bertujuan untuk mempertahankan kehamilan sampai aterm dan mengatasi ketidaknyamanan. Pendekatan proses keperawatan mulai dari pengkajian sampai evaluasi diterapkan pada kelima ibu hamil kontraksi dini. Beberapa masalah keperawatan yang muncul adalah risiko cidera janin, risiko cidera maternal, kesiapan peningkatan kenyamanan, cemas, dan peningkatan support sistem. Melalui konservasi energi, konservasi integritas struktur, konservasi integritas personal dan konservasi integritas sosial kelima ibu bebas kontraksi dan pulang dengan perawatan konservatif. Hasil ini dapat digunakan untuk mengelola ibu hamil kontraksi dini pada area maternitas.

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ABSTRACT
One of the causes of preterm labor is preterm uterine contractions, is defined as uterine contractions that occurs at less than 37 weeks gestational. Preterm uterine contractions is major of cause of morbidiby which can be reduced by role of maternity nursing specialist. Management of preterm uterine contractions by applied levine?s conservation and comfort theory aimed term gestasional dan made wholleness. This study used nursing process, was including assessing, diagnosing, planning, implementing, and evaluating. Some nursing diagnosis are risk for Injury: the fetus, risk of injury the maternal , Altered comfort: pain , anxiety, and improves support systems. the integrity were evidenced, based on Levine?s conservational principles, in terms of conservation of energy, structural, personal and social integrity, and comfort theory reduced preterm uterine contraction. These results can be used to manage preterm uterine contractions.

Abstrak :
ABSTRAK
Karya ilmiah akhir ini mengintegrasikan model konservasi Levine pada lima kasus terpilih anak dengan masalah oksigenasi. Tujuannya adalah menggambarkan penerapan model konservasi Levine dalam asuhan keperawatan anak dengan masalah oksigenasi dan pengaruh penerapan posisi semirecumbent pada anak dengan masalah oksigenasi. Model konservasi Levine telah memberikan panduan berpikir yang sistematis dalam pemberian asuhan keperawatan. Pelaksanaan asuhan keperawatan dengan mengintegrasikan model konservasi Levine dapat diterapkan pada anak yang mengalami masalah oksigenasi. Pengaturan posisi semirecumbent dapat meningkatkan saturasi oksigen anak dengan masalah oksigenasi. Pengaturan posisi semirecumbent diharapkan dapat menjadi salah satu intervensi pada pasien anak dengan masalah oksigenasi. Kata kunci: Masalah oksigenasi, anak, model konservasi Levine, posisi semirecumbent. ABSTRACT The final scientific paper integrates Levine 39 s conservation model in five selected cases in nursing care of children with oxygenation problems. The purpose is to describe the application of the Levine conservation model in nursing care of children with oxygenation problems and the effect of applying semirecumbent positions on children with oxygenation problems. Levine 39 s conservation model has provided a systematic thinking guide in nursing care. Implementation of nursing care by integrating Levine conservation model can be applied to children with oxygenation problems. Semirecumbent position can increase the oxygen saturation of children with oxygenation problem. Semirecumbent positioning is expected to be one of the interventions in pediatric patients with oxygenation problems.