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<span dir=3D'ltr'>(5)</span>
</li>
<li>
<a dir=3D'ltr' href=3D'http://askep-asuhankeperawatan.blogspot.co.id/sea=
rch/label/Askep%20Syaraf'>Askep Syaraf</a>
<span dir=3D'ltr'>(2)</span>
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rch/label/Buku%20Saku%20Perawat'>Buku Saku Perawat</a>
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rch/label/Makalah%20Kesehatan'>Makalah Kesehatan</a>
<span dir=3D'ltr'>(7)</span>
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<a dir=3D'ltr' href=3D'http://askep-asuhankeperawatan.blogspot.co.id/sea=
rch/label/Nursing%20Articles'>Nursing Articles</a>
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rch/label/Patofisiologi%20dan%20Pathway'>Patofisiologi dan Pathway</a>
<span dir=3D'ltr'>(5)</span>
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rch/label/Tips%20-%20Tips%20Pilihan'>Tips - Tips Pilihan</a>
<span dir=3D'ltr'>(34)</span>
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tus (DM)</a></div>
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spot.co.id/2009/08/askep-anak-pneumonia.html'>Askep Anak Pneumonia</a></=
div>
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g to Become a Nurse in Los Angeles</a></div>
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co'/>
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NANDA LIST</a>
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List of Various Skin Diseases</a>
</span>
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Nursing Diagnosis - Nursing Interventions</a>
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Articles of Nursing</a>
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Bowel Training - Definition, Indications and Contraindication</a>
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Nursing Diagnosis Nanda</a>
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Nursing Interventions</a>
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>
Nanda Nursing Diagnosis</a>
</div>
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5 Nursing Diagnosis for Dengue Hemorrhagic Fever</a>
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Nurses Nanda</a>
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Nursing Diagnosis and Interventions for Morbid Obesity</a>
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Nanda Nursing Blog</a>
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Definition of Vertigo According to Experts</a>
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</a>
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Ineffective Airway Clearance related to Pneumonia</a>
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NCP NANDA</a>
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</a>
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NCP Blog</a>
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</a>
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Intervention Nursing Diagnosis for Risk for Infection</a>
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All Nurses</a>
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y-and-disturbed.html' target=3D'_blank'>
Impaired Skin Integrity and Disturbed Body Image r/t Allergic Contact De=
rmatitis</a>
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k'>
Nanda Nursing Care Plan</a>
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<a href=3D'http://nanda-nursing-care-plan.blogspot.com/2015/02/impaired-=
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Impaired Physical Mobility - NCP for Cellulitis</a>
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Nursing Interventions</a>
</div>
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<a href=3D'http://nursing-interventions.com/ncp-for-atherosclerosis-nurs=
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NCP for Atherosclerosis – Nursing Diagnosis : Acute Pain</a>
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Nursing Diagnosis Interventions</a>
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Nursing Books – Nanda NIC NOC, Nursing Care Plan</a>
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<a href=3D'http://askep-asuhankeperawatan.blogspot.co.id/2015/01/patofis=
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<p><br />
<b>Patofisiologi Hipertensi</b><br />
<br />
Mekanisme yang mengontrol konstriksi dan relaksasi pembuluh darah terlet=
ak dipusat vasomotor, pada medulla diotak. Dari pusat vasomotor ini berm=
ula jaras saraf simpatis, yang berlanjut ke bawah ke korda spinalis dan =
keluar dari kolumna medulla spinalis ganglia simpatis di toraks dan abdo=
men. Rangsangan pusat vasomotor dihantarkan dalam bentuk impuls yang ber=
gerak ke bawah melalui system saraf simpatis ke ganglia simpatis. Pada t=
itik ini, neuron preganglion melepaskan asetilkolin, yang akan merangsan=
g serabut saraf pasca ganglion ke pembuluh darah, dimana dengan dilepask=
annya noreepineprin mengakibatkan konstriksi pembuluh darah. Berbagai fa=
ktor seperti kecemasan dan ketakutan dapat mempengaruhi respon pembuluh =
darah terhadap rangsang vasokonstriksi. Individu dengan hipertensi sanga=
t sensitiv terhadap norepinefrin, meskipun tidak diketahui dengan jelas =
mengapa hal tersebut bisa terjadi.<br />
<br />
Pada saat bersamaan dimana sistem saraf simpatis merangsang pembuluh dar=
ah sebagai respons rangsang emosi, kelenjar adrenal juga terangsang, men=
gakibatkan tambahan aktivitas vasokonstriksi. Medulla adrenal mensekresi=
epinefrin, yang menyebabkan vasokonstriksi. Korteks adrenal mensekresi =
kortisol dan steroid lainnya, yang dapat memperkuat respons vasokonstrik=
tor pembuluh darah. Vasokonstriksi yang mengakibatkan penurunan aliran k=
e ginjal, menyebabkan pelepasan rennin. Renin merangsang pembentukan ang=
iotensin I yang kemudian diubah menjadi angiotensin II, suatu vasokonstr=
iktor kuat, yang pada gilirannya merangsang sekresi aldosteron oleh kort=
eks adrenal. Hormon ini menyebabkan retensi natrium dan air oleh tubulus=
ginjal, menyebabkan peningkatan volume intra vaskuler. Semua faktor ini=
cenderung mencetuskan keadaan hipertensi.<br />
<br />
Sebagai pertimbangan gerontologis dimana terjadi perubahan structural da=
n fungsional pada system pembuluh perifer bertanggungjawab pada perubaha=
n tekanan darah yang terjadi pada usia lanjut. Perubahan tersebut melipu=
ti aterosklerosis, hilangnya elastisitas jaringan ikat dan penurunan dal=
am relaksasi otot polos pembuluh darah, yang pada gilirannya menurunkan =
kemampuan distensi dan daya regang pembuluh darah. Konsekuensinya, aorta=
dan arteri besar berkurang kemampuannya dalam mengakomodasi volume dara=
h yang dipompa oleh jantung (volume sekuncup) mengakibatkan penurunan cu=
rang jantung dan peningkatan tahanan perifer (Smeltzer, 2001).<br />
<br />
Pada usia lanjut perlu diperhatikan kemungkinan adanya “hipertensi=
palsu” disebabkan kekakuan arteri brachialis sehingga tidak dikom=
presi oleh cuff sphygmomanometer (Darmojo, 1999).<br />
<br />
Menurunnya tonus vaskuler merangsang saraf simpatis yang diteruskan ke s=
el jugularis. Dari sel jugularis ini bisa meningkatkan tekanan darah. Da=
n apabila diteruskan pada ginjal, maka akan mempengaruhi eksresi pada re=
nnin yang berkaitan dengan Angiotensinogen. Dengan adanya perubahan pada=
angiotensinogen II berakibat pada terjadinya vasokontriksi pada pembulu=
h darah, sehingga terjadi kenaikan tekanan darah.Selain itu juga dapat m=
eningkatkan hormone aldosteron yang menyebabkan retensi natrium. Hal ter=
sebut akan berakibat pada peningkatan tekanan darah. Dengan peningkatan =
tekanan darah maka akan menimbulkan kerusakan pada organ-organ seperti j=
antung. ( Suyono, Slamet. 1996 ).<br />
<br />
<br />
<b>Pathway Hipertensi</b><br />
<br />
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<li><a href=3D'http://askep-asuhankeperawatan.blogspot.com/2009/07/askep=
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<li><a href=3D'http://askep-asuhankeperawatan.blogspot.com/2009/08/askep=
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<li><a href=3D'http://askep-asuhankeperawatan.blogspot.com/2009/08/askep=
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<li><a href=3D'http://askep-asuhankeperawatan.blogspot.com/2014/12/askep=
-katarak.html'>Askep Katarak</a></li>
<li><a href=3D'http://askep-asuhankeperawatan.blogspot.com/2009/08/askep=
-meningitis.html'>Askep Meningitis</a></li>
<li><a href=3D'http://askep-asuhankeperawatan.blogspot.com/2009/08/askep=
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<li><a href=3D'http://askep-asuhankeperawatan.blogspot.com/2009/08/askep=
-mola-hidatidosa.html'>Askep Mola Hidatidosa</a></li>
<li><a href=3D'http://askep-asuhankeperawatan.blogspot.com/2010/06/askep=
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<li><a href=3D'http://askep-asuhankeperawatan.blogspot.com/2009/10/askep=
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<li><a href=3D'http://askep-asuhankeperawatan.blogspot.com/2011/03/askep=
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<li><a href=3D'http://askep-asuhankeperawatan.blogspot.com/2014/12/askep=
-sindrom-koroner-akut-ska.html'>Askep Sindrom Koroner Akut</a></li>
<li><a href=3D'http://askep-asuhankeperawatan.blogspot.com/2009/08/askep=
-asuhan-keperawatan-sirosis.html'>Askep Sirosis Hepatis</a></li>
<li><a href=3D'http://askep-asuhankeperawatan.blogspot.com/2009/08/askep=
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<li><a href=3D'http://askep-asuhankeperawatan.blogspot.com/2009/08/askep=
-vertigo.html'>Askep Vertigo</a></li>
<li><a href=3D'http://askep-asuhankeperawatan.blogspot.com/2010/10/askep=
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<span class=3D'post-count' dir=3D'ltr'>(2)</span>
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<a class=3D'post-count-link' href=3D'http://askep-asuhankeperawatan.blog=
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<span class=3D'post-count' dir=3D'ltr'>(8)</span>
<ul class=3D'posts'>
<li><a href=3D'http://askep-asuhankeperawatan.blogspot.co.id/2015/01/kep=
erawatan-jantung.html'>Keperawatan Jantung</a></li>
<li><a href=3D'http://askep-asuhankeperawatan.blogspot.co.id/2015/01/daf=
tar-spesialisasi-keperawatan.html'>Daftar Spesialisasi Keperawatan</a></=
li>
<li><a href=3D'http://askep-asuhankeperawatan.blogspot.co.id/2015/01/ask=
ep-chf-congestive-heart-failure.html'>Askep CHF Congestive Heart Failure=
</a></li>
<li><a href=3D'http://askep-asuhankeperawatan.blogspot.co.id/2015/01/pat=
ofisiologi-diabetes-gestasional.html'>Patofisiologi Diabetes Gestasional=
</a></li>
<li><a href=3D'http://askep-asuhankeperawatan.blogspot.co.id/2015/01/pat=
ofisiologi-dan-pathway-diabetes.html'>Patofisiologi dan Pathway Diabetes=
Melitus (DM)</a></li>
<li><a href=3D'http://askep-asuhankeperawatan.blogspot.co.id/2015/01/pat=
ofisiologi-dan-pathway-hipertensi.html'>Patofisiologi dan Pathway Hipert=
ensi</a></li>
<li><a href=3D'http://askep-asuhankeperawatan.blogspot.co.id/2015/01/pat=
ofisiologi-dan-pathway-low-back-pain.html'>Patofisiologi dan Pathway Low=
Back Pain / Nyeri Pu...</a></li>
<li><a href=3D'http://askep-asuhankeperawatan.blogspot.co.id/2015/01/pat=
ofisiologi-dan-pathway-efusi-pleura.html'>Patofisiologi dan Pathway Efus=
i Pleura</a></li>
</ul>
</li>
</ul>
</li>
</ul>
<ul>
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01/patofisiologi-dan-pathway-hipertensi.html?widgetType=3DBlogArchive&wi=
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</a>
<a class=3D'post-count-link' href=3D'http://askep-asuhankeperawatan.blog=
spot.co.id/search?updated-min=3D2014-01-01T00:00:00%2B07:00&updated-=
max=3D2015-01-01T00:00:00%2B07:00&max-results=3D20'>2014</a>
<span class=3D'post-count' dir=3D'ltr'>(20)</span>
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<a class=3D'post-count-link' href=3D'http://askep-asuhankeperawatan.blog=
spot.co.id/2014_12_01_archive.html'>December</a>
<span class=3D'post-count' dir=3D'ltr'>(18)</span>
</li>
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<a class=3D'post-count-link' href=3D'http://askep-asuhankeperawatan.blog=
spot.co.id/2014_09_01_archive.html'>September</a>
<span class=3D'post-count' dir=3D'ltr'>(2)</span>
</li>
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</li>
</ul>
<ul>
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</a>
<a class=3D'post-count-link' href=3D'http://askep-asuhankeperawatan.blog=
spot.co.id/search?updated-min=3D2013-01-01T00:00:00%2B07:00&updated-=
max=3D2014-01-01T00:00:00%2B07:00&max-results=3D4'>2013</a>
<span class=3D'post-count' dir=3D'ltr'>(4)</span>
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<a class=3D'post-count-link' href=3D'http://askep-asuhankeperawatan.blog=
spot.co.id/2013_04_01_archive.html'>April</a>
<span class=3D'post-count' dir=3D'ltr'>(4)</span>
</li>
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</ul>
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</span>
</a>
<a class=3D'post-count-link' href=3D'http://askep-asuhankeperawatan.blog=
spot.co.id/search?updated-min=3D2012-01-01T00:00:00%2B07:00&updated-=
max=3D2013-01-01T00:00:00%2B07:00&max-results=3D3'>2012</a>
<span class=3D'post-count' dir=3D'ltr'>(3)</span>
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<a class=3D'post-count-link' href=3D'http://askep-asuhankeperawatan.blog=
spot.co.id/2012_06_01_archive.html'>June</a>
<span class=3D'post-count' dir=3D'ltr'>(2)</span>
</li>
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<span class=3D'post-count' dir=3D'ltr'>(1)</span>
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01/patofisiologi-dan-pathway-hipertensi.html?widgetType=3DBlogArchive&wi=
dgetId=3DBlogArchive1&action=3Dtoggle&dir=3Dopen&toggle=3DYEARLY-1293814=
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►
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</span>
</a>
<a class=3D'post-count-link' href=3D'http://askep-asuhankeperawatan.blog=
spot.co.id/search?updated-min=3D2011-01-01T00:00:00%2B07:00&updated-=
max=3D2012-01-01T00:00:00%2B07:00&max-results=3D13'>2011</a>
<span class=3D'post-count' dir=3D'ltr'>(13)</span>
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dgetId=3DBlogArchive1&action=3Dtoggle&dir=3Dopen&toggle=3DMONTHLY-132267=
2400000&toggleopen=3DMONTHLY-1420045200000'>
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</a>
<a class=3D'post-count-link' href=3D'http://askep-asuhankeperawatan.blog=
spot.co.id/2011_12_01_archive.html'>December</a>
<span class=3D'post-count' dir=3D'ltr'>(3)</span>
</li>
</ul>
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<li class=3D'archivedate collapsed'>
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</span>
</a>
<a class=3D'post-count-link' href=3D'http://askep-asuhankeperawatan.blog=
spot.co.id/2011_04_01_archive.html'>April</a>
<span class=3D'post-count' dir=3D'ltr'>(3)</span>
</li>
</ul>
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</a>
<a class=3D'post-count-link' href=3D'http://askep-asuhankeperawatan.blog=
spot.co.id/2011_03_01_archive.html'>March</a>
<span class=3D'post-count' dir=3D'ltr'>(6)</span>
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</ul>
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<a class=3D'post-count-link' href=3D'http://askep-asuhankeperawatan.blog=
spot.co.id/2011_01_01_archive.html'>January</a>
<span class=3D'post-count' dir=3D'ltr'>(1)</span>
</li>
</ul>
</li>
</ul>
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<h2>NANDA Nursing</h2>
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<h2>NCP NANDA</h2>
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<h2>NANDA - Nursing Diagnosis</h2>
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<h2>Nanda Nursing Diagnoses</h2>
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<h2>Care Plan Nursing</h2>
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<h2>Nanda Nursing Diagnosis</h2>
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<ul>
<li><a href=3D'http://nursing-care-plan.blogspot.com/2011/12/activity-in=
tolerance-related-to-copd.html'>Activity Intolerance</a></li>
<li><a href=3D'http://nursing-care-plan.blogspot.com/2011/12/acute-pain-=
related-to-presence-of.html'>Acute Pain</a></li>
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.html'>Chronic Pain</a></li>
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ardiac-output-congestive.html'>Decreased Cardiac Output</a></li>
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lume-nanda-nursing.html'>Deficient Fluid Volume</a></li>
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care-plan-for-nurses.html'>Hyperthermia</a></li>
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trition-less-than-body.html'>Imbalanced Nutrition Less Than Body Require=
ments</a></li>
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irway-clearance-nic-noc.html'>Ineffective Airway Clearance</a></li>
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reathing-pattern-nic-noc.html'>Ineffective Breathing Pattern</a></li>
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ction-nursing-care-plan.html'>Risk for Infection</a></li>
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cebook{background-position:-60px -20px !important}a:active.sb-facebook{b=
ackground-position:-60px -40px !important}.sb-buzz{display:none !importa=
nt}.sb-pinterest{background-position:-100px 0 !important}a:hover.sb-pint=
erest{background-position:-100px -20px !important}a:active.sb-pinterest{=
background-position:-100px -40px !important}.sb-google{background:url(/i=
mg/plusone/plusonepreview.png) no-repeat;height:20px;vertical-align:top;=
width:82px}.goog-inline-block{position:relative;display:-moz-inline-box;=
display:inline-block}* html .goog-inline-block{display:inline}*:first-ch=
ild+html .goog-inline-block{display:inline}.goog-custom-button{margin:2p=
x;border:0;padding:0;font-family:Arial,sans-serif;color:#000;text-decora=
tion:none;list-style:none;vertical-align:middle;cursor:default;outline:n=
one}.goog-custom-button-outer-box,.goog-custom-button-inner-box{border-s=
tyle:solid;border-color:transparent;vertical-align:top}.goog-custom-butt=
on-checked .goog-custom-button-outer-box,.goog-custom-button-checked .go=
og-custom-button-inner-box{border-color:#ccc}.goog-custom-button-outer-b=
ox{margin:0;border-width:1px 0;padding:0}.goog-custom-button-inner-box{-=
moz-box-orient:vertical;margin:0 -1px;border-width:0 1px;padding:3px 4px=
;white-space:nowrap}* html .goog-custom-button-inner-box{left:-1px}* htm=
l .goog-custom-button-rtl .goog-custom-button-outer-box{left:-1px}* html=
.goog-custom-button-rtl .goog-custom-button-inner-box{right:auto}*:firs=
t-child+html .goog-custom-button-inner-box{left:-1px}*:first-child+html =
.goog-custom-button-rtl .goog-custom-button-inner-box{left:1px}::root .g=
oog-custom-button,::root .goog-custom-button-outer-box{line-height:0}::r=
oot .goog-custom-button-inner-box{line-height:normal}.goog-custom-button=
-active,.goog-custom-button-checked{background-color:#faf6bc;background-=
position:bottom left}.blog-mobile-link{padding:15px}#mobile-share-button=
{height:18px;padding:1px 10px;text-align:center;vertical-align:top;margi=
n:0}#mobile-share-button a{display:block;height:100%;line-height:18px;wi=
dth:100%}.mobile-share-panel-outer{background:#444}.mobile-share-panel-i=
nner{background:#fff;border-bottom-left-radius:2px 2px;border-bottom-rig=
ht-radius:2px 2px;border-radius:3px;-webkit-border-radius:3px;font-famil=
y:Arial;font-size:18px;color:#666}.mobile .mobile-share-panel-inner a{di=
splay:block;color:#666}.mobile-share-panel-title{background:#f5f5f5;bord=
er-bottom:1px solid #eee;border-top-left-radius:2px 2px;border-top-right=
-radius:2px 2px;height:25px;line-height:25px;padding:10px 10px 10px 20px=
}.mobile a.mobile-share-panel-button{background:#fff url(/img/mobile_sha=
re_icons4.png) no-repeat left !important;border-bottom:1px solid #eee;he=
ight:50px;line-height:30px;padding:10px 0 10px 65px;width:100%;-webkit-b=
ox-sizing:border-box}.mobile-share-panel-button-close{font-size:26px;flo=
at:right;height:25px;line-height:25px;text-align:center;width:25px}.mobi=
le a.mobile-share-panel-button-email{background-position:10px 0 !importa=
nt}.mobile a.mobile-share-panel-button-facebook{background-position:10px=
-50px !important}.mobile a.mobile-share-panel-button-twitter{background=
-position:10px -100px !important}.mobile a.mobile-share-panel-button-goo=
gleplus{background:#fff url(http://www.gstatic.com/images/icons/gplus-32=
.png) no-repeat left !important;background-position:19px 9px !important}=
.mobile a.mobile-share-panel-button-buzz{background-position:10px -150px=
!important;border-bottom-left-radius:2px 2px;border-bottom-right-radius=
:2px 2px}.item-control{display:none}.item-control a,.item-action a{text-=
decoration:none !important}.widget-item-control{float:right;height:20px;=
margin-top:-20px;position:relative;z-index:10}.widget-item-control a{opa=
city:.5}.widget-item-control a:hover{opacity:1}.widget .widget-item-cont=
rol a img{border:none;padding:none;background:none;-moz-box-shadow:none;=
-webkit-box-shadow:none;-ie-box-shadow:none;box-shadow:none}
------------xjwCcnHixZro681bWyOl5j
Content-Disposition: inline
Content-Type: image/gif
Content-Location: http://www.google.com/uds/css/clear.gif
Content-Transfer-Encoding: Base64
R0lGODlhCQAJAIAAAJmZmf///yH5BAEAAAEALAAAAAAJAAkAAAIRjI8Ap6b72Fup
1egatoGjUwAAOw==
------------xjwCcnHixZro681bWyOl5j
Content-Disposition: inline; filename=gsearch.css
Content-Type: text/css; charset=UTF-8; name=gsearch.css
Content-Location: http://www.google.com/uds/css/gsearch.css
Content-Transfer-Encoding: 8bit
/** Copyright 2005 Google Inc. All rights reserved. */
/* the GSearchControl CSS Classes
* .gsc-control : the primary class of the control
*/
.gsc-control {
width: 300px;
}
.gsc-control div {
position: static;
}
.gsc-control-cse,
.gsc-control-cse .gsc-table-result {
width: 100%;
font-family: Arial, sans-serif;
font-size : 13px;
}
.gsc-control-cse div {
position: static;
}
/* control inputs
* .gsc-search-box : the container that hosts the text input area
* .gsc-input : the text input area
* .gsc-keeper : the save link below savable results
*/
form.gsc-search-box {
font-size: 13px;
margin-top : 0;
margin-right : 0;
margin-bottom : 4px;
margin-left : 0;
width: 100%;
}
/*
* This table contains the input element as well as the search button
* Note that the search button column is fixed width, designed to hold the
* button div's background image
*/
table.gsc-search-box {
border-style : none;
border-width : 0;
border-spacing : 0 0;
width : 100%;
margin-bottom : 2px;
}
table.gsc-search-box td {
vertical-align : middle;
}
table.gsc-search-box td.gsc-input {
padding-right : 12px;
}
td.gsc-search-button {
width : 1%;
}
td.gsc-clear-button {
width : 14px;
}
/**
* undo common generic table rules
* that tend to impact branding
*/
table.gsc-branding td,
table.gsc-branding,
table.gcsc-branding td,
table.gcsc-branding {
margin: 0 0 0 0;
padding: 0 0 0 0;
border : none;
}
table.gsc-branding,
table.gcsc-branding {
border-style : none;
border-width : 0;
border-spacing : 0 0;
width : 100%;
}
.gsc-branding-text,
.gcsc-branding-text,
.gsc-branding-text-name,
.gcsc-branding-text-name, {
color : #676767;
}
td.gsc-branding-text,
td.gcsc-branding-text {
vertical-align : top;
}
td.gsc-branding-text div.gsc-branding-text,
td.gcsc-branding-text div.gcsc-branding-text {
padding-bottom : 2px;
text-align : right;
font-size : 11px;
margin-right : 2px;
}
div.gsc-branding-youtube td.gsc-branding-text {
vertical-align : middle;
}
td.gsc-branding-img-noclear,
td.gcsc-branding-img-noclear {
width : 51px;
vertical-align : bottom;
}
td.gsc-branding-img,
td.gcsc-branding-img {
width : 65px;
vertical-align : bottom;
}
div.gsc-branding-youtube td.gsc-branding-img-noclear {
width : 55px;
}
div.gsc-branding-youtube td.gsc-branding-img {
width : 69px;
}
table.gsc-branding-vertical td.gsc-branding-text div.gsc-branding-text {
margin-right : 0;
text-align : center;
}
table.gsc-branding-vertical td.gsc-branding-img-noclear {
text-align : center;
}
div.gsc-branding-img,
div.gsc-branding-img-noclear,
img.gsc-branding-img,
img.gsc-branding-img-noclear,
div.gcsc-branding-img,
div.gcsc-branding-img-noclear,
img.gcsc-branding-img,
img.gcsc-branding-img-noclear {
padding-top : 1px;
}
img.gsc-branding-img,
img.gsc-branding-img-noclear,
img.gcsc-branding-img,
img.gcsc-branding-img-noclear {
margin : 0 0 0 0;
padding-right : 0;
padding-left : 0;
padding-bottom : 0;
border : none;
display : inline;
}
td.gcsc-branding-text {
white-space: nowrap;
width: 100%;
}
td.gcsc-branding-text div.gcsc-branding-text {
margin: 0 2px;
}
td.gcsc-branding-img-noclear {
width: auto;
}
a.gsc-branding-clickable {
cursor : pointer;
}
input.gsc-search-button {
margin-left : 2px;
}
div.gsc-clear-button {
display : inline;
text-align : right;
margin-left : 4px;
margin-right : 4px;
padding-left : 10px;
background-repeat: no-repeat;
background-position: center center;
background-image: url('//www.google.com/uds/css/clear.gif');
cursor : pointer;
}
.gsc-search-box-tools .gsc-clear-button {
display: none;
}
.gsc-results-close-btn {
background-image: url("//www.google.com/images/nav_logo114.png");
background-repeat: no-repeat;
background-position: -140px -230px;
float: right;
display: none;
opacity: 0;
height: 12px;
width: 12px;
position: absolute !important;
top: 20px;
right: 20px;
cursor: pointer;
}
.gsc-results-close-btn-visible {
display: block;
opacity: 1;
}
.gsc-results-wrapper-nooverlay {
}
.gsc-results-wrapper-overlay {
border: none;
margin: auto;
border-radius: 1px;
overflow: auto;
height: 80%;
-webkit-box-shadow: 0px 3px 10px rgba(34, 25, 25, 0.4);
-moz-box-shadow: 0px 3px 10px rgba(34, 25, 25, 0.4);
-ms-box-shadow: 0px 3px 10px rgba(34, 25, 25, 0.4);
-o-box-shadow: 0px 3px 10px rgba(34, 25, 25, 0.4);
box-shadow: 0px 3px 10px rgba(34, 25, 25, 0.4);
border-collapse: separate;
background: white;
padding: 30px;
width: 70%;
position: fixed !important;
top: 5%;
left: 12%;
opacity: 0;
z-index: 100002;
visibility: hidden;
-webkit-transition: all 0.25s linear;
-moz-transition: all 0.25s linear;
-ms-transition: all 0.25s linear;
-o-transition: all 0.25s linear;
transition: all 0.25s linear;
/* For IE 8 */
-ms-filter: "progid:DXImageTransform.Microsoft.Shadow(Strength=7, Direction=13
5, Color='#888888')";
/* For IE 5.5 - 7 */
filter: progid:DXImageTransform.Microsoft.Shadow(Strength=7, Direction=135, Co
lor='#888888');
}
.gsc-results-wrapper-visible {
opacity: 1 !important;
visibility: visible !important;
}
.gsc-modal-background-image {
position: fixed !important;
top: 0px;
left: 0px;
height: 130%;
width: 100%;
z-index: 100001;
background-color: white;
opacity: 0;
-ms-filter:"alpha(opacity=0)";
filter: alpha(opacity=0);
display: none;
-webkit-transition: all 0.25s linear;
-moz-transition: all 0.25s linear;
-ms-transition: all 0.25s linear;
-o-transition: all 0.25s linear;
transition: all 0.25s linear;
}
.gsc-modal-background-image-visible {
opacity: 0.8;
-ms-filter:"alpha(opacity=80)";
filter: alpha(opacity=80);
display: block;
}
.gsc-overflow-hidden {
overflow: hidden;
}
/*
* Given that this is sitting in a variable width tabel cell, the idea is
* for it to consume the entire cell. The adjacent cell contains the search
* button and that is a fixed width cell.
*/
input.gsc-input {
padding: 1px 6px;
border: 1px solid #DDD;
width: 99%;
}
.gsc-keeper {
color: #3366cc;
text-decoration: underline;
font-size: 13px;
cursor: pointer;
font-weight: normal;
padding-left: 16px;
background-repeat: no-repeat;
background-position: 1px 3px;
background-image: url('//www.google.com/uds/css/blue_check.gif');
}
/* each section of results has a results header table
* .gsc-resultsHeader : the header itseld
* td.twiddleRegionCell : the section that controls twiddleing of the section to
expand/collapse
* td.configLabelCell : the twiddler that controls active configuration of a sea
rcher (used in GlocalSearch)
* .gsc-twiddle : the twiddle image, note, this is a div that wraps gsc-title so
that standard image replacement is feasible
* .gsc-twiddle-closed : class added to gsc-twiddle when the twiddler is in the
closed state
* .gsc-twiddle-opened : class added to gsc-twiddle when the twiddler is in the
opened state
* .gsc-title : the section's title (e.g., Web Results, etc.)
* .gsc-stats : contains the result counts
* .gsc-stats
*/
.gsc-resultsHeader {
width : 100%;
clear : both;
}
.gsc-resultsHeader td.gsc-twiddleRegionCell{
width: 75%;
}
.gsc-resultsHeader td.gsc-configLabelCell{
text-align: right;
width: 75%;
}
/*
* note that the next three classes are all joined together
* to implement the twiddle image. apps can substitute in their
* own images but will need to account for the image size here
* as well as in the left padding of the title element
*
* Note: uds provides the following images that work with the geometry/padding d
efined below
* to use these images simply over-ride the.gsc-twiddle-opened/-closed class an
d specify an alternate image
* or use an image of your own design
*/
.gsc-resultsHeader .gsc-twiddle{
margin-top: 4px;
display: inline;
cursor: pointer;
background-repeat: no-repeat;
background-position: 0 2px;
}
.gsc-resultsHeader td.gsc-twiddle-closed div.gsc-twiddle{
background-image: url('//www.google.com/uds/css/arrow_close.gif');
}
.gsc-resultsHeader td.gsc-twiddle-opened div.gsc-twiddle{
background-image: url('//www.google.com/uds/css/arrow_open.gif');
}
.gsc-resultsHeader .gsc-title{
color: #676767;
margin-right: 10px;
padding-left: 14px;
display: inline;
}
.gsc-resultsHeader .gsc-stats {
color: #676767;
font-size: 11px;
font-weight: normal;
display : inline;
}
.gsc-resultsHeader td.gsc-twiddle-opened .gsc-stats {
display : none;
}
/*
* .gsc-results-selector : box surrounding individual selectors for 1, more, or
all results
* .gsc-result-selector : an individual selector
* .gsc-one-result : single result selector
* .gsc-more-results : more (4) results selector
* .gsc-all-results : all results (8) selector
*/
.gsc-results-selector {
display : inline;
}
.gsc-resultsHeader td.gsc-twiddle-closed .gsc-results-selector {
display : none;
}
.gsc-result-selector {
cursor : pointer;
display : inline;
font-size : 13px;
padding-left : 13px;
background-repeat: no-repeat;
background-position: center left;
}
/* default mode is dark */
.gsc-one-result {
background-image: url('//www.google.com/uds/css/one-complex-dark.gif');
}
.gsc-more-results {
background-image: url('//www.google.com/uds/css/more-complex-dark.gif');
}
.gsc-all-results {
background-image: url('//www.google.com/uds/css/all-complex-dark.gif');
padding-right : 1px;
}
/* active mode is light */
.gsc-one-result-active .gsc-one-result {
background-image: url('//www.google.com/uds/css/one-complex-light-blue.gif');
}
.gsc-more-results-active .gsc-more-results {
background-image: url('//www.google.com/uds/css/more-complex-light-blue.gif');
}
.gsc-all-results-active .gsc-all-results {
background-image: url('//www.google.com/uds/css/all-complex-light-blue.gif');
}
.gsc-resultsHeader .gsc-configLabel{
color: #676767;
display: inline;
font-size: 11px;
cursor: pointer;
}
.gsc-resultsHeader td.gsc-configLabelCell span.gsc-twiddle-closed {
padding-right: 12px;
background-repeat: no-repeat;
background-position: center center;
background-image: url('//www.google.com/uds/css/settings.gif');
}

/* tabbed mode of search control

* .gsc-tabsArea : the box containing all of the tabs
* .gsc-tabsAreaInvisible : same as above, but this is the state when search has
been cleared
* .gsc-tabHeader : an individual tab
* .gsc-tabHeader.gsc-tabhActive : the active tab
* .gsc-tabHeader.gsc-tabhInactive : an inactive tab
* .gsc-tabData : the data area/box containg results and header data for each ta
b
* .gsc-tabData.gsc-tabdActive : the data area for the active tab
* .gsc-tabData.gsc-tabdInactive : the data area for inactive tabs
*/
.gsc-tabsArea {
clear: both;
margin-top: 6px;
margin-bottom: 8px;
}
.gsc-tabsArea .gs-spacer {
font-size : 1px;
margin-right : 0;
overflow : hidden;
}
.gsc-tabsArea .gs-spacer-opera {
margin-right : 0;
}
.gsc-tabsAreaInvisible,
.gsc-refinementsAreaInvisible,
.gsc-refinementBlockInvisible {
display : none;
}
.gsc-tabHeader {
padding-left: 6px;
padding-right: 6px;
margin-right: 2px;
margin-top: 2px;
}
.gsc-tabHeader.gsc-tabhActive {
border-left: 1px solid #e9e9e9;
border-right: 1px solid #e9e9e9;
border-top: 2px solid #ff9900;
color: black;
}
.gsc-tabHeader.gsc-tabhInactive {
border-left: 1px solid #e9e9e9;
border-right: 1px solid #e9e9e9;
border-top: 2px solid #e9e9e9;
background: #e9e9e9;
color: #676767;
cursor: pointer;
}
.gsc-tabData.gsc-tabdActive {
display: block;
}
.gsc-tabData.gsc-tabdInactive {
display: none;
}
/* gsc-resultsbox-invisible is preferred over gsc-tabdActive */
.gsc-tabData.gsc-tabdActive.gsc-resultsbox-invisible{
display: none;
}
.gsc-refinementsArea {
clear: both;
margin-bottom: 4px;
padding-left: 8px;
border-bottom: 1px solid #E9E9E9;
padding-bottom: 5px
}
.gsc-refinementHeader {
margin-right: 2px;
padding: 2px 8px 0 8px;
}
.gsc-refinementHeader.gsc-refinementhActive {
font-weight: bold;
}
.gsc-refinementHeader.gsc-refinementhInactive {
text-decoration: underline;
cursor: pointer;
}
/* tab specific results header supression
* - no twiddle, tabbed mode runs in full expand mode
* - no title
* - no stats
*/
.gsc-tabData .gsc-resultsHeader .gsc-title {
display: none;
}
.gsc-tabData .gsc-resultsHeader .gsc-stats {
display: none;
}
.gsc-tabData .gsc-resultsHeader .gsc-results-selector {
display : none;
}
/* style for auto-completion table
* .gsc-completion-selected : highlighted completions.
* .gsc-completion-container : styling for the table which contains the completi
ons
* .gsc-completion-promotion-selected: highlighted promotions
*/
.gsc-completion-selected {
background : #EEEEEE;
cursor: default;
}
.gsc-completion-selected .gsc-completion-promotion-table {
cursor: pointer;
}
.gsc-completion-container {
font-family: Arial, sans-serif;
font-size: 13px;
background: white;
border : 1px solid #DDD;
border-top-color: #D9D9D9;
box-shadow: 0 2px 4px rgba(0,0,0,0.2);
-moz-box-shadow: 0 2px 4px rgba(0,0,0,0.2);
-webkit-box-shadow: 0 2px 4px rgba(0,0,0,0.2);
margin: 0;
}
.gsc-completion-title {
color: #0000cc;
line-height: normal;
white-space: normal;
}
.gsc-completion-snippet {
line-height: normal;
white-space: normal;
}
.gsc-completion-container .gsc-completion-icon-cell {
width: 42px;
height: 42px;
padding-right: 10px;
}
.gsc-completion-icon {
/* place image in the middle */
margin-left: auto;
margin-right: auto;
display: block;
border: 1px solid #dddddd;
}
.gsc-completion-container .gsc-completion-promotion-table {
font-size : inherit;
background: inherit;
margin: 5px 0;
width: 100%;
}
/* the results for each section
* .gsc-resultsbox-{visible,invisible} : a complete-collection of results includ
ing headers
* .gsc-results : the collection of results for a given searcher
* .gsc-result : a generic result within the control. each result has this class
, as well as .gsc-xxxResult where xxx is web, image, local, blog, etc.
*/
.gsc-resultsbox-visible {
display : block;
}
.gsc-resultsbox-invisible {
display : none;
}
.gsc-results {
padding-bottom: 2px;
width : 99%;
}
.gsc-result {
margin-bottom: 10px;
}
.gsc-result .gs-title {
height: 1.4em;
overflow: hidden;
}
/* specialized, result type specific, fine grained controls */
.gsc-result div.gs-watermark {
display: none;
}
/* Ads
*/
.gsc-results .gsc-result img.gs-ad-marker {
display: none;
}
.gsc-wrapper {
position : relative;
display : block;
}
.gsc-adBlock {
position : relative;
display : block;
border-bottom: 1px solid #E9E9E9;
margin-bottom: 4px;
}
.gsc-adBlock h2 {
float : right;
margin : 3px 5px 0;
font-weight : normal;
font-size : .9em;
color : #676767;
}
.gsc-adBlock .gsc-ad {
padding-left : 8px;
padding-top : 5px;
padding-right : 3px;
}
.gsc-adBlock .gsc-ad a {
font-weight : bolder;
color : #0000CC;
line-height : 1.4em;
}
.gsc-adBlock .gsc-ad cite {
font-style : normal;
color : green;
}
.gsc-adBlock .gsc-ad span {
padding-left : 8px;
}
.gsc-adBlockNoHeight {
height : 0;
}
.gsc-adBlockInvisible {
display : none;
}
.gsc-adBlockVertical {
position : relative;
display : block;
float : right;
clear: right;
width : 30%;
}
.gsc-adBlockBottom {
position : relative;
display : block;
border-bottom: 1px solid #E9E9E9;
border-top: 1px solid #E9E9E9;
margin-bottom: 4px;
}
.gsc-thinWrapper {
width : 69%;
float : left;
overflow : hidden;
}
.gsc-adBlockVertical h2 {
text-align : center;
font-weight : normal;
font-size : .9em;
color : #676767;
margin-top : 6px;
}
.gsc-adBlockVertical .gsc-ad {
padding-left : 8px;
padding-top : 5px;
}
.gsc-adBlockVertical .gsc-ad a {
font-weight : bolder;
color : #0000CC;
line-height : 1.4em;
}
.gsc-adBlockVertical .gsc-ad cite {
font-style : normal;
color : green;
display : block;
}
.gsc-adBlockVertical .gsc-ad span {
}
/* Standard configuration div/form */
div.gsc-config {
border: 1px solid #e9e9e9;
margin-top: 0;
margin-bottom: 10px;
padding-top : 2px;
padding-left : 6px;
padding-right : 6px;
padding-bottom : 6px;
}
form.gsc-config {
margin-bottom : 0;
}
.gsc-configSetting {
margin-top : 6px;
}
.gsc-configSetting_Label {
color: #676767;
}
.gsc-configSettingInput {
color: #676767;
border: 1px solid #e9e9e9;
width: 75%;
}
.gsc-configSettingCheckbox {
color: #676767;
margin-right: 6px;
}
.gsc-configSettingCheckboxLabel {
display : inline;
color: #676767;
}
div.gsc-configSettingSubmit {
margin-top : 8px;
text-align : right;
}
input.gsc-configSettingSubmit {
display: inline;
font-size: 11px;
cursor: pointer;
}
/* Added so elements inside a result are properly cleared by the container. */
.gsc-webResult:after {
content: ".";
display: block;
height: 0;
clear: both;
visibility: hidden;
}
.gsc-webResult {
zoom: 1; /* IE-specific hack to get the layout clearing right. */
}
/* Wrapper for a result. */
.gsc-webResult .gsc-result {
margin: 0;
padding: .5em 0;
border-bottom: 1px solid #ebebeb;
}
.gsc-above-wrapper-area {
border-bottom: 1px solid #E9E9E9;
padding: 5px 0 5px 0;
}
.gsc-above-wrapper-area-invisible {
display: none;
}
.gsc-above-wrapper-area-container {
width: 100%;
}
.gsc-result-info {
text-align: left;
color: #676767;
font-size: 13px;
padding-left: 8px;
margin: 10px 0 10px 0;
}
.gsc-result-info-container {
text-align: left;
}
.gsc-result-info-invisible {
display: none;
}
.gsc-orderby-container {
text-align: right;
background: transparent;
}
.gsc-orderby-invisible {
display: none;
}
.gsc-orderby-label {
color: #676767;
padding: 5px 5px 6px 0;
}
.gsc-getlink-container {
padding-left: 5px;
padding-top: 1px;
width: 45px;
}
.gsc-getlink-invisible {
display: none;
}
.gsc-getlink {
width: 5px;
}
.gsc-getlink-box {
background-color: rgb(245,245,245);
border: 1px solid #eee;
border: 1px solid rgba(0, 0, 0, 0.1);
border-radius: 2px;
box-shadow: 0 1px 1px #eee;
box-shadow: 0 1px 1px rgba(0,0,0,0.1);
color: #444;
cursor: default;
font-size: 11px;
font-weight: bold;
height: 27px;
line-height: 27px;
max-width: 90%;
min-width: 10px;
outline: 0;
padding: 0 28px 0 6px;
position: relative;
text-align: center;
}
.gsc-control-cse .gsc-getlink-textbox {
background: #fff;
border: 1px solid #eee;
border: 1px solid rgba(0,0,0,.2);
box-shadow: 0 2px 4px #eee;
box-shadow: 0 2px 4px rgba(0,0,0,0.2);
cursor: default;
margin: 0;
max-height: 360px;
outline: none;
padding: 10px;
position: absolute;
right: 20px;
z-index: 7;
width: auto;
}
.gsc-getlink-inputbox {
width: 300px;
margin-top: 5px;
}
.gsc-getlink-label {
width: 100%;
font-size: 14px;
}
.gsc-getlink-image {
height: 29px;
}
.gsc-getlink-text-invisible {
display: none;
}
.gsc-selected-option-container {
background-color: transparent;
border: 1px solid #eee;
border: 1px solid rgba(0, 0, 0, 0.1);
border-radius: 2px;
box-shadow: 0 1px 1px #eee;
box-shadow: 0 1px 1px rgba(0,0,0,0.1);
color: #444;
cursor: default;
font-size: 11px;
font-weight: bold;
height: 27px;
line-height: 27px;
max-width: 90%;
min-width: 54px;
outline: 0;
padding: 0 28px 0 6px;
position: relative;
text-align: center;
width: 50px!important;
}
.gsc-selected-option {
position: relative;
width: 100%;
}
.gsc-control-cse .gsc-option-selector {
border: none;
height: 11px;
margin-top: -4px;
position: absolute;
right: 5px;
top: 12px;
width: 7px;
padding: 0 5px 0 5px;
background: url(//ssl.gstatic.com/ui/v1/disclosure/small-grey-disclosure-arrow
-down.png) center no-repeat
}
.gsc-option-menu-invisible {
display: none;
}
.gsc-control-cse .gsc-option-menu-container {
color: #000;
font-size: 80%;
position: relative;
}
.gsc-control-cse .gsc-option-menu {
background: #fff;
border: 1px solid #eee;
border: 1px solid rgba(0,0,0,.2);
box-shadow: 0 2px 4px #eee;
box-shadow: 0 2px 4px rgba(0,0,0,0.2);
cursor: default;
font-size: 13px;
margin: 0;
max-height: 360px;
outline: none;
padding: 6px 0;
position: absolute;
right: 0;
top: 0;
z-index: 7;
}
.gsc-option-menu-item {
color: #777;
cursor: pointer;
list-style: none;
margin: 0;
padding: 0 30px 0 30px;
white-space: nowrap;
}
.gsc-option-menu-item-highlighted {
background-color: #EEE;
border-color: #EEE;
border-width: 1px 0;
color: #333;
}
.gsc-option {
cursor: pointer;
list-style: none;
white-space: nowrap;
line-height: 27px;
text-align: left;
}
.gs-web-image-box,
.gs-promotion-image-box {
float: left;
padding: 2px 8px 2px 0px;
margin-right: 0px;
margin-left: 0px;
text-align:center;
width: 62px; /* default width + 1px border */
}
.gs-web-image-box img.gs-image,
.gs-promotion-image-box img.gs-promotion-image {
border: 1px solid #e2e2e2;
max-width: 60px; /* Small icons width. */
max-height: 120px; /* Limit height too. */
/* IE-specific hack to simulate max-width and max-height. */
/* For IE, image size will be 105 because various default
* values for margins and borders are different.
*/
width: expression(this.width > 64 ? '64px': true);
height: expression(this.height > 120 ? '120px': true);
}
div.gs-action {
display: inline;
margin-right: 0.6em;
}
div.gs-action a.gs-action {
color: #7777CC;
}
div.gs-action.cart a.gs-action,
div.gs-action.star a.gs-action,
div.gs-action.rss a.gs-action,
div.gs-action.download a.gs-action,
div.gs-action.email a.gs-action,
div.gs-action.mobile a.gs-action,
div.gs-action.share a.gs-action,
div.gs-action.fullscreen a.gs-action,
div.gs-action.generic a.gs-action,
div.gs-action.link a.gs-action {
padding-left: 18px;
background:transparent url('//www.google.com/cse/images/action_icons_sprite.gi
f') no-repeat;
}
div.gs-action.cart a.gs-action {
background-position: 0 0;
}
div.gs-action.star a.gs-action {
background-position: -16px -34px;
}
div.gs-action.rss a.gs-action {
background-position: -48px -98px;
}
div.gs-action.download a.gs-action {
background-position: -64px -128px;
}
div.gs-action.email a.gs-action {
background-position: -112px -224px;
}
div.gs-action.mobile a.gs-action {
background-position: -131px -257px;
}
div.gs-action.share a.gs-action {
background-position: -32px -64px;
}
div.gs-action.fullscreen a.gs-action {
background-position: -79px -162px;
}
div.gs-action.generic a.gs-action {
background-position: -144px -290px;
}
div.gs-action.link a.gs-action {
background-position: -159px -321px;
}
/* Image Search
*/
.gsc-imageResult .gs-imageResult .gs-text-box .gs-ellipsis {
overflow:hidden;
text-align: left;
text-overflow:ellipsis;
-o-text-overflow:ellipsis;
-ms-text-overflow:ellipsis;
white-space:nowrap;
}
.gsc-imageResult {
float: left;
margin-bottom: 1em;
margin-right: 20px;
}
.gsc-imageResult-column {
margin-right: 70px;
}
.gs-imageResult {
overflow: hidden;
}
.gs-imageResult .gs-image-box {
height: 86px; /* default height + 1px border */
position : relative;
}
.gs-imageResult .gs-text-box {
text-align: center;
overflow : hidden;
height: 4em;
}
/* No padding for image result */
.gs-imageResult div.gs-title,
.gs-imageResult .gs-snippet,
.gs-imageResult .gs-visibleUrl,
.gs-imageResult .gs-visibleUrl-short,
.gs-imageResult .gs-spelling {
padding: 0;
}
.gs-imageResult .gs-snippet {
overflow : hidden;
line-height: 1em;
white-space : nowrap;
}
.gs-imageResult .gs-visibleUrl {
overflow : hidden;
line-height: 1.3em;
height: 1.3em;
}
.gs-imageResult .gs-size {
color: #6f6f6f;
}
.gs-imageResult .gs-image-box {
text-align: center; /* center align image in image box */
}
.gs-imageResult .gs-image-box img.gs-image {
border: none;
}
/* Classic layout related styles */
/* Do not show title for compact layout such as classic and popup */
.gs-imageResult-classic .gs-text-box .gs-title {
display: none;
}
/* Column layout related styles */
.gs-imageResult-column {
width: 474px; /* image box width (114px) + image box right margin (10px) + tex
t box width (350px) */
height: 84px; /* image box height */
}
.gs-imageResult-column .gs-image-box {
float: left;
margin-right: 10px;
text-align: left;
}
.gs-imageResult-column .gs-text-box {
float: left;
width: 350px;
height: 86px; /* image box height */
}
.gsc-imageResult-column .gs-imageResult-column .gs-text-box .gs-title {
height: auto;
text-align: left;
white-space:normal;
overflow:hidden;
text-overflow:ellipsis;
-o-text-overflow:ellipsis;
-ms-text-overflow:ellipsis;
}
.gs-imageResult-column .gs-text-box .gs-size {
display: none;
}
/* Popup layout related styles */
/* No margin, padding or border for popup layout */
.gsc-imageResult.gsc-imageResult-popup,
.gsc-results .gsc-imageResult-popup:hover {
margin: 0;
padding: 0;
border: 0;
}
.gsc-imageResult .gs-imageResult-popup {
width: auto; /* Override the default image result width */
overflow: visible; /* popup box may overflow and should be visible */
position: relative;
}
/* Instead put margin bottom and right on searcher image thumbnail. */
.gs-imageResult-popup .gs-image-thumbnail-box {
padding: 5px;
}
.gs-imageResult-popup .gs-image-box {
width: auto;
}
.gs-imageResult-popup .gs-image-popup-box {
width: auto;
position : absolute;
padding: 10px;
background: white;
left: 0;
top: 0;
border: 1px solid #dddddd;
-webkit-box-shadow: 0 4px 16px rgba(0,0,0,0.2);
-moz-box-shadow: 0 4px 16px rgba(0,0,0,0.2);
-ms-box-shadow: 0 4px 16px rgba(0,0,0,0.2);
box-shadow: 0 4px 16px rgba(0,0,0,0.2);
-webkit-outline:1px solid rgba(0,0,0,0.2);
display: none;
}
.gs-imageResult-popup .gs-image-popup-box .gs-image-box {
height: auto; /* override default image box width (86px) */
width: auto; /* override default image box height (114px) */
margin-bottom: 10px;
}
.gs-imageResult-popup .gs-image-popup-box .gs-text-box {
height: auto;
width: auto;
}
/* Do not show title for compact layout such as classic and popup */
.gs-imageResult-popup .gs-text-box .gs-title {
display: none;
}

/* Video Search
* - single line title
*/
.gsc-videoResult .gs-videoResult .gs-title {
line-height: 1.3em;
height: 1.3em;
overflow: hidden;
}
.gsc-videoResult .gs-videoResult .gs-snippet {
line-height: 1.3em;
max-height: 2.6em;
overflow: hidden;
}
/* trailing more link at the bottom of
* a collection of results
*/
.gsc-imageResult .gsc-trailing-more-results {
clear : both;
}
.gsc-results .gsc-trailing-more-results {
margin-bottom : 10px;
}
.gsc-results .gsc-trailing-more-results,
.gsc-results .gsc-trailing-more-results * {
color: #0000cc;
text-decoration: underline;
}
/* trailing cursor section
*/
.gsc-imageResult .gsc-cursor-box {
clear : both;
}
.gsc-results .gsc-cursor-box .gsc-trailing-more-results {
margin-bottom : 0;
display : inline;
}
.gsc-results .gsc-cursor {
display : inline;
}
.gsc-results .gsc-cursor-box {
margin-bottom : 10px;
}
.gsc-results .gsc-cursor-box .gsc-cursor-page {
cursor : pointer;
color : #000000;
text-decoration: underline;
margin-right : 8px;
display : inline;
}
.gsc-results .gsc-cursor-box .gsc-cursor-current-page {
cursor : default;
color : #A90A08;
font-weight : bold;
text-decoration: none;
}

/* End of Control, Begin Results */

/* generic, cross cutting result style
* - in the form of .gs-result .gs-xxx where xxx is the generic style
* .gs-title : typically the first line of a result, typically a link, image res
ults over ride this, since for image results, the image is the link
* .gs-divider : typically seperates results from ads
* .gs-visibleUrl : typically the last line of a result, displayed in green. som
etimes a link (like in blog search)
* .gs-clusterUrl : for news, and other similar services, this is a cluster of a
dditional results
* img.gs-image : an actial image in a result
* .gs-phone : a phone number
* .gs-address : an address (includes street, city, region, country)
* .gs-streetAddress : a street (including #)
* .gs-city : a city
* .gs-region : a region (zip code, area, etc.)
* .gs-country : a country
* .gs-snippet : snippetized content
* .gs-watermark : indicator that user selected this result
* .gs-metadata : generic metadata, e.g.,
* .gs-image-box : generic container for a result's image (within a table)
* .gs-text-box : generic container for a result's text content (within a table)
. Note that this class, and image-box are only used in video
*/
.gs-result .gs-title,
.gs-result .gs-title * {
color: #0000cc;
text-decoration: underline;
}
.gsc-control-cse .gs-spelling,
.gsc-control-cse .gs-result .gs-title,
.gsc-control-cse .gs-result .gs-title * {
font-size: 16px;
}
.gsc-control-cse .gs-result .gs-spelling-original {
font-size: 13px;
}
.gs-divider {
padding-bottom: 8px;
text-align: center;
color: #676767;
}
.gs-result a.gs-visibleUrl,
.gs-result .gs-visibleUrl {
color: #008000;
text-decoration: none;
}
/* relative and absolute dates, note, news/books inlines these */
.gs-relativePublishedDate,
.gs-publishedDate {
color: #6f6f6f;
text-decoration: none;
}
.gs-result a.gs-clusterUrl,
.gs-result .gs-clusterUrl {
color: #008000;
text-decoration: underline;
cursor: pointer;
}
.gs-newsResult .gs-publisher {
color: #6f6f6f;
display : inline;
text-decoration: none;
}
/*
* For news results there are two dates...
* The relative date is visible while in the
* search control and the published date
* is visible when clipped. Why? It doesn't
* make sense to say 4 hours ago for a clipped
* result...
*/
/* establish the base style */
.gs-newsResult .gs-relativePublishedDate,
.gs-newsResult .gs-publishedDate {
display : inline;
margin-left : 4px;
}
/* base styling for relative date is none */
.gs-blogResult .gs-relativePublishedDate,
.gs-newsResult .gs-relativePublishedDate {
display : none;
}
/* suppress publishedDate while in the control */
.gsc-blogResult .gs-blogResult .gs-publishedDate,
.gsc-newsResult .gs-newsResult .gs-publishedDate {
display : none;
}
/* enable relativePublishedDate while in the control */
.gsc-blogResult .gs-blogResult .gs-relativePublishedDate,
.gsc-newsResult .gs-newsResult .gs-relativePublishedDate {
display : inline;
}
.gs-newsResult .gs-location {
color: #6f6f6f;
display : inline;
text-decoration: none;
}
.gs-promotion .gs-title,
.gs-promotion .gs-title * {
text-decoration: none;
}
.gs-promotion a.gs-title,
.gs-promotion a.gs-title * {
text-decoration: underline;
}
.gs-title .gs-promotion-title-right {
color: #000000;
}
.gsc-webResult.gsc-result.gsc-promotion {
background-color: #fff;
}
span.gs-fileFormat {
color: #666666;
font-size: 12px;
}
span.gs-fileFormatType {
font-size: 12px;
}
.gs-promotion table {
border : none;
border-style : none;
border-width : 0;
border-spacing : 0 0;
margin: 0 0 0 0;
padding: 0 0 0 0;
}
.gs-promotion table .gs-snippet a span.gs-title,
.gs-promotion table .gs-snippet a span.gs-title * {
font-size: 13px;
}
.gs-promotion em {
font-style: normal;
font-weight: bold;
}
.gs-promotion .gs-title em {
color: inherit;
text-decoration: inherit;
}
.gs-result img.gs-image,
.gs-result img.gs-promotion-image {
vertical-align : middle;
border : 1px solid #e2e2e2;
}
.gs-result div.gs-phone {}
.gs-result .gs-directions,
.gs-result .gs-directions * {
color: #7777cc;
font-weight: normal;
text-decoration : underline;
cursor : pointer;
}
.gs-secondary-link,
.gs-secondary-link * {
color: #7777cc;
font-weight: normal;
text-decoration : underline;
cursor : pointer;
}
/* wrapper around user supplied to/from mode directions
* normally this is disabled by default, and gs-directions is enabled
* apps can easily switch this by setting display:block on the rule below,
* and display:none on the rule above
* e.g., add these two rules to switch local results into
* alternate style driving directions
* .gs-localResult .gs-directions-to-from { display : block; }
* .gs-localResult .gs-directions { display : none; }
*/
.gs-result .gs-directions-to-from {
display : none;
margin-top : 4px;
}
.gs-result .gs-directions-to-from .gs-label {
display : inline;
margin-right : 4px;
}
.gs-result .gs-directions-to-from div.gs-secondary-link {
display : inline;
}
.gs-result .gs-directions-to-from .gs-spacer {
display : inline;
margin-right : 3px;
margin-left : 3px;
}
.gs-videoResult a.gs-publisher,
.gs-videoResult .gs-publisher {
color: #008000;
text-decoration: none;
}
.gs-result a {
cursor: pointer;
}
.gs-result .gs-address {
}
.gs-result .gs-snippet {
}
.gsc-loading-fade .gsc-result-info,
.gsc-loading-fade .gsc-loading-resultsRoot,
.gsc-loading-resultsRoot, /* customized root */
.gsc-loading-fade .gsc-loading-refinementsArea,
.gsc-loading-fade .gsc-adBlock,
.gsc-loading-fade .gsc-adBlockVertical,
.gsc-loading-fade .gsc-adBlockNoHeight {
-ms-filter:"progid:DXImageTransform.Microsoft.Alpha(Opacity=33.3)";
filter: alpha(opacity=33.3);
opacity: 0.333;
}
.gs-no-results-result .gs-snippet,
.gs-error-result .gs-snippet {
padding : 5px;
margin : 5px;
border : 1px solid rgb(255,204,51);
background-color : rgb(255,244,194);
}
.gs-result .gs-watermark{
font-size: 10px;
color: #7777cc;
}
div.gs-results-attribution {
text-align : center;
margin-bottom : 4px;
}
div.gs-results-attribution,
div.gs-results-attribution * {
font-size : 10px;
color : #676767;
text-decoration : none;
}
div.gs-results-attribution a {
color: #0000cc;
cursor : pointer;
}
div.gs-results-attribution a:hover {
text-decoration : underline;
}
.gs-result .gs-metadata{
color: #676767;
}
/* searcher specific styling for
* - web ad
* - web
* - local
* - image (none)
* - blog (none)
* - video (none)
*/
/* webAd search specific over rides
* .gs-ad-marker : disabled in control, but on in green to indicate clipped resu
lt is an ad
*/
.gs-localAd img.gs-ad-marker,
.gs-webAd img.gs-ad-marker {
padding-left: 4px;
}
/* default is to not show long mode visible urls
* apps should selectively enable this while disabling
* div.gs-visibleUrl-short
*/
.gs-webResult div.gs-visibleUrl-long,
.gs-promotion div.gs-visibleUrl-long {
overflow : hidden;
display : none;
}
/* Per result labels
*/
.gs-webResult div.gs-per-result-labels a.gs-label {
text-decoration : underline;
cursor : pointer;
padding : 3px;
color : black;
}
.gs-webResult div.gs-per-result-labels a.gs-label.gs-labelActive {
cursor : default;
text-decoration : none;
}
/* local search specific over rides
* - city, region displayed inline
* - country supressed
* - small font size for info window's
*/
.gs-localAd div.gs-address * {
color : #676767;
}
.gs-localAd div.gs-street {
display: inline;
}
div.gs-city {
display: inline;
}
div.gs-region {
display: inline;
}
div.gs-country {
display: none;
}
div.gs-infoWindow * {
font-size: 11px;
}
/* video search specific over rides
* - align the table data
* - default image width garuntee
* - appropriate cell seperation
*/
/* todo(markl): workaround until gre in gmail fixes his styles */
.gs-videoResult * {
font-size: 13px;
}
/*
.gs-videoResult td .gs-image {
vertical-align : middle;
}
.gs-videoResult td.gs-image-box {
background-color : #000000;
}*/
.gs-videoResult td div.gs-image-box {
width : 110px;
height : 78px;
}
.gs-videoResult td div.gs-text-box {
vertical-align: top;
margin-left: 4px;
}

/* book search specific over rides

* - default image width garuntee
* - appropriate cell seperation
*/
div.gs-book-image-box td,
.gs-bookResult td {
vertical-align : top;
}
div.gs-book-image-box,
div.gs-book-image-box div {
position : static;
text-align : start;
}
div.gs-book-image-box {
width : 75px;
height : 90px;
}
.gs-bookResult td div.gs-text-box {
vertical-align: top;
margin-left: 4px;
}
div.gs-book-image-box img {
border-spacing : 0 0;
border : none;
}
div.gs-book-image-box div.gs-row-1 {
line-height : 7px;
}
div.gs-book-image-box img.gs-pages {
height : 7px;
width : 45px;
}
div.gs-book-image-box img.gs-page-edge {
height : 7px;
width : 11px;
}
div.gs-book-image-box div.gs-row-2 {
}
div.gs-book-image-box img.gs-image {
height : 80px;
border : 1px solid #a0a0a0;
}
.gs-bookResult .gs-author {
display : inline;
color: #6f6f6f;
}
.gs-bookResult .gs-publishedDate {
display : inline;
}
.gs-bookResult .gs-pageCount {
display : inline;
color: #6f6f6f;
margin-left : 4px;
}
.gs-bookResult .gs-id {}

/* book search specific over rides

* - default image width garuntee
* - appropriate cell seperation
*/
.gs-patentResult td {
vertical-align : top;
}
.gs-patentResult .gs-patent-number,
.gs-patentResult .gs-publishedDate,
.gs-patentResult .gs-author {
display:inline;
}
.gs-patentResult .gs-image-box {
padding-right : 8px;
}
.gs-patentResult img.gs-image {
border : 1px solid #7777cc;
}
.gs-spelling a {
color: #0000cc;
cursor: pointer;
text-decoration : underline;
}
.gsc-control-cse:after {
content:".";
display:block;
clear:both;
height:0;
visibility: hidden;
}
.gs-bidi-start-align {
text-align: left;
}
.gs-bidi-end-align {
text-align: right;
}
.gsc-control-cse-zh_CN .gs-snippet b,
.gsc-control-cse-zh_CN .gs-promotion em,
.gsc-control-cse-zh_TW .gs-snippet b,
.gsc-control-cse-zh_TW .gs-promotion em {
color: #C03;
font-style: normal;
font-weight: normal;
}
.gsc-snippet-metadata {
color: #767676;
vertical-align: top;
}
.gsc-role {
color: #767676;
}
.gsc-tel {
color: #767676;
}
.gsc-org {
color: #767676;
}
.gsc-location {
color: #767676;
}
.gsc-rating-bar {
vertical-align: top;
display: inline-block;
width: 64px;
height: 12px;
background: transparent url(/uds/css/cse_snippets_stars.png) -65px 0 no-repeat
;
overflow:hidden;
margin: 2px 0 0 0;
}
.gsc-rating-bar span {
vertical-align: top;
display: inline-block;
height: 12px;
background: transparent url(/uds/css/cse_snippets_stars.png) 0 0 no-repeat;
padding: 2px 0 0 0;
}
.gsc-review-agregate-first-line {
margin: 0 40px 0 0;
padding: 6px 0;
}
.gsc-review-agregate-odd-lines, .gsc-review-agregate-even-lines {
margin: 0 40px 0 0;
padding: 6px 0;
border-top: 1px solid #EBEBEB;
}
.gsc-reviewer {
color: #00c;
}
.gsc-author {
color: #00c;
}
.gsc-table-result,
.gs-promotion-table {
border-spacing: 0px;
}
.gsc-table-cell-thumbnail,
.gs-promotion-image-cell {
vertical-align: top;
}
.gsc-table-cell-snippet-close,
.gs-promotion-text-cell {
vertical-align: top;
width: 100%;
}
.gsc-table-cell-snippet-open {
vertical-align: top;
width: 100%;
}
.gsc-preview-reviews li {
list-style: none;
width: 90%;
}
.gsc-zippy {
margin: 2px 8px 0px 0px;
float: right;
outline: none;
overflow: hidden;
height: 14px;
width: 14px;
background-position: -19px -5px;
position: relative;
top: -6px;
}
.gsc-table-cell-snippet-close .gsc-preview-reviews {
display: none;
}
.gsc-table-cell-snippet-close .gsc-zippy {
background: transparent url(/uds/css/plus_icons.png) -19px -5px no-repeat;
}
.gsc-table-cell-snippet-open .gsc-zippy {
background: transparent url(/uds/css/minus_icons.png) -19px -5px no-repeat;
}
.gsc-collapsable {
cursor: pointer;
}
/*
* Cross-browser implementation of the "display: inline-block" CSS property.
* See http://www.w3.org/TR/CSS21/visuren.html#propdef-display for details.
*/
/* Gecko hack */
html>body .gsc-inline-block {
display: -moz-inline-box;
display: inline-block;
}
/* Default rule */
.gsc-inline-block {
position: relative;
display: inline-block;
}
/* Pre-IE7 IE hack */
* html .gsc-inline-block {
display: inline;
}
/* IE7-only hack */
*:first-child+html .gsc-inline-block {
display: inline;
}
/* By default show url at the bottom of the snippet */
.gsc-url-top {
display: none;
}
.gsc-url-bottom {
display: block;
}
/* By default show thumbnail at the left of the snippet */
.gsc-thumbnail-left {
display: block;
}
.gsc-thumbnail-inside {
display: none;
}
/* CSS for labeling search results feature. */
.gsc-label-result-main-box-visible {
position: fixed !important;
z-index: 100003;
background-color: rgba(255, 255, 255, 1);
width: 400px;
box-shadow: rgba(0, 0, 0, 0.2) 0px 4px 16px 0px;
opacity: 1;
display: block;
border: none;
margin: auto;
-webkit-box-shadow: 0px 3px 10px rgba(34, 25, 25, 0.4);
-moz-box-shadow: 0px 3px 10px rgba(34, 25, 25, 0.4);
-ms-box-shadow: 0px 3px 10px rgba(34, 25, 25, 0.4);
-o-box-shadow: 0px 3px 10px rgba(34, 25, 25, 0.4);
box-shadow: 0px 3px 10px rgba(34, 25, 25, 0.4);
border-collapse: separate;
background: white;
padding: 30px;
width: 28%;
top: 30%;
left: 35%;
border: 1px solid rgba(0,0,0,.333);
}
.gsc-label-result-main-box-invisible {
display: none;
opacity: 0;
-webkit-transition: all 0.25s linear;
-moz-transition: all 0.25s linear;
-ms-transition: all 0.25s linear;
-o-transition: all 0.25s linear;
transition: all 0.25s linear;
-ms-filter: "progid:DXImageTransform.Microsoft.Shadow(Strength=7, Direction=13
5, Color='#888888')";
filter: progid:DXImageTransform.Microsoft.Shadow(Strength=7, Direction=135, Co
lor='#888888');
}
.gsc-label-result-url {
padding-bottom: 5px;
white-space: nowrap;
text-overflow: ellipsis;
overflow: hidden;
width: 100%;
color: #008000;
margin-top: 5px;
font-size: 13px;
}
.gsc-label-result-url-title {
white-space: nowrap;
margin-top: 10px;
font-size: 15px;
color: #0000CC;
text-decoration: underline;
text-overflow: ellipsis;
overflow: hidden;
display: block;
}
.gsc-label-result-url-heading {
margin-bottom: 15px;
}
.gsc-label-result-labels {
vertical-align: text-top;
font-size: 13px;
color: #000;
}
.gsc-label-checkbox {
}
.gsc-label-box {
margin-top: 5px;
}
.gsc-labels-box {
margin-top: 15px;
}
.gsc-label-result-buttons {
margin-top: 20px;
}
.gsc-labels-no-label-div-visible {
margin-top: 20px;
}
.gsc-labels-no-label-div-invisible {
display: none;
}
.gsc-labels-label-div-visible {
margin-top: 10px;
}
.gsc-labels-label-div-invisible {
display: none;
}
.gsc-label-result-form-label {
margin-right: 20px;
margin-left: 2px;
font-size: 13px;
color: #000;
vertical-align: text-top;
}
.gsc-label-result-form-div {
margin-top: 5px;
}
input.gsc-label-result-label-prefix-visible {
width: 90%;
height: 20px;
margin-top: 10px;
}
input.gsc-label-result-label-prefix-invisible {
display: none;
}
.gsc-label-result-label-prefix-error {
color: red;
margin-top: 10px;
}
.gsc-label-result-label-prefix-error-invisible {
display: none;
}
.gsc-label-result-heading {
font-size: 17px;
color: black;
}
.gsc-result-label-button {
background-color: #f5f5f5;
font-weight: bold;
border-radius: 2px;
text-align: center;
padding: 0 8px;
background-image: -webkit-linear-gradient(top,#f5f5f5,#f1f1f1);
height: 29px;
border: 1px solid #dcdcdc;
border-color: rgba(0, 0, 0, .1);
color: #444;
margin-right: 10px;
width: 72px;
}
.gsc-result-label-save-button {
color: #fff;
background-image: -webkit-linear-gradient(top,#4d90fe,#357ae8);
background-image: -moz-linear-gradient(top,#4d90fe,#357ae8);
background-image: -ms-linear-gradient(top,#4d90fe,#357ae8);
background-image: -o-linear-gradient(top,#4d90fe,#357ae8);
background-image: linear-gradient(top,#4d90fe,#357ae8);
}
.gsc-add-label-error {
color: red;
padding-top: 20px;
}
.gsc-add-label-error-invisible {
display: none;
}
.gsc-label-results-close-btn-visible {
display: block;
opacity: 0.7;
}
.gsc-label-result-saving-popup {
font-size: 13px;
-webkit-transition: opacity 218ms;
-moz-transition: opacity 218ms;
-o-transition: opacity 218ms;
transition: opacity 218ms;
border-width: 1px;
height: 14px;
opacity: 1;
padding: 6px 16px;
background-color: #f9edbe;
border-color: #f0c36d;
color: #333;
position: fixed !important;
top: 10%;
left: 45%;
border-style: solid;
border-radius: 2px;
}
.gsc-label-result-saving-popup-invisible {
display: none;
}
/* CSS for richsnippets feature. */
.gsc-richsnippet-popup-box {
position: fixed !important;
z-index: 100003;
background-color: rgba(255, 255, 255, 1);
width: 400px;
box-shadow: rgba(0, 0, 0, 0.2) 0px 4px 16px 0px;
opacity: 1;
display: block;
border: none;
margin: auto;
-webkit-box-shadow: 0px 3px 10px rgba(34, 25, 25, 0.4);
-moz-box-shadow: 0px 3px 10px rgba(34, 25, 25, 0.4);
-ms-box-shadow: 0px 3px 10px rgba(34, 25, 25, 0.4);
-o-box-shadow: 0px 3px 10px rgba(34, 25, 25, 0.4);
box-shadow: 0px 3px 10px rgba(34, 25, 25, 0.4);
border-collapse: separate;
background: white;
padding: 30px;
width: 25%;
top: 15%;
left: 25%;
overflow-x: hidden;
overflow-y: auto;
height: 65%;
width: 50%;
padding: 30px;
padding-bottom: 10px;
}
.gsc-richsnippet-popup-box-invisible {
display: none;
}
.gsc-richsnippet-showsnippet-label {
color: #000099;
text-decoration: underline;
cursor: pointer;
font-size:13px;
}
.gsc-richsnippet-individual-snippet-box {
border: 1px solid #ebebeb;
padding: 15px;
margin-bottom: 20px;
}
.gsc-richsnippet-individual-snippet-key {
font-size: 14px;
padding: 1px 0 6px;
color: #000099;
}
.gsc-richsnippet-individual-snippet-data {
}
.gsc-richsnippet-popup-box-title {
padding-bottom: 20px;
font-size: 15px;
}
.gsc-richsnippet-popup-box-title-text {
color: #404040;
display: inline;
}
.gsc-richsnippet-popup-box-title-url {
font-weight: bold;
color: black;
display: inline;
}
.gsc-richsnippet-individual-snippet-keyvalue {
}
.gsc-richsnippet-individual-snippet-keyelem {
display: inline;
font-weight: bold;
}
.gsc-richsnippet-individual-snippet-valueelem {
display: inline-block;
height: 1.1em;
width: 80%;
text-overflow: ellipsis;
overflow: hidden;
}
.gsc-richsnippet-popup-close-button {
background-image: url("//www.google.com/images/nav_logo114.png");
background-repeat: no-repeat;
background-position: -140px -230px;
float: right;
height: 12px;
width: 12px;
top: 20px;
right: 20px;
cursor: pointer;
}
.gsc-richsnippet-popup-box-contents {
overflow-x: hidden;
overflow-y: auto;
height: 88%;
}
------------xjwCcnHixZro681bWyOl5j
Content-Disposition: inline; filename=authorization.css
Content-Type: text/css; charset=UTF-8; name=authorization.css
Content-Location: https://www.blogger.com/dyn-css/authorization.css?targetBlogID
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------------xjwCcnHixZro681bWyOl5j
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Content-Type: application/javascript; charset=utf-8; name=plusone.js
Content-Location: https://apis.google.com/js/plusone.js
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gger.com/atom/ns#","term":"Keperawatan Gerontologi"}],"title":{"type":"text","$t
":"Keperawatan Gerontologi"},"content":{"type":"html","$t":"Keperawatan gerontol
ogi adalah spesialisasi keperawatan yang berkaitan dengan orang dewasa yang lebi
h tua. Perawat gerontologi bekerjasama dengan orang dewasa yang lebih tua, kelua
rga mereka, dan masyarakat untuk mendukung proses penuaan yang sehat, fungsi mak
simum, dan kualitas hidup. Istilah Keperawatan gerontologi, yang menggantikan is
tilah keperawatan geriatri pada 1970-an, dipandang lebih konsisten dengan fokus
yang lebih luas spesialisasi pada kesehatan dan kesejahteraan, selain penyakit.\
u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cdiv class=\"separator\" style=\"clear: bo
th; text-align: center;\"\u003E\u003Ca href=\"http:\/\/3.bp.blogspot.com\/-EmSvr
FgjBTg\/VPM3lnLjW3I\/AAAAAAAAAMc\/BxKBtofSh6Q\/s1600\/Keperawatan%2BGerontologi.
jpg\" imageanchor=\"1\" style=\"clear: left; float: left; margin-bottom: 1em; ma
rgin-right: 1em;\"\u003E\u003Cimg border=\"0\" src=\"http:\/\/3.bp.blogspot.com\
/-EmSvrFgjBTg\/VPM3lnLjW3I\/AAAAAAAAAMc\/BxKBtofSh6Q\/s1600\/Keperawatan%2BGeron
tologi.jpg\" \/\u003E\u003C\/a\u003E\u003C\/div\u003EKeperawatan gerontological
sangat penting untuk memenuhi kebutuhan kesehatan lanjut usia. Karena harapan hi
dup yang lebih panjang dan tingkat kesuburan menurun, proporsi penduduk yang dia
nggap tua meningkat. Antara tahun 2000 dan 2050, jumlah orang di dunia yang beru
sia lebih dari 60 diperkirakan meningkat 605000000-2000000000. Proporsi orang de
wasa yang lebih tua sudah tinggi dan terus meningkat di negara-negara yang lebih
maju. Pada tahun 2010, senior (berusia 65 dan lebih tua) terdiri 13% dan 23% da
ri populasi Amerika Serikat dan Jepang, masing-masing. Pada tahun 2050, proporsi
ini akan meningkat menjadi 21% dan 36%.\u003Cbr \/\u003E\u003Cbr \/\u003EKepera
watan gerontological mengacu pada pengetahuan tentang faktor-faktor yang komplek
s yang mempengaruhi kesehatan orang dewasa yang lebih tua. Orang dewasa yang leb
ih tua lebih mungkin dibandingkan orang dewasa muda untuk memiliki satu atau leb
ih kondisi kesehatan kronis, seperti diabetes, penyakit jantung, kanker, arthrit
is, gangguan pendengaran, atau bentuk demensia seperti penyakit Alzheimer. Selai
n itu, metabolisme obat berubah dengan penuaan, menambah kompleksitas kebutuhan
kesehatan.\u003Cbr \/\u003E\u003Cbr \/\u003EPerawat gerontological bekerja dalam
berbagai pengaturan, termasuk rumah sakit perawatan akut, rehabilitasi, panti j
ompo (juga dikenal sebagai rumah perawatan jangka panjang dan fasilitas keperawa
tan terampil), fasilitas hidup dibantu, rumah pensiun, lembaga kesehatan masyara
kat, dan rumah pasien.\u003Cbr \/\u003E\u003Cbr \/\u003ESumber : \u003Ci\u003Ewi
kipedia \u003C\/i\u003E"},"link":[{"rel":"edit","type":"application/atom+xml","h
ref":"http:\/\/www.blogger.com\/feeds\/1897108655767517628\/posts\/default\/6577
596874811291567"},{"rel":"self","type":"application/atom+xml","href":"http:\/\/w
ww.blogger.com\/feeds\/1897108655767517628\/posts\/default\/6577596874811291567"
},{"rel":"alternate","type":"text/html","href":"http:\/\/askep-asuhankeperawatan
.blogspot.com\/2015\/03\/keperawatan-gerontologi.html","title":"Keperawatan Gero
ntologi"}],"author":[{"name":{"$t":"Bapake Adhe \u0026amp; Dika"},"uri":{"$t":"h
ttp:\/\/www.blogger.com\/profile\/04284488757504843291"},"email":{"$t":"noreply@
blogger.com"},"gd$image":{"rel":"http://schemas.google.com/g/2005#thumbnail","wi
dth":"16","height":"16","src":"http:\/\/img2.blogblog.com\/img\/b16-rounded.gif"
}}],"media$thumbnail":{"xmlns$media":"http://search.yahoo.com/mrss/","url":"http
:\/\/3.bp.blogspot.com\/-EmSvrFgjBTg\/VPM3lnLjW3I\/AAAAAAAAAMc\/BxKBtofSh6Q\/s72
-c\/Keperawatan%2BGerontologi.jpg","height":"72","width":"72"}},{"id":{"$t":"tag
:blogger.com,1999:blog-1897108655767517628.post-8621266135347213186"},"published
":{"$t":"2015-02-11T23:33:00.001+07:00"},"updated":{"$t":"2015-02-11T23:33:52.76
9+07:00"},"category":[{"scheme":"http://www.blogger.com/atom/ns#","term":"Askep"
},{"scheme":"http://www.blogger.com/atom/ns#","term":"Askep Ibu Hamil Dengan Dia
betes Melitus"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Diabetes Mel
itus"}],"title":{"type":"text","$t":"Askep Ibu Hamil Dengan Diabetes Melitus"},"
content":{"type":"html","$t":"\u003Cdiv dir=\"ltr\" style=\"text-align: left;\"
trbidi=\"on\"\u003EPengertian diabetes mellitus menurut Kapita Selekta, jilid II
, 2006 dan catatan kuliah pemenuhan kebutuhan gizi reproduksi, 2006 yaitu sebaga
i berikut : diabetes melittus merupakan kelainan metabolisme yang kronis terjadi
defisiensi insulin atau retensi insulin, di tandai dengan tingginya keadaan glu
kosa darah (hiperglikemia) dan glukosa dalam urine (glukosuria) atau merupakan s
indroma klinis yang ditandai dengan hiperglikemia kronik dan gangguan metabolism
e karbohidrat, lemak dan protein sehubungan dengan kurangnya sekresi insulin sec
ara absolut \/ relatif dan atau adanya gangguan fungsi insulin.\u003Cbr \/\u003E
\u003Cbr \/\u003E\u003Cdiv class=\"separator\" style=\"clear: both; text-align:
center;\"\u003E\u003Ca href=\"http:\/\/2.bp.blogspot.com\/-vc0Q_Fu3jt8\/VNuD_TXR
29I\/AAAAAAAAAMM\/LOFLI1HKh28\/s1600\/Askep%2BIbu%2BHamil%2BDengan%2BDiabetes%2B
Melitus.jpeg\" imageanchor=\"1\" style=\"clear: left; float: left; margin-bottom
: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" src=\"http:\/\/2.bp.blog
spot.com\/-vc0Q_Fu3jt8\/VNuD_TXR29I\/AAAAAAAAAMM\/LOFLI1HKh28\/s1600\/Askep%2BIb
u%2BHamil%2BDengan%2BDiabetes%2BMelitus.jpeg\" \/\u003E\u003C\/a\u003E\u003C\/di
v\u003EDiabetes kehamilan atau diabetes gestational adalah diabetes yang terjadi
karena faktor kehamilan. Diabetes kehamilan dapat menyebabkan kadar gula darah
menjadi tinggi yang dapat menimbulkan masalah bagi penderita, dan dapat menganca
m kesehatan bayi yang belum lahir. Diabetes kehamilan dapat dikelola dengan baik
dengan makan makanan yang sehat, berolahraga secara teratur dan jika perlu minu
m obat. Menjaga kadar gula yang normal selama masa kehamilan dapat memastikan ke
hamilan yang sehat bagi ibu dan anaknya. Umumnya diabetes kehamilan akan hilang
setelah sang ibu melahirkan.\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cbr \/\u003E\
u003Cb\u003EAskep Ibu Hamil Dengan Diabetes Melitus\u003C\/b\u003E\u003Cbr \/\u0
03E\u003Cbr \/\u003EPenyakit DM dapat merupakan kelainan herediter dengan ciri i
nsufisiensi atau absennya insulin dalam sirkulasi darah, konsentrasi gula darah
tinggi dan kurangnya glikogenesis. Diabetes dalam kehamilan menimbulkan banyak k
esulitan. Penyakit ini akan menyebabkan perubahan-perubahan metabolic dan hormon
al pada penderita yang juga dipengaruhi oleh kehamilan. Sebaliknya, diabetes aka
n mempengaruhi kehamilan dan persalinan.\u003Cbr \/\u003E\u003Cbr \/\u003EKemung
kinan diabetes dalam kehamilan lebih besar bila :\u003Cbr \/\u003E\u003Col style
=\"text-align: left;\"\u003E\u003Cli\u003EUmur sudah mulai tua\u003C\/li\u003E\u
003Cli\u003EMultiparitas\u003C\/li\u003E\u003Cli\u003EGemuk (obesitas)\u003C\/li
\u003E\u003Cli\u003EAda anggota keluarga yang sakit diabetes (herediter)\u003C\/
li\u003E\u003Cli\u003EAnak lahir dengan berat badan besar ( di atas 4 kg )\u003C
\/li\u003E\u003Cli\u003EAda sejarah lahir mati dan anak besar.\u003C\/li\u003E\u
003Cli\u003ESering abortus\u003C\/li\u003E\u003Cli\u003EGlukosuria\u003C\/li\u00
3E\u003C\/ol\u003E\u003Cbr \/\u003EPada prediabetik dijumpai kelainan anatomic d
an metabolic, namun tanpa gejala yang jelas. Prediabetik dapat menjadi diabetes
bila timbul tekanan (stress) seperti adanya kehamilan, infeksi, obesitas, emosi
dan lain-lain.\u003Cbr \/\u003E\u003Cbr \/\u003E1. Pengaruh kehamilan, pers
alinan dan nifas pada diabetes, adalah :\u003Cbr \/\u003E\u003Cul style=\"text-a
lign: left;\"\u003E\u003Cli\u003EKehamilan dapat menyebabkan status prediabetik
menjadi manifest (diabetic).\u003C\/li\u003E\u003Cli\u003EDiabetes akan menjadi
lebih berat oleh kehamilan.\u003C\/li\u003E\u003Cli\u003EPada persalinan yang me
merlukan tenaga ibu dan kerja rahim akan memerlukan glukosa yang banyak, maka bi
sa terjadi hipoglikemia atau koma.\u003C\/li\u003E\u003Cli\u003EDalam masa lakta
si keperluan akan insulin akan bertambah.\u003C\/li\u003E\u003C\/ul\u003E\u003Cb
r \/\u003E2. Pengaruh diabetes terhadap kehamilan :\u003Cbr \/\u003E\u003Cu
l style=\"text-align: left;\"\u003E\u003Cli\u003EAbortus atau partus prematurus\
u003C\/li\u003E\u003Cli\u003EHidramnion\u003C\/li\u003E\u003Cli\u003EPre eklamsi
\u003C\/li\u003E\u003Cli\u003EKesalahan letak janin\u003C\/li\u003E\u003Cli\u003
EInsufisiensi plasenta\u003C\/li\u003E\u003C\/ul\u003E\u003Cbr \/\u003E3. P
engaruh diabetes terhadap persalinan :\u003Cbr \/\u003E\u003Cul style=\"text-ali
gn: left;\"\u003E\u003Cli\u003EInersia uteri dan atonia uteri\u003C\/li\u003E\u0
03Cli\u003EDistosia karena janin (anak besar, bahu lebar)\u003C\/li\u003E\u003Cl
i\u003EKelahiran mati\u003C\/li\u003E\u003Cli\u003EPersalinan lebih sering ditol
ong secara operatif\u003C\/li\u003E\u003Cli\u003EAngka kejadian perdarahan dan i
nfeksi tinggi\u003C\/li\u003E\u003Cli\u003EMorbiditas dan mortalitas ibu tinggi\
u003C\/li\u003E\u003C\/ul\u003E\u003Cbr \/\u003E4. Pengaruh diabetes terhad
ap nifas :\u003Cbr \/\u003E\u003Cul style=\"text-align: left;\"\u003E\u003Cli\u0
03EPerdarahan dan infeksi puerperal lebih tinggi\u003C\/li\u003E\u003Cli\u003ELu
ka-luka jalan lahir lambat pulih \/ sembuh\u003C\/li\u003E\u003C\/ul\u003E\u003C
br \/\u003E5. Pengaruh diabetes terhadap janin atau bayi :\u003Cbr \/\u003E
\u003Cul style=\"text-align: left;\"\u003E\u003Cli\u003ESering terjadi abortus\u
003C\/li\u003E\u003Cli\u003Ekematian janin dalam kandungan setelah 36 minggu\u00
3C\/li\u003E\u003Cli\u003EDapat terjadi cacat bawaan\u003C\/li\u003E\u003Cli\u00
3EDismaturitas\u003C\/li\u003E\u003Cli\u003EJanin besar (bayi kingkong \/ makros
omia)\u003C\/li\u003E\u003Cli\u003EKematian neonatal tinggi\u003C\/li\u003E\u003
Cli\u003EKemudian hari dapat terjadi kelainan neurologik dan psikologik.\u003C\/
li\u003E\u003C\/ul\u003E\u003C\/div\u003E"},"link":[{"rel":"edit","type":"applic
ation/atom+xml","href":"http:\/\/www.blogger.com\/feeds\/1897108655767517628\/po
sts\/default\/8621266135347213186"},{"rel":"self","type":"application/atom+xml",
"href":"http:\/\/www.blogger.com\/feeds\/1897108655767517628\/posts\/default\/86
21266135347213186"},{"rel":"alternate","type":"text/html","href":"http:\/\/askep
-asuhankeperawatan.blogspot.com\/2015\/02\/askep-ibu-hamil-dengan-diabetes-melit
us.html","title":"Askep Ibu Hamil Dengan Diabetes Melitus"}],"author":[{"name":{
"$t":"Bapake Adhe \u0026amp; Dika"},"uri":{"$t":"http:\/\/www.blogger.com\/profi
le\/04284488757504843291"},"email":{"$t":"noreply@blogger.com"},"gd$image":{"rel
":"http://schemas.google.com/g/2005#thumbnail","width":"16","height":"16","src":
"http:\/\/img2.blogblog.com\/img\/b16-rounded.gif"}}],"media$thumbnail":{"xmlns$
media":"http://search.yahoo.com/mrss/","url":"http:\/\/2.bp.blogspot.com\/-vc0Q_
Fu3jt8\/VNuD_TXR29I\/AAAAAAAAAMM\/LOFLI1HKh28\/s72-c\/Askep%2BIbu%2BHamil%2BDeng
an%2BDiabetes%2BMelitus.jpeg","height":"72","width":"72"}},{"id":{"$t":"tag:blog
ger.com,1999:blog-1897108655767517628.post-7323184517209445131"},"published":{"$
t":"2015-02-11T23:27:00.003+07:00"},"updated":{"$t":"2015-02-11T23:27:51.448+07:
00"},"category":[{"scheme":"http://www.blogger.com/atom/ns#","term":"Artikel Kes
ehatan"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Diabetes Melitus"},
{"scheme":"http://www.blogger.com/atom/ns#","term":"Penatalaksanaan Diabetes Mel
itus pada Kehamilan"}],"title":{"type":"text","$t":"Penatalaksanaan Diabetes Mel
itus pada Kehamilan"},"content":{"type":"html","$t":"\u003Cdiv dir=\"ltr\" style
=\"text-align: left;\" trbidi=\"on\"\u003EDiabetes Mellitus (DM) adalah kelainan
metabolisme karbohidrat, di mana glukosa darah tidak dapat digunakan dengan bai
k, sehingga menyebabkan keadaan hiperglikemia. DM merupakan kelainan endokrin ya
ng terbanyak dijumpai. Yang paling sering terjadi yaitu: diabetes mellitus yang
diketahui sewaktu hamil yang disebut DM gestasional dan DM yang telah terjadi se
belum hamil yang dinamankan DM pragstasi. Diabetes mellitus merupakan ganguan si
stemik pada metabolisme karbohidrat, protein dan lemak. Diabetes mellitus ditand
ai dengan hiperglikemia atau peningkatan glukosa darah yang diakibatkan produksi
insulin yang tidak adekuat atau penggunaan insulin secara tidak efektif pada ti
ngkat seluler. (Bobak. Lowdermilk, Jensen.2004. Edisi 4 hal 699)\u003Cbr \/\u003
E\u003Cbr \/\u003E\u003Cdiv class=\"separator\" style=\"clear: both; text-align:
center;\"\u003E\u003Ca href=\"http:\/\/3.bp.blogspot.com\/--j2HUAeyFeI\/VNuC-ke
0VMI\/AAAAAAAAAME\/p3kzMUxwiqM\/s1600\/Penatalaksanaan%2BDiabetes%2BMelitus%2Bpa
da%2BKehamilan.jpeg\" imageanchor=\"1\" style=\"clear: left; float: left; margin
-bottom: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" src=\"http:\/\/3.
bp.blogspot.com\/--j2HUAeyFeI\/VNuC-ke0VMI\/AAAAAAAAAME\/p3kzMUxwiqM\/s1600\/Pen
atalaksanaan%2BDiabetes%2BMelitus%2Bpada%2BKehamilan.jpeg\" \/\u003E\u003C\/a\u0
03E\u003C\/div\u003EDalam kehamilan terjadi perubahan metabolisme endokrin dan k
arbohidrat yang menunjang pemasukan makanan bagi janin serta persiapan menyusui.
Glukosa dapat difusi secara secara tetap melalui plasenta pada janin sehingga ka
darnya dalam darah janin hampir menyerupai kadar dalam darah ibu.Insulin ibu tid
ak dapat mencapai janin sehingga kadar gula ibu yang mempengaruhi kadar dalam ja
nin. Pengendalian yang utama dipengaruhi oleh insulin, disamping beberapa hormon
lain yaitu estrogen, steroid, plasenta laktogen.Akibat lambatnya resorpsi makan
an maka terjadi hiperglikemia yang relatif lama dan menuntut kebutuhan insulin.
Menjelang aterm kebutuhan insulin meningkat mencapai 3 kali dari keadaan normal
yang disebut: tekanan diabetogenik dalam kehamilan. Secara fisiologis telah terj
adi retensi insulin yaitu bila ditambah dengan estrogen eksogen ia tidak mudah m
enjadi hipoglikemia. Yang menjadi masalah bila seorang ibu tidak mampu meningkat
kan produksi insulin sehingga relatif hipoinsulin yang mengakibatkan hiperglikem
ia \/ diabetes kehamilan. Retensi insulin juga disebabkan oleh adanya hormon est
rogen, progesteron, kortisol, prolaktin dan plasenta laktogen yang mempengaruhi
reseptor insulin pada sel sehingga mengurangi afinitas insulin.\u003Cbr \/\u003E
\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cb\u003EPenatalaksanaan Diabetes Melitus
pada Kehamilan\u003C\/b\u003E\u003Cbr \/\u003E\u003Cbr \/\u003EPenatalaksanaan d
iabetes pada kehamilan sebaiknya dilakukan secara terpadu antara dokter kebidana
n, penyakit dalam, ahli gizi, dan spesialis anak. Sasaran penatalaksanaan adalah
mencapai kadar gula darah yang normal yaitu gula darah puasa kurang dari 105 mg
\/dl dan dua jam sesudah makan kurang dari 120 mg\/dl. Sasaran dapat dicapai den
gan melakukan pengaturan makan.\u003Cbr \/\u003E\u003Cbr \/\u003EBila diperlukan
maka diberikan insulin untuk menurunkan kadar gula darah mencapai normal. Biasa
nya bila kadar gula darah puasa melebihi atau sama dengan 130 mg\/dl di samping
perencanaan makan perlu diberikan insulin.\u003Cbr \/\u003E\u003Cbr \/\u003EBila
kadar gula darah puasa di bawah 130 mg\/dl, penatalaksanaan dapat dimulai denga
n perencanaan makan saja. Dalam perencanaan makan dianjurkan jumlah kalori sebes
ar 35 kal\/kg berat badan ideal, kecuali bila penderita gemuk jumlah kalori diku
rangi. Pada kehamilan biasanya perlu dipertimbangkan penambahan kalori sebanyak
300 kal. Agar janin dalam kandungan dapat tumbuh secara baik dianjurkan untuk me
ngkonsumsi protein sebesar 1-1,5 g.\u003Cbr \/\u003EPenggunaan insulin biasanya
dimulai dengan dosis kecil dan ditingkatkan sesuai kebutuhan untuk mencapai kada
r gula darah yang normal. Untuk itu perlu mempelajari prinsip-prinsip sterilitas
, mengenal berbagai macam insulin, serta memahami dosis dan penyediaan insulin y
ang tepat.\u003Cbr \/\u003E\u003Cbr \/\u003ETidak perlu khawatir terhadap pengar
uh buruk insulin pada pertumbuhan janin. Justru pemberian insulin ini diharapkan
dapat membantu tercapainya kadar gula darah normal sehingga janin dapat tumbuh
dengan baik dan terhindar dari kesulitan waktu melahirkan.\u003Cbr \/\u003EBila
gula darah tidak dikendalikan, maka terjadi keadaan gula darah ibu hamil yang ti
nggi (hiperglikemia) yang dapat menimbulkan risiko pada ibu dan juga janin. Risi
ko pada janin dapat terjadi hambatan pertumbuhan karena timbul kelainan pada pem
buluh darah ibu dan perubahan metabolik selama masa kehamilan. Sebaliknya dapat
terjadi makrosomia yaitu bayi pada waktu lahir besar akibat penumpukan lemak di
bawah kulit. Juga pernah dilaporkan terjadinya cacat bawaan karena diabetes mell
itus yang tidak diobati waktu kehamilan.\u003Cbr \/\u003E\u003Cbr \/\u003ERisiko
lain adalah meningkatnya kadar bilirubin bayi serta gangguan napas dan kelainan
jantung. Pada ibu hamil diabetes mellitus yang tidak diobati dapat menimbulkan
risiko terjadinya penyulit kehamilan berupa preeklamsi, cairan ketuban yang berl
ebihan, dan infeksi saluran kemih. Jadi penatalaksanaan diabetes mellitus pada k
ehamilan perlu dilakukan dengan baik untuk meningkatkan taraf kesehatan ibu dan
bayi. \u003C\/div\u003E"},"link":[{"rel":"edit","type":"application/atom
+xml","href":"http:\/\/www.blogger.com\/feeds\/1897108655767517628\/posts\/defau
lt\/7323184517209445131"},{"rel":"self","type":"application/atom+xml","href":"ht
tp:\/\/www.blogger.com\/feeds\/1897108655767517628\/posts\/default\/732318451720
9445131"},{"rel":"alternate","type":"text/html","href":"http:\/\/askep-asuhankep
erawatan.blogspot.com\/2015\/02\/penatalaksanaan-diabetes-melitus-pada.html","ti
tle":"Penatalaksanaan Diabetes Melitus pada Kehamilan"}],"author":[{"name":{"$t"
:"Bapake Adhe \u0026amp; Dika"},"uri":{"$t":"http:\/\/www.blogger.com\/profile\/
04284488757504843291"},"email":{"$t":"noreply@blogger.com"},"gd$image":{"rel":"h
ttp://schemas.google.com/g/2005#thumbnail","width":"16","height":"16","src":"htt
p:\/\/img2.blogblog.com\/img\/b16-rounded.gif"}}],"media$thumbnail":{"xmlns$medi
a":"http://search.yahoo.com/mrss/","url":"http:\/\/3.bp.blogspot.com\/--j2HUAeyF
eI\/VNuC-ke0VMI\/AAAAAAAAAME\/p3kzMUxwiqM\/s72-c\/Penatalaksanaan%2BDiabetes%2BM
elitus%2Bpada%2BKehamilan.jpeg","height":"72","width":"72"}},{"id":{"$t":"tag:bl
ogger.com,1999:blog-1897108655767517628.post-15139352519931149"},"published":{"$
t":"2015-01-13T01:12:00.001+07:00"},"updated":{"$t":"2015-01-13T01:12:38.007+07:
00"},"category":[{"scheme":"http://www.blogger.com/atom/ns#","term":"Keperawatan
"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Keperawatan Jantung"}],"t
itle":{"type":"text","$t":"Keperawatan Jantung"},"content":{"type":"html","$t":"
\u003Cb\u003EKeperawatan Jantung\u003C\/b\u003E\u003Cbr \/\u003E\u003Cbr \/\u003
EKeperawatan jantung adalah spesialisasi keperawatan yang bekerja dengan pasien
yang menderita berbagai kondisi dari sistem kardiovaskular. Perawat jantung memb
antu kondisi mengobati, seperti angina tidak stabil, kardiomiopati, penyakit art
eri koroner, gagal jantung kongestif, infark miokard dan detak jantung tak berat
uran di bawah arahan dokter ahli jantung.\u003Cbr \/\u003E\u003Cbr \/\u003E\u003
Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\u003Ca
href=\"http:\/\/1.bp.blogspot.com\/-wJw9u5JXP4I\/VLQOedorKYI\/AAAAAAAAAL0\/bget
ekgSqVE\/s1600\/Keperawatan%2BJantung.jpeg\" imageanchor=\"1\" style=\"margin-le
ft: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" src=\"http:\/\/1.bp.bl
ogspot.com\/-wJw9u5JXP4I\/VLQOedorKYI\/AAAAAAAAAL0\/bgetekgSqVE\/s1600\/Keperawa
tan%2BJantung.jpeg\" \/\u003E\u003C\/a\u003E\u003C\/div\u003EPerawat jantung mel
akukan perawatan pascaoperasi pada unit bedah, evaluasi test stress, monitoring
jantung, pemantauan pembuluh darah, dan penilaian kesehatan. Perawat jantung har
us memiliki sertifikat Basic Life Support and Advanced Cardiac Life Support. Sel
ain itu, perawat jantung harus memiliki keterampilan khusus termasuk pemantauan
elektrokardiogram, defibrilasi, dan pemberian obat dengan infus terus menerus.\u
003Cbr \/\u003E\u003Cbr \/\u003EPerawat jantung bekerja dalam lingkungan yang be
rbeda, termasuk coronary care units (CCU), kateterisasi jantung, intensive care
units (ICU), ruang operasi, pusat rehabilitasi jantung, penelitian klinis, bangs
al bedah jantung, unit perawatan intensif kardiovaskular (CVICU), dan jantung ba
ngsal medis.\u003Cbr \/\u003E\u003Cbr \/\u003E"},"link":[{"rel":"edit","type":"a
pplication/atom+xml","href":"http:\/\/www.blogger.com\/feeds\/189710865576751762
8\/posts\/default\/15139352519931149"},{"rel":"self","type":"application/atom+xm
l","href":"http:\/\/www.blogger.com\/feeds\/1897108655767517628\/posts\/default\
/15139352519931149"},{"rel":"alternate","type":"text/html","href":"http:\/\/aske
p-asuhankeperawatan.blogspot.com\/2015\/01\/keperawatan-jantung.html","title":"K
eperawatan Jantung"}],"author":[{"name":{"$t":"Bapake Adhe \u0026amp; Dika"},"ur
i":{"$t":"http:\/\/www.blogger.com\/profile\/04284488757504843291"},"email":{"$t
":"noreply@blogger.com"},"gd$image":{"rel":"http://schemas.google.com/g/2005#thu
mbnail","width":"16","height":"16","src":"http:\/\/img2.blogblog.com\/img\/b16-r
ounded.gif"}}],"media$thumbnail":{"xmlns$media":"http://search.yahoo.com/mrss/",
"url":"http:\/\/1.bp.blogspot.com\/-wJw9u5JXP4I\/VLQOedorKYI\/AAAAAAAAAL0\/bgete
kgSqVE\/s72-c\/Keperawatan%2BJantung.jpeg","height":"72","width":"72"}},{"id":{"
$t":"tag:blogger.com,1999:blog-1897108655767517628.post-5972236927995950704"},"p
ublished":{"$t":"2015-01-13T01:03:00.001+07:00"},"updated":{"$t":"2015-01-13T01:
03:25.090+07:00"},"category":[{"scheme":"http://www.blogger.com/atom/ns#","term"
:"Daftar Spesialisasi Keperawatan"},{"scheme":"http://www.blogger.com/atom/ns#",
"term":"Keperawatan"}],"title":{"type":"text","$t":"Daftar Spesialisasi Keperawa
tan"},"content":{"type":"html","$t":"\u003Cbr \/\u003EBerikut ini \u003Cb\u003ED
aftar Spesialisasi Keperawatan\u003C\/b\u003E\u003Cbr \/\u003E\u003Cbr \/\u003E\
u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\u0
03Ca href=\"http:\/\/1.bp.blogspot.com\/-XQYOUqGlsL4\/VLQMYC5nIjI\/AAAAAAAAALo\/
FGF8XsnvfIc\/s1600\/Daftar%2BSpesialisasi%2BKeperawatan.jpg\" imageanchor=\"1\"
style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" src=\
"http:\/\/1.bp.blogspot.com\/-XQYOUqGlsL4\/VLQMYC5nIjI\/AAAAAAAAALo\/FGF8XsnvfIc
\/s1600\/Daftar%2BSpesialisasi%2BKeperawatan.jpg\" height=\"160\" width=\"400\"
\/\u003E\u003C\/a\u003E\u003C\/div\u003E\u003Cbr \/\u003EAmbulatory care nursing
\u003Cbr \/\u003EAdvanced practice nursing\u003Cbr \/\u003EBurn nursing\u003Cbr
\/\u003ECamp nursing\u003Cbr \/\u003ECardiac nursing\u003Cbr \/\u003ECardiac cat
heter laboratory nursing\u003Cbr \/\u003EDental nursing\u003Cbr \/\u003EMedical
case management\u003Cbr \/\u003ECommunity health nursing\u003Cbr \/\u003ECorrect
ional nursing\u003Cbr \/\u003ECritical care nursing\u003Cbr \/\u003EEmergency an
d trauma nursing\u003Cbr \/\u003EEnvironmental health nursing\u003Cbr \/\u003EFa
ith community nursing\u003Cbr \/\u003EFlight nursing\u003Cbr \/\u003EForensic nu
rsing\u003Cbr \/\u003EGastroenterology nursing\u003Cbr \/\u003EGenetics nursing\
u003Cbr \/\u003EGeriatric nursing\u003Cbr \/\u003EHealth visiting\u003Cbr \/\u00
3EHolistic nursing\u003Cbr \/\u003EHome health nursing\u003Cbr \/\u003EHospice a
nd palliative care nursing\u003Cbr \/\u003EHyperbaric nursing\u003Cbr \/\u003EIm
munology and allergy nursing\u003Cbr \/\u003EIntellectual disability nursing\u00
3Cbr \/\u003EIntravenous therapy nursing\u003Cbr \/\u003EInfection control nursi
ng\u003Cbr \/\u003EInfectious disease nursing\u003Cbr \/\u003ELegal nursing\u003
Cbr \/\u003ELearning disability nursing\u003Cbr \/\u003EMaternal-child nursing\u
003Cbr \/\u003EMedical-surgical nursing\u003Cbr \/\u003EMental health or psychia
tric nursing\u003Cbr \/\u003EMilitary and uniformed services nursing\u003Cbr \/\
u003ENeonatal nursing\u003Cbr \/\u003ENeurosurgical nursing\u003Cbr \/\u003ENurs
ing informatics\u003Cbr \/\u003ENursing management\u003Cbr \/\u003ENursing resea
rch\u003Cbr \/\u003ENurse midwifery\u003Cbr \/\u003EObstetrical nursing\u003Cbr
\/\u003EOccupational health nursing\u003Cbr \/\u003EOncology nursing\u003Cbr \/\
u003EOrthopaedic nursing\u003Cbr \/\u003EOstomy nursing\u003Cbr \/\u003EPediatri
c nursing\u003Cbr \/\u003EPerianesthesia nursing\u003Cbr \/\u003EPerioperative n
ursing\u003Cbr \/\u003EPrivate duty nursing\u003Cbr \/\u003EPsychiatric or menta
l health nursing\u003Cbr \/\u003EPublic health nursing\u003Cbr \/\u003EPulmonary
nursing\u003Cbr \/\u003EQuality improvement\u003Cbr \/\u003ERadiology nursing\u
003Cbr \/\u003ERehabilitation nursing\u003Cbr \/\u003ERenal nursing\u003Cbr \/\u
003ESchool nursing\u003Cbr \/\u003ESpace nursing\u003Cbr \/\u003ESub-acute nursi
ng\u003Cbr \/\u003ESubstance abuse nursing\u003Cbr \/\u003ESurgical nursing\u003
Cbr \/\u003ETelenursing\u003Cbr \/\u003ETelephone triage nursing\u003Cbr \/\u003
ETransplantation nursing\u003Cbr \/\u003ETravel nursing\u003Cbr \/\u003EUrology
nursing\u003Cbr \/\u003EUtilization management\u003Cbr \/\u003EWound care\u003Cb
r \/\u003E\u003Cbr \/\u003ESumber : \u003Ci\u003Ehttp:\/\/en.wikipedia.org\u003C
\/i\u003E"},"link":[{"rel":"edit","type":"application/atom+xml","href":"http:\/\
/www.blogger.com\/feeds\/1897108655767517628\/posts\/default\/597223692799595070
4"},{"rel":"self","type":"application/atom+xml","href":"http:\/\/www.blogger.com
\/feeds\/1897108655767517628\/posts\/default\/5972236927995950704"},{"rel":"alte
rnate","type":"text/html","href":"http:\/\/askep-asuhankeperawatan.blogspot.com\
/2015\/01\/daftar-spesialisasi-keperawatan.html","title":"Daftar Spesialisasi Ke
perawatan"}],"author":[{"name":{"$t":"Bapake Adhe \u0026amp; Dika"},"uri":{"$t":
"http:\/\/www.blogger.com\/profile\/04284488757504843291"},"email":{"$t":"norepl
y@blogger.com"},"gd$image":{"rel":"http://schemas.google.com/g/2005#thumbnail","
width":"16","height":"16","src":"http:\/\/img2.blogblog.com\/img\/b16-rounded.gi
f"}}],"media$thumbnail":{"xmlns$media":"http://search.yahoo.com/mrss/","url":"ht
tp:\/\/1.bp.blogspot.com\/-XQYOUqGlsL4\/VLQMYC5nIjI\/AAAAAAAAALo\/FGF8XsnvfIc\/s
72-c\/Daftar%2BSpesialisasi%2BKeperawatan.jpg","height":"72","width":"72"}},{"id
":{"$t":"tag:blogger.com,1999:blog-1897108655767517628.post-6069068647525586001"
},"published":{"$t":"2015-01-07T22:27:00.000+07:00"},"updated":{"$t":"2015-01-07
T22:27:09.644+07:00"},"category":[{"scheme":"http://www.blogger.com/atom/ns#","t
erm":"Askep"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Askep CHF"},{"
scheme":"http://www.blogger.com/atom/ns#","term":"Congestive Heart Failure"}],"t
itle":{"type":"text","$t":"Askep CHF Congestive Heart Failure"},"content":{"type
":"html","$t":"\u003Cb\u003EAsuhan Keperawatan Congestive Heart Failure\u003C\/b
\u003E\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cb\u003EDefinisi\u003C\/b\u003E\u00
3Cbr \/\u003E\u003Cul\u003E\u003Cli\u003EGagal jantung Kongsetif adalah ketidakm
ampuan jantung untuk memompa darah dalam jumlah yang cukup untuk memenuhi kebutu
han jaringan terhadap oksigen dan nutrient dikarenakan adanya kelainan fungsi ja
ntung yang berakibat jantung gagal memompa darah untuk memenuhi kebutuhan metabo
lisme jaringan dan atau kemampuannya hanya ada kalau disertai peninggian tekanan
pengisian ventrikel kiri (Smeltzer \u0026amp; Bare, 2001).\u003C\/li\u003E\u003
Cli\u003EGagal jantung kongestif (CHF) adalah suatu keadaan patofisiologis berup
a kelainan fungsi jantung sehingga jantung tidak mampu memompa darah untuk memen
uhi kebutuhan metabolisme jaringan dan\/ kemampuannya hanya ada kalau disertai p
eninggian volume diastolik secara abnormal (Mansjoer dan Triyanti, 2007).\u003C\
/li\u003E\u003Cli\u003EGagal jantung sering disebut dengan gagal jantung kongest
if adalah ketidakmampuan jantung untuk memompakan darah yang adekuat untuk memen
uhi kebutuhan jaringan akan oksigen dan nutrisi. Istilah gagal jantung kongestif
sering digunakan kalau terjadi gagal jantung sisi kiri dan kanan ( Brunner \u00
26amp; Suddarth, 2002).\u003C\/li\u003E\u003C\/ul\u003E\u003Cbr \/\u003E\u003Cdi
v class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\u003Ca hr
ef=\"http:\/\/1.bp.blogspot.com\/-_5FJSQG3aFQ\/VK1QPeb_fpI\/AAAAAAAAALY\/BA5P6k3
fipk\/s1600\/Nursing%2BCare%2BPlan%2Bfor%2BCongestive%2BHeart%2BFailure.jpeg\" i
mageanchor=\"1\" style=\"clear: left; float: left; margin-bottom: 1em; margin-ri
ght: 1em;\"\u003E\u003Cimg border=\"0\" src=\"http:\/\/1.bp.blogspot.com\/-_5FJS
QG3aFQ\/VK1QPeb_fpI\/AAAAAAAAALY\/BA5P6k3fipk\/s1600\/Nursing%2BCare%2BPlan%2Bfo
r%2BCongestive%2BHeart%2BFailure.jpeg\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E
\u003Cb\u003EKlasifikasi\u003C\/b\u003E\u003Cbr \/\u003ENew York Heart Associati
on (NYHA) membuat klasifikasi fungsional dalam 4 kelas: (Mansjoer dan Triyanti,
2007)\u003Cbr \/\u003E\u003Cul\u003E\u003Cli\u003Ekelas 1 Bila pasien dapat
melakukan aktifitas berat tampa keluhan\u003C\/li\u003E\u003Cli\u003Ekelas 2
Bila pasien tidak dapat melakukan aktifitas lebih berat dari aktivitas sehari-h
ari tanpa keluhan.\u003C\/li\u003E\u003Cli\u003Ekelas 3 Bila pasien tidak da
pat melakukan aktifitas sehari-hari tanpa keluhan.\u003C\/li\u003E\u003Cli\u003E
kelas 4 Bila pasien sama sekali tidak dapat melakukan aktifitas apapun dan h
arus tirah baring.\u003C\/li\u003E\u003C\/ul\u003E\u003Cbr \/\u003E\u003Cb\u003E
Etiologi\u003C\/b\u003E\u003Cbr \/\u003E\u003Cbr \/\u003EGagal jantung kongestif
dapat disebabkan oleh :\u003Cbr \/\u003E\u003Cul\u003E\u003Cli\u003EKelainan ot
ot jantung : Gagal jantung sering terjadi pada penderita kelainan otot jantung,
disebabkan menurunnya kontraktilitas jantung. Kondisi yang mendasari penyebab k
elainan fungsi otot mencakup ateriosklerosis koroner, hipertensi arterial, dan p
enyakit degeneratif atau inflamasi.\u003C\/li\u003E\u003Cli\u003EAterosklerosis
koroner mengakibatkan disfungsi miokardium karena terganggunya aliran darah ke o
tot jantung. Terjadi hipoksia dan asidosis (akibat penumpukan asam laktat). In
fark miokardium (kematian sel jantung) biasanya mendahului terjadinya gagal jant
ung. Peradangan dan penyakit miokardium degeneratif, berhubungan dengan gagal j
antung karena kondisi yang secara langsung merusak serabut jantung, menyebabkan
kontraktilitas menurun.\u003C\/li\u003E\u003Cli\u003EHipertensi sistemik atau pu
lmonal ( peningkatan afterload ) meningkatkan beban kerja jantung dan pada gili
rannya mngakibatkan hipertrofi serabut otot jantung.\u003C\/li\u003E\u003Cli\u
003EPeradangan dan penyakit myocardium degeneratif, berhubungan dengan gagal
jantung karena kondisi ini secara langsung merusak serabut jantung, menyebab
kan kontraktilitas menurun.\u003C\/li\u003E\u003Cli\u003EPenyakit jantung lain :
Gagal jantung dapat terjadi sebagai akibat penyakit jantung yang sebenarnya, ya
ng secara langsung mempengaruhi jantung. Mekanisme biasanya terlibat mencakup g
angguan aliran darah yang masuk jantung (stenosis katup semiluner), ketidakmampu
an jantung untuk mengisi darah (tamponade, perikardium, perikarditif konstriktif
, atau stenosis AV), peningkatan mendadak afterload.\u003C\/li\u003E\u003Cli\u00
3EFaktor sistemik : Terdapat sejumlah besar faktor yang berperan dalam perkemban
gan dan beratnya gagal jantung. Meningkatnya laju metabolisme(mis : demam, tiro
toksikosis ), hipoksia dan anemia memerlukan peningkatan curah jantung untuk mem
enuhi kebutuhan oksigen sistemik. Hipoksia dan anemia juga dapat menurunkan sup
lai oksigen ke jantung. Asidosis respiratorik atau metabolik dan abnormalita el
ekttronik dapat menurunkan kontraktilitas jantung.\u003C\/li\u003E\u003C\/ul\u00
3E\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cb\u003EManifestasi klinik\u003C\/b\u00
3E\u003Cbr \/\u003E\u003Cul\u003E\u003Cli\u003EPeningkatan volume intravaskular.
\u003C\/li\u003E\u003Cli\u003EKongesti jaringan akibat tekanan arteri dan vena y
ang meningkat akibat turunnya curah jantung.\u003C\/li\u003E\u003Cli\u003EEdema
pulmonal akibat peningkatan tekanan vena pulmonalis yang menyebabkan cairan meng
alir dari kapiler paru ke alveoli; dimanifestasikan dengan batuk dan nafas pende
k.\u003C\/li\u003E\u003Cli\u003EEdema perifer umum dan penambahan berat badan ak
ibat peningkatan tekanan vena sistemik.\u003C\/li\u003E\u003Cli\u003EPusing, kek
acauan mental (confusion), keletihan, intoleransi jantung terhadap latihan dan s
uhu panas, ekstremitas dingin, dan oliguria akibat perfusi darah dari jantung ke
jaringan dan organ yang rendah.\u003C\/li\u003E\u003Cli\u003ESekresi aldosteron
, retensi natrium dan cairan, serta peningkatan volume intravaskuler akibat teka
nan perfusi ginjal yang menurun (pelepasan renin ginjal). Sumber: Niken Jayanthi
(2010)\u003C\/li\u003E\u003C\/ul\u003E\u003Cbr \/\u003E\u003Cb\u003EPatofisiolo
gi\u003C\/b\u003E\u003Cbr \/\u003E\u003Cbr \/\u003EJantung yang normal dapat ber
espon terhadap peningkatan kebutuhan metabolisme dengan menggunakan mekanisme ko
mpensasi yang bervariasi untuk mempertahankan kardiak output, yaitu meliputi :\u
003Cbr \/\u003E\u003Cul\u003E\u003Cli\u003ERespon system saraf simpatis terhadap
barroreseptor atau kemoreseptor\u003C\/li\u003E\u003Cli\u003EPengencangan dan p
elebaran otot jantung untuk menyesuaikan terhadap peningkatan volume\u003C\/li\u
003E\u003Cli\u003EVaskontriksi arterirenal dan aktivasi system rennin angiotensi
n\u003C\/li\u003E\u003Cli\u003ERespon terhadap serum sodium dan regulasi ADH dan
reabsorbsi terhadap cairan\u003C\/li\u003E\u003C\/ul\u003EKegagalan mekanisme k
ompensasi dapat dipercepat oleh adanya volume darah sirkulasi yang dipompakan un
tuk melawan peningkatan resistensi vaskuler oleh pengencangan jantung. Kecepatan
jantung memperpendek waktu pengisian ventrikel dari arteri coronaria. Menurunny
a COP dan menyebabkan oksigenasi yang tidak adekuat ke miokardium. Peningkatan d
inding akibat dilatasi menyebabkan peningkatan tuntutan oksigen dan pembesaran j
antung (hipertrophi) terutama pada jantung iskemik atau kerusakan yang menyebabk
an kegagalan mekanisme pemompaan.\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cbr \/\u
003E\u003Cb\u003EPenatalaksanaan\u003C\/b\u003E\u003Cbr \/\u003E\u003Cbr \/\u003
E\u003Cbr \/\u003E\u003Ci\u003ETerapi Non Farmakologis\u003C\/i\u003E\u003Cbr \/
\u003E\u003Cul\u003E\u003Cli\u003EIstirahat untuk mengurangi beban kerja jantung
\u003C\/li\u003E\u003Cli\u003EOksigenasi\u003C\/li\u003E\u003Cli\u003EDukungan d
iit : pembatasan natrium untuk mencegah, mengontrol atau menghilangkan oedema.\u
003C\/li\u003E\u003C\/ul\u003E\u003Ci\u003ETerapi Farmakologis :\u003C\/i\u003E\
u003Cbr \/\u003E\u003Cul\u003E\u003Cli\u003EGlikosida jantung. Digitalis, mening
katkan kekuatan kontraksi otot jantung dan memperlambat frekuensi jantung. Efek
yang dihasillkan : peningkatan curah jantung, penurunan tekanan vena dan volume
darah dan peningkatan diurisi dan mengurangi oedema.\u003C\/li\u003E\u003Cli\u00
3ETerapi diuretic, diberikan untuk memacu ekskresi natrium dan air melalui ginja
l. Penggunaan harus hati-hati karena efek samping hiponatremia dan hipokalemia\u
003C\/li\u003E\u003Cli\u003ETerapi vasodilator, obat-obat fasoaktif digunakan un
tuk mengurangi impadasi tekanan terhadap penyemburan darah oleh ventrikel. Obat
ini memperbaiki pengosongan ventrikel dan peningkatan kapasitas vena sehingga te
kanan pengisian ventrikel kiri dapat diturunkan.\u003C\/li\u003E\u003C\/ul\u003E
\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cdiv style=\"text-align: center;\"\u003E\
u003Cb\u003EProses keperawatan\u003C\/b\u003E\u003C\/div\u003E\u003Cbr \/\u003E\
u003Cb\u003EPengkajian Primer\u003C\/b\u003E\u003Cbr \/\u003E\u003Cbr \/\u003E1.
Airways\u003Cbr \/\u003E\u003Cul\u003E\u003Cli\u003ESumbatan atau penumpukan se
kret\u003C\/li\u003E\u003Cli\u003EWheezing atau krekles\u003C\/li\u003E\u003C\/u
l\u003E2. Breathing\u003Cbr \/\u003E\u003Cul\u003E\u003Cli\u003ESesak dengan akt
ifitas ringan atau istirahat\u003C\/li\u003E\u003Cli\u003ERR lebih dari 24 kali\
/menit, irama ireguler dangkal\u003C\/li\u003E\u003Cli\u003ERonchi, krekles\u003
C\/li\u003E\u003Cli\u003EEkspansi dada tidak penuh\u003C\/li\u003E\u003Cli\u003E
Penggunaan otot bantu nafas\u003C\/li\u003E\u003C\/ul\u003E3. Circulation\u003Cb
r \/\u003E\u003Cul\u003E\u003Cli\u003ENadi lemah , tidak teratur\u003C\/li\u003E
\u003Cli\u003ETakikardi\u003C\/li\u003E\u003Cli\u003ETD meningkat \/ menurun\u00
3C\/li\u003E\u003Cli\u003EEdema\u003C\/li\u003E\u003Cli\u003EGelisah\u003C\/li\u
003E\u003Cli\u003EAkral dingin\u003C\/li\u003E\u003Cli\u003EKulit pucat, sianosi
s\u003C\/li\u003E\u003Cli\u003EOutput urine menurun\u003C\/li\u003E\u003C\/ul\u0
03E\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cb\u003EPengkajian Sekunder\u003C\/b\u
003E\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Ci\u003ERiwayat Keperawatan\u003C\/i\
u003E\u003Cbr \/\u003E\u003Cbr \/\u003E1. Keluhan\u003Cbr \/\u003E\u003Cu
l\u003E\u003Cli\u003EDada terasa berat (seperti memakai baju ketat).\u003C\/li\u
003E\u003Cli\u003EPalpitasi atau berdebar-debar.\u003C\/li\u003E\u003Cli\u003EPa
roxysmal Nocturnal Dyspnea (PND) atau orthopnea, sesak nafas saat beraktivitas,
batuk (hemoptoe), tidur harus pakai bantal lebih dari dua buah.\u003C\/li\u003E\
u003Cli\u003ETidak nafsu makan, mual, dan muntah.\u003C\/li\u003E\u003Cli\u003EL
etargi (kelesuan) atau fatigue (kelelahan\u003C\/li\u003E\u003Cli\u003EInsomnia\
u003C\/li\u003E\u003Cli\u003EKaki bengkak dan berat badan bertambah\u003C\/li\u0
03E\u003Cli\u003EJumlah urine menurun\u003C\/li\u003E\u003Cli\u003ESerangan timb
ul mendadak\/ sering kambuh.\u003C\/li\u003E\u003C\/ul\u003E2. Riwayat pe
nyakit: hipertensi renal, angina, infark miokard kronis, diabetes melitus, bedah
jantung, dan disritmia.\u003Cbr \/\u003E3. Riwayat diet: intake gula, ga
ram, lemak, kafein, cairan, alkohol.\u003Cbr \/\u003E4. Riwayat pengobata
n: toleransi obat, obat-obat penekan fungsi jantung, steroid, jumlah cairan per-
IV, alergi terhadap obat tertentu.\u003Cbr \/\u003E5. Pola eliminasi orin
e: oliguria, nokturia.\u003Cbr \/\u003E6. Merokok: perokok, cara\/ jumlah
batang per hari, jangka waktu\u003Cbr \/\u003E7. Postur, kegelisahan, ke
cemasan\u003Cbr \/\u003E8. Faktor predisposisi dan presipitasi: obesitas,
asma, atau COPD yang merupakan faktor pencetus peningkatan kerja jantung dan me
mpercepat perkembangan CHF.\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Ci\u003EPemeri
ksaan Fisik\u003C\/i\u003E\u003Cbr \/\u003E1. Evaluasi status jantung: be
rat badan, tinggi badan, kelemahan, toleransi aktivitas, nadi perifer, displace
lateral PMI\/ iktus kordis, tekanan darah, mean arterial presure, bunyi jantung,
denyut jantung, pulsus alternans, Gallop s, murmur.\u003Cbr \/\u003E2. Respi
rasi: dispnea, orthopnea, suara nafas tambahan (ronkhi, rales, wheezing)\u003Cbr
\/\u003E3. Tampak pulsasi vena jugularis, JVP \u0026gt; 3 cmH2O, hepatoj
ugular refluks\u003Cbr \/\u003E4. Evaluasi faktor stress: menilai insomni
a, gugup atau rasa cemas\/ takut yang kronis\u003Cbr \/\u003E5. Palpasi a
bdomen: hepatomegali, splenomegali, asites\u003Cbr \/\u003E6. Konjungtiva
pucat, sklera ikterik\u003Cbr \/\u003E7. Capilary Refill Time (CRT)\u002
6nbsp; 2 detik, suhu akral dingin, diaforesis, warna kulit pucat, dan pitting ed
ema.\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cb\u003EDiagnosa Kep
erawatan\u003C\/b\u003E\u003Cbr \/\u003E\u003Cbr \/\u003E1. Penurunan perfusi ja
ringan b.d menurunnya curah jantung, hipoksemia jaringan, asidosis dan kemungkin
an thrombus atau emboli, kemungkinan dibuktikan oleh:\u003Cbr \/\u003E\u003Cul\u
003E\u003Cli\u003EDaerah perifer dingin, Nyeri dada\u003C\/li\u003E\u003Cli\u003
EEKG elevasi segmen ST dan Q patologis pada lead tertentu.\u003C\/li\u003E\u003C
li\u003ERR lebih dari 24 kali per menit, Nadi lebih dari 100 X\/menit\u003C\/li\
u003E\u003Cli\u003EKapiler refill lebih dari 3 detik\u003C\/li\u003E\u003Cli\u00
3EGambaran foto toraks terdapat pembesaran jantung dan kongestif paru\u003C\/li\
u003E\u003Cli\u003EHR lebih dari 100X\/menit, TD lebih dari 120\/80 mmHg, AGD de
ngan : pa O2 kurang dari 80 mmHg, pa CO2 lebih dari 45 mmHg dan saturasi 80 mmHg
.\u003C\/li\u003E\u003Cli\u003ETerjadi peningkatan enzim jantung yaitu CK, AST,
LDL\/HDL\u003C\/li\u003E\u003C\/ul\u003ETujuan :\u003Cbr \/\u003EGangguan perfus
i jaringan berkurang atau tidak meluas selama dilakukan tindakan perawatan\u003C
br \/\u003E\u003Cbr \/\u003EKriteria hasil :\u003Cbr \/\u003EDaerah perifer hang
at, tidak sianosis,gambaran EKG tak menunjukkan perluasan infark, RR 16-24 X\/mn
t, clubbing finger (-), kapiler refill 3-5 detik, nadi 60-100X\/mnt, TD 120\/80
mmHg.\u003Cbr \/\u003E\u003Cbr \/\u003EIntervensi :\u003Cbr \/\u003E\u003Cul\u00
3E\u003Cli\u003EMonitor frekuensi dan irama jantung\u003C\/li\u003E\u003Cli\u003
EObservasi perubahan status mental\u003C\/li\u003E\u003Cli\u003EObservasi warna
dan suhu kulit\/membran mukosa\u003C\/li\u003E\u003Cli\u003EUkur haluaran urin d
an catat berat jenisnya\u003C\/li\u003E\u003Cli\u003EKolaborasi : berikan cairan
IV sesuai indikasi\u003C\/li\u003E\u003Cli\u003EPantau pemeriksaan diagnostik d
an lab. Missal EKG, elektrolit, GDA (pa O2, pa CO2 dan saturasi O2), dan pemerik
saan oksigen\u003C\/li\u003E\u003C\/ul\u003E\u003Cbr \/\u003E2. Bersihan jalan n
afas tidak efektif b.d penumpukan sekret\u003Cbr \/\u003E\u003Cbr \/\u003ETujuan
:\u003Cbr \/\u003EJalan nafas efektif setelah dilakukan tindakan keperawatan s
elama di RS.\u003Cbr \/\u003E\u003Cbr \/\u003EKriteria hasil :\u003Cbr \/\u003ET
idak sesak nafas, RR normal (16-24 X\/menit) , tidak ada secret, suara nafas nor
mal\u003Cbr \/\u003E\u003Cbr \/\u003EIntervensi :\u003Cbr \/\u003E\u003Cul\u003E
\u003Cli\u003ECatat frekuensi \u0026amp; kedalaman pernafasan, penggunaan otot B
antu pernafasan.\u003C\/li\u003E\u003Cli\u003EAuskultasi paru untuk mengetahui p
enurunan\/tidak adanya bunyi nafas dan adanya bunyi tambahan missal krakles, ron
chi, dll\u003C\/li\u003E\u003Cli\u003ELakukan tindakan untuk memperbaiki\/memper
tahankan jalan nafas misal batuk, penghisapan lendir, dll\u003C\/li\u003E\u003Cl
i\u003ETinggikan kepala \/ mpat tidur sesuai kebutuhan \/ toleransi pasien\u003C
\/li\u003E\u003Cli\u003EKaji toleransi aktifitas misal keluhan kelemahan\/kelela
han selama kerja\u003C\/li\u003E\u003C\/ul\u003E\u003Cbr \/\u003E3. Pola nafas t
idak efektif b.d penurunan volume paru, hepatomegali, splenomegali, kemungkinan
dibuktikan oleh : perubahan kedalaman dan kecepatan pernafasan, gangguan penge
mbangan dada, GDA tidak normal.\u003Cbr \/\u003E\u003Cbr \/\u003ETujuan :\u003Cb
r \/\u003EPola nafas efektif setelah dilakukan tindakan keperawatab selama di R
S, RR normal, tidak ada bunyi nafas tambahan dan penggunaan otot Bantu pernafa
san dan GDA normal.\u003Cbr \/\u003E\u003Cbr \/\u003EIntervensi :\u003Cbr \/\u00
3E\u003Cul\u003E\u003Cli\u003EMonitor kedalaman pernafasan, frekuensi dan kespan
si dada\u003C\/li\u003E\u003Cli\u003ECatat upaya pernafasan termasuk penggunaan
otot Bantu nafas\u003C\/li\u003E\u003Cli\u003EAuskultasi bunyi nafas dan catat b
ila ada bunyi nafas tambahan\u003C\/li\u003E\u003Cli\u003ETinggikan kepala dan B
antu untuk mencapai posisi yang senyaman mungkin.\u003C\/li\u003E\u003Cli\u003EK
olaborasi pemberian oksigen dan pemeriksaan GDA.\u003C\/li\u003E\u003C\/ul\u003E
\u003Cbr \/\u003E4. Resiko tinggi terhadap kelebihan volume cairan ekstravaskule
r b.d penurunan perfusi ginjal, peningkatan natrium \/ retensi air, peningkatan
tekanan hidrostatik atau penurunan protein plasma ( menyerap cairan dalam area i
nterstisial \/ jaringan\u003Cbr \/\u003E\u003Cbr \/\u003ETujuan :\u003Cbr \/\u00
3EKeseimbangan volume cairan dapat dipertahankan selama dilakukan tindakan keper
awatan selama di rawat di RS\u003Cbr \/\u003E\u003Cbr \/\u003EKriteria hasil :\u
003Cbr \/\u003EMempertahankan keseimbangan cairan seperti dibuktikan oleh tekana
n darah dalam batas normal, tidak ada distensi vena perifer\/vena dan oedema dep
enden, paru bersih dan BB ideal (BB ideal = TB 100 10%)\u003Cbr \/\u003E\u003Cbr \/
\u003EIntervensi :\u003Cbr \/\u003E\u003Cul\u003E\u003Cli\u003EUkur masukan\/hal
uaran, catat penurunan, pengeluaran, sifat konsentrasi, hitung keseimbangan cair
an\u003C\/li\u003E\u003Cli\u003EObservasi adanya oedema dependen\u003C\/li\u003E
\u003Cli\u003ETimbang BB tiap hari\u003C\/li\u003E\u003Cli\u003EPertahankan masu
kan cairan 2000 ml\/24 jam dalam toleransi kardiovaskuler\u003C\/li\u003E\u003Cl
i\u003EKolaborasi : pemberian diit rendah natrium, berikan diuretic\u003C\/li\u0
03E\u003Cli\u003EKaji JVP setelah terapi diuretic\u003C\/li\u003E\u003Cli\u003EP
antau CVP dan tekanan darah\u003C\/li\u003E\u003C\/ul\u003E\u003Cbr \/\u003E\u00
3Cbr \/\u003E5. Intoleransi aktifitas b.d ketidakseimbangan antar suplai oksigen
miokard dan kebutuhan, adanya iskemik \/ nekrotik jaringan miokard, kemungkinan
dibuktikan oleh : gangguan frekuensi jantung, tekanan darah dalam katifitas, te
rjadinya disritmia dan kelemahan umum.\u003Cbr \/\u003E\u003Cbr \/\u003ETujuan :
\u003Cbr \/\u003ETerjadi peningkatan toleransi pada klien setelah dilaksanakan t
indakan keperawatan.\u003Cbr \/\u003E\u003Cbr \/\u003EKriteria hasil :\u003Cbr \
/\u003EFrekuensi jantung 60-100 X\/mnt, TD 120\/80 mmHg\u003Cbr \/\u003E\u003Cbr
\/\u003EIntervensi :\u003Cbr \/\u003E\u003Cul\u003E\u003Cli\u003ECatat frekuens
i jantung, irama dan perubahan TD selama dan sesudah aktifitas\u003C\/li\u003E\u
003Cli\u003ETingkatkan istirahat (ditempat tidur)\u003C\/li\u003E\u003Cli\u003EB
atasi aktifitas pada dasar nyeri dan berikan aktifitas sensori yang tidak berat\
u003C\/li\u003E\u003Cli\u003EJelaskan pola peningkatan bertahap dari tingkat akt
ifitas, contoh bangun dari kursi bila tidak ada nyeri, ambulasi dan istirahat se
lama 1 jam setelah makan.\u003C\/li\u003E\u003C\/ul\u003E\u003Cbr \/\u003E\u003C
br \/\u003E\u003Cbr \/\u003EDAFTAR PUSTAKA\u003Cbr \/\u003E\u003Cbr \/\u003E\u00
3Cbr \/\u003E1. Doengoes, Marilyn C, Rencana Asuhan Keperawatan: Pedoman un
tuk perencanaan dan pendokumentasian perawatan pasien, Edisi 3 Jakarta: EGC, 199
9\u003Cbr \/\u003E2. Hudak, Gallo, Keperawatan Kritis: Pendekatan Holistik,
Edisi IV, Jakarta, EGC: 1997\u003Cbr \/\u003E3.Price, Sylvia, Patofisiologi: Ko
nsep Klinis Proses Proses Penyakit, Edisi 4, Jakarta: EGC, 1999\u003Cbr \/\u003E4.
Smeltzer, Bare, Buku Ajar keperawatan Medical Bedah, Bruner \u0026amp; Suddart,
Edisi 8, Jakarta, EGC, 2001"},"link":[{"rel":"edit","type":"application/atom+xml
","href":"http:\/\/www.blogger.com\/feeds\/1897108655767517628\/posts\/default\/
6069068647525586001"},{"rel":"self","type":"application/atom+xml","href":"http:\
/\/www.blogger.com\/feeds\/1897108655767517628\/posts\/default\/6069068647525586
001"},{"rel":"alternate","type":"text/html","href":"http:\/\/askep-asuhankeperaw
atan.blogspot.com\/2015\/01\/askep-chf-congestive-heart-failure.html","title":"A
skep CHF Congestive Heart Failure"}],"author":[{"name":{"$t":"Bapake Adhe \u0026
amp; Dika"},"uri":{"$t":"http:\/\/www.blogger.com\/profile\/04284488757504843291
"},"email":{"$t":"noreply@blogger.com"},"gd$image":{"rel":"http://schemas.google
.com/g/2005#thumbnail","width":"16","height":"16","src":"http:\/\/img2.blogblog.
com\/img\/b16-rounded.gif"}}],"media$thumbnail":{"xmlns$media":"http://search.ya
hoo.com/mrss/","url":"http:\/\/1.bp.blogspot.com\/-_5FJSQG3aFQ\/VK1QPeb_fpI\/AAA
AAAAAALY\/BA5P6k3fipk\/s72-c\/Nursing%2BCare%2BPlan%2Bfor%2BCongestive%2BHeart%2
BFailure.jpeg","height":"72","width":"72"}},{"id":{"$t":"tag:blogger.com,1999:bl
og-1897108655767517628.post-8627715526677147264"},"published":{"$t":"2015-01-07T
00:23:00.002+07:00"},"updated":{"$t":"2015-01-07T00:23:48.443+07:00"},"category"
:[{"scheme":"http://www.blogger.com/atom/ns#","term":"Diabetes Gestasional"},{"s
cheme":"http://www.blogger.com/atom/ns#","term":"Patofisiologi dan Pathway"},{"s
cheme":"http://www.blogger.com/atom/ns#","term":"Patofisiologi Diabetes Gestasio
nal"}],"title":{"type":"text","$t":"Patofisiologi Diabetes Gestasional"},"conten
t":{"type":"html","$t":"\u003Cb\u003EDiabetes Gestasional\u003C\/b\u003E\u003Cbr
\/\u003E\u003Cbr \/\u003EMekanisme yang tepat yang mendasari diabetes gestation
al masih belum diketahui. Ciri dari GDM Adalah peningkatan resistensi insulin. H
ormon kehamilan dan faktor-faktor lain yang diduga mengganggu aksi insulin karen
a berikatan dengan reseptor insulin. Gangguan mungkin terjadi pada tingkat jalur
sinyal sel balik reseptor insulin. Karena insulin mempromosikan masuknya glukos
a ke dalam sel yang paling, resistensi insulin mencegah glukosa memasuki sel den
gan baik. Akibatnya, glukosa tetap dalam aliran darah, di mana kadar glukosa men
ingkat. Lebih banyak insulin dibutuhkan untuk mengatasi hambatan ini ; sekitar 1
,5-2,5 kali lebih banyak insulin yang diproduksi dari dalam kehamilan normal. \u
003Cbr \/\u003E\u003Cbr \/\u003E\u003Cdiv class=\"separator\" style=\"clear: bot
h; text-align: center;\"\u003E\u003Ca href=\"http:\/\/2.bp.blogspot.com\/-x8C-Xd
rFocM\/VKwaCrnIesI\/AAAAAAAAALI\/_tAft4d3lsU\/s1600\/Patofisiologi%2BDiabetes%2B
Gestasional.jpeg\" imageanchor=\"1\" style=\"clear: left; float: left; margin-bo
ttom: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" src=\"http:\/\/2.bp.
blogspot.com\/-x8C-XdrFocM\/VKwaCrnIesI\/AAAAAAAAALI\/_tAft4d3lsU\/s1600\/Patofi
siologi%2BDiabetes%2BGestasional.jpeg\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E
Resistensi insulin adalah fenomena biasa muncul pada trimester kedua kehamilan,
yang dalam kasus GDM berlangsung sesudahnya untuk tingkat yang terlihat pada ora
ng yang tidak hamil dengan diabetes tipe 2. Diperkirakan untuk mengamankan pasok
an glukosa untuk pertumbuhan janin. Wanita dengan GDM memiliki resistensi insuli
n bahwa mereka tidak dapat mengimbangi dengan peningkatan produksi di - sel pankr
eas. Hormon plasenta , dan pada tingkat lebih rendah meningkat timbunan lemak se
lama kehamilan, tampaknya memediasi resistensi insulin selama kehamilan. Kortiso
l dan progesteron adalah penyebab utama, tapi laktogen plasenta manusia, prolakt
in dan estradiol berkontribusi juga. Analisis regresi bertahap multivariat menun
jukkan bahwa, dalam kombinasi dengan hormon lain plasenta, leptin, tumor necrosi
s factor alpha, dan resistin terlibat dalam penurunan resistensi insulin yang te
rjadi selama kehamilan, dengan tumor necrosis factor alpha disebut sebagai predi
ktor independen terkuat dari sensitivitas insulin pada kehamilan. \u003Cbr \/\u0
03E\u003Cbr \/\u003ETidak jelas mengapa beberapa wanita tidak dapat menyeimbangk
an kebutuhan insulin dan mengembangkan GDM ; Namun, sejumlah penjelasan telah di
berikan, mirip dengan yang di diabetes tipe 2 : autoimunitas, mutasi gen tunggal
, obesitas, bersama dengan mekanisme lain.\u003Cbr \/\u003E\u003Cbr \/\u003EKare
na glukosa perjalanan melintasi plasenta (melalui difusi difasilitasi oleh GLUT1
carrier), yang terletak di sinsitiotrofoblas pada kedua microvillus dan membran
basal, membran ini dapat menjadi langkah tingkat-membatasi dalam transportasi g
lukosa plasenta. Ada dua sampai tiga kali lipat peningkatan dalam ekspresi trans
porter glukosa sinsitiotrofoblas dengan memajukan kehamilan. Akhirnya, peran tra
nsportasi GLUT3 \/ GLUT4 masih bersifat spekulatif. Jika tidak diobati diabetes
gestasional janin terkena kadar glukosa secara konsisten lebih tinggi, hal ini m
enyebabkan peningkatan kadar insulin janin (insulin sendiri tidak dapat melewati
plasenta). Efek pertumbuhan merangsang insulin dapat menyebabkan pertumbuhan ya
ng berlebihan dan tubuh besar (makrosomia). Setelah lahir, lingkungan glukosa ya
ng tinggi menghilang, meninggalkan bayi yang baru lahir ini dengan produksi insu
lin tinggi yang berkelanjutan dan kerentanan terhadap kadar glukosa darah rendah
(hipoglikemia).\u003Cbr \/\u003E\u003Cbr \/\u003E"},"link":[{"rel":"edit","type
":"application/atom+xml","href":"http:\/\/www.blogger.com\/feeds\/18971086557675
17628\/posts\/default\/8627715526677147264"},{"rel":"self","type":"application/a
tom+xml","href":"http:\/\/www.blogger.com\/feeds\/1897108655767517628\/posts\/de
fault\/8627715526677147264"},{"rel":"alternate","type":"text/html","href":"http:
\/\/askep-asuhankeperawatan.blogspot.com\/2015\/01\/patofisiologi-diabetes-gesta
sional.html","title":"Patofisiologi Diabetes Gestasional"}],"author":[{"name":{"
$t":"Bapake Adhe \u0026amp; Dika"},"uri":{"$t":"http:\/\/www.blogger.com\/profil
e\/04284488757504843291"},"email":{"$t":"noreply@blogger.com"},"gd$image":{"rel"
:"http://schemas.google.com/g/2005#thumbnail","width":"16","height":"16","src":"
http:\/\/img2.blogblog.com\/img\/b16-rounded.gif"}}],"media$thumbnail":{"xmlns$m
edia":"http://search.yahoo.com/mrss/","url":"http:\/\/2.bp.blogspot.com\/-x8C-Xd
rFocM\/VKwaCrnIesI\/AAAAAAAAALI\/_tAft4d3lsU\/s72-c\/Patofisiologi%2BDiabetes%2B
Gestasional.jpeg","height":"72","width":"72"}},{"id":{"$t":"tag:blogger.com,1999
:blog-1897108655767517628.post-185057386599921630"},"published":{"$t":"2015-01-0
6T11:14:00.001+07:00"},"updated":{"$t":"2015-01-06T11:14:19.433+07:00"},"categor
y":[{"scheme":"http://www.blogger.com/atom/ns#","term":"Diabetes Melitus"},{"sch
eme":"http://www.blogger.com/atom/ns#","term":"Patofisiologi dan Pathway"},{"sch
eme":"http://www.blogger.com/atom/ns#","term":"Patofisiologi dan Pathway Diabete
s Melitus (DM)"}],"title":{"type":"text","$t":"Patofisiologi dan Pathway Diabete
s Melitus (DM)"},"content":{"type":"html","$t":"\u003Cbr \/\u003E\u003Cb\u003EPa
tofisiologi Diabetes Melitus (DM) \u003C\/b\u003E\u003Cbr \/\u003E\u003Cbr \/\u0
03EPatofisiologi Diabetes tipe I. Pada diabetes tipe satu terdapat ketidakmampu
an untuk menghasilkan insulin karena sel-sel beta pankreas telah dihancurkan ole
h proses autoimun. Hiperglikemi puasa terjadi akibat produkasi glukosa yang tida
k terukur oleh hati. Di samping itu glukosa yang berasal dari makanan tidak dapa
t disimpan dalam hati meskipun tetap berada dalam darah dan menimbulkan hipergli
kemia posprandial (sesudah makan).\u003Cbr \/\u003EJika konsentrasi glukosa dala
m darah cukup tinggi maka ginjal tidak dapat menyerap kembali semua glukosa yang
tersaring keluar, akibatnya glukosa tersebut muncul dalam urin (glukosuria). Ke
tika glukosa yang berlebihan di ekskresikan ke dalam urin, ekskresi ini akan dis
ertai pengeluaran cairan dan elektrolit yang berlebihan. Keadaan ini dinamakan d
iuresis osmotik. Sebagai akibat dari kehilangan cairan berlebihan, pasien akan m
engalami peningkatan dalam berkemih (poliuria) dan rasa haus (polidipsia).\u003C
br \/\u003E\u003Cbr \/\u003EDefisiensi insulin juga akan menggangu metabolisme p
rotein dan lemak yang menyebabkan penurunan berat badan. Pasien dapat mengalami
peningkatan selera makan (polifagia), akibat menurunnya simpanan kalori. Gejala
lainnya mencakup kelelahan dan kelemahan. Dalam keadaan normal insulin mengenda
likan glikogenolisis (pemecahan glukosa yang disimpan) dan glukoneogenesis (pemb
entukan glukosa baru dari dari asam-asam amino dan substansi lain), namun pada p
enderita defisiensi insulin, proses ini akan terjadi tanpa hambatan dan lebih la
njut akan turut menimbulkan hiperglikemia. Disamping itu akan terjadi pemecahan
lemak yang mengakibatkan peningkatan produksi badan keton yang merupakan produk
samping pemecahan lemak. Badan keton merupakan asam yang menggangu keseimbangan
asam basa tubuh apabila jumlahnya berlebihan. Ketoasidosis yang diakibatkannya d
apat menyebabkan tanda-tanda dan gejala seperti nyeri abdomen, mual, muntah, hip
erventilasi, nafas berbau aseton dan bila tidak ditangani akan menimbulkan perub
ahan kesadaran, koma bahkan kematian. Pemberian insulin bersama cairan dan elekt
rolit sesuai kebutuhan akan memperbaiki dengan cepat kelainan metabolik tersebut
dan mengatasi gejala hiperglikemi serta ketoasidosis. Diet dan latihan disertai
pemantauan kadar gula darah yang sering merupakan komponen terapi yang penting.
\u003Cbr \/\u003E\u003Cbr \/\u003EDiabetes tipe II. Pada diabetes tipe II terdap
at dua masalah utama yang berhubungan dengan insulin yaitu resistensi insulin da
n gangguan sekresi insulin. Normalnya insulin akan terikat dengan reseptor khusu
s pada permukaan sel. Sebagai akibat terikatnya insulin dengan resptor tersebut,
terjadi suatu rangkaian reaksi dalam metabolisme glukosa di dalam sel. Resisten
si insulin pada diabetes tipe II disertai dengan penurunan reaksi intrasel ini.
Dengan demikian insulin menjadi tidak efektif untuk menstimulasi pengambilan glu
kosa oleh jaringan.\u003Cbr \/\u003E\u003Cbr \/\u003EUntuk mengatasi resistensi
insulin dan untuk mencegah terbentuknya glukosa dalam darah, harus terdapat peni
ngkatan jumlah insulin yang disekresikan. Pada penderita toleransi glukosa terga
nggu, keadaan ini terjadi akibat sekresi insulin yang berlebihan dan kadar gluko
sa akan dipertahankan pada tingkat yang normal atau sedikit meningkat. Namun dem
ikian, jika sel-sel beta tidak mampu mengimbangi peningkatan kebutuhan akan insu
lin, maka kadar glukosa akan meningkat dan terjadi diabetes tipe II. Meskipun te
rjadi gangguan sekresi insulin yang merupakan ciri khas DM tipe II, namun masih
terdapat insulin dengan jumlah yang adekuat untuk mencegah pemecahan lemak dan p
roduksi badan keton yang menyertainya. Karena itu ketoasidosis diabetik tidak te
rjadi pada diabetes tipe II. Meskipun demikian, diabetes tipe II yang tidak terk
ontrol dapat menimbulkan masalah akut lainnya yang dinamakan sindrom hiperglikem
ik hiperosmoler nonketoik (HHNK).\u003Cbr \/\u003E\u003Cbr \/\u003EDiabetes tipe
II paling sering terjadi pada penderita diabetes yang berusia lebih dari 30 tah
un dan obesitas. Akibat intoleransi glukosa yang berlangsung lambat (selama bert
ahun-tahun) dan progresif, maka awitan diabetes tipe II dapat berjalan tanpa ter
deteksi. Jika gejalanya dialami pasien, gejala tersebut sering bersifat ringan d
an dapat mencakup kelelahan, iritabilitas, poliuria, polidipsi, luka pada kulit
yang lama sembuh-sembuh, infeksi vagina atau pandangan yang kabur (jika kadra gl
ukosanya sangat tinggi).\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cbr \/\u003E\u003
Cb\u003EPathway Diabetes Melitus (DM)\u003C\/b\u003E\u003Cbr \/\u003E\u003Cbr \/
\u003E\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u
003E\u003Ca href=\"http:\/\/4.bp.blogspot.com\/-Blb9grEQuTI\/VKtg8Qjlu5I\/AAAAAA
AAAK4\/suqbubsPjmg\/s1600\/Patofisiologi%2Bdan%2BPathway%2BDiabetes%2BMelitus%2B
(DM).jpg\" imageanchor=\"1\" style=\"margin-left: 1em; margin-right: 1em;\"\u003
E\u003Cimg alt=\"Patofisiologi dan Pathway Diabetes Melitus (DM)\" border=\"0\"
src=\"http:\/\/4.bp.blogspot.com\/-Blb9grEQuTI\/VKtg8Qjlu5I\/AAAAAAAAAK4\/suqbub
sPjmg\/s1600\/Patofisiologi%2Bdan%2BPathway%2BDiabetes%2BMelitus%2B(DM).jpg\" he
ight=\"400\" width=\"393\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\u003Cbr \/\u
003E"},"link":[{"rel":"edit","type":"application/atom+xml","href":"http:\/\/www.
blogger.com\/feeds\/1897108655767517628\/posts\/default\/185057386599921630"},{"
rel":"self","type":"application/atom+xml","href":"http:\/\/www.blogger.com\/feed
s\/1897108655767517628\/posts\/default\/185057386599921630"},{"rel":"alternate",
"type":"text/html","href":"http:\/\/askep-asuhankeperawatan.blogspot.com\/2015\/
01\/patofisiologi-dan-pathway-diabetes.html","title":"Patofisiologi dan Pathway
Diabetes Melitus (DM)"}],"author":[{"name":{"$t":"Bapake Adhe \u0026amp; Dika"},
"uri":{"$t":"http:\/\/www.blogger.com\/profile\/04284488757504843291"},"email":{
"$t":"noreply@blogger.com"},"gd$image":{"rel":"http://schemas.google.com/g/2005#
thumbnail","width":"16","height":"16","src":"http:\/\/img2.blogblog.com\/img\/b1
6-rounded.gif"}}],"media$thumbnail":{"xmlns$media":"http://search.yahoo.com/mrss
/","url":"http:\/\/4.bp.blogspot.com\/-Blb9grEQuTI\/VKtg8Qjlu5I\/AAAAAAAAAK4\/su
qbubsPjmg\/s72-c\/Patofisiologi%2Bdan%2BPathway%2BDiabetes%2BMelitus%2B(DM).jpg"
,"height":"72","width":"72"}},{"id":{"$t":"tag:blogger.com,1999:blog-18971086557
67517628.post-1829038976685864165"},"published":{"$t":"2015-01-06T11:09:00.000+0
7:00"},"updated":{"$t":"2015-01-06T11:09:10.538+07:00"},"category":[{"scheme":"h
ttp://www.blogger.com/atom/ns#","term":"Hipertensi"},{"scheme":"http://www.blogg
er.com/atom/ns#","term":"Patofisiologi dan Pathway"},{"scheme":"http://www.blogg
er.com/atom/ns#","term":"Patofisiologi dan Pathway Hipertensi"}],"title":{"type"
:"text","$t":"Patofisiologi dan Pathway Hipertensi"},"content":{"type":"html","$
t":"\u003Cbr \/\u003E\u003Cb\u003EPatofisiologi Hipertensi\u003C\/b\u003E\u003Cb
r \/\u003E\u003Cbr \/\u003EMekanisme yang mengontrol konstriksi dan relaksasi pe
mbuluh darah terletak dipusat vasomotor, pada medulla diotak. Dari pusat vasomot
or ini bermula jaras saraf simpatis, yang berlanjut ke bawah ke korda spinalis d
an keluar dari kolumna medulla spinalis ganglia simpatis di toraks dan abdomen.
Rangsangan pusat vasomotor dihantarkan dalam bentuk impuls yang bergerak ke bawa
h melalui system saraf simpatis ke ganglia simpatis. Pada titik ini, neuron preg
anglion melepaskan asetilkolin, yang akan merangsang serabut saraf pasca ganglio
n ke pembuluh darah, dimana dengan dilepaskannya noreepineprin mengakibatkan kon
striksi pembuluh darah. Berbagai faktor seperti kecemasan dan ketakutan dapat me
mpengaruhi respon pembuluh darah terhadap rangsang vasokonstriksi. Individu deng
an hipertensi sangat sensitiv terhadap norepinefrin, meskipun tidak diketahui de
ngan jelas mengapa hal tersebut bisa terjadi.\u003Cbr \/\u003E\u003Cbr \/\u003EP
ada saat bersamaan dimana sistem saraf simpatis merangsang pembuluh darah sebaga
i respons rangsang emosi, kelenjar adrenal juga terangsang, mengakibatkan tambah
an aktivitas vasokonstriksi. Medulla adrenal mensekresi epinefrin, yang menyebab
kan vasokonstriksi. Korteks adrenal mensekresi kortisol dan steroid lainnya, yan
g dapat memperkuat respons vasokonstriktor pembuluh darah. Vasokonstriksi yang m
engakibatkan penurunan aliran ke ginjal, menyebabkan pelepasan rennin. Renin mer
angsang pembentukan angiotensin I yang kemudian diubah menjadi angiotensin II, s
uatu vasokonstriktor kuat, yang pada gilirannya merangsang sekresi aldosteron ol
eh korteks adrenal. Hormon ini menyebabkan retensi natrium dan air oleh tubulus
ginjal, menyebabkan peningkatan volume intra vaskuler. Semua faktor ini cenderun
g mencetuskan keadaan hipertensi.\u003Cbr \/\u003E\u003Cbr \/\u003ESebagai perti
mbangan gerontologis dimana terjadi perubahan structural dan fungsional pada sys
tem pembuluh perifer bertanggungjawab pada perubahan tekanan darah yang terjadi
pada usia lanjut. Perubahan tersebut meliputi aterosklerosis, hilangnya elastisi
tas jaringan ikat dan penurunan dalam relaksasi otot polos pembuluh darah, yang
pada gilirannya menurunkan kemampuan distensi dan daya regang pembuluh darah. Ko
nsekuensinya, aorta dan arteri besar berkurang kemampuannya dalam mengakomodasi
volume darah yang dipompa oleh jantung (volume sekuncup) mengakibatkan penurunan
curang jantung dan peningkatan tahanan perifer (Smeltzer, 2001).\u003Cbr \/\u00
3E\u003Cbr \/\u003EPada usia lanjut perlu diperhatikan kemungkinan adanya hipertens
i palsu disebabkan kekakuan arteri brachialis sehingga tidak dikompresi oleh cuff s
phygmomanometer (Darmojo, 1999).\u003Cbr \/\u003E\u003Cbr \/\u003EMenurunnya ton
us vaskuler merangsang saraf simpatis yang diteruskan ke sel jugularis. Dari sel
jugularis ini bisa meningkatkan tekanan darah. Dan apabila diteruskan pada ginj
al, maka akan mempengaruhi eksresi pada rennin yang berkaitan dengan Angiotensin
ogen. Dengan adanya perubahan pada angiotensinogen II berakibat pada terjadinya
vasokontriksi pada pembuluh darah, sehingga terjadi kenaikan tekanan darah.Selai
n itu juga dapat meningkatkan hormone aldosteron yang menyebabkan retensi natriu
m. Hal tersebut akan berakibat pada peningkatan tekanan darah. Dengan peningkata
n tekanan darah maka akan menimbulkan kerusakan pada organ-organ seperti jantung
. ( Suyono, Slamet. 1996 ).\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cbr \/\u003E\u
003Cb\u003EPathway Hipertensi\u003C\/b\u003E\u003Cbr \/\u003E\u003Cbr \/\u003E\u
003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\u00
3Ca href=\"http:\/\/3.bp.blogspot.com\/-Fzs7zqScH0U\/VKtfwOlCxQI\/AAAAAAAAAKs\/1
1uwNkmZLCA\/s1600\/Patofisiologi%2Bdan%2BPathway%2BHipertensi.png\" imageanchor=
\"1\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg alt=\"Patofi
siologi dan Pathway Hipertensi\" border=\"0\" src=\"http:\/\/3.bp.blogspot.com\/
-Fzs7zqScH0U\/VKtfwOlCxQI\/AAAAAAAAAKs\/11uwNkmZLCA\/s1600\/Patofisiologi%2Bdan%
2BPathway%2BHipertensi.png\" height=\"400\" width=\"335\" \/\u003E\u003C\/a\u003
E\u003C\/div\u003E"},"link":[{"rel":"edit","type":"application/atom+xml","href":
"http:\/\/www.blogger.com\/feeds\/1897108655767517628\/posts\/default\/182903897
6685864165"},{"rel":"self","type":"application/atom+xml","href":"http:\/\/www.bl
ogger.com\/feeds\/1897108655767517628\/posts\/default\/1829038976685864165"},{"r
el":"alternate","type":"text/html","href":"http:\/\/askep-asuhankeperawatan.blog
spot.com\/2015\/01\/patofisiologi-dan-pathway-hipertensi.html","title":"Patofisi
ologi dan Pathway Hipertensi"}],"author":[{"name":{"$t":"Bapake Adhe \u0026amp;
Dika"},"uri":{"$t":"http:\/\/www.blogger.com\/profile\/04284488757504843291"},"e
mail":{"$t":"noreply@blogger.com"},"gd$image":{"rel":"http://schemas.google.com/
g/2005#thumbnail","width":"16","height":"16","src":"http:\/\/img2.blogblog.com\/
img\/b16-rounded.gif"}}],"media$thumbnail":{"xmlns$media":"http://search.yahoo.c
om/mrss/","url":"http:\/\/3.bp.blogspot.com\/-Fzs7zqScH0U\/VKtfwOlCxQI\/AAAAAAAA
AKs\/11uwNkmZLCA\/s72-c\/Patofisiologi%2Bdan%2BPathway%2BHipertensi.png","height
":"72","width":"72"}},{"id":{"$t":"tag:blogger.com,1999:blog-1897108655767517628
.post-3584594906561992378"},"published":{"$t":"2015-01-01T22:17:00.002+07:00"},"
updated":{"$t":"2015-01-01T22:18:45.104+07:00"},"category":[{"scheme":"http://ww
w.blogger.com/atom/ns#","term":"Low Back Pain"},{"scheme":"http://www.blogger.co
m/atom/ns#","term":"Patofisiologi dan Pathway"},{"scheme":"http://www.blogger.co
m/atom/ns#","term":"Patofisiologi dan Pathway Low Back Pain \/ Nyeri Punggung Ba
wah"}],"title":{"type":"text","$t":"Patofisiologi dan Pathway Low Back Pain \/ N
yeri Punggung Bawah"},"content":{"type":"html","$t":"\u003Cb\u003ELow Back Pain
\/ Nyeri Punggung Bawah\u003C\/b\u003E\u003Cbr \/\u003E\u003Cbr \/\u003ENyeri ad
alah pengalaman sensori dan emosional yang tidak menyenangkan akibat dari kerusa
kan jaringan yang actual maupun potensial. Definisi keperawatan tentang nyeri ad
alah, apapun yang menyakitkan tubuh yang dikatakan individu\/seseorang yang meng
alaminya, yang ada kapanpun orang tersebut mengatakannya.\u003Cbr \/\u003E\u003C
br \/\u003ELow Back Pain adalah suatu tipe nyeri yang membutuhkan pengobatan med
is walaupun sering jika ada trauma secara tiba-tiba dan dapat menjadi kronik pad
a masalah kehidupan seperti fisik,mental,social dan ekonomi (Barbara).\u003Cbr \
/\u003E\u003Cbr \/\u003ELow Back Pain adalah nyeri kronik didalam lumbal,biasany
a disebabkan oleh terdesaknya para vertebral otot, herniasi dan regenerasi dari
nucleus pulposus,osteoartritis dari lumbal sacral pada tulang belakang (Brunner,
1999).\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cbr \/\u003EPenyebab\u003Cbr \/\u00
3E\u003Cbr \/\u003EPenyebab low back pain bermacam-macam dan multifaktor. Dianta
ranya adalah:\u003Cbr \/\u003E\u003Cbr \/\u003E1. Kelainan kongenital\u003C
br \/\u003E\u003Cblockquote class=\"tr_bq\"\u003Ea) Spondilolisis dan spond
ilolistesis\u003C\/blockquote\u003E\u003Cblockquote class=\"tr_bq\"\u003E\u003Cb
lockquote class=\"tr_bq\"\u003EPada spondilolisis tampak bahwa sewaktu pembentuk
an korpus vertebrae itu (in utero) arkus vertebrae tidak bertemu dengan korpus v
ertebraenya sendiri. Pada spondilolitesis, korpus vertebrae itu sendiri (biasany
a L5) tergeser ke depan.\u003C\/blockquote\u003E\u003C\/blockquote\u003E\u003Cbl
ockquote class=\"tr_bq\"\u003E\u003Cblockquote class=\"tr_bq\"\u003EWalaupun kej
adian ini terjadi sewaktu bayi masih berada dalam kandungan, namun (oleh karena
timbulnya kelainan-kelainan degeneratif) sesudah berumur 35 tahun, barulah timbu
l keluhan nyeri pinggang. Nyeri ini dapat berkurang atau hilang bila penderita d
uduk atau tidur dan bertambah parah jika penderita berdiri atau berjalan.\u003C\
/blockquote\u003E\u003C\/blockquote\u003E\u003Cblockquote class=\"tr_bq\"\u003Eb
) Spondylosis lumbal\u003C\/blockquote\u003E\u003Cblockquote class=\"tr_bq\
"\u003E\u003Cblockquote class=\"tr_bq\"\u003EPenyakit sendi degeneratif yang men
genai vertebra lumbal dan discus intervertebralis, yang menyebabkan nyeri dan ke
kakuan.\u003C\/blockquote\u003E\u003C\/blockquote\u003E\u003Cblockquote class=\"
tr_bq\"\u003Ec) Spondylitis\u003C\/blockquote\u003E\u003Cblockquote class=\
"tr_bq\"\u003E\u003Cblockquote class=\"tr_bq\"\u003ESuatu bentuk degeneratif sen
di yang mengenai tulang belakang. Ini merupakan penyakit sistemik yang etiologin
ya tidak diketahui, terutama mengenai orang muda dan menyebabkan rasa nyeri dan
kekakuan sebagai akibat peradangan sendi-sendi dengan osifikasi sendi tulang bel
akang.\u003C\/blockquote\u003E\u003C\/blockquote\u003E2. Trauma dan ganggua
n mekanis\u003Cbr \/\u003E\u003Cblockquote class=\"tr_bq\"\u003EPada orang-orang
yang tidak biasa melakukan pekerjaan otot atau sudah lama tidak melakukan kegia
tan ini dapat menderita nyeri pinggang bawah yang akut. Adanya fraktur pada sala
h satu prosesus tranversus pada orang-orang yang melakukan kegiatan olahraga yan
g terlalu dipaksakan juga dapat menjadi penyebab nyeri pinggang bagian bawah (lo
w back pain). Selain itu pada penderita dengan obesitas mungkin perut yang besar
dapat mengganggu keseimbangan statik dan kinetik dari tulang belakang sehingga
dapat timbul nyeri pinggang.\u003C\/blockquote\u003E3. Radang (inflamasi)\u
003Cbr \/\u003E\u003Cblockquote class=\"tr_bq\"\u003EArtritis rematoid dapat mel
ibatkan persendian sinoval pada vertebra. Artritis rematoid merupakan suatu pros
es yang melibatkan jaringan ikat mesenkimal.\u003C\/blockquote\u003E4. Tumo
r (neoplasma)\u003Cbr \/\u003E\u003Cblockquote class=\"tr_bq\"\u003ETumor verteb
ra dan medulla spinalis dapat jinak ataupun ganas. Pada tumor jinak dapat mengen
ai tulang atau jaringan lunak yang menimbulkan nyeri yang menetap. Sifat nyeri p
ada tumor ganas lebih hebat daripada tumor jinak.\u003C\/blockquote\u003E5.
Gangguan metabolik\u003Cbr \/\u003E\u003Cblockquote class=\"tr_bq\"\u003EOsteop
orosis akibat gangguan metabolik yang merupakan penyebab banyak keluhan nyeri pa
da pinggang yang dapat disebabkan oleh karena kekurangan protein ataupun oleh ga
ngguan hormonal misalnya menupause.\u003C\/blockquote\u003E6. Psikis\u003Cb
r \/\u003E\u003Cblockquote class=\"tr_bq\"\u003EBanyak gangguan psikis yang dapa
t memberikan gejalan low back pain, misalnya ansietas yang dapat menyebabkan teg
ang otot yang mengakibatkan rasa nyeri, misalnya di kuduk atai di pinggang. Rasa
nyeri ini dapat pula kemudian menambah meningkatnya keadaan ansietas dan di iku
ti oleh meningkatnya tegang otot dan rasa nyeri. \u003C\/blockquote\u003E\u003Cb
r \/\u003E\u003Cbr \/\u003EManifestasi Klinis\u003Cbr \/\u003E\u003Cbr \/\u003E1
. Perubahan dalam gaya berjalan\u003Cbr \/\u003E\u003Cul\u003E\u003Cli\u003EB
erjalan terasa kaku\u003C\/li\u003E\u003Cli\u003ETidak bias memutar punggung\u00
3C\/li\u003E\u003Cli\u003EPincang\u003C\/li\u003E\u003C\/ul\u003E2. Persyarap
an\u003Cbr \/\u003E\u003Cul\u003E\u003Cli\u003EKetika dites dengan cahaya dan se
ntuhan dengan peniti,pasien merasakan sensasi pada kedua anggota badan,tetapi me
ngalami sensasi yang lebih kuat pada daerah yang tidak dirangsang.\u003C\/li\u00
3E\u003Cli\u003ETidak terkontrol Bab dan Bak.\u003C\/li\u003E\u003C\/ul\u003E3.
Nyeri\u003Cbr \/\u003E\u003Cul\u003E\u003Cli\u003ENyeri punggung akut maupun
kronis lebih dari dua bulan\u003C\/li\u003E\u003Cli\u003ENyeri saat berjalan den
gan menggunakan tumit\u003C\/li\u003E\u003Cli\u003ENyeri otot dalam\u003C\/li\u0
03E\u003Cli\u003ENyeri menyebar kebagian bawah belakang kaki\u003C\/li\u003E\u00
3Cli\u003ENyeri panas pada paha bagian belakang atau betis\u003C\/li\u003E\u003C
li\u003ENyeri pada pertengahan bokong\u003C\/li\u003E\u003Cli\u003ENyeri berat p
ada kaki semakin meningkat\u003C\/li\u003E\u003C\/ul\u003E\u003Cbr \/\u003E\u003
Cbr \/\u003E\u003Cb\u003EPatofisiologi Low Back Pain \/ Nyeri Punggung Bawah\u00
3C\/b\u003E\u003Cbr \/\u003E\u003Cb\u003E\u003Cbr \/\u003E\u003C\/b\u003EStruktu
r spesifik dalam system saraf terlibat dalam mengubah stimulus menjadi sensasi n
yeri. Sistem yang terlibat dalam transmisi dan persepsi nyeri disebut sebagai sy
stem nosiseptif. Sensitifitas dari komponen system nosiseptif dapat dipengaruhi
oleh sejumlah factor dan berbeda diantara individu. Tidak semua orang yang terpa
jan terhadap stimulus yang sama mengalami intensitas nyeri yang sama. Sensasi sa
ngat nyeri bagi seseorang mungkin hampir tidak terasa bagi orang lain.\u003Cbr \
/\u003EReseptor nyeri (nosiseptor) adalah ujung saraf bebas dalam kulit yang ber
espons hanya pada stimulus yang kuat, yang secara potensial merusak, dimana stim
uli tersebut sifatnya bisa kimia, mekanik, termal. Reseptor nyeri merupakan jara
s multi arah yang kompleks. Serabut saraf ini bercabang sangat dekat dengan asal
nya pada kulit dan mengirimkan cabangnya ke pembuluh darah local. Sel-sel mast,
folikel rambut dan kelenjar keringat. Stimuli serabut ini mengakibatkan pelepasa
n histamin dari sel-sel mast dan mengakibatkan vasodilatasi. Serabut kutaneus te
rletak lebih kearah sentral dari cabang yang lebih jauh dan berhubungan dengan r
antai simpatis paravertebra system saraf dan dengan organ internal yang lebih be
sar. Sejumlah substansi yang dapat meningkatkan transmisi atau persepsi nyeri m
eliputi histamin, bradikinin, asetilkolin dan substansi P. Prostaglandin dimana
zat tersebut yang dapat meningkatkan efek yang menimbulkan nyeri dari bradikinin
. Substansi lain dalam tubuh yang berfungsi sebagai inhibitor terhadap transmisi
nyeri adalah endorfin dan enkefalin yang ditemukan dalam konsentrasi yang kuat
dalam system saraf pusat.\u003Cbr \/\u003EKornu dorsalis dari medulla spinalis m
erupakan tempat memproses sensori, dimana agar nyeri dapat diserap secara sadar,
neuron pada system assenden harus diaktifkan. Aktivasi terjadi sebagai akibat i
nput dari reseptor nyeri yang terletak dalam kulit dan organ internal. Proses ny
eri terjadi karena adanya interaksi antara stimulus nyeri dan sensasi nyeri.\u0
03Cbr \/\u003EPatofisiologi Pada sensasi nyeri punggung bawah dalam hal ini kolu
mna vertebralis dapat dianggap sebagai sebuah batang yang elastik yang tersusun
atas banyak unit vertebrae dan unit diskus intervertebrae yang diikat satu sama
lain oleh kompleks sendi faset, berbagai ligamen dan otot paravertebralis. Konst
ruksi punggung yang unik tersebut memungkinkan fleksibilitas sementara disisi la
in tetap dapat memberikanperlindungan yang maksimal terhadap sum-sum tulang bela
kang. Lengkungan tulang belakang akan menyerap goncangan vertical pada saat berl
ari atau melompat. Batang tubuh membantu menstabilkan tulang belakang. Otot-otot
abdominal dan toraks sangat penting ada aktifitas mengangkat beban. Bila tidak
pernah dipakai akan melemahkan struktur pendukung ini. Obesitas, masalah postur,
masalah struktur dan peregangan berlebihan pendukung tulang belakang dapat bera
kibat nyeri punggung.\u003Cbr \/\u003EDiskus intervertebralis akan mengalami per
ubahan sifat ketika usia bertambah tua. Pada orang muda, diskus terutama tersusu
n atas fibrokartilago dengan matriks gelatinus. Pada lansia akan menjadi fibroka
rtilago yang padat dan tak teratur. Degenerasi diskus intervertebra merupakan pe
nyebab nyeri punggung biasa. Diskus lumbal bawah, L4-L5 dan L5-S6, menderita str
ess paling berat dan perubahan degenerasi terberat. Penonjolan diskus atau kerus
akan sendi dapat mengakibatkan penekanan pada akar saraf ketika keluar dari kana
lis spinalis, yang mengakibatkan nyeri yang menyebar sepanjang saraf tersebut.\u
003Cbr \/\u003E\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cb\u003EPathway Low Back P
ain \/ Nyeri Punggung Bawah\u003C\/b\u003E\u003Cbr \/\u003E\u003Cbr \/\u003E\u00
3Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\u003C
a href=\"http:\/\/4.bp.blogspot.com\/-KrHTTsv91_s\/VKVlAGeHVdI\/AAAAAAAAAKc\/iHB
YnXyXHPI\/s1600\/Pathway%2BLow%2BBack%2BPain%2B%2BNyeri%2BPunggung%2BBawah.png\"
imageanchor=\"1\" style=\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg
border=\"0\" src=\"http:\/\/4.bp.blogspot.com\/-KrHTTsv91_s\/VKVlAGeHVdI\/AAAAA
AAAAKc\/iHBYnXyXHPI\/s1600\/Pathway%2BLow%2BBack%2BPain%2B%2BNyeri%2BPunggung%2B
Bawah.png\" height=\"328\" width=\"400\" \/\u003E\u003C\/a\u003E\u003C\/div\u003
E\u003Cbr \/\u003E"},"link":[{"rel":"edit","type":"application/atom+xml","href":
"http:\/\/www.blogger.com\/feeds\/1897108655767517628\/posts\/default\/358459490
6561992378"},{"rel":"self","type":"application/atom+xml","href":"http:\/\/www.bl
ogger.com\/feeds\/1897108655767517628\/posts\/default\/3584594906561992378"},{"r
el":"alternate","type":"text/html","href":"http:\/\/askep-asuhankeperawatan.blog
spot.com\/2015\/01\/patofisiologi-dan-pathway-low-back-pain.html","title":"Patof
isiologi dan Pathway Low Back Pain \/ Nyeri Punggung Bawah"}],"author":[{"name":
{"$t":"Bapake Adhe \u0026amp; Dika"},"uri":{"$t":"http:\/\/www.blogger.com\/prof
ile\/04284488757504843291"},"email":{"$t":"noreply@blogger.com"},"gd$image":{"re
l":"http://schemas.google.com/g/2005#thumbnail","width":"16","height":"16","src"
:"http:\/\/img2.blogblog.com\/img\/b16-rounded.gif"}}],"media$thumbnail":{"xmlns
$media":"http://search.yahoo.com/mrss/","url":"http:\/\/4.bp.blogspot.com\/-KrHT
Tsv91_s\/VKVlAGeHVdI\/AAAAAAAAAKc\/iHBYnXyXHPI\/s72-c\/Pathway%2BLow%2BBack%2BPa
in%2B%2BNyeri%2BPunggung%2BBawah.png","height":"72","width":"72"}},{"id":{"$t":"
tag:blogger.com,1999:blog-1897108655767517628.post-1252532955164217096"},"publis
hed":{"$t":"2015-01-01T22:06:00.001+07:00"},"updated":{"$t":"2015-01-01T22:06:27
.048+07:00"},"category":[{"scheme":"http://www.blogger.com/atom/ns#","term":"Pat
ofisiologi dan Pathway"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Pat
ofisiologi dan Pathway Efusi Pleura"}],"title":{"type":"text","$t":"Patofisiolog
i dan Pathway Efusi Pleura"},"content":{"type":"html","$t":"\u003Cbr \/\u003EEfu
si pleura adalah pengumpulan cairan dalam ruang pleura yang terletak diantara pe
rmukaan visceral dan parietal, proses penyakit primer jarang terjadi tetapi bias
anya merupakan penyakit sekunder terhadap penyakit lain. Secara normal, ruang pl
eural mengandung sejumlah kecil cairan (5 sampai 15ml) berfungsi sebagai pelumas
yang memungkinkan permukaan pleural bergerak tanpa adanya friksi (Smeltzer C Su
zanne, 2002). \u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cb\u003EPa
tofisiologi Efusi Pleura\u003C\/b\u003E\u003Cbr \/\u003E\u003Cbr \/\u003EDalam k
eadaan normal tidak ada rongga kosong antara pleura parietalis dan pleura vicel
aris, karena di antara pleura tersebut terdapat cairan antara 1 20 cc yang merup
akan lapisan tipis serosa dan selalu bergerak teratur.Cairan yang sedikit ini me
rupakan pelumas antara kedua pleura, sehingga pleura tersebut mudah bergeser sat
u sama lain. Di ketahui bahwa cairan di produksi oleh pleura parietalis dan sela
njutnya di absorbsi tersebut dapat terjadi karena adanya tekanan hidrostatik pad
a pleura parietalis dan tekanan osmotic koloid pada pleura viceralis. Cairan ke
banyakan diabsorbsi oleh system limfatik dan hanya sebagian kecil diabsorbsi ole
h system kapiler pulmonal. Hal yang memudahkan penyerapan cairan yang pada pleur
a viscelaris adalah terdapatnya banyak mikrovili disekitar sel sel mesofelial. Jum
lah cairan dalam rongga pleura tetap. Karena adanya keseimbangan antara produksi
dan absorbsi. Keadan ini bisa terjadi karena adanya tekanan hidrostatik sebesar
9 cm H2o dan tekanan osmotic koloid sebesar 10 cm H2o. Keseimbangan tersebut da
pat terganggu oleh beberapa hal, salah satunya adalah infeksi tuberkulosa paru.\
u003Cbr \/\u003E\u003Cbr \/\u003ETerjadi infeksi tuberkulosa paru, yang pertama
basil Mikobakterium tuberkulosa masuk melalui saluran nafas menuju alveoli,terja
dilah infeksi primer. Dari infeksi primer ini akan timbul peradangan saluran get
ah bening menuju hilus (Limfangitis local) dan juga diikuti dengan pembesaran ke
lenjar getah bening hilus (limphadinitis regional). Peradangan pada saluran geta
h bening akan mempengaruhi permebilitas membran. Permebilitas membran akan menin
gkat yang akhirnya dapat menimbulkan akumulasi cairan dalam rongga pleura. Keban
yakan terjadinya effusi pleura akibat dari tuberkulosa paru melalui focus subpl
eura yang robek atau melalui aliran getah bening. Sebab lain dapat juga dari ro
beknya pengkejuan kearah saluran getah bening yang menuju rongga pleura, iga a
tau columna vetebralis.\u003Cbr \/\u003EAdapun bentuk cairan effusi akibat tube
rkolusa paru adalah merupakan eksudat, yaitu berisi protein yang terdapat pada
cairan pleura tersebut karena kegagalan aliran protein getah bening. Cairan ini
biasanya serous, kadang kadang bisa juga hemarogik. Dalam setiap ml cairan pleura
bias mengandung leukosit antara 500 2000. Mula mula yang dominan adalah sel se
orfonuklear, tapi kemudian sel limfosit, Cairan effusi sangat sedikit mengandung
kuman tubukolusa. Timbulnya cairan effusi bukanlah karena adanya bakteri tubuko
losis, tapi karena akibat adanya effusi pleura dapat menimbulkan beberapa peruba
han fisik antara lain : Irama pernapasan tidak teratur, frekwensi pernapasan men
ingkat , pergerakan dada asimetris, dada yanbg lebih cembung, fremitus raba mele
mah, perkusi redup. Selain hal hal diatas ada perubahan lain yang ditimbulkan oleh
effusi pleura yang diakibatkan infeksi tuberkolosa paru yaitu peningkatan suhu,
batuk dan berat badan menurun.\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cbr \/\u00
3E\u003Cb\u003EPathway Efusi Pleura\u003C\/b\u003E\u003Cbr \/\u003E\u003Cbr \/\u
003E\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\u00
3E\u003Ca href=\"http:\/\/3.bp.blogspot.com\/-vx4N1cqYUow\/VKViSTLQHTI\/AAAAAAAA
AKU\/Q3XCuyY9umY\/s1600\/Pathway%2BEfusi%2BPleura.jpg\" imageanchor=\"1\" style=
\"margin-left: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" src=\"http:
\/\/3.bp.blogspot.com\/-vx4N1cqYUow\/VKViSTLQHTI\/AAAAAAAAAKU\/Q3XCuyY9umY\/s160
0\/Pathway%2BEfusi%2BPleura.jpg\" height=\"400\" width=\"315\" \/\u003E\u003C\/a
\u003E\u003C\/div\u003E\u003Cbr \/\u003E"},"link":[{"rel":"edit","type":"applica
tion/atom+xml","href":"http:\/\/www.blogger.com\/feeds\/1897108655767517628\/pos
ts\/default\/1252532955164217096"},{"rel":"self","type":"application/atom+xml","
href":"http:\/\/www.blogger.com\/feeds\/1897108655767517628\/posts\/default\/125
2532955164217096"},{"rel":"alternate","type":"text/html","href":"http:\/\/askep-
asuhankeperawatan.blogspot.com\/2015\/01\/patofisiologi-dan-pathway-efusi-pleura
.html","title":"Patofisiologi dan Pathway Efusi Pleura"}],"author":[{"name":{"$t
":"Bapake Adhe \u0026amp; Dika"},"uri":{"$t":"http:\/\/www.blogger.com\/profile\
/04284488757504843291"},"email":{"$t":"noreply@blogger.com"},"gd$image":{"rel":"
http://schemas.google.com/g/2005#thumbnail","width":"16","height":"16","src":"ht
tp:\/\/img2.blogblog.com\/img\/b16-rounded.gif"}}],"media$thumbnail":{"xmlns$med
ia":"http://search.yahoo.com/mrss/","url":"http:\/\/3.bp.blogspot.com\/-vx4N1cqY
Uow\/VKViSTLQHTI\/AAAAAAAAAKU\/Q3XCuyY9umY\/s72-c\/Pathway%2BEfusi%2BPleura.jpg"
,"height":"72","width":"72"}},{"id":{"$t":"tag:blogger.com,1999:blog-18971086557
67517628.post-6768326273664245551"},"published":{"$t":"2014-12-17T13:02:00.000+0
7:00"},"updated":{"$t":"2014-12-17T13:02:02.429+07:00"},"category":[{"scheme":"h
ttp://www.blogger.com/atom/ns#","term":"Tanda dan Gejala"},{"scheme":"http://www
.blogger.com/atom/ns#","term":"Tanda dan Gejala Hipotensi Ortostatik"}],"title":
{"type":"text","$t":"Tanda dan Gejala Hipotensi Ortostatik"},"content":{"type":"
html","$t":"Hipotensi ortostatik adalah bentuk hipotensi dimana tekanan darah se
seorang turun ketika tiba-tiba berdiri atau peregangan. Dalam istilah medis, itu
didefinisikan sebagai penurunan tekanan darah sistolik paling sedikit 20 mm Hg
atau tekanan darah diastolik minimal 10 mm Hg ketika seseorang mengasumsikan pos
isi berdiri.\u003Cbr \/\u003E\u003Cbr \/\u003EGejala ini disebabkan oleh pooling
darah di ekstremitas bawah pada perubahan posisi tubuh. Hal ini sangat umum dan
dapat terjadi pada siapa saja sebentar, meskipun lazim khususnya di kalangan or
ang tua, dan orang-orang dengan tekanan darah rendah.\u003Cbr \/\u003E\u003Cbr \
/\u003E\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;\"\
u003E\u003Ca href=\"http:\/\/1.bp.blogspot.com\/-i4lNfCgcpCw\/VJEcNEWXMbI\/AAAAA
AAAAKA\/eveZNRIt_yM\/s1600\/Orthostatic%2BHypotension%2B-%2BCauses%2C%2BSigns%2B
and%2BSymptoms.gif\" imageanchor=\"1\" style=\"clear: left; float: left; margin-
bottom: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" src=\"http:\/\/1.b
p.blogspot.com\/-i4lNfCgcpCw\/VJEcNEWXMbI\/AAAAAAAAAKA\/eveZNRIt_yM\/s1600\/Orth
ostatic%2BHypotension%2B-%2BCauses%2C%2BSigns%2Band%2BSymptoms.gif\" \/\u003E\u0
03C\/a\u003E\u003C\/div\u003EKetika hipotensi ortostatik hadir, gejala berikut d
apat terjadi setelah berdiri tiba-tiba atau peregangan (setelah berdiri):\u003Cb
r \/\u003E\u003Cul\u003E\u003Cli\u003EPusing.\u003C\/li\u003E\u003Cli\u003EEufor
ia atau dysphoria.\u003C\/li\u003E\u003Cli\u003EDisosiasi tubuh.\u003C\/li\u003E
\u003Cli\u003EDistorsi dalam pendengaran.\u003C\/li\u003E\u003Cli\u003EKepala ri
ngan.\u003C\/li\u003E\u003Cli\u003EMual.\u003C\/li\u003E\u003Cli\u003ESakit kepa
la.\u003C\/li\u003E\u003Cli\u003EPenurunan sementara dalam pendengaran.\u003C\/l
i\u003E\u003Cli\u003EPenglihatan kabur atau redup (mungkin ke titik kebutaan ses
aat).\u003C\/li\u003E\u003Cli\u003EKejang.\u003C\/li\u003E\u003Cli\u003EUmum (at
au ekstremitas) mati rasa \/ kesemutan dan pingsan.\u003C\/li\u003E\u003Cli\u003
ENyeri gantungan baju (nyeri berpusat di leher dan bahu).\u003C\/li\u003E\u003Cl
i\u003EDan jarang, kasus-kasus ekstrim, sinkop vasovagal (jenis tertentu pingsan
).\u003C\/li\u003E\u003C\/ul\u003EMereka adalah konsekuensi dari tekanan darah y
ang tidak cukup dan perfusi serebral (suplai darah). Kadang-kadang, mungkin ada
perasaan kehangatan di kepala dan bahu selama beberapa detik setelah pusing reda
. Penurunan tekanan darah dapat menyebabkan episode vasovagal terjadi."},"link":
[{"rel":"edit","type":"application/atom+xml","href":"http:\/\/www.blogger.com\/f
eeds\/1897108655767517628\/posts\/default\/6768326273664245551"},{"rel":"self","
type":"application/atom+xml","href":"http:\/\/www.blogger.com\/feeds\/1897108655
767517628\/posts\/default\/6768326273664245551"},{"rel":"alternate","type":"text
/html","href":"http:\/\/askep-asuhankeperawatan.blogspot.com\/2014\/12\/tanda-da
n-gejala-hipotensi-ortostatik.html","title":"Tanda dan Gejala Hipotensi Ortostat
ik"}],"author":[{"name":{"$t":"Bapake Adhe \u0026amp; Dika"},"uri":{"$t":"http:\
/\/www.blogger.com\/profile\/04284488757504843291"},"email":{"$t":"noreply@blogg
er.com"},"gd$image":{"rel":"http://schemas.google.com/g/2005#thumbnail","width":
"16","height":"16","src":"http:\/\/img2.blogblog.com\/img\/b16-rounded.gif"}}],"
media$thumbnail":{"xmlns$media":"http://search.yahoo.com/mrss/","url":"http:\/\/
1.bp.blogspot.com\/-i4lNfCgcpCw\/VJEcNEWXMbI\/AAAAAAAAAKA\/eveZNRIt_yM\/s72-c\/O
rthostatic%2BHypotension%2B-%2BCauses%2C%2BSigns%2Band%2BSymptoms.gif","height":
"72","width":"72"}},{"id":{"$t":"tag:blogger.com,1999:blog-1897108655767517628.p
ost-7129008217252967379"},"published":{"$t":"2014-12-14T13:00:00.001+07:00"},"up
dated":{"$t":"2014-12-14T13:00:15.475+07:00"},"category":[{"scheme":"http://www.
blogger.com/atom/ns#","term":"Registered Nurse"}],"title":{"type":"text","$t":"R
egistered Nurse"},"content":{"type":"html","$t":"A registered nurse (RN) is a nu
rse who has graduated from a nursing program and has passed a national licensing
exam to obtain a nursing license. An RN's scope of practice is determined by lo
cal legislation governing nurses, and usually regulated by a professional body o
r council.\u003Cbr \/\u003E\u003Cbr \/\u003ERegistered nurses are employed in a
wide variety of professional settings, often specializing in their field of prac
tice. They may be responsible for supervising care delivered by other healthcare
workers including enrolled nurses, licensed practical nurses, unlicensed assist
ive personnel, nursing students, and less-experienced RNs.\u003Cbr \/\u003E\u003
Cbr \/\u003ERegistered nurses must usually meet a minimum practice hours require
ment and undertake continuing education in order to maintain their registration.
Furthermore, there is often a requirement that an RN remain free from serious c
riminal convictions.\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cdiv
class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\u003Ca hre
f=\"http:\/\/3.bp.blogspot.com\/-Xvxy4z2AOBU\/VI0nXJohbeI\/AAAAAAAAAJw\/usD6Qo14
c60\/s1600\/Registered%2BNurse.jpg\" imageanchor=\"1\" style=\"clear: left; floa
t: left; margin-bottom: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" sr
c=\"http:\/\/3.bp.blogspot.com\/-Xvxy4z2AOBU\/VI0nXJohbeI\/AAAAAAAAAJw\/usD6Qo14
c60\/s1600\/Registered%2BNurse.jpg\" height=\"246\" width=\"320\" \/\u003E\u003C
\/a\u003E\u003C\/div\u003E\u003Cb\u003EHistory\u003C\/b\u003E\u003Cbr \/\u003E\u
003Cbr \/\u003Ehe registration of nurses by nursing councils or boards began in
the early twentieth century.[citation needed] New Zealand registered the first n
urse in 1901 with the establishment of the Nurses Registration Act. Nurses were
required to complete three years of training and pass a state-administered exami
nation. Registration ensured a degree of consistency in the education of new nur
ses, and the title was usually protected by law. After 1905 in California, for e
xample, it became a misdemeanour to claim to be an RN without a certificate of r
egistration.\u003Cbr \/\u003E\u003Cbr \/\u003ERegistration acts allowed authorit
ies a degree of control over who was admitted to the profession. Requirements va
ried by location, but often included a stipulation that the applicant must be \"
of good moral character\" and must not have mental or physical conditions that r
endered them unable to practice.\u003Cbr \/\u003E\u003Cbr \/\u003EAs nursing bec
ame more of an international profession, with RNs travelling to find work or imp
roved working conditions and wages, some countries began implementing standardiz
ed language tests (notably the International English Language Testing System).\u
003Cbr \/\u003E\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cb\u003EEducation\u003C\/b
\u003E\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cb\u003ECanada\u003C\/b\u003E\u003C
br \/\u003E\u003Cbr \/\u003EIn all Canadian provinces except Quebec, new registe
red nurses are required to have a Bachelor of Science in Nursing. This is either
achieved through a four year university (or collaborative) program or through a
bridging program for registered practical nurses or licensed practical nurses.
Some universities also offer compressed programs for applicants already holding
a bachelor's degree in another field.\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cbr
\/\u003E\u003Cb\u003EUnited States\u003C\/b\u003E\u003Cbr \/\u003E\u003Cbr \/\u0
03EIn the United States, a registered nurse is a clinician who has completed at
least an associate degree in nursing or a hospital-based diploma program. The RN
has successfully completed the NCLEX-RN examination for initial licensure. Asso
ciate degrees in nursing frequently take three years to complete because of the
increased volume of undergraduate coursework related to the profession of nursin
g. Bachelor of Science in Nursing degrees include more thorough coursework in le
adership and community health.\u003Cbr \/\u003E\u003Cbr \/\u003ESpecialty certif
ication is available through organizations such as the American Nurses Credentia
ling Center, a subsidiary of the American Nurses Association. After meeting the
eligibility requirements and passing the appropriate specialty certification exa
m, the designation of Registered Nurse Board Certified (RN-BC) credential is grant
ed.\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Ci\u003ESource : http
:\/\/en.wikipedia.org\/wiki\/Registered_nurse\u003C\/i\u003E"},"link":[{"rel":"e
dit","type":"application/atom+xml","href":"http:\/\/www.blogger.com\/feeds\/1897
108655767517628\/posts\/default\/7129008217252967379"},{"rel":"self","type":"app
lication/atom+xml","href":"http:\/\/www.blogger.com\/feeds\/1897108655767517628\
/posts\/default\/7129008217252967379"},{"rel":"alternate","type":"text/html","hr
ef":"http:\/\/askep-asuhankeperawatan.blogspot.com\/2014\/12\/registered-nurse.h
tml","title":"Registered Nurse"}],"author":[{"name":{"$t":"Bapake Adhe \u0026amp
; Dika"},"uri":{"$t":"http:\/\/www.blogger.com\/profile\/04284488757504843291"},
"email":{"$t":"noreply@blogger.com"},"gd$image":{"rel":"http://schemas.google.co
m/g/2005#thumbnail","width":"16","height":"16","src":"http:\/\/img2.blogblog.com
\/img\/b16-rounded.gif"}}],"media$thumbnail":{"xmlns$media":"http://search.yahoo
.com/mrss/","url":"http:\/\/3.bp.blogspot.com\/-Xvxy4z2AOBU\/VI0nXJohbeI\/AAAAAA
AAAJw\/usD6Qo14c60\/s72-c\/Registered%2BNurse.jpg","height":"72","width":"72"}},
{"id":{"$t":"tag:blogger.com,1999:blog-1897108655767517628.post-4750082431304604
987"},"published":{"$t":"2014-12-13T00:29:00.003+07:00"},"updated":{"$t":"2014-1
2-13T00:29:46.374+07:00"},"category":[{"scheme":"http://www.blogger.com/atom/ns#
","term":"Biografi Pelopor Keperawatan"},{"scheme":"http://www.blogger.com/atom/
ns#","term":"Biografi Pelopor Keperawatan - Edith Cavell"}],"title":{"type":"tex
t","$t":"Biografi Pelopor Keperawatan - Edith Cavell"},"content":{"type":"html",
"$t":"\u003Cb\u003EPelopor Keperawatan - Edith Cavell\u003C\/b\u003E\u003Cbr \/\
u003E\u003Cbr \/\u003EEdith Cavell menghabiskan banyak waktunya membantu mereka
yang benar-benar membutuhkannya, dan pada akhirnya dia meninggal untuk melakukan
sesuatu yang ia cintai. Hal. Dia lahir di Norfolk, Inggris pada tanggal 4 Desem
ber 1865 dan memasuki profesi keperawatan pada usia 20. Dia memutuskan untuk pin
dah ke Belgia untuk memulai karir, dan ia diberi judul sipir ke Berkendael Medic
al Institute yang terletak di Brussels. Dari 1907 sampai Perang dimulai pada tah
un 1914, Cavell menghabiskan banyak waktunya modernisasi profesi keperawatan di
Belgia. Selama musim panas 1914, Cavell berada di Inggris mengunjungi keluarga k
etika perang dimulai. Keluarganya memintanya untuk tinggal tapi ia merasa berkew
ajiban untuk kembali ke Brussels untuk membantu tentara yang terluka. rumah saki
t nya segera menjadi lokasi Palang Merah dan tentara di seluruh dunia, termasuk
yang berasal dari Perancis, Inggris, dan Jerman diperlakukan sebagai diperlukan.
\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cdiv class=\"separator\" style=\"clear: b
oth; text-align: center;\"\u003E\u003Ca href=\"http:\/\/3.bp.blogspot.com\/-z5Ke
Ry_yxzQ\/VIsl7h9neWI\/AAAAAAAAAJg\/moOUs-14Euo\/s1600\/Biografi%2BPelopor%2BKepe
rawatan%2B-%2BEdith%2BCavell.jpg\" imageanchor=\"1\" style=\"clear: left; float:
left; margin-bottom: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" src=
\"http:\/\/3.bp.blogspot.com\/-z5KeRy_yxzQ\/VIsl7h9neWI\/AAAAAAAAAJg\/moOUs-14Eu
o\/s1600\/Biografi%2BPelopor%2BKeperawatan%2B-%2BEdith%2BCavell.jpg\" \/\u003E\u
003C\/a\u003E\u003C\/div\u003ESelama waktu ini, poster di seluruh Jerman yang me
nyatakan bahwa siapa saja yang membantu atau tentara Inggris atau Perancis hidew
akan dihukum. Meskipun peringatan publik jelas, Cavell dibantu dalam membantu S
ekutu tahanan melarikan diri dan bersembunyi dari Jerman. Setelah pengujian nasi
bnya, rumah sakit diserang oleh tentara Jerman dan Cavell ditangkap pada tahun 1
915. Meskipun memiliki seorang pengacara yang menjelaskan ia bertindak keluar da
ri kasih sayang untuk membantu orang, Cavell didakwa dengan pengkhianatan dan di
hukum mati oleh regu tembak. Pada tanggal 12 Oktober 1915, Cavell dieksekusi. Ha
ri ini ada acara peringatan berbagai layanan, termasuk satu di Trafalgar Square.
"},"link":[{"rel":"edit","type":"application/atom+xml","href":"http:\/\/www.blog
ger.com\/feeds\/1897108655767517628\/posts\/default\/4750082431304604987"},{"rel
":"self","type":"application/atom+xml","href":"http:\/\/www.blogger.com\/feeds\/
1897108655767517628\/posts\/default\/4750082431304604987"},{"rel":"alternate","t
ype":"text/html","href":"http:\/\/askep-asuhankeperawatan.blogspot.com\/2014\/12
\/biografi-pelopor-keperawatan-edith.html","title":"Biografi Pelopor Keperawatan
- Edith Cavell"}],"author":[{"name":{"$t":"Bapake Adhe \u0026amp; Dika"},"uri":
{"$t":"http:\/\/www.blogger.com\/profile\/04284488757504843291"},"email":{"$t":"
noreply@blogger.com"},"gd$image":{"rel":"http://schemas.google.com/g/2005#thumbn
ail","width":"16","height":"16","src":"http:\/\/img2.blogblog.com\/img\/b16-roun
ded.gif"}}],"media$thumbnail":{"xmlns$media":"http://search.yahoo.com/mrss/","ur
l":"http:\/\/3.bp.blogspot.com\/-z5KeRy_yxzQ\/VIsl7h9neWI\/AAAAAAAAAJg\/moOUs-14
Euo\/s72-c\/Biografi%2BPelopor%2BKeperawatan%2B-%2BEdith%2BCavell.jpg","height":
"72","width":"72"}},{"id":{"$t":"tag:blogger.com,1999:blog-1897108655767517628.p
ost-1643619751171338544"},"published":{"$t":"2014-12-13T00:27:00.003+07:00"},"up
dated":{"$t":"2014-12-13T00:27:35.341+07:00"},"category":[{"scheme":"http://www.
blogger.com/atom/ns#","term":"Biografi Pelopor Keperawatan"},{"scheme":"http://w
ww.blogger.com/atom/ns#","term":"Biografi Pelopor Keperawatan - Mary Carson Brec
kinridge"}],"title":{"type":"text","$t":"Biografi Pelopor Keperawatan - Mary Car
son Breckinridge"},"content":{"type":"html","$t":"\u003Cb\u003EPelopor Keperawat
an - Mary Carson Breckinridge\u003C\/b\u003E\u003Cbr \/\u003E\u003Cbr \/\u003EMa
ria Breckinridge, lahir di Kentucky pada 1881, terkenal karena menciptakan Front
ier Layanan Perawatan yang dapat pelayanan dan menyediakan perawatan kesehatan u
ntuk orang-orang yang terlalu miskin untuk membelinya atau mereka yang tinggal d
i lokasi yang sangat terpencil di seluruh wilayah Appalachian di Kentucky. Selam
a hidupnya, ia juga mampu mendirikan sekolah pertama di Amerika Serikat bahwa pe
rempuan dilatih dan disertifikasi untuk menjadi bidan. Melalui kedua prestasi, d
ia bisa membantu mengurangi tingkat kematian dari kedua bayi dan ibu hamil dalam
waktu ketika bantuan medis untuk hal-hal seperti itu tidak sangat maju.\u003Cbr
\/\u003E\u003Cbr \/\u003E\u003Cdiv class=\"separator\" style=\"clear: both; tex
t-align: center;\"\u003E\u003Ca href=\"http:\/\/4.bp.blogspot.com\/-g1huS_XSFYE\
/VIslcA5js5I\/AAAAAAAAAJY\/cARH29-9sIg\/s1600\/Biografi%2BPelopor%2BKeperawatan%
2B-%2BMary%2BCarson%2BBreckinridge.jpeg\" imageanchor=\"1\" style=\"clear: left;
float: left; margin-bottom: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0
\" src=\"http:\/\/4.bp.blogspot.com\/-g1huS_XSFYE\/VIslcA5js5I\/AAAAAAAAAJY\/cAR
H29-9sIg\/s1600\/Biografi%2BPelopor%2BKeperawatan%2B-%2BMary%2BCarson%2BBreckinr
idge.jpeg\" \/\u003E\u003C\/a\u003E\u003C\/div\u003EBreckingridge lulus dari St
Luke's Hospital Pelatihan Sekolah pada tahun 1910. Dia kemudian memiliki dua ora
ng anak, tapi keduanya meninggal sangat muda. Ini benar-benar memotivasi dirinya
untuk memperbaiki kesehatan orang lain, terutama bayi dan ibu.\u003Cbr \/\u003E
\u003Cbr \/\u003EDia berkelana di seluruh, termasuk ke Washington, DC untuk ajud
an orang-orang yang sakit dari epidemi influenza pada tahun 1918. Dia juga berga
bung dengan Comite Amricain Tuangkan les Rgions Dvastes de la Perancis dan dalam ta
ang sama memutuskan untuk membuat sebuah program mengunjungi perawat, yang kemud
ian menjadi sukses besar karena banyak perempuan dilatih sebagai bidan yang tepa
t dan perawat yang akan melakukan perjalanan untuk memberikan bantuan. Pada tahu
n 1921 ia kembali ke Kentucky untuk membawa idenya ke AS dan kembali ke sekolah
di College Guru dari Columbia University di New York pada 1922. Pada tahun 1923
ia mengamati kota rumahnya dan menemukan bahwa tidak ada dokter bersertifikat at
au bidan untuk membantu mempromosikan hidup sehat. Pada tahun 1924 setelah pergi
ke Rumah Sakit Inggris untuk Ibu dan Bayi, ia menjadi bidan bersertifikat, dan
setahun kemudian menyediakan jasa nya di seluruh Appalachia. Perempuan melalui p
rogram-nya akan dikirim ke Inggris untuk menjadi benar dilatih sebagai perawat d
an bidan."},"link":[{"rel":"edit","type":"application/atom+xml","href":"http:\/\
/www.blogger.com\/feeds\/1897108655767517628\/posts\/default\/164361975117133854
4"},{"rel":"self","type":"application/atom+xml","href":"http:\/\/www.blogger.com
\/feeds\/1897108655767517628\/posts\/default\/1643619751171338544"},{"rel":"alte
rnate","type":"text/html","href":"http:\/\/askep-asuhankeperawatan.blogspot.com\
/2014\/12\/biografi-pelopor-keperawatan-mary.html","title":"Biografi Pelopor Kep
erawatan - Mary Carson Breckinridge"}],"author":[{"name":{"$t":"Bapake Adhe \u00
26amp; Dika"},"uri":{"$t":"http:\/\/www.blogger.com\/profile\/042844887575048432
91"},"email":{"$t":"noreply@blogger.com"},"gd$image":{"rel":"http://schemas.goog
le.com/g/2005#thumbnail","width":"16","height":"16","src":"http:\/\/img2.blogblo
g.com\/img\/b16-rounded.gif"}}],"media$thumbnail":{"xmlns$media":"http://search.
yahoo.com/mrss/","url":"http:\/\/4.bp.blogspot.com\/-g1huS_XSFYE\/VIslcA5js5I\/A
AAAAAAAAJY\/cARH29-9sIg\/s72-c\/Biografi%2BPelopor%2BKeperawatan%2B-%2BMary%2BCa
rson%2BBreckinridge.jpeg","height":"72","width":"72"}},{"id":{"$t":"tag:blogger.
com,1999:blog-1897108655767517628.post-386333086301010891"},"published":{"$t":"2
014-12-13T00:23:00.001+07:00"},"updated":{"$t":"2014-12-13T00:23:15.516+07:00"},
"category":[{"scheme":"http://www.blogger.com/atom/ns#","term":"Biografi Pelopor
Keperawatan"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Biografi Pelo
por Keperawatan - Mary Eliza Mahoney"}],"title":{"type":"text","$t":"Biografi Pe
lopor Keperawatan - Mary Eliza Mahoney"},"content":{"type":"html","$t":"\u003Cbr
\/\u003E\u003Cb\u003EPelopor Keperawatan - Mary Eliza Mahoney\u003C\/b\u003E\u0
03Cbr \/\u003E\u003Cbr \/\u003EMary Eliza Mahoney (7 Mei 1845 - 4 Januari 1926)
adalah orang Afrika Amerika pertama untuk belajar dan bekerja sebagai perawat pr
ofesional terlatih di Amerika Serikat, lulus pada tahun 1879.\u003Cbr \/\u003E\u
003Cbr \/\u003EPada tahun 1908, ia mendirikan National Association of Colored Gr
aduate Nurses (NACGN) dengan Adah B. Thoms. NACGN akhirnya bergabung dengan Amer
ika Nurses Association (ANA) pada tahun 1951. Dia diperingati oleh dua tahunan M
ary Mahoney Award dari ANA untuk kontribusi yang signifikan dalam memajukan kese
mpatan yang sama dalam keperawatan untuk anggota kelompok minoritas.\u003Cbr \/\
u003E\u003Cbr \/\u003E\u003Cdiv class=\"separator\" style=\"clear: both; text-al
ign: center;\"\u003E\u003Ca href=\"http:\/\/1.bp.blogspot.com\/-YOVpmBGZMHo\/VIs
kYtaC4CI\/AAAAAAAAAJQ\/V-LI5X0rlFk\/s1600\/Biografi%2BPelopor%2BKeperawatan%2B-%
2BMary%2BEliza%2BMahoney.jpg\" imageanchor=\"1\" style=\"margin-left: 1em; margi
n-right: 1em;\"\u003E\u003Cimg border=\"0\" src=\"http:\/\/1.bp.blogspot.com\/-Y
OVpmBGZMHo\/VIskYtaC4CI\/AAAAAAAAAJQ\/V-LI5X0rlFk\/s1600\/Biografi%2BPelopor%2BK
eperawatan%2B-%2BMary%2BEliza%2BMahoney.jpg\" \/\u003E\u003C\/a\u003E\u003C\/div
\u003ELahir di Dorchester, Massachusetts, Mary Eliza Mahoney bekerja di Rumah Sa
kit New England untuk Perempuan dan Anak (sekarang Dimock Community Health Cente
r) selama lima belas tahun sebelum diterima ke sekolah perawat, yang merupakan p
ertama di Amerika. \u003Cbr \/\u003E\u003Cbr \/\u003ERumah Sakit didirikan oleh
dokter perempuan di 1862. Ini dimulai program pelatihan perawat yang pada tahun
1872 dengan empat puluh dua mahasiswa, tetapi hanya empat benar-benar lulus, ter
masuk Linda Richards, yang lulus sebagai perawat berpendidikan formal pertama di
Amerika Serikat.\u003Cbr \/\u003E\u003Cbr \/\u003ESetelah mendapatkan diploma k
eperawatan pada tahun 1905, Mahoney bekerja selama bertahun-tahun sebagai perawa
t perawatan pribadi, mendapatkan reputasi dibedakan. Dari 1911-1912 ia menjabat
sebagai direktur Howard Orphan Asylum untuk anak-anak kulit hitam di Kings Park,
Long Island, New York.\u003Cbr \/\u003E\u003Cbr \/\u003EPada tahun 1896, Mahone
y adalah salah satu anggota asli dari perawat yang didominasi kulit putih Nurses
Associated Alumnae of the United States and Canada. Pada tahun 1911 itu menjadi
Amerika Nurses Association (ANA). Pada tahun 1908 dia adalah salah satu pendiri
dari National Association of Colored Graduate Nurses (NACGN).\u003Cbr \/\u003E\
u003Cbr \/\u003EDalam pensiun, Mahoney masih peduli dengan kesetaraan perempuan
dan pendukung kuat dari hak pilih perempuan (gerakan untuk mendapatkan hak untuk
memilih wanita.) Pada tahun 1920, ia merupakan salah satu wanita pertama di Bos
ton untuk mendaftar untuk memilih. Dia meninggal pada tanggal 4 Januari 1926, be
rusia 80."},"link":[{"rel":"edit","type":"application/atom+xml","href":"http:\/\
/www.blogger.com\/feeds\/1897108655767517628\/posts\/default\/386333086301010891
"},{"rel":"self","type":"application/atom+xml","href":"http:\/\/www.blogger.com\
/feeds\/1897108655767517628\/posts\/default\/386333086301010891"},{"rel":"altern
ate","type":"text/html","href":"http:\/\/askep-asuhankeperawatan.blogspot.com\/2
014\/12\/biografi-pelopor-keperawatan-mary-eliza.html","title":"Biografi Pelopor
Keperawatan - Mary Eliza Mahoney"}],"author":[{"name":{"$t":"Bapake Adhe \u0026
amp; Dika"},"uri":{"$t":"http:\/\/www.blogger.com\/profile\/04284488757504843291
"},"email":{"$t":"noreply@blogger.com"},"gd$image":{"rel":"http://schemas.google
.com/g/2005#thumbnail","width":"16","height":"16","src":"http:\/\/img2.blogblog.
com\/img\/b16-rounded.gif"}}],"media$thumbnail":{"xmlns$media":"http://search.ya
hoo.com/mrss/","url":"http:\/\/1.bp.blogspot.com\/-YOVpmBGZMHo\/VIskYtaC4CI\/AAA
AAAAAAJQ\/V-LI5X0rlFk\/s72-c\/Biografi%2BPelopor%2BKeperawatan%2B-%2BMary%2BEliz
a%2BMahoney.jpg","height":"72","width":"72"}},{"id":{"$t":"tag:blogger.com,1999:
blog-1897108655767517628.post-6012604405178633182"},"published":{"$t":"2014-12-1
3T00:10:00.001+07:00"},"updated":{"$t":"2014-12-13T00:10:41.521+07:00"},"categor
y":[{"scheme":"http://www.blogger.com/atom/ns#","term":"Biografi Pelopor Keperaw
atan"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Biografi Pelopor Kepe
rawatan - Florence Nightingale"},{"scheme":"http://www.blogger.com/atom/ns#","te
rm":"Florence Nightingale"}],"title":{"type":"text","$t":"Biografi Pelopor Keper
awatan - Florence Nightingale"},"content":{"type":"html","$t":"\u003Cb\u003EPelo
por Keperawatan - Florence Nightingale\u003C\/b\u003E\u003Cbr \/\u003E\u003Cbr \
/\u003EFlorence Nightingale lahir di Firenze (Florence), Italia tanggal 12 Mei 1
820. Ayah Florence bernama Wiliam Nightingale. Ibunya Frances ( Fanny ) Nightingale n
ith keturunan ningrat, keluarga Nightingale adalah keluarga terpandang. Semasa k
ecil Florence Nightingale tinggal di Lea Hurst yaitu sebuah rumah besar dan mewa
h milik ayahnya. Saat usia remaja, Florence tidak seperti anak ningrat kebanyak
an yang suka bermalas-malasan dan berfoya-foya, Florence lebih banyak beraktivit
as diluar rumah membantu warga sekitar yang membutuhkan.\u003Cbr \/\u003E\u003Cb
r \/\u003E\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;
\"\u003E\u003Ca href=\"http:\/\/1.bp.blogspot.com\/-sxqxymNKFZ8\/VIshga0CIfI\/AA
AAAAAAAJE\/Od5-H1Ze07Y\/s1600\/Biografi%2BPelopor%2BKeperawatan%2B-%2BFlorence%2
BNightingale.jpg\" imageanchor=\"1\" style=\"clear: left; float: left; margin-bo
ttom: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" src=\"http:\/\/1.bp.
blogspot.com\/-sxqxymNKFZ8\/VIshga0CIfI\/AAAAAAAAAJE\/Od5-H1Ze07Y\/s1600\/Biogra
fi%2BPelopor%2BKeperawatan%2B-%2BFlorence%2BNightingale.jpg\" \/\u003E\u003C\/a\
u003E\u003C\/div\u003ETahun 1846 ia mengunjungi Kaiserswerth, Jerman. Ia mengen
al lebih jauh tentang Rumah Sakit Modern Pioner yang dipelopori oleh Pendeta The
odor Fliedner bersama istrinya dan dikelola oleh biarawati Lutheran dari kalanga
n katolik. Disana Florence terpesona akan pekerjaan sosial keperawatan yang dipr
aktekan oleh para biarawati, Florence pulang ke Inggris dengan membawa angan-ang
annya tentang keperawatan.\u003Cbr \/\u003E\u003Cbr \/\u003EFlorence ke Kaisersw
erth untuk mendapatkan pelatihan bersama biarawati disana, ia belajar disana sel
ama empat bulan, walaupun ditekan oleh keluarganya yang khawatir terjadi implika
si sosial yang timbul karena seorang gadis yang menjadi perawat serta latar bela
kang RS yang Katolik sementara Florence dari Kristen Protestan. Selain itu, Flor
ence pernah bekerja di rumah sakit untuk orang miskin di Perancis.\u003Cbr \/\u0
03E\u003Cbr \/\u003ETanggal 12 Agustus 1853, Florence kembali ke London dan beke
rja sebagai pengawas bagian keperawatan di Institute for the Care of Sick Gentle
women, sebuah rumah sakit kecil di Upper Harley Street, London. Meletusnya peran
g di Semenanjung Krimea tahun 1854 yang memakan banyak korban membuat Florence m
engajukan surat kepada mentri penerangan inggris saat itu (Sydney Hubert) untuk
menjadi sukarelawan, ia merupakan sukarelawan wanita satu-satunya yang mendaftar
kan diri.\u003Cbr \/\u003E\u003Cbr \/\u003EKondisi rumah sakit tersebut saat Flo
rence baru tiba disana sangat mengerikan, semua ruangan penuh sesak dengan praju
rit yang terluka dan berates-ratus prajurit bergelimpangan dihalaman tanpa tempa
t berteduh dan tanpa ada yang merawat. Florence melakukan perubahan-perubahan pe
nting, ia mengatur tempat tidur para penderita diruangan dan untuk penderita dil
uar ruangan ia mengusahakan setidaknya bernaung dibawah pohon dan ia juga menuga
skan mendirikan tenda. Penjagaan dilakukan secara teliti, begitu juga perawatan
dilakukan dengan cermat; perban diganti secara berkala, obat diberikan pada wakt
unya, lantai rumah sakit dipel setiap hari, meja kursi dibersihkan, baju-baju ko
tor dicuci dengan mengerahkan bantuan tenaga dari penduduk setempat.\u003Cbr \/\
u003E\u003Cbr \/\u003EFlorence Nightingale kembali ke Inggris sebagai pahlawan p
ada tanggal 7 Agustus 1857. Nightingale memainkan peran utama dalam pendirian Ko
misi Kerajaan untuk Kesehatan Tentara Inggris, dengan Sidney Herbert menjadi ket
ua. Di London, ia diundang oleh tokoh-tokoh masyarakat. Mereka mendirikan sebuah
badan bernama Dana Nightingale , dimana Sidney Herbert menjadi Sekertaris Kehormatan
an Adipati Cambridge menjadi Ketuanya. Badan tersebut berhasil mengumpulkan dana
yang besar sekali sejumlah 45.000 sebagai rasa terima kasih orang-orang Inggris ka
rena Florence Nightingale berhasil menyelamatkan banyak jiwa dari kematian. Flor
ence menggunakan uang itu untuk membangun sebuah sekolah perawat khusus untuk wa
nita yang pertama.\u003Cbr \/\u003E\u003Cbr \/\u003EPada tahun 1860 Florence men
ulis buku Catatan tentang Keperawatan (Notes on Nursing) buku setebal 136 halama
n ini menjadi buku acuan pada kurikulum di sekolah Florence dan sekolah keperawa
tan lainnya. Pada tahun 1861 cetakan lanjutan buku ini terbit dengan tambahan ba
gian tentang perawatan bayi. Pada tahun 1869, Nightingale dan Elizabeth Blackwel
l mendirikan Universitas Medis Wanita. Pada tahun 1870-an, Linda Richards, perawat
terlatih pertama Amerika , berkonsultasi dengan Florence Nightingale di Inggris, Lin
da Richards menjadi pelopor perawat di Amerika Serikat dan Jepang.\u003Cbr \/\u0
03E\u003Cbr \/\u003EPada tahun 1883 Florence dianugrahkan medali Palang Merah Ke
rajaan (The Royal Red Cross) oleh Ratu Victoria. Pada tahun 1907 Florence Nighti
ngale dianugerahi dengan bintang jasa The Order Of Merit dan Florence Nightingal
e menjadi wanita pertama yang menerima bintang tanda jasa ini. Pada tahun 1908 i
a dianugrahkan Honorary Freedom of the City dari kota London. Florence Nightinga
le meninggal dunia di usia 90 tahun pada tanggal 13 Agustus 1910. Ia dimakamkan
di Gereja St. Margaret yang terletak di East Wellow, Hampshire, Inggris"},"link"
:[{"rel":"edit","type":"application/atom+xml","href":"http:\/\/www.blogger.com\/
feeds\/1897108655767517628\/posts\/default\/6012604405178633182"},{"rel":"self",
"type":"application/atom+xml","href":"http:\/\/www.blogger.com\/feeds\/189710865
5767517628\/posts\/default\/6012604405178633182"},{"rel":"alternate","type":"tex
t/html","href":"http:\/\/askep-asuhankeperawatan.blogspot.com\/2014\/12\/biograf
i-pelopor-keperawatan-florence.html","title":"Biografi Pelopor Keperawatan - Flo
rence Nightingale"}],"author":[{"name":{"$t":"Bapake Adhe \u0026amp; Dika"},"uri
":{"$t":"http:\/\/www.blogger.com\/profile\/04284488757504843291"},"email":{"$t"
:"noreply@blogger.com"},"gd$image":{"rel":"http://schemas.google.com/g/2005#thum
bnail","width":"16","height":"16","src":"http:\/\/img2.blogblog.com\/img\/b16-ro
unded.gif"}}],"media$thumbnail":{"xmlns$media":"http://search.yahoo.com/mrss/","
url":"http:\/\/1.bp.blogspot.com\/-sxqxymNKFZ8\/VIshga0CIfI\/AAAAAAAAAJE\/Od5-H1
Ze07Y\/s72-c\/Biografi%2BPelopor%2BKeperawatan%2B-%2BFlorence%2BNightingale.jpg"
,"height":"72","width":"72"}},{"id":{"$t":"tag:blogger.com,1999:blog-18971086557
67517628.post-2760499051214254842"},"published":{"$t":"2014-12-13T00:01:00.003+0
7:00"},"updated":{"$t":"2014-12-13T00:01:44.563+07:00"},"category":[{"scheme":"h
ttp://www.blogger.com/atom/ns#","term":"Biografi Pelopor Keperawatan"},{"scheme"
:"http://www.blogger.com/atom/ns#","term":"Biografi Pelopor Keperawatan - Clara
Barton"}],"title":{"type":"text","$t":"Biografi Pelopor Keperawatan - Clara Bart
on"},"content":{"type":"html","$t":"\u003Cb\u003EPelopor Keperawatan - Clara Bar
ton\u003C\/b\u003E\u003Cbr \/\u003E\u003Cbr \/\u003EClara Barton dianggap salah
satu perawat terbesar. Dia adalah seorang perawat di medan perang, memberikan pe
rawatan kepada prajurit. Clara membentuk Palang Merah Amerika pada tahun 1881.\u
003Cbr \/\u003E\u003Cbr \/\u003EClara Barton lahir di Massachusetts, pada 25 Des
ember, 1821. Clara dan empat kakaknya dibesarkan di sebuah peternakan kecil oleh
orang tua mereka Sarah Stone dan Stephen Barton. Selama masa kecilnya, ia sanga
t pemalu. Di sekolah Clara tidak berinteraksi dengan anak-anak lain. Clara memba
ca banyak buku, berkat kakaknya, Sally. \u003Cbr \/\u003E\u003Cbr \/\u003E\u003C
div class=\"separator\" style=\"clear: both; text-align: center;\"\u003E\u003Ca
href=\"http:\/\/2.bp.blogspot.com\/-FFp9Qu7sa6Q\/VIsfRWlsXAI\/AAAAAAAAAI4\/ToyOf
heiJqU\/s1600\/Biografi%2BPelopor%2BKeperawatan%2B-%2BClara%2BBarton.gif\" image
anchor=\"1\" style=\"clear: left; float: left; margin-bottom: 1em; margin-right:
1em;\"\u003E\u003Cimg border=\"0\" src=\"http:\/\/2.bp.blogspot.com\/-FFp9Qu7sa
6Q\/VIsfRWlsXAI\/AAAAAAAAAI4\/ToyOfheiJqU\/s1600\/Biografi%2BPelopor%2BKeperawat
an%2B-%2BClara%2BBarton.gif\" \/\u003E\u003C\/a\u003E\u003C\/div\u003EPada usia
tujuh belas, ibu Clara memiliki seorang pria \"membaca\" kekuatan dan kelemahan
Clara. Dia mengatakan Clara terlalu sensitif untuk kebaikan sendiri. Dia juga me
ngatakan dia akan menjadi guru besar. Keluarga Clara mendesak dia untuk melakuka
n pengajaran. Jadi dia lakukan. Dia pergi ke Clinton Liberal Institute untuk bel
ajar bagaimana untuk menjadi seorang guru yang lebih baik. Siswa Clara menyukain
ya dan belajar banyak, karena dia memperlakukan mereka dengan hormat dan bergabu
ng dengan mereka dalam berbagai kegiatan. Kemudian, setelah melihat sekelompok a
nak laki-laki melakukan apa-apa di trotoar, Clara membuka sekolah di mana semua
orang, kaya atau miskin, bisa hadir. Bertahun-tahun kemudian, ia pergi ke pemeri
ntah AS dan bekerja di Patent Office in Washington, DC.\u003Cbr \/\u003E\u003Cbr
\/\u003ETapi ketika perang saudara dimulai pada tahun 1861, Clara melihat foto-
foto mantan murid-muridnya, yang sekarang tentara. Dia merasa bahwa dia harus me
mbantu. Dia berusaha sangat keras untuk mendapatkan izin untuk memberikan pertol
ongan pertama di medan perang, dan akhirnya, ia melakukannya. Tapi itu hanya unt
uk berkemah, di mana tidak ada pertempuran. Suatu hari ia melanggar izin itu. Di
a mulai bekerja di medan perang segera .Clara tidak mendukung perbudakan. Di med
an perang, ia akan memberikan perawatan kepada semua prajurit, Union atau Konfed
erasi. Dia memasak makanan dan memberikan perawatan cedera. Pendidikan keperawat
an tidak sangat formal pada waktu itu dan Clara tidak menghadiri sekolah perawat
. Jadi dia memberikan otodidak perawatan. Dia dijuluki \"The Angel of the Battle
field.\" \u003Cbr \/\u003E\u003Cbr \/\u003EKetika perang usai, Clara ke Eropa ka
rena dia sakit. Dokternya telah mendesak dia untuk pergi karena Eropa tidak akan
tahu dan dia bisa berhenti bekerja. Tapi dokter itu salah. Ketika Clara sampai
di sana, banyak orang tahu tentang dia dan mengunjunginya. Suatu hari ia bertemu
dengan Dr. Louis Appia dan Henri Dunant yang telah mendirikan Palang Merah Inte
rnasional, yang membantu orang-orang yang terluka dalam perang. Appia berbicara
dengan Clara tentang Palang Merah dan pekerjaannya. Dia tinggal dan bekerja untu
k Palang Merah selama perang.\u003Cbr \/\u003E\u003Cbr \/\u003EKetika Clara kemb
ali ke Amerika, ia mencoba meyakinkan Presiden Rutherford Hayes, Sekretaris Nega
ra dan Kongres untuk AS bergabung dengan Palang Merah Internasional. Tapi bulan
berlalu dan Kongres belum menandatangani perjanjian untuk bergabung dengan Palan
g Merah Internasional, sehingga Clara mendirikan Palang Merah Amerika, dan menja
di Presiden pertama. Dia ingin Palang Merah Amerika untuk membantu para korban b
encana alam, bukan hanya perang, dan dia kemudian membujuk Palang Merah Internas
ional untuk melakukannya juga. Clara memimpin Palang Merah Amerika dari tahun 18
81 sampai 1904. Palang Merah memiliki gudang penuh persediaan makanan, air, dan
perawatan kesehatan. Pada tahun 1905, Clara membentuk Perhimpunan Pertolongan Pe
rtama Nasional untuk mengajar orang bagaimana memberikan pertolongan pertama dan
menyelamatkan nyawa bahkan ketika petugas kesehatan tidak ada. Pada tanggal 12
April 1912, Clara Barton meninggal di rumahnya di Glen Echo, Maryland.\u003Cbr \
/\u003E\u003Cbr \/\u003ESaya pikir Clara adalah orang yang berani dan rela berko
rban. Dia terus-menerus bekerja dan dia mencapai banyak hal, meskipun itu sulit
maka bagi perempuan untuk bekerja di luar rumah. Clara Barton adalah inspirasi b
agi banyak orang. Dia adalah seorang pemimpin yang mengajarkan masyarakat Amerik
a yang kita dapat membantu orang-orang yang terjebak dalam bencana. Dia menemuka
n cara-cara baru untuk memecahkan masalah kesehatan besar dan menyelamatkan bany
ak nyawa.\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cbr \/\u003EReferensi : truthabo
utnursing.org"},"link":[{"rel":"edit","type":"application/atom+xml","href":"http
:\/\/www.blogger.com\/feeds\/1897108655767517628\/posts\/default\/27604990512142
54842"},{"rel":"self","type":"application/atom+xml","href":"http:\/\/www.blogger
.com\/feeds\/1897108655767517628\/posts\/default\/2760499051214254842"},{"rel":"
alternate","type":"text/html","href":"http:\/\/askep-asuhankeperawatan.blogspot.
com\/2014\/12\/biografi-pelopor-keperawatan-clara.html","title":"Biografi Pelopo
r Keperawatan - Clara Barton"}],"author":[{"name":{"$t":"Bapake Adhe \u0026amp;
Dika"},"uri":{"$t":"http:\/\/www.blogger.com\/profile\/04284488757504843291"},"e
mail":{"$t":"noreply@blogger.com"},"gd$image":{"rel":"http://schemas.google.com/
g/2005#thumbnail","width":"16","height":"16","src":"http:\/\/img2.blogblog.com\/
img\/b16-rounded.gif"}}],"media$thumbnail":{"xmlns$media":"http://search.yahoo.c
om/mrss/","url":"http:\/\/2.bp.blogspot.com\/-FFp9Qu7sa6Q\/VIsfRWlsXAI\/AAAAAAAA
AI4\/ToyOfheiJqU\/s72-c\/Biografi%2BPelopor%2BKeperawatan%2B-%2BClara%2BBarton.g
if","height":"72","width":"72"}},{"id":{"$t":"tag:blogger.com,1999:blog-18971086
55767517628.post-5237534280129757344"},"published":{"$t":"2014-12-12T22:01:00.00
0+07:00"},"updated":{"$t":"2014-12-12T22:02:15.797+07:00"},"category":[{"scheme"
:"http://www.blogger.com/atom/ns#","term":"4 Metodologi Dalam Psikologi"},{"sche
me":"http://www.blogger.com/atom/ns#","term":"Keperawatan Kesehatan Mental Psiki
atri"}],"title":{"type":"text","$t":"4 Metodologi Dalam Psikologi"},"content":{"
type":"html","$t":"Beberapa \u003Cb\u003Emetodologi dalam psikologi\u003C\/b\u00
3E, di antaranya sebagai berikut :\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cbr \/\
u003E\u003Cb\u003E1. Metodologi Eksperimental\u003C\/b\u003E\u003Cbr \/\u003E\u0
03Cbr \/\u003ECara ini dilakukan biasanya di dalam laboratorium dengan mengadaka
n berbagai eksperimen. Peneliti mempunyai kontrol sepenuhnya terhadap jalannya s
uatu eksperimen. Yaitu menentukan akan melakukan apa pada sesuatu yang akan dite
litinya, kapan akan melakukan penelitian, seberapa sering melakukan penelitianny
a, dan sebagainya. Pada metode eksperimental, maka sifat subjektivitas dari meto
de introspeksi akan dapat diatasi. Pada metode instrospeksi murni hanya diri pen
eliti yang menjadi objek. Tetapi pada instrospeksi eksperimental jumlah subjek b
anyak, yaitu orang - orang yang dieksperimentasi itu. Dengan luasnya atau banyak
nya subjek penelitian maka hasil yang didapatkan akan lebih objektif. Metode pen
elitian umumnya dimulai dengan hipotesis yakni prediksi\/peramalan, percabangan
dari teori, diuraikan dan dirumuskan sehingga bisa diujicobakan.\u003Cbr \/\u003
E\u003Cbr \/\u003E\u003Cdiv class=\"separator\" style=\"clear: both; text-align:
center;\"\u003E\u003Ca href=\"http:\/\/3.bp.blogspot.com\/-IectJ4A9VnI\/VIsCpoX
qxTI\/AAAAAAAAAIo\/-jchdX68Lic\/s1600\/4%2BMetodologi%2BDalam%2BPsikologi.jpg\"
imageanchor=\"1\" style=\"clear: left; float: left; margin-bottom: 1em; margin-r
ight: 1em;\"\u003E\u003Cimg border=\"0\" src=\"http:\/\/3.bp.blogspot.com\/-Iect
J4A9VnI\/VIsCpoXqxTI\/AAAAAAAAAIo\/-jchdX68Lic\/s1600\/4%2BMetodologi%2BDalam%2B
Psikologi.jpg\" height=\"320\" width=\"213\" \/\u003E\u003C\/a\u003E\u003C\/div\
u003E\u003Cb\u003E2. Observasi Ilmiah\u003C\/b\u003E\u003Cbr \/\u003E\u003Cbr \/
\u003EPada pengamatan ilmiah, suatu hal pada situasi-situasi yang ditimbulkan ti
dak dengan sengaja. Melainkan dengan proses ilmiah dan secara spontan. Observasi
alamiah ini dapat diterapkan pula pada tingkah laku yang lain, misalnya saja :
tingkah laku orang-orang yang berada di toko serba ada, tingkah laku pengendara
kendaraan bermotor dijalan raya, tingkah laku anak yang sedang bermain, perilaku
orang dalam bencana alam, dan sebagainya.\u003Cbr \/\u003E\u003Cbr \/\u003E\u00
3Cb\u003E3. Sejarah Kehidupan (metode biografi)\u003C\/b\u003E\u003Cbr \/\u003E\
u003Cbr \/\u003ESejarah kehidupan seseorang dapat merupakan sumber data yang pen
ting untuk lebih mengetahui jiwa orang yang bersangkutan, misalnya dari cerita ibunya
seorang anak yang tidak naik kelas mungkin diketahui bahwa dia bukannya kurang
pandai tetapi minatnya sejak kecil memang dibidang musik sehingga dia tidak cuku
p serius untuk mengikuti pendidikan di sekolahnya. Dalam metode ini orang mengur
aikan tentang keadaaan, sikap - sikap ataupun sifat lain mengenai orang yang ber
sangkutan. Pada metode ini disamping mempunyai keuntungan juga mempunyai kelemah
an, yaitu tidak jarang metode ini bersifat subjektif. Sejarah kehidupan dapat di
susun melalui 2 cara yaitu: pembuatan buku harian dan rekonstruksi biografi\u003
Cbr \/\u003E\u003Cb\u003E\u003Cbr \/\u003E\u003C\/b\u003E \u003Cb\u003E4. Wawanc
ara\u003C\/b\u003E\u003Cbr \/\u003E\u003Cbr \/\u003EWawancara merupakan tanya ja
wab si pemeriksa dan orang yang diperiksa. Agar orang diperiksa itu dapat menemu
kan isi hatinya itu sendiri, pandangan-pandangannya, pendapatnya dan lain-lain s
edemikian rupa sehingga orang yang mewawancarai dapat menggali semua informasi y
ang dibutuhkan.Baik angket atau interview keduanya mempunyai persamaan, tetapi b
erbeda dalam cara penyajiannya. Keuntungan interview dibandingkan dengan angket,
yaitu:\u003Cbr \/\u003E\u003Col\u003E\u003Cli\u003EPada interview apabila terda
pat hal yang kurang jelas maka dapat diperjelas\u003C\/li\u003E\u003Cli\u003Eint
erviwer(penanya) dapat menyesuaikan dengan suasana hati interviwee ( responden y
ang ditanyai)\u003C\/li\u003E\u003Cli\u003ETerdapat interaksi langsung berupa fa
ce to face sehingga diharapkan dapat membina hubungan yang baik saat proses inte
rview dilakukan.\u003C\/li\u003E\u003C\/ol\u003E\u003Ci\u003E\u003Cbr \/\u003ESu
mber : http:\/\/id.wikipedia.org\/wiki\/Psikologi\u003C\/i\u003E"},"link":[{"rel
":"edit","type":"application/atom+xml","href":"http:\/\/www.blogger.com\/feeds\/
1897108655767517628\/posts\/default\/5237534280129757344"},{"rel":"self","type":
"application/atom+xml","href":"http:\/\/www.blogger.com\/feeds\/1897108655767517
628\/posts\/default\/5237534280129757344"},{"rel":"alternate","type":"text/html"
,"href":"http:\/\/askep-asuhankeperawatan.blogspot.com\/2014\/12\/4-metodologi-d
alam-psikologi.html","title":"4 Metodologi Dalam Psikologi"}],"author":[{"name":
{"$t":"Bapake Adhe \u0026amp; Dika"},"uri":{"$t":"http:\/\/www.blogger.com\/prof
ile\/04284488757504843291"},"email":{"$t":"noreply@blogger.com"},"gd$image":{"re
l":"http://schemas.google.com/g/2005#thumbnail","width":"16","height":"16","src"
:"http:\/\/img2.blogblog.com\/img\/b16-rounded.gif"}}],"media$thumbnail":{"xmlns
$media":"http://search.yahoo.com/mrss/","url":"http:\/\/3.bp.blogspot.com\/-Iect
J4A9VnI\/VIsCpoXqxTI\/AAAAAAAAAIo\/-jchdX68Lic\/s72-c\/4%2BMetodologi%2BDalam%2B
Psikologi.jpg","height":"72","width":"72"}},{"id":{"$t":"tag:blogger.com,1999:bl
og-1897108655767517628.post-8445108440569718461"},"published":{"$t":"2014-12-12T
21:50:00.001+07:00"},"updated":{"$t":"2014-12-12T21:51:32.537+07:00"},"category"
:[{"scheme":"http://www.blogger.com/atom/ns#","term":"Artikel Kesehatan"},{"sche
me":"http://www.blogger.com/atom/ns#","term":"Tes Rorschach \/ Tes Bercak Tinta
Rorschach"}],"title":{"type":"text","$t":"Tes Rorschach \/ Tes Bercak Tinta Rors
chach"},"content":{"type":"html","$t":"Tes Rorschach juga dikenal dengan tes ber
cak tinta Rorschach, teknik Rorschach, atau tes bercak tinta) adalah tes psikolo
gi yang meminta subjek untuk menulis atau menyebutkan gambar-gambar berupa berca
k tinta (inkblot), dan kemudian dianalisis dengan menggunakan interpretasi psiko
logis, algoritma kompleks, atau keduanya. Beberapa psikolog menggunakan tes ini
untuk mengetahui karakter dan emosional seseorang. Tes Rorschach telah digunakan
untuk mendeteksi masalah-masalah psikologis seperti gangguan pikiran, terutama
dalam kasus ketika pasien enggan menyatakan proses berpikir mereka secara terbuk
a. Tes ini dinamakan sesuai dengan nama penciptanya, psikolog Swiss Hermann Rors
chach.\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cdiv class=\"separator\" style=\"cl
ear: both; text-align: center;\"\u003E\u003Ca href=\"http:\/\/2.bp.blogspot.com\
/-9JAw3feffxk\/VIsAxfUgR_I\/AAAAAAAAAIc\/WcYj4iLUUgE\/s1600\/Tes%2BRorschach%2B-
%2BTes%2BBercak%2BTinta%2BRorschach.jpg\" imageanchor=\"1\" style=\"clear: left;
float: left; margin-bottom: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0
\" src=\"http:\/\/2.bp.blogspot.com\/-9JAw3feffxk\/VIsAxfUgR_I\/AAAAAAAAAIc\/WcY
j4iLUUgE\/s1600\/Tes%2BRorschach%2B-%2BTes%2BBercak%2BTinta%2BRorschach.jpg\" he
ight=\"261\" width=\"400\" \/\u003E\u003C\/a\u003E\u003C\/div\u003EPada tahun 19
60an, tes Rorschach adalah tes psikologi yang paling umum digunakan.Di Amerika S
erikat, tes Rorschach adalah tes ke-8 yang paling sering digunakan pada pasien d
i fasilitas kesehatan mental. Tes ini juga menjadi tes yang paling sering diguna
kan oleh Society for Personality Assessment, dan digunakan oleh psikiater dalam
25% kasus penilaian forensik, biasanya dengan penilaian MMPI-2 dan MCMI-III. Men
urut survey, tes Rorschach digunakan oleh sekitar 20% psikolog koreksional, dan
80% psikolog klinis.\u003Cbr \/\u003E\u003Cbr \/\u003ETes ini juga menimbulkan p
erdebatan di kalangan psikolog, termasuk objektivitas penguji, reliabilitas anta
r penilai, pemastian, validitas pengujian, bias skala patologi tes terhadap besa
rnya jumlah respon, dan terbatasnya jumlah kondisi psikologi untuk dianalisa. Di
pengadilan, penggunaan tes ini sendiri butuh evaluasi.\u003Cbr \/\u003E\u003Cbr
\/\u003E\u003Cbr \/\u003E\u003Ci\u003ESumber : http:\/\/id.wikipedia.org\/wiki\
/Tes_Rorschach\u003C\/i\u003E"},"link":[{"rel":"edit","type":"application/atom+x
ml","href":"http:\/\/www.blogger.com\/feeds\/1897108655767517628\/posts\/default
\/8445108440569718461"},{"rel":"self","type":"application/atom+xml","href":"http
:\/\/www.blogger.com\/feeds\/1897108655767517628\/posts\/default\/84451084405697
18461"},{"rel":"alternate","type":"text/html","href":"http:\/\/askep-asuhankeper
awatan.blogspot.com\/2014\/12\/tes-rorschach-tes-bercak-tinta-rorschach.html","t
itle":"Tes Rorschach \/ Tes Bercak Tinta Rorschach"}],"author":[{"name":{"$t":"B
apake Adhe \u0026amp; Dika"},"uri":{"$t":"http:\/\/www.blogger.com\/profile\/042
84488757504843291"},"email":{"$t":"noreply@blogger.com"},"gd$image":{"rel":"http
://schemas.google.com/g/2005#thumbnail","width":"16","height":"16","src":"http:\
/\/img2.blogblog.com\/img\/b16-rounded.gif"}}],"media$thumbnail":{"xmlns$media":
"http://search.yahoo.com/mrss/","url":"http:\/\/2.bp.blogspot.com\/-9JAw3feffxk\
/VIsAxfUgR_I\/AAAAAAAAAIc\/WcYj4iLUUgE\/s72-c\/Tes%2BRorschach%2B-%2BTes%2BBerca
k%2BTinta%2BRorschach.jpg","height":"72","width":"72"}},{"id":{"$t":"tag:blogger
.com,1999:blog-1897108655767517628.post-911802939411382009"},"published":{"$t":"
2014-12-12T15:12:00.000+07:00"},"updated":{"$t":"2014-12-12T15:12:02.449+07:00"}
,"category":[{"scheme":"http://www.blogger.com/atom/ns#","term":"Askep"},{"schem
e":"http://www.blogger.com/atom/ns#","term":"Askep Katarak"},{"scheme":"http://w
ww.blogger.com/atom/ns#","term":"Katarak"}],"title":{"type":"text","$t":"Askep K
atarak"},"content":{"type":"html","$t":"\u003Cbr \/\u003E\u003Cdiv style=\"text-
align: center;\"\u003E\u003Cb\u003EAsuhan Keperawatan Katarak\u003C\/b\u003E\u00
3C\/div\u003E\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cb\u003EPengertian\u003C\/b\
u003E\u003Cbr \/\u003E\u003Cbr \/\u003EKatarak adalah kekeruhan pada lensa yang
dapat terjadi akibat hidrasi (penambahan cairan) lensa, denaturasi protein lensa
atau akibat keduanya (Anas 2011, h.54). \u003Cbr \/\u003E\u003Cbr \/\u003EKatar
ak adalah suatu keadaan dimana lensa mata yang biasanya jernih dan bening menja
di keruh (Sidarta 2004, h.125).\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cbr \/\u00
3E\u003Cb\u003EEtiologi\u003C\/b\u003E\u003Cbr \/\u003E\u003Cul\u003E\u003Cli\u0
03EFisik (trauma tumpul \u0026amp; tajam)\u003C\/li\u003E\u003Cli\u003EKimia\u00
3C\/li\u003E\u003Cli\u003EPenyakit predisposisi seperti DM\u003C\/li\u003E\u003C
li\u003EGenetik dan gangguan perkembangan\u003C\/li\u003E\u003Cli\u003EInfeksi v
irus di masa pertumbuhan janin\u003C\/li\u003E\u003Cli\u003EUsia\u003C\/li\u003E
\u003C\/ul\u003E\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cb\u003EKlasifikasi\u003C
\/b\u003E\u003Cbr \/\u003E\u003Cbr \/\u003EMenurut Allen katarak dibagi dalam du
a kelompok :\u003Cbr \/\u003E\u003Cbr \/\u003E1. Development Catarak\u003Cbr \/\
u003E\u003Cbr \/\u003EPembentukan lensa fiber terganggu selama pertumbuhan ( con
genital katarak dan juvenile katarak).\u003Cbr \/\u003E\u003Cbr \/\u003E2. Degen
arativ Catarak\u003Cbr \/\u003E\u003Cbr \/\u003ELensa fiber sudah terbentuk teta
pi karena suatu sebab sehingga terjadi degenerasi dan lensa menjadi keruh ( kata
rak senile ).\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cb\u003EPat
ofisiologi\u003C\/b\u003E\u003Cbr \/\u003E\u003Cbr \/\u003ESecara normal lensa b
erwarna transparan. Hal ini terjadi karena adanya keseimbangan antara protein ya
ng dapat larut dengan protein yang tidak dapat larut dalam membran semipermiabel
. Bila terdapat peningkatan jumlah protein yang tidak dapat diserap, maka terjad
i penurunan sintesa jumlah protein. Maka jumlah protein dalam lensa berlebihan,
sehingga pada lensa terdapat massa yang transparan atau bintik kecil di sekitar
lensa dan membentuk suatu kapsul. Terjadinya penumpukan cairan, degenerasi dan d
isintegrasi pada serabut menyebabkan jalannya cahaya tidak dapat difokuskan pada
bintik kuning dengan baik sehingga penglihatan terganggu.\u003Cbr \/\u003E\u003
Cbr \/\u003E\u003Cbr \/\u003E\u003Cb\u003EManifestasi Klinis\u003C\/b\u003E\u003
Cbr \/\u003E\u003Cul\u003E\u003Cli\u003ERasa silau karena terjadi pembiasan tida
k teratur oleh lensa yang keruh.\u003C\/li\u003E\u003Cli\u003EPengeliatan akan b
erkurang secara perlahan.\u003C\/li\u003E\u003Cli\u003EPada pupil terdapat berca
k putih.\u003C\/li\u003E\u003Cli\u003EBertambah tebal nukleus dengan perkembangn
ya lapisan korteks lensa.\u003C\/li\u003E\u003Cli\u003EPengelihatan kabur.\u003C
\/li\u003E\u003Cli\u003ERasa nyeri pada mata (Andra 2013 h.65).\u003C\/li\u003E\
u003C\/ul\u003E\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cb\u003EPemeriksaan Penuna
ng\u003C\/b\u003E\u003Cbr \/\u003E\u003Cbr \/\u003E1. Penyinaran samping\u003Cbr
\/\u003E\u003Cbr \/\u003EDengan bantuan lampu senter, terlihat kekaburan lensa
mata yang putih keabuan dengan dasar hitam. Pada stadium imatur, tampak bayangan
iris diatas lensa akibat superfisial lensa masih transparan, iris shadow positi
f. Pada stadium matur, iris shadow negative, lensa keruh sama sekali.\u003Cbr \/
\u003E\u003Cbr \/\u003E2. Offtalmoskope\u003Cbr \/\u003E\u003Cbr \/\u003EPada st
adium impisien da imatur tampak kekaburan yang kehitaman dengan latar belakang m
erah jambu. Pada stadium matur haya didapat warana putih atau kehitaman tanpa la
tar belakang merah jambu, lensa sudah keruh.\u003Cbr \/\u003E\u003Cbr \/\u003E\u
003Cbr \/\u003E\u003Cb\u003EPenatalaksanaan\u003C\/b\u003E\u003Cbr \/\u003E\u003
Col\u003E\u003Cli\u003EPada katarak kongenital dapat dilakukan tredektomi optis.
Apabila lensa keruh sehingga tidak tampak \/dapat dilakukan tredektomi optis pa
da anak usia kurang dari satu tahun maka dapat dilakukan insisi lensa, untuk ana
k yang lebih besar dapat dilakukan ekstraksi linier.\u003C\/li\u003E\u003Cli\u00
3EOperasi katarak kongenital dilakukan bila refleks tidak tampak dan bila katara
k bersifat total. Operasi dapat dilakukan pada usia 2 bulan atau lebih muda bila
sudah dapat dilakukan pembiusan.\u003C\/li\u003E\u003Cli\u003EOperasi\/pembedah
an pada jenis katarak lain:\u003Cbr \/\u003E\u003Cul\u003E\u003Cli\u003EECCE (Ek
stra Catarak Capsular Ekstrasi)\u003Cbr \/\u003ETindakan pembedahan dengan memec
ah atau merobek kapsul lensa anterior sehingga massa lensa dan korteks lensa dap
at keluar melalui robekan tersebut.\u003C\/li\u003E\u003Cli\u003EICCE(Intra Cata
rak Capsular Ekstraksi)\u003Cbr \/\u003EPembedakan dengan mengeluarkan isi lensa
bersama kapsul. EKIK tidak boleh dilakukan pada usia kurang dari 40 tahun, kare
na masih mempunyai ligament hialoedia kapsuler.\u003C\/li\u003E\u003C\/ul\u003E\
u003C\/li\u003E\u003C\/ol\u003E\u003Cbr \/\u003E\u003Cdiv class=\"separator\" st
yle=\"clear: both; text-align: center;\"\u003E\u003Ca href=\"http:\/\/1.bp.blogs
pot.com\/-7qePpu6SVb0\/VIqjFFEUMRI\/AAAAAAAAAIM\/l-16vIkuRm4\/s1600\/Askep%2BKat
arak%2B-%2BASuhan%2BKeperawatan%2BKatarak.jpeg\" imageanchor=\"1\" style=\"margi
n-left: 1em; margin-right: 1em;\"\u003E\u003Cimg alt=\"LP laporan pendahuluan as
uhan keperawatan Askep Katarak\" border=\"0\" src=\"http:\/\/1.bp.blogspot.com\/
-7qePpu6SVb0\/VIqjFFEUMRI\/AAAAAAAAAIM\/l-16vIkuRm4\/s1600\/Askep%2BKatarak%2B-%
2BASuhan%2BKeperawatan%2BKatarak.jpeg\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E
\u003Cbr \/\u003E\u003Cdiv style=\"text-align: center;\"\u003E\u003Cb\u003EAsuha
n Keperawatan Katarak\u003C\/b\u003E\u003C\/div\u003E\u003Cbr \/\u003E\u003Cbr \
/\u003E\u003Cb\u003EPengkajian\u003C\/b\u003E\u003Cbr \/\u003E\u003Cbr \/\u003E1
. Riwayat\u003Cbr \/\u003E\u003Cul\u003E\u003Cli\u003ERiwayat penyakit : tr
auma mata, penggunaan obat kortikosteroid, penyakit diabetes melitus, hipotiroid
, uveitis, glaukoma.\u003C\/li\u003E\u003Cli\u003ERiwayat keluhan gangguan : sta
dium katarak.\u003C\/li\u003E\u003Cli\u003EPsikososial : kemampuan aktivitas, ga
ngguan membaca, resiko jatuh, berkendaraan.\u003C\/li\u003E\u003C\/ul\u003E2.
Pengkajian umum\u003Cbr \/\u003E\u003Cul\u003E\u003Cli\u003EUsia\u003C\/li\u0
03E\u003Cli\u003EGejala penyakit sistemik : diabetes melitus, hipotiroid.\u003C\
/li\u003E\u003C\/ul\u003E3. Pengkajian khusus mata\u003Cbr \/\u003E\u003Cul
\u003E\u003Cli\u003EDengan pelebaran pupil, ditemukan gambaran kekeruhan lensa (
berkas putih) pada lensa.\u003C\/li\u003E\u003Cli\u003EKeluhan terdapat diplopia
, pandangan berkabut.\u003C\/li\u003E\u003Cli\u003EPenurunan tajam penglihatan (
miopia).\u003C\/li\u003E\u003Cli\u003EBilik mata depan menyempit.\u003C\/li\u003
E\u003Cli\u003ETanda glaukoma (akibat komplikasi) (Anas 2011, h.61).\u003C\/li\u
003E\u003C\/ul\u003E\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cb\u003EDianosa Keper
awatan\u003C\/b\u003E\u003Cbr \/\u003E\u003Cbr \/\u003E1. Pre operasi :\u00
3Cbr \/\u003E Cemas berhubunan dengan kurang pengetahuan prosedur operasi katarak \u00
Cbr \/\u003E\u003Cbr \/\u003E2. Intra operasi :\u003Cbr \/\u003E Nyeri berhubung
an tindakan operasi \u003Cbr \/\u003E\u003Cbr \/\u003E3. Pasca operasi :\u003Cbr \/
\u003E Resiko tinggi infeksi berhubungan peradangan luka post operasi\u003Cbr \/\u0
03E\u003Cbr \/\u003EIntervensi :\u003Cbr \/\u003E\u003Cbr \/\u003E1. Cemas berhu
bunan dengan kurang pengetahuan dan informasi pre operasi katarak\u003Cbr \/\u00
3E\u003Cbr \/\u003ETujuan :\u003Cbr \/\u003ECemas berkurang setelah dilakukan ti
ndakan keperawatan selama 10 menit,\u003Cbr \/\u003Edengan kriteria hasil:\u003C
br \/\u003E\u003Cul\u003E\u003Cli\u003EPasien tenang dan rileks\u003C\/li\u003E\
u003Cli\u003EDapat mengunkapkan penyebab kecemasan\u003C\/li\u003E\u003Cli\u003E
Pasien mampu menontrol kecemasan\u003C\/li\u003E\u003Cli\u003EPasien dapat menje
laskan tentang tindakan operasi\u003C\/li\u003E\u003C\/ul\u003E\u003Cbr \/\u003E
Intervensi :\u003Cbr \/\u003E\u003Cul\u003E\u003Cli\u003EKaji tingkat kecemasanp
asien , ukur tanda-tanda fital\u003C\/li\u003E\u003Cli\u003EBerikan informasi ya
n dibutuhkan pasien sebelum dilakukan tindakan pembedahan\u003C\/li\u003E\u003Cl
i\u003EBerikan teknik relaksasi serta suport mental yang melibatkan unsur-usur r
eligi\u003C\/li\u003E\u003Cli\u003EBerikan kesempatan pasien untuk mengungkapkan
perasaannya sebelum operasi\u003C\/li\u003E\u003C\/ul\u003E\u003Cbr \/\u003ERas
ional :\u003Cbr \/\u003E\u003Cul\u003E\u003Cli\u003EKemungkinan peningkatan teka
nan darah dan denyut nadi dengan disertai napas dangkal dan tidak teratur menunj
ukkan manifestasi cemas pada pasien\u003C\/li\u003E\u003Cli\u003EInformasi yang
adekuat dan peyampaian yang aik akan mengubah persepsi dan pola pikir pasien\u00
3C\/li\u003E\u003Cli\u003EPasien mampu mengontrol tingkat emosi dan kecemasannya
, dengan mencoba beberapa teknik napas yang teratur, serta ketenangan jiwa yang
berpengaruh terhadap tingkat emosi dan kecemasan.\u003C\/li\u003E\u003C\/ul\u003
E\u003Cbr \/\u003E\u003Cbr \/\u003E2. Nyeri berhubungan dengan tindakan operasi
\u003Cbr \/\u003E\u003Cbr \/\u003ETujuan :\u003Cbr \/\u003ENyeri berkurang setel
ah dilakukan tindakan keparawatn selama 5 menit dengan kriteria hasil:\u003Cbr \
/\u003E\u003Cul\u003E\u003Cli\u003EPasien menatakan nyeri berkurang\u003C\/li\u0
03E\u003Cli\u003EWajah pasien kelihatan relaks\u003C\/li\u003E\u003C\/ul\u003E\u
003Cbr \/\u003EIntervensi :\u003Cbr \/\u003E\u003Cul\u003E\u003Cli\u003EAnjurkan
untuk menggunakan teknik manajemen relaksasi, guide imageri, visualisasi, dan n
apas dalam.\u003C\/li\u003E\u003C\/ul\u003ERasional :\u003Cbr \/\u003E\u003Cul\u
003E\u003Cli\u003EMeningkatkan relaksasi dan koping dapat menurunkan TIO ( tekan
an intra okuli )\u003C\/li\u003E\u003C\/ul\u003E\u003Cbr \/\u003E\u003Cbr \/\u00
3E3. Resiko tinggi infeksi berhubungan dengan peradangan luka operasi\u003Cbr \/
\u003E\u003Cbr \/\u003ETujuan : \u003Cbr \/\u003ETidak terjadi infeksi selama di
lakukan tindakan keperawatan\u003Cbr \/\u003E\u003Cbr \/\u003EIntervensi :\u003C
br \/\u003E\u003Cul\u003E\u003Cli\u003EDiskusikan pentinnya cuci tangan sebelum
menyentuh atau mengoati mata\u003C\/li\u003E\u003Cli\u003ETunjukan teknik yang t
epat untuk memersihkan mata dari dalam keluar dengan tisu basah\/ bola kapas unt
uk tiap usapan, anti balutan dan masukkan lensa kontak keitika menggunakan\u003C
\/li\u003E\u003Cli\u003ETekankan untuk tidak menyentuh atau menggaruk mata yang
dioperasi\u003C\/li\u003E\u003Cli\u003EObservasi\/ diskusikan tanda terjadinya i
nfeksi contoh kemerahan, kelopak bekak, drainase purulen.\u003C\/li\u003E\u003C\
/ul\u003E\u003Cbr \/\u003ERasional :\u003Cbr \/\u003E\u003Cul\u003E\u003Cli\u003
EMenurunkan jumlah bakteri pada tangan, mencegah kontaminasi area operasi\u003C\
/li\u003E\u003Cli\u003ETeknik aseptik menurunkan resiko penyebaran bakteri dan k
ontaminasi silang\u003C\/li\u003E\u003Cli\u003EMencegah kontaminasi dan kerusaka
n sisi operasi\u003C\/li\u003E\u003Cli\u003EInfeksi mata terjadi 2-3 hari setela
h prosedur dan memerlukan upaya intervensi.\u003C\/li\u003E\u003C\/ul\u003E"},"l
ink":[{"rel":"edit","type":"application/atom+xml","href":"http:\/\/www.blogger.c
om\/feeds\/1897108655767517628\/posts\/default\/911802939411382009"},{"rel":"sel
f","type":"application/atom+xml","href":"http:\/\/www.blogger.com\/feeds\/189710
8655767517628\/posts\/default\/911802939411382009"},{"rel":"alternate","type":"t
ext/html","href":"http:\/\/askep-asuhankeperawatan.blogspot.com\/2014\/12\/askep
-katarak.html","title":"Askep Katarak"}],"author":[{"name":{"$t":"Bapake Adhe \u
0026amp; Dika"},"uri":{"$t":"http:\/\/www.blogger.com\/profile\/0428448875750484
3291"},"email":{"$t":"noreply@blogger.com"},"gd$image":{"rel":"http://schemas.go
ogle.com/g/2005#thumbnail","width":"16","height":"16","src":"http:\/\/img2.blogb
log.com\/img\/b16-rounded.gif"}}],"media$thumbnail":{"xmlns$media":"http://searc
h.yahoo.com/mrss/","url":"http:\/\/1.bp.blogspot.com\/-7qePpu6SVb0\/VIqjFFEUMRI\
/AAAAAAAAAIM\/l-16vIkuRm4\/s72-c\/Askep%2BKatarak%2B-%2BASuhan%2BKeperawatan%2BK
atarak.jpeg","height":"72","width":"72"}},{"id":{"$t":"tag:blogger.com,1999:blog
-1897108655767517628.post-9145706967297132240"},"published":{"$t":"2014-12-10T13
:30:00.000+07:00"},"updated":{"$t":"2014-12-10T13:30:04.824+07:00"},"category":[
{"scheme":"http://www.blogger.com/atom/ns#","term":"Artikel Kesehatan"},{"scheme
":"http://www.blogger.com/atom/ns#","term":"Daftar 5 Makanan Pengganti Obat Tidu
r"}],"title":{"type":"text","$t":"Daftar 5 Makanan Pengganti Obat Tidur"},"conte
nt":{"type":"html","$t":"\u003Cbr \/\u003ETidur nyenyak buat beberapa orang meru
pakan kemewahan. Faktanya, tidur merupakan waktu untuk sel dari tubuh termasuk s
el otak untuk bisa pulih.\u003Cbr \/\u003E\u003Cbr \/\u003EKekurangan tidur dapa
t membuat badan anda lemas, pusing, dan tidak fokus pada pagi harinya, sebagaima
na dikutip dari Healthmeup.\u003Cbr \/\u003E\u003Cbr \/\u003EUntuk membuat anda
dapat tidur lebih nyenyak, tanpa meminum obat tidur, lebih baik anda memakan mak
anan berikut ini sebelum beranjak tidur sebagai penggantinya.\u003Cbr \/\u003E\u
003Cbr \/\u003E\u003Cdiv class=\"separator\" style=\"clear: both; text-align: ce
nter;\"\u003E\u003Ca href=\"http:\/\/3.bp.blogspot.com\/-B5TjSm9j1H8\/VIfoT5LzEX
I\/AAAAAAAAAH8\/g9AWm0PitC8\/s1600\/Daftar%2B5%2BMakanan%2BPengganti%2BObat%2BTi
dur.jpeg\" imageanchor=\"1\" style=\"clear: left; float: left; margin-bottom: 1e
m; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" src=\"http:\/\/3.bp.blogspot
.com\/-B5TjSm9j1H8\/VIfoT5LzEXI\/AAAAAAAAAH8\/g9AWm0PitC8\/s1600\/Daftar%2B5%2BM
akanan%2BPengganti%2BObat%2BTidur.jpeg\" height=\"156\" width=\"320\" \/\u003E\u
003C\/a\u003E\u003C\/div\u003E1.Sereal\u003Cbr \/\u003E\u003Cbr \/\u003EPeneliti
an baru-baru ini menunjukan bahwa sereal rendah gula dapat juga membantu anda ti
dur lebih nyenyak. Salah satunya sereal dengan topping yoghurt.\u003Cbr \/\u003E
\u003Cbr \/\u003EKombinasi keduanya dapat membantu mengaktifkan serotonin di ota
k yang bertanggungjawab untuk menstabilkan mood dan menciptakan kualitas tidur y
ang lebih baik. Ketika tingkat dari serotonin di tubuh sangat tinggi, maka anda
akan merasa ngantuk.\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cbr \/\u003E2. Kacang
Almond\u003Cbr \/\u003E\u003Cbr \/\u003EKacang segar, terutama almond, dianggap
sebagai \"makanan berkhasiat\" untuk membantu anda tidur lebih nyenyak. Kandung
an magnesium dalam kacang mencegah anda memiliki masalah tidur dan memicu relaks
asi otot.\u003Cbr \/\u003E\u003Cbr \/\u003EKandungan protein di dalamnya juga me
mbantu menstabilkan tingkat gula darah selama tidur. Disarankan untuk memakan al
mond setidaknya 2 3 jam sebelum tidur.\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cbr
\/\u003E3. Telur Rebus\u003Cbr \/\u003E\u003Cbr \/\u003EJika anda bangun dan me
rasa lapar, anda mungkin memakan makanan tertentu. Pilihan terbaiknya adalah tel
ur rebus.\u003Cbr \/\u003E\u003Cbr \/\u003ETingginya kandungan protein dalam tel
ur membantu memperbaiki kualitas tidur dan menjaga kesehatan tubuh, sehingga hal
itu memberikan anda perlindungan yang lengkap. Meski begitu, jika anda memiliki
masalah kolesterol tinggi, disarankan untuk mengkonsumsi putih telurnya saja.\u
003Cbr \/\u003E\u003Cbr \/\u003E\u003Cbr \/\u003E4. Popcorn\u003Cbr \/\u003E\u00
3Cbr \/\u003EMengandung cukup karbohidrat untuk membantu memastikan asupan yang
memadai dari trytophan (asam amino) untuk otak.\u003Cbr \/\u003E\u003Cbr \/\u003
EAsam amino ini digunakan untuk menghasilkan serotonin, yang menstimulasi anda u
ntuk tidur. Sehingga, tak ada masalah bila memakan popcorn sebelum tidur, selama
tak ada tambahan mentega atau gula.\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cbr \
/\u003E5. Madu\u003Cbr \/\u003E\u003Cbr \/\u003ETambahkan madu ke dalam teh semb
ari menikmati roti kesukaan anda. Madu dapat memperbaiki kualitas tidur. Kealami
an untuk menstimulasi tidur dalam madu bisa menjadi solusi."},"link":[{"rel":"ed
it","type":"application/atom+xml","href":"http:\/\/www.blogger.com\/feeds\/18971
08655767517628\/posts\/default\/9145706967297132240"},{"rel":"self","type":"appl
ication/atom+xml","href":"http:\/\/www.blogger.com\/feeds\/1897108655767517628\/
posts\/default\/9145706967297132240"},{"rel":"alternate","type":"text/html","hre
f":"http:\/\/askep-asuhankeperawatan.blogspot.com\/2014\/12\/daftar-5-makanan-pe
ngganti-obat-tidur.html","title":"Daftar 5 Makanan Pengganti Obat Tidur"}],"auth
or":[{"name":{"$t":"Bapake Adhe \u0026amp; Dika"},"uri":{"$t":"http:\/\/www.blog
ger.com\/profile\/04284488757504843291"},"email":{"$t":"noreply@blogger.com"},"g
d$image":{"rel":"http://schemas.google.com/g/2005#thumbnail","width":"16","heigh
t":"16","src":"http:\/\/img2.blogblog.com\/img\/b16-rounded.gif"}}],"media$thumb
nail":{"xmlns$media":"http://search.yahoo.com/mrss/","url":"http:\/\/3.bp.blogsp
ot.com\/-B5TjSm9j1H8\/VIfoT5LzEXI\/AAAAAAAAAH8\/g9AWm0PitC8\/s72-c\/Daftar%2B5%2
BMakanan%2BPengganti%2BObat%2BTidur.jpeg","height":"72","width":"72"}},{"id":{"$
t":"tag:blogger.com,1999:blog-1897108655767517628.post-2481863568455116380"},"pu
blished":{"$t":"2014-12-10T13:21:00.002+07:00"},"updated":{"$t":"2014-12-10T13:2
1:33.835+07:00"},"category":[{"scheme":"http://www.blogger.com/atom/ns#","term":
"7 Cara Ampuh Merawat Kesehatan Mata"},{"scheme":"http://www.blogger.com/atom/ns
#","term":"Artikel Kesehatan"}],"title":{"type":"text","$t":"7 Cara Ampuh Merawa
t Kesehatan Mata"},"content":{"type":"html","$t":"\u003Cb\u003EAda 7 cara mudah
untuk menjaga kesehatan mata\u003C\/b\u003E, pada artikel kali ini kami berikan
berbagai tips supaya indera penglihatan kita baik anak maupun dewasa ini tidak t
erkena penyakit seperti minus, plus ataupun katarak. Mengapa kita harus menjagan
ya? Tahukah anda menurut World Health Organization (WHO) memperkirakan ada 45 ju
ta penderita kebutaan di planet bumi dan ternyata sepertiganya berada di wiliaya
h Asia Tenggara, tempat kita tinggal. Di Indonesia diperkirakan ada satu orang m
enjadi buta tiap menitnya dan di dunia diperkirakan 12 orang menjadi buta setiap
menit.\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cdiv class=\"separator\" style=\"c
lear: both; text-align: center;\"\u003E\u003Ca href=\"http:\/\/1.bp.blogspot.com
\/-dSnE9_FFu8c\/VIfmSzS5vAI\/AAAAAAAAAHw\/SYLOlV31ySA\/s1600\/7%2BCara%2BAmpuh%2
BMerawat%2BKesehatan%2BMata.jpg\" imageanchor=\"1\" style=\"clear: left; float:
left; margin-bottom: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" src=\
"http:\/\/1.bp.blogspot.com\/-dSnE9_FFu8c\/VIfmSzS5vAI\/AAAAAAAAAHw\/SYLOlV31ySA
\/s1600\/7%2BCara%2BAmpuh%2BMerawat%2BKesehatan%2BMata.jpg\" height=\"231\" widt
h=\"320\" \/\u003E\u003C\/a\u003E\u003C\/div\u003E\u003Cb\u003EAda 7 Tips mudah
Merawat Kesehatan Mata\u003C\/b\u003E yang bisa dilakukan setiap orang dalam men
jaga kesehatan mata:\u003Cbr \/\u003E\u003Cbr \/\u003E1. Mengetahui Sejarah Mata
dalam Keluarga\u003Cbr \/\u003EKemungkinan penyakit mata bisa muncul karena fak
tor keturunan. Maka daripada itu, mengetahui sejarah mata dalam keluarga anda se
ndiri adalah hal yang sangat penting. Dengan mengetahuinya, kita sebagai anak da
pat mencegah agar penyakit mata turunan dengan mengkonsultasikannya pada dokter.
\u003Cbr \/\u003E\u003Cbr \/\u003E2. Diet yang Seimbang\u003Cbr \/\u003ETernyata
diet ada hubungannya dengan kesehatan mata, jadi saat melakukan program diet de
ngan mengonsumsi makanan yang bergizi dengan sayuran dan buah-buahan. Selalu pil
ih makanan yang mengandung vitamin A, C, dan E karena dapat meningkatkan kesehat
an mata manusia. Selain itu, memakan ikan salmon juga dapat memberikan efek yang
sangat baik.\u003Cbr \/\u003E\u003Cbr \/\u003E3. utin Melakukan Pemeriksaan Mat
a\u003Cbr \/\u003ESeringkali manusia modern tidak menyadari bahwa stres karena s
ebuah pekerjaan dapat berdampak ke mata yang tidak sehat. Maka dari itu, perisak
anlah mata anda secara rutin agar terhindar dari penyakit yang mungkin menyerang
mata.\u003Cbr \/\u003E\u003Cbr \/\u003E4. Hindari Kebiasaan Hidup Buruk\u003Cbr
\/\u003ECara ini sebenarnya berlaku untuk menjaga kesehatan seluruh badan yaitu
menghindari minumanng ya beralkohol dan menghilangkan kebiasaan merokok. Para i
lmuwan mengatakan, merokok dapat membuat mata katarak, degenerasi makula (hilang
nya ketajaman penglihatan), serta kerusakan saraf pada mata. Dan terlalu banyak
minum alkohol dapat membuat reaksi pupil jadi tidak stabil, pandangan kabur hing
ga rabun mata.\u003Cbr \/\u003E\u003Cbr \/\u003E5. Pakai Pelindung Mata\u003Cbr
\/\u003EKacamata bisa dipakai untuk melindungi mata dari sinar matahari atau deb
u saat berolahraga atau aktivitas lainnya. Banyak kacamata yang dirancang khusus
untuk olahraga tertentu untuk menghindari terjadinya cedera mata. Jadi, hindari
lah penggunaan sunglasses hanya karena ingin bergaya.\u003Cbr \/\u003E\u003Cbr \
/\u003E6. Senam Mata\u003Cbr \/\u003EBagaimana cara melakukan senamnya? gampang
kok. Buka lebar-lebar kedua mata Anda. Lalu , putar bola mata ke atas, bawah, ki
ri, dan kanan selama dua detik dan tutup mata secara perlahan. Ulangi beberapa k
ali saat Anda sedang santai. Hal ini dapat mengurangi dampak mata stres karena r
adiasi sinar matahari atau komputer.\u003Cbr \/\u003E\u003Cbr \/\u003E7. Istirah
at yang Cukup\u003Cbr \/\u003ESama seperti tubuh, mata juga butuh istirahat yang
cukup. Menahan diri untuk tidak menonton televisi terlalu lama, atau berjam-jam
di depan komputer padahal tidak sedang bekerja. Dengan begitu, mata Anda tidak
kelelahan serta mendapatkan istirahat yang cukup."},"link":[{"rel":"edit","type"
:"application/atom+xml","href":"http:\/\/www.blogger.com\/feeds\/189710865576751
7628\/posts\/default\/2481863568455116380"},{"rel":"self","type":"application/at
om+xml","href":"http:\/\/www.blogger.com\/feeds\/1897108655767517628\/posts\/def
ault\/2481863568455116380"},{"rel":"alternate","type":"text/html","href":"http:\
/\/askep-asuhankeperawatan.blogspot.com\/2014\/12\/7-cara-ampuh-merawat-kesehata
n-mata.html","title":"7 Cara Ampuh Merawat Kesehatan Mata"}],"author":[{"name":{
"$t":"Bapake Adhe \u0026amp; Dika"},"uri":{"$t":"http:\/\/www.blogger.com\/profi
le\/04284488757504843291"},"email":{"$t":"noreply@blogger.com"},"gd$image":{"rel
":"http://schemas.google.com/g/2005#thumbnail","width":"16","height":"16","src":
"http:\/\/img2.blogblog.com\/img\/b16-rounded.gif"}}],"media$thumbnail":{"xmlns$
media":"http://search.yahoo.com/mrss/","url":"http:\/\/1.bp.blogspot.com\/-dSnE9
_FFu8c\/VIfmSzS5vAI\/AAAAAAAAAHw\/SYLOlV31ySA\/s72-c\/7%2BCara%2BAmpuh%2BMerawat
%2BKesehatan%2BMata.jpg","height":"72","width":"72"}},{"id":{"$t":"tag:blogger.c
om,1999:blog-1897108655767517628.post-5229720197555989906"},"published":{"$t":"2
014-12-10T13:01:00.001+07:00"},"updated":{"$t":"2014-12-10T13:01:53.009+07:00"},
"category":[{"scheme":"http://www.blogger.com/atom/ns#","term":"How to Become a
Home Health Care Nurse"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Nur
sing Articles"}],"title":{"type":"text","$t":"How to Become a Home Health Care N
urse"},"content":{"type":"html","$t":"\u003Cbr \/\u003E\u003Cb\u003EHome Health
Care Nursing Information and Overview\u003C\/b\u003E\u003Cbr \/\u003E\u003Cbr \/
\u003EHome health care is allowing the patient and their family to maintain dign
ity and independence. According to the National Association for Home Care, there
are more than 7 million individuals in the United States in need of home health
care nurse services because of acute illness, long term health problems, perman
ent disability or terminal illness.\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cb\u00
3EHome Health Care Basics\u003C\/b\u003E\u003Cbr \/\u003E\u003Cbr \/\u003ENurses
practice in a number of venues: Hospital settings, nursing homes, assisted livi
ng centers, and home health care. Home health care nursing is a growing phenomen
on as more patients and their families desire to receive care in their homes. Th
e history of home health care stems from Public Health Nursing where public heal
th nurses made home visits to promote health education and provide treatment as
part of community outreach programs. Today academic programs train nurses in hom
e care and agencies place home health care nurses with ailing individuals and th
eir families depending on the nurse's experience and qualifications. In many cas
es there is a shared relationship between the agency and the academic institutio
n.\u003Cbr \/\u003E\u003Cbr \/\u003EMany changes have taken place in the area of
home health care. These include Medicare and Medicaid, and Long Term Care insur
ance reimbursement and documentation. It is important for the nurse and nursing
agency to be aware of the many factors involved for these rules and regulations
resulting from these organizations. Population and demographic changes are takin
g place as well. Baby boomers approaching retirement and will present new challe
nges for the home health care industry. Technology and medical care in hospitals
has lead to shorter inpatient stay and more at-home rehabilitation. Increases i
n medical outpatient procedures are also taking place with follow-up home care.
This has resulted in the decrease of mortality rate from these technologies and
medical care has lead to increases in morbidity and chronic illness that makes t
he need for home health care nursing a greater priority.\u003Cbr \/\u003E\u003Cb
r \/\u003E\u003Cdiv class=\"separator\" style=\"clear: both; text-align: center;
\"\u003E\u003Ca href=\"http:\/\/2.bp.blogspot.com\/-Q9Uk6c7x3l4\/VIfhvoUVDcI\/AA
AAAAAAAHo\/cepthieWbL8\/s1600\/How%2Bto%2BBecome%2Ba%2BHome%2BHealth%2BCare%2BNu
rse.jpeg\" imageanchor=\"1\" style=\"clear: left; float: left; margin-bottom: 1e
m; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" src=\"http:\/\/2.bp.blogspot
.com\/-Q9Uk6c7x3l4\/VIfhvoUVDcI\/AAAAAAAAAHo\/cepthieWbL8\/s1600\/How%2Bto%2BBec
ome%2Ba%2BHome%2BHealth%2BCare%2BNurse.jpeg\" \/\u003E\u003C\/a\u003E\u003C\/div
\u003E\u003Cb\u003EHome Health Care Nurse Job Description\u003C\/b\u003E\u003Cbr
\/\u003E\u003Cbr \/\u003EThrough an array of skills and experience, home health
care nurses specialize in a wide range of treatments; emotional support, educat
ion of patients who are recovering from illnesses and injury for young children
and adults, to women who have experienced recent childbirth, to the elderly who
need palliative care for chronic illness.\u003Cbr \/\u003E\u003Cbr \/\u003EA pra
cticing nurse must have the skills to provide care in a unique setting such as s
omeone's home. The nurse is working with the patient and the family and must und
erstand the communication skills for such dynamics. Rapport is evident in all nu
rsing positions, but working in a patient's own living space needs a different l
evel of skill and understanding. There is autonomous decision making as the nurs
e is no longer working as a team with other nurses in a structured environment,
but is now as a member of the \"family\" team. The host family has cultural valu
es that are important and are different for every patient and must be treated wi
th extreme sensitivity. Other skills include critical thinking, coordination, as
sessment, communication, and documentation.\u003Cbr \/\u003E\u003Cbr \/\u003EHom
e health care nurses also specialize in the care of children with disabilities t
hat requires additional skills such as patience and understanding of the needs o
f the family. Children are living with disabilities today that would have result
ed in mortality just twenty years ago. Genetic disorders, congenital physical im
pairments, and injury are just a few. Many families are familiar with managing t
he needs of the child, but still need expert care that only a home health care n
urse can provide. It is important that a home health care nurse is aware of the
expertise of the family about the child's condition for proper care of the child
. There are many complexities involved, but most important, a positive attitude
and positive reinforcement is of utmost importance for the development of the ch
ild.\u003Cbr \/\u003E\u003Cbr \/\u003EMedication coordination between the home h
ealth care nurse, doctor, and pharmacist, ensures proper management of the exact
science behind giving the patient the correct dose, time of administration, and
combinations. Home health care nurses should be familiar with pharmacology and
taught in training about different medications used by patients in the clinical
setting.\u003Cbr \/\u003E\u003Cbr \/\u003EMany advanced practicing nurses are fa
miliar with medication regiments. They have completed graduate level programs. H
ome health care agencies believe that a nurse should have at least one year of c
linical experience before entering home health care. Advanced practicing nurses
can expedite that training by helping new nurses understand the home health care
market and teaching.\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cb\u003EEmployment a
nd Salary\u003C\/b\u003E\u003Cbr \/\u003E\u003Cbr \/\u003EAccording to the Unite
d States Department of Labor, there were 2.4 million nurses in America, the larg
est healthcare occupation, yet many academic and hospital organizations believe
there is a gross shortage in nursing staff. The shortage of nurses was 6% in 200
0 and is expected to be 10% in 2010. The average salary for hospital nursing is
$53,450 with 3 out of 5 nursing jobs are in the hospital. For home health care,
the salary is $49,000. For nursing care facilities, they were the lowest at $48,
200.\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Cb\u003ETraining and continuing educa
tion\u003C\/b\u003E\u003Cbr \/\u003E\u003Cbr \/\u003EMost home health care nurse
s gain their education through accredited nursing schools throughout the country
with an associate degree in nursing (ADN), a Bachelor of Science degree in nurs
ing (BSN), or a master's degree in nursing (MSN). According to the United States
Department of Labor, in 2004 there were 674 BSN nursing programs, 846 ADN progr
ams. Also, in 2004, there were 417 master's degree programs, 93 doctoral program
s, and 46 joint BSN-doctoral programs. The associate degree program takes 2 to 3
years to complete, while bachelors degrees take 4 years to complete. Nurses can
also earn specialized professional certificates online in Geriatric Care or Lif
e Care Planning.\u003Cbr \/\u003E\u003Cbr \/\u003EIn addition, for those nurses
who choose to pursue advancement into administrative positions or research, cons
ulting, and teaching, a bachelor's degree is often essential. A bachelor's degre
e is also important for becoming a clinical nurse specialist, nurse anesthetists
, nurse midwives, and nurse practitioners (U.S. Department of Labor, 2004).\u003
Cbr \/\u003E\u003Cbr \/\u003EAll home health care nurses have supervised clinica
l experience during their training, but as stated earlier advanced practicing nu
rses hold master's degrees and unlike bachelor and associate degrees, they have
a minimum of two years of post clinical experience. Course work includes anatomy
, physiology, chemistry, microbiology, nutrition, psychology, and behavioral sci
ences and liberal arts. Many of these programs have training in nursing homes, p
ublic health departments, home health agencies, and ambulatory clinics. (U.S. De
p. of Labor, 2004).\u003Cbr \/\u003E\u003Cbr \/\u003EWhether a nurse is training
in a hospital, nursing facility, or home care, continuing education is necessar
y. Health care is changing rapidly and staying abreast with the latest developme
nts enhances patient care and health procedures. Universities, continuing educat
ion programs, and internet sites, all offer continuing education. One such organ
ization that provides continuing education is the American Nurses Association (A
NA) or through the American Nurses Credentialing Center (ANCC).\u003Cbr \/\u003E
\u003Cbr \/\u003E\u003Cb\u003EConclusion\u003C\/b\u003E\u003Cbr \/\u003E\u003Cbr
\/\u003EThere are many rewards to becoming a home health care nurse. Some rewar
ds include the relationship with a patient and their family, autonomy, independe
nce, and engaging in critical thinking. The 21st Century brings with it many opp
ortunities and challenges. We must meet these challenges head on - there is an a
ging baby boomer population, a growing morbidity factor due to increased medical
technology and patient care, and the growing shortage in nursing care.\u003Cbr
\/\u003E\u003Cbr \/\u003EBecoming a home health care nurse today is exciting and
an opportunity to make a difference one life at a time. With clinical experienc
e and proper education, a home health care nurse will lead the future of medical
care.\u003Cbr \/\u003E\u003Cbr \/\u003EBy Michael V. Gruber, MPH is a contribut
ing author to My Nursing Degree Online, providing articles and resources for nur
ses looking for continuing education online. With a Masters of Public Health and
two years of medical school, Michael provides a unique perspective on the curre
nt nursing shortage crisis on the Nursing Career Blog as well as comprehensive a
rticles about nurse education and advancement.\u003Cbr \/\u003E\u003Cbr \/\u003E
Find more information about becoming a Home Health Care Nurse [http:\/\/nursing.
earnmydegree.com\/nursingeducation\/home-health-care-nurse-education.html] inclu
ding certification and job openings at My Nursing Degree Online.\u003Cbr \/\u003
E\u003Cbr \/\u003E\u003Ci\u003EArticle Source: http:\/\/nursing.earnmydegree.com
\/\u003C\/i\u003E"},"link":[{"rel":"edit","type":"application/atom+xml","href":"
http:\/\/www.blogger.com\/feeds\/1897108655767517628\/posts\/default\/5229720197
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gger.com\/feeds\/1897108655767517628\/posts\/default\/5229720197555989906"},{"re
l":"alternate","type":"text/html","href":"http:\/\/askep-asuhankeperawatan.blogs
pot.com\/2014\/12\/how-to-become-home-health-care-nurse.html","title":"How to Be
come a Home Health Care Nurse"}],"author":[{"name":{"$t":"Bapake Adhe \u0026amp;
Dika"},"uri":{"$t":"http:\/\/www.blogger.com\/profile\/04284488757504843291"},"
email":{"$t":"noreply@blogger.com"},"gd$image":{"rel":"http://schemas.google.com
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peg","height":"72","width":"72"}},{"id":{"$t":"tag:blogger.com,1999:blog-1897108
655767517628.post-403246529138612128"},"published":{"$t":"2014-12-10T12:55:00.00
0+07:00"},"updated":{"$t":"2014-12-10T12:55:17.331+07:00"},"category":[{"scheme"
:"http://www.blogger.com/atom/ns#","term":"Latihan Mengenali Nilai Inti Diri And
a"},{"scheme":"http://www.blogger.com/atom/ns#","term":"Tips - Tips Pilihan"}],"
title":{"type":"text","$t":"Latihan Mengenali Nilai Inti Diri Anda"},"content":{
"type":"html","$t":"\u003Cb\u003ELatihan Mengenali Nilai Inti Diri Anda\u003C\/b
\u003E\u003Cbr \/\u003E\u003Cbr \/\u003EBayangkan sebuah bola kristal yang mewak
ili nilai inti diri anda, dimana setiap kepingan-nya mewakili sifat atau attribu
t yang dimiliki oleh semua manusia dalam berbagai tahap perkembangannya. Coba ki
ta perhatikan sebuah daftar attribut berikut ini:\u003Cbr \/\u003E\u003Cul\u003E
\u003Cli\u003EKreativitas\u003C\/li\u003E\u003Cli\u003EFleksibilitas (bisa berad
aptasi)\u003C\/li\u003E\u003Cli\u003EKebjiksanaan (ketajaman, kemampuan dalam me
nilai)\u003C\/li\u003E\u003Cli\u003EHumor, riang, ceria\u003C\/li\u003E\u003Cli\
u003EBerkarakter (etika, integritas, kejjujuran, keadilan)\u003C\/li\u003E\u003C
li\u003EKebaikan, kasih sayang\u003C\/li\u003E\u003Cli\u003EKemurahan hati\u003C
\/li\u003E\u003Cli\u003EMenghormati diri sendiri\u003C\/li\u003E\u003Cli\u003EMe
nghormati dan menghargai orang lain\u003C\/li\u003E\u003Cli\u003ESabar\u003C\/li
\u003E\u003Cli\u003EMenerima diri\u003C\/li\u003E\u003Cli\u003EKeterbukaan, kein
gintahuan, kesadaran\u003C\/li\u003E\u003Cli\u003EMempercayai diri\u003C\/li\u00
3E\u003Cli\u003EKebulatan tekad\u003C\/li\u003E\u003Cli\u003EDisiplin\u003C\/li\
u003E\u003Cli\u003EKeberanian\u003C\/li\u003E\u003Cli\u003EKerendahan hati\u003C
\/li\u003E\u003Cli\u003EOptimisme\u003C\/li\u003E\u003Cli\u003EDan lain-lain: __
__________\u003C\/li\u003E\u003C\/ul\u003E\u003Cdiv class=\"separator\" style=\"
clear: both; text-align: center;\"\u003E\u003Ca href=\"http:\/\/3.bp.blogspot.co
m\/-wDpokjYHNkA\/VIfgOch-eWI\/AAAAAAAAAHY\/gTFf26k5MfA\/s1600\/Latihan%2BMengena
li%2BNilai%2BInti%2BDiri%2BAnda.jpg\" imageanchor=\"1\" style=\"clear: left; flo
at: left; margin-bottom: 1em; margin-right: 1em;\"\u003E\u003Cimg border=\"0\" s
rc=\"http:\/\/3.bp.blogspot.com\/-wDpokjYHNkA\/VIfgOch-eWI\/AAAAAAAAAHY\/gTFf26k
5MfA\/s1600\/Latihan%2BMengenali%2BNilai%2BInti%2BDiri%2BAnda.jpg\" height=\"320
\" width=\"262\" \/\u003E\u003C\/a\u003E\u003C\/div\u003EAmbil selembar kertas,
lalu bagi menjadi dua, kemudian tuliskan daftar sifat tersebut dibagian kiri. Pa
da bagian kanan, buat skala.\u003Cbr \/\u003E\u003Cbr \/\u003ELalu, berikan rati
ng pada diri anda untuk masing-masing sifat, dimana angka 10 berarti sifat terse
but sudah berkembang semaksimal yang anda bisa, dan 0 berarti sifat tersebut sam
a sekali belum anda kembangkan dan tidak pernah anda tunjukkan dalam satu tingka
tan sekalipun.\u003Cbr \/\u003E\u003Cbr \/\u003ECobalah hanya sekedar memperhati
kan level dari sifat-sifat ini tanpa membuat penilaian atau perbanding yang nega
tif. Ingat, ini bukanlah sebuah kontest untuk mengalahkan orang lain, karena nil
ai inti semua orang itu sama dan masing-masing mengekspresikannya dengan cara be
rbeda.\u003Cbr \/\u003E\u003Cbr \/\u003EJadi, cobalah untuk jujur, jangan menuru
nkan atau meninggikan rating anda.\u003Cbr \/\u003E\u003Cbr \/\u003E\u003Ci\u003
ESumber : http:\/\/wownita.blogspot.com\u003C\/i\u003E"},"link":[{"rel":"edit","
type":"application/atom+xml","href":"http:\/\/www.blogger.com\/feeds\/1897108655
767517628\/posts\/default\/403246529138612128"},{"rel":"self","type":"applicatio
n/atom+xml","href":"http:\/\/www.blogger.com\/feeds\/1897108655767517628\/posts\
/default\/403246529138612128"},{"rel":"alternate","type":"text/html","href":"htt
p:\/\/askep-asuhankeperawatan.blogspot.com\/2014\/12\/latihan-mengenali-nilai-in
ti-diri-anda.html","title":"Latihan Mengenali Nilai Inti Diri Anda"}],"author":[
{"name":{"$t":"Bapake Adhe \u0026amp; Dika"},"uri":{"$t":"http:\/\/www.blogger.c
om\/profile\/04284488757504843291"},"email":{"$t":"noreply@blogger.com"},"gd$ima
ge":{"rel":"http://schemas.google.com/g/2005#thumbnail","width":"16","height":"1
6","src":"http:\/\/img2.blogblog.com\/img\/b16-rounded.gif"}}],"media$thumbnail"
:{"xmlns$media":"http://search.yahoo.com/mrss/","url":"http:\/\/3.bp.blogspot.co
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------------xjwCcnHixZro681bWyOl5j--

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