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"Praktek klinik dilakukan dengan memberikan asuhan keperawatan pada pasien dengan gangguan sistem persarafan menggunakan Model adaptasi Roy. Asuhan keperawatan kelolaan diberikan pada pasien dengan Meningtis-Ensefalitis Tuberculosa. Pengkajian keperawatan menunjukkan masalah pada mode adaptasi fisiologi, yaitu: ketidakefektifan perfusi jaringan serebri. Intervensi keperawatan ditujukan untuk meningkatkan adaptasi pasien dalam meningkatkan perfusi jaringan serebri. Peran sebagai peneliti dan pendidikan dilakukan dengan menerapkan Evidance Based Nursing: memberikan back massage: cooper model yang setelah pelaksanaan terbukti mampu mencegah kejadian ulkus decubitus. Peran praktikan sebagai inovator, dilakukan dengan mengaplikasikan kegiatan inovasi Bladder training pada pasien yang terpasang kateter urin. Dengan hasil evaluasi bahwa bladder training mampu meninngkatkan kemampuan berkemih pasien dan mencegah pemasangan kateter urin yang tidak perlu.

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The clinical practice is conducted by providing nursing care for patients with nervous system disorders by using Roy Adaptation Model. Nursing care focus is given to patients with meningitis-encephalitis Tuberculosa. Nursing assessment indicates a problem on the mode of adaptation physiology, which are: ineffective cerebral tissue perfusion. Nursing interventions are aimed to improve patient adaptation in increasing cerebral tissue perfusion. Role as a researcher and education is conducted by application of Evidence based nursing: giving back massage: cooper model as implementation to prevent decubitus ulcers. Practitioner role as an innovator is done by applying the Bladder training to patients with a urinary catheter inserted. With the results of the evaluation that bladder training is able to increase voiding ability of patients and prevent unnecessary use of urinary catheters."

"Praktik spesialis Keperawatan Medikal Bedah peminatan sistem persyarafan ini bertujuan untuk melakukan praktik dengan mengaplikasikan peran perawat melalui pendekatan Model Adaptasi Roy. Masalah keperawatan terbanyak akibat respon perilaku inefektif pada mode adaptasi fisiologis yaitu ketidakefektifan perfusi jaringan otak, mode adaptasi psikologis yaitu ansietas, sedangkan mode fungsi peran yaitu manajemen kesehatan diri tidak efektif. Intervensi keperawatan berdasarkan pembuktian yang telah diterapkan yaitu Progressive Muscle Relaxation (PMR) dalam menurunkan tekanan darah, nadi dan kecemasan pada pasien stroke. Kegiatan inovasi keperawatan berupa penggunaan Bladder Training sebagai salah satu upaya untuk melatih kandung kemih dan mengembalikan pola normal perkemihan dengan menghambat atau menstimulasi pengeluaran air kemih melalui kegiatan seperti conditioning, pemberian cairan, stimulasi dan latihan kegel. Perawat dapat menerapkan Model Adaptasi Roy, menerapkan PMR untuk meningkatkan relaksasi serta melakukan kegiatan inovatif dalam memberikan asuhan keperawatan pada gangguan neurologi.

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Medical Surgical Nursing Practice Specialist in neurology system aims in practice by applying the role of nurses through the Roy Adaptation Model Approach. The most frequent nursing problems occured was ineffective cerebral tissue perfusion caused by ineffective behavior response on physical adaptation mode, and anxiety from psychological adaptation mode. Ineffective self-care management was the nursing problem from role function mode. Nursing intervention based on evidence based practice on Progressive Muscle Relaxation in reducing blood pressure, heart beat and anxiety. Nursing innovation in this clinical practice was the use of bladder training program to regulate sensation urgency and void according to a timetable by using many activities include conditioning, increasing fluid intake, stimulation and kegel exercise. Nurse can implement Roy’s Adaptation Theory with Progressive Muscle Relaxation (PMR) application to improve relaxation, and at the same time can execute innovation activities in delivering nursing care on neurological disorder."

"Praktik klinik lanjut di ruang neurologi bertujuan memberikan asuhan keperawatan pada pasien gangguan neurologi khususnya spondilitis TB menggunakan teori keperawatan Model Adaptasi Roy, menerapkan paraktik keperawatan berdasarkan pembuktian dan melakukan inovasi keperawatan. Masalah keperawatan yang sering muncul akibat perilaku inefektif pada mode adaptasi fisiologis yaitu perfusi jaringan serebral tidak efektif, mode adaptasi konsep diri yaitu kecemasan, sedangkan mode fungsi peran yaitu pemeliharan kesehatan tidak efektif. Intervensi keperawatan berdasarkan pembuktian yaitu Pemakaian Bantal dekubitus untuk mencegah terjadinya ulkus tekan pada tumit. Inovasi keperawatan yaitu program bladder training pada pasien gangguan neurologis setelah pelepasan kateter. Perawat dapat menerapkan Model Adaptasi Roy, pemakaian bantal dekubitus untuk mencegah terjadinya luka tekan pada tumit dalam memberikan asuha keperawatan pada gangguan neurologi.

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Advanced clinical practice on patient with neurogical system disorder specialy Spondylosis Tuberculluse using Roy’s Adaptation theory is implementataion of nursing practice based on evidence and implementation of nursing innovation. The most frequent nursing problem occurred was ineffective cerebral tissue perfusion caused by ineffective behaviour response on physical adaptation mode, anxiety from self-esteem mode. Ineffective self-care management was nursing problem from role function mode. Nursing intervention based on evidence based practice on Using heel pressure cushion to prevent heel pressure. Nursing innovation in this clinical practice was Bladder training programme for neurological system disorder. Nurse can implement Roy’s Adaptation Theory with using heel pressure cushion, and innovation activities in delivering nursing care on neurogical disorder"

"Pediatric and adolescent concussion : diagnosis, management, and outcomes offers evidence-based guidelines where few previously existed. This comprehensive volume clearly explains the effects of traumatic injury on the developing brain in sports- and non-sports-related contexts, and establishes a framework for immediate and long-term management, especially the crucial first 24 hours. Chapters provide a basic grounding in its subject with a history of concussion as a medical entity and a review of definitional and classification issues, take the reader through the steps of a neuropsychological evaluation, pintpoint post-injury issues, and offer strategies for the prevention of further or future injury. Up-to-date information across professional fields ensures this volume of well-rounded coverage of complex factors from injury to recovery. "

"Consists of diagnoses of all common disorders of the pediatric nervous system and many that are not common. For each diagnosis, information is included concerning the clinical presentation(s) of affected patients, the best sequences to perform for imaging analysis, what each imaging sequence is expected to show (in both common and uncommon presentations), and examples of images showing the key features. In addition, information is included concerning the pathophysiology and pathology of the disorders being discussed, and some basic information concerning the causative genes (when appropriate). In addition to the diagnoses, the book contains introductory chapters in multiple sections that give background on basic embryology, anatomy, and physiology as well as typical imaging features of normal structures in areas being imaged. Put together, the contents of the book make it useful for readers of many different backgrounds and at nearly all stages of training as well as practicing health professionals"