ON nursing care Behavior catch up

ON nursing care Behavior catch up




Violent behavior is a condition in which a person acts that physically harm either to themselves, others and the environment. This is done to express feeling upset or angry is not constructive. 


Process of Problems

Violent behavior / amok can be caused by frustration, fear, manipulation or intimidation. Violent behavior is the result of emotional conflicts that can not be resolved. Violent behavior also described a sense of insecurity, need for attention and dependence on others.


Clinical symptoms

Clinical symptoms are found on the client with violent behavior obtained through the study include:
  1.  Interview: directed the cause of anger, feelings of anger, signs of anger diserasakan by the client.
  2.  Observation: red face, sharp eyes, muscle tension, high tone, arguing and often seem overbearing client: seizing food, punch if not happy.

Predisposing factors
Various experiences that each person may be a predisposing factor which may / may not occur if the following factors experienced by the individual:
a.  Psychological; failures can lead to frustration which then can arise aggressive or amuck.
b. Behavior, reinforcement diteima when violent, often observing violence, an aspect that stimulates adopt violent behavior
c. Socio-cultural; closed culture, social control is uncertain to create a violent behavior as if the violent behavior is acceptable
d. Bioneurologis; damage to the limbic system, frontal / temporal and imbalances neurotransmiser

Precipitation factors
Sourced from clients (physical weakness, hopelessness, helplessness, lack of confidence), the environment (noise, solid, criticism leads humiliation, loss of loved ones / occupation and violence) and interaction with others (provocative and conflict).

Causes
To confirm the above information, the client's mental illness, violent behavior can be caused by disorders of self-esteem: low self-esteem. Self-esteem is an individual assessment of the achievement of self by analyzing how far behavior according to the ideal self. Where the interference self-esteem can be described as negative feelings about oneself, lost confidence, was failed to achieve the desire.

Clinical symptoms
•           The feeling ashamed of myself due to the disease and measures against diseases (hair bald for therapy) 
•           The guilt of self (criticize / blame themselves)
•           Disruption of social relationships (withdraw)
•           Confidence less (hard to make a decision)
•           Harmful yourself (as a result of low self-esteem along with hope that dismal, maybe the client will end the life.
 
Due

Clients with violent behavior can perform actions harmful to themselves, others and the environment, such as attacking other people, breaking furniture, burning houses etc.
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By di Oktober 29, 2016
Label: Note
Nursing nursery on patients with anemia

Nursing nursery on patients with anemia



Some of the things that must be understood in the nursery method nursing on patients with anemia among them are :

A. The sense of
Anemia is a condition where the level of Hb and or count erythrocytes lower than normal. Anemia is the reduction of the number of erythrocytes as well as the amount of Hb in 1mm3 blood or diminution of the volume of the cell is obtained (pspd red cells volume) in 100 ml of blood.


B. The cause of ANEMIA
Anemia can be differentiated according to the mechanism of the formation of disorder, damage or loss of red blood cells and causes. The cause of anemia among others as follows:
1. Anemia post bleeding : due to assault bleeding such as accidents, operations and delivery with bleeding or bleeding chronic:worms.
2. Anemia deficiency: raw material shortages maker of blood cells. It could be the intake less, absorption less, synthesis less, the necessity of increased.
3. Anemia streptococcus: happened the destruction of erythrocytes excessive. Because the factor intrasel: talasemia, hemoglobinopatie,etc. While extracellular factor: intoxication, infection -malaria, reaction streptococcus blood transfusion.
4. Anemia aplastik caused the collapse of the making of blood cells by the bone marrow (bone marrow damage).

C. The signs and symptoms of
1. General signs of anemia:
a. pale,
b. tacicardi,
c. noise systolic inorganic,
d. noise karotis,
e. heart hypertrophy.
2. Special manifestation on anemia:
a. Anemia aplastik: ptekie, ekimosis, epistaxis, hemorrhagic disease oral bacterial infections, fever, anemis, pale, tired, tachycardia.
b. Anemia deficiency: konjungtiva pale (Hb 6-10 gr/dl), the hands pale (Hb < 8 gr/dl), iritabilitas, anorexia, tachycardia, systolic murmur, letargi, sleep increased, lose interest play or play activity. Children seem drowned, often chair watching, hasten tired, pale, headache, children no appear sick, appear pale mucosal lips, farink,the hands and the basis of the nails. The heart is slightly enlarged and heard noise systolic functional.
c. Anemia aplastik : ikterus, hepatosplenomegali.

D. Supporting examination
1. The level of Hb.
The level of Hb <10g/dl. Erythrocytes haemoglobin concentration the average < 32% (normal: 32-37%), leukocytes and thrombocytes normal serum iron denigration, iron binding capacity increased.
2. Simple laboratory abnormalities for each type of anemia :
a. Anemia deficiency of folic acid : macro/megalositosis
b. Anemia streptococcus : retikulosit escalating, bilirubin indirek and total rose, urobilinuria.
c. Anemia aplastik : thrombocytopenia, granulositopeni, pansitopenia, pathologic cells peripheral blood found on anemia aplastik because violence.

E. The management of
a. Anemia post bleeding: blood transfusion. The second choice: plasma expanders or plasma substitute. In a state of emergency can be given IV infusions what.
b. Anemia deficiency: food intake, given SF 3x10mg/kg BW/day. Blood transfusion was given only on the Hb <5 gr/dl.
c. Anemia aplastik: Prednisone and testosterone, blood transfusion, treatment of secondary infections, food and rest.

F. Nursing issues that often appear
1. Perfusion changes associated with reduced komparten network that is important to mobile delivers oxygen / nutrients into the cells.
2. Not the tolerance of the activities related to the unequal utilization needs and supply of oxygen.
3. Nutritional changes less than the needs of the body related to the lack of appetite.

G. Nursing actions
1. Adequate network perfusion
- Monitor vital signs, filling capillaries, wama skin, mucous membranes.
- elevate the position of the head in the bed
- Check and document the existence of pain.
- The observation of delayed response verbal, confusion, or anxious
- Observe and document the existence of a sense of cold.
- Maintain the temperature of the environment to keep it hot in accordance kebu-tuhan body.
- Give oxygen to suit your needs.
2. Support the son remains tolerant of activity
- assess the ability of the children to perform the activities in accordance with the physical condition and child development tasks.
- Monitor vital signs during and after the activity and record the existence of the physiological response to activity (increased heart rate increased blood pressure, or breath quickly).
- Provide information to the patient or family to stop doing activity if teladi symptoms of increased heart rate and increase the blood pressure, breath, dizziness or fatigue).

- Provide support to the children to perform the activities of se
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By di Oktober 28, 2016
Label: Note
The concept of community organizing

The concept of community organizing


Understanding the organization:
A social unit or a set of two or more people work on a basis which has the same purpose.
A process that occurs in the community in identifying the needs, determining the priority of those needs and try to meet those needs by means of mutual cooperation

ORGANIZING THE COMMUNITY
Build on the potential and the capacity of a society (empowerment) to enable them to actively participate in the construction, which in turn will be able to perform management community (community management) living environment

PURPOSE OF ORGANIZING SOCIETY:
-           In order for individuals or groups in the community can play an active role, especially in the field of health
-          There is a change of behavior (knowledge, attitude and action) as well as the emergence of self-reliance in efforts to improve the protection against future health
            (Nies and MCE, wan2001)
-           Increasing the capacity and independence in terms of helping themselves (Mapanga, 2004)

COMMUNITY ORGANIZING PRINCIPLE IS:
-          The principle of "participation" in which the main actor is precisely the society itself so that through a process of participation principle "learning by doing"
-           The principle of "equality" among all actors, including those that had been left behind because of gender, education, income, ethnicity, etc.
-          The principle of "inclusive" so that awakened a sense of shared "one for all, all for one"
-          The principle of "start from there and understood the community"

NATURE IS ORGANIZING SOCIETY:
· Build a critical awareness of the public will be the conditions and issues that must be tackled together so as to the need to organize mobilize the potential to improve and develop the social order that is more dynamic and responsive to face changes.
· Building a community is not merely a legal person (legal entity), but rather a set of interpersonal interacting and have an attachment or interdependence and rooted in a local cultural order.
-           Developing the potential and the capacity of a society (empowerment) to enable them to actively participate in the construction, which in turn will be able to perform management community (community management) living environment

APPROACH IN ORGANIZING THE COMMUNITY
-          Specific objective content approach
        agencies / private - interests - proposed a program
        can be carried out by the foundation, NGO or individual name.
-           General objective content approach
        coordinating the various efforts in a specific container
-           Process objective approach
        community initiatives of cooperation in developing capabilities in accordance with the capacity of coping with its own problems.
The other approach is done on community organizing, there are three steps:
-           Lobbying to the head (the decision makers)
-          Approach formal community leaders and infomal for example through training.
-           Officers together community leaders held a counseling and counseling to increase knowledge and public attitudes

COMMUNITY ORGANIZING STAGE:
-            Process:
             community organizing is a process that can occur consciously, but may also processes that are not recognized by society
-           Community:
        Can mean large groups that have geographic boundaries, it could also mean the group of those who have a common need and are in a large group earlier.
-           Interesting people who have initiative and be able to work, create a work plan to be accepted and implemented by the community, make efforts remedy achieve the plan's campaign

How to build a community organization, are:
-           Agree on joint needs
-           Agree on patterns of decision-making
-           Agree on leadership patterns representative
-           Choosing a leader
-           Conduct participatory planning as an integral part of community organizing to agree on anything will be done together
-           Implement the outcome of participatory planning

Review the steps that have been carried out as a precipitation process (changing the real experience into the experience)
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By di Oktober 28, 2016
Label: Note

Note