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"Kanker payudara merupakan salah satu tumor ganas pada jaringan payudara yang paling sering menyerang wanita dan menjadi salah satu penyakit serius di dunia yang mengancam jiwa. Insiden kanker payudara dilaporkan meningkat dari tahun ke tahun. Karya Ilmiah Akhir (KIA) ini adalah sebagai laporan praktik residensi keperawatan medikal bedah peminatan onkologi di RS Kanker Dharmais Jakarta yang berisi tentang: (1) penerapan teori Peaceful End of Life (PEOL) pada pasien kanker payudara, (2) intervensi menghirup aromaterapi jahe sebagai evidence based nursing untuk mengurangi mual muntah akibat kemoterapi pasien kanker payudara (3) proyek inovasi penggunaan Modified Early Warning Score (MEWS) sebagai alat deteksi awal terhadap perburukan kondisi pasien. Kesimpulan: bahwa teori Peaceful End Of Life tepat digunakan dalam perawatan paliatif pasien kanker. Intervensi menghirup aromaterapi jahe dapat digunakan sebagai salah satu alternatif pilihan manajemen mual muntah nonfarmakologi. Instrumen MEWS dapat diterapkan pada unit emergensi dan dapat membantu mengidentifikasi pasien dengan risiko perburukan kondisi yang membutuhkan peningkatan level perawatan seperti rawat inap atau masuk ICU.

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Breast cancer is a malignant tumor of the breast tissue that most often affects women and become one of serious diseases in the world and life-threatening. The incidence of breast cancer was reported increase year to year. This final paper clinical practice is a clinical report Medical Surgical nursing specialization in oncology at the Cancer Hospital Dharmais Jakarta which consist of : (1) the application of the theory of Peaceful End of Life (PEOL) in breast cancer patients, (2) intervention inhaling aromatherapy ginger as evidence based nursing to reduce nausea and vomiting due to chemotherapy in breast cancer patients (3) innovation projects implement the Modified Early Warning Score (MEWS) as a tools for early detection of the deterioration of the patient's condition. Conclusion: The theory of Peaceful End of Life is appropriate to use in the palliative care of cancer patients. Ginger aromatherapy can be used as an alternative nonpharmacological management of nausea and vomiting. MEWS instruments can be applied to the emergency unit and may help identify patients at risk to worsening condition require increased levels of care such as hospitalization or ICU. "

"Kanker merupakan penyakit genetik dimana pengaturan sel, karakteristik sel dan fungsi sel normal berubah. Penyakit kanker terus menjadi masalah kesehatan yang signifikan di masyarakat di seluruh dunia dan di Indonesia. Salah satu kanker yang berdampak pada kerusakan sistem neurologis dan menurunkan kualitas hidup adalah meningioma. Praktik asuhan keperawatan pada pasien kanker memerlukan pendekatan teori keperawatan. Karya Ilmiah Akhir merupakan laporan praktik residensi keperawatan medikal bedah peminatan onkologi di rumah sakit kanker Dharmais. Karya ilmiah ini terdiri dari: (1) penerapan theory of comfort, (2) penerapan program orientasi pasien pra kemoterapi sebagai evidence based nursing, serta (3) modified early warning score sebagai proyek inovasi kelompok. Kesimpulan theory of comfort tepat digunakan dalam perawatan pasien kanker. Intervensi pemberian program orientasi pasien pra kemoterapi dan inovasi modified early warning score dapat diaplikasikan dalam perawatan pasien kanker baik dirawat inap maupun rawat jalan.

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Cancer is a genetic disease in which the composition of cells, cell characteristics and normal cell function has been changed. Cancer continues to be a significant health problem in communities throughout globally and specifically in Indonesia. Type of cancer which affects the damage of neurological system and degrade the quality of life called meningioma. The practice of nursing care in cancer patients requiring nursing theory approach. Scientific final paper is type of report of residency medical-surgical nursing practice specialization in oncology at the Dharmais Cancer Hospital. This scientific work consists of: (1) The application of comfort theory, (2) The application of pre-chemotherapy patient orientation program as evidence based nursing practice, and (3) modified early warning score as an innovation of the group project. It conclude the theory of comfort is appropriate to use in the treatment of cancer patients. The Intervention of prechemotherapy patient orientation program and modified early warning score innovation could be applied in the treatment of care for cancer patients both hospitalized and outpatients."