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Abstrak :

Latar Belakang : Halusinasi merupakan sensasi yang dialami tanpa adanya rangsangan eksternal yang dapat mempengaruhi satu atau lebih dari indra. Jenis halusinasi yang paling banyak terjadi adalah halusinasi pendengaran yang mencapai 69%. Untuk mengatasi halusinasi dan mengurangi frekuensi halusinasi yang timbul, dilakukan 2 tindakan yaitu tindakan terapi medis dan terapi modalitas. Kasus : Ny. O wanita berusia 53 tahun masuk rumah sakit dengan alasan bicara sendiri dan marah – marah. Ny. O sakit sejak 2 tahun yang lalu. Selama di rumah sakit klien mengalami halusinasi pendengaran terutama saat bangun tidur. Saat ini klien merasa takut dan kesal disaat halusinasi mulai muncul. Asuhan keperawatan yang dilakukan pada Ny. O menggunakan standar asuhan sesuai teori pada pasien halusinasi. Diskusi : Asuhan Keperawatan dimulai dari pengkajian, analisa data, perencanaan, implementasi, hingga evaluasi. Perencanaan dan impelementasi menggunakan prinsip terapi generalis. Hasil akhir perawatan terdapat penurunan gejala halusinasi pada Ny. O. Kesimpulan : Intervensi bercakap – cakap memberikan dampak paling signifikan dalam menurunkan gejala halusinasi. Pemilihan intervensi sesuai kebutuhan klien dapat meningkatkan efektivitas dari suatu intervensi

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Background: Hallucinations are sensations experienced without external stimuli that can affect one or more human senses. The most common type of hallucinations is auditory hallucinations that reach 69%. To overcome and reduces frequency of hallucinations there are two intervention namely medical therapy and therapeutic modalities. Case Report : Mrs. O, a 53-year-old woman was admitted to the hospital for reasons of self-talk and anger. Mrs. O sick since 2 years ago. During at the hospital the client experiences auditory hallucinations, especially when waking up. At this time the client feels scared and upset when hallucinations begin to appear. Nursing care that is done to Mrs. O uses standard care according to the theory in hallucinatory patients. Discussion: Nursing care starts from assessment, data analysis, planning, implementation, and evaluation. Planning and implementation uses the principle of generalist therapy. The end result of treatment is a decrease in hallucinatory symptoms in Ny. O. Conclusion: Intervention in conversation provides the most significant impact in reducing hallucinatory symptoms. Selection of interventions according to client needs can increase the effectiveness of an intervention

Abstrak :

Prevalensi kasus hipertensi terus bertambah seiring meningkatnya populasi lansia di wilayah perkotaan. Salah satu intervensi keperawatan yang dapat menurunkan tekanan darah yaitu terapi masase dan relaksasi napas dalam. Pelibatan keluarga dalam pemberian asuhan keperawatan merupakan sistem pendukung dasar utama bagi lansia dalam mempertahankan status kesehatannya. Studi kasus ini bertujuan untuk menggambarkan hasil intervensi keperawatan keluarga Bapak A dengan hipertensi melalui terapi masase dan relaksasi napas dalam terhadap perubahan tekanan darah. Intervensi dilakukan 10 kali dengan 2 kali dalam seminggu selama 6 minggu dengan durasi 15 menit. Hasil menunjukkan penurunan sistolik sekitar 5 – 15mmHg dan 15 – 20 mmHg pada diastolik. Hasil pengukuran tekanan darah dianalisis dengan Paired Sample T-Test menunjukkan adanya pengaruh signifikan antara terapi masase dan relaksasi napas dalam dengan penurunan tekanan darah saat sebelum dan sesudah intervensi (p value = 0,000). Terapi masase dan relaksasi napas dalam dapat dilakukan sebagai upaya preventif pencegahan komplikasi kardiovaskular terutama keluarga lansia dengan hipertensi.

 

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Massage Therapy and Deep Breathing Relaxation as Nursing Intervention to Maintain and Decreaing Blood Pressure in Hypertension. The enhancement prevalence of hypertension cases continues as the elderly population increased in urban areas. Family involvement in nursing care is the main basic support system for the elderly to maintain their health status. This case study aims to describe the results of massage therapy and deep breath relaxation in changing blood pressure which conducted in the elderly family with hypertension. This intervention performed 10 session in 2 times a week within 6 weeks in 15 minutes duration. The results showed the blood pressure has decreased, in systolic around 5 - 15mmHg and 15 - 20mmHg in diastolic. Blood pressure measurement results has been analyzed by Paired Sample T-Test, showed a significant effect between massage therapy and deep breath relaxation in decreasing blood pressure before and after the intervention (p value = 0,000). Massage therapy and deep breathing relaxation could be applied to maintain and decreasing blood pressure to prevent cardiovascular complications especially in elderly families

Abstrak :

Rasa sakit yang tidak ditangani dengan adekuat setelah operasi sesar dikaitkan dengan peningkatan kejadian nyeri kronis dan Post Traumatic Stress Syndrome (PTSS). Saat ini Ibu S berjenis kelamin perempuan, berusia 27 tahun, bekerja sebagai karyawan swasta, dengan status obstetri P1A0. Ibu S melahirkan secara sesar dengan indikasi pengapuran plasenta, persalinan berlangsung lancar dan tidak terdapat permasalahan yang muncul. Masalah yang saat ini paling mengganggu ialah nyeri pada luka sesar. Ibu S memberi nilai 6 dari nyeri yang dirasakan dan berdasarkan numeric pain intensity scale termasuk dalam golongan nyeri sedang. Ibu S mengatakan nyeri tersebut mengganggu aktivitas sehari – harinya sehingga memerlukan penanganan lebih lanjut terhadap nyeri yang dirasakan. Intervensi yang dilakukan ialah penatalaksanaan non – farmakologis yaitu endorphin massage dan terapi murottal Al – Qur’an. Setelah dilakukan intervensi selama empat hari dengan satu kali intervensi dalam sehari yang dibantu oleh suami Ibu S dalam pelaksanaan intervensi, Ibu S memberi nilai 5 dari nyerinya setelah melakukan intervensi.

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Pain that is not treated adequately after cesarean section is associated with an increased incidence of chronic pain and Post Traumatic Stress Syndrome (PTSS). At present Mrs. S is female, 27 years old, works as a private employee, with P1A0 obstetric status. Mrs. S gave a cesarean delivery with indications of calcification of the placenta, labor went smoothly and no problems arose. The problem that is currently most disturbing is pain in cesarean wounds. Mrs. S gave a value of 6 of the pain felt and based on the numerical pain intensity scale included in the category of moderate pain. Mrs. S said that the pain interfered with her daily activities so that she needed further treatment of the pain felt. The interventions carried out were non-pharmacological management, namely endorphin massage and Al-Qur'an murottal therapy. After intervening for four days with one intervention a day assisted by Ms. S's husband in the implementation of the intervention, Ms. S gave a value of 5 of the pain after intervening.

Abstrak :
This book covers algorithmic and hardware implementation techniques to enable embedded deep learning. The authors describe synergetic design approaches on the application, algorithmic, computer architecture, and circuit-level that will help in achieving the goal of reducing the computational cost of deep learning algorithms. The impact of these techniques is displayed in four silicon prototypes for embedded deep learning. Gives a wide overview of a series of effective solutions for energy efficient neural networks on battery constrained wearable devices; Discusses the optimization of neural networks for embedded deployment on all levels of the design hierarchy-applications, algorithms, hardware architectures, and circuits-supported by real silicon prototypes; Elaborates on how to design efficient Convolutional Neural Network processors, exploiting parallelism and data-reuse, sparse operations, and low-precision computations; Supports the introduced theory and design concepts by four real silicon prototypes. The physical realizations implementation and achieved performances are discussed elaborately to illustrated and highlight the introduced cross-layer design concepts.