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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.