Documentation Study: Acute Pain In Tn.S . Patients With Pre Operation Ureterolythiasis

Yeti Fika Sari, Venny Diana, Retno Koeswandari
2021 Health Media  
Ureterolithiasis, Acute Pain, Documentation Study, Ureterolithiasis (ureteral stones) located in the ureter and pelvical system can cause abnormalities in the structure of the upper urinary tract. Ureterolithiasis in Yogyakarta with Pravelensi 1.2% of 19,018 people. The purpose of writing this scientific paper is to find out the picture of acute pain in Tn.S patients with Preoperative Ureterolithiasis in the Alamanda I room of Sleman District Hospital. This research design uses descriptive
more » ... tative in the form of a case study with a documentation study approach that illustrates and exports events / cases using documentation of acute pain nursing care reports in patients with Ureterolithiasis nursing care in 2017. This documentation study was conducted at Akper "YKY" campus in Yogyakarta DIII study program nursing in February -June 2020, which starts from the preparation of proposals to the preparation of the KTI (Scientific Writing) report. The results of the nursing study are of male type 45 years old, elementary education, labor, and Islamic religion. The assessment data found complaints of pain when urinating (urinating) BAK. Nursing diagnosis of acute pain b.d biological injury agents. Nursing Plan (Nursing Outcome Classification) NOC: pain control, (Nursing Intervention Classification) NIC: pain management. Evaluation of the results of the acute pain problem in Tn.S is partially resolved and the goal is achieved partially in accordance with the expected outcomes in nursing goals. The conclusion of writing nursing care in a case study has referred to NANDA & NOC-NIC. In nursing documentation the authors found no deficiencies such as not including the day, date of hour, signature and name..
doi:10.55756/hm.v3i1.66 fatcat:3mtyjd5nofae7pqlpxf4z7kvoa