ASUHAN KEPERAWATAN PADA KLIEN CHRONIC KIDNEY DISEASE DENGAN MASALAH RESIKO GANGGUAN INTEGRITAS KULIT DI RUMAH SAKIT PANTI WALUYA SAWAHAN MALANG
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Institusion
STIKES Panti Waluya Malang
Author
Parwati, Ida
Subject
R Medicine (General)
Datestamp
2019-08-29 05:27:55
Abstract :
ABSTRAK Gagal Ginjal Kronis adalah kegagalan ginjal mempertahankan fungsi metabolisme, keseimbangan cairan dan elektrolit yang ditandai dengan penumpukan sisa metabolik (toksik uremik) dalam darah. Saat terjadi uremia zat sisa metabolisme akan beresiko gangguan integritas kulit. Penelitian ini bertujuan untuk melaksanakan Asuhan Keperawatan Pada Klien Chronic Kidney Disease Dengan Masalah Resiko Gangguan Integritas Kulit Di RS Panti Waluya Sawahan Malang. Desain yang digunakan studi kasus dengan 2 responden di ruang rawat inap Pavilliun St. Maria Rumah Sakit Panti Waluya Sawahan Malang pada bulan Maret 2019. Hasil pengkajian didapatkan pada kedua klien gagal ginjal kronis yang memiliki masalah pada kulit seperti kering, perubahan warna kulit, kulit terasa kasar dan hiperpigmentasi namun klien 1 juga mengalami edema dan tirah baring. Pada kedua klien direncanakan tindakan yang sama hanya beberapa yang membedakan dengan klien 1 seperti dilakukan mobilisasi, menganjurkan memakai kasur khusus, memberikan bantalan pada bagian kulit dengan tulang yang menonjol, pemberian diuretik. Berdasarkan penelitian, didapatkan hasil evaluasi pada klien 1 dan 2 masalah resiko kerusakan integritas kulit tidak terjadi setelah dilakukan tindakan keperawatan selama 3 hari. Penelitian ini diharapkan dapat menjadi masukan dalam memberikan asuhan keperawatan yaitu untuk memperhatikan kondisi klinis klien karena meskipun dengan diagnosa dan masalah yang sama belum tentu kebutuhan kedua klien sama. Kata kunci: CKD, Risiko Kerusakan Integritas Kulit ABSTRACT Chronic Kidney Disease is the failure of the kidneys to maintain metabolic functions, fluid and electrolyte balance which is characterized by the metabolic (uremic toxic) accumulation in the blood. When uremia occurs, metabolic waste substances will be at risk of impaired to skin integrity. The purpose of this study is to provide nursing care to Clients of Chronic Kidney Disease with Risk of Impaired to Skin Integrity in Panti Waluya Sawahan Hospital, Malang. The design of this study used a case study method with 2 respondents at Pavilliun St. Maria Panti Waluya Sawahan Hospital in March 2019. The results of the study were obtained in both chronic kidney disease clients who had skin problems such as dryness, skin discoloration, rough and hyperpigmented skin but on first client also experienced edema and bed rest. Both clients had given same nursing interventions but there was only few things different, on first client was assisted mobilization, recommend using a specific mattress, gave cushion to the skin with prominent bones, gave diuretics. Based on the research, the result of this study was both clients did not experience the risk of impaired skin after given nursing intervention for three days. This research is expected to be an advice in providing nursing care, which is to pay attention on client's clinical condition because even with the diagnosis and problem were same, client’s need is not necessarily same. Keywords: CKD, Risk of impaired Skin Integrity
ABSTRAK Gagal Ginjal Kronis adalah kegagalan ginjal mempertahankan fungsi metabolisme, keseimbangan cairan dan elektrolit yang ditandai dengan penumpukan sisa metabolik (toksik uremik) dalam darah. Saat terjadi uremia zat sisa metabolisme akan beresiko gangguan integritas kulit. Penelitian ini bertujuan untuk melaksanakan Asuhan Keperawatan Pada Klien Chronic Kidney Disease Dengan Masalah Resiko Gangguan Integritas Kulit Di RS Panti Waluya Sawahan Malang. Desain yang digunakan studi kasus dengan 2 responden di ruang rawat inap Pavilliun St. Maria Rumah Sakit Panti Waluya Sawahan Malang pada bulan Maret 2019. Hasil pengkajian didapatkan pada kedua klien gagal ginjal kronis yang memiliki masalah pada kulit seperti kering, perubahan warna kulit, kulit terasa kasar dan hiperpigmentasi namun klien 1 juga mengalami edema dan tirah baring. Pada kedua klien direncanakan tindakan yang sama hanya beberapa yang membedakan dengan klien 1 seperti dilakukan mobilisasi, menganjurkan memakai kasur khusus, memberikan bantalan pada bagian kulit dengan tulang yang menonjol, pemberian diuretik. Berdasarkan penelitian, didapatkan hasil evaluasi pada klien 1 dan 2 masalah resiko kerusakan integritas kulit tidak terjadi setelah dilakukan tindakan keperawatan selama 3 hari. Penelitian ini diharapkan dapat menjadi masukan dalam memberikan asuhan keperawatan yaitu untuk memperhatikan kondisi klinis klien karena meskipun dengan diagnosa dan masalah yang sama belum tentu kebutuhan kedua klien sama. Kata kunci: CKD, Risiko Kerusakan Integritas Kulit ABSTRACT Chronic Kidney Disease is the failure of the kidneys to maintain metabolic functions, fluid and electrolyte balance which is characterized by the metabolic (uremic toxic) accumulation in the blood. When uremia occurs, metabolic waste substances will be at risk of impaired to skin integrity. The purpose of this study is to provide nursing care to Clients of Chronic Kidney Disease with Risk of Impaired to Skin Integrity in Panti Waluya Sawahan Hospital, Malang. The design of this study used a case study method with 2 respondents at Pavilliun St. Maria Panti Waluya Sawahan Hospital in March 2019. The results of the study were obtained in both chronic kidney disease clients who had skin problems such as dryness, skin discoloration, rough and hyperpigmented skin but on first client also experienced edema and bed rest. Both clients had given same nursing interventions but there was only few things different, on first client was assisted mobilization, recommend using a specific mattress, gave cushion to the skin with prominent bones, gave diuretics. Based on the research, the result of this study was both clients did not experience the risk of impaired skin after given nursing intervention for three days. This research is expected to be an advice in providing nursing care, which is to pay attention on client's clinical condition because even with the diagnosis and problem were same, client’s need is not necessarily same. Keywords: CKD, Risk of impaired Skin Integrity
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