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Description of Cognitive Function in The Elderly with Puzzle Therapy Intervention: Case Study
Get PDFThe elderly can experience a decrease in cognitive function because the body functions of the elderly also tend to decrease. Cognitive disorders in the elderly can interfere with and affect the behavior or activities of the elderly. The role of nurses is very important to provide interventions that can improve the cognitive function of the elderly. Non-pharmacological efforts are needed to overcome cognitive function problems in the elderly, one of which is through puzzle therapy. Puzzles in the form of pictures in the form of small pieces to hone intelligence, lead to patience, introduce the ability to share, and are a fun way to train the brain, especially for the elderly. This research method is a case study method with a nursing care approach to the elderly aged 80 years, the MMSE and SPSMQ questionnaires are used to assess cognitive and intellectual development in the elderly. The results showed that the application of puzzle therapy which had been carried out for 6 meetings with an intensity of 1x20 minutes per day showed an improvement in the results of the MMSE and SPSMQ scores, in other words there was an increase in cognitive and intellectual function in the elderly. For maximum results, puzzle preparation exercises should be carried out regularly and can be done together in nursing homes so that the elderly are more motivated and more enthusiastic
Comprehensive Management of Pregnancy with Anaemia
Get PDFObjective: The aim of this case study is to carry out comprehensive management for pregnant women with mild anemia.
Method: The design is a case study design with comprehensive care. This case study uses an analytical descriptive method, with the main objective of exploring the problem, providing an overview of the case, and analyzing more deeply midwifery care according to the client's needs.
Results: Comprehensive care carried out for pregnant women with anemia was successfully carried out by increasing HB levels and giving birth without complications, as well as the condition of the newborn in good condition.
Conclusion: Oral iron (Fe) supplementation is the standard of care in obstetric practice in pregnancy. The increase in hemoglobin levels in pregnant women with mild anemia conditions can be increased by providing correct and effective information, monitoring Fe consumption regularly by midwives, nurses, and health workers for 30 days, and providing information on danger signs during delivery until the baby's condition is born
Management of Preoperative Anxiety Patients with Progressive Muscle Relaxation Therapy Interventions
Get PDFObjective: This case study aims to determine nursing care for anxiety in patients with pre-operative kidney stones (ureteroscopy) with progressive muscle relaxation therapy intervention in the Wijaya Kusuma room below the Kardinah Hospital, Tegal City.
Method: The method used is a descriptive case study design where the case study sample is pre-operative kidney stone patients. The instrument used was the DASS 42 questionnaire (Depression Anxiety Stress Scale 42).
Result: The results of the case study on the third day showed the patient looked calm with vital signs blood pressure 120/70 mmHg, pulse 97x/minute, RR 21x/minute, temperature 36.1°C, a decrease in the results of the DASS questionnaire from before the action 18 to 11.
Conclusion: The results of the case study showed a decrease in anxiety in patients with preoperative kidney stones
Nursing Care for The Risk of Violent Behavior in Schizophrenic Patient
Get PDFObjective: This study aims to describe the nursing care of the risk of violent behavior in patients with schizophrenia in RSUD Banyumas.
Method: In this study, the researchers applied a case study method and the data collection techniques used were interviews, observations, and documentation studies.
Result: The results showed that after being given therapeutic communication for three days, the patients were able to control their emotions with assistance from the nurses and the patients seemed to be able to interact well.
Conclusion: Based on the results of the study, it can be concluded that nursing actions of deep breathing relaxation, and distraction by hitting the pillow can reduce the emotional problems of people with the risk of violent behavior
Design of an Information System for Testing the Blood Characteristics on Increasing the Impact of Vibration using a Prototype “Blood Shaker Machine”
Get PDFObjective: The general purpose of this research is to design an information system based on the application of blood characteristics testing on platelets to increase the impact of vibration by using a "Blood Shaker Machine" examined through a Haematology Analyzer (HA) and Peripheral Blood Smear (SADT) at any changes in the increase in vibration.
Method: The method used in this study is to design an application-based system on the "Blood Shaker Machine" and test the increase in vibration on changes in blood quality both in terms of the number and morphology of the platelets.
Result: Significant changes in the morphology of erythrocytes and platelets in the 10 Hz vibration group for 15 minutes also indicated a change in the quality of blood cells, both erythrocytes and platelets.
Conclusion: There is a significant difference in erythrocyte morphology changes between before and after being vibrated at 10 Hz with a p value of 0.014 and There is a significant difference in platelet morphology between before and after being vibrated at 10 Hz with a p value of 0.000
Application of Positive Aspect Ability to Increase Self-Actualization for Low Self-Esteem Patient
No full textObjective: To present care with the intervention of applying positive aspects of ability to increase self-actualization for patients with low self-esteem.
Method: This case study design with a nursing care approach which includes assessment, determining diagnoses, nursing plans, nursing actions and nursing evaluations. In this case study the method used is descriptive analytic. The subject of this case study is 1 client with low self-esteem in the Tanjung BLUD Room, Banjar City General Hospital. With data collection techniques include interviews, observation and documentation studies.
Results: The results of nursing care, it was found that subjective data was rejected by a woman, often locked herself at home because she felt ashamed and was often ridiculed by her friends, patients did not participate in activities in the community. And the objective data are low and weak voices, speech is not audible, the patient looks restless, confused and looks sad, the patient sometimes seems to be talking to himself, his eyesight is lacking, eye contact is lacking, the patient looks a little lowered and his concentration is easily distracted. There are nursing problems found, namely low self-esteem. So that the intervention given is the application of positive aspects of ability.
Conclusion: The intervention of applying positive aspects of ability is proven to be effective in increasing self-actualization of patients with low self-esteem. As long as the recommended action is the patient is cooperative
The Correlation of Intraoperative Blood Pressure with Post Operative Nausea and Vomiting Incidence
Get PDFObjective: To determine the correlation of intraoperative blood pressure with PONV Incidence in post-general anesthesia patients at Tk. II Udayana Hospital Denpasar.
Methods: This study employed analytical correlational with cross-sectional design. There were 60 respondents as the samples. The data were collected by using an observation sheet during intraoperative and PONV questionnaire. Data were analyzed using the Spearman's Rho test.
Result: The result showed that the dominant of intraoperative blood pressure of the patient was normotensive (68,3%), the dominant of PONV incident was no PONV (90%). There was significant correlation of intraoperative blood pressure and PONV incidence (p-value <0.001) with coefficient correlation -0.507.
Conclusion: There is a correlation of intraoperative blood pressure and PONV incidence on post general anesthesia patients at Tk. II Udayana Hospital Denpasar with strong correlation
Implementation of Chest Physiotherapy in Children with Tuberculosis to Manage Ineffective Airway Clearance
Get PDFObjective: This case study aims to describe the nursing care process and analyze the administration of chest physiotherapy to treat ineffective airway clearance in children diagnosed with tuberculosis.
Method: This research is a case study research using random sampling technique for the sampling process. The samples used were children diagnosed with tuberculosis, being hospitalized, and experiencing ineffective airway clearance. The study was conducted in March 2022. Data collection used a nursing assessment format for children, a physical examination format, and an interview guide format. The nursing care process is carried out from the initial stage of assessment to evaluation.
Result: The main complaint expressed was a fever that went up and down, often felt nauseated, coughed up phlegm that was difficult to expel. The data findings showed wheezing, cyanotic skin color, and an increase in respiratory rate and pulse. The patient experiences ineffective airway clearance. Effective chest and cough physiotherapy interventions were given for 3 days during the treatment period and showed that the results of walking clearance were not effectively resolved. This condition is seen from the phlegm that has come out, there are no additional breath sounds, the respiratory rate and pulse are within normal limits.
Conclusion: The provision of effective chest physiotherapy and coughing interventions proved to be able to overcome ineffective airway clearance. Research recommendations to be able to combine alternative non-pharmacological techniques in overcoming ineffective airway clearance in children, especially with tuberculosis
Techniques of Audiovisual Distraction to Reduce Pain during Venous Blood Sampling: A Case Study
Get PDFObjective: The purpose of this study was to determine whether there is an effect of audiovisual distraction therapy on reducing pain levels in pediatric patients when taking venous blood in cases of Dengue Hemorrhagic Fever.
Method: The design used in this study is a descriptive study with a case study method for the provision of nursing care, namely from assessment, developing of nursing diagnoses, interventions, implementation and evaluation. The focus of the study was the effect of audiovisual distraction techniques on reducing pain scales in children who received invasive venous blood sampling.
Result: The result is that after being given distraction therapy for 10 minutes for 3 days at the time of blood sampling, the respondent's pain level decreased from a scale of 8 on the first day to a scale of 2 on the third day. The audiovisual distraction therapy can be degrees pain level.
Conclusion: This case study underscores the importance of the active involvement of nurses during invasive procedures that cause pain, one of which is taking venous blood in pediatric patients, so that pediatric patients are more cooperative
Case Study of Progressive Muscle Relaxation Intervention to Reduce Pain in Appendicitis Patient
Get PDFObjective: This case study was conducted to describe a progressive muscle relaxation intervention in reducing pain in appendicitis patients.
Method: This study uses a case study design with an evidence-based practice approach that focuses on nursing interventions. This research was conducted at the BLUD RSU Banjar City on 27-31 May 2022. Participants in this study were Ny patients. C, 35 years old, female, complains of right lower quadrant abdominal pain. The process of assessing and establishing a diagnosis is focused on the main problem. Objective and subjective data becomes a reference for periodic evaluation of nursing implementation.
Results: Patients gave recognition of decreased pain after being given a progressive muscle relaxation intervention with a pain scale of 4 out of 5 (0-10) and a scale of 3 out of 4 (0-10).
Conclusion: Progressive muscle relaxation intervention should be suspected to be effective in reducing pain in appendicitis patients as evidenced by subjective patient recognition. Theoretically, this study does not conflict with previous research so that it can be a reference in future research. Theoretically, this research does not conflict with previous research so that it can be a reference in future research. Clinically, progressive muscle relaxation intervention can be an alternative intervention to reduce pain levels in patients with chronic diseases such as appendicitis in hospitals and health centers