Gouty arthritis is a disease caused by a buildup of uric acid in the joints of the body. Gouty arthritis that is not treated effectively can develop into chronic gout, form tofus, and can lead to severe kidney function impairment, and decreased quality of life. The purpose of the case study was to describe the application of foot soak therapy with warm ginger water to reduce pain in gout arthritis patients at Mungkid Public Health Center, Magelang Regency. This type of research is descriptive using a case study approach. The subjects in this study were two patients diagnosed with gouty arthritis. Data collection was carried out by observing pain scales in patients based on Standard Operating Procedures for measuring patient pain scales before and after warm ginger foot soak therapy. The results of the case study showed that after the implementation of diabetic foot exercises, it was found that there was a decrease in pain levels in subjects I and II. In subject I there was a decrease in the pain scale from a pain scale of 8 (severe) to a mild scale of 3 and in subject II there was a decrease in the pain scale of 7 (moderate) to a scale of 2 (mild). The conclusion of the case study is that the application of foot bath therapy with warm ginger water is effective in reducing pain levels in gouty arthritis patients. Recommendations need to apply foot soak therapy with warm ginger water to reduce pain levels in patients with diabetes arthritis gout.

The provision of passive ROM therapy in the form of range of motion exercises on the part of extremities experiencing weakness and decubitus, this motion exercise is very useful to avoid complications due to lack of movement such as joint stiffness.. This study aims to knowing the ROM description in nursing care in stroke patients with impaired physical mobility. This case study uses descriptive method. This case study was conducted in 12 – 28 april 2021 by comparing two respondents with the same case and given the same action. The results of the case study conclude the application of passive ROM techniques performed in non– hemorrhagic stroke patients there is a weakness in proximity there is an effective an ineffective,. The results of of increasing muscle strength on Subject I from 5151 to 5352, meanwhile in Subject II from 5151 to 5252, this is because the first patient and his family are very enthusiastic and eager to exercise independently while the second patient have an obesity and his family also have motivation but it still difficult due to the severity of the deases. Application of ROM in both non hemorrhagic stroke patients gave different responses.

Background Non-Communicable Disease Screening is a form of community participation in activities for early detection, monitoring and early follow-up of risk factors for non-communicable diseases independently and continuously. This activity was developed as a form of early awareness of non-communicable diseases considering that almost all risk factors for non-communicable diseases do not give symptoms to those who experience them. Risk factors for non-communicable diseases include smoking, consumption of alcoholic beverages, unhealthy eating patterns, lack of physical activity, obesity, stress, hypertension, hyperglycemia, hypercholesterolemia. Purpose is to improve the health status of the community through early detection of non-communicable diseases especially those with diabetes mellitus The method begins with interviews with health cadres in the Jogonayan village area, Magelang Regency, followed by an early detection program and health education. Results:. The health checks carried out were anthropometric measurements in the form of height, weight, abdominal circumference, blood pressure measurements and current blood sugar measurements. Of the 48 residents who took part in the detection, 37% had pre-hypertension, 15% had grade I hypertension and 18% had blood sugar >200 mg/dl and 10% did not suffer from hypertension or diabetes mellitus, 20% were in good health. Conclusion: Early detection of non-communicable diseases is very important to prevent further complications.

Kasus yang terkonfirmasi positif COVID-19, sebanyak 1.488 pasien tercatat memiliki penyakit penyerta dan presentase terbanyak diantaranya adalah penyakit hipertensi sebesar 50,5%.   Pandemi COVID-19 dapat dijadikan sebagai momentum untuk membudayakan gaya hidup sehat pada hipertensi melalui pendekatan penatalaksanaan Dietary Approaches to Stop Hypertension (DASH), Hidroterapi, dan Senam Hipertensi. Kegiatan ini bertujuan agar lansia dengan hipertensi di wilayah Jawa Tengah dapat memahami penatalaksanaan  DASH, hidroterapi, dan senam hipertensi terhadap penurunan tekanan darah lansia hipertensi.  Hasil kegiatan Lansia di beberapa wilayah Jawa Tengah yang hadir dalam acara pengabdian masyarakat sebanyak 10 orang secara terpisah dilakukan screening tekanan darah dengan rata-rata tekanan darah sebesar 159/94 mmHg. Setelah diberikan intervensi penatalaksanaan Dietary Approaches to Stop Hypertension (DASH), hidroterapi, dan senam hipertensi di saat pandemi covid-19 berjalan lancar, terdapat adanya peningkatan pengetahuan lansia berdasarkan beberapa jawaban dari pertanyaan yang diajukan oleh penyaji materi serta praktik penatalaksanaan Dietary Approaches to Stop Hypertension (DASH), hidroterapi, dan senam hipertensi yang dilakukan oleh lansia setelah melihat demonstrasi penyaji materi. Evaluasi tekanan darah setelah diberikan intervensi kesehatan tentang penatalaksanaan Dietary Approaches to Stop Hypertension (DASH), hidroterapi, dan senam hipertensi terdapat penurunan tekanan darah dengan rata-rata tekan darah 129/82 mmHg. Penatalaksanaan Dietary Approaches to Stop Hypertension (DASH), hidroterapi, dan senam hipertensi dapat diterapkan pada lansia hipertensi dalam kehidupan sehari-hari.
 
 
 

PGK merupakan suatu proses patofisiologi dengan etiologi beragam, mengakibatkan penurunan fungsi ginjal yang progresif dan umumnya berakhir dengan gagal ginjal. Selanjutnya gagal ginjal adalah suatu keadaan klinis yang ditandai dengan penurunan fungsi ginjal yang reversible, pada suatu derajat yang memerlukan terapi pengganti ginjal yang tetap, berupa dialysis atau transplantasi ginjal. Uremia adalah suatu sindroma klinik dan laboratorik yang terjadi pada semua organ, akibat penurunan fungsi ginjal pada penyakit ginjal kronik (Suwitra, 2009).
 
Gejala sindroma uremia dini ialah gangguan fungsi gastrointestinal. Penderita merasa  mual-mual,  muntah-muntah  dan  tidak  nafsu  makan.  Gejala-gejala  tersebut diduga akibat timbunan metabolit, antara lain: metilguanidin, asam guanidinosuksinat, asam parahidroksi-fenilasetat, fenol, indol, asam-asam aromatik, dan senyawa-senyawa amin. Metabolit-metabolit tersebut berasal dari degradasi protein (Syaifuddin, 2006).
 
Gejala gastrointestinal  yang lain ialah kerusakan epitel dan perdarahan, mulut kering, lidah terasa pahit, perdarahan gusi, hematemesis, melena. Kerusakan epitel dan gangguan fungsi epitel, diduga karena iritasi oleh timbunan metabolit dan gangguan metabolisme sel-sel- epitel. Gangguaan juga terjadi pada epitel kulit, garukan karena gatal meninggalkan ekskoriasi ditungkai, lengan dan di badan. Rasa gatal diduga akibat timbunan atau endapan kalsium dan ureum di dermis. Gejala kardiovaskuler dapat menyertai PGK, hipertensi, jantung hipertensif, payah jantung kongesif, perikarditis uremik, hemoperikardium, tamponade jantung (Syaifuddin, 2006).
 
 

Analisis data adalah suatu proses atau upaya untuk mengolah data menjadi informasi yang baru. Proses ini cukup diperlukan agar karakteristik data bisa menjadi lebih mudah untuk dimengerti dan berguna sebagai solusi untuk suatu permasalahan khususnya kalau itu berkaitan dengan penelitian. teknik analisis data adalah kegiatan analisis di suatu penelitian yang dikerjakan dengan memeriksa seluruh data dari berbagai instrumen penelitian misalnya seperti catatan, kuisioner ,dokumen, hasil tes, rekaman, dan lain sebagainya. Kegiatan ini bisa juga dilakukan agar data lebih mudah dipahami sehingga bisa diperoleh suatu kesimpulan.
Dalam proses pelayanan keperawatan di ruangan keperawatan tentunya tidak akan terlepas dari data, baik data asuhan yang ada di rekam medis pasien, data indikator mutu, data sdm, data inventaris, dan data lainya yang memerlukan pengolahan data lebih lanjut agar dapat disajikan dengan mudah.kendala yang dihadapi para Kepala Ruangan rawat inap adalah dalam proses pengolahan data, karena dalam pemrosesan data diperlukan kompetensi khusus yaitu kemampuan analisis data yang belum tentu dimilki oleh seorang kepala ruang rawat inap. Oleh karena itu sangat pelatihan analisis data statistic ini sangat diperlukan bagi para kepala ruangan rawat inap guna peningkatan kompetensi perawat dalam pengolahan data pelayanan keperawatan.
 
 

The main function of the kidneys under normal conditions is to regulate fluids and electrolytes and the acid-base composition of body fluids, remove metabolic wastes that are no longer needed by the body, regulate blood pressure and hormonal function. Chronic Kidney Disease (CKD) is the final stage of chronic kidney failure where GFR <15 ml/min/1.73m2 so that the body fails to maintain metabolism and fluid and electrolyte balance, causing uremia, namely retention of urea and other nitrogenous wastes in the blood (Smeltzer et al. al, 2008; National Kidney Foundation in Kallenbach, et al, 2005). With the increasingly real decline in kidney function or worsening of symptoms of uremia, renal replacement therapy is required for survival, namely dialysis and organ transplantation. There are two methods of dialysis, one of which is Hemodialysis (Potter, 2005; Smelzer, 2008). Cases of chronic kidney failure in the world have increased by more than 50%, in the United States which is a very developed country every year there are about 20 million adults suffering from chronic kidney failure and undergoing hemodialysis in more than 100,000 patients, while in Indonesia, according to the Indonesian Kidney Diatrans Foundation, YDGI), in 2007 there were about 100,000 chronic kidney failure patients but only a few patients were able to undergo hemodialysis. Kidney replacement therapy in Indonesia was started in 1972 in Jakarta (Dr. Cipto Mangunkusumo Hospital/FKUI), in Bandung in 1976 (Hasan Sadikin Hospital/FK UNPAD).

Chronic renal failure is a progressive and continuous destruction of kidney structures. Chronic renal failure occurs in susceptible individuals, analgesic nephropathy, destruction of renal papillae associated with daily use of analgesic drugs for years. Whatever the cause, there is a progressive deterioration of kidney function which is characterized by a progressive decrease in the Glomelurus Filter Rate (GFR) (Corwin, 2009). Chronic kidney failure is a failure of kidney function to maintain metabolism and fluid and electrolyte balance due to progressive destruction of kidney structures with manifestations of accumulation of residual metabolites (uremic toxicants) in the blood (Muttaqin & Sari, 2011). as well as electrolytes and acid-base composition of body fluids, removing metabolic wastes that are no longer needed by the body, regulating blood pressure and hormonal function. Chronic Kidney Disease (CKD) is the final stage of chronic kidney failure where GFR <15 ml/min/1.73m2 so that the body fails to maintain metabolism and fluid and electrolyte balance, causing uremia, namely retention of urea and other nitrogenous wastes in the blood (Smeltzer et al. al, 2008; National Kidney Foundation in Kallenbach, et al, 2005). With the increasingly real decline in kidney function or worsening of symptoms of uremia, renal replacement therapy is required for survival, namely dialysis and organ transplantation. There are two methods of dialysis, one of which is Hemodialysis (Potter, 2005; Smelzer, 2008).