Introduction: Cutaneous larva migrans (CLM) is a parasitic infestation that commonly occurs in warm climates among people who have contact with contaminated soil. This is caused by the migration of hookworm larvae into human skin. Clinically, itchy, erythematous, linear serpiginous tracts appear within days to months after exposure to infected sand or soil. Diagnosis is based on clinical presentation. CLM can heal on its own and usually resolves within a few weeks to several months without treatment . Case report: This case report is about a 30-year-old female patient with complaints of itching on the little finger of the left foot since 4 days ago accompanied by multiple erythematous papules with serpiginous arrangement, the surface of the left dorsal leg. Conclusion: CLM associated with hookworm is diagnosed clinically based on the typical clinical appearance, as well as a history of travel to endemic areas and exposure to contaminated soil/sand.

Background: Diabetes mellitus is a health problem characterized by an increase in blood glucose levels that has a systemic impact. Diabetes mellitus is a family health problem because its prevalence continues to increase and causes high mortality. The family as a subsystem that is the goal of public health care has a duty to maintain the health of its members, including the management of diabetes mellitus in the family. The purpose of writing is to provide an overview of providing family nursing care with the intervention of giving soursop leaf boiled water to lower blood glucose. The method used with the family nursing care process which consists of assessment, nursing diagnosis, intervention, implementation, and evaluation. The results show that family nursing problems that arise are ineffective family health management, the risk of unstable blood glucose levels, and sleep pattern disturbances. The implementation results show that giving soursop leaf boiled water can reduce blood glucose levels in people with diabetes mellitus from 210 mg/dL before the intervention to 180 mg/dL after three days of giving soursop leaf boiled water. Suggestion nurses can facilitate families to provide soursop leaf decoction water therapy to lower blood sugar levels in people with diabetes mellitus.

Background: Family is two or more individuals who are joined by blood relations, marital relations or adoption and they live in one household, interact with each other and in their respective roles create and maintain culture. Signs and symptoms of gout are an increase in serum uric acid, severe pain that comes on suddenly, stiff movements, easily tired and lethargic. skin rash, sore throat, decreased appetite, red tongue. According to the World Health Organization (WHO) in 2019, 81% of sufferers of Gout Arthritis in Indonesia only 24% went to the doctor. while 71% tend to immediately consume over-the-counter pain relievers. Method: The method used in collecting this data is interview. Case study by carrying out nursing care for 5 days in the family of Mr. A especially Mrs. U by doing non-pharmacological therapy with warm compresses of lemongrass. Purpose: the purpose of doing this warm lemongrass compress is so that pain in the fingers and palms of the patient decreases. Results: After intervention with hot lemongrass compresses for 5 days, the pain was reduced, the patient's uric acid decreased to 4.7, and no tingling was felt. During the intervention, patients were also given education on how to manage their diet and a clean and healthy lifestyle. Conclusion: The conclusion drawn is the importance of regulating diet and maintaining a clean and healthy lifestyle in order to avoid diseases, especially gout.

Introduction– Stroke is a non-communicable disease that has an impact on the loss of motor skills in the extremities. One intervention that can overcome this problem is the application of squishy with a combination of active ROM.
Purpose– The purpose of this case study was to conduct nursing care on the application of squishy intervention to increase hand muscle strength in stroke patients. Methodology/Approach – The method used in writing is a case report which was carried out for 6 days with Active ROM combination squishy intervention.
Findings– The results of this scientific work show that with the active ROM combination squishy intervention for 6 days, there is a significant increase in muscle strength in the right upper extremity before the intervention is worth 2 and after the intervention is worth 4.
Conclusion– The effectiveness of the application of nursing care standards in increasing muscle strength given to patients shows a change in muscle strength on the third day to the fifth day with a muscle strength value of 3 and the sixth day with a muscle strength value of 4.

The aim of this research is to determine the Lumbar MRI examination procedure in LBP cases at the Bogor City Regional Hospital, namely STIR and Myelo Radial, the aim of which is to clearly see abnor malities in the intervertebral discs and stenosis in the cerebral spinal cord. This type of research uses descriptive qualitative methods with a case study approach. Data collection methods are carried out through observation, interviews and documentation. Then data analysis was carried out using open coding charts, so that conclusions could be drawn. The results of this study show that the Lumbar MRI examination procedure in cases of Low Back Pain (LBP) at the Bogor City Regional Hospital does not require special preparation, the patient comes to radiology for screening (installation of a pacemaker). The patient removes clothing and metal objects. Before the examination, the patient is asked to urinate first, the patient's position is supine (feet first), iso center 5 cm superior to the ASIS. Then it is briefly explained that during the examination you are not allowed to move and the duration of the examination is 15 minutes and the role of the sagittal STIR sequence and Myelo Radial. The role of the sagittal STIR sequence and myelo radial to suppress fat in the cerebral spinal fluid, conus medullaris and myelum in the spinal cord and to see masses Lesions and stenosis caused by narrowing of the bulging in the intervertebral disks are clear enough to provide a Lumbar MRI image for cases of Low Back Pain (LBP).
 

The number of domestic violence in Serang Regency in 2019 was 102 cases. Around 60.6% of pregnant women are at risk of experiencing violence compared to women who are not pregnant (Ministry of Health, 2019). Preliminary data for pregnant women from the As-Soheh Medika clinic in 2022 reached 360 and the average patient for pregnant women was 30 people  in 2022. Data for September - December  2022 for pregnant women at the As-Soheh Medika clinic, 100 pregnant women.The method used in this study is to use a quantitative correlation approach. The sample for this study was 30 samples of pregnant women who experienced domestic violence during September - December 2022. The analysis used was univariate and bivariate with chi-square. Results: The incidence of physical violence was 4%, economic violence was 31.33%, psychological violence was 30.67% and psychological impact was 21%. The method used is univariate analysis in the form of a frequency distribution. There is a significant relationship between the psychological impact and the incidence of domestic violence in pregnant women with a P value of 0.00001 for physical violence, a P value of 0.01 for economic violence, and a P value of 0.003 for psychological violence. Conclusion: The most dominant incidence of domestic violence among pregnant women at the As-Soheh Medika Clinic in 2022 is economic violence at 31.33%. Psychological violence is 30.67% and physical violence is 4%. The number of events that experience psychological impact on pregnant women at the As-Soheh Medika Clinic in 2022 is 21%. There is a significant relationship between psychological impact and physical violence (p value 0.00001), economic violence (p value 0.01) and psychological violence (p value 0.003) for pregnant women at the As-Soheh Medika Clinic in 2022.

Introduction: Non-adherence to the Therapeutic Regimen in schizophrenic patients is one of the causes of relapse in schizophrenic patients. Adherence to therapeutic regimens can be influenced by several factors, one of which is family support. Objectives: aims to determine the relationship between family support and the effectiveness of therapeutic regimens in schizophrenia patients in the work area of Yayasan Rumah Ceria Repok Cianjur Regency in 2022. Method: This study uses quantitative with a type of cross sectional approach. Sempel collection using a total sampling technique of 30 respondents and measured by questionnaire. As well as in statistical tests using the Spearman Rank test. Result: Good family support 5 (16.7%), and moderately good family support 14 (50.0%), and poor support 10 (33.3%), and effectiveness of adherent regimen 17 (56.7%), and effectiveness of non-adherence regimen 13 (43.3%).  Spearman Rank statistical test  and obtained p-value = 0.000. Conclution: The relationship between family support and the effectiveness of therapeutic regimens in schizophrenia patients in the working area of Yayasan Rumah Ceria Repok Cianjur regency in 2022.

Background: The results of a survey by the United Nation International Children Found (UNICEF, 2019), the most common diseases in the elderly are non-communicable diseases, including hypertension, joint disease, diabetes mellitus, heart disease, stroke, and Gout Arthritis. This can happen considering that the elderly have a declining body work system and there are still many poor lifestyles, eating patterns, and sleep patterns in the elderly, sleep pattern disturbances are a problem that often occurs in the elderly. There are two ways to treat sleep disorders, namely pharmacological and non-pharmacological. Non-pharmacological can be done with SEFT (Spiritual Emotional Freedom Technique) complementary therapy to improve sleep quality. Purpose: the purpose of this paper is to provide an overview of nursing care for Gout Arthritis patients who experience sleep pattern disturbances with the SEFT intervention on sleep quality. Method: case study design using nursing care. The case study sample used 1 patient. Results: based on the implementation results on Tn.S with the application of SEFT therapy for 7 days, data were obtained on the first day of the PSQI scale, namely 23 (≥5, meaning poor sleep quality), then on day 7 it dropped to a PSQI score of 14 (moderate sleep quality). it can be concluded that with changes towards improvement, this indicates the effect of SEFT (Spiritual Emotional Freedom Technique) therapy on sleep quality in elderly patients with Gout Arthritis.
 

Keselamatan pasien suatu hal yang sangat erat keterkaitannya dengan pengenalan jenis dan pencegahan kejadian insiden keselamatan pasien. Insiden keselamatan pasien dapat dicegah atau diminimalkan dengan meningkatkan pengetahuan seluruh petugas, menerapkan budaya keselamatan pada pasien. Tujuan dari literature review ini untuk mengetahui bagaimana analisis manajemen keselamatan pasien di rumah sakit. Literature yang digunakan dalam penelitian ini yaitu dengan menetapkan artikel yang sesuai kriteria inklusi. Data base yang digunakan yaitu Google Scholar. Tahun publikasi sumber literature yang diambil yaitu 5 tahun terakhir antara tahun 2017 sampai dengan 2022, Sumber literature menggunakan bahasa Inggris atau Indonesia.  Hasil 5 artikel diperoleh bahwa manajemen keselamatan pasien yang dilakukan di rumah sakit yaitu dengan sistem pelaporan pasien, budaya keselamatan pasien, penerapan standar keselamatan pasien, penerapan komunikasi efektif dan mengurangi risiko infeksi. Dapat disimpulkan bahwa manajemen keselamatan pasien menjadi sebuah hal yang sangat penting dalam memberikan pelayanan kesehatan. Manajamen keselamatan pasien juga sebagai komponen indikator untuk meningkatkan kualitas pelayanan serta mutu pelayanan rumah sakit. Sehingga perlu baik pihak tenaga kesehatan maupun instansi rumah sakit memperhatikan serta memprioritaskan keselamatan pasien.
 
 

Mutu pelayanan kesehatan adalah suatu tingkat kesempurnaan pada pelayanan kesehatan yang diselenggarakan sesuai standar pelayan kesehatan yang berlaku pada setiap rumah sakit yang ada, mutu pelayanan keperawatan adalah sebuah indikator kualitas pelayanan kesehatan yang menjadi penentu citra institusi pelayanan di masyarakat. Selama pada pandemic covid-19 dimana protokol kesehatan yang menuntut serta berperan aktif pada tenaga kesehatan dan seluruh pasien yang berada di rumah sakit. Rumah sakit mempunyai peran penting bagi masyarakat dengan pelayanan yang kompeten dan kompleks jika dapat mengelola dengan baik akan memberikan dampak yang baik jika tidak dikelola dengan baik akan menimbulkan kesalahan sehingga mengancam keselamatan pasiendan pandemic Covid 19 merupakan salah satu masalah yang dihadapi oleh dunia sejak Januari 2020 dengan kasus covid yang terkonfirmasi 3.272.202 kasus dengan angka kematian 230.104 angka kematian yang menimpah 215 negara. Tujuan : agar dapat memebrikan dampak yang baik terhadap pasien yang dapatdiimplementasikan dalam mutu pelayanan kesehatan dengan memperhatikan setiap komponen pasien safety pada identifikasi pasien yang ada di rumah sakit, serta menerapkan kepada pasien untuk membantu memenuhi protocol kesehatan yang sudah ditetapkan oleh pemerintah Metode: Penelitian kuantitatif dengan menggunakan quasi eksperimen (pre and post test without control) memberikan kuesioner kepada 50 perawat dengan penyebaran kuesioner (pre test) dan (post test) dengan pemberian intervensi modul bacaan Hasil: Teknik pengambilan dengan penyebaran kuesioner (pre test) dan pemeberian materi model dengan intervensi materi dan (post tes) setelah pemeberian intervensi modul. Analisis data menggunakan uji T-test (pre test) (post test)dandengan Nilai (P value) <0,05. Kesimpulan: terdapat hubungan yang signifikan terdapat pengaruh intervensi pemberian modul pada perawat tentang keselamatan pasien pada identifikasi pasien dan mutu pelayanan kesehatan.