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This study aims to improve the health status of families so that a healthy and prosperous family is realized in the family of Mr. "Z" with menorrhagia in adolescent girls in Ngalong Hamlet, Kuta Village, Pujut District. The study was carried out by collecting all available data sheet formats through interview techniques and systemic observation. Subjective data, especially on the main complaint of menstruation for more than 10 days and changes, Blood Pressure (BP): 98/80 mmHg, Respiration (P): 18 x / i, Pulse (N): 88 x / i, Temperature (S): 36.5o C, eyes are not edematous, pale conjunctiva, white sclera. The potential diagnosis in this case is endometrium but it did not occur because it has been handled properly. Immediate action that can be taken is to collaborate with health workers and patients. The planning carried out on Ms. M aged 14 years is: informing about the results of the examination, explaining the signs and symptoms, handling menorrhagia and consulting a Sp.OG doctor. The implementation given to Ms. M with Hypermenorrhea is: informing about the results of the examination that Ms. M's general condition informs about the results of the examination, explains the signs and symptoms, treatment of menorrhagia, and consultation with a Sp.OG doctor. Evaluation is a stage of assessment of the success of the maintenance given in overcoming consultation with a Sp. DAN doctor.

Background: The highest cause of maternal death is hypertension in pregnancy which includes severe preeclampsia or what we know as PEB. Preeclampsia itself is a pregnancy condition that has problems characterized by hypertension, protein in the urine, and edema that occurs in pregnant women at 20 weeks. If the preeclampsia condition worsens and does not receive proper treatment, pregnant women can experience eclampsia with additional symptoms of seizures. Research Objective: To determine the most influential determinants of the incidence of severe preeclampsia in pregnant women at RSIA Anugrah Kubu Raya. Method: This study used a case-control study design with a retrospective approach. The study sample consisted of 76 respondents (38 controls and 38 cases). Data analysis used logistic regression tests. The study was conducted at RSIA Anugrah Kubu Raya. Results: The most influential determinants were a history of hypertension and a history of preeclampsia. Conclusion: The most influential variable in the incidence of preeclampsia was a history of preeclampsia.

An ankle sprain is an injury experienced by school-age adolescents due to a lack of caution during activities, as well as high physical activity in sports activities, such as playing soccer, running, and other sports. Signs and symptoms of an ankle sprain are pain and edema. Interventions for ankle sprains can be categorized into functional rehabilitation and initial management by performing the RICE (Rest, Ice, Compression, and Elevation) method followed by joint mobilization to increase the scope of joint motion. This counseling aims to increase the knowledge of seventh-grade students of MTS Almaarif 01 Singosari about ankle sprains.  Counseling was conducted using an interactive demonstration method using leaflet print media, with 14 male and 18 female students. The results of counseling are found in the pre-test and post-test evaluation of increased knowledge about ankle sprain in class VII students of MTS Almaarif 01 Singosari.

Conjunctivitis is an inflammation of the conjunctiva, the mucous membrane covering the back of the eyelids and the eyeball, which can be acute or chronic. This condition is characterized by conjunctival hyperemia, edema, and discharge. Causes of conjunctivitis include bacteria, chlamydia, allergies, viruses, and systemic diseases. The incidence of conjunctivitis varies by age, sex, and season. Although slightly more common in women in emergency departments, the seasonal pattern of conjunctivitis is consistent across regions. Allergic conjunctivitis, which affects 15-40% of the population, is most common in the spring and summer. Bacterial conjunctivitis is most common from December to April. Acute bacterial conjunctivitis is generally self-limited, with symptoms lasting 1-3 days if treated appropriately, but can last 10-14 days if left untreated. Staphylococcal and gonococcal conjunctivitis can lead to chronic complications or serious problems such as corneal perforation. Viral conjunctivitis usually gets worse in 4-5 days and resolves in 1-2 weeks. Complications are rare but can include corneal problems and life-threatening conditions such as meningitis or sepsis.

Preeclampsia is a disease that appears with signs of hypertension, edema, and urine protein that arise due to pregnancy and childbirth. Childbirth with preeclampsia is one of the most critical problems in midwifery care. In Indonesia 30% of maternal deaths are caused by hypertension in pregnancy and in North Sumatra 9 the number of maternal deaths is always dangerously caused by preeclampsia. The aim of this service is to increase and increase knowledge and be able to empower pregnant women in the prevention and early detection of preeclampsia in pregnant women in Bangun Rejo village in 2024.. Results of service to the community shows that the implementation of counseling for pregnant women in improving the quality of life of pregnant women before and after carrying out counseling for pregnant women has obtained significant results in Bangun Rejo village. This can be seen, many pregnant women who have not carried out early detection of preeclampsia have a poor quality of life, as many as 23 people. (76.7%), but after providing counseling to pregnant women, the quality of pregnant women was good, as many as 27 people (90%) in the same group. It is hoped that pregnant women can improve their health by checking themselves from early pregnancy and looking at each examination for signs of preeclampsia and treating it immediately and early detection of preeclampsia can be carried out routinely in Bangun Rejo village once a month by having their pregnancy checked at the Health Facility in 2024.

Chronic Kidney Failure (CKD) is a kidney disease caused by damage or dysfunction in the kidneys. A common problem in CKD sufferers is excess fluid which causes swelling in the extremities (edema). The causes of edema in CKD patients are failure to comply with fluid restrictions, lack of dietary control, fluid and sodium retention. One of the independent nursing interventions that is very effective for treating edema is ankle pump exercise therapy with leg elevation at 30 ̊. The case study was carried out in the hemodialysis unit at Dr. Tjitrowardojo Purworejo. The aim of the study was to identify the effect of providing ankle pump exercise therapy and 30° leg elevation intervention to reduce edema in CKD patients. The research design used is a descriptive method with a case study approach. The subjects of this case study are CKD patients undergoing hemodialysis who experience edema and patients who have signed an informed consent form. The instrument used is a monitoring sheet for the degree of edema. The intervention given in this case study was ankle pump exercise therapy and 30° leg elevation which was carried out for 7 minutes in 3 meetings over 7 days. Evaluation was carried out on days 1, 4, 8. The results showed that the degree of edema on the first day was grade III (5mm), on the second day it was grade II (4mm), on the third day it was grade I (2mm). Based on the results of the case study, it can be concluded that the application of ankle pump exercise and 30° elevation has proven effective in reducing the degree of edema in chronic kidney failure, so that this independent nursing intervention can be carried out by nurses for CKD patients undergoing hemodialysis.

Introduction: Rinolits are uncommon foreign bodies in the nose, which serve as a nidus for calcium salt deposition. Foreign bodies can be endogenous or exogenous in origin and can be asymptomatic for years before being discovered incidentally. If left untreated, stones can cause unilateral nasal obstruction, rhinorrhea, epistaxis, or in rare cases, progressive damage leading to septal/palatal perforation or oro-antral fistula. Surgical stone removal is an effective intervention with rare reports of complications. Case Report: A case of rinolit in a 72-year-old woman with complaints of left nasal congestion since 2 months ago with thick, smelly snot in the past 2 weeks is reported. History of foreign entry was denied. On examination of the sinistra nasal cavity, it was found that the nasal cavity was narrow, the inferior concha was edematous, there was a yellowish mass between the inferior concha and the septum, the media concha was difficult to assess, septal deviation was present, sekret was present, mucoid. The management given was extraction using forceps under local anesthesia. Conclusion: Rinolit is an uncommon clinical etiology which if undiagnosed can lead to complications; thus it is important to consider for any unilateral nasal symptoms of unclear origin.      

Background: Acute Lung Oedema (ALO) is an emergency condition that requires immediate action and has fatal and more dangerous consequences which will disrupt the gas exchange process in the alveoli due to the alveoli being filled with fluid. Based on the results of the initial survey in the ICU room at Tangerang Regional Hospital, it was found that the number of ICU patients with cases of pulmonary edema or ALO in 2023 was 14 people and from June to January 2024 there were 14 people. Nursing actions as an evidence base that can be provided include sucking mucus for less than 15 seconds and emptying the ETT cuff periodically. This implementation can increase airway clearance, thereby preventing accumulation of secretions that can cause aspiration. Proving the theory through providing nursing care carried out 5x with results showing that providing mucus suction in less than 15 seconds, and emptying the ETT cuff periodically, can improve the airway clearance status as indicated by a decrease in sputum production, color and consistency. Method: This writing method uses patient intervention and observation carried out for five days, to determine the patient's condition and provide appropriate nursing care which is then documented. Results: Based on the results of the monitoring carried out, it can be concluded that there are differences in the conditions of secretion production before and after the suction intervention was carried out by deflating the ETT (Cuff) balloon for 5-15 seconds. With the results criteria, secretion production is reduced. Conclusion: for patients with thick and purulent secretions, suction by deflating the ETT balloon (Cuff) becomes more effective and secretion production decreases. Nursing actions as an evidence base that can be given include sucking mucus for less than 15 seconds and emptying the ETT cuff periodically.

Preeclampsia is a hypertensive disorder in pregnancy. This situation can be pregnancy emergency if this don’t received proper treatment, which is bring a risk for the mother and her fetus. This risk can be continue in birthing period and the postpartum period. The preeclampsia’s signs likes hypertension and proteinuria is a frequently encountered. Other signs of symptoms include edema (especially on the face and around the eyes and hands), weight gain, nauseous and vomiting, stomach pain spreads to the upper limbs, headaches and visual disturbances (blurred vision), tachypnea and anxiety. In community, Edema in pregnant usually considered common and commonplace, however this is sign of preeclampsia. Health education about getting a pregnancy check-up at the health service needs. This community dedication service aims to increasing the knowledge of pregnant women about the signs, symptoms and prevention of preeclampsia and it is hoped that they can prevent this at the start of pregnancy, so the mother and baby are healthy. The counseling method have be used, the sub topic are the signs, symptoms and prevention of preeclampsia. Counseling participants were pregnant women in the Lebaksiu Kidul area, Tegal Regency.

Chronic Kidney Disease (CKD) is a condition in which kidney function decreases so that it is no longer able to filtrate the body's metabolic waste and maintain electrolyte fluid balance. In CKD an increased amount of fluid can result in edema. Edema is a condition of blocked veins due to an increase in intravascular hydrostatic pressure that causes enlargement or buildup of plasma fluid into the interstitium space. Therapy that can be applied to reduce edema in CKD is with Ankle Pump Exercise and Elevation 30⁰. This therapy is done by pumping the ankle and elevating the foot for 5-10 minutes. The goal of this study was to identify Ankle Pump Exercise and 30⁰ Elevation interventions to reduce edema in CKD patients in the ICU. The type / research design used is a descriptive method with a case study approach. The subjects of this case study were patients who met the inclusion criteria, namely patients with edema and were willing to be respondents. The data collection instrument uses the format of Nursing Care. The results of this study showed that Ankle Pump Exercise and 30⁰ Elevation interventions effectively reduced edema in CKD patients. Based on the results of the case study, it can be concluded that the application of a combination therapy of ankle pump exercise and 30⁰ foot elevais has been proven effective in reducing the degree of edema in Chronic Kidney Disease (CKD) patients.

Papilloedema is a disease that refers to swelling of the optic disc due to increased intracranial pressure (ICP). The etiology of papilledema is things that increase intracranial pressure. Idiopathic intracranial hypertension can cause increased intracranial pressure. Increased intracranial pressure can be seen in clinical and radiological manifestations such as headaches and decreased cerebral blood flow. So to diagnose someone with papilledema, anamnesis, physical examination, and supporting examinations such as fundoscopy, Optical Coherence Tomography / OCT, and perimetry can be carried out. Management for papilledema is aimed at addressing the causes of increased ICP. In cases of masses, surgical management may be indicated. the term idiopathic intracranial hypertension was used, and management of the patient's symptoms was with acetazolamide and weight loss. Surgical procedures such as optic nerve sheath fenestration are considered when vision is considered to be seriously compromised. Ventriculoperitoneal and lumboperitoneal shunts are other surgical interventions that can reduce ICP by draining CSF. Venous sinus stenting is considered in patients with IIH where there is significant transverse venous sinus stenosis.