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Pleural effusion is a pathological condition characterized by the accumulation of fluid in the pleural cavity, which can cause shortness of breath, chest pain, and other complications. This study aims to evaluate evidence-based nursing care for patients diagnosed with pleural effusion using a case report approach. The assessment was conducted holistically, including interviews, observations, and physical examinations. The results show that nursing interventions combining respiratory physiotherapy, such as breathing exercises, mobilization, and patient education, along with medical care, are effective in reducing shortness of breath and improving chest expansion in patients. The management of pleural effusion involves a multidisciplinary approach, including early diagnosis through thoracentesis and imaging, as well as supportive therapies such as respiratory physiotherapy, pleural fluid drainage, and medical interventions tailored to the underlying etiology. This study also highlights the critical role of respiratory physiotherapy in accelerating patient recovery, including deep breathing exercises, chest mobilization, and posture correction. The evaluation indicates that, although the patient’s respiratory problems were not completely resolved, there was significant improvement in overall health status. This study underscores the importance of applying a multidisciplinary approach to improve the quality of life for patients with pleural effusion.

Acute respiratory infection, or ARI, is an acute inflammation that most often occurs in children. It is caused by infection with microorganisms, bacteria or viruses or without or accompanied by inflammation of the lung parenchyma (David, 2019). Data from the World Health Organization (WHO) in 2019 shows that lower respiratory tract infections reduce life expectancy by 2.09 years in sufferers (WHO, 2019). The group most at risk is toddlers. This research uses a case study approach. Participant 1 was a three-year-old child patient who underwent ARI, data collection using interviews, observation, and physical examination. The tools and instruments used in this research were eucalyptus aromatherapy (eucalyptus oil), warm water and a family nursing care assessment format. After the data was collected, data analysis was carried out using the nursing process. The intervention emphasized airway clearance, but it was not adequate, so Eucalyptus aromatherapy was given for three days. The final evaluation was reached on the 3rd day, and the problem was resolved. The evaluation results showed that giving Eucalyptus aromatherapy to a three-year-old child who had respiratory problems was very effective so that on the third day, the child no longer experienced shortness of breath, the secretions were no longer there, and breathing became more accessible. Conclusions and suggestions for research sites should be made on how to apply eucalyptus aromatherapy to ARI to help expel secretions and relieve breathing.

Diabetes mellitus is a chronic metabolic disease characterized by increased blood glucose levels (hyperglycemia) caused by insulin secretion deficiency and / or insulin resistance which over time can cause serious damage to various body systems, especially to nerves and blood vessels, Pumpkin (Cucurbita moschata) is one of the fruits that contains antioxidant compounds Pumpkin (Cucurbita moschata) can also overcome poisoning, clean digestion, and play a role in overcoming hyperglycemia. The purpose of this study was to determine the Nursing Care of Families with the Implementation of the Yellow Pumpkin Diet for Patients with Diabetes Mellitus in the Sukoharjo Health Center Work Area. Data collection methods Data is obtained by interview and observation. The results are written with field notes, then copied in the form of transcripts (structured notes). The activity plan was carried out on Tuesday, June 25, 2024 regarding education on the implementation of the Pumpkin Diet for Diabetes Mellitus Patients in the Sukoharjo Health Center Work Area. The results of the evaluation of the diagnosis of blood sugar instability and given pumpkin diet therapy. The first day before giving pumpkin 250mg/dl after giving pumpkin 247mg/dl on the first day. During the 3 days of giving a diet of yellow pumpkin to 238mg / dl.

Indonesia is a country that has a tropical climate that is full of abundant sunshine throughout the year. the role of the sun is very much needed for living things and also humans for survival, besides its benefits, ultraviolet rays can be harmful if exposed for too long so that it can allow exposure to rays (UV B) with high identity, which can cause adverse effects on the skin. Research Objectives To determine the Effect of Using Homemade Masks Mixed with Avocado and Honey on Preventing Dry Facial Skin in DIII Nursing, Abulyatama University Female Students. This study uses the Pre-Experiment method. The sample in this study used Acidental, which means that the researcher determined his own sample based on the criteria made by the researcher as many as 18 Respondents. The results of the study There is an Effect of Using Homemade Masks Mixed with Avocado and Honey on Preventing Dry Facial Skin in DIII Nursing, Abulyatama University Female Students with a p value = 0.000. The researcher expects the respondents to be used as a reference or guideline in preventing dry skin on their faces and maintaining the moisture of their facial skin.

The first year of college is critical for students because of the psychological pressure and the demand to adapt to a new situation. It becomes one of the indicators of psychological well-being level. This study aimed to acknowledge the correlation of social support with psychological well-being in the first year of diploma nursing students at Universitas Abulyatama. It was a descriptive-analytical study using the cross-sectional approach. The sample comprised 192 nursing students in the first year of their Diploma chosen using the total sampling technique. This study was conducted on May 27th - 31st with the Cronbach Alpha. The results showed the family subscale as 0, 81, the friend's subscale as 0, 82, the other significant subscale as 0, 75, and Ryff's Psychological Well-Being Cronbach Alpha = 0.845 for univariate and bivariate analysis using the Chi-square test. The result shows that from 192 respondents, the majority has a medium psychological well-being category, 79 respondents (41, 1%), and medium category of social support 84 respondents (43, 8%) with a ρ value = 0,002. In conclusion, there is a correlation between social support and students' psychology. The college provides information on improving students' psychological well-being by practicing positive self-talk, finding a supportive and positive support system, exercising actively, building self-awareness, and focusing on mindfulness and self-respect.

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.

Pleural effusion is an excessive accumulation of fluid in the pleural cavity, which causes disruption to the respiratory system. This condition can inhibit lung function and cause severe shortness of breath and chest pain. This study aims to apply nursing care to Mr. B who was diagnosed with pleural effusion in the hospital. B who was diagnosed with pleural effusion at RSUD dr. Soeselo, Tegal Regency. The research method used was a case study with a nursing approach consisting of assessment, nursing diagnosis, intervention, implementation, and evaluation. Based on the evaluation results, the interventions carried out such as the installation of Water Seal Drainage (WSD), oxygen administration, and health education are effective in improving the quality of breathing and reducing the symptoms experienced by patients. It is hoped that this study can be a reference in the management of patients with pleural effusion in the clinical environment.

Bronchopneumonia is an inflammatory condition of the lung parenchyma caused by microorganisms. Microorganisms enter the lungs through the respiratory tract into the bronchioles and alveoli and stimulate epithelial cells to produce mucus, causing accumulation of secretions in the alveoli (Utami et al., 2023). According to data from (WHO, 2022) In 2019, 740,180 people died from bronchopneumonia, which caused 14% of deaths in children under 5 years. The number of bronchopneumonia cases in children in developing countries is 82% higher compared to 0.5% cases in developed countries (Syahrinisya et al., 2024). The purpose of this writing is for the author to be able to create and apply nursing care to Patient. K with respiratory system disorders: bronchopneumonia at dr. Soeselo, Regional Hospital, Tegal Regency. The method used is that the nurse will collect basic data in the form of assessment from interviews, physical examination, observation, laboratory examination results and diagnosis. From the case review, it was found that the main complaint was that the client's mother stated that her child was coughing up phlegm. There were three diagnoses found, namely ineffective airway clearance, anxiety, 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.

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.  

Fever or hyperthermia is a natural response of the body to fight infections that enter the body and is a sign of an illness. It is said to have a fever if the body temperature exceeds normal body temperature, namely reaching > 37.5°C. The cause of hyperthermia can be due to infectious and non-infectious factors. The World Health Organization (WHO) states that the number of fever cases worldwide ranges between 16 and 33 million, with 500 to 600 thousand deaths per year. The aim of this scientific paper is to provide nursing care to patients with hyperthermia at Dr Soeselo Regional Hospital, Tegal Regency. As a result of the assessment, the patient complained of fever accompanied by coughing, his body temperature reached 39.1°C. Nursing problems that arise are hyperthermia, anxiety and knowledge deficit.

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).

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.

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.

Background: Menstrual pain in the world is very high, 50% of women worldwide, Bulgaria 8.8%, Finland 94% while Indonesia 64.25%. Menstrual pain causes short and long term adverse effects including interference with daily activities and even an increase in absenteeism at the campus, long-term effects cause tissue growth outside the uterus. Menstrual pain can be treated with pharmacological and non-pharmacological therapies. One of the non-pharmacological therapies is inhaling lemon aromatherapy. Limeone contains lots of vitamin C which will control prostaglandins and reduce pain. Objective: To describe the results before and after the application of lemon aromatherapy on reducing menstrual pain. Methods: Case study with descriptive design on 2 respondents who were given lemon aromatherapy for 15 minutes twice a day for 2 days, and measured using Numeric Rating Scale. Results: After lemon aromatherapy was performed on both respondents with menstrual pain, it showed a decrease in the pain scale from moderate pain to mild pain. Conclusion: The application of lemon aromatherapy can reduce menstrual pain in female students from moderate to mild

Fractures can lead to disabilities in individuals, which may result from trauma due to accident (Ramadhan & Pristianto, 2022)s. The purpose of this paper is to develop and apply nursing care for Mrs. M, who underwent post-operative hemiarthroplasty for a femoral neck fracture, in the Mawar 2 room at RSUD dr. Soeselo, Tegal Regency. This paper utilizes a descriptive method with a focus on the nursing process approach. The results of the nursing care show that the patient reports pain at the surgical site on the upper right leg, post-operative hemiarthroplasty, with pain described as a pulling sensation in the upper right leg, at a pain scale of 6, and continuous. The client states that she can only lie in bed, with all post-operative activities being assisted by family members. She also reports that she has not received health education on early mobilization and has limited understanding of early immobilization. The nursing diagnoses identified are acute pain, impaired physical mobility, and knowledge deficit. Interventions were based on the SIKI (Nursing Care Standards) and implementation followed the planned interventions. Upon evaluation, one diagnosis—knowledge deficit—was resolved, acute pain was partially resolved, and impaired physical mobility remained unresolved. The results of the nursing care are consistent with the theory. This paper aims to improve skills in providing nursing care.  

Diabetes Mellitus (DM) is a chronic metabolic disease that often occurs in the elderly, characterized by hyperglycemia due to impaired insulin secretion or action. This research focuses on family nursing care for Mr. A, a DM sufferer, in Kalibuntu Village, Losari District, Brebes Regency. Based on data, the prevalence of diabetes in Indonesia is very high, with Indonesia ranking third in Southeast Asia. In Brebes Regency, the prevalence of DM is also significant, requiring special attention in management. The Friedman model is used in family nursing care, which emphasizes the role of the family in supporting the patient's health management. The care process includes assessment, diagnosis, planning, implementation, and evaluation. The assessment is carried out by collecting family data using clear and simple language. Nursing diagnoses are established based on data analysis, while nursing interventions are designed to meet the patient's specific needs. Implementation is carried out by carrying out the plans that have been prepared, followed by ongoing evaluation to assess the effectiveness of the intervention and make necessary adjustments. Management of DM in Mr. A involves five main pillars: education, meal planning, physical exercise, pharmacological interventions, and blood sugar checks. A positive attitude towards treatment plays an important role in achieving good glucose control and improving quality of life. These findings emphasize the importance of family involvement in DM care to ensure effective and sustainable management.

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.

Stroke is a disease that causes nerve damage caused by bleeding or blockage in the affected part of the brain. This disease can cause disability or death. According to the World Health Organization (WHO), there has been a significant increase in deaths due to stroke since 2000, from 2 million to 8.9 million (11%) in 2019. Data from the Kecipir Health Center, stroke sufferers in Kalibuntu village were 20 people out of 2560 (0 .08%) the number of productive residents experienced a stroke. The results of the patient's assessment showed that his right hand had not been able to move since 6 years ago and his right leg also experienced weakness in movement so that it was difficult for him to walk. The nursing diagnoses raised were knowledge deficit, impaired physical mobility and ineffective family health management.