29
TUTORIAL 1
1. General Learning Objective:
After this tutorial the student will be able to understand about nursing care for clients with appendicitis pre surgery.
SKENARIO 1
2. Students task:
Make questions as much as possible related to the scenario
3. Method of study:
Small Group Discussion SGD employing the seven jump steps ―Abdominal Pain“
A 22 year-old lady was admitted in the surgical ward. She complains pain in the right lower abdomen since three days ago, fever, and nausea. She is diagnosed with acute
appendicitis. Based on her health history, she often has constipation. The result of physical examination are as follows: BP 11070 mmHg, RR 20xminute, pulse 80xmin,
and 37,9
o
C, pain at McBurney’s point with scale 7. Laboratory examination shows WBC 16.000uL. Appendicogram showed positive with partial filling. Client receives
intravenous injection such as ranitidine 2 x 50 mg, ketorolac 2 x 30 mg, antibiotic prophylaxis ceftriaxone 1x2 gram; IVFD RL 20 dropminute. Based on collaboration, the
doctor will conduct laparascopy tomorrow. Client asked about what client should do before, during, and after surgery. She confused about praying after surgery.
30
MINIMAL THEORETICAL QUESTION AND ALTERNATIVE ANSWER
31
TUTORIAL 2
1. General Learning Objective:
After this tutorial the student will be able to understand about nursing care on client with post surgery
Hischprung.
SKENARIO 2
2. Students task:
Make questions as much as possible related to the scenario
3. Method of study:
Small Group Discussion SGD employing the seven jump steps ―My Baby“
A 1 month old baby boy was admitted in the pediatric ward. His mother conveyed that her baby has been getting abdominal distention and did not defecation since 7 days ago. Baby
was vomiting after
breast
fed, poor feeding, often crying, and
can
n
ot
sleep well either morning, noon, or night since 3 days ago.
Barium enema found dilatation and improvement of gas in the small and large intestine; aganglionic area in the rectum with a distance of ± 1.5 cm from the anal area with
hipoganglionik above. His medical diagnose was Hirschsprung. Thus, the Surgeon conducted ostomy.
Baby was attached with colostomy bag. At the third day, the skin around the stoma seems redness. The mother applies baby powder around the stoma. S
he hopes that the ski
n is getting well. Mother feels worry about her
baby’s condition. Nurse provides health education about the baby’s condition.
32
MINIMAL THEORETICAL QUESTION AND ALTERNATIVE ANSWER
33
TUTORIAL 3
1. General Learning Objective:
Kategori