Introduction: Rheumatoid arthritis is the most common autoimmune disease in the community. This disease is characterized by inflammation of the lining of the synovium of the joint. It can cause long-term joint damage, prolonged pain, loss of function and disability. Objective: This study aims to determine nursing care for the elderly with a medical diagnosis of rheumatoid arthritis. Methods: The research design used a case study with a nursing process approach. The sampling technique used is convenience sampling. The sample in this study was Mrs. U age 70 years. The research was conducted at the Jagakarsa Public Health Center, Jakarta in May 2021. The data was collected by means of interviews, observations, and documentation studies. The research instrument is a gerontic nursing care format. Results: The results of nursing care on Ny. U was found that the client had fallen and sprained his leg two months ago. Currently the client feels pain in the left knee which is dislocated and looks swollen. Nursing diagnosis i.e. chronic pain related to physical injury agent Conclusion: The priority nursing problem for clients is pain can be overcome by giving warm compresses.
Latar Belakang: Kehilangan merupakan pengalaman yang pernah dialami setiap individu selama rentang kehidupan cenderung mengalami kembali walaupun dalam bentuk berbeda. Kehilangan ada 2 tipe yaitu: kehilangan actual atau nyata dan kehilangan persepsi. 5 jenis kehilangan yaitu: kehilangan orang yang dicintai, kehilangan pada diri sendiri, kehilangan objek eksternal, kehilangan lingkungan yang sangat dikenal dan kehilangan kehidupan/meninggal. Fase kehilangan Denial, Anger, Bargaining, Depression, Acceptance. Metode: Desain penelitian menggunakan Case Study dengan pendekatan proses keperawatan meliputi: pengkajian keperawatan, diagnosis keperawatan, perencanaan keperawatan, penatalaksanaan keperawatan dan evaluasi keperawatan. Teknik pengambilan sampling yang digunakan adalah Convenience Sampling. Sampel pada penelitian ini adalah Ny. R Usia 45 tahun dengan teknik pengumpualn data melalui wawancara, observasi, studi dokumentasi dan studi pustaka. Hasil: Setelah dilakukan tindakan keperawatan setelah 3 kali kunjungan diperoleh 2 diagnosis, yaitu: kehilangan yang berhubungan dengan stressor tekanan, ketidakefektifan koping yang berhubungan dengan ketidakadekuatan kesempatan untuk bersiap terhadap stressor. Kesimpulan: Asuhan Keperawatan pada Ny.R didapatkan masalah keperawatan prioritas yang pertama adalah Kehilangan, tindakan keperawatan yang dilakukan adalah dengan mengkaji, menjelaskan, melatih dan memberi pujian, motivasi dan bimbingan.
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