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"Kanker payudara merupakan salah satu masalah kesehatan utama di perkotaan. Mastektomi sebagai tindakan pembedahan kanker payudara, berpotensi menyebabkan penurunan rentang gerak, kekakuan bahu, dan limfedema pada lengan sisi payudara yang mengalami pembedahan, terutama jenis modified radical mastectomy (MRM). Karya ilmiah akhir ini bertujuan untuk menggambarkan asuhan keperawatan pasien kanker payudara pasca mastektomi. Latihan rentang gerak pada lengan yang terkena bertujuan untuk meningkatkan rentang gerak dan mencegah kekakuan bahu serta limfedema. Hasil penerapan latihan rentang gerak menunjukkan bahwa terjadi peningkatan rentang gerak dan tidak terjadi kekakuan bahu serta limfedema. Perawat perlu mengajarkan latihan rentang gerak lengan pada pasien pasca mastektomi untuk meningkatkan kualitas hidup pasien.

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Breast cancer is one of the mayor health problems in urban area. Mastectomy as a treatment of breast cancer potentially cause lymphoedema, decrease range of motion, and shoulder stiffness of the arm was had mastectomy, especially the type of modified radical mastectomy (MRM). This paper was aimed to explore nursing process of patient post mastectomy. Range of motion exercise was aimed to increase range of motion and prevent shoulder stiffness and lymphoedema. Patient showed the increasing of range of motion and shoulder stiffness and lymphoedema did not occur after doing exercise. Based on finding, Nurses have to teach range of motion exercise to patient post mastectomy to increase their quality of life."

"Atresia ani merupakan malformasi kongenital pada anorektum. Klien dengan atresia ani biasanya dilakukan kolostomi. Kolostomi seringkali mengalami iritasi pada kulit peristomal. Penulisan Karya Ilmiah Akhir Ners ini bertujuan untuk memberikan gambaran asuhan keperawatan pada klien dengan atresia ani dengan kolostomi yang memiliki kondisi iritasi pada kulit peristomal. Salah satu intervensi untuk menghindari komplikasi lebih lanjut yaitu dengan perawatan stoma. Perawatan stoma dilakukan dengan cara menilai iritasi kulit dengan ostomy skin tools, melakukan intervensi, dan pemantauan kondisi kulit. Setelah dilakukan perawatan stoma selama 3 hari ditemukan hasil berkurangnya kemerahan pada kulit dan hilangnya iritasi dari tiga lokasi menjadi hanya satu lokasi iritasi. Hasil karya ilmiah ini merekomendasikan pihak rumah sakit untuk mengembangkan asuhan keperawatan khususnya pada klien dengan kerusakan integritas kulit untuk meningkatkan kualitas pelayanan.

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Atresia ani was a congenital malformation in anorectum. Clients with atresia ani usually had colostomy procedure. Colostomy often experienced for peristomal skin irritation. The purpose of this study was provided an overview of nursing care to clients with atresia ani who had peristomal skin irritation. One intervention to avoid further complications was by stoma care. Stoma care was done by assessing skin irritation with ostomy skin tools, interventions, and monitoring the condition of the skin. After stoma care for 3 days found resulted in redness less and reduce irritation location from three locations into one location. From the result of this study recommend the hospital need to develop a nursing care on clients with skin integrity damage to improve the quality of service."

"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."

"Sirosis hepatis adalah penyakit kronik progresif pada hati yang memiliki karakteristik degenerasi dan kerusakan yang luas pada sel parenkim hati. Salah satu komplikasi pada pasien dengan sirosis hepatis adalah konstipasi. Konstipasi yang berlangsung lama dapat memicu terjadinya ensefalopati hepatikum. Salah satu intervensi keperawatan yang dapat dilakukan untuk mengatasi masalah konstipasi adalah dengan melakukan massage abdomen. Tujuan dari penulisan karya ilmiah ini adalah untuk menganalisis praktik klinik keperawatan kesehatan masyarakat perkotaan pada pasien sirosis hepatis dengan masalah konstipasi dengan melakukan massage abdomen. Intervensi ini dilakukan pada pagi hari sebanyak satu kali per hari selama tiga hari. Hasil karya ilmiah ini menunjukkan bahwa massage abdomen dapat mengatasi masalah konstipasi pada pasien dengan sirosis hepatis. Dari penulisan karya ilmiah ini perawat diharapkan dapat memberikan terapi massage abdomen untuk mengurangi konstipasi yang terjadi pada pasien sirosis hepatis.

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Liver cirrhosis is a chronic progressive disease of liver, characterized with degeneration and extensive damage of the liver parenchymal cells. Patients with liver cirrhosis frequently experience chronic constipation, contributing to higher risk of hepatic encephalopathy. One of the nursing interventions that can be done to treat constipation is abdominal massage. This study aimed to analyse the implementation of abdominal massage in liver cirrhosis patients with constipation. Abdominal massage was performed daily in the morning to a patient within three consecutive days. The results showed that abdominal massage effectively relieved constipation in the patient. This study suggested nurses to provide abdominal massage therapy as a part of nursing interventions for liver cirrhosis patients with constipation.;"

"[ABSTRAK Tuberkulosis paru merupakan salah satu masalah kesehatan masyarakat perkotaandan penyebab kematian tertinggi di Indonesia. Penulisan karya ilmiah bertujuanuntuk menganalisis asuhan keperawatan pada pasien TB Paru dengan kontekskeperawatan kesehatan masyarakat perkotaan. Asuhan keperawatan diberikansesuai dengan proses keperawatan. Masalah keperawatan utama yang munculadalah bersihan jalan nafas tidak efektif, intoleransi aktifitas dan kurangpengetahuan tentang TB dan pengobatannya. Intervensi yang diberikan adalahmemberikan posisi semipowler, latihan ROM secara aktif, dan intervensi khususpemberian pendidikan kesehatan tentang kepatuhan minum Obat AntiTuberkulosis. Hasil evaluasi dari asuhan keperawatan menunjukkan jalan nafasadekuat, aktivitas mandiri, dan peningkatan pengetahuan klien tentang Obat AntiTuberkulosis. Karya ilmiah ini diharapkan menjadi gambaran bagi perawatmedikal bedah dalam pemberian asuhan keperawatan pada pasien dengan TBparu.ABSTRACT Tuberculosis TB is one of the disease that caused high mortality inIndonesia The aim of this paper is to analyze nursing care on TB patient usingconcept of urban nursing Nursing problem that occur were in effective airwayclearance intolerance activity and inadequate knowledge about TB treatment Nursing interventions that were given semifowler position active ROM andhealth education about TB treatment The result shown improvement on airwayclearance independent activity and better client rsquo s knowledge about tuberculosismedication The outcome of this nursing care can be used to improve the qualityof nursing care for TB patient in the hospital Keyword Adherence TB patient nursing;Tuberculosis TB is one of the disease that caused high mortality inIndonesia The aim of this paper is to analyze nursing care on TB patient usingconcept of urban nursing Nursing problem that occur were in effective airwayclearance intolerance activity and inadequate knowledge about TB treatment Nursing interventions that were given semifowler position active ROM andhealth education about TB treatment The result shown improvement on airwayclearance independent activity and better client rsquo s knowledge about tuberculosismedication The outcome of this nursing care can be used to improve the qualityof nursing care for TB patient in the hospital Keyword Adherence TB patient nursing;Tuberculosis TB is one of the disease that caused high mortality inIndonesia The aim of this paper is to analyze nursing care on TB patient usingconcept of urban nursing Nursing problem that occur were in effective airwayclearance intolerance activity and inadequate knowledge about TB treatment Nursing interventions that were given semifowler position active ROM andhealth education about TB treatment The result shown improvement on airwayclearance independent activity and better client rsquo s knowledge about tuberculosismedication The outcome of this nursing care can be used to improve the qualityof nursing care for TB patient in the hospital Keyword Adherence TB patient nursing;Tuberculosis TB is one of the disease that caused high mortality inIndonesia The aim of this paper is to analyze nursing care on TB patient usingconcept of urban nursing Nursing problem that occur were in effective airwayclearance intolerance activity and inadequate knowledge about TB treatment Nursing interventions that were given semifowler position active ROM andhealth education about TB treatment The result shown improvement on airwayclearance independent activity and better client rsquo s knowledge about tuberculosismedication The outcome of this nursing care can be used to improve the qualityof nursing care for TB patient in the hospital Keyword Adherence TB patient nursing, Tuberculosis TB is one of the disease that caused high mortality inIndonesia The aim of this paper is to analyze nursing care on TB patient usingconcept of urban nursing Nursing problem that occur were in effective airwayclearance intolerance activity and inadequate knowledge about TB treatment Nursing interventions that were given semifowler position active ROM andhealth education about TB treatment The result shown improvement on airwayclearance independent activity and better client rsquo s knowledge about tuberculosismedication The outcome of this nursing care can be used to improve the qualityof nursing care for TB patient in the hospital Keyword Adherence TB patient nursing]"