Nurse and Holistic Care

THE NURSE'S ROLE IN COMMUNICATION WITH THE PATIENT/CLIENT

Mirela Tushe — 2024-04-30

The nurse plays a vital role in communication with the patient/ client. She/he is the person who spends the most time with the patient and constantly takes care of him/ her.

From the first moments of presentation, reception and companionship of the patient, a relationship of interaction is created between each other.

The nurse is the health professional who in the communication process is the information provider and the patient/client are the receiver, still these roles are sometimes exchanged depending on the situation.

The way we communicate, the ethics we use, the behavior and attitude we maintain, the values we present, show and highlight the figure and model of the professional nurse.

HEADACHES AFTER SPINAL ANESTHESIA AND THEIR LINK WITH RELATED FACTORS IN CANDIDATES FOR CESAREAN

Kamel Abdi — 2024-04-30

Background: During a cesarean section, spinal anesthesia can result in post-dural puncture headaches.

Objective: A group of female candidates for cesarean was studied to explore the link between post-spinal anesthesia headaches and factors, including age, BMI, blood pressure, fasting blood sugar, duration of immobilization in the supine position after spinal anesthesia, and history of prior spinal anesthesia and post-dural puncture headache. The needle size, type, and technique used for spinal anesthesia remained constant throughout the study.

Methods: A cohort study was conducted on 80 women who were scheduled to undergo cesarean sections at a hospital in Iran. Researchers used the numeric pain rating scale to assess the severity of the women's headaches following spinal anesthesia. Through t-tests and chi-square tests, the potential link between headaches and related factors was analyzed.

Result: The researchers found no significant association between headaches and factors such as age, BMI, blood pressure, fasting blood sugar, duration of immobilization in the supine position after spinal anesthesia, and history of prior spinal anesthesia and post-dural puncture headache (P > 0.5).

Conclusion: When performing cesarean sections, anesthesia providers should consider all possible factors that could cause headaches in women who have undergone spinal anesthesia, regardless of age, BMI, blood sugar levels, blood pressure, immobilization time, or prior history of headaches.

NURSING CARE ANALYSIS OF ARTIFICIAL RESPIRATORY MANAGEMENT IN STROKE-ASSOCIATED PNEUMONIA (SAP) PATIENTS: A CASE STUDY FROM ICU RSPAL DR. RAMELAN SURABAYA

Dinda Rimyatul Ababiel — 2024-04-30

Introduction: Stroke-associated pneumonia (SAP) is a common complication of stroke, leading to ineffective airway clearance and potentially severe outcomes such as respiratory failure and death.

Objective: This case study analyzes the nursing care provided to a SAP patient in the ICU of RSPAL Dr. Ramelan Surabaya, focusing on the application of artificial respiratory management to improve airway clearance

Methods: Over five days, the nursing team implemented interventions, including Endotracheal Tube (ETT) care, which partially resolved the ineffective airway clearance.

Results: This improvement was evident in the enhanced respiratory parameters and reduced secretion accumulation.

Conclusions: The findings highlight the importance of diligent airway management in preventing respiratory complications in SAP patients.

EVALUATING THE IMPACT OF EMOTIONAL FREEDOM TECHNIQUE (EFT) ON POST-CESAREAN SECTION PAIN MANAGEMENT: A CASE STUDY AT JEMURSARI ISLAMIC HOSPITAL, SURABAYA

Khotimatul Chusna Maiisa — 2024-04-30

Introduction: Problems that arise during post-cesarean section procedures due to incisions caused by tearing of the abdominal wall tissue and uterine wall can cause changes in continuity so that the mother feels pain due to the surgery.

Objective: This study analyzes the impact of the Emotional Freedom Technique (EFT) therapy on managing post-cesarean section pain in a patient at Jemursari Islamic Hospital, Surabaya.

Methods: The research employed a case study design focusing on a single patient, Mrs. M, with acute post-operative pain. Data collection methods included assessment, observation, anamnesis, and interviews. The EFT intervention was administered once daily for three consecutive days, with each session lasting 30 minutes.

Results: The results indicated a reduction in pain intensity from a score of 4 to 2 on the pain scale.

Conclusions: While these findings suggest that EFT may be an effective non-pharmacological pain management tool, the study’s limitations—including the small sample size and absence of a control group—necessitate further research with larger, controlled trials to validate these results.

ANALYSIS OF NURSING CARE FOR THE ELDERLY WITH APPLICATION OF WARM CITRONELLA COMPRESS TO TREAT ACUTE PAIN RHEUMATOID ARTHRITIS IN A NURSING HOME JAMBANGAN SURABAYA

Siti Rohmawati — 2024-04-30

Introduction: Rheumatoid arthritis (RA) is an inflammatory disease with symptoms of stiffness and pain in the joints. Individuals typically experience pain and weakness in specific body parts, namely the hands, feet, knees, and shoulders. Complaints of pain characterized by cramps and tingling are sensory complaints. If pain complaints are not treated or medication is not given, the impact will be disruption of physical activity, disruption of sleep patterns, and also disruption of comfort.

Objective: To provide an overview of nursing care for the elderly by applying warm lemongrass compresses to treat rheumatoid arthritis pain at the Surabaya Nursing Home.

Methods: The research method used is a case study. The subject of this research is Mr. B who is 61 years old with acute pain problems and was given warm lemongrass compresses for three days. Data collection techniques in this research were carried out by interviews and direct observation of patients using gerontic nursing care sheets and pain scale measurements using the numerical rating scale (NRS) method.

Results: The results obtained by the client did not appear to be grimacing and were careful with his movements, complaints of pain from scale 2 (moderately increased) to scale 1 (decreased), grimaces from scale 2 (moderately increased) to scale 1 (decreased), restlessness from scale 2 (moderately increased) to scale 1 (decreased), difficulty sleeping from scale 2 (moderately increased) to scale 1 (decreased).

Conclusions: Applying warm lemongrass compresses can reduce the intensity of pain complaints improve blood circulation and relax the patient. Therefore, we hope that nurses will apply warm lemongrass compresses to patients with rheumatoid arthritis.

ANALYSIS OF NURSING CARE FOR DIVERTICULITIS PATIENTS USING PROGRESSIVE MUSCLE RELAXATION THERAPY TO OVERCOME ANXIETY AT DARMO HOSPITAL SURABAYA

Dian Rahmawati Agustin — 2024-04-30

Introduction: Diverticulitis is a disease caused by an unhealthy lifestyle, lack of dietary fiber intake and a high-fat diet as well as a lack of physical activity are the main triggers for this disease. In diverticulitis sufferers, anxiety problems often arise due to concerns about their health condition in the future and what their health status will be if surgery is performed.

Objective: This study aims to determine the description of nursing care and analyze the application of progressive muscle relaxation therapy in diverticulitis patients with anxiety problems.

Methods: This research uses a case study method by providing nursing care through a nursing process approach. The research was conducted at Darmo Hospital Surabaya on 23-25 September 2022 by applying progressive muscle relaxation therapy to 1 respondent for 3 days with an intensity of 2x/day with a duration of 15-20 minutes, evaluating the patient using the Hamilton Rating Scale for Anxiety instrument (HARS).

Results: The results of this case study show a decrease in the level of anxiety felt by the patient after being given progressive muscle relaxation therapy. The level of anxiety decreased from moderate anxiety (score 22) to mild anxiety (score 14), the patient appeared calm and relaxed, and the patient's pulse decreased. This research concludes that the application of progressive muscle relaxation therapy can be an alternative to reduce anxiety in diverticulitis patients.

Conclusions: However, the findings should be interpreted with cautiously due to the study's reliance on a single case and the short intervention period. Future research should explore the long-term effects of progressive muscle relaxation therapy on a larger and more diverse patient population.