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Abdominal pain is a general term for any symptom of a disease that affects the area between the chest and pelvis (abdominal wall) depending on the severity, duration and location of the pain. The purpose of this paper is to find out and provide nursing care for Ms. S with digestive system disorders: abdominal pain in the dahlia ward of dr. Soeselo hospital, Tegal Regency according to nursing standards. The data collection techniques 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 abdominal pain in the upper left side, P: pasin when eating spicy food (pain decreases when lying down), Q: like being pressed, R: upper left abdomen quadrant 2, S: pain scale 5, T: continuous. The nursing problems found were acute pain, nausea and knowledge deficit. Interventions were arranged based on the theory in 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.

Tumor is a disease that is currently one of the health problems that causes death, soft tissue tumor or soft tissue tumor is an abnormal lump that is formed due to the growth of new cells (Irsal et al., 2020). The signs and symptoms in soft tissue tumor patients include pain due to the surgical process. The purpose of this writing is to find out and provide nursing care to Mr. A with a medical diagnosis post-operative soft tissue tumor (STT) left flank in the rose room 2 RSUD dr. Soeselo Tegal Regency in accordance with nursing standards. The methods used are descriptive methods and data collection methods. From the case review, it was found that Mr. A complains of pain. Three diagnoses were found, namely acute pain, impaired physical mobility and knowledge deficit. Interventions are prepared based on the theory of 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.  

Atypical endometrial hyperplasia which is an endometrial charismatic lesion triggered by estrogen in endometrial tissue with a relative deficiency of the imbalanced effect of progesterone deviation (Hum reprod, 2019). The purpose of this paper is to find out and provide nursing care to Mrs. S with post-laparotomy surgery indications of atypical endometrial hyperplasia in the Nusa Indah room of Dr. Soeselo Hospital, Tegal Regency. The method used is a descriptive method and data collection method. From the case review, it was found that the client's main complaint was post-operative abdominal pain. There are two nursing diagnoses found, namely acute pain and risk of infection. Interventions are arranged based on the theory of SDKI, SLKI, and SIKI as well as on the client's condition and can be implemented.      

Diabetes mellitus, also called diabetes, is a serious disease caused by the inability of the pancreas to produce insulin effectively, leading to an increase in blood glucose. In recent years, the number of diabetes cases has increased (Masturoh & Anggita, 2018). According to WHO data, Indonesia occupies 7th position in the world with 10 million people suffering from diabetes and it is estimated that there will be 21.3 million people in 2021. Because it is the only country in Southeast Asia with the highest number of diabetes mellitus sufferers, Indonesia contributing to the increasing prevalence of diabetes in Southeast Asia (Anisah et al., 2023). The purpose of this writing is to find out and provide nursing care to Mrs. D with endocrine system disorders: diabetes mellitus in the kemuning ward of RSUD dr. Soeselo Tegal Regency in accordance with nursing standards. The method used is descriptive and data collection methods. From case observation, it was found that the main complaint was weakness. There were three diagnoses found, namely instability of blood glucose levels, acute pain and knowledge deficit. Interventions are structured based on the theory of SDKI, SLKI and SIKI as well as on the client's condition and can be implemented.

The post partum period is divided into three, namely early puerperium (immediate puerperium) or recovery period 0-24 hours after delivery, immediate puerperium (later puerperium) or recovery period 1-7 days after delivery and remote puerperium (later puerperium) or the period to recover and be completely healthy (Rohmah et al, 2022). The purpose of this paper is to find out and provide nursing care to Mrs. S with postpartum in the Nusa Indah ward, dr. Soeselo Hospital, Tegal Regency according to nursing standards. The method used is a descriptive method in the form of interviews, observations, documentation studies, library studies and literature. From the case review, it was found that the patient’s main complaint was pain in the stitches in the birth canal, P: pain when moving, Q: pain like being pressed, R: pain in the stitches in the birth canal, S: pain scale 5, T: intermittent. There were 2 diagnoses found, namely labor pain and knowledge deficit. Interventions are designed based on the theories in SDKI, SLKI and SIKI as well as on the client’s condition and can be implemented.

Combustio is an injury caused by fire chemicals, electricity which can cause skin and tissue damage (Antoro, 2023). The purpose of this writing is to find out and provide nursing care to An. M with post operative debridement indicating grade II combustio in the mawar room RSUD dr. Soeselo Kabupaten Tegal in accordance with nursing standards. The methods used are descriptive methods and data collection methods. From the case review, it was foundthat the main complaint was pain. There were three diagnoses found, namely acute pain, impaired skin integrity and knowledge deficit. Interventions are prepared based on the theory of SDKI,SLKI, and SIKI as well as on the client’s condition and can be implemented.

The Indonesian Nursing Diagnosis Standard (SDKI), Indonesian Nursing Outcome Standard (SLKI), and Indonesian Nursing Intervention Standard (SIKI) are standardized nursing documentation systems designed to improve the quality of nursing care. The training on the application of SDKI, SLKI, and SIKI at PKU Muhammadiyah Karanganyar Hospital aims to enhance nurses' understanding and skills in systematically, accurately, and evidence-based nursing documentation. The training methods included lectures, discussions, and hands-on practice in applying SDKI, SLKI, and SIKI to real cases. Evaluation results showed a significant improvement in participants' understanding and skills after completing the training. The implementation of SDKI, SLKI, and SIKI is expected to enhance nursing documentation efficiency and improve the quality of nursing services in the hospital.

The application of nursing care is in accordance with the nursing model with Sister Calista Roy with cases of Diabetes Mellitus in the inpatient room. The aim of this research is to provide nursing care to Mr. N with Diabetes Mellitus based on Sister Calista Roy's theory. This research method is a case study with a nursing care approach based on Sister Calista Roy's theory. Data collection was carried out by means of interviews, observations, physical examinations and documentation studies. The instrument used is an assessment format based on Sister Calista Roy's nursing theory. Results of the study Wounds that did not heal after amputation of the thumb and index toe of the left foot for approximately 4 weeks. The first wound was found between the big toe and forefinger approximately 4 months ago. The wound does not heal and slowly gets bigger and festers around the wound area. The first time he consulted at the Regional Hospital, he was then referred to Hospital P, where he was treated for 1 month. During his treatment at the hospital, his thumb and forefinger were amputated. But the surgical wound turned non-healing with pus and black color. So the doctor suggested a below-the-knee amputation. He underwent leg amputation surgery 3 weeks earlier. There are two nursing problems, namely damage to skin integrity and physical mobility. The interventions carried out are based on SLKI and SIKI. After providing nursing care for three days, it was concluded that two nursing problems had been partially resolved. It is hoped that nurses will be able to provide and improve the quality of service in providing nursing care based on the Sister Calista Roy approach.

According to Rahmi (2019) in Rimadeni et al. (2022), Sectio Caesarea (SC) is the act of removing the fetus and placenta by making an incision in the abdominal wall and uterus. SC can be an alternative delivery both for causes from the mother and from the fetus, one of which is because the fetus is entangled in the umbilical cord. The purpose of this writing is to find out and provide nursing care to Mrs. K in Nusa Indah Room, dr. Soeselo Hospital, Tegal Regency according to nursing standards. The method used is descriptive observation with a nursing process approach. From the case review, it was found that the client's main complaint was acute pain in the incision wound. There were three nursing diagnoses found, namely acute pain, risk of infection, and knowledge deficit. Interventions are prepared based on the theory of SLKI and SIKI as well as on the client's condition, and can be implemented. Based on the evaluation carried out on the client, two problems were resolved and one problem was partially resolved. During the research, the author found gaps in theory and data studied from patients

The Nursing Care Guide (PAK) is a very important resource for the nursing profession in implementing nursing care, because nurses are a profession that performs nursing care for patients 24 hours a day. PPNI as the official organization of nurses has established SDKI, SLKI and SIKI as standards in providing nursing care. The purpose of this activity is to provide SAK and PAK based on SDKI, SLKI and SIKI. The method used is lectures and discussions, lectures related to the problems found and discussions related to the preparation of SAK and PAK. Participants numbered 20 people consisting of nursing students and heads of rooms. As a result of the activity, SAK and PAK were arranged which consisted of 13 medical diagnoses and 28 nursing diagnoses.

Abstrak Dalam melaksanakan pelayanan atau asuhan keperawatan, khususnya di Indonesia, perawat harus mendokumentasikan asuhan keperawatan sesuai standar profesi yang ditetapkan oleh organisasi profesi. Kebijakan terkait penggunaan standar dokumentasi keperawatan tertuang dalam Keputusan Menteri Kesehatan (KMK) RI Nomor HK.01.07/MENKES/425/2020 tentang standar profesi perawat, penyusunan diagnosis keperawatan ditulis atau disusun berdasarkan SDKI, SIKI dan SLKI. Menggunakan metode ceramah (sosialisasi), diskusi dan studi dokumentasi standar asuhan keperawatan berdasarkan referensi SDKI, SIKI dan SLKI. Kegiatan pengabdian masyarakat ini berlangsung selama 1 minggu. Hasilnya terjadi perubahan format pendokumentasuan nursing care planning (NCP), pendokumentasian mengalami peningkatan di ruang bedah mengalami peningkatan 23% dan ruang internal peningkatan sebesar 26,95% setelah penerapan standar asuhan keperatan berdasarkan panduan yang di susun dengan referensi SDKI, SIKI dan SLKI.