ASUHAN KEPERAWATAN PADA TN. M DENGAN GANGGUAN PEMENUHAN KEBUTUHAN AKTIVITAS AKIBAT GAGAL JANTUNG KONGESTIF DI RSUD AL-IHSAN

Nandang, Waluya and Tarjuman, Tarjuman and Ratu, Nurasyifa (2023) ASUHAN KEPERAWATAN PADA TN. M DENGAN GANGGUAN PEMENUHAN KEBUTUHAN AKTIVITAS AKIBAT GAGAL JANTUNG KONGESTIF DI RSUD AL-IHSAN. ASUHAN KEPERAWATAN PADA TN. M DENGAN GANGGUAN PEMENUHAN KEBUTUHAN AKTIVITAS AKIBAT GAGAL JANTUNG KONGESTIF DI RSUD AL-IHSAN.

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Abstract

Abstract This case is motivated by the high incidence of congestive heart failure that occurs. Based on World Hearth Organization (2020) data, there are around 1.7 million cases of congestive heart failure sufferers in developing countries. Povinsi West Java is ranked first in the incidence of congestive heart failure in Indonesia, which is 186,809 out of 1,017,290 people with a percentage of 1.6 % (Balitbangkes, 2018). This case study aims to apply nursing care to congestive heart failure patients with impaired activity fulfillment needs at Al-Ihsan Hospital. Study plan cases using descriptive methods with a nursing process approach that is carried out on one patient. Nursing Care at Mr. M was done for 6 x 24 hours, in the study it was found that Mr. M experiences fatigue and tightness during and/or after activities, increased heart rate >20% of the resting condition which is then raised to the problem of activity intolerance. The intervention that is done is a passive range of motion training. The implementation was carried out during six days of treatment at the hospital, with the evaluation results showing that there was an increase in activity ability, the patient did not feel tight during/after activities, there was no increase in heart rate >20% of resting conditions. Based on these results, the activity intoletance problem is resolved. It can be concluded that passive range of motion training can help overcome problems. It is hoped that the provision of passive range of motion actions can be applied well in order to increase activity tolerance by considering existing conditions and contraindications.

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