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"Kanker payudara merupakan salah satu tumor ganas pada jaringan payudara yang paling sering menyerang wanita dan menjadi salah satu penyakit serius di dunia yang mengancam jiwa. Insiden kanker payudara dilaporkan meningkat dari tahun ke tahun. Karya Ilmiah Akhir (KIA) ini adalah sebagai laporan praktik residensi keperawatan medikal bedah peminatan onkologi di RS Kanker Dharmais Jakarta yang berisi tentang: (1) penerapan teori Peaceful End of Life (PEOL) pada pasien kanker payudara, (2) intervensi menghirup aromaterapi jahe sebagai evidence based nursing untuk mengurangi mual muntah akibat kemoterapi pasien kanker payudara (3) proyek inovasi penggunaan Modified Early Warning Score (MEWS) sebagai alat deteksi awal terhadap perburukan kondisi pasien. Kesimpulan: bahwa teori Peaceful End Of Life tepat digunakan dalam perawatan paliatif pasien kanker. Intervensi menghirup aromaterapi jahe dapat digunakan sebagai salah satu alternatif pilihan manajemen mual muntah nonfarmakologi. Instrumen MEWS dapat diterapkan pada unit emergensi dan dapat membantu mengidentifikasi pasien dengan risiko perburukan kondisi yang membutuhkan peningkatan level perawatan seperti rawat inap atau masuk ICU. ......Breast cancer is a malignant tumor of the breast tissue that most often affects women and become one of serious diseases in the world and life-threatening. The incidence of breast cancer was reported increase year to year. This final paper clinical practice is a clinical report Medical Surgical nursing specialization in oncology at the Cancer Hospital Dharmais Jakarta which consist of : (1) the application of the theory of Peaceful End of Life (PEOL) in breast cancer patients, (2) intervention inhaling aromatherapy ginger as evidence based nursing to reduce nausea and vomiting due to chemotherapy in breast cancer patients (3) innovation projects implement the Modified Early Warning Score (MEWS) as a tools for early detection of the deterioration of the patient's condition. Conclusion: The theory of Peaceful End of Life is appropriate to use in the palliative care of cancer patients. Ginger aromatherapy can be used as an alternative nonpharmacological management of nausea and vomiting. MEWS instruments can be applied to the emergency unit and may help identify patients at risk to worsening condition require increased levels of care such as hospitalization or ICU. "

"ABSTRAKKanker merupakan penyakit genetik dimana pengaturan sel, karakteristik sel danfungsi sel normal berubah. Penyakit kanker terus menjadi masalah kesehatan yangsignifikan di masyarakat di seluruh dunia dan di Indonesia. Salah satu kankeryang berdampak pada kerusakan sistem neurologis dan menurunkan kualitashidup adalah meningioma. Praktik asuhan keperawatan pada pasien kankermemerlukan pendekatan teori keperawatan. Karya Ilmiah Akhir merupakanlaporan praktik residensi keperawatan medikal bedah peminatan onkologi dirumah sakit kanker Dharmais. Karya ilmiah ini terdiri dari: (1) penerapan theoryof comfort, (2) penerapan program orientasi pasien pra kemoterapi sebagaievidence based nursing, serta (3) modified early warning score sebagai proyekinovasi kelompok. Kesimpulan theory of comfort tepat digunakan dalamperawatan pasien kanker. Intervensi pemberian program orientasi pasien prakemoterapi dan inovasi modified early warning score dapat diaplikasikan dalamperawatan pasien kanker baik dirawat inap maupun rawat jalan.

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ABSTRACTCancer is a genetic disease in which the composition of cells, cell characteristicsand normal cell function has been changed. Cancer continues to be a significanthealth problem in communities throughout globally and specifically in Indonesia.Type of cancer which affects the damage of neurological system and degrade thequality of life called meningioma. The practice of nursing care in cancer patientsrequiring nursing theory approach. Scientific final paper is type of report ofresidency medical-surgical nursing practice specialization in oncology at theDharmais Cancer Hospital. This scientific work consists of: (1) The application ofcomfort theory, (2) The application of pre-chemotherapy patient orientationprogram as evidence based nursing practice, and (3) modified early warning scoreas an innovation of the group project. It conclude the theory of comfort isappropriate to use in the treatment of cancer patients. The Intervention of prechemotherapypatient orientation program and modified early warning scoreinnovation could be applied in the treatment of care for cancer patients bothhospitalized and outpatients."