Repository Poltekkes Kemenkes Palangka Raya

Nasrullah, Nanda (2026) Asuhan keperawatan pada pasien Ny. S dengan tumor otak di Ruang Seruni RSUD Ulin Banjarmasin Tahun 2026. Karya Tulis Ilmiah thesis, Poltekkes Kemenkes Palangka Raya.

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Abstract

Latar Belakang: Tumor otak merupakan pertumbuhan sel abnormal pada jaringan otak yang dapat menyebabkan peningkatan tekanan intrakranial, gangguan neurologis, penurunan fungsi motorik, dan penurunan kualitas hidup pasien. Kondisi ini memerlukan asuhan keperawatan yang komprehensif dan berkesinambungan. Tujuan: Mendeskripsikan asuhan keperawatan secara komprehensif pada pasien tumor otak di ruang Seruni RSUD Ulin Banjarmasin meliputi pengkajian, diagnosis, perencanaan, implementasi, dan evaluasi keperawatan. Metode: Penelitian menggunakan desain deskriptif dengan pendekatan studi kasus. Subjek adalah satu pasien tumor otak yang dirawat di Ruang Seruni RSUD Ulin Banjarmasin pada 4–8 April 2026. Data dikumpulkan melalui wawancara, observasi, pemeriksaan fisik, dan dokumentasi. Hasil: Pasien Ny. S, perempuan usia 45 tahun, mengalami penurunan kesadaran (GCS E2V1M5), hemiparese ekstremitas kiri, dan refleks patologis positif. Ditetapkan dua diagnosis: Penurunan Kapasitas Adaptif Intrakranial dan Gangguan Mobilitas Fisik. Intervensi meliputi pemantauan TIK dan latihan ROM pasif. Kesimpulan: Diagnosis Penurunan Kapasitas Adaptif Intrakranial teratasi sebagian ditandai peningkatan GCS dari E2V1M5 (8) menjadi E3V1M5 (9). Diagnosis Gangguan Mobilitas Fisik teratasi sebagian. ROM pasif membantu mengurangi kekakuan sendi dan mencegah kontraktur, namun kekuatan otot masih berada pada skala 1. Kata kunci: Tumor otak, Asuhan Keperawatan, ROM pasif, Gangguan Mobilitas Fisik Background: Brain tumors are abnormal cell growths within brain tissue that may cause increased intracranial pressure, neurological impairment, motor dysfunction, and reduced quality of life. These conditions require comprehensive and continuous nursing care. Objective: To comprehensively describe nursing care for a patient with a brain tumor in the Seruni Ward of Ulin Regional Hospital Banjarmasin, including nursing assessment, diagnosis, planning, implementation, and evaluation. Methods: This study employed a descriptive design with a case study approach. The subject was one brain tumor patient admitted to Seruni Ward, Ulin Regional Hospital Banjarmasin from April 4–8, 2026. Data were collected through interviews, observation, physical examination, and documentation. Results: The patient, Mrs. S, a 45-year-old female, presented with decreased consciousness (GCS E2V1M5), left-sided hemiparesis, and positive pathological reflexes. Two nursing diagnoses were established: Decreased Intracranial Adaptive Capacity and Impaired Physical Mobility. Interventions included intracranial pressure monitoring and passive ROM exercises. Conclusion: The diagnosis of Decreased Intracranial Adaptive Capacity was partially resolved, as evidenced by an improvement in the Glasgow Coma Scale (GCS) score from E2V1M5 (8) to E3V1M5 (9). The Nursing Diagnosis of Impaired Physical Mobility was partially resolved. Passive Range of Motion (ROM) exercises reduced joint stiffness and prevented contractures, although muscle strength remained at grade 1. Keywords: Brain tumor, Nursing Care, Passive ROM, Impaired Physical Mobility

Item Type:	Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan (stase 9) / Skripsi / Tesis / Disertasi (Karya Tulis Ilmiah)
Uncontrolled Keywords:	Kata kunci: Tumor otak, Asuhan Keperawatan, ROM pasif, Gangguan Mobilitas Fisik
Subjects:	11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing > 111009 Nursing Research 11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing > 111010 Evidence-Based Nursing 11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing
Divisions:	Jurusan Keperawatan > Program Studi Diploma III Keperawatan
Depositing User:	Mahasiswa D3 Keperawatan
Date Deposited:	22 Jul 2026 05:44
Last Modified:	22 Jul 2026 05:44
URI:	http://repo.polkesraya.ac.id/id/eprint/3621

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