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"ABSTRAKStudi ilmiah ini menggambarkan aplikasi teori caring Swanson dalam pemberian asuhan keperawatan anak dengan stoma.Lima kasus anak dengan stoma diberikan asuhan keperawatan berdasarkan lima prinsip dasar caring Swanson yaitu knowing, being with, enabling/empower-ing, doing for, dan maintaining belief. Asuhan keperawatan diberikan pada anak dan keluarga dengan menerapkan konsep family centered of care. Hasil dari aplikasi teori caring Swanson yaitu anak dengan stoma mendapatkan keperawatan yang komprehensif, kebutuhan pasien selama perawatan di rumah sakit terpenuhi, pemberian edukasi dan pendampingan orang tua dalam mencegah komplikasi kulit peristomal dan perawatan stoma anak di rumah, orang tua dapat mempertahankan keyakinan dan harapan untuk perawatan anak selanjutnya di rumah serta mempersiapkan kondisi anak untuk tindakan definitif.Lima prinsip teori caring Swanson merupakan dasar bagi perawat dalam menerapkan proses keperawatan, teori caring dapat melengkapi teori keperawatan lain yang menjelaskan secara spesifik tahapan dalam proses keperawatan.

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ABSTRACTThe aim of study was to apply of Swanson 39;s caring theory in nursing care of children with stoma. Five cases of children with stoma were given nursing care based on the five basic principles of Swanson caring: knowing, being with, enabling / empowering, doing for, and maintaining belief. Nursing care is given to children and families by applying the concept of family centered of care. The result of the Swanson caring theory application is that children with stoma get comprehensive nursing, the patient 39;s need during hospitalization is fulfilled, giving education and parental guidance in preventing peristomal skin complications and stoma care of children at home, parents can maintain the belief and hope to further child care at home as well as preparing the child 39;s condition for definitive treatment. The five principles of the Swanson caring theory are the basis for nurses in applying the nursing process, caring theory can complement other nursing theories that explain the specific stages in the nursing process. "

"Infeksi yang terjadi pada anak merupakan perhatian penting pada kesehatan anak di dunia. Kondisi ini membutuhkan pelayanan dan perawatan jangka panjangsehingga dilakukan tindakan invasif pada anak, salah satunya pemasangan central venous catheter (CVC), tindakan ini meningkatkan potensial komplikasi yang memperberat kondisi infeksi pada anak. Pendekatan asuhan keperawatan menggunakan teori caring Swanson dapat diterapkan. Teori ini sesuai denganproses keperawatan dan sejalan dengan family centered care (FCC) yang merupakan paradigma keperawatan anak. Karya ilmiah spesialis ini bertujuanmemberikan gambaran asuhan keperawatan berdasarkan teori caring Swanson pada anak dengan masalah infeksi. Metode yang digunakan adalah studi kasus.Kebutuhan pada 5 kasus kelolaan dikaji berdasarkan 5 konsep caring Swanson yaitu knowing meliputi pengkajian dan diagnosis keperawatan. Intervensikeperawatan diberikan dengan melakukan doing for, being with, enablingempowering, dan maintaining belief . Salah satu intervensi yang dilakukan adalah pemantauan dan perawatan CVC menggunakan CVC exit-site infection score untuk menurunkan kejadian infeksi. Evaluasi tindakan dilakukan berdasarkan nursing outcome sesuai dengan diagnosis keperawatan yang telah ditegakkan. Hasil studi aplikasi teori caring Swanson pada anak dengan masalah infeksi, berdampak pada penurunan kondisi infeksi CVC dan kepuasan pasien dan keluarga atas pelayanan yang diberikan.

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Infection that occurs in children is an important concern for children's health in the world. This condition requires long-term care and treatment so that invasive measures are taken on children, one of which is the installation of a central venous

catheter (CVC), this action increases the potential for complications that aggravate the condition of infection in children. Nursing care approach using Swanson's caring theory can be applied. This theory is in accordance with the nursing process and is in line with family centered care (FCC) which is the paradigm of pediatric

nursing. The scientific work of this specialist is aimed at providing an overview of nursing care based on Swanson's theory of caring for children with infectious problems. The method used is a case study. The needs of the 5 cases under management were studied based on Swanson's 5 caring concepts, namely knowing covering nursing assessment and diagnosis. Nursing intervention is given by doing for, being with, enabling-empowering, and maintaining belief. One of the interventions carried out is CVC monitoring and treatment using CVC exit-site infection score to reduce the incidence of infection. Evaluation of actions is carried out based on nursing outcomes in accordance with the Nursing diagnosis that has been established. The results of the study of the application of Swanson's caring theory in children with infection problems, have an impact on reducing the condition of CVC infection and patient and family satisfaction with the services

provided."

"

Kemoterapi adalah salah satu pengobatan kanker yang memiliki efek samping immunosupressan yang menekan sistem imun tubuh sehingga tubuh mudah terinfeksi. Pendekatan teori yang dapat diaplikasikan pada anak kanker adalah teori caring Swanson. Konsep teori caring Swanson menyerupai dengan alur proses keperawatan. Karya Ilmiah ini bertujuan untuk mendeskripsikan aplikasi teori keperawatan Caring Swanson pada anak dengan kanker yang mengalami masalah risiko penyebaran infeksi. Metode yang digunakan adalah studi kasus. Kebutuhan pada 5 kasus kelolaan dikaji berdasarkan lima konsep caring Swanson yaitu knowing yaitu pengkajian dan diagnosa keperawatan. Pengkajian yang dapat dilakukan menggunakan instrumen “telephone triage oncology” versi Indonesia untuk mengetahui secara cepat masalah pada anak kanker. Intervensi keperawatan diberikan dengan melakukan doing for, being with, enabling dan maintaining belief. Evaluasi tindakan dilakukan berdasarkan nursing outcome sesuai dengan diagnosa keperawatan yang telah ditegakkan. Hasil studi aplikasi teori caring Swanson pada anak kanker yang mengalami risiko penyebaran infeksi berdampak pada kepuasan pasien dan keluarga atas pelayanan keperawatan yang telah diberikan.

 

Kata Kunci: Kanker, risiko penyebaran infeksi, Teori Caring Swanson

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Chemotherapy is a cancer treatment that has immunosupressant side effects that suppress the body's immune system so that the body is easily infected. The theoretical approach that can be applied to cancer children is the theory of Swanson caring. The concept of Swanson caring theory resembles that of the nursing process. This Scientific Work aims to describe the application of Caring Swanson's theory of nursing in children with cancer who experience problems with the risk of spreading infection. The method used is a case study. The need for 5 cases under management was examined based on five Swanson caring concepts, namely knowing, namely the assessment and diagnosis of nursing. Assessments that can be carried out using the Indonesian version of the "telephone triage oncology" instrument to quickly identify problems in children with cancer. Nursing interventions are given by doing for, being with, enabling and maintaining belief. Action evaluation is based on the nursing outcome in accordance with the nursing diagnosis that has been enforced. The study results of the application of Swanson's caring theory in cancer children who experience the risk of spreading infection have an impact on patient and family satisfaction with the nursing services that have been given.

 

Keywords: Cancer, risk of spread of infection, Swanson Caring Theory

"

"ABSTRAK Angka kematian ibu (AKI) merupakan salah satu indikator penting dari derajatkesehatan masyarakat. AKI menggambarkan jumlah wanita meninggal dari suatupenyebab kematian terkait dengan gangguan kehamilan atau penanganannya selamakehamilan, melahirkan dan selama nifas. Kasus perdarahan sebagai penyebab utamakematian ibu dapat terjadi pada masa kehamilan, persalinan dan masa nifas. Salahsatu penyebab perdarahan diantaranya adalah plasenta previa. Plasenta previamerupakan salah satu keadaan yang menjadi penyebab perdarahan yang memerlukantindakan segera tenaga kesehatan terkait dengan kondisi ibu dan janin yangdikandungnya. Perawat sebagai salah satu tenaga kesehatan yang memberikan asuhankeperawatan secara komprehensif berperan dalam melakukan pemantauan secaraberkesinambungan kondisi ibu dan janin serta proses persalinan yang akan dihadapi .Tujuan penulisan laporan KIA ini adalah menjelaskan tentang aplikasi konsep danteori keperawatan dalam pemberian asuhan keperawatan pada ibu hamil denganplasenta previa totalis,serta menjelaskan peran perawat maternitas sebagai pemberiasuhan keperawatan, educator, konselor, advokator, pengelola, kolaborator, agenpembaharu (innovator), komunikator dan koordinator serta peneliti dalammemberikan asuhan keperawatan pada ibu hamil dengan plasenta previa. Pemilihankonsep dan teori keperawatan berdasarkan kepada kontek klien yang dalam kondisimengalami komplikasi yang berakibat kecemasan, dibutuhkan pendekatan perawatyang mampu memberikan asuhan secara komprehensif. Oleh karena itu konsep danteori need for help Wiedenbach dan teori of caring Swanson tepat digunakan dalampemberian asuhan keperawatan pada ibu hamil dengan plasenta previa totalis.Dengan harapan kondisi ibu hamil dengan plasenta previa totalis tetap optimal,mampu beradaptasi secara fisik maupun pskologis serta siap terhadap proses persalinan yang akan dihadapi. ABSTRACT The maternal mortality rate (MMR) is one of important indicators of the communityhealth. MMR describes the number of women death caused by problems associatedwith pregnancy or the treatment during pregnancy, childbirth and postpartum period.Hemorrhagic cases as the main cause of maternal death occur during pregnancy,childbirth and postpartum period. One of hemorrhagic causes is placenta previa.Placenta previa is a condition that causes bleeding which requires healthprofessionals? immediate interventions related to the maternal and fetal condition. Anurse as one of health professionals who provides a comprehensive nursing care has arole in monitoring continuously the maternal and fetal condition as well as the laborand birth process. The purpose of this final scientific work was to explain about theapplication of the nursing concepts and theories in providing nursing care to pregnantwomen with placenta previa totalis, as well as to explain the role of maternity nursesas a caregiver, an educator, a counselor, an advocate, a manager, a collaborator, aninnovator, a communicator and a coordinator as well as a researcher in providingnursing care to pregnant women with placenta previa. The selection of nursingconcepts and theories was based on the context of the client experiencedcomplications causing anxiety, nurses? approach that can provide comprehensive carewas needed. Therefore, Wiedenbach need for help concept and theory and Swansontheory of caring were appropriate to be used in the provision of nursing care topregnant women with placenta previa totalis. Hopefully the conditions of pregnantwomen with placenta previa totalis remain optimal, able to adapt physically and psychologically and ready to face the labor process. ;The maternal mortality rate (MMR) is one of important indicators of the communityhealth. MMR describes the number of women death caused by problems associatedwith pregnancy or the treatment during pregnancy, childbirth and postpartum period.Hemorrhagic cases as the main cause of maternal death occur during pregnancy,childbirth and postpartum period. One of hemorrhagic causes is placenta previa.Placenta previa is a condition that causes bleeding which requires healthprofessionals? immediate interventions related to the maternal and fetal condition. Anurse as one of health professionals who provides a comprehensive nursing care has arole in monitoring continuously the maternal and fetal condition as well as the laborand birth process. The purpose of this final scientific work was to explain about theapplication of the nursing concepts and theories in providing nursing care to pregnantwomen with placenta previa totalis, as well as to explain the role of maternity nursesas a caregiver, an educator, a counselor, an advocate, a manager, a collaborator, aninnovator, a communicator and a coordinator as well as a researcher in providingnursing care to pregnant women with placenta previa. The selection of nursingconcepts and theories was based on the context of the client experiencedcomplications causing anxiety, nurses? approach that can provide comprehensive carewas needed. Therefore, Wiedenbach need for help concept and theory and Swansontheory of caring were appropriate to be used in the provision of nursing care topregnant women with placenta previa totalis. Hopefully the conditions of pregnantwomen with placenta previa totalis remain optimal, able to adapt physically and psychologically and ready to face the labor process. "

"Perawat sebagai pemberi asuhan mempunyai peran penting untuk dapat meningkatkan derajatkesehatan perempuan. Perawat menjalankan peran dan fungsi sebagai pemberi pelayanankeperawatan, konselor, advokat, educator, koordinator, pengelola, kolaborator, dan penelitidalam upaya meningkatkan kesehatan reproduksi perempuan, selama melaksanakan praktek baikdi rumah sakit maupun di komunitas. Salah satu masalah reproduksi pada perempuan adalahmolahidatidosa, teori yang diaplikasikan adalah fokus penerapan adaptasi Roy dan CaringSwanson pada ibu dengan post kuretase mola hidatidosa. Penerapan teori ini terbukti dapatmemberikan asuhan keperawatan pada klien secara komprehensif. Tujuan dari laporan ini adalahmemberikan gambaran tentang pelaksanaan praktik residensi ners spesialis dalam pengelolaankasus klien dengan mola hidatidosa, dan pelaporan evidence based practic nursing tentangSpiritual Emotional Freedom Technique, Pencapaian kompetensi Perawat Spesialis Maternitasdilakukan melalui peran perawat secara komprehensif.

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Nurses, as caregivers, have important role in improving woman's health standard. Either in the

hospital or in the community, nurses also serve as caretaker, counselor, advocate, educator,

coordinator, organizer, collaborator, and researcher in order to improve the woman's

reproduction health. One of the case in womans's reproduction health is hydatidiform mole,

This study used Roy and Caring Swanson adaptation. The theory was applied on posthydatidiform

mole curettage patients. The intervention was proven to be able to give the

nursing care comprehensively. The report aimed at describing the nursing residency specialist

practice in hydatidiform mole patient management. The achievement of maternity nursing

specialist was undergone through comprehensive nurse's roles."

"Ibu hamil dengan preeklampsia dengan gambaran yang parah dapat mengakibatkan komplikasi akut dan berisiko menetap dalam jangka panjang bagi wanita dan bayinya. Perjalanan klinis preeklampsia dengan gambaran berat ditandai dengan kemunduran progresif kondisi ibu dan janin. Pendekatan dengan teori Newman “health as expanding consciousness”, disini perawat hadir untuk klien pada titik pilihan kritis dalam hidup mereka dan berpartisipasi dengan mereka dalam proses perluasan kesadaran melalui proses keperawatan. Perawat memfasilitasi wawasan klien melalui berbagi proses pengenalan pola dalam bentuk pemberian proses keperawatan. Selama proses keperawatan, perawat hadir dalam merawat kesejahteraan biologis, psikologis, sosial dan spiritual pasien, sehingga melalui fokus caring Swanson ini yang berfokus pada “maintaining belief”, “being with”, “doing for” dan “enabling”. Uji coba evidence-based practice nursing (EBNP) dengan menggunakan teknik diaphragm breathing menjadi bagian dari proses keperawatan. Alat ukur atau tool yang digunakan untuk mengukur kecemasan ibu hamil adalah menggunakan PRAQ-R2. Hasil yang diterapkan oleh wanita hamil memiliki efek menguntungkan dalam menurunkan kecemasan ibu hamil dengan rata rata pre-test skor 38.6 menjadi 15.4 di post-test.

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.Pregnant women with preeclampsia with severe features can cause acute complications and risk long-term persistence for the woman and her baby. The clinical course of preeclampsia with severe features is characterized by progressive deterioration of maternal and foetal condition. Approach to Newman's theory of "health as expanding consciousness", here nurses are present for clients at critical choice points in their lives and participate with them in the process of expanding awareness through the nursing process. The nurse facilitates client insight through sharing the pattern recognition process in the form of providing the nursing process. During the nursing process, nurses are present in caring for the biological, psychological, social and spiritual well-being of patients, so that through Swanson's caring focus which focuses on "maintaining belief", "being with", "doing for" and "enabling". Evidence-based practice nursing (EBNP) trials using the diaphragm breathing technique are part of the nursing process. Measuring instrument or tool used to measure the anxiety of pregnant women is using PRAQ- R2. The results applied by pregnant women have a beneficial effect in reducing the anxiety of pregnant women with an average pre-test score of 38.6 to 15.4 in the post-test."

"Nyeri persalinan merupakan kodisi yang fisiologis yang dialami oleh semua ibu bersalin termasuk ibu bersalin dengan stillbirth. Nyeri dapat berupa sakit pada pinggang, daerah erut dan menjalar ke paha. Penanganan nyeri non farmakologi merupakan hal yang penting salah satunya dengan counterpressure dan terapi relaksasi nafas dalam. Penanganan nyeri non farmakologi ini dapat meminimalisir risiko alergi terhadap beberapa terapi farmakologi. Tujuan dari penulisan ini adalah melaporkan hasil uji coba kombinasi counterpressure dan terapi relaksasi nafas dalam pada ibu bersalin kala satu. Uji coba dilakukan pada lima kasus ibu pada kala satu dengan stillbirth di mana ibu kehilangan satu faktor passenger sebagai syarat proses persalinan. Penerapannya dimulai dengan penjelasan terlebih dahulu mengenai konsep counterpressure dan teknik relaksasi nafas dalam pada pasien dan pendamping kemudian demonstrasi. Teknik ini diterapkan pada lima ibu dengan stillbirth pada kala satu aktif. Kombinasi dai kedua metode ini terbukti dapat mengurangi nyeri dan klien mengatakan lebih nyaman dan rileks saat dilakukan counterpressure dan teknik relaksasi nafas dalam. Didapatkan juga respiration rate dan tekanan darah ibu dalam batas normal.Labor pain is a physiological condition experienced by all maternity mothers including mothers giving birth with stillbirth. Pain can be a pain in the waist, abdomen and spread to the thighs. Non-pharmacological pain management is an important thing, one of them is counterpressure and deep breathing relaxation therapy. This non-pharmacological pain management can minimize the risk of allergies to several pharmacological therapies. The purpose of this paper is to report the results of a combination of counterpressure trials and deep breath relaxation therapy in first-time maternity mothers. The trial was carried out in five cases of mothers at a time with a stillbirth in which the mother lost one factor passenger as a condition for labor. The application begins with an explanation first about the concept of counterpressure and deep breathing relaxation techniques in patients and companions then demonstrations. This technique is applied to five mothers with a stillbirth when one is active. The combination of the two methods is proven to reduce pain and the client says it is more comfortable and relaxed when counterpressure and deep breathing relaxation techniques were performed.

"

"ABSTRAKPengaruh Penguatan Peran Mentor dengan Pendekatan Teori Caring Swanson terhadap Kompetensi Mentor dalam Program Mentorship AbstrakProgram mentorship efektif dalam membentuk perawat yang profesional, namun mentor belum diberikan dukungan yang baik dalam menjalankan perannya. Tujuan penelitian ini yaitu melihat pengaruh penguatan peran mentor dengan pendekatan teori caring Swanson terhadap kompetensi mentor dalam program mentorship. Metode menggunakan pendekatan pre-eksperimental design, dengan melakukan intervensi pada satu kelompok tanpa kelompok kontrol. Pengambilan sampel menggunakan teknik total sampling terhadap semua mentor di ruang rawat inap sebanyak 12 mentor. Observasi dilakukan pada 36 kali kegiatan mentoring, sehingga setiap mentor dilakukan penilaian observasi sebanyak tiga kali. Hasil penelitian menunjukkan terdapat perbedaan yang signifikan pada pengetahuan, sikap, dan keterampilan mentor sebelum dan sesudah intervensi dengan p=0,0001;=0,05. Keterampilan mentor merupakan kompetensi mentor dengan peningkatan terendah 78,96 dibandingkan dengan pengetahuan 85,4 dan sikap mentor 84,65 . Faktor yang dominan yang mempengaruhi kompetensi mentor, yaitu pendidikan, pelatihan, penguatan pengetahuan, sikap, dan keterampilan. Hasil penelitian ini memberikan masukan kepada rumah sakit untuk meningkatkan kompetensi mentor dengan mengaplikasikan program mentorship dengan pendekatan teori caring Swanson, dengan mendukung pendidikan dan pelatihan mento.

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ABSTRACTThe Influence of Strengthening Mentor rsquo s Role Approching The Swanson rsquo s Caring Theory to the Mentor rsquo s Competency in The Mentorship ProgramAbstract The mentorship program is effective in forming a professional nurse, but mentors have not been given good support in performing their role. The purpose of this study is to see the effect of strengthening the role of mentors using Swanson rsquo s caring theory to mentors competences in the mentorship program. The method used a pre experimental design approach, by intervening in one group without a control group. Sampling used total sampling technique for all mentors in the inpatient room of 12 mentors. Observations were conducted on 36 mentoring activities, so each mentor performed three observational observations. The results showed that there were significant differences in the knowledge, attitudes, and skills of mentors before and after intervention with p 0.0001 0.05. The mentor skill is the competence of mentor with the lowest increase 78,96 compared with knowledge 85,4 and mentor attitude 84,65 . The dominant factors affecting the competence of mentors are education, training, strengthening knowledge, attitudes, and skills. The results of this study provide suggestion to the hospital to improve the competence of mentors by applying mentorship program with Swanson rsquo s caring theory, by supporting education and mentor training. Keywords Caring, competences, mentor, and mentorship."

"ABSTRAK Laporan Praktek Residensi Spesialis Keperawatan Maternitas Dengan Penerapan Teori Need For Help Wiedenbach, Self Care Orem Dan Caring Swanson Pada Ibu Dengan Preeklampsia Abstrak Angka kematian ibu di Indonesia masih tinggi yaitu sebesar 359/100.000 kelahiran hidup. Pada tahun 2013 tercatat 27.1 penyebab kematian ibu disebabkan karena hipertensi pada kehamilan yang merupakan urutan kedua penyebab kematian ibu di Indonesia setelah pendarahan. Angka kematian ibu akibat preeklamsia di Indonesia adalah antara 9,8 - 25 . Perawat sebagai bagian dari tenaga kesehatan memiliki peran untuk memberikan asuhan keperawatan yang komprehensif untuk memantau dan memonitor kondisi ibu.Kasus kelolaan ada lima, namun dijelaskan secara terperinci pada satu kasus kelolaan. Hasil yang diperoleh dari keempat klien berusia < 20 tahun, satu kasus kehamilan yang kedua dan empat kasus kehamilan pertama, dua kasus dengan eklampsia, dan tiga kasus dengan preeklampsia berat, terdapat edema, dan protein urin lebih dari positif satu. Kelima kasus dilakukan pembedahan seksio sesaria, tiga kasus beresiko tinggi mengalami post partum blues. Fase akut menggunakan pengkajian dengan model konsep need for help Wiedenbach, sedangkan fase pemulihan menggunakan teori self care Orem dan caring Swanson. Pada fase akut pasien mengalami masalah gangguan perfusi jaringan serebral, intoleransi aktivitas, resiko cidera pada janin dan kecemasan. Sedangkan pada fase pemulihan pasien mengalami gangguan rasa nyaman nyeri, hambatan mobilitas fisik, defisit perawatan diri, kecemasan, dan resiko tinggi koping individu tidak efektif.Ketiga teori keperawatan ini dapat diterapkan pada pasien dengan preeklampsia untuk penanganan masalah emergensi pada fase akut dan peningkatan kenyamanan, perawatan diri setelah operasi dan peningkatan koping yang efektif untuk penanganan pada masa pemulihan bagi ibu dan bayinya. Kata Kunci: preeklampsia, need for help Wiedenbach, self care Orem, caring Swanson ABSTRACT Report Of Specialist Practice Residency Maternity Nursing Theory And Concept With The Application Of Need For Help Wiedenbach, Self Care Orem Dan Caring Swanson In Mother With Preeklampsia. Abstract Maternal mortality rate in Indonesia is 359 100,000 live births. On 2013 the prevalence of maternal mortality rate cause of on the pregnant woman is 27,1 . This is the second maternal death in Indonesia after bleeding. Maternal mortality death caused by preeclampsia in Indonesia is between 9.8 25 . Nurse as a part of the health workers has a role to give comprehensive nursing care to monitor the condition of the motherFrom five cases founded, only one case was explain in details. There are four clients with age less than 20. On that case it was found one case on the second second pregnancy, four cases on the first pregnancy, two cases with eclampsia, and three cases with severe preeclampsia, five with cases with high blood pressure, edema, and urine protein more than positive one . Five cases were done section cesarean, three high risk caused post partum blues. The acute phase using assessment with the model concept of Wiedenbach, while the recovery phase using Orem self care and caring Swanson theory. On the acute phase the clients having a problems with tissue perfusion problems, activity intolerance, fetal risk and anxiety. While in the recovery phase of patients experiencing painful discomfort, physical imobility, self care deficit, anxiety, and high risk of ineffective individual coping.These nursing theories can be applied to patients with preeclampsia for the emergency problems in the acute phase and improved self care after surgery and effective coping enhancement for recovery treatment for mother and baby. Keywords reeclampsia, concept of Wiedenbach, self care Orem, caring Swanson"

"Demam merupakan respon tubuh terhadap adanya infeksi. Anak dengan demam dapat mengalami gangguan fisiologis, gelisah, dehidrasi, dan ketidaknyamanan. Penanganan demam dilakukan dengan menurunkan suhu tubuh secara perlahan dan memberikan kenyamanan pada anak. Salah satu penanganan demam nonfarmakologi berupa tepid water sponge yang menjadi rekomendasi jika dipadukan dengan terapi farmakologi. Pendekatan keperawatan untuk memberikan kenyamanan pada pasien didasarkan pada teori Comfort Kolcaba yang meliputi aspek kenyamanan fisik, psikospiritual, sosiokultural, dan lingkungan. Asuhan keperawatan menggunakan teori Comfort Kolcaba dapat digunakan sebagai salah satu acuan dalam pemberian asuhan keperawatan pada anak dengan demam.

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Fever is the body's response to infection. Children with fever may experience physiological disorders, anxiety, dehydration, and discomfort. Handling fever is done by slowly lowering the body temperature and provide comfort to the child. One of non pharmacological treatment to fever is tepid water sponge that recommended when it combined with pharmacological therapy. The nursing approach to comforting patient is based on Kolcaba Comfort theory which includes aspects of physical comfort, psychospiritual, sociocultural, and environment. Kolcaba comfort theory can be used as a reference in the provision of nursing care in children with fever."