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Emergency situations can come from trauma or non-trauma. Fracture is a term for total or partial loss of continuity of bone, cartilage, usually caused by trauma. Fracture is a condition where there is an incontinuity in bone integrity. Thoracic trauma causes 20% of all deaths due to trauma. The radiological modalities that play the biggest role in emergency cases are plain photo/radiography, ultrasound (ultrasound), and computerized tomography (CT-Scan). Magnetic Resonance Imaging (MRI) or nuclear medicine can in many cases provide more accurate results. Some emergency thoracic fractures are costae, sternum and vertebrate fractures.

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.  

According to WHO in 2020, the incidence of fractures was reported, with more than 13 million cases and a prevalence rate of 2.7%. Based on medical record data from RSUD dr. Soeselo, Tegal Regency, in 2023 the number of femoral neck fracture patients will be 129 people (1.34%). Femoral neck fractures usually require operative therapy rather than conservative therapy. The aim of this scientific paper is to provide nursing care to preoperative patients with femoral neck fractures at RSUD dr. Soeselo, Tegal Regency. The results of the assessment showed that the patient experienced pain in the upper right thigh, traction weighing 5 kg was applied. Nursing problems in this final scientific work include acute pain, anxiety and impaired physical mobility.

Fracture is one of the causes of disability caused by trauma due to an accident. Fractures can be caused by direct trauma, for example a collision or blow that results in a broken bone. Splinting is an action carried out as first aid for musculoskeletal injuries so that the injured body part can rest, avoid shifting of the injured bone and reduce the level of pain. By using a splint, the skeletal muscles that are experiencing spasm will slowly relax, thereby reducing the level of pain and holding parts of the body from shifting and reducing pain. To determine the application of splint therapy to reduce the pain level of femur fracture patients in IGD at RSUD Tidar Magelang. The research method used a case report with the nursing intervention of providing splints on the pain level of fracture patients. Conducted 3 observations every 30 minutes on the patient Mr. M, 27 years old, who was involved in a traffic accident. From the results of the research, a nursing intervention was carried out, namely by providing a splint dressing for 3 observations every 30 minutes. The result was that there was a decrease in the level of pain before and after the splint dressing. Based on research conducted with Mr. Therefore, the reduction in pain levels in femur fracture patients with splint dressing in the emergency room at Tidar Hospital Magelang can be concluded that splint therapy has an effect on the pain level of fracture patients by reducing the level of the pain scale.

Background: Fractures can occur in all bones, one of which is a humerus fracture. Humerus fracture is a fracture of the longest and largest bone of the superior extremity caused by direct or indirect impact or trauma. Ida Jean Orlando, is a first generation Irish-American who was born on August 12, 1926 in New Jersey. Ida Jean Orlando's concept model is known as The Discipline and Teaching of Nursing Process: An Evaluative Study”. Ida Jean Orlando first published her theory in "The Dynamic nurse-patient relationship: Function, process and principles of Professional Nursing Practice" (1961) and published her second book entitled; “The Discipline and Teaching of Nursing Process: An Evaluative Study (1972). Orlando made several important contributions to nursing theory and practice. The concept of the nursing process that he provides includes several criteria, including providing a relationship concept that is described systematically regarding phenomena in the field of nursing, specifying the relationship between nursing concepts, explaining what happens during the nursing process and why it happens, describing how nursing phenomena can be controlled and explains how to control to predict the outcome of the nursing process.Objective: This research aims to implement nursing care for Humerus Fracture patients using the Ida Jean Orlando concept model approach. Research methodology: This research uses a Case Study, namely providing nursing care to patients with Humerus Fractures. Results: The results of this research are to improve nurse-patient interactions, a better understanding of relationship dynamics in the nursing process, and their impact on overall patient outcomes.Conclusion:The conclusion of this research is that the application of nursing care to Humerus Fracture patients using the Ida Jean Orlando concept model approach can make a positive contribution to nurse-patient interactions and overall patient outcomes.

Background: The prevalence of fractures in Indonesia is quite high, namely the incidence of fractures in the lower extremities is 46.2%. The habit of patients with extremity fractures does not mobilize, causing a negative impact on muscle and joint strength, namely physical mobilization barriers and followed by muscle atrophy. One of the efforts to improve muscle and joint strength is to do Range Of Motion independently. Objective: To determine the application of active Range Of Motion to muscle and joint strength in post op patients with extremity fractures in the operating room of RSUD Pandan Arang Boyolali. Method: This application is descriptive in the form of a case study conducted on 2 respondents using the standard operating procedure Range of Motion and the MMT (Manual Muscle Testing) observation sheet. Findings:  Before and after the application of active Range Of Motion, recovery of muscle and joint strength was obtained in the two respondents, Mrs. R from the value of bad muscle and joint strength to good and Mrs. S of the value of muscle and joint strength is slightly worse. Implication There are differences in development before and after active Range Of Motion in fracture post op patients

Elderly is a process of experiencing anatomical, physiological and biochemical aging in organ tissues which can affect the state of function and ability of the body as a whole (Fatmah, 2019). In Indonesia, fracture cases are the third largest cause of death under coronary heart disease and tuberculosis. According to data compiled by Wrong Diagnosis (Ropyanto, et al, 2013), Indonesia is the largest country in Southeast Asia that experiences the most fractures of 1.3 million each year out of a population of around 238 million. In postoperative fracture patients, they experience delays in making movements due to muscle weakness and perceived pain (Ningsih, 2019). In an elderly person, it will bring about a complete change in his physique related to a decrease in the ability of the body's tissues, especially in physiological functions in the musculoskeletal system and the neurological system. One of the changes that occur in the elderly is a change in decreased muscle strength, the impact of decreased muscle strength is an increased risk of falling and causes walking to be less stable (Padila, 2020). Purpose: ROM is an exercise used to improve normal joint movement to increase muscle tone. Doing ROM exercises early can increase muscle strength so that it can stimulate more motor units involved, there will be an increase in muscle strength (Anggriani et al., 2020) Method: Using a muscle strength scale instrument. Conclusion: That Range Of Motion has benefits and is

Fracture is a break in bone continuity as a result of a collision or blunt trauma from a certain object. Treatment of fractures can be surgical or splinting, including immobilization, reduction and rehabilitation. Fractures require immediate and appropriate treatment, because inaccurate or incorrect handling will result in further complications, such as infection, nerve and blood vessel damage, to further soft tissue damage. The most common cause of fractures is accidents, be it work accidents, traffic accidents and so on

Desa Kamarian merupakan salah satu desa yang terletak di Kecamatan Kairatu Kabupaten Seram Bagian Barat Provinsi Maluku masyarakatnya  mayoritas tinggal di daerah pesisir yang mata pencaharian utamanya ialah sebagai nelayan dan petani hal ini dapat dapat berisiko terjadinya fraktur atau dislokasi saat melakukan aktivitas untuk menjawab permasalah tersebut  maka perlu untuk meningkatkan pengetahuan masyarakat pesisir tentang Teknik pembidaian dengan cara sosialisasi dan simulasi.  kegiatan ini dilaksanakan pada tanggal 31 Juli 2022 bertempat di Balai Desa Kamarian Kabupaten Seram Bagian Barat Provinsi Maluku.  Jumlah peserta yang menghadiri kegiatan ini sebanyak 49 orang yang berasal dari masyarakat awam yang tinggal di daerah pesisir Desa Kamarian. Metode yang digunakan dalam program pengabdian masyarakat ini adalah berupa penyuluhan atau sosialisasi (ceramah) dan demonstrasi (simulasi) tentang teknik bidai dan balut. Media dan alat yang digunakan yaitu power point, LCD, speaker, Set Pembidaian, Metela, dan Perban Elastis. Setelah mendapatkan sosialisasi dan simulasi tentang pembidaian pada masyarakat pesisir terjadi kenaikan sebesar 42,9% dengan kategori baik dan  46,9% dengan kategori cukup pada masyarakat pesisir  yang melakukan kegiatan sosialisasi dan simulasi pembidaian.

Latar belakang : fraktur adalah terputusnya kontinuitas jaringan tulang yang terjadi ketika tulang tidak mampu menahan tekanan berlebih. Salah satu masalah yang muncul pada pasien post operasi fraktur yaitu keterbatasan lingkup gerak sendi. Tujuan : mengetahui pengaruh ROM (Range Of Motion) terhadap fleksibilitas gerak sendi pada pasien post operasi fraktur ekstremitas atas. Metode penelitian : metode penelitian ini mengunakan quasy eksperimen yang bersifat one group pretest and posttest, menggunakan teknik purposive sampling. Hasil uji prasyarat berdistribusi tidak normal sehinga menggunakan uji Wilcoxon Signed. Hasil : rata-rata rentang gerak sendi sebelum dilakukan ROM yaitu 120° dan setelah dilakukan ROM yaitu 65°. Perhitungan uji Wilcoxon Signed menunjukkan hasil z hitung > z tabel 2,690, maka dinyatakan Ha diterima sedangkan Ho ditolak dan diperkuat dengan p 0,007 > 0,005. Kesimpulan : Ada perbedaan yang signifikan antara rentang gerak sendi sebelum dan setelah dilakukan ROM.

Emergency is defined as a condition that can threaten the safety of life if it is not treated immediately, and this can happen to anyone, anywhere and anytime. First aid is the immediate and temporary care given to a person. Health education with educational method is defined as a method that can increase the insight and knowledge. The objective of this study is to determine the effect of emergency First Aid education on fracture management knowledge in the community around STIKES Muhammadiyah Manado.The research design used was a quasi-experiment, with a one group posttest research design. In this study, the research sample selected was 12 research respondents, in the selection using random sampling. In collecting research data, this was conducted by distributing research questionnaires to the research respondents. Then, the research data that has been collected is processed using with the Mc-Nemar’s test, with a value level of a ≤ 0.05.The results of this study indicate that there is an effect of emergency first aid on fracture management knowledge with value of p = 0,004 where p value is smaller than a = 0.05. There is an effect of education on the effect of emergency First Aid education on knowledge of fracture management in lay people or the community around the STIKES Muhammadiyah Manado.  

Lansia merupakan kelompok yang rentan terhadap suatu penyakit menular maupun tidak memular. Salah satu penyakit yang rentan muncul pada usia lansia adalah osteoporosis. Masyarakat atau populasi osteoporosis yang rentan terhadap fraktur adalah populasi lanjut usia yang terdapat pada kelompok di atas usia 85 tahun, terutama terdapat pada kelompok lansia tanpa suatu tindakan pencegahan terhadap osteoporosis. Proses terjadinya osteoporosis sudah di mulai sejak usia 40 tahun dan pada wanita proses ini akan semakin cepat pada masa menopause. Sekitar 80% penderita penyakit osteoporosis adalah wanita, termasuk wanita muda yang mengalami penghentian siklus menstruasi. Hilangnya hormon estrogen setelah  menopause  meningkatkan  risiko  terkena  osteoporosis.  Penyakit osteoporosis yang kerap disebut penyakit keropos tulang ini ternyata menyerang wanita  sejak  masih  muda.  Tidak  dapat  dipungkiri  penyakit  osteoporosis  pada wanita ini dipengaruhi  oleh hormon estrogen.  Peran perawat dalam menangani masalah osteoporosis adalah dengan aktivitas fisik yaitu senam osteoporosis.    

Di Indonesia pengobatan tradisional sangkal putung sudah menjadi pilihan alternativ oleh masyarakat untuk menyembuhkan fraktur (patah tulang). Pengobatan sangkal putung di Sidomulyo Selatan dipengaruhi oleh beberapa masalah antaranya pengaruh keluarga atau teman, biaya yang terjangkau maupun adat budaya yang mengharuskan masyarakat berobat ke pengobatan tradisional. Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor yang mempengaruhi pemilihan pengobatan tradisional pada pasien fraktur ke sangkal putung di sidomulyo selatan. Penelitian ini menggunakan metode Deskriptif Kuantitatif dengan rancangan penelitian Cross Sectional. Sampel diambil menggunakan tehnik total sampling dengan jumlah sampel 55 responden. Pengumpulan data menggunakan lembar kuesioner dengan analisis data menggunakan Chi Square dengan tingkat kemaknaan (? : 0,05). Hasil penelitian menunjukan nilai P Value dukungan sosial sebesar p=0,003 lebih kecil (p=0,05), P Value faktor ekonomi sebesar p=0,022 lebih kecil (p=0,05), P Value faktor budaya sebesar p= 0,010 lebih kecil (p=0,05). Sehingga bisa disimpulkan ada pengaruh antara dukungan sosial, faktor ekonomi dan faktor budaya terhadap pemilihan pengobatan tradisional.