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"Permasalahan yang sering muncul dalam merawat klien dengan ventilasi mekanik di PICU adalah masalah keperawatan ketidakefektifan bersihan jalan napas. Salah satu teori keperawatan yang dapat diaplikasikan di ruang perawatan intensif adalah Model Konservasi Myra E. Levine yang mempunyai 3 konsep dasar yaitu konservasi, adaptasi dan keutuhan (wholeness). Tahapan proses keperawatan yang dilakukan adalah melakukan pengkajian, merumuskan trophicognosis dan hypothesis yang tepat, mengimplementasikan rencana dan melakukan evaluasi terhadap setiap respon organismik klien yang bertujuan untuk membantu klien beradaptasi selama dalam perawatan dan mencapai wholeness sebagai seorang individu yang unik. Intervensi yang dapat dilaksanakan untuk mempertahankan bersihan jalan napas yang efektif, antara lain fisioterapi dada, penghisapan lendir, humidifikasi, inhalasi, dan mobilisasi. Peran Ners Spesialis Keperawatan Anak selama merawat anak dengan ventilasi mekanik adalah sebagai praktisi, pendidik, advokat dan peneliti. Ners Spesialis Keperawatan Anak diharapkan terus mengembangkan ilmu pengetahuan dan teknologi dibidang keperawatan untuk meningkatkan kualitas asuhan keperawatan pada klien dan keluarga.

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Nursing problem that often arises in caring of pediatric patient with mechanical ventilation at PICU is ineffectiveness of airway clearance. One of the nursing theories that can be applied in intensive care unit is Myra E. Levine Conservation Model which has 3 basic concepts. Those concepts are conservation, adaptation and wholeness. Stages of the nursing process are assesment, formulate appropriate trophicognosis and hypothesis, implementing the intervention and evaluating every client organismic response that is aimed to help clients adapting during the treatment and achieving wholeness as a unique individual. Interventions that can be implemented to maintain an effective airway clearance are chest physiotherapy, mucus suction, humidification, inhalation, and mobilization. The Role of Ners Specialist of Pediatric Nursing for caring of a pediatric patient with mechanical ventilation is as practitioner, educator, advocate and researcher. Ners specialist of pediatric nursing are expected to continue develop knowledge and technology in the field of nursing to improve the quality of nursing care to clients and families."

"Permasalahan yang sering muncul dalam merawat klien dengan ventilasi mekanik di PICU adalah masalah keperawatan ketidakefektifan bersihan jalan napas. Salah satu teori keperawatan yang dapat diaplikasikan di ruang perawatan intensif adalah Model Konservasi Myra E. Levine yang mempunyai 3 konsep dasar yaitu konservasi, adaptasi dan keutuhan (wholeness). Tahapan proses keperawatan yang dilakukan adalah melakukan pengkajian, merumuskan trophicognosis dan hypothesis yang tepat, mengimplementasikan rencana dan melakukan evaluasi terhadap setiap respon organismik klien yang bertujuan untuk membantu klien beradaptasi selama dalam perawatan dan mencapai wholeness sebagai seorang individu yang unik. Intervensi yang dapat dilaksanakan untuk mempertahankan bersihan jalan napas yang efektif, antara lain fisioterapi dada, penghisapan lendir, humidifikasi, inhalasi, dan mobilisasi. Peran Ners Spesialis Keperawatan Anak selama merawat anak dengan ventilasi mekanik adalah sebagai praktisi, pendidik, advokat dan peneliti. Ners Spesialis Keperawatan Anak diharapkan terus mengembangkan ilmu pengetahuan dan teknologi dibidang keperawatan untuk meningkatkan kualitas asuhan keperawatan pada klien dan keluarga.

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Nursing problem that often arises in caring of pediatric patient with mechanical ventilation at PICU is ineffectiveness of airway clearance. One of the nursing theories that can be applied in intensive care unit is Myra E. Levine Conservation Model which has 3 basic concepts. Those concepts are conservation, adaptation and wholeness. Stages of the nursing process are assesment, formulate appropriate trophicognosis and hypothesis, implementing the intervention and evaluating every client organismic response that is aimed to help clients adapting during the treatment and achieving wholeness as a unique individual. Interventions that can be implemented to maintain an effective airway clearance are chest physiotherapy, mucus suction, humidification, inhalation, and mobilization. The Role of Ners Specialist of Pediatric Nursing for caring of a pediatric patient with mechanical ventilation is as practitioner, educator, advocate and researcher. Ners specialist of pediatric nursing are expected to continue develop knowledge and technology in the field of nursing to improve the quality of nursing care to clients and families."

"Distres pernapasan merupakan suatu gangguan pulmonal yang mengacu pada kondisi hipoksemia dan kegagalan pernapasan Angka kematian akibat kondisi distres pernapasan tergantung pada etiologinya dan dilaporkan angka kematian dapat mencapai 40 sampai 75 Karya ilmiah ini menggambarkan penerapan model Konservasi Levine pada pasien anak dengan masalah distres pernapasan yang dirawat di ruang intensif Beberapa masalah keperawatan yang ditemukan antara lain gangguan pertukaran gas ketidakefektifan pola napas dan ketidakefektifan bersihan jalan napas Masalah keperawatan tersebut diatasi melalui peran perawat anak terutama Ners Spesialis Keperawatan Anak untuk meningkatkan adaptasi pasien terhadap kondisi distres pernapasan dan mencapai wholeness Peran lainnya yang dilakukan oleh residensi keperawatan anak antara lain adalah peran sebagai pengelola asuhan keperawatan peran pendidik serta peran peneliti dan agen perubah

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Respiratory distress is a pulmonary disorder refers to the condition of hypoxemia and respiratory failure The death rate due to respiratory distress conditions depending on the etiology and the mortality rates report can reach 40 to 75 This scientific paper describes the application of Levine Conservation Model in children with respiratory distress problems that treated in intensive care unit Some major nursing problems were found such as impaired gas exchange ineffective breathing pattern and ineffective airway clearance Those problems are addressed by the role of pediatric nurses especially by Ners Specialist of Pediatric Nursing which is to improve adaptation to respiratory distress condition and achieving the wholeness The other roles that have been done by a Pediatric Nursing Residencies include the role as manager of nursing care the role of educators as well as the role of investigators and change agents "

"Karya ilmiah akhir ini membahas tentang penerapan model Konservasi Levine dalam pemberian asuhan keperawatan pada pada anak dengan gangguan pernapasan. Infeksi saluran pernapasan akut merupakan suatu gangguan pulmonal yang memiliki efek samping hipoksemia dan kegagalan pernapasan melalui pemberian asuhan keperawatan dengan menerapkan prinsip konservasi untuk mempertahankan keseimbangan energi, konservasi integritas struktural, personal dan sosial. Beberapa masalah keperawatan yang ditemukan antara lain gangguan pertukaran gas, ketidakefektifan pola napas dan ketidakefektifan bersihan jalan napas. Model Konservasi diharapkan menjadi acuan praktik keperawatan pada pada anak dengan gangguan pernapasan.

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The end scientific work is about the application of the Levine's Conservation model in the provision of nursing care to children with respiratory disorders. Respiratory infection acute is a pulmonary disorder that has a side effect of hypoxemia and respiratory failure. The side effects of hypoxemia and respiratory failure can be minimized through the provision of nursing care by applying the principle of conservation of energy to maintain balance, conservation of structural integrity, personal and social. Some nursing problems were found among other disorders of gas exchange, breathing pattern ineffective airway clearance and ineffectiveness. This Conservation model is expected to be a reference of nursing practice in children with respiratory disorders."

"[ABSTRAKBayi prematur dapat mengalami hambatan kenaikan berat badan yang disebabkan oleh usia gestasi, penyakit penyerta, dan pengalaman nyeri atau stres. Hambatan kenaikan berat badan dapat diatasi dengan asuhan keperawatan yang tepat dalam pemenuhan kebutuhan nutrisi pada bayi prematur. Asuhan keperawatan dengan Model Konservasi Levine telah digunakan pada aplikasi praktik residensi di Ruang Neonatus Rumah Sakit Cipto Mangunkusumo dalam menganalisis kenaikan berat badan bayi prematur pada lima kasus terpilih mulai dari Bulan Maret-Mei tahun 2015. Analisis kasus didapatkan dari tahap pengkajian, tropikognosis, hipotesis, intervensi, dan evaluasi. Tropikognosis yang telah teridentifikasi yaitu risiko gangguan pemenuhan kebutuhan nutrisi. Intervensi telah dilakukan berdasarkan prinsip konservasi dan hasil evaluasinya yaitu bayi prematur mengalami kenaikan berat badan dengan konservasi energi. Kenaikan berat badan pada bayi prematur menunjukkan keberhasilan dari penerapan asuhan keperawatan berbasis Model Konservasi Levine.

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ABSTRACTThe preterm infant can has an obstacle of increasing weight which is caused by gestational age, health problems which followed and pain/ stress experience. The obstacle of increasing weight can be handled with giving nursing care in proper nutrition needs. Nursing care with Levine?s Conservation Model has been applied in residence practice application in neonates wards Cipto Mangunkusumo hospital to analyze increasing weight of preterm infant in five selected cases start from March until May 2015. Case analyze is founded from assessment, trophicognosis, hypothesis, intervention, and evaluation. Trophicognosis which identified was disturbance risk in fullfil nutrition needs. Intervention were done based on conservation principle and the result of evaluation that preterm infant has increasing weight with energy conservation. Increasing weight in preterm infant showed a successful application of nursing care based on Levine?s Conservation Model. ;The preterm infant can has an obstacle of increasing weight which is caused by gestational age, health problems which followed and pain/ stress experience. The obstacle of increasing weight can be handled with giving nursing care in proper nutrition needs. Nursing care with Levine?s Conservation Model has been applied in residence practice application in neonates wards Cipto Mangunkusumo hospital to analyze increasing weight of preterm infant in five selected cases start from March until May 2015. Case analyze is founded from assessment, trophicognosis, hypothesis, intervention, and evaluation. Trophicognosis which identified was disturbance risk in fullfil nutrition needs. Intervention were done based on conservation principle and the result of evaluation that preterm infant has increasing weight with energy conservation. Increasing weight in preterm infant showed a successful application of nursing care based on Levine?s Conservation Model. , The preterm infant can has an obstacle of increasing weight which is caused by gestational age, health problems which followed and pain/ stress experience. The obstacle of increasing weight can be handled with giving nursing care in proper nutrition needs. Nursing care with Levine’s Conservation Model has been applied in residence practice application in neonates wards Cipto Mangunkusumo hospital to analyze increasing weight of preterm infant in five selected cases start from March until May 2015. Case analyze is founded from assessment, trophicognosis, hypothesis, intervention, and evaluation. Trophicognosis which identified was disturbance risk in fullfil nutrition needs. Intervention were done based on conservation principle and the result of evaluation that preterm infant has increasing weight with energy conservation. Increasing weight in preterm infant showed a successful application of nursing care based on Levine’s Conservation Model. ]"

"Cairan dibutuhkan oleh tubuh untuk konservasi energi. Ketidakseimbangan cairan akan menyebabkan gangguan proses fisiologis yaitu pengaturan suhu tubuh, media transportasi, membantu proses memperbaiki sel di dalam tubuh dan metabolisme. Karya ilmiah ini membahas mengenai penerapan Konservasi Energi untuk memenuhi kebutuhan cairan anak post operasi. Terdapat lima kasus yang dibahas. Intervensi diberikan berdasarkan pinsip-prinsip konservasi mencakup semua trophicognosis yang ditemukan pada klien. Hasil evaluasi pada akhir perawatan dari trophicognosis pada kelima kasus terpilih, menunjukkan ada yang teratasi, belum teratasi tetapi sudah menunjukkan perbaikan, dan ada juga yang belum teratasi. Pemantauan asupan dan haluran cairan memegang peranan penting dalam menyelesaikan masalah klien

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Fluids are needed by the body for energy conservation. Fluid imbalance will cause physiological processes. The process is the regulation of body temperature, transport media, assist in the repair cells in the body and metabolism. This paper discusses the application of Energy Conservation to meet the child's needs postoperative fluid. There are five cases discussed. Interventions are given based on conservation principles pinsip trophicognosis include all those found on the client. The evaluation results of treatment in five cases trophicognosis selected, indicates there are resolved, not resolved but is showing improvement, and there are also unresolved. Fluid intake and output monitoring is an important role of problem solving"

"[ABSTRAKAnak malnutrisi membutuhkan energi cukup besar untuk memenuhi kebutuhan metabolisme tubuh. Karya Ilmiah Akhir bertujuan menggambarkan aplikasi model konservasi Levine pada anak dengan penyakit infeksi yang mengalami malnutrisi. Intervensi yang diberikan pada kelima kasus menggunakan empat prinsip konservasi energi yaitu menilai status nutrisi pasien, memonitor intake dan output, mengajarkan keluarga tentang pemberian nutrisi melalui NGT serta kolaborasi dengan tim gizi dalam menentukan kebutuhan nutrisi pasien. Evaluasi menunjukkan adanya peningkatan status nutrisi pada beberapa kasus dengan penyakit penyerta. Model konservasi Levinedapat digunakan dalam memberikan asuhan keperawatan pada anak malnutrisi dengan mempertimbangkan adanya penyakit penyerta yang mengakibatkan tidak tercapainya wholeness.

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ABSTRACTChildren with malnutrition need much energy to fulfill the needs of the body?s metabolism. The final scientific paper aims to describe the application of Levine?s conservation model to children with infectious diseases and malnutrition. The interventions which are given to those 5 cases use 4 conservation principles of energy that is evaluating the status of nutrition of patient, monitoring the intake and ouput, educating the family how to give the nutrition via NGT and collaborating with nutrition team to specify the needs of nutrition of patient. The evaluation shows that there is the rise of nutrition status to some cases with comorbidities. The Levine?s conservation model can be used to give nursing care to children with malnutrition by considering the comorbidities which make the wholeness tough to reach.;Children with malnutrition need much energy to fulfill the needs of the body?s metabolism. The final scientific paper aims to describe the application of Levine?s conservation model to children with infectious diseases and malnutrition. The interventions which are given to those 5 cases use 4 conservation principles of energy that is evaluating the status of nutrition of patient, monitoring the intake and ouput, educating the family how to give the nutrition via NGT and collaborating with nutrition team to specify the needs of nutrition of patient. The evaluation shows that there is the rise of nutrition status to some cases with comorbidities. The Levine?s conservation model can be used to give nursing care to children with malnutrition by considering the comorbidities which make the wholeness tough to reach., Children with malnutrition need much energy to fulfill the needs of the body’s metabolism. The final scientific paper aims to describe the application of Levine’s conservation model to children with infectious diseases and malnutrition. The interventions which are given to those 5 cases use 4 conservation principles of energy that is evaluating the status of nutrition of patient, monitoring the intake and ouput, educating the family how to give the nutrition via NGT and collaborating with nutrition team to specify the needs of nutrition of patient. The evaluation shows that there is the rise of nutrition status to some cases with comorbidities. The Levine’s conservation model can be used to give nursing care to children with malnutrition by considering the comorbidities which make the wholeness tough to reach.]"

"Masalah nutrisi merupakan permasalahan yang sering dihadapi oleh anak kanker. Tujuan penulisan Karya Ilmiah Akhir ini adalah memberikan gambaran pelaksanaan Praktik Residensi Keperawatan Anak kanker yang mengalami masalah nutrisi dengan mengaplikasikan Model Konservasi Levine. Dalam pencapaian kompetensi sebagai Ners Spesialis Keperawatan Anak residen telah menjalankan peran sebagai pemberi asuhan keperawatan, peran koordinasi dan kolaborasi, pembuatan keputusan etik, advocator, dan innovator. Aplikasi Model Konservasi Levine tertuang dalam lima kasus terpilih, dimana trophicognosis yang umum ditemukan adalah ketidakseimbangan nutrisi kurang atau lebih dari kebutuhan tubuh. Intervensi diberikan berdasarkan empat prinsip konservasi. Hasil evaluasi terhadap trophicognosis ketidakseimbangan nutrisi menunjukkan adanya peningkatan terhadap kemampuan konservasi energi. Model Konservasi Levine dapat diterapkan pada klien anak dengan kanker yang mengalami masalah nutrisi. Pencapaian kompetensi dalam praktik residensi keperawatan anak telah memperkaya dan meningkatkan pengetahuan serta keterampilan klinis residen.

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Nutritional problem is commonly faced by children with cancer. The aim of this final assignment was to provide Nursing Practice Residency implementation of children with cancer which have nutritional problems by applying Levine Conservation Model. Competencies that had been made included providing nursing care, coordination and collaboration, ethical decision making, advocator and innovator. Levine Conservation Model was applied in five selected cases and the trophicognosis commonly found was imbalanced nutrition supply of the body needs. Interventions were given based on the four principles of conservation, that are conservation of energy, conservation of structural integrity, conservation of personal integrity, and conservation of social integrity. Evaluation of nutritional imbalance trophicognosis showed an increase in energy conservation ability. Levine Conservation Model can be applied to children with cancer who have a nutrition problem. Achievement of competence in the practice residency of nursing children have enriching and improving knowledge and clinical skills of resident."

"Anak selama dirawat rentan mengalami berbagai masalah kesehatan termasuk kerusakan integritas kulit. Tujuan penulisan Karya Ilmiah Akhir ini adalah memberikan gambaran aplikasi Model Konservasi Levine dalam asuhan keperawatan dan gambaran pencapaian kompetensi serta peran perawat dalam asuhan keperawaatan pada anak yang berisiko mengalami kerusakan integritas kulit. Model Konservasi Levine berfokus pada peningkatan adaptasi melalui prinsip konservasi untuk mencapai keutuhan diri. Hasil evaluasi didapatkan bahwa integritas kulit semua kasus kelolaan dapat terjaga. Hal ini menunjukkan bahwa Model Konservasi Levine dapat diaplikasikan pada pasien yang berisiko mengalami kerusakan integritas kulit. Asuhan keperawatan dilaksanakan oleh residen dengan melaksanakan perannya sebagai pemberi asuhan, pendidik, pengelola asuhan, advokat, peneliti dan agen pembaharu.

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Children over the treated susceptible to a variety of health problems including damage to skin integrity. The purpose of this final scientific writing is to give an overview of applications Levine’s Conservation Model in nursing care and description of the achievement of competence and the role of nurses in the care in children at risk of damage to the integrity of the skin. Levine’s Conservation Model focuses on improving adaptation through conservation principles to achieve wholeness. Evaluation results showed that all cases of skin integrity can be maintained under management. This suggests that the Levine's Conservation Model can be applied to patients at risk of damage to the integrity of the skin. Carried out by the resident nursing care by carrying out its role as caregivers, educators, care managers, advocates, researchers and innovators agent. "

"Cairan dibutuhkan oleh tubuh untuk konservasi energi Ketidakseimbangan cairan akan menyebabkan gangguan proses fisiologis yaitu pengaturan suhu tubuh media transportasi membantu proses memperbaiki sel di dalam tubuh dan metabolisme Karya ilmiah ini membahas mengenai penerapan Konservasi Energi untuk memenuhi kebutuhan cairan anak post operasi Terdapat lima kasus yang dibahas Intervensi diberikan berdasarkan pinsip prinsip konservasi mencakup semua trophicognosis yang ditemukan pada klien Hasil evaluasi pada akhir perawatan dari trophicognosis pada kelima kasus terpilih menunjukkan ada yang teratasi belum teratasi tetapi sudah menunjukkan perbaikan dan ada juga yang belum teratasi Pemantauan asupan dan haluran cairan memegang peranan penting dalam menyelesaikan masalah klien Kata kunci Kebutuhan Cairan Post Operasi Konservasi Energi.

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Fluid imbalance will cause physiological processes The process is the regulation of body temperature transport media assist in the repair cells in the body and metabolism This paper discusses the application of Energy Conservation to meet the child 39 s needs postoperative fluid There are five cases discussed Interventions are given based on conservation principles pinsip trophicognosis include all those found on the client The evaluation results of treatment in five cases trophicognosis selected indicates there are resolved not resolved but is showing improvement and there are also unresolved Fluid intake and output monitoring is an important role of problem solving Key words Fluid needs Post operative Energy Conservation."