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Obstructive ileus is a digestive system disorder characterized by a blockage caused by abnormalities in the intestinal lumen, intestinal wall, or foreign objects outside the intestine. Blockages in this intestinal area can cause accumulation or buildup at the site of the blockage. Patients with obstructive ileus generally experience complaints such as nausea, vomiting, abdominal distension, bowel disorders, flatus (gas) disorders, and the most common symptom is abdominal pain. The goal of this community service is to enable families to understand the definition, causes, and management of obstructive ileus and to practice applying warm compresses to minimize pain in the affected area. The methods used in this activity were counseling, interactive discussions, and practice of applying warm compresses. The media used were leaflets and flipcharts. The results obtained from this health education activity can improve patient (family) knowledge and practice in applying warm compresses to relieve pain. It is hoped that after this activity, patients (families) can apply knowledge of how to manage pain independently as an initial preventative measure to reduce pain

Abdominal pain is one of the main complaints frequently encountered in patients in emergency departments and inpatient wards. This condition may be caused by various factors, ranging from gastrointestinal disorders and inflammation to reproductive system problems. Poorly managed pain can affect the patient’s quality of life, reduce daily activities, and increase anxiety. This case study aims to describe nursing care for Mrs. U, who presented with abdominal pain at dr. Soeselo Hospital, Tegal Regency. The research method applied was a case study with a nursing process approach, including assessment, diagnosis, intervention, implementation, and evaluation. The assessment revealed that the patient complained of lower abdominal pain with a pain scale of 5 (moderate), accompanied by nausea, weakness, and intermittent fever. The primary nursing diagnosis established was acute pain related to physiological injury agents. Interventions included pain management education, relaxation techniques, application of warm compresses, and collaboration in administering analgesics. The evaluation showed a decrease in pain intensity from a scale of 5 to 3, with the patient appearing calmer and showing improved sleep quality. This study emphasizes the crucial role of nurses in providing comprehensive care to reduce abdominal pain through both independent and the collaborative interventions with the medical team.

Febrile illnesses can be caused by a wide variety of viruses, bacteria, and other pathogenic microbes, and their production originates from outside the body. These substances, known as exogenous pyrogens, can enter the human system through contaminated water, food, or direct human-to-human transmission. Once inside the body, exogenous pyrogens stimulate the immune system by triggering the release of endogenous pyrogens such as cytokines, which in turn act on the hypothalamus to increase body temperature as a defense mechanism. This physiological response, while protective, can also indicate an underlying infection that may need prompt medical treatment. According to the World Health Organization (WHO) in 2020, the number of fever cases worldwide reached approximately 11–20 million people annually, with an estimated 128,000–161,000 deaths each year due to complications from febrile illnesses (Meirita et al., 2024). The global burden of fever varies by region; for example, in the United States, South America, and Western Europe, the incidence of fever is estimated to reach 4–5% of the population. In contrast, several Asian countries report higher prevalence rates, such as Japan with 6–9%, India with 5–10%, and Guam with 14% (Ulum et al., 2024). These statistics highlight the ongoing public health challenge posed by febrile illnesses, emphasizing the need for improved surveillance, prevention strategies, and treatment protocols worldwide.

Hypertension is one of the most common non-communicable diseases, with a high incidence rate that has become a major global health concern. It is often referred to as a “silent killer” because many patients are unaware of their condition until serious complications arise. In Indonesia, the prevalence of hypertension is relatively high, yet many sufferers remain undiagnosed or do not receive proper medical treatment. Several risk factors contribute to hypertension, including age, heredity, high-salt diet, obesity, lack of physical activity, and unhealthy lifestyles such as smoking and alcohol consumption. Without proper management, hypertension may lead to severe complications such as stroke, heart failure, and chronic kidney disease. Management of hypertension generally involves pharmacological therapy, such as the administration of antihypertensive drugs, as well as non-pharmacological interventions through lifestyle modifications. Nurses play a crucial role in patient education, monitoring, and preventing complications through comprehensive nursing care. The purpose of this study is to describe the nursing care provided to Mr. R, who experienced a cardiovascular system disorder, namely hypertension, in the Dahlia Ward of RSUD dr. Soeselo, Tegal Regency. The research method used was descriptive with a case study approach, allowing for a systematic and clear presentation of the patient’s condition. The case findings showed that the patient’s main complaint was a headache radiating to the nape of the neck. Based on nursing assessment, two nursing diagnoses were identified: acute pain and lack of knowledge regarding the disease and its management. Interventions were determined using national standards such as SDKI, SLKI, and SIKI, which are expected to reduce symptoms and improve the patient’s understanding of hypertension.

When problems such as antepartum hemorrhage, fetal distress, atypical fetal presentation, and gestational hypertension occur, a cesarean section can save the lives of both mother and baby. A cesarean section (CS) is a surgical technique in which the uterus and abdominal wall are opened to deliver the fetus. In many countries, cesarean sections are the most common surgical procedure, and over the past 30 years, their use has gradually increased. Intrauterine fetal death is the death of a fetus weighing 500 grams or more in the womb at 20 weeks of gestation or later. The partial or complete separation of a normally implanted placenta after 22 weeks before birth is known as placental abruption. he purpose of this paper is to provide nursing care to Mrs. P with a Caesarean section indicating intra uterine fetal death (IUFD) due to placental abruption in the Nusa Indah room of dr. Soeselo Regional General Hospital, Tegal Regency, according to nursing standards. The method used is descriptive with a case study approach. The data collection techniques in this scientific paper are in the form of interviews, observations, documentation studies and literature studies. From the case review, the main complaint was pain in the operated area, pain increased when moving, pain like being squeezed with a pain scale of 5, pain that comes and goes. The patient appeared to be grimacing in pain and restless, the patient always held the area that had been operated on, the results of the vital signs examination obtained: BP: 139/100 mmHg, pulse: 103 x / minute, S: 36.5oC, RR: 20 x / minute, there was a bandage on the lower abdomen along 15 cm with a horizontal line, the patient did not know and was confused about the birth control used after the CS. The nursing problems identified were acute pain, risk of infection, and knowledge deficit. Interventions were developed based on the theory in the SDKI, SLKI, and SIKI, as well as the client's condition, and were implementable

The endocrine system is a ductless body control system that produces hormones to regulate various organs and physiological processes. Hormones act as important biological messengers in the human body. One of the most essential hormones is insulin, which plays a key role in blood sugar regulation. Insufficient insulin production or impaired insulin action can cause disruption of blood glucose control, leading to diabetes mellitus. Diabetes mellitus is a chronic metabolic disorder characterized by persistently high blood glucose levels caused by impaired insulin secretion, insulin action, or both. The purpose of this paper is to apply nursing care to Mr. N, a patient with endocrine system disorders: diabetes mellitus, treated in the Dahlia Ward of Dr. Soeselo Regional Hospital, Tegal Regency. This descriptive case study method was used to explain the nursing process in a structured manner. The main complaint presented by the client was pain in the wound on the left foot. Four nursing diagnoses were identified during the assessment, namely unstable blood glucose levels, acute pain, impaired skin/tissue integrity, and knowledge deficit. Nursing interventions were developed and implemented based on the Standar Diagnosis Keperawatan Indonesia (SDKI), Standar Luaran Keperawatan Indonesia (SLKI), and Standar Intervensi Keperawatan Indonesia (SIKI). The case highlights the importance of comprehensive nursing care in diabetes management, with a focus on blood glucose stabilization, pain management, wound care, and patient education. The results of this study are expected to provide additional references for clinical practice and strengthen the role of nurses in preventing complications of diabetes mellitus.

Heart failure or congestive heart failure (CHF) is a condition where the heart is unable to pump blood optimally to meet the body's metabolic needs, resulting in symptoms such as shortness of breath, excessive fatigue, and edema (Majid, 2017). According to WHO data in 2023, CHF is one of the main causes of death with a total of 17.5 million deaths from a total of 58 million cases recorded worldwide. This paper aims to describe and provide an overview of nursing care for patient Mr. H who experiences cardiovascular system disorders in the form of CHF in the Dahlia room of Dr. Soeselo Regional Hospital, Tegal Regency in accordance with nursing practice standards. The method used is a descriptive method through a case study with data collection techniques using interviews and observations. From the results of the case review, the main complaint experienced by the patient was shortness of breath which was quite disruptive to daily activities. Based on this condition, four main nursing diagnoses were found, namely ineffective airway clearance, hypervolemia, activity intolerance, and knowledge deficits related to the disease and self-care. The interventions provided are based on theoretical references in the Indonesian Nursing Diagnosis Standards (IDHS) and the Indonesian Nursing Outcome Standards (SLHS), and are tailored to the patient's actual condition. The implemented action plan is expected to help reduce symptoms, improve the patient's ability to function, and provide a better understanding of CHF so that the patient can actively participate in the care process.

Hypertension is a condition characterized by elevated blood pressure, where the systolic pressure exceeds 140 mmHg and the diastolic pressure exceeds 90 mmHg. If not properly treated, hypertension can lead to severe complications, increased morbidity, and even mortality. This condition occurs when the heart works harder than usual to pump blood (systolic) and the blood flow returning to the heart (diastolic) also experiences increased pressure. One of the efforts to prevent the progression of hypertension from a primary to a secondary stage is through non-pharmacological treatments. One such treatment includes the use of natural remedies like celery leaves. Celery leaves contain active compounds such as flavonoids and potassium that are believed to help lower blood pressure by relaxing blood vessels and increasing the excretion of sodium through urine.This community service activity was carried out in Purwodadi Village and aimed to increase public awareness, especially among families, regarding hypertension and its non-pharmacological management using natural ingredients that are easy to find and affordable. The method used involved health education through counseling and direct demonstrations of how to prepare and consume celery leaf boiled water. Participants were actively involved in learning how to select, clean, boil, and properly consume the celery leaf water as a herbal drink.The results of the activity showed a significant improvement in community knowledge and understanding related to hypertension and the benefits of using celery leaves as a traditional remedy. It is hoped that after this activity, the local community will be able to independently apply this knowledge and routinely use boiled celery water as a preventive measure to maintain normal blood pressure and reduce the risk of complications. This effort is part of promotive and preventive health services to improve the quality of life and promote a healthy lifestyle at the village level.

Gout arthritis (gout) is a disease that occurs suddenly and repeatedly, characterized by the formation of monosodium uric acid crystal deposits that attack the joints, due to high levels of uric acid in the blood (hyperuricemia). The aim of this activity is to be able to understand gouty arthritis and the practice of making non-pharmacological drugs from pineapple juice and honey to reduce uric acid levels in the body. This health education can increase the knowledge of Purwodadi village residents to do their best to treat gout arthritis using traditional medicine. Health education for residents can increase knowledge and skills in using simple traditional medicines

Indonesia still faces big challenges in developing public health. Changing people's lifestyles are one of the reasons for the shift in patterns from infectious diseases to non-communicable diseases (epidemiological transition). One of the non-communicable diseases that occupies the fourth position as the cause of death is diabetes mellitus, which was recorded as contributing 1.5 million cases in 2019 (Sarifah & Siyam, 2023). The signs and symptoms in diabetes mellitus patients are high blood sugar levels. The purpose of this writing is to find out and provide family nursing care to Mrs. S Family Mr. N With Endocrine System Disorders: Diabetes Mellitus in Bonjot Hamlet, Kalibuntu Village, RT 02 RW 04, Losari District, Brebes Regency, in accordance with nursing standards. The methods used are descriptive methods and data collection methods. From the case review, it was found that Mrs. S complains of frequent urination. There were two diagnoses found, namely knowledge deficit and instability of blood glucose levels. Interventions are prepared based on the theory of SDKI, SLKI and SIKI as well as on the client's condition and can be implemented.

Post partum is the period after giving birth or also known as the postpartum period, namely the period needed for the uterine organs to recover to their pre-pregnancy state, the postpartum period starts from the birth of the baby and lasts for 6 weeks or 42 days (Saudah & Certainlya, 2023). The purpose of this writing is to find out and provide nursing care to Mrs. A with spontaneous post partum in the Nusa Indah room at Dr. RSUD. Soeselo, Tegal Regency. The methods used are descriptive methods and data collection methods. From the case review, it was found that the client's main complaint was that there were no complaints of occasional pain. There were two nursing diagnoses found, namely risk of infection and knowledge deficit. Interventions are structured based on theory on the SDKI, SLKI, and SIKI as well as on the client's condition and can be implemented.

Caesarean section (CS) delivery is a surgical process to deliver a fetus through an incision in the abdominal wall and uterine wall. The purpose of this paper is to determine and provide nursing care for Mrs. Swith post-operative cesarean section indications of fetal distress in the Nusa Indah ward of dr. Soeselo hospital, Tegal Regency in accordance with nursing standards. The method used is descriptive with a case study approach. The data collection tchniques in this scientific paper are in the form of interviews, observations, documentation studies and literature studies. From the case review, it was found that the client’s main complaint was pain in the surgical stitches, P: pain when moving, Q: pain like being pressed, R: pain in the surgical stitches, S: scale 5, T: intermittent. The nursing problems found were acute pain, impaired skin/tissue integrity and knowledge deficit. Interventions were arranged based on the theory in DKI, SLKI and SIKI as well as on the client’s condition and could be implemented.  

The epidemiological transition from infectious diseases to non-communicable diseases is expected to occur massively in 2030, both at the regional, national, and global levels. It is estimated that the number of deaths due to non-communicable diseases and accidents will increase. According to the World Health Organization (WHO), non-communicable diseases include hypertension, diabetes, coronary heart disease and other chronic diseases (Putri et al., 2023). In 2021, in Brebes Regency, there were 666,732 cases of hypertension in the population aged 15 years and over. Around 257,361 hypertension sufferers have visited health services (Fadriana & Wilis, 2023).

Asthma is a disease of the respiratory system that causes inflammation or narrowing of the airways that can occur repeatedly due to exposure to allergic agents and this condition can cause shortness of breath for sufferers. According to the World Health Organization (WHO), predicts that by 2025 there will be an increase in the asthma population of 400 million and there will be 250 thousand deaths due to this disease. Data from the Kecipir Health Center in 2023 the incidence of asthma in the Kecipir Health Center working area in Kalibuntu Village is 0.67%. who have asthma. The results of the assessment of the patient said shortness of breath since 5 years ago after doing activities. The nursing diagnosis raised is ineffective airway clearance, and knowledge deficit.

Using chemical drugs to relieve pain after caesarean section surgery can cause dangerous side effects when used for a long time. The aim of this research is to provide nursing care for postpartum mothers and caesarean section mothers including: assessment, diagnosis, planning, implementation and evaluation. In writing this scientific work, the author used methods including: observation, interviews, documentation, and literature study. There are 5 analytical methods used, namely: assessment, nursing diagnosis, nursing intervention, nursing implementation, and nursing evaluation. During the assessment, pain and sleep disturbances were found. The nursing diagnosis showed that there was a wound in the lower abdomen from the operation. Nursing intervention by providing health education materials and media so that knowledge increases. Implement health care by removing the dressing slowly, cleaning with NaCl fluid, and monitoring for signs of infection. Nursing evaluation found that cleaning the wound and changing the dressing had no complaints and the wound on the stomach was dry, there was no redness and there were no signs of infection. The application can provide good nursing care for caesarean-section mothers and increase knowledge about parenting patterns for mothers who have had caesarean-section operations.

Gouty arthritis or gout is a joint disease caused by high levels of purines in the blood. A person is said to be suffering from gout if the uric acid level in their body exceeds the normal limit, the normal limit is 7 mg/dL for men and less than 6 mg/dL for women. Excessive uric acid can cause a buildup of purines in the joints and other body organs, causing pain and inflammation in the joints. This condition can make the joints feel painful when moved and can also cause joint abnormalities and disabilities (Efendi et al., 2022). In Central Java, the prevalence of gout sufferers is approximately 2.6 - 47.2%, which varies in various populations (Zakiudin et al., 2024). Based on data from the Kecipir Community Health Center, the prevalence of gouty arthritis at the Kecipir Community Health Center in 2023 will reach 13.67%. The percentage of residents in Kalibuntu Village who suffer from gouty arthritis in 2023 will reach 24.3% in old age (Kecipir Community Health Center, 2023).

Anemia is a health and nutrition problem in adolescents, because if adolescents experience anemia. Adolescent girls are one of the groups that are susceptible to anemia. This is because during that period they also experience menstruation, especially if adolescent girls do not have sufficient knowledge about anemia. This community service aims to increase the knowledge of adolescent girls about anemia and through providing health education about adolescent anemia and hemoglobin level checks. This community service was carried out by providing health education and hemoglobin level checks directly to 25 seventh grade female students of Nurul Huda Middle School on November 30, 2023. The results of the HB values that showed no anemia were 14 female students (56%) and the results of the HB values that showed anemia were 11 female students (44%).

SA survey by the Indonesian Ministry of Health found that 25% of fracture sufferers died, 45% experienced physical disabilities, 15% experienced psychological stress due to anxiety and even depression and 10% recovered well. Both open and closed fractures will affect nerve fibers which can cause pain and discomfort. Efforts that can be made to reduce pain in fracture patients are with one of the non-pharmacological techniques, namely guided imagination. The aim of this research is to determine the effect of guided imagination on reducing pain intensity in fracture patients at Bumiayu Hospital 2024. The type of research is Quasi Experiment research with a One Group Pre-test Post-test design. The population in this study were all fracture patients at Bumiayu Regional Hospital in the period 4 March - 2 April 2024, totaling 52 people and the sample was taken using a purposive sampling method, namely 35 people. Data collection used a numerical scale research instrument sheet or The Pain Numerical Rating Scale (PNRS). The data analysis used is univariate and bivariate analysis. The results of this study show that statistical analysis showed that the difference in average pain intensity in fracture patients before guided imagination was 6.83 and after guided imagination was 3.46 with a probability value of (p=0.000), so Ho was rejected and Ha was accepted, meaning that guided imagination had an effect on reducing the intensity. pain in fracture patients. In conclusion, there is an effect of providing guided imagery on pain intensity in fracture patients at Bumiayu Regional Hospital in 2024.

According to WHO (World Health Organization), health is a state of complete physical, mental and social well-being, not just freedom from disease or weakness/disability. From this description it can be concluded that health implies ideal health conditions, both from a biological, psychological and social perspective. Apart from that, WHO also describes several health characteristics that need to be known, including physical and spiritual health without involving external elements, health related to the internal or external environment, spiritual health, mental health or what is usually called mental health (WHO, 2022). Mental disorders are disorders in the way of thinking (cognitive), will (volition), emotions (affective), actions (psychomotor). One of the mental disorders that greatly affects and disrupts an individual's life is schizophrenia (Makhruzah et al, 2021).

Diabetes Mellitus is a metabolic disorder that occurs chronically or chronically because the body does not have enough insulin hormone due to interference with insulin secretion, the insulin hormone does not work as it should or both (Hendry et al., 2023). The International Diabetes Mellitus Federation (IDF) organization estimates that at least 463 million people aged 20-79 years in the world suffered from diabetes mellitus in 2019 or equivalent to a prevalence rate of 9.3% of the total population of the same age. Based on gender, IDF estimates that the prevalence of diabetes in 2019 is 9% in women and 9.65% in men. (Indonesian Ministry of Health, 2020). Prevalence data from the Indonesian Ministry of Health in 2013-2018, there are 4 provinces with the highest prevalence, namely DKI Jakarta 3.4% East Kalimantan 3.1% In Yogyakarta 3.1%, North Sulawesi 3% and Central Java 2.1% ( Research and Development Agency, Republic of Indonesia Ministry of Health, 2019).