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Background: Osteoarthritis (OA) is a degenerative disease that often causes pain, disability and limited mobility, especially in the elderly. Total Knee Replacement (TKR) is one of the preferred surgical interventions in severe OA to reduce pain and improve joint function. Objective: This case report aims to evaluate nursing care in a 76-year-old female patient with OA genu grade III postoperative TKR sinistra accompanied by acute pain, impaired physical mobility, and risk of infection. Methods: This study is a case report using interview techniques, observation, physical examination, and documentation study. Nursing management was carried out based on the Indonesian Nursing Diagnosis Standards (SDKI), Indonesian Nursing Outcome Standards (SLKI), and Indonesian Nursing Intervention Standards (SIKI). Prioritized nursing diagnoses include acute pain, impaired physical mobility, and risk of infection. Results: After 3x24 hours of intervention, there was a decrease in the patient's pain scale from 5 to 3 (0-10 scale). Left lower limb muscle strength increased, with active range of motion. The surgical wound remained dry with no sign of infection, and the patient was able to sit on the edge of the bed with minimal assistance. Conclusion: The application of nursing care based on SDKI, SLKI, and SIKI showed significant results in improving the patient's condition. The Evidence-Based Nursing (EBN) approach contributed greatly to the recovery of patients after TKR surgery. This intervention can be a reference for nurses in designing nursing care in similar cases.

Background: Pelvic fractures are common injuries resulting from high-energy trauma, such as traffic accidents or falls from height. These injuries can cause decreased mobility function, pain, and risk serious complications. A common treatment that can be done is Open Reduction Internal Fixation (ORIF) to improve bone stability and patient mobility function. Objective: this study is to provide nursing care for patients with post-ORIF pelvic fractures to improve nursing outcomes, including pain management, physical mobility, and skin integrity. Methods: This study used a case report approach where the source of research data came from interviews, observations, physical examinations, and patient documentation. Nursing care was organized based on the Indonesian Nursing Diagnosis Standards (SDKI), Indonesian Nursing Intervention Standards (SIKI), and Indonesian Nursing Outcome Standards (SLKI). Results: After the intervention, the patient showed a decrease in pain from scale 6 to scale 3 with the use of PMR. Improved physical mobility was observed through regular ROM exercises, and skin integrity was maintained with position changes and routine wound care. No complications occurred post intervention. Conclusion: Comprehensive nursing care in patients with post-ORIF pelvic fractures can accelerate healing and reduce the risk of complications. Integrated interventions, including pain management, mobility, and skin care, play an important role in supporting patient recovery. The nurse's role in observation and collaboration with the medical team is essential to improve patient outcomes and quality of life.

Background : Nurses play an important role in providing nursing care to Space Occupying Lession (SOL) patients. Nurses directly assist patients and educate them about their disease and prevent rehospitalization. During hospitalization, patients require hemodynamic stabilization monitoring, use of various monitoring and life support devices, postoperative patient care, and crisis management in the event of loss of consciousness or sedation programs.  Purpose : This case study aims to perform 30ᵒ head elevation with SOL Intracranial o/t (L) Temporoparietal who has head pain. Methods : This research is a case report where the source of research data comes from the patient and the patient's family using interview techniques, observation, physical examination, and documentation study of nursing management prioritized according to the SDKI (Indonesian Nursing Diagnosis Standard), SLKI (Indonesian Nursing Outcomes Standard), and SIKI (Indonesian Nursing Intervention Standard): acute pain, decreased intracranial adaptive capacity and impaired physical mobility. Results : Decreased pain quality, increased intracranial adaptive capacity, and decreased physical mobility impairment indicate improvement in the patient's condition along with the nursing care provided. Conclusion : The results of routine nursing implementation coupled with the application of evidence-based nursing practice 30ᵒ head elevation intervention (30ᵒ head position intervention) to reduce pain along with the collaboration of pharmacological therapy administration of ketorolac injections were found to reduce the pain scale from a scale of 3 - 4 (mild - moderate) NRS to a pain scale of 2 (mild) NRS.

Diabetes mellitus is one of th non-communicable diseases (NCDs) caused bt metabolic disorders. The purpose of this paper is to determine and provide family nursing care for Mr. T with enocrine system disorders: diabetes mellitus in Kalibuntu Village Losari District, Brebes Regency according to nursing standards. The method used is the descriptive methode in the form of interviews, observations and examinaton. From the case review, it was found that the client’s main complaint was that the client’s mai complaint was that his feet felt tingling when walking too long and there weres, GDS : 267 mg/dl. The nursing problems found were untable blood glucose levels and knowledge deficit. Intervies ere arranged and knowledge on the were unstable blood glucose levels and knowledge deficits. Interventions were arranged based on the theory in SDKI, SLKI and SIKI as well as on the client’s condition and could be implemented.

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.

Cholelithiasis or gallostones is a digestive tract disease caused by the accumulation of solid mass deposits in the vesica fellea ar gallbladder. The purpose of this paper is to find out and provide nursing care to Mr. S with cholelithiasis is the dahlia ward of dr. Soeselo hospital, Tegal Regency according to nursing standards. The methods used were interviews, medical history, physical examinations and laboratory examination results and diagnoses to create basic assessment data. From the case review, it was found that the patient’s main complaint was shortness of breath. The nursing problems found were hypervolemia and knowledge deficit. Interventions were arranged based on the theory in SDKI, SLKI and SIKI as well as on the client’s condition and could be implemented.

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.

A fracture or what is called a broken bone is an event that often occurs due to trauma or physical exertion which can cause disability and even complications (Appley & Solomon, 2021). The signs and symptoms in fracture patients include pain. The purpose of this writing is to find out and provide nursing care to An. E with musculoskeletal system disorders: post-operative open reduction internal fixation right clavicle fracture 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 An's main complaint was. E complains of pain. There were two diagnoses found, namely acute pain, impaired skin and tissue integrity. Interventions are prepared based on the theory of 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.    

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.

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.

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.