scholarly journals Studi Kasus: Asuhan Keperawatan pada Orang dengan Gangguan Jiwa dengan Perilaku Kekerasan

2021 ◽  
Vol 1 (01) ◽  
Author(s):  
Nurul Ainul Shifa ◽  
Aisyah Safitri

Introduction: Perilaku kekerasan adalah suatu keadaan seseorang melakukan tindakan yang dapat membahayakan secara fisik baik terhadap diri sendiri, orang lain dan lingkungan. Dampak atau perubahan yang terjadi dapat berupa perasaan tidak sabar, cepat marah, dari segi sosial kasar, menarik diri, dan agresif. Objectives: The purpose of this study was to determine the appropriate nursing care and intervention in patients with a diagnosis of violent behavior. Method: The design in this study is a case study design using a nursing process approach. The sample in this study was Mr. J. The sampling technique used was simple random sampling. The research was conducted at X Hospital in April 2021. Data was collected by means of interviews, observations, and documentation studies. The research instrument is using the mental nursing care format and the SOP on Implementation Strategy (SP). The nursing process approach carried out by researchers includes the following stages: Assessment Researchers collect data, both from respondents/patients. Nursing diagnoses, make nursing interventions, carry out implementation and then carry out nursing evaluations. Result: The client was escorted by his family on the grounds of fighting with his friends, feeling humiliated for not working, drugs being hidden and not being taken, being angry at home, speaking rudely and throwing tantrums, having trouble sleeping, the patient dropped out of medicine for approximately 4 weeks Mr. J had previously been admitted to the hospital with the same case, namely violent behavior. There are no families with mental disorders, the patient's communication pattern is closed with the family and the parenting pattern of the client's family is authoritarian. Conclusion: The main nursing problem is violent behavior

2009 ◽  
Vol 3 (4) ◽  
pp. 814 ◽  
Author(s):  
Lidiany Galdino Felix ◽  
Maria Miriam Lima da Nóbrega ◽  
Maria Júlia Guimarães de Oliveira Soares

Objective: to apply the nursing process fundament on the Theory of Orem’ Self-care, through the conduct of a report of clinical case, with a patient submitted to bariatric surgery. Methods: this is about a descriptive study, from qualitative approach, report of clinical case type, performed in a patient with morbid obesity, included in Bariatric Surgery Group of a teaching hospital in João Pessoa-PB city. For data collection was used a script adapted to Theory of Orem’ Self-care, which led to the identification of deficits of self-care and therefore to nursing diagnoses. It was then developed the plan of nursing care, with the determination of goals, objectives, method of assistance, type of system and nursing interventions. This study has been approved by the Research Ethics Committee of the Hospital of the Federal University of Paraiba (054/07). Results: from the identification of nursing diagnoses was established and implemented the plan of nursing care with the aim of restoring the patient to prevent postoperative complications, promote recovery and prepare you for the self-care. Conclusion: it is considered that the application of the nursing process, based on Theory of Orem’ Self-care, enabled the provision of assistance and qualified individual, encouraging the patient to participate actively in their treatment, but also to increase their responsibility in the outcome of care. Descriptors: nursing; nursing process; self care; bariatric surgery.


2020 ◽  
Vol 8 (4) ◽  
pp. 369
Author(s):  
Dhaifina Dini Ghassani Rizki ◽  
Ice Yulia Wardani

Online clinical practice is an alternative in providing mental health services during the COVID-19 pandemic. Online clinical practice is useful in preventing relapse that is at risk of occurring during a pandemic in people with serious mental disorders such as schizophrenia. One of the schizophrenia relapse symptoms is a change in behavior that is distorted so that it creates a risk of violent behavior. Violence is a maladaptive response indicated by injuring oneself, others, or the environment. The patient’s ability to control violent behavior can be used as a means of preventing violent behavior. Nursing interventions based on mental health nursing care standards are carried out to prevent or control violent behavior in patient. The purpose of providing nursing care is to reduce symptoms and increase the patient’s ability to control violent behavior. The research method used case study analysis. The instrument used was an evaluation sheet of symptoms and the ability to control violent behavior. The final evaluation of the nursing care provided showed a decrease in symptoms and an increase in patient’s ability to control violent behavior. Promotion and prevention of health problems in patient with a risk of violent behavior can be done by implementing online nursing care based on mental health nursing care standards, as well as collaborating with clinical nurse specialist and related communities.


2021 ◽  
Vol 1 (01) ◽  
Author(s):  
Marisca Agustina ◽  
Hari Ghanesia Istiani ◽  
Yunia Perdanasari

Introduction: Anxiety that often occurs during a pandemic can cause a decrease in health conditions, quality of life and feelings of discomfort so that people experience obstacles in the process of life. Objectives: This study aims to determine the effect of Cognitive Behavior Therapy on anxiety during the pandemic. Method: The design in this study is a case study design using a nursing process approach. The sample in this study was Mrs. E. The sampling technique used was simple random sampling. The study was conducted in the Bogor area in August 2020. The data was collected by means of interviews, observations, and documentation studies. The research instrument was the researcher himself with the tools of a sphygmomanometer, stethoscope, thermometer, penlight, as well as assessment guidelines and Cognitive Behavior Therapy guidelines. The nursing process approach carried out by researchers includes the following stages: Assessment Researchers collect data, both from respondents/patients. Nursing diagnoses, make nursing interventions, carry out implementation and then carry out nursing evaluations. Result: After 5 visits to the client's home, the anxiety level was reduced with an anxiety score from an initial score of 25 (moderate anxiety) to 19 (mild anxiety), when the anxiety came the client applied what the nurse had taught, namely doing deep breathing assisted by the family, applying techniques Cognitive Behavior Therapy, and clients are able to carry out activities at home such as cleaning the house, cooking and when leaving the house always pay attention to health protocols. Conclution: Most of the clients who got anxiety disorder problems with Cognitive Behavior Therapy (CBT) were resolved.


2020 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Afshin Goodarzi ◽  
Seyed Reza Borzou ◽  
Fatemeh Cheraghi ◽  
Mahnaz Khatiban ◽  
Mehdi Molavi Vardanjani

Background: Proper use of nursing models and theories is an important step in improving patient care standards and quality of life. The growing trend of kidney failure and subsequent kidney transplantation in the country shows the importance of creating a proper structure in nursing patient care for transplant patients and recognizing the stressors that affect these patients. Objectives: This study aimed to investigate the ability of the Betty Neuman model to provide a comprehensive model for nursing care of clients undergoing kidney transplantation. Methods: This clinical and clinical study was performed on the client of the kidney transplant candidate based on the application of Betty Neuman system theory. During the data collection, the interactions between the client’s five variables were examined and the stressors and resources in the internal, inter, and extra-individual domains were identified. Nursing diagnoses were created in accordance with the North American International Nursing Diagnostics Association (2018 - 2018) classification, and then nursing interventions were designed and implemented at three levels of prevention. Results: The results of the study of physiological, psychological, social, evolutionary, and spiritual variables, as well as interpersonal and extra-individual stressors, were 15 potential and actual nursing diagnoses. Conclusions: Designing and applying a nursing process based on this model is a holistic and systematic attitude toward the client that requires proper, efficient, and evidence-based nursing care but increases the need for nursing human resources.


2013 ◽  
Vol 47 (5) ◽  
pp. 1060-1067 ◽  
Author(s):  
Marisaulina Wanderley Abrantes de Carvalho ◽  
Maria Miriam Lima da Nobrega ◽  
Telma Ribeiro Garcia

This was a methodological study conducted to describe the process and results of the development of an International Classification for Nursing Practice (ICNP®) Catalogue for Cancer Pain. According to the International Council of Nurses (ICN), this catalogue contains a subset of nursing diagnoses, outcomes, and interventions to document the implementation of the nursing process in cancer patients. This catalogue was developed in several steps according to the guidelines recommended by the ICN. As a result, 68 statements on nursing diagnoses/outcomes were obtained, which were classified according to the theoretical model for nursing care related to cancer pain into physical (28), psychological (29), and sociocultural and spiritual (11) aspects. A total of 116 corresponding nursing interventions were obtained. The proposed ICNP® Catalogue for Cancer Pain aims to provide safe and systematic orientation to nurses who work in this field, thus improving the quality of patient care and facilitating the performance of the nursing process.


2020 ◽  
Vol 8 (3) ◽  
pp. 255
Author(s):  
Nufush Chalida Ziaulkhaq ◽  
Erna Erawati ◽  
Angga Sugiarto ◽  
Suyanta Suyanta

There are around 20 million people worldwide suffering from schizophrenia. In Indonesia there is an increase in the number of schizophrenic clients, which were originally 1.7 per 1000 to 7 per 1000 population of Indonesia where Central Java is in the fifth position of mental disorders. The symptoms of schizophrenia are divided into 2 categories, positive and negative. Positive symptoms that can appear in schizophrenic clients, one of which is the risk of experiencing behavioral disorders, namely violent behavior. Violent behavior can result in loss of individual control so that it has the potential to hurt oneself, attack others and damage the environment. The purpose of this study is to describe nursing care from assessment to evaluation of schizophrenic clients with a focus on the study of the risk of violent behavior through interventions to control spiritual anger with murrotal ayat kursi. This research includes field research using descriptive analytic methods through case exposure with the nursing process approach. Research subjects are schizophrenic clients with risk of violent behavior. In this study using the instrument aggression questionnaire to measure the level of client aggression. The results showed the provision of nursing care to schizophrenic clients with the risk of violent behavior through intervention to control spiritual anger with murrotal ayat kursi showed improvement in the condition of the client which has a significant influence on mental status decline and aggression scores.


2019 ◽  
Vol 80 (18) ◽  
Author(s):  
Richardson Augusto Rosendo da Silva ◽  
Vinicius Lino de Souza Neto ◽  
Olga Alice Alencar Moreira ◽  
Fernanda Rafaela dos Santos ◽  
Rafael Medeiros dos Santos ◽  
...  

A Sistematização da Assistência de Enfermagem é caracterizada por ser uma ferramenta utilizada pelo enfermeiropara aprimorar os saberes da prática, otimizando, aperfeiçoando e aprimorando as técnicas assistenciais a partirdas novas evidências científicas. O estudo teve como objetivo elaborar e validar um plano de cuidados parapaciente queimado. Trata-se de um estudo de caso realizado no Centro de Tratamento de Queimados de umhospital público no nordeste do Brasil, no período de abril a maio de 2016. As etapas metodológicas do estudoforam estas: coleta de dados; elaboração dos diagnósticos, resultados e intervenções de enfermagem; elaboraçãoe validação do plano de cuidados. Após a análise dos dados, foi realizada a elaboração e a validação de umplano de cuidados com quatro diagnósticos, resultados e 24 intervenções de enfermagem. Diante disso, o estudopermitiu identificar os diagnósticos, resultados e intervenções de enfermagem para a aplicação na prática clínica,corroborando para o cuidado científico e direcionado as necessidades prioritárias.Palavras-chave: Processos de Enfermagem; Enfermagem; Queimaduras. ABSTRACTThe Systematization of Nursing Care is characterized by being a tool that nurses use to improve the practicalknowledge, optimizing, enhancing and improving the technical assistance will from the new scientific evidence.The study aimed to develop and validate a plan of care for burn patients. This is a case study in the Burn TreatmentCenter of a public hospital in northeastern Brazil, from April to May 2016. The methodological stages of thestudy were these: data collection; preparation of diagnoses / outcomes and nursing interventions; preparationand care plan validation. After analyzing the data produced and validated a care plan with four diagnostic / 24results and nursing interventions. Thus, the study identified the diagnoses / outcomes and nursing interventionsto implement in clinical practice.Keywords: Nursing process; Nursing; Burns.


2021 ◽  
Vol 1 (01) ◽  
Author(s):  
Irma Herliana ◽  
Yeni Koto

Introduction : Mental disorders are individual behavior patterns associated with a symptom of suffering and weakness in one or more important functions of the human being, namely psychological, behavioral, biological functions, these disorders affect the relationship between themselves and society (Maramis, 2010). Objectives: The purpose of this study was to determine the appropriate nursing care and intervention in patients with social isolation. Method: The design in this study is a case study design using a nursing process approach. The sample in this study was Mrs. B. The sampling technique used was simple random sampling. The research was conducted at X Hospital in April 2021. Data was collected by means of interviews, observations, and documentation studies. The research instrument is the researcher himself with the assessment guide tool. The nursing process approach carried out by researchers includes the following stages: Assessment Researchers collect data, both from respondents/patients. Nursing diagnoses, make nursing interventions, implement and then carry out nursing evaluations. Result: Implementation strategy 1 (SP1): helping the client identify the causes of the client's social isolation, discussing with the client the advantages of interacting and the disadvantages of not interacting with others, teaching the client how to get to know one person and encouraging the client to include practice talking to people others into daily activities. Implementation Strategy 2 (SP2): evaluates the client's daily schedule of activities, provides opportunities for clients to practice how to get to know one person, and helps clients include talking to other people as one of their daily activities. Implementation Strategy 3 (SP3): evaluate the client's daily activity schedule, provide opportunities for the client to get acquainted with two or more people, and encourage the client to include it in the daily activity schedule Conclusion: Nursing care for Mrs. B found that the first priority nursing problem is social isolation


Author(s):  
Gabriel Fazzi Costa ◽  
Daniele Melo Sardinha ◽  
Virgínia Mercês Lara Pessoa Oliveira ◽  
Faena Santos Barata ◽  
Paulo Henrique Viana da Silva ◽  
...  

Aims: To verify the scientific evidence in the literature about nursing care after coronary transluminal angioplasty, from 2005 to 2019. Methodology: This is an Integrative Review, performed in the LILACS, MEDLINE and Google Scholar databases, including original and review articles, theses, dissertations and monographs published in Portuguese or English in the last 15 years (2005-2019). Data were collected using the Ursi’s instrument and data analysis was carried out by the use Bardin’s Content Analysis. Results: 06 articles were found and two categories emerged: Nursing diagnoses after coronary transluminal angioplasty and Nursing interventions after coronary transluminal angioplasty. The nursing process should be carried out in its entirety so that the results of nursing care are effective and the improvement of the quality of the services provided is continuous.   Conclusion: it is concluded that nursing actions are beyond bedside care, as they also include management services of inputs and human resources.


2018 ◽  
Vol 7 (2) ◽  
Author(s):  
Vera Budi Nurani ◽  
Yuyun Setyorini ◽  
Akhmad Rifai

Background: Acute Myocard Infarction (AMI) is the death of cardiac muscle cells due to long-lasting ischemia due to grafting in the coronary arteries. One of the nursing interventions is giving proper oxygen because it affects the condition of the patient who is short of breath. The aim of this study was to describe nursing care in patients with Acute Myocard Infarction (AMI) with impaired breathing disorder. Methods: This research uses data analysis method that is comparing the result criteria achieved from two patients of Acute Myocard Infarction (AMI) who experienced ineffective breathing disorder and then compared with case study journal or other sources. Result: Based on interview and observation it is concluded that with the same nursing diagnoses and implementation there are differences in outcomes and responses between the intervention group and the control group. Suggestion: Suggestions put forward in this study is the need to pay attention to accuracy in conducting assessment to maximize data to determine the priority problems that occur in patients and interventions based ONEC (Observation, Nursing Treatment, Education, Collaboration).


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