Tujuan penelitian ini untuk mengetahui perbedaan pemberian posisi semi fowler dan posisi orthopneic terhadap penanganan pasien sesak di RSUP Prof. Posisi semi fowler adalah posisi tidur dengan derajat kemiringan 30-45°, sedangkan posisi orthopneic merupakan posisi duduk di tempat tidur dengan kepala disandarkan di atas over-bed table yang diatasnya diletakkan beberapa bantal. Pada penanganan pasien sesak, salah satu rekomendasi posisi yang benar adalah posisi semi fowler dan posisi orthopneic. Sesak napas (dispnea) merupakan kesukaran bernapas dan keluhan subjektif akan kebutuhan oksigen yang meningkat. Nurses are expected to focus on the limitations of the main characteristics that arise during the assessment of stroke patients with nursing diagnosis of ineffective cerebral tissue perfusion in order to plan effective nursing actions. The results showed that the limitations of the main characteristics that emerged in stroke patients were changes in motor responses and extremity weakness (100%), while changes in pupillary reaction did not occur (0%), behavioral changes (85%), difficulty swallowing (80%), speech abnormalities (70%), and altered mental status (45%). There were 20 records of stroke patient documentation used in this study. This research was a descriptive study (documentation study) with retrospective approach with assessment through direct observation. This study aimed to describe the limitations of characteristics of nursing diagnosis of ineffective cerebral tissue perfusion among stroke patients. The accuracy of clinical indicators is determined by the limitations of characteristics and related factors. Accurate clinical indicators are required to validate nursing diagnoses established to reduce the risk of misdiagnosis. For further investigators it is recommended to use valid instruments in conducting the assessment so that these characteristics can be a more accurate indicator in nursing diagnosis.Ī valid nursing diagnosis is very important in nursing care. Nurses are expected to focus on main characteristics that arise during the assessment of stroke patients with nursing diagnoses of impaired physical mobility in order to plan effective nursing actions. The results showed that the limitations of the main characteristics that emerged in stroke patients were dyspnea after activity (90%), gait disorder (100%), slow motion (100%), spastic movements (100%), uncoordinated movements (100%), posture instability (100%), difficulty flipping position (100%), limited range of motion (100%), discomfort (100 %), decreased fine motoric skills (90%), decreased gross motoric skills (100%), and moving tremor (90%). There were 20 records of stroke patient documentation used in this study, with total sampling as the sampling technique. This research was a descriptive study conducted by direct assessment through observation in clinical practice. The purpose of this study was to describe the characteristics nursing diagnosis of impaired physical mobility. The accuracy of clinical indicators is determined by the limitation of characteristics and related factors. Clinical indicators are required to validate nursing diagnoses to reduce the risk of misdiagnosis. After asking Tyson questions about his ability to move, stand, transfer, and ambulate, Omar reviews his assessment findings in order to select the appropriate nursing diagnoses for Tyson.A valid nursing diagnosis is very important in nursing care. During the interview, Tyson tells Omar that he is unable to fully stand on his own and that he has pain when moving or attempting to transfer or stand. Once sitting upright, Tyson no longer grimaces and appears comfortable. Tyson grimaces with movement and is partially weightbearing, with Omar noting full strength in Tyson's arms bilaterally. Omar observes Tyson transfer from the wheelchair to the bed with his mother's assistance. Tyson appears happy and in no acute distress, greeting Omar with a smile and a handshake. At their first meeting, Omar notes that Tyson is sitting in a wheelchair driven by his mother. In order to select and individualize appropriate nursing diagnoses for Tyson, Omar will gather both objective and subjective data. Tyson lives with his mother, a single parent, who works full-time. Tyson is an 8-year-old boy recovering from injuries sustained from a vehicle accident, including a severe pelvic fracture and hip fracture. What other possible nursing diagnosis could be formulated from that data? CASE STUDY DETAILS Omar, a nurse at a physical rehabilitation facility, performs a nursing assessment on his new postoperative patient, Tyson. Omar collected both objective and subjective data about his patient Tyson.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |