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Heni Kusumawati
Akper Yatna Yuana Lebak

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Effect Of Debridement On Mandibula Abscess Patients: Case Study Heni Kusumawati
Jurnal EduHealth Vol. 13 No. 02 (2022): Jurnal eduHealth, December, 2022
Publisher : Sean Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (218.779 KB)

Abstract

The mandibular abscess is a collection of Pus Pus) in the latent space between the neck cavities caused by aerobic, anaerobic, or mixed bacteria. The most common pathogen found from culture results is streptococcus viridian, staphylococcus epidermidis, staphylococcus aureus, streptococcus hemolytic, fusobacterium bacteria, peptostreptococcus species, Neisseria, klebsiella pneumonia, and pseudo mom. It spreads from various sources of infection, such as teeth, mouth, throat, paranasal sinuses, ears, and neck. This paper aims to provide nursing care for patients who experience postoperative abscess debridement. The research design used is a case study to explore the nursing problems of patients who experience postoperative debridement with acute pain at Adjidarmo Hospital, Lebak-Banten. Data collection through interviews, observation, physical examination, and documentation study. Based on the study's results, it was found that the patient complained of pain in the area of the former operation, pain radiating from the ear to the lower jaw with a pain scale of 7 (0-10) and intermittent. The wound contained Pus. The patient has no appetite, can only finish ½ portion of porridge, has difficulty swallowing, and has difficulty opening his mouth. The results of the leukocyte laboratory examination: 19,900 /µL and the results of the X-ray examination: Mandible (+). Nursing problems that arise are acute pain, infection, anxiety, and the risk of nutritional deficits. The interventions made refer to SIKI and SLKI. The implementation carried out refers to the intervention. The evaluation found nursing problems Mrs. A resolved on the third day with the criteria for decreased pain results with a pain scale of 3 (0-10), no spread of the wound and no pus, and the patient could open his mouth so that his appetite increased. He could finish one portion of food.
Acute Management Of Appendicitis Patients: Case Study Heni Kusumawati
Jurnal EduHealth Vol. 14 No. 03 (2023): Jurnal EduHealt, Edition September 2023
Publisher : Sean Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54209/jurnaleduhealth.v14i3.2584

Abstract

Appendicitis is infection bacteria, and the cause is a blockage in the lumen of the appendix such as lymphatic tissue hyperplasia, fekalit, and askaris worms and the presence of erosion of the appendix mucosa due to parasites such as E histolytica. At the same time, the signs and symptoms are dull pain in the epigastric area around the umbilicus and shifting to the lower right quadrant at Mc Burney's point, nausea, vomiting, decreased appetite, constipation, and fever. This scientific paper examines the relationship between acute pain and Appendicitis through nursing care. The research design used was a case study that explored the problem of nursing care for patients with Appendicitis with acute pain at Dr. Adjidarmo, Rangkasbitung, for three days with Mr. I. Data collection can be done through interviews, observation, physical examination, and documentation. The study results were that the patient complained of difficulty having bowel movements and lower right abdominal pain, like being stabbed with a pain scale of 7 (0-10) intermittent, and lack of appetite and could only finish ¼ portion of food. Body temperature 37.8 ° C, weight 40 kg, height 155 cm, BMI = 17 with low body weight interpretation, laboratory results of leukocytes 11.463 / Ul. Problems that arise are acute pain, hyperthermia, nutritional deficits, and constipation. The implementation reduces pain, lowers the temperature, improves nutritional status, and increases high-fiber foods, in addition to collaborating with the medical team in administering antibiotics, anti-pain, antipyretic, and anti-nausea therapy, as well as collaborating with the Nutrition team in administering a high-fiber diet. Nursing problems can be resolved on the third day with the criteria for decreased pain results with a pain scale of 2 (0-10), no fever with a temperature range of 36 °C - 37 °C and the results of the Leukocyte laboratory examination become 9.670 /Ul, increased appetite so that spend one portion of food and no constipation occurs.
The relationship between ineffective peripheral perfusion and Anemia: case study Heni Kusumawati
Jurnal EduHealth Vol. 15 No. 01 (2024): Jurnal eduHealt, Edition January - March, 2024
Publisher : Sean Institute

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Abstract

Anemia is a condition characterized by reduced hemoglobin (Hb) in the body. Hemoglobin is a metalloprotein, a protein containing iron in red blood cells that carries oxygen from the lungs to the rest of the body. Anemia is a condition in which the body experiences a lack of red blood cells, causing the body's organs not to receive enough oxygen, making anemia sufferers have pale skin and get tired quickly. The general aim of this scientific paper is to examine the relationship between ineffective peripheral perfusion and Anemia through nursing care. The research design used was a case study which explored the problem of nursing care for patients who experienced Anemia at Misi Lebak Hospital for three days for Mrs. S. Data collection can be done through interviews, observation, physical examination and documentation. The results of the assessment obtained were that the patient complained of weakness, nausea, and vomiting. Assessment results: anaemic conjunctiva, blood pressure 80/60 mmHg, breathing 20x/minute, pulse 87x/minute, body temperature 36.8°C, could only eat food ½ portion, BW before illness 45 Kg, BW during illness 44 Kg, TB 156 Cm, BMI: 18.33 with underweight interpretation, laboratory examination results show, Hemoglobin 7.6 g/ dL, Leukocytes 18,960 /µL. Problems that arise are ineffective peripheral perfusion, nutritional deficits, activity intolerance, and risk of infection. The implementation provides educational actions, teaches an iron diet program to improve circulation, recommends small but frequent meals and monitors food intake, monitors physical fatigue, and monitors signs and symptoms of local and systemic infections, in addition to collaborating with the medical team in administering transfusions, antibiotic therapy, and anti-nausea as well as collaborating with the Nutrition team in providing an iron diet. Nursing problems can be resolved on the third day with the criteria for Hb results increasing to 10.2 g/ dL, systolic and diastolic blood pressure improving to 120/80 mmHg, the portion of food consumed increasing to 1 portion, complaints of fatigue decreasing, the patient being able to carry out activities, white blood cell levels improved to 10,500 /µL.